HomeMy WebLinkAbout95-5304
BUILDING PERMIT.'
CITY OF ZEPHYRHILLS permitlf!
(813) 788-6611
:~.530t8
Date
/0 -/~ -9.1'
.
~L~ ELECTRICAL PLUMBING
"'operty Owne" .oJ11.~, OAM...P
Job Address: ff~~ . ~,AA-
Parcell.D. # ~ __ _
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: En~ Code:
Descripti~n zork I.. L .A.J,.F d~
.-fA ,..,..~ n..Jb
Radon Gas;
~~~~~~~r
FINAL 1 -tj - 0)-
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
Permit Fee 0 ':: < "'.
Signature~
Company
Address
Telephone# /- 000-~ ~S ~-.s6bS
r;:r-t.)
<POI "/
Valuation or ,..,
Contract Price ~~-. / h 0 "' o---D
,
City License Registration # /....!::>-!? .:t
State Certified License#
?~~ ~~dJ
BUILDING
ELECTRICAL
PLUMBING
-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
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APPLICATION FOR PERKIT
CITY OF ZBPBYRHILLS
BUILDIHG DBPARTKBNT
-
r~~++f .A'da--//
OWNER'S ADDBESS .5" 6 ;L..3 q>'" / re 5.5 Sf-,)
JOB ADDRESS ~_ d (/ a..5 teL Ie;, Ii t:!
LEGAL DBSCRIP'l'ION: LOT(S) CJ/70 B~SUBDIVISION OCJ6iS'
PARCBL I. D.' I;J T 7[1( ;2 i (OBTAUl PROK PROPERTY TAX NOTICB)
OWNER' S NAME
7g~ - CJ/g:/
2eoa1vy-);;/1s ~LJ - ~5S-~LJ
() J
PHONB
WORK PROPOSED:~ew Construction --..Addition --..Alteration ---...Repair """"""--Insta11
_Sign
--.JIove
~eaolish
PROPOSED~E: ~s~eF_ilY
--Yt/F _' of Units --Yt/H
_ec-ercial
_Indust. _Swia. Pool _Other
DESCRIPTION OF WORK:
BUILDING SIZE: N)/I X
---...Restaurant Ii: Health Departaent Approval
. C'K /slrt1~ f/o&!-'.- 0,.1 ' PP, . rl-C€' 6 I '
e)(~.s. ;,1"'.,;/1(1 (;{)}flQ'cc.0
, Square Feet, Height k,.J ;J frJ ,1~u.....J I
/
ATTACH (2) PLOT PLANS Ii: (2) SBTS OF BUILDING PLANS Ii: (1) SBT ENERGY FORMS.
ATTACH (3) SETS OF BUILDIHG PLANS Ii: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
RESIDENTIAL:
COtlHERCIAL :
PERKITS REOUESTED
~UILDIHG
$
~76.~
Valuation of Total Construction
RT .RC1'RI.CAL
AIIP Service
Florida Power Corp.
W.R.E.C.
----1IEClWlICAL
$
----PLutlBDiG
GAS
Valuation of Kechanica1 Installation
V ROOFING V SPBCIALTY
TYPE ~~ CORSTRUCTION: -...Block _Fraae _Steel
Other
FIllISHED FLOOR ELEVAnOBS:
Fl.
IS PROJECl I.B FLOOD ZONE AREA'
YES NO
..........................................
CONTRAClOR SHelION
, .
RUTT DER
COKPAHY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
RT.RCTlUCIAR
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Siooature
PLmlBER
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
lIECllABICAL
COKPANY
State Cert. or Regist. .
City License Registration f
..........................................
Signature
OTRRR
COMPANY ~.r^"()",, ~o..f 0 .~""- J
State Cert. or Regist. . ~ D~:;;H~'f'f
City License Registration .
...............................
Signature
APPLlCAnON APPBOVED BY
PERKIT OFFICER.
--- -----;r-- ---.--.-- r--- -.. -- --~--- - - --..------ ---.-.. .--..--..------..-..- -_..~
regulations. 'he undersigned assU1e8 responsibility for COJIpliance 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 lieeDIed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor Iil' be
cited for a aiadeJeallOr violation under state law. If the owner or intended contractor are uncertain as to what lic8D8ing
reguireJenta aay apply for the intended work, they are advised to contact the City of Zepbyrb111s Building DepartElt, (813)
788-6611. .
FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for wbich they will be responsible. If JOU, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes rou to sign
as contractor that lilY be an indication that he is not properly lieeDIed and is not entitled to peraitting privileges in the
City of Zephyrbills.
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 'Florida's Construction Lien Law - lkIIeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and ConsUll!l' Affairs. If the applicant is 8OIeOIl8 other than the
'owner', I certify that I have obtained a copy of the above described docuJent and prolise in good faith to deliver it to the
'owner' prior to coaenCelent.
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 lilllS regulating construction, loning, and land developElt.
Application is hereby Iilcle to obtain a perlit to do wort and installation as indicated. I certify that no work or
installation has CDlenced prior to issuance of a perlit and that all work will be perfOIJed to I188t st:andaIds of all laws
regulating construction, City codes, loning regulations, and laDd develo(lMl1t regulations in the juriadictiOll.. I also
certify that I understand that the regulations of other goveIDll8l1tal agencies aay apply to the intencled work, and that it is
IY responsibility to identify what actions I lUSt tue to be in COJpliance. Such agencies include but are not liaited to:
I DepartJent of Envirolll8l1tal Regulation - Cypress Bayheads, Wetland Areas and Envirolll8l1Wly Sensitive Lanc1s,
Water/Wastewater 'reatlent
I Southwest Florida Water JlanageJellt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
I AIly Corps of Engineen - Seawalls, Docks, lavigable Waterways
I DepartJent of Health i Rebabilitative Services, EnvirODl8lltal Health Unit - Wells, Wastewater Ireablent, Septic lanks
I US InvirODJeJltal Protection Igency - Asbestos abateJellt
I also certify that, if fill aateriaI is to be used in Flood ZODe 'I' or 'I,ete.', it is understood that a drainage plan
addressing a 'COIP8D8ating volllle' will be suhtitted which is prepared by a professional engiDeer registered iD the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
Set aside an, provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official f~thereafter
requiring a correction of errors in plana, construction, or violationa of any cocle. Ivery perait issued shall bec:me invalid
unless the work authorized by such peIlit is COII8IlCed within sUlOIlths of issuance, or if work authoriJed bl the perlit is
8U8pended or abaDdoned for a period of sil IOIlths after the tile the work Is C08enced. ODe 90 day utenaion of tile, Jily be
allowed for the peIlit with fee charge of $15.00. !be utension sball be requested iD writing to the BuiWng Official. In
approved inspection lUSt be logged during each sillOllth period, or the project will be considered abandoDed.
IfIlUJING 'fO (JfDR: YOUR FIILURI 'fO BICORD I IOIICI OF aJllllCllllNllIIl RISUL' U YOUR PIIIIG IIICI fOR IIIPROVIIIIIIS 10 100ft
PROPIIIIY. IF YOU IIIDD 10 OBIIU FIIIIIICIIG, COISULI IIIIB YOUR LlRDD DB IR II'fORIIY BIPOBI RICOBDIIG 100ft JOIICI OF
aIlMIMCIMIIII. JOBS UIDD '2,500 IN VILUI DO 101 HIED 10 RICOID lID POS' I .IDICI OF aJIIIIHCIIIDIl.
~1Qft7n ~ Sl~#~~
sun OF FLORIDA /J
coum OF r /15 CO
The foregoing instrument was acknowledged
before me this It:) /7 , 19 ~S-by
~ t"~8~11~ ~~ or ""8. b88
pe4u\Oed
as identification and who dIU/did not
---<
take an oath. ,~~~/
(Signature)
(Hame . Typed, Printed or Stamped)
HOTARY PUBLIC
SIUB OF FLORIDI L? r
COOllY OF ~I'VEaA--5
The foregoing inst~ent was acknowledged
before me this /0/ ~ , 19" ~by
( ..
6~~~~
~o 1 s 11 toae or who has
pred&sed
as identification. and.ho....Ldid D01: .
take an o~tb. K~ ~~
(Signature)
(Hue Typed, Printed or Stuped)
HOTARY PUBLIC I
KARL A. WEBB
Notary Public, State 01 Florida
My Comm. Expires Aug. 5. 1998
No. CC2t9991
. KARL A. WEBB
\\ Notary Public, State 01 Florida
My Comm. Expires Aug. 5. 1996
. No. CC219991
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0,019" ALUMINUM COVER PAN OR CONTINUOUS
RIGID INSULATION
~
#8 x 5/8" CORROSION RESISTIVE
WASHER HEADED SCREWS @ 24"
O.C. ALTERNATE #B x 5/B" SMS
W/ 1/2" DIAMETER WASHER.
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t-
TYPICAL PANEL
NOTES:
1, INSTALL RIGID FOAM INSULATION INTO ALUMINUM ROOF PAN.
2. COVER INSULATION WITH 0.019" PROTECTOR PANEL WITH OVERLAPPING SEAMS.
3. INSULATION PANEL SHALL BE CLOSED WITH ALUMINUM END CAP TO SECURE PLACEMENT
AND TO DISCOURAGE THE NESTING OF WILDLIFE AND OR .INSECTS.
4. PROTECTOR PANEL WILL BE SECURED BY #8 x 5/8" CORROSION RESISTIVE WASHER
HEADED SCREWS.
5. SCREW PATTERN WILL BE 12" ON ALL PERIMETERS AND 24" O,C. FIELD ON EACH PANEL.
6. ALUMINUM END CAP WILL BE ATTACHED WITH 3 #Bx1/2" CORROSION RESISTIVE WASHER
HEADED SCREWS.
7. SEAL ALL SCREW HEADS WITH CAULKING.
Plnellas Chapter
Aluminum Association of Florida, Inc.
P.O. Box 232
Clearwater, FL 34617
[1@W[?@[JO@@ Bo [;3@[JO[JO@~~g [poBo
CIVIL ENGINEER AND DEVELOPMENT CONSULTANT
P.O. BOX 4368 S. DAYTONA, FLORIDA 32121-4368
PHONE: (904) 767-4774
FAX: (904) 767-6556
. ,
@ COPYRIGHT, 1995 NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN
PERMISSION FROM LAWRENCE E. BENNETT, P.E,
SECTION: 5
PAGE: 5=~~
82
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Improving Your Home For Good
STATE CERTIFICATIO:~
PEAMAGUAAD
INDUSTRIES, INC.
f)('90 1 ',[llh Ave. N. Lar':]:) F. J4t3,i3
(813) 541-6648 FAX 544-3825
Florida Toll Free 1-800-833-5665
Sf'ECIAL TV co:nR,~CToR SCC 045074
HOME IMPROVEI.~E\!T CONTRACTOR HC 0001309
INST ALLMENT SALES HR 0048544
DATE
PHONE
J1.-/s-95
781- 0/ C5 /
ZIP CODE
~Al
Cv,"" ;,., G"~1;M~ ptQh ~ J)ff?k:./v LZ_ ......aa.(.AJtZ>y 21nt/,.o1- /It*./!.- U
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~N..J(, ~ u-c'vrsl-'i; IfAk ~~ J tc:'~ tM/1I... /YU'J 4Iv~'~ /,,~ u~:., 3~.@~~/
U!::Ld2 Gilt/.&-- c.-L f{L~ad wJ1l- J( re,c<:A --stoty (./#,.6-, 1}"vi;4. lods J)",1GD ~Z5
(j) :z:~ 1/ S:;rtG~iY D(')ol<. ~ /II.. i//7/ Vh:/r (fJ ~,~ ~ II du-. dde>>t'-
,~ ~v/ a6 o/~ Vh:,f .-l ~-'P
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)IJ!I r J\gree hereby to furnish material and labor - complete in accorda~ce with the above specifications for the sum of:
. . (i6
S;~ dollars ($ 157('()-
e-u
Sf ' ttJ
).
~-
NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR
COULD ASSERT AGAINST THE SELLER OF THE GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS
HEREOF. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.
1. The contract herein written is the complete understanding between the parties, and no oral modifications or amerdments shall be made, except in wrrting and signed by both parties.
2. This contract covers all materials and/or labor specified above but does not include costs resulting from causes not reasonably known to Permaguard prior to execution of this contract including
but not limited to costs incurred bringing existing structures into compliance with building codes, costs incurred by compliance with revision in building cooes, abnormal site or grading requirements.
existence or location of wires, pipes, sewers or utilities Any such costs to be paid by PURCHASER
3. In event that PURCHASER and Permaguard mutually agree to changes in the work above described. any resulting reviskYi in price. or description of work, shall be written and signed by
both parties, and shall be a part of this contract as though originally wrrtten herein.
4. Uauidated Damaoos As actual damages for breach of the contract prior to commencement of work are difficult to ascertain ard are uncertain, the parties agree as follows:
(a) Prior to commencement of work or furnishing of materials, Ten Percent( 1 0%) of the cash price stated in the contract (or the maximum amount allowed by Florida law) will be considered
as liquidated damages, and not as penalty or forfeiture.
(b) Once labor, services and/or materials are commenced, Permaguard Industries, Inc. will be entiUed to actual damages upon Purchaser's breach of the contract. (Actual damages are defined
as the actual cost of labor. services. and/or materials to the date of the breach of contract. plus 10%).
5. Attorney's Fees. In the event it becomes necessary for Permaguard to enforce any part of this contract and should Permaguard prevail, Purchaser agrees to pay Permaguarcfs reasonable
attorney's fees and all costs of this action.
.6. This contract shall be for the benefit of ard be binding upon the respective heirs. administrators, successors ard assigns of the parties.
7. This contract is not binding on Permaguard unless accepted on behalf of Permaguard. by an officer of Permaguard.
8. DO NOT SIGN UNTIL YOU HAVE READ All OF THIS AGREEMENT The undersigned PURCHASER(S) acknowledge receipt of a true copy of this instrument with all blanks suitably fi!led.
(IN WITNESS WHEREOF) this contract has been signed by the PURCHASER and by SALESMAN, the day and year first above written.
"BUYERS RIGHT TO CANCEL: This is a home solicitation sale, and if you do not want the goods or services, you may cancel this
agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want
the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement.
If ou cancel this a reement the seller ma not kee all or art of an cash down a ment."
~~~R~L/&VAA/
DATE ACCEPTED
~RCHASER
PURCHASER
BY
TITLE
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