HomeMy WebLinkAbout94-4409
BUILDING PERMIT
CaTY OF ZEPHYRHILLS
(813) 788.6611
P . NO
ermlt ".
_ 4409i~
Date I tJ - ;2~----7lf
~ ELECTRICAL PLUMBING MECHANICAL
Pcop"" Own." ~ 'V.L"f!
Job Address: / J... : J~(j a~ (f' f1V63 ~
Parcell.D. #
Sewer Conn
Water Conn:
Water M~ter:
T.I.F.'s:
Zoning: Energy Code:
Description of work"K {l_/$.1'.~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL JO-d,7- q
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
e.o.
DATE
Inspector
Permit Fee
Signature
Company
Address
Te)ephone#
,,3.....$ '- t/?)
~
1LM-f
Valuation or
Contract Price "'-~ /' 90. Ct7J
City License Registration # ~--5
State Certified License#
~ l 3>. :5 ~ ~, \ Bou
~~~r:4!; 7? r~~fJ
BUILDING" ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLI.GAttOIl I'OIl PERIU'I
CIty OF ZEPllllUIlLLS
8VILDlllG DItf'ARllIEIfr
OHMER'S MAKE FLOYD WESP
ONR!R'S APPaBSS 120 LANSING AVEr ZEPHYRHILLS, FL. 33540
JOB ADD.RESS SAME
ftlUR.R.. 788-4869
---.Jle.s1:8Unm.1: a Beal.th Depar-.eo.t Approva.l.
BUILDING SIZB: 26
X 39. 5,
Square Feet, 1027 SQ.
Bei&ht
RES)J)ERTIAL: A'lTAQI (2) l'I.OT PLAlIS 6: (2) SEts 01" BUIUJIIIG PLAlIS 6: (1) SET IllERGI' FOlKS. *.
QBIKRCJ.AL: AnAaI (3) SItIS OF BUILDI1IG 1'IAIIS 5: (1) Sft EIIBRGY l'tJIImi...
..OOPl' OF COIIlll4\cr BIIqU.lIlItD.
PRJrIIIIS IIEODRStU
-BUI.LD1RG
$
VaJ....tioo of Total Ouostruction
F.I.RC11UcAL
MIP Senic::e
F10.:1da Power Corp.
W.R.E.C.
-..JIECIIAfflCAL
s
Valaal:ioo of llecbanicU. Insl:allatiOll
~LUltBI.G
GAS
ROOf'IlIG
SPECIALty
RE-ROOF
Other
11T8 OF OOIlS'J'IUICTIOII: _Blod. _F~ ___;neel
nlllSJIKD nAJOR .8I.IWATlOllS r
fT.
IS fROJECl III FLOOD lAJD AREA!
-
..........................................
YES 80
aJIDlIACI1IR SltGl.\9.1
SlnI.Dg
aJIIPAlO"
Stal:e 0e1:'1:~ or Regi.t. ,
City Li~ense Itegistt*tion t
..........................................
5iguatuJ;e
ItI.F.CTRl CI AN
COIIPAIII
State Cet:t. 01:' Beg:lst. ,
CitT Lic::eose Registration ,
..........................................
5jiln1acure
P'LUIBER
UltIPAIII'
State Cerl:. or lIegisl:. f
City License RegistratIon ,
..........................................
Signst:w:e
NJrOIA"CAI.
CUlPMT
State Cert. or R.edst. ,
eft:,- License RegistrattOll ,
..........................................
Si.gnature
5lgoat.v.re
t>.
COftPARY INVINCIBLE ROOFING SYSTEMS, INC.
\~ State Oerl:. or ReaiBt. . CCC049367
C:U:;r L1cen..se Reg18traU.0Il' ~ 3
........ .................................
fnIInI
APPLICAnOll --... '7l ~Q JJJ. <>-n-~
I'BRIIlT OFFICER.
LLlI'JIJ J. '.ll/l'I~"i l.1t- ,..t.;.t<"1 J. r nl"- J. lH-lV .t. I
() . NUT I CE Ur:. _.Qg_~!L.ll~qlI.tU~LUJ.!~g~ b t I tl than &By
'he u"d~;;i9~;d~';;'standg that this pertlt lay be ~~b;!ct to "d,ed r~strlctions' "hith ..ay ~ .O~! ~!~ r t ve
r~9uI3ti~ns. Th~ undrr,igned assu'~s r!5p~n!ibjJity for c~~pli~nt~ with eny ~rplit~bl~ deed restrlc\l~n5.
.,.. 11f'( r"I'[')r.. F E"'."'O' NS 18 ILl T lES
f.l . UNL 1 CENSEO _J~.!J\'ir ~f)J~J]J.m~...B,':l9. _._~.Qt._._~.ll;-!. .....'.L...L.'?_ :....._......._.__................... .
If the ..~-;;;;;.h~;-"iili;d.~ tontrllttllr or contractors to underhte "tlrk, they ~ar bl! requirl!d h be liunSl!d In acrmlanu lIith
state Ind lotll regulltions. If the cDntractor is not licensed as required by I~", both thr owner and t~ntfact~r lay be
cited for a lisdeleanof violation under stat~ lall_ If the ONner or intended contractor ar' unctrtain as to "bat llclnslng
requlrp~pnt, .ay Ipply for th, intlnd!d "Drk, th!y 3rl ~dvi~ed to cont~[t the City Gf Zephyrhills Building D.part.ent, (QSal
799-UII.
Further~ote if the owner hi, hired I (ontractQr ~r contr~ctnr5, he is advised ttl hay! thv contractor(s) 5ign pprti~nl ~f the
, .
'Contrlclor Slctions. of thi5 application fOf "hlch thlY "ill b. r!sponsi~le. If you, as the OIlO!t lign 15 .the cu"trat~~r,
y~u Irl indicating that YQU, rath.r thin the tontractor, ~r! r!5ponslble for the Mork. If th, contractor wishes you to 519"
ft5 contrlctor that ..y b, an indication that he i5 n~t properJy li(l!ns!d and is not ,ntitled t~ pet.itting prtYllevv~ In the
City of lephyrhil15.
c . TRlltNSPOf:\T AT 1 UN ~ l'IP{~CT F:...s.s.~-1~N.l~_lJI..!1-LLL...J,;b!.t~HI,;1;.TJ O.!~L.f:..~Eq
n. ~UNS fF(UGT IQbLb-.,LI;!LJ",.aw.. (C1-I/:'Jf~nSR '71:3, F L.on.1 Df\ 8TfHU'fES ~ (.)9 AI'1ENUED:'
I certify that I, thl applicant, have b!ln providvd with a cory of 'Flo.rjda'~ CQnstruction litn l." . HOlro""Pf'S Prot,ction
Guid,. pr'pared by the Florida Dlp.rt,ent ~f Agritultur, Ind Consuwer Aff,irs. If the applicant is sOlton. ot~vr than 'he
"o""l!r", I certify th~t I haye l'btainl'd I topy ~r the '''Gye de!icribed dtlClIlIIeflt and prollliu in 9(lod faith to delhl!f it to the
"~~ner. pritlr t~ co~.enc!.ent.
I=:. . G9N-r:R(:'!C~QB..:..E...Lm.,~.~1l.:...~-1Jt=x:J..R'O.~~.lI
I clrtify that all the infor,alion in this appljcatl~n is Irtur~te and that all "ork will be donI! in to.plianel! "lth all
~pplicabl1' la"5 regulating cpnstructi~n, loning, and land developatnt.
Application is h~rlby Madl! tl' obtain a p.rlit to do work and installatl~n as ihdieat,d. r certify th.t no wort or
in!tllIAti~n has coa.enced prj(lr t~ issuance of . perait and that III "Or. "ill be perf~r.ed to I'tt standards of all IIHS
requhting tonshuttilm, City cfldrs, unin9 requhtlons, ilnd hnd developlllent r!9ulation5 In the jurisdiction. I illsQ
certify that I und!rstand that the regulltions of ~thel' gtlvl!rn_lntal agencies ,at apply to the intended tlPft, and t~~t it is
Ill, rl!sponsibiJity to idenHfy Hhat attions r lust take tll be in tolplianee. Such agt!lIl::ies include but are n~t UI1t~d tOt
· lkI!.artlent of Envinn"ntaU,eQlllation . l:yprV5'3 [lilyheads, Hetland Arlili ilnd Enyjl'lln'enhJJy S.nsithe land5,
WaterIH.st,".t!r Tr'at'~nt
I Soulh"!.l Florida Nater "anaQI,lnt District - Helll, Cypress 'ayheilds, Hetland Arlls, Altering HatercOUf&IS
~ Ar.r Corps Df Engin11fJL - SeaNalls, Docts, Navlqabl' Nat,r"ays
· D.p.rt.e"t Dr Health' RehabililatIve SerYic!s, EnvirQnlental Health Unit ~ Hells, Halte"at.r Treatl.nt, Septic Tanks
· US Environ.ental PrDtectlon Aqlnty . Asbestos abltl~'nt
I BlsD c&rtify that, if fill ~at&rial 15 to bl! us!d tn FI~~d Zone "A" or "A,etc.', it il undlrstood that a ~rai".g. plan
addrl!55jn9 a .to~pen5ating vplu~~. "ill be !ubaitted which is prep.r,d by a prQfessi~nal 1'n910&!r rgglstpred in the SI.te 01
rl~rida prior tp per.it iS5U3nte.
A rer~jt i!!u.d shall ~e C~n5trued to bt a lite1l5P to proc..d "~lh the "or~ and not 15 authority to violAte, caneel .ltef, ~r
set aside ~ny provisions of the technital (odes, nor shilll i5s~~nce of , p'r~)t prpvent the Buildin9 Official fro. thereafllr
requiring I corr.cHcfO of error5 in plans, nnstfllttll'n, or vlohtlDn!1 of any tod.. Evl!ry per.it i!!lued Ihall hell'" invalid
u'lles5 the "ork authorized by gUlh per.it is c~I'enced Hlthin gix lonths 6f issu~ncp, or if HQrk authnrized by the per.it Is
SU5p@l1ded pr abandoned for a period of si~ tonths after the ti.e the Hork is (~R'enepd. One 9~ d~y e.t~nsion of ti.!, ley be
all~"ed for the p.rait "lth fee (harge of "5.0Q. The ewteoslon shall b~ requested in writing to the Building O"lclal. An
~vproved in5pection lust be Jpgged durinq each si~ ~onth period, or th~ projl!ct Hill be c~nsidpred abandL'ned.
NARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF r,on"EnCEnENT nAY RESULT IN YOUR PAYING THICE FOR IRPRDVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO DBIAI" FINANCING, CONSULT WIIH YOUR lEMPER OR AN ATTORNEY BEFORE RECORDING TOUR NOTICE OF
COMMENCEMENT. JOBS UHPER se,500 IN VALUE DO HUT UEEP TO RECORD AND POST A -NOTICE OF COnnENCEnENT".
Jb~ L ~
SI6"ATURE: CONTRACTOR
,.".
~
SIG"^,UREI OWNER OR ABENT
~u{
STATE OF Fl~
roUlITY or lJPDS
lh~ fbregoing !Mstrume,nt was ~~~nDwl~dged
b~fC'J'~ me thiQtf-()i -k~U.-r191!:.L by
who has
ST~TE OF F~ ~
WUrtH Of (AU) 1il ~ ___ .
The fe.reClc.ing il1stn.lmel1t~IfJas aclm,pwledged
befc.re me this ..c9Ll- ~'U9~ by .
61;0
l.
Hi. Tuff/EpTM
EXTRA
PERFORMANCE
u~ 7-PfhftU!
[INVINCIBLE)
<!:otltriJet
Hi. Tuff/EpTM
EXTRA
PERFORMANCE
7S$ - 4 (;
MHP NAME
19q
1.
Vbl!..~tV~ .
2.
3.
4. INCLUDE ALL REQUIRED PERMITS.
5. CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE.
6. MAil OUT LIFETIME, NO-lEAK, NON-PRORATED, TRANSFERABLE WARRANTY
FUllY COVERING All lABOR AND All MATERIAl,lNClUDING All STORM
DAMAGE FROM RAIN, LIGHTNING, HAil AND WINDS UP TO 170 MPH.
7. ADDITIONAL INFORMATION:
~INVINCIBLE~
INVINCIBLE ROOFING SYSTEMS, INC.
10931 75TH ST. · LARGO, FL 34647 · 813/545-1800 · 800 / 937-6635
State Certified Lie. # CCC049367 Member: Not!. Roofing Contractors Assoe.. BBB CARE Program
1. CASH PRICE $
2. LESS DOWN PAYMENT $
PAID BY C (7!-tf <; ~
3. UNPAID BALANCE OF CASH PRICE $ .3," 0
4. TOTAL BALANCE OF CASH PRICE DUE
IS PAYABLE BY BUYER(S) IN
I INSTALLMENT(S) OF $ 3.6 90
ON COMPLETION OF ALL WORK
"BUYER'S RIGHT TO CANCEL"
(Reverse side)
Thil t"nMetion il to be MCured by tht Ichecked) Item on ttlt
premi_ to be imprOYtd.
[ ) Mon.... [ ) A_'enment of I.nd contrec:t
[ ) Mtch.nic. lien [ ) PromillOry note
[ ) Other ld.cribel
r)( Thi. tr.nMetion i. unltcurtd.
Buyerl.1 tcknowledttl tl\et this contrtc1 _ completely filled in
prior to e.ecution .nd teknowltdgtl receipt of tn tIClCuted CClPi of
thil CHh contrtet.
I, lweI herewith expressly agree to pay not as a penalty but as
liquidated damages, 10Cl1l of the principal amount of this contract to
Invincible Roofing Systems In the eyent of a breach of this
agreement by I lweI for any reason whatever.
me 1\ gre e hereby to furni.h material and labor - complttt in acco!~nct with abovt IpICifications, for tht sum of:
NWp~~v ~~
'7H~6 THdtl.s~tUt> SE'YllN I-tU.c.JDRI5'])Q;cJ/)t?C> Dollars IS 3~ 790-;;zs-
'.yment to be made'l lollows:
'* 100 11;
.3, b
OX)d
. tJ.JP 0
~ C, D. D
Authoriled
Si",t'ure
All m.I.,I.lltgu...nleed 10 be .. .pecH'ed. All work 10 be complelld workm.nllke m.n.
ntr .cco,dlng 10 'I.nderd pracllc... Any .'....llon or c1tvltllon I,om .bov. \lPlCHIc.tlon.
Involving ,"ra co.tt will be e.teul.d only upon wrill.n ord.,. tnd will become an e.l..
cht'llt over .nd .1IOv. Ih. e.llmtle. "" .grttmenl. contingent upon alrike.. accldenlt or
d.,.y. beyond our conlrol. Owner 10 c.rry lire, lorn.do .nd olher nte....ry In.u..nct. Our
worker. er. tully cove,ed by Workm.n'. Compen..tlon Inau..nc..
NOTICE TO OWNER
Do not sign this home improvement contract in blank,
or before you read it. You are entitled to a copy of
the contract at the time you sign. Keep it to protect
your legal rights.
Acceptance af [an tract -The .bove proCeI. ,pec,I,ctt,on,
tnd conditions ere .."If.CIO'V .nd .re hereby .ccepled You tre 'ulhor>nd
to do 'he work.. lpec,lied Ptvm.nt w,ll be m.de 1$ outlined tbove.
s,.".."..~~
O..e 01 Acc.pttnce
S'gnllure
[INVINCIBLE )
ROOFING SYSTEMS, INC.
State License # CCC049367
Member: Better Business Bureau of West Florida, National Roofing Contractors Association
Contractor's Letter of Authorization
I hereby authorize the below named individual to act as my agent to
obtain all necessary permits for residential roofing work for:
Owner: FLOYD WESP
at this location: 120 LANSING AVE, ZEPHYRHILLS, FL. 33540
(IN SLEEPY HOLLOW MHP)
This person is also empowered to obtain, complete, and sign all forms,
applications, registrations, and documentation, with this limited power of
attorney, on behalf of me that may be required to accomplish the issu-
ance of any permits that may be required in any jurisdiction throughout
the State of Florida.
Authorized Person: RICHARD VOGEL
Authorized Person's Signature: ~
\~
/1/h
/~
I
I/~
r-
1
sw.....nN ,,~. ~l!2SCR~-
r- _._~"".- , - If
.. '- L...= TH VA Y OF !')'l.V
Brian Stover
State License #CCC049367
cJlh81~~
INVINCIBLE CENTER. 10931 75TH ST. . LARGO, FL 34647 . 813/545-1800 . 800/937-6635