HomeMy WebLinkAbout95-5452
BUILDING PERMIT ..
CITY OF ZEPHYRHILLS Permit J1!
(813) 788-6611
-~ -aj5
f 545 .
- ,. .
I~' ?-7~-
.. ..
~
Date
Property Owner:
Job Address:
Parcel 1.0. #
Zoning:
Description of Work
EL~- PLU~ M~CHANICAL
~ri-~i ~~~{i/ ~.
~"wer Conn
Water Conn:
Water Meter:
T.I.F.'s:
DATE
DATE
City License Registration # /0 ~ I
(I(!{!051571
Per . F. e
Signa ure i/ ___.e:--.~, / /
Company
Address
Telephone#
BUILDING
AL
M
ICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
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.
APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME LtVl J~ b-~ l\ic..rcO
OWNER t S ADDRESS~-S""' I 2- I" 'V\ S> I
JOB ADDRESS 8~
PHONE 1~3 -& b'~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.' 1/ - J 6<. ;j \ ~ () 0 I D - /I Y D D - 0 J 70 (OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition --...Alteration ..LRepair _Install
_Sign
_Hove
_Deaolish
PROPOSED USE: ~Single Faaily
"
~H/F
_' of Units _H/H
_~ercial
_Indust.
_Swba. Pool _Other
_Restaurant Ii Health Departaent Approval
DESCRIPTION OF WORK:
~ e.O\) F
3.~ :$t~
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~BUILDING
_ELECTRICAL
$
~t)
3300,-
PERMITS REOUESTED
Valuation of Total Construction
AKP Service
Florida Power Corp.
W.R.E.C.
-"ECHAlfiCAL
$
Valuation of Hecbanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FIlUSBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
BurT.DER COMPANY Di~MonO c:de.t ~lS
~ /" . State Cert. or Regist. . Ct::G
Signature....___ - ~4, / City License Registration .
..........................................
RT .RCTRICIAN COMPANY
State Cert. or Regist. .
SignAture City License Registration ,
..*.................*******..*.***********
PLUHBER COMPANY
State Cert. or Regist. .
Signature City License Registration t
........*...*..*...**.....*.........*....*
KECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration .
.....*.........*..*..*.......*..**....*...
OTRF.R COMPANY
State Cert. or Regist. .
Signature City License Registration ,
. ...*.*...*..**.**.******...*.*..*....*.***
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands tbat this perlit lay be subject to Ideed restrictionsU wbich aay be lOre restrictive than City
regulations. !be undersigned assUles responsibility for cOlpliance with any applicableddeed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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 lay be
cited for a lisdeeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents aay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtberJOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of tbe
IContractor Sectionsl of this application for wbich they will be responsible. If you, as tbe owner sign as the contractor,
you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that. lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CIlAPTER '113, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - HoIeoIner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and Consl1ller Affairs. If the applicant is SOleODe other than the
lowner", I certify tbat I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
"owner" prior to cOlleDceJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating construction, loning, and land developaent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
installation has cOlleDced prior to issuance of a perlit and that all work will be perforJed to Jeet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJental agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not luited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
Water/Wastewater !reatlent
t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater !reatJent, Septic ranks
t US EnvirODlental Protection Agency - Asbestos abateJeDt
I also certify that, if fill laterial is to be used in Flood ZOne "AIf or "I, etc. ", it is understood tbat a drainage plan
addressing a IcOlpBDsating VOlUleR will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
unless the work authorized by such perlit is COlleDced within sillOntbs of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sillOntbs after the tile the work is cOlleDced. One 90 day extension of tile, aay be
allowed for tbe perlit witb fee charge of $15.00. 1'he extension sball be requested in writing to tbe Building Official. An
approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
WARMING 1'0 OWNER: YOUR FAILURE 1'0 RECORD A NorlCE OF CQHMENCmmNr HAY RESUL1' IN YOUR PAYING DICE FOR IHPROVBIIIN1'S 1'0 YOUR
PROPER'IY. IF YOU INrEND 1'0 OB!AIN FlIlANCING, COJISUL1' WIrB YOUR LINDO OR U AnORDY BEFORE IIKCORDIlfG YOUR NorlCE OF
CliIIIIICIlIlII. JOIIS 111DE1112,500 IN V~.UE.~ Nor NEIl.. ,0 TO RECORD AND POS1' A INorlCE ~F CtIlIIIII :."
~ ~~ '/,/?,
, '- ./.~ ~.
~--- I Ar : OWNER OR AGENr . CONrRACTOR
SlArE OF FLORIDA /2. '
coum OF '-1/9r::$Co~
The foregoing in~rument was acknowledged
before me this5 .j)ec. , 19 9~ by
srATE OF FLORIDA 11
coum OF 'T~tZ.tJ
The foregoing in~rQment was ackn~edged
before me this.57 c1J.ec.. , 19~ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath. .-,- _
~~-,LA~/~
(Signature)
who is personally kn~Jol1l--:to me or who has
produced
as identification and who did/did not
ta~n oath. ~ / ~
//~-
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
,,""\";1;\:" CARoLE IREL'N
i'J'~f.'-' ':1"<, MY COMMISSION' cc 2lI0339
~:~ EXPIRES: Aprtl '0.1997
Jl Bonded lllRl NolIIY NlIIc \bIIIWIM
..'
~
(Name Typed, Printed or Stamped)
NOT CAROLE IRELAN
MY COMMISSION' CC..
EXPIRES: ApdI '0. 1997
Bonded 11nu No!IIy PIdIIIc tMlIINiIIn
.... I''i "../ .,'
_I i''''' ~ (
10/31/1995 15:49
4078971:,1:,57
c3d~Ii< NDET
. ~ /~ DIAMOHD TA~,1PA
ROOF' G YS MS
SOLD, FU~NIS & INSTAlLED
BY Diamond Exterior., Inc.
A S..r. Authorized Contractor
,.
PAGE 03
1~/31/1995 12:45
81328'37787
· 1i3Eo"~
Date::j{)/~?S'.._
JOb Nunfber: '2./01. 4/~!J
no E. C8lhoun It,..1
WDOd.to~k. IL loon
'~22"""
..
lJP CQD€
~()
CITY
8TATl'
~SP TlON REVEAL.S THE FO OWtNG PROBLEM AREAS:
"gl.. ~O~ 'n j",~y Flalhinw 1:1 S1wk.., TU.., Metal
eIIt Pipe Flathi orm,r FI..hing C1 Vtn".liQn (J Gutt.nng
o In,ul.tion .1\tV A....ing 0 Ovemang & Tl1m Q ~poMd e.iIl,,~.
OOtlwr.,~
ROOf'; LEAKS: Exilting IMk, .111 .hown on Sk.~1'\ wittl ,n 'X',
~i;~;Ati9P~~.'?fr~Jrt- f;&_-__..
OItlM'
NOTE: 81.nd. ... I.., ~.rl.rlCll' '" ,11111' (Iv. 10 Ilgllt ~".Cf/(ln m.n ,q1/d <:oIot.. D,,~/t
110""'11)I' n" ."" h.dlI v.Iflrffl;>I'I. .. ~
To b. install~ on a I story hQu", Ri......-:::- 'In U!',
Q Attached G."'i' . a F....-Stendinq G....O. . CJ Low.Slope Room ~di~on
Oth.r; ;..,...- ~
TYPE ~ngl'l 0 PI.in a CutoYp 0 Gablt K"
OF 0 Mansard 0 Gambrel a ~'" 0 Wood 0 -nt
ROOF: 0 \'QW Slope 0 B\JUI-vp _ SI,. AI~.to.
Olhr:
NOTE: " it i, tIe~rmilfH !hat "'11 Mi'fing Jf\i"rP-' '1'1I ..oNlQ, ",. c;v~",.' JfIlJtf ,,,.n(1l
for tc.r-or1, hflul-.w'y e"d dUmping ,f;f;QrT/inV IClIlltI'''1ID lo~/, ... ,md F,u1rl",/1ItW.
D LQW Slope (2' ri.. up k> 4'); 0 Ri.. ~ '11\ '2', , , ' .
D 8ullt,Up (mu..1 be ..iIld.r It'): ~__ i=\i.. 'In a', VENTn.ArION: Prop.r v&r-hlaUon " . requirement for alo
o Valley tyl1e _ _ . U Ft. _...._ ext.nded waran1.'. II ""p, ",",vent .vpem..ttng of ~rappeo
MAIN ROOF ".. ~_._~ layer, of air d\lring tll. summer and harm"" eOnlHn.atlOI'l dunn. Ih(.
IECOND ROOF ha, - lovart of ~_ do win~t, Proper ....l'It..tioo QOnel,', of on. ~ua'" fo01 ~ open
NOTV !!JIXft I(tY/!l~,__ /Qvnl1 during insran.ti(1n, t will be ,n IItJd. /fO .>., ' ~r evary 150 $Ql.I.... fMI of .~~ 1I00r 'paOlJ, ~
" tIfIr "ff' ()., squllr(l (too 'q. If), CUSTOMl" INITIAL. \1tAidgt Vent:? a Sta~c Vent. 0 E.". Vont.
NOTE, "/!I,ect,r;cel,. w,re" g3S or air conditioning lines.,.. rovnd ImbedfJfI during a r",rt>ln. Venll ~F! 1I "~'I.~V .;,
In$I,lIalfon, ,n lIcMlr/t;m h rgvwifl b6 ~ in wnlfng undtr 8 "Pflratl'f (r)fm 0 Ou,.r Ventila\ion _ _ __.. Lk
TEAR-OFF eX'ltlng, __','.._ ~oflno STACK COveR1llROOF JA ,: Replace
10 the deck, CQvor Wltt\ . O\I~n pp~vtd FEl. T and 1tl9n apply ,hlngl.s, DRIP EDGE: Help' l)!'Ovidll 'fflei,nl wa.ter .~.dding al t!,7
DECK: P1YWOQd · Thlok"... T & G ')( , Olher. , t I d Ii' ~I f If "
ROTTEN OR I)ETERIOF'A TeD WOOD: We wililii8l.n approvfd 8llttrlo;:grado plnm.l.r 'dOt. and pro Ie . un . Vlnq""w ,rom ro 11'l,
Ih.etl'ung where nelK1,d, UI'1I... llpclcificBlIy It.ted una.r .p.cial in'\nJ~~on" no InsbJlI at all ",VI and ,.. itd;es, , l~s~1f .~' lin, It,
charge er estimato tI., ~.n mild, for replacing luch rottan wood. If lIJ.h n.' , 0 GVTIERINO (Color end OIIlC"Ption); . -
are found during il'lltalllltion an addilkmlll ohary. will. b. mao. In wti ' I.. (wtl.t be In,\elled I' Ihown on dl"gN>,!
,ap.r." lorm,' CV8TOMt:R INITIAl. 0 OV~f)HANQ AND "rRIt-! (CQI<;>/ .o,d O.5CHpliOi'li:~___
NAIL OVER EXJanNO SHINGLES (Go Ovec). Conl,.clor will; . (will t. installed.. thewn on dlav"*~
o Apply ol(Cjr elli$tinlj thin$ll... CAUY10N: Now IlIi/'lgl.. WIll oonlorm to Unevenn." 0 IN$UI.ATION: (A~ 8noog" lf1'JU'-tion \t:l t'1.., Department.
of 8),i,tiI19 deck al'ld/or Ilhingles, C;:USTOMJi INIT'~lS: EM'VY rweomm.ndetion,) _ Sq. FI.
OR PERMITS: Unl." oltl..-M" II dil:ltad, Diamond Exl.riQ~
o Cut oH ."d haul away lab. of IIllllting ..phall Ih,,,,,~. to /)l'Ovl~ . emootl.r, o~tain ~a nec....ry rool "r,'litJ\
mo,. even deck and .pply ""ingle', C~lrge for P.nni1lJ: *J.J!.l~
INSTAll: CLEAN.UP ANO REMOVA.L: Your horn. will l1ave a nvst. cl.&:
~ loe-Water Underlaym.nl ("elI'S 10 pro14e1 .gain!! demage Clu.4ld by ice and/or '!'P",."c.a an.r 11I";ob i, oornpl.hd,
lNt'-r l:>ullcl'YIl), Sq Ft. SPF~L INSTRUCTIONS:
o Pre~ivf1'l Flit Vndtnaymvnt al a;z'''''' I'ltJ vlllfYI for superior wttlJ'\9r ~, . *- ~ ~
prolection Sq, Ft. _L;IH1f.ItP~ '{ _ _
~LAJNlNQ: Instan or ~pf_: Ol'l"l'l,tM'~",'g _N" -.111
~~~~~r,~~~;i~__~_~~~~i"g txfent FJa.M'''g ,: ~)
"KETCH~ Show r('Jcf ~"IJ"'Tnflnt. 1f'leludin9 ri'f',
Sflt,dfJ Ollt ."y part of roof(s) not to "6 cov.,.d.
"f'.' ."---.p #1-..-.". ',<':'. ... :']". ,
~~~.
LEAN.UP
1:1 GUrre~ WORK
o SHEET l,4ET AL
o INSULATION (An Ie)
~
:-: r
Approximate
Starting Oat.
Approximate I
Compl.tj<m 0.', .J.
Cualomer ~11 bl/)l &I
thl. pne9 Unll'
G.thod of aym.nt (T'h. cfMIt t.mJ, ~d condition. .'. pfOvidfld on _ ..".",,. docufNnt.)
o Cash; p ments.. tollow.~ f :~wn, b.lal'lC' due on l;:ornplelion.
a Credit; met~o(1 of irutncing:.. S down, balance due On eOlTpletion,
leA:;HPRIC[)
I vn~""'~ 1111, II only I" _!meled dale, ,nd I will ~ r.QI'lt.~.d
pr19r 10 this dill to ~""'UI' ",. 1C1I/'11I'It1"lIl1on "."
For i"f:,rmllliQn regardIng your nCfmale or in,\eflatIOM ~.1I1.800.224.3e6'
"U9MtT~O 'v
1'l,""'UII,n A 111110:
s/IIPIJtJt7 APP1IOVlOO.Y
. No. lMNA<;lI:"I;
I/W:, the own~.r(s) of e premises described .8bove {hl1r.,iniilf1.r r$f,rred to as "Cu6tomer(s)} O"e;-l~-~~~act with DiamO~~~;;~;ior~.-I';',
a S"ar$ Authollled. CO~ltactor, '" l'.lrnlsh, deliver and arrange for install,.,ic;m Of all materials necessary to improve the premises accordlf
to the aho,. ,pe"t' '00' "TO M, ~N't",,'ON';I") THI. AG.,'MENT A.. eONTAIN"D ON BOTN "'D" O' TNI' '0."
~V8TQME~'10"'A'l\J'" ~QV.~"I(;N.Il1'\)m;::~.^" .---_w, O'Tf:____".......
YOU, THE BUYER, MAY CANCEL THf8 TRANSACTION "T ANY TIM!S PAIOR TO MIDNIGHT OF T~I; THIR