HomeMy WebLinkAbout95-5464
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit N!
(813) 788.6611
~~54641!)
Date 1:2- -/3 -7-S/
~ILDI~CO
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
~operty Owne' >Iii! ~ ~L
Job Address: 6__ _~ ._
Parcell.D. #
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
Radon Gas:
Zoning:
Description of Work
FINAL
C.O.
DATE
DATE
Inspector
p.rmit:9~
SignaM _ _ ~
Company
Address
Telephone#
Valuation or
Contract Price
93-..SCJ. OD
/
City License Registration # ~a
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
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 ($15.001 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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE :-i- ~4::
OWNER'S ADDRESS lo 04 0
JOB ADDRESS ~
LEGAL DESCRIPTION: LOT(S)
c~~ Ch..~
g~ S~ ~ L~~ .c:J
PHONE
BLOCK
SUBDIVISION
PARCEL 1. D. f
Od- -a..(prd/- (9'{)!D,.DO!tOlJ - 00 IV
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE: _Single Faaily
_KIF
_' of Units _K/H
_eo..ercial
_Indust.
_Swim. Pool _Other
Restaurant & Health Depar~ent Approval
DESCRIPTIOR OF WORK: '?.L::.At9r~
BUILDING SIZE: X Square Feet, Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Kechanical Installat:ion
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
Signature
COMPANY
State Cert. or Regist. f
City License Registration f
..........................................
BUILDER
F.I.F.CTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration t
..........................................
SiooAture
PLUMBER
Signature
COMPANY
State Cert. or Regist. f
City License Registration t
..........................................
MECHANICAL
Signature '
COMPANY
State Cert. or Regist. t
City License Registration f
**....~..................................
COIfPARYVauJ ..!:u-hopc:. ~oAtr);~
State CeJ"t. or Regist. t
City License Registration t
..........................................
Signature
OTHRR
APPLICATION
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to "deed restrictions. .hich JaY be lOre restrictive than City
regulations. rhe undersigned assUJes responsibility for cOlpliance .ith 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 la., both the owner and contractor lilY be
cited for a lisdeJeanor violation under state la.. If the owner or intended contractor are uncertain as to what licensing
requirBlents lay apply for the intended .ork, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave 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 .ishes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to pBIlitting 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 .Plorida's Construction Lien La. - HOIBOIDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the
-owner", I certify that I have obtained a copy of the above described docUJent and premise in good faith to deliver it to the
"owner" prior to COIlBl1CBlent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable la.s regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perJit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perJit and that all .ork will be perfoIlBd to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlBDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDIBDtal agencies JaY apply to the intended wort, and that it is
IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not lilited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlBDtally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArJy Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODlBDtal Health Unit - Wells, Wastewater Treat:Jent, Septic ranks
t US EnvirODlental Protection Agency - Asbestos abatBlent
I 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 .c~pensating volUle- .ill be sublitted .hich is prepared by a professional engineer registered in 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 any provisions of the technical codes, nor shall issuance of a perJit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pBIlit issued shall beCOle invalid
unless the .ork authorized by such perJit is COllBllced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOlltbs after the tile the work is c~ced. One 90 day extension of tile, Jay be
allowed for the perJit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
approved inspection lust be logged during each sixlOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENf HAY RESULT IN YOUR PAYING fIIICE FOR IHPROVIHm'S TO YOUR
PROPERTY. IF YOU INfElm TO OBTAIH FIJf.AJfCIHG, CONSOLT "IrH YOUR LEIDER OR AM ORREY lFORE RECORDING YOUR HO'UCE OF
COHHENCBHEtn'. JOBS UNDIR $2,500 IN VALUI 00 NOT NBlD TO RECORD AJfD P N ICE E CBHBNfH.
tY~f-~~
SIGNAtURE: OWNER OR AGENT Ii (p I~ - g IJ. ~ 59 - 13 If -0
STATE OF FLORIDA yf)
COUNTY OF r A-- ~ L.-e,.r-
The foregoing instrument was acknowledged
before me this {)e~. /g!.b, 19.2i: by
yer-J-'e.-II L. f/arfoe.l
who is perS~allY known 0 me or who has
produced r','v t..r S L ,"5 {' e.,.I c. t'
as identification and who did/did not
take an oat
(Signature
STATE OF LORID~
COUNfY OF aD t-o
The foregoing instrument was acknowledged
before me this /yL. 1..2- , 19~ by
(h,---J /). ;;;~ er
who 1S personally known~_me_or who has
produced "Pe"~.
as identification anw 1 jdid not
take an
00
1.t\
KATHV C, MONTIETH
NotOlV Public. State of AOI1da
My ('.omrn, Exp, Jan. 3. 1999
No CC431231
(Signat
(Name Typed, Pr n
NOTARY PUBLIC
(Name Typed, Pri
NOTARY PUBLIC
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CCJN~TRi/CTZON
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F'ASTOF, TERRY
RESIDENTIAL ~ COMMERCIAL
Reglstered BUlldlng Contractor RB 0032524
Reglstered Roofing Contractor RC'0056763
11250 South Highway 98, Dade City, F10t'id.. 3352::5
Phon. # (904) ~67-8580
[;;0 r, ,'je.;;i a.nd In ;..::u.reij 18J. _ /07/
i PI-lone: 780 363(J i DATE:
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IJOB NAME: FIRST CHRISTIAN
6040 8TH STREET
ZEPHYRHILLS, FL
10/6/9':
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~:il--ilI-lGL..c i~I\l0 FU-\T ROOF SPECIFICATI' ~;
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_ REMOVE ExISTING SHINGLES. DFIP
- INSTALL NE~ 30 LB FELT DRY-I
- REMOVE GALVINIZED CAPS
_. IM::,n:,LL ::: X 4 AND 1/2" PLYWOOD 12" CANT STRIF-' ON TAPERED
SIDEWALL
_ INSTALL 43LB BASE SHEET APPRO X 6' ONTO ROOF DECK
_ INSTALL MOP PLUS OR AWAPLA CAP SHEET ONTO SHINGLE ROOF DEC~
a,STALLED OI.,,'ER 29 GAUGE \....ALLEy I"IETAL AT BREAKS
_ If'~':; TALL bH Ii',IGLES WITH STEP BULL METHOD AT, 'ALL WALl_ T IE IN'
_ E!JCL_OSED TUB AF,EA WITH 2 X 6 RAFTERS AND 1/:" cox F'L ,:WOOD
_ INSTALL 43 LB BASE SHEET AND GRANULINEO,CAP SHEET
_ MATCHING EAST SIDE GUTTER AND ROOF SYSTEMS
_ M~TCH EAST SIDE GUTTER AND ROOF SYSTEM, TIE TO EXISTING
DF-A I hi L I NE~, .... '-"
_ IiJSTAU_ NEW VALLEy f'iETAL, FLASHING AND:~,l'/~Nt'\BOOT:3'
INSTAL..L.. NEW GALVINIZED ALUMINUM DRIP ~OGE. .
_ l:J'.=:TALL 25 yEAI=-; MANUFACTURERS. WARF\AlHIED "GA:F" FI~Ri3Li:-\SS.
ShINGLES, ROYAL SO'....EREIGN. THREE Ti:'.tE: COLONI,AL SLAl'E" ." ,...
_ F:EF'A I F.: STUCCO AND PAINT AS PEF( REQU.IRED' ;.,.... .., ,,---,
- COMPLETE TRASH REMOVAL
- t-= I ').E ,".5) .'!'EAR' rj:mHkA~J9J':';' S
C I TV PER!"I I T INCLUDED " '! .
LiFA~i.I' WARFiANTY, ON.--EGT(, 800F ',HF-iEAS
4l- .' ,011 . . I ,
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F~NISH ROOF WALL AND SCUPPER REPAIR
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TOTAL COST:
$ 9,,35(l~(~O
p'
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SCHEDULE: "1/2 PiT COMMENCEt'1EN"(. ~ 8ALfANCE AT COMPLET ION
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CONTRACTOR
E,IGNATURE r-:J_rl-M\ 1\
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