HomeMy WebLinkAbout95-5429
BUILDING PERMIT-
CITY OF ZEPHYRHILLS Permit ]I!
(813) 788.6611
i~5~2~ 13
Date
/IJ.. - / -fs
~ ELECTRICAL PLUMBING MECHANICAL
:~::::~:l:5%~i!~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of wor~ 0 A~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL t -7 -(7)
DATE
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
Signature
Company
Address
Telephone#
.s(}.ocJ ~
~ -1
Valuation or
Contract Price ~ ~. tJ-D
City License Registration # ~...s-
State Certified License#
Cn-wMA>H'A &-'A <riT
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 ($15.001 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.
APPLICAnOIU FOR PERlfIT
CIlT OF ZEPIIIRIIILLS
BUII.DIIiG DEPAKDur.Itr
OWNER · S IWtE SlUART & BARBARA MAC IlJFFIE
OWRER' S ADDRESS>3)3 BRUNSWICK SIREEI' ZEFHYRHIIl.S, FL. 33541
5303 BRUNSWICK SIREEI' ZEFHYRHlllS, FL. 33541
PHONE 813-781-8150
JOB ADDRESS
LEGAL DESCRIPl'IOIIf: IDl(S)
~SUBDIYISIOII SHADY REST MHP
PARCEL I.D.'
IroRK PROPOSED:_lIIev Coosb:uction .-.JUIdition _Alteration ~epair _Install
_Sign
_tIove
_De.o1.ish
PROPOSED USE:
Single Fa.ily
_"IF
_' of Units
-X-K/H
_ec-ercial.
_Iudust.
_Swill. Pool
Other
R~St:aurant &: Hea1.t:h Depar~t Approval.
BUILDING SIZE: 14
X 57
798
Square Feet.
Height
RESIDENTIAL:.
cottK.ERCIAL :
AITAaI (2) PWr PUUIIS &: (2) SEIS OF BUD.DDiG PI.US &: (1) SET ERERGY FORKS. U
ATrAaI (3) SEI'S OF BUD.DDiG PIAIilS &: (1) SET ENERGY FORKS. u,
..COPr OF colITRAer .RIlQUlRIID.
~ REOUESTED
_BUILDING
$
Val.ual:ion of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
--1JECllANICAL
$
VaI.uation of Ifechanical. Ins1:al.laUon
_PLUKBING
GAS
x
ROOFING
SPECIALTY
TYPE OF CONSTRUCl'I08: _Block _Fraae _Steel
Other
FIRISHED FLOOR ELEVATIOIIS:
fT.
IS PBO.JECI' IN FLOOD :WifE AREA?
YES NO
..........................................
aJJIT.RACIUR SHerION
BUTTJ)ER
CO!IPANY
State Cerl:. or Regist. #
City License Registration .
..........................................
Signature
ELECTRICIAN
CO!IPAIiY
State Cert. or Regist. f
City License Registration ,
..........................................
Sitnl::llture
PIDIBER
COlIPARY
State Cert. or Regisl:. t
City License Registration ,
..........................................
Signature
KECHARICAL
CO!IPAliY
State Cerl:. or Regist. ,
City License Registration ,
..........................................
Signature
OTRF.R
Signature
~
COlIPAliY crnsT11ER ENERGY SAVERS, INC.
'~ State Cert. or _t.. =176
~ ~ ./ / City License Registration . ~
......... ...............................
APPLlCAnON APPROVED BY
PERIIIT OFFICER.
CUND I T I Ur'.IS UF F'FHf'II T ('IF r=-[ D{~'v' I T
(',. r~QI.IS;;E q.E_'pEF~ILfis.SU3J.~IIQtJq.
The undersigned understands that this pertit ~ay ~e subject to "deed restrictions" which pay be lore restrictive th~n City
regulations. The undersigned issu.es responsibility for co~pliance with any ~pplicable deed restrictions.
f( . LH'L~J CE NS EJ) C or~!.T I1f~~.l..Qg$__ol'm.(;Qtj.TF3J!.C_I(Jn_ r;:r:::: ?F:.l.JJ~l? IJU LL.U.s_~~~
If the owner has hired a contractor or c~ntractors to undertake work, they may be required to be licensed in accordance wili,
state and local regulations. If the contractor is not licensed as required by law, both the owner and contr~ctor tay be
cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended worh, they are adyised to contact the City of Zephyrhills Building Depart,ent, (813!
788-66 II .
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign pDrtions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
(~. n3B.N!?POrnAT I ON I r'IFACT FJ.~_~$_.tlt:H>"'JX.rJ.'=.1J:_'.L..c,;gJ~N.EC_LliJ..t:L.E.,g~$.
n. c.;;UNSTRUCT I ON L I E!:LJ,...BJ~ (CH'~F'TEF\ '71 3 ~ FLUP If H) SrlnUTES ~ (,S (,t'1EI1DED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's ProtectlrJ,
Suide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
'owner', [ certify that I have obtained a copy t>f the above described dt>[tllllent and prt>lIlise in good faith to deliver it It, Ih..
'o~np.r" prit>r to co..ence.ent.
E. ~.9J'nf:{)CTQR I S/m!Nf;B.~t:L.l)EE:..LQi!2a:L
I certify that all the inforlation in this applicatit>n is accurate and that all work will be done in cOlllpliance with all
applicable laws regulating construction, <oning, and land developlent.
Application is hereby .ade tt> obtain a per.it to do work and installatit>n as indicated. I certify that nt> wor~ or
installation has cOI.enced prit>T to issuance of a per.it and that all work will be perfor.ed to teet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdictit>n. I also
cprtify that I understand that the regulations of t>ther gt>vernlental agencies lay apply to the intended work, and that it jo
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not ]i~ited 10:
. Depart.ent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
Water/Wastewater Treatlllent
t Southwest Florida Water Nanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health 1 Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
. US Environ.ental Protection Aqencv - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flot>d Zone "A" or "A,etc.", it is understot>d that a drainage plan
addressing a "co.pensating volule" will be sublitted which is prepared by a professional engineer registered in the State (,f
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, (,
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafle'
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalId
unless the work authorized by such per.it is co'tenced within six tonths of issuance, or if work authorized by the perlllit is
suspended or abandoned for a period of si~ lonths after the tile the work is cOllenced. One 90 day e~tension of ti~e, .ay bf
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be It>gged during each six .ooth period, or the project will be ct>nsidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCENENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~
SIGNATURE: OWNER OR AGENT
j~~
~
SIGNATURE: CONTRACTOR
\0~
STATE OF FLORIDA
COUN IV OF \), t\ ~..tl +"- \
The foregoing instrument was acknowledged
befct\-e me this \\\c:..'\\'\" 19_ by
STATE OF FLORIDA
COUNTY OF ~_1
The foregoing instn.lment'\o'JCl.s ackno\o'lledgerJ
befc.re me this l\1'L'lf, 19~ by
~c..~.. UO~EL
\'<ItlCt is persc.nally hnown to me or '''Iho has
IH' oduced fL. 'DA... l.1 <:..
as identificatie,n and whet did/~nc.t--.,
tal,:e an oath.
R-te~QO VOG6L.
whD is personally known to me or who has
pl.Coduced K- Pl\.. Ltc.... ~" __
as identification and who did did n:t';
take an oath. ~~
(S i gntl tU\"I" )
~ v.~ kP1J~E:
(Name Typed, Printed Dr Stamped)
t~Q.T AIlY.....flJ.~L Ie
~l/
(5 i gila tLll-e)
f~v,,, ~i~_
(Name Typed, Printed OJ- ~?t,a~)
NOTARY PUBLIC _ '
--- ".<:...-,,-.._'~'
'-~;l NC(.r}
\,lL>;f,::.;;.~"
\JJe :t;
l!:ontri1et
Corporate Office
12350 S. Belcher Rd. #2-B
Largo, FL 34643-9925
(813) 536-2274
A L. S U BMJ,.IJ:&.O T
Consumer Energy Savers, Inc.
GOOD IDEAS FOR THE WAY WE LIVE TODA Y
FLORIDA STATE CERTIFIED ROOFING LICENSE #CCC057196
Cl. ."j
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TOLL FR EE 1-800-422-2012
Vera Beach Branch
1121 7th Avenue
Vera Beach, Florida 32961
(407) 569-2788
r& ..fISC) DATE~;f~
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JOB NAME
JOB COMPLETED (APPROX)
FURNISH AND INSTALL FIRESTONEUL TRAPL Y 78+ SINGLE PL Y ROOF SYSTEM
~ FOR FOLLOWING AREAS:
Main Mobile Home Roof 0 Carport 0 Florida Room 0 Shed
!
CIRCLE SYSTEM DESIRED:
1,\
~
o:,~
System #1: Membrane only, termination bar.
d to perimeter edge of old roof surface, connect 3/4" insulation board to
01 " . ion surface and
secure with termination bar around perimeter of home.
.,
r:
r
~
;l':
;f
'f
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~
Install treated wood to perimeter edge of old roof surface. Connect ,., /4"
aluminum faced insulation board to old roof(s) surface. Install Firestone Ultraply
78+ over the insulation surface and secure with termination bar around perimeter
of home. Replace all vents (except furnace vent).
Additional
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-'-
TERMS AND CONDITIONS OF PROPOSAL
CONSUMER ENERGY SAVERS, INC.hereinafter referred to as seller, or your, or you; and purchaser(s), hereinafter referred to as
purchaser(s), or I/We, Me/Us, My/Our, agree to the following terms and conditions, to.wil:
Seller to perform all work in a good workmanlike manner and will at all times maintain proper workers compensation insurance and shall comply with federal and state contractor s
license regulations. . . . . .'. . .
ThiS proposal IS subject to acceptance by the seller at ItS office and becomes a binding agreement. It may be terminated al the option of the seller If said proposal cannot De Ilnar'_, :
if purchaser(s) elects 10 purchase on a time sale price. Seller has 10 days from the date of this proposal to accept or reject the same.
III I,vJe agree to pay for any other work done and not specified in this proposal in the event such work is done at customer's request after work has commencea
IV If purchase order is being financed by a lending institution or by you. IN-Ie agree to execute all necessary documents immediately upon request and presentation
V I,We agree that any changes. alterations or exlras from the plans or specifications which may be required by any public body or inspector, shall
constitute an extra and shall be paid for by the customer to the seller, based upon the seller's actual cost plus 20%.
VI I,We agree that in the event of a breach by me/us of this purchase order after acceptance by you and before the Installation IS started. ilWe will pay to you on cemand ., en Pt!,y
(10%) of the cash price as stipulated damage for such breach. 'J:
VII II it is necessary for you to take legal acftion to I' enforce, Plrlobtect opr deflel ndcany of YFolurrights under this proposal, ilWe agree to pay such sum as the court deems reasonable J.....:
attorney's fees and court costs. Venue or all Itlgallon WI e In ine as ounty, onda.
VIII No claim will be made by me/us except as provided in this order
IX INJe give CONSUMER ENERGY SAVERS, INC. permiSSion to use pictures and/or references to our home in their newspaper and olher forms of advertislna
X IWe give CONSUMER ENERGY SAVERS, INC. permiSSion to check our credit history. .~
XI I,We agree to pay CONSUMER ENERGY SAVERS, INC 18% APR interest on all moneys past due per this agreement.
XII In the event any provision of this proposal should be found to be illegal or unenforceable,.it shalf not affect the legality or enforceability of any other provision
XIII Lifetime transferrable warranty Will be mailed to buyer when seller has received payment In full.
The undersigned acknowledges receipt of a true copy of Ihls proposal, ~cknnwl8dges that he/she has read and knows the contents hereof, and understands tt1at no other
aareement(s), or repre.sentatlon(s) by the salesman, verbal or otherwise. IS binding upon the parties hereto. and that the same contains the entire agreement
Make all checks payable to: CONSUMER ENERGY SAVERS, INC.
CASH PRICE AND PAYMENT SCHEDULE (Reference to" phase of construction means all work, materials and equipment necessar,
complete that phase). Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the following payment schedule: .
$ r: ?OOo
$
$
$
Price
1.
2.
3.
4.
Tax
Down Payment
Balance
3~c:3
I have the authority to order the above work and do so order as outlined
herein. It is agreed thatlhe seller will retain title to any equipment or
material furnished until final & complete payment is made. An express
mechanic lien is hereby acknowledged for security of this debt and 1118
total amount will hA n"iei wilhin fArm. .hown
ON COMPLETION OF ALL WORK.
"BUYER'I RIGHT TO CANCEL"
IAe"erM Side)
Aumoriud
Signelure
NOTICE TO OWNER
AU ma:ieflaJ IS 9':1aranleed 10 be as specified. All wor~ 10 be cOfT1Jleted In a workmanlike
manner aocOfdlng t~ standard pract)c.rts. Any atteratlon or doviatlOn from above
Specdlcallons IflVohllng ex1ra 00$15 will be execu~ed only \Ip-->n written order.s and will
t>eoome an,extra charge aver and above the estimate All agreef1lE!Jnts contingent upon
"lokes, accidents or delays beyond our control. Owner 10 car;y flf8, lornado" and olher
nece~5ary Insurance_ Our worker. are fully coveHed by Workers Compensation Insurance
Do not sign this home improvement contract in blan....
or before you read it. You are entitled to a copy 0;
the contract at the time you sign. Keep it to protect
your legal rights.
Signature
"I
Signature
~ '.
Consumer Energy Savers, Inc_
GOOD IDEAS FOR THE WAY WE LIVE TODAY .
12350 S. Belcher Rd. #2-B, Largo, FL 34643 State License #CCC057 196
Contractor's Letter or Authorization
I hereby authorize the below named individual to act as my agent to obtain all necessary
permits for residential roofing for:
Owner: smARr & BARBARA MAC llJFFIE
S:n3 BRUNSiVICK SIREEI'
at this location: ZEfHYRHIIlS, FL. 33541
This person is also empowered to obtain, complete, and sign all forms, applications,
registrations, and documentations, with this limited power of attorney, on behalf of me
that may be required to accomplish the issuance of any permits that may be required in
any jurisdiction throughout the State of Florida.
Authorized Person:
RIQJARD V(X;EL
Authorized Person's Signature:
~
~W(
Owner:
~, ' \'l \)~Qs:D
Dave -.-',
STAlE OF Fl1IDDA, <llJNIY OF PINElLAS
The .tRr~oing instrtlllEl1t was aclmowledged before IIE
~y of(\()~b~ ,19 ~r ,by DAvIn ft\eI\e.-tt-
iL-1c"
KEVIN KRUSE
Personally Known OR Produced identificatiqn __
Type of identification Produced fL- (>1I. - L4. c.
State License #CCC057196
(() 813-536-2274 Toll Free 800-422-2012 (()