HomeMy WebLinkAbout95-5442
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BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit 1\T!
(813) 788-6611
~
J~-5442 B
.1-(;.0-0
Date
/d.--6 - ?s-
PLUMBING
~.C1)
MECH~N~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: _:n::!~ode:
Description of wo;;]i?p ./ IA/ ~ -f
Radon Gas:
~rV--A 7!;:;~
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspecto
Permit Fee
Signature
Company
Address
Telephone#
~'Z~
Valuation or Q
Contract Price / 3. 1 7-S..... cr-o
City License Registration # r.:l!;' Y
State Certified License#
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BUILDING
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/]nL;fC /7
ELECTRICAL
PLUMBING
-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can 1.1 -ly-jS
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
~ L~-'2-~-q'?~\LL..
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.
APPLICATION FOR PERI-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
F ./
L~jL~/9S
ILL !J/~
APPLICANT ~flfl.) CO~~w:::6I2~ _
ADDRESS Sf G ~ -s.e S4 W.e~-r-~~ PHONE (BZ. ()82~
OWNER '1Y\a.. * ~. ~b 'in c..CA.,t{
JOB LOCATION 4q~0 \lo~ ~~~-h--Z'~LOT SIZE_L- AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. '.'
WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install
_Sign/Temp. _Sign ~- ~ ~ _Hove _Dem<)ll~
PROPOSED USE: _Single Family
_H/F
_II of LIni ts
_.'I/H
_Commercial
_Indus t .
_Swim. PeJ01
Othel
~
1
____Restaurant & Health Department Approval
BUlLDING SIZE:
X_I
Square Fee t,
He 19i:
RESIDENTIAL:
CotH1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLA~S & (1) SET ENERGY FO~~S.
ATTACH (3) SETS OF BUILDING PUNS & (1) SET ENERGY FOR~IS. H
**COpy OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
ELECTRICAL
/ ~f
~:1ECH.-\NICAL
AMP Service
Florida Power Corp,
_\~,R.E.C.
$
Valua t ion of Mechanical Ins L.llla t ion
_PLl~BING
GAS
ROOFI~G
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTf9~ ~~1~
Company r>. J'^ 11 :'(\
State Cert, Regist. II Q&e..-()3~~
City License Registration U
******************************************
ElECTRTCTAN Company MGL-t.D;] J::;.kL~ie"
;;20 1/1~f()/-L1-- State Cert. or Regist, il
Si!:'nature '.. i,-V .. .(Y.fy:. .- City License Registration IF 4.\
****************************~*************
2. .;l.:;;l.-
PU;l.jRFR
Company
State Cert. or Regist. 0
City License Registration :j
**********************~*******************
Signature
Company ~~~ ~ A-N)~ ~ .
State Cert. or Regist. I.~ BABdC.J~ 6
City License Registration 'I ~~ /7
,
******************************************
OTHER
~ Company ~c.~ c~~~
~ . State Cere. "egist." iZ-C DO (.,/&. \;r
"'----' City License Registration II c.)f2J-
~ ~
******************************************
"'-'~
Signature
APPLICATION APPROVED BY
PER~IIT OffICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for coapliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 aay be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions 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 peraitting privileges in the
City of Zepbyrhills.
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 - Hoaeowcer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is so.eone other than the
.owner", I certify that I have obtained a copy of the above described docUlent and proaise in good faith to deliver it to the
"owner" prior to couence.ent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perait and that all work will be perforaed to aeet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
my responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not liaited to:
* Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Management District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Department of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatient, Septic Tanks
* US EnvironJental Protection Agency - Asbestos abatement
r also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A permit issued shall be construed 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 permit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becOle invalid
unless the work'authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the perait is
suspended or abandoned for a period of six IOntbs after the tbe the work is couenced. One 90 day extension of tiM, JaY be
allowed for the peflit with fee charge of $15,00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKRNCKMKNT MAY RESULT IN YOUR PAYING TWICE FOR LHPROVEHKNTS TO YOUR
PROPERTY. IF YOU IH'l'EHD TO OBTAIN FINANCING, CONSULT IiI'fH YOUR LEHDKll OR AM AnORHEY BEFORE RECORDING YOUR NOTICE OF
COKKENCKMKNT. JOBS UN R $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CKKEJlTN.
~~
STATE OF FLORIDA tJ
COUlflY OF LflS C 0
The foregoing instrument was acknowledged
before me this DE.. c s- , 1912.. by
,
ST OF FLORIDA
COUNTY OF f A-S c 0
The foregoing instrument
before me this J)k.- c S-'
was acknowledged
, 19 9 J by
who is personally known to me or who has
p e
as identification and who did/did not
take~~,~_
(Signature)
ho is personally known to m or who has
pro u e
as identification and who did/did not
take ant6fth. / /J~ _
A..J~~.~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC #~~
II DONNA M SINCLAIR
* * My Comminion CC38a018
">.t Expires Jun, 14. 1998
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(Nam~ Typed, Printed or Stamped)
NOTARY PUBLIC tlH/.-
"'fi~
*W*
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DONNA M SINCLAIR
My Commission CC382619
Expires Jun. 14. 1998
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Ryman Construction Incorporated
37325 S.R. 54 W.
Zephyrhills, Florida 33541
(813) 782-0825. CBC # 035134 FAX (813) 788-6773
TO:
Mr. Reeves McCall
P.O. Box 1440
Hartsville, SC 29551
HOME PHONE:803-332-8461
WORK PHONE:803-332-7443
DATE:
11-10-95
I hereby submit specifications and estimates for:
WORK TO BE COMPLETED AS FOLLOWS:
1). Install new three ton Ruud or equal heat recovery unit.
Includes all drops and returns as needed. (Assumes
existing electric panel box can be used to supply
electric to new unit). Electrical wiring is included in
bid. Includes removal of existing furnace.
2). Install new 5/8" sheetrock over entire existing interior
ceiling. Popcorn finish applied over sheetrock.
Includes installation of interior ceiling trim.
3). Complete painting of interior of house in Antique White
color. All doors and trim to remain as is with new
sealer applied over these areas. Kitchen and bathroom
cabinets to remain as is.
4). New linoleum flooring in kitchen area allowance of
$300.00.
5). Install new front and rear door entry locks.
6). Install new R-22 blown insulation in attic area.
7). Includes removal of existing carpet, cleaning of existing
floors, and removal of all debris from job site.
8) . See Roof Proposal. (Included in Total Bid as listed below) WRM t(JdJY)
9). Includes all necessary permits. Includes all materials
and labor.
TOTAL BID: $13,975.00
Payment to be made as follows
I Propose hereby to furnish material and labor - complete In accordance with above speCifications, for the sum of:
---------~_.-----__ dollars ($
All material is guaranteed to be as specified. All work to be completed
in a workmanlike manner according to standard practices. Any altera-
tion or deviation from above specifications involving extra costs will be
executed only upon written orders, and will become an extra charge
over and above the estimate.
AuthOrized
Signature
Note: This proposal may be
withdrawn by us if not accepted
within days.
Acceptance of Proposal - The above prices. specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as specified Pay-
ment will be made as Outl~d above. i)
Date of acceptance (/1-<-/ /?/}-n h U,' '-'? / 'I ? J
Signature~1 auf hI z., 121 iH h fn!1'} / Z J t tit/
~J! jy; klotl.J) ~c &L!, P#-
Signature
RG DIV+SION)
SR 54 WEST
YRHILLS1 FLORIDA
ONE: 813-782-6094
33541
LICENSE:
RC006164 Sheet No,
.-
Name
(t{ r R e eve~; (y) (' C ("-- {(
Work To Be Performed At:
Street
~9026
Z~;d A).. A? h lis
/~ 7~ S,'/,-
Street
City
State ,,;:/
City
State
Phone
We hereby propose to furnish the materials and perform the labor' necessary fOI' the completion of
\. Date of Plans
Architect
1.)
2. )
3. )
4. )
5. )
6. )
7. )
Complete tear-oLf of eXisting shingles.
Roof dried in with 15 lb. felt.
Bad plywood replaced at a cost of
Installation of new 2x4" lumber @
Install all new valley metal.
Installation of all new lead boots through roof.
Installation of new drip edge around perimeter.
(If needed.)
Installation of new ,)0 vol'! .rVNS'tJ.,S /!.Fs/si4A./r.
All debris removed from the job site.
Five year leak warranty.
All materials and labor furnished.
$ .35:00 per sheet.
$1.50 per lineal ft.
8. )
9. )
10. )
11.)
shingles.
PAYMENT DUE UPON COMPLETION OF JOB.
* -This price is included in the Total Bid of $13,975.00
#
3, 3o/)..oeJ *
TOTAL BID: $ . 0(...
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars [$ J.
with payments to be made as follows:
~ny alteration or deviation from above speCifications jrlVolving extra
:osts. will be executed only upon written orders. and wIil become an
'xtra charge over and above the estimate All agreements contingent
pan strikes, aCCidents or delays beyond our control. Owner to carry
re, tornado and other necessary Insurance upon above work. Work-
len's Compensation and Public liability Insurance on above work to be
3ken out by
Respectfully submitted
~4~'
R~ 7?*
Per
Note--Thls proposal may be withdrawn by us if not accepted
within /0 days.
ACCEPTANCE OF PROPOSAL
1e above prices, speCifications and conditions are satisfactory and are hereby accepted. You are~ut rized to do the
3yment will be made as outlined above. , ..tJ AlA
Signature c::?Z4U/~'1'/rn.- VIHJ'rl4) ;tIt .",
et. 41<lhnhu.> 2 7, I f'15 Signatue. &t I JI{~/lJc-~ ~
J'Tops. FORM 3850
ORIGINAL
MADE IN U.S.A.