The URL can be used to link to this page

Home My WebLink About95-4872 BUILDING PERMIT Permit N'? " CITY OF ZEPHYRHILLS (813) 788-6611 4872J3 Date '-/-.;)/ -1' ,S- ~~ . BUILDING ) ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::~:::,~,:~es-1i t~ ~kp ^-k 4 Parcell.D. # Water Meter: T,I.F.'s: Zoning: rt:- Description of Work a En"gy Cod" hd ? ;:yon G.. ~ ~ ~ ~..~cV\ 0{ ~~ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Permit Fee Signature Company Address Telephone# ~ Valuation or Contract Price ~ trZ77J. tIV City License Registration # / t..TD State Certified License# ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. -,.'''!''',..'';C',.,',..".''I>,,.....'',.,.,...-wr-n....___.,,...-...'''''''''''_,''"'f.','i ,. APPLICAnON FOR PERKIT CITY OF ZEPIIYRIIILLS BUILDING DEPAR'l'HENT OWNER'S NAHJLJ<A s ~ N I 1/.-4 (2{l ~ OWNER'S ADDBESS H2L 1-+#11 EV Qb. JOB ADDRESS E/f ,..J:) L~ L-L- 13 L~ V D " S-rcrzts, I (lC. PHONE r; 2 I - 02-44- tPA} r:L 3_?b Ie ~.~p Ii Y 12m LLS LEGAL DESCRIPl'ION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.# (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Rew Construction ---"<<Idition ~teration --..Repair _Install _Sign ---..Kove -Deaolish PROPOSED USE: _Single Faaily /ec-erCial ---1J/F _' of Units ---1J/B ~~er _Indust. _Swia. Pool Resta~~D~l~ D~~~~~ApWoH()v A11D _ DESCRIPTION OF WORK: nS~L-~";4 wAi1ctcE. 8).J2~A{F(~ fYlD{)/ FI f2l) I COO /2/ eoo I {;- SYSTEm BUILDING SIZE: X. ~re Feet.' Height on THE B4Cl.:(. F u~ r (2c~) F of f!-f /J12 RESIDEI1TIAL: AtTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. Dr: t: COMMERCIAL: ArtACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. SI()e-c-. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UILDING $. ~.DO Valuation of Total Construction RT.RCTlUCAL AIIP Service Florida Power Corp. W.R.E.C. ___ClWll.CAL -PL1IIB1NG $. Valuation of Hechanica1 Installation GAS ~ ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Bloclt _Fraae _Steel Other FDIISIIBD FI.OOB. ELEVAnONS: Fl. IS PROJECT I.R FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION BlrrT .DRR COHPANY State Cert. or Regist. # City License Registration , .......................................... Signature RT.RCTRICIAIJ COMPANY State Cert. or Regist. # City License Registration f .......................................... SiA'QAture PLUtlBER COttPANY State Cert. or Regist. # City License Registration f .......................................... Signature IlECIIAIf[CAL COMPANY State Cert. or Regist. # City License Registration f .......................................... Signature OTRRR COMPANY ---rAfY1 P ft f2co F / (l,e-CO. State Cert. or Regist.' cc.c 0324C-t2... City License Registration <.f I CO .......................................... Signature APPUCAnOR APPIIOVIlD BY '71., ~;j .lJt '9-T.h-"~ PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS '!be undersigned understands that this pemit laY be subject to Ideed restrictions I wbich lilY be lOre restrictive than City regulations. tbe undersigned assUIeB respoJlSibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be cited for a .isdelle8JlOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguirelellts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the IContractor Sections I of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perJitting privileges in the City of Zepbyrbills. . C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW. (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of IFlorida's COnstruction Lien Law - lkIIeoImer's Protection Guide- prepared by the Florida DepartJent of Agriculture and ConsUle1' Affairs. If the applicant is 8OIl!OI1e other than the lownerl, I certify that I bave obtained a copy of the above described docuIent and pralise in good faith to deliver it to the lownerl prior to co.encell!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infOrlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, zoning, and land developll!Jlt. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or inatallation bas CDIeIlced prior to issuance of a perlit and that all work will be perfomed to leet standards of all 1_ regulating conatruction, City codes, loning regulationa, and land develOpll!llt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is Jy responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lillited to: t Departlent of BnvirOllJelltal Regulation - Cypress Baybeads, Wetland Areas and BnvirOllJelltally Sensitive Lands, Water/Vastewater 'I'reatlent t Southwest Florida Water NanageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Aray Corps of Engineers - Seawalls, Docks, Xavigable Waterways t Departlent of Health' Rehabilitative Services, BnvirOJlll!Jltal Health Unit - Wells, Was_ter treatJent, Septic tanka t US BnviIODleJltal Protection Agency - Asbestos abateJellt I also certify that, if fill Iilterial is to be used in Flood Zone IAI or II,etc.l, it is understood that a drainage plan addressing a Icc:.pensating volUlleI will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be conatrued to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perJit issued shall bec:oIe invalid ' unless the work authorized by such perlit is co.enced .ithin sillODths of issuance, or if work authorized by the perIIit is suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 clay eJtension of tile, lilY be allOlfed for the perlit with fee charge of $15.00. '!be eatension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. IWUfIRG '1'0 omR: YOUR FAILURI '1'0 RECORD A IfO'I'ICE OF ClJIMDCBIIII'l MAY RESUL'I' IX YOUR PAYIIG fiICE FOR DIPROVIIIIlI'I'S '1'0 YOUR PROPIR'I'Y. IF YOU II'fIJID '1'0 OB'IlIJf FIXUCIIG, COISOL'I' WI'I'H YOUR LlKDIR OR lK I'I"I'ORDY BlPOIIB RICORDIXG YOUR IIO'I'ICE OF _. .JlIlS _12.5G0 II YILIJIlIlllIOr 11III to IIItlIID ~;CI OP n'. SIGlllIOIII: OIIIIR 111- ~ S'l'1'I'1 OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'I'A'I'I OF FLORIDA coum OF ~ I LL5Pi)(2{Ar>tf The foregoing inst~t was ac~owledged before lie this APIZIL 2D, 19~ by ILErn+- ~. S.WDPE.. ~o is ~personally known to m!)or who has produce<l as identification and who did/did not ta~~ ~J~;) Unl \ I l)4?Jd ~ature) ~ (Na.e Typed, Printed or Stamped) NOTARY PUBLIC who is personally known to lie or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC TAMPA ROOFING COMPAN'f;.INC. 1700 EAST ELLICOTT STREET TAMPA, FLORIDA 33610 .~ (813) 238-6436 UC. *CCCd32492 . April 14, 1995 Rash n' Karry stores, Inc. Bill Corder 6422 Harney Road Tampa, FL 33610 RE: Rash n' Karry Store '128 5935 North Gall Boulevard Zephyrhills, FL 33599 Dear Mr. Corder: We propose to do the following work on the roof at the above referenced ,. address: ," Furnish labor and material to remove all the existing roofing from the back portion of the bUilding. Install a granule surfaced modified roofing system, consisting of: : one (1) layer of coated base sheet to be nailed with Zonotite nails and discs, one (1) layer of glas-ply sheet to be set in a solid mopping of hot asphalt, and one (1) layer of granule surface modified to be set in a solid mopping of hot asphalt for surfacing. Install new two-ply flashing systems. Install 26 gauge galvanized gravel stop, Install new lead boots around the plumbing vents. Repair the front of the back wall of the mansard and make any other necessary repairs to the b,lance of the roof. This includes removing all the roofing debris from the premises. Cost of labor and material for the above: $6,000.00 --------- --------- * This proposal does not include the cost for replacing any decayed woodwork. This would ,be an additional cost to be determined upon removal of the existing roofing, if any. Thank you for the opportunity of being of service to you. If this proposal is acceptable, please sign ~oth copies and return the yellow copy to us. In accordance with the above specifications and subject to conditions found on this agreement, for the sum of: Six-thousand and no/100----______~---_______________ 6 000 00 ' dollars ($' · Payment to be made as follows: Upon completion. ) . All malerial is guaranleed to be as specified, All work Is 10 be completed in a workmanU'" manner acc:ordlng 10 standard practices. Any altera!lon or devta!lon from above apeclflcalion Involving elClra C08III will be execuled only upon wril1en orders, and will becom. an .xtra charge over and lIbov.the eetJmate. All agreements contingent upon atrl...., accldants or delaY' beyond OUr control. Owner to 4rry fire, tor- nado and oth.r neceaaary insurance. Our work.... ar. fully covered by Workman's CompellA\lon Insurance. TERMS. CONDITIONS: Past due accounta are aubjecllo a monthly "Nice charg,. Thl! Service Chargala computad by a .P.riodic Rata. of 1 YI'llo per month which Ia an annual percentage rale of 18%. By signing Ihis agreement customer agrees 10 pay r.asonable auorn.y's ,_ and court cqata In the _t thla agreem.nlla r.ferred for Collection. ACCEPTANCE OF PROPOSAL: The above prlcas, spaciflcations and cond~io", are sallalaclory and 8re heraby accepted. You ar. authorized to do the work as apeclfiad. Pay.. ment will be made as outlineda:kl. _ _ Signature: ~~('. V~~".'~' Date: ' ~ ~S',/9"~'- rf''' ~J,.i' A {"'~. RespectfuHy submitted, , TAf.tPA ROOFING COMPANY, INC. ~~. By Horr1s ~wope, lOts re den~ NOI.: Thla proposal may be withdrawn by US If noc accepted within _ daY'.