HomeMy WebLinkAbout96-5509
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit II!
(813) 788-6611
)~550~ 6
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL_ J- /
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O. -
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
'I ~/OOO' ~
Permit Fee r.
Signature v" j)
Company
Address
Telephone#
~O'
Inspector
City License Registration # ~e t!-?7/9.6
St e Certified License# . <g'
ELEC
PL
MEC
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.00) 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.
."..- -- --
......--. .......;...--
U:::I1l tritL t
-- .,-.-,
-.l!.''t>'.~;;';';''''
I
~ Laryo, F L 34643-9925
I (813) 536-2274
il.-- -- .......-...--..--.-.---.. '.--..-------'-.---[
# PROPOSAL SUBMITT TO, ~ S PHONE
l-- :rAse ~ \\. ~ .1~.:___,_._f'3_'t..~h___.._ ____al3-~
.~ :;TREET '
I~_ {" 20 '-t L-i N N E-r ~.
./ ::"AE h"/'~~'" \~ 5__~L__
; 7T k .. I DATE OF PLANS
t~r " ER\J ~\-\ N --.. /"-. 5
~e~.r.bY '.Ubm't the follow.ng specification, and ..t,moten JOB TO BE
;}
".,~
1 FURNISH AND INSTALL FIRESTONE UL TRAPL Y78+ SINGLE PL Y ROOF SYSTEM
FOR FOLLOWING AREAS:
Corporate Office
12350 S, Belcher Rd, #2-B
Consumer Energy Savers, Inc.
GOOD IDEAS FOR THE WAY WE LIVE TODA Y
FLORIDA STATE CERTIFIED ROOFING LICENSE #CCC057196
(f~- "
fT\"C;\..o
.:D;'-"':""\".,
lULL FREE H:lOQ-422-2012
Vero Beach Branch
1121 7th Avenue
Vero Beach '=Iorida
(407) 569..2?cb
J i -1,-
-..-.-.-.-..
b I 4..']J!~PL~;!~j C
JOB NAME
~ :~CATIQN
_~da~."'S' 1) 2-
JOB PHONE
- --~\\.\-.
JOB COMPLETED IAPPH
I
~
,.
"
vC.ain Mobile Home Roof
:J Carport
:J Florida Room
o Shed
CIRCLE SYSTEM DESIRED:
System #1:
Membrane only, termination bar,
/;-
SY5tern #2: IIbl"I. Nli.)CJ tu ,,,;;[';IL"": UOlJe' of uld ruul surtace, connect 3/4" insulation boarD 'v
old r()u!(S) SUr1d\;e, 1I15tdll Firestone Ultraply 78+ over the insulation surface (Hi'~l
/~.................. secure- with t8rm;:',,!I;;! oar around perlnl8ter of home.
/' \
/' System #3: ItJstall treated wood 10 perimeter edge 01 old roof surface. Connect 1-1 .
~alurninum faced insulation board to old roof(s) surface, ,Install Firestone Ultrapi)
78+ over the insulation surface and secure With termination bar around perimeter
of hume, Replace all vents (except furnace vent),
.".
~
I
Additional Work:
"
"
I C,)hJ~Ur~E~i Ei~EHGY SAVEtiS, INC her~~~t~~~l;~'~:~ t~~~~~:.I~~o~r,~;y~u~~~~~~a:er(S)' herelr,alw: ,,'
I ~'Jrcrlaser(s), or 1/\11/8, Me/Us, My'r)lIl agl8e to tllV 1('1 ',,"n9 terrllS ar,d conditions, te' Wit.
, Seller to perlorm all work In a gOOd workmanlike manlier alld w.l, at all times maintain proper wor~,ers compensation Insurance and sha,l campi; ~, "i
I'cense regulations
ThiS proposal IS subject to acceptance by the seller at ItS olfice and becomes a binding agreement It may be terminated al the option of the seller II salo prc>~;,)sal cannol ce I :
,r purchaser(s) elects to purchase on a lime sale prrce Seller has 10 days from the date 01 thiS proposal to accept or reject the same
iii I Vie 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 commer,w'
~ II ourchase order is being financed by a lending institution or by you, It We agree to eX,ecute all necessary documents immediately upon request and presen!'::lcr
~ ',....". agree that any changes, alterallons or extras from the plans or specifications which may be required by any public body or Inspector, shall
ill ,~jC13t,!:;!e an extra and shall be paid for by the customer to the seller, based upon the seller's actual cost plus 20%,
,~ :\'/8 agree that in the event 01 a breach by me/us of this pllrcn,Ee ordp,r after acceptance by you and before the installation IS started, I/We will pay Ie (CJ "'lrrand -:-en [",'
'ii (1 :)Co! of t~le cash pllce as stipulated dlunilge lor such Dre;d,
~ !I:\ ..:'r:t~~ssary for you to take legal a::Lon tr)~nf()rC8, pru\I~') \.;1. ij~jt-!"d 3.f:1' oj YOUfl-i1:;hts Ul1dt:H Ihls Pf()~>jSa\. !/We flgiee to pay such sum as the '..-l..
:i1 a'I)","(5 fees and court costs. VenLJ~ fOf alllll19ation will te "",el'as County, Flolld"
iI! ; ;'j 'l'Ti ,y,!! be made by me/us except as pro\'ided In thi" or:j~,
1;i "";89'''' COr;SUMER Er~ERGY SAVERS, IriC. per:nlsslulI Ie c~e p,clures oildor It'k'e,i(~S to cur hon:~,n their newspaper and other lorms oi ac ,..,
It i \'ie gllle CONSUMER ENERGY SAVERS, INC. pelrnission 10 cn~','K our credit history
I X liNe agree to pay CONSUMER ENERGY SAVERS, INC 18% APR interest on all moneys past due per thiS agreement
X, In the ellent any proviSion of Ihis proposal should be found to be Illegal or unenlorceable,it shall not affect the legality or enforceability of ~ny cth,,'
X' I ~:Ietlme translerrable warranty will be mailed to buyer when seller has received payment In lull.
1 ne undersigned acknowledges receipt of a true copy of thiS proposal, acl<,nf\wlp.dges that he/she has read and knows the contents hereof. and unde,stancs :'''d no olhe'
...', ?weemenl(s), or representatlon(s) by the salesman, verbal or otherwise, IS binding upon the parties hereto, and thaI the same contains the entire agreemen:
Make all checks payable to: CONSUMER ENERGY SAVERS, IN\;,
! ;-~' -"J:
,,:a~t: :>:..
i~
;''''
" CASH PHICE AND PAYMENT SCHEDULE (ilHc'IUilCl.' 1'.1 ,\ phas8 01 construction means all work, materials and I,e,,'>! receSe
C,)i;'!;h:b 'I,J\ phase), Buyer 3g18fJ'O h, pd'y' Sulic.; ti", '::l:./'I I-'fice at Sfdi8r's office in 3ccordance with thA following rJ<,yrll 'i : ';ctWGUICj
~
\,
2.
$__3_00D_
T a x $ ________ ______ _ _____.
Down Payment $_______
Balance $3&O-~w
ON COMPLETION OF ALL WORK.
"BUYER'I RIGHT TO CANCEL" ..p,/
IAeve"e idel ol"'Ja .
I nave the authority to order the above work and do so or,JI;' ",
herein, It is agreed that the seller will retain litlE' to any 0"''''1'''10'1'
rnaterialtumished until final & complele payment is mad". ,,:1
mechanic hen is hereby acknowledged for security of thiS d~C ,." (1 Ih0
total ;:U~I'fill h;A :,,:i~W;lh..in ::: ~~~ " ~1 I
\,...n ~ '-'0''';:>' U ...~.... ,-], "J~-T'" J /11' -t- .. 'f_
, i~(J
Prieto
3,
4,
Authotll
S'\1<latur
NOTICE TO OWNER
A:: j'.d:6! . aranl6&d t be as spec~led AII....olk !':'I be ,--fJn~)lett:rJ In i.l ....')'i-.rlla;iI'i<.e
r,';,>,',rl"j[ aXOfdlng 10 standard pracllctlt5. Any ",'Ie-rallon 01 onvlahon from abGve
5;A'<1::~I~iL(H'.5 Ifl\fo~"lng e;a,1ra costs Will be executed only \l1---..-~n wrltlen OldtUS and ~dj
t,t,...x.;rne an exlra charge over and abcNe the eslunale All agreemenls oonllngenl upon
5:' ''',t'S, aCClOenls or delays beyond our con1rol Owner to C.;Uiy lire, tornado, and othBf
n&Ct,<ssary Insurance Our workers are lully covEHed by Workers Compensahon Insurance
Do not sign this home improvement contract in bliH,
or before you read it. You are entitleu (0 a cop)
the contract at the time you sign. KeeL it to pt..; (c
your legal rights.
...~-..........,.-
....~~
~'-"''''
s'"e.,""~
"'0""" -m__ .. . - i1. _,~,. J
.....G:.~_:."_,;.: '.
Arc I?p tilnc I? of ([ on t filC t-The above pr,ee, \peed,eal,on,
end conditions ar. .atiafActory and Ire hereby acceoted You are duthorlzed
to do th. work Illpec,fied Pavment",,11 be made as OUII,n.<J dOOve
D.1W of Ace.pune.
Consumer Energy Savers, Inc.
GOOD IDEAS FOR THE WAY WE LIVE TODAY
12350 S, Belcher Rd. #2-8, Largo. FL 34643 State License #CCC057196
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: JASl{ H. & IDIS M. SNYDER
6204 LINNEI' SIREEl'
at this location: ZEffiYRHIll.S, FL. 33540
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: RIGJARD Vcx;EL .
Authorized Person's Signature:
~
j~
Owner:
~
J .
Dave Me ell .-/
State License #CCC057196
Ii....--..
i:
"
i'
~ -
[I'
"
STA'IE OF FlORIDA, CUlNlY OF PINEIlAS
The ACWegoing inst:nmEnt was aclaJ.ow1edged before lIE
~y of~UA\.'" ,19 '\(. ,by 0(\0,0 fn.d\eu:-
~/
'.-'-'
Personally Known OR Produced identification
Type of identification Produced DA. LA. L
--
({) 813.536.2274 Toll Free 800.422.2012 ({)
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE
JM:aT H. & lDIS M. SNYDER
PHONE 813-788-6147
OWNER'S ADDRESS 6204 LINNET SIREEf. ZEfHYRlffiI.S. FL. 33540
JOB ADDRESS
6204 LINNET SIREEI' ZEfHYRlffiI.S, FL. 33540
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION OAKSIDE mBllE In1E PARK
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ----..Alteration ~epair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: ~Single F8IIily
~M/F
_, of Units _M/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
REROOF mBllE In1E W/SlNGLE PLY RUBBER MEMBRANE
BUILDING SIZE: 59.25 X 14
829. 'n 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
$
n:D.m
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_KECllAllICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
y
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
FIIUSHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
Signature ,,/ ~
CONTRACTOR SECTION
COMPANYt/~~ ~'e>n.A>~ ~
)~~ State Cert. or Regist.' ~c-e:..... 057 IC{~
Ci ty License Registration' -
*********. *******************************
ELECTRICIAN
COMPANY
State Cert. or Regist. #
City License Registration #
******************************************
Sioo$lture
Signature
COMPANY
State Cert. or Regist. .
City License Registration #
******************************************
PLUMBER
KECHANICAL
Signature
COKPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
COMPANY c:rnslMER ~ SAVFRS, TNC.
State Cert. or Regist. . CCCOS 7196
City License Registration ,
******************************************
OTRRR
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait Jay be subject to "deed restrictions" which Jay be lOre restrictive than City
regulations. 'he undersigned assUles responsibility for co.p1iance 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 aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
Furtheraore, 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.ay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
City of Zephyrhills.
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 _ Hoaeowner's Protection
Guide" prepared by the Florida Deparl:lent of Agriculture and Consl1ll8I' Affairs. If the applicant is soaeone other than the
"owner", I certify that I have obtained a copy of the above described docuaent and pro.ise in good faith to deliver it to the
"owner" prior to coaaenCelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
appliCable laws regulating construction, laning, and land developlent.
Application is hereby .ade to obtain a perait to do work and installation as indicated. I certify that no work or
installation bas cOllenced prior to issuance of a perait and that all work will be perfoIJed to aeet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemaental agencies aay apply to the intended wort, and that it is
.y responsibility to identify wbat actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
f Deparl:lent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater 'reatlent
f Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
f Aray Corps of Engineers - Seawalls, Docks, lavigable Waterways
f Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater 'reatlent, Septic 'anks
f US Environaental Protection Agency - Asbestos abatelent
I also certify that, if fill aaterial is to be used in Flood Zone "A. or HA,etc.", it is understood that a drainage plan
addressing a .cOlpeDsating voluae" will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A per.it 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 the technical codes, nor shall issuance of a perait prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becoae invalid
unless the work authorized by such perait is COI8l!J1ced within six mnths of issuance, or if work authorized by the perait is
suspended or abandoned for a period of six IOnths after the tile the work is ~ced. One 90 day I!Itension of tile, aay be
allowed for the perait with fee charge of $15.00. 'he I!Itension sball be requested in writing to the Building Official. An
approvlid inspection aust be logged during each six IODth period, or the project will be considered abandoned.
WARHIHG TO OIIlfER: YOUR FAILURE '0 RECORD A IOTICE OF CCIIHDClJlBfft' MAY RESUL' II YOUR PAYIIG !IIICE FOR IHPROVEIIDt'S TO YOUR
PROPERTY. IF YOU Ifft'EBD TO OB7AIH FIXAlCIIG, CONSULT WITH YOUR LlllDER OR AI AnoRRBY BEFORE RECORDIIG YOUR )fOTICB OF
COMMEICEHEfft'. JOBS UIDER $2,500 II VALUE 00 lOT lfEED TO RECORD AND POS' A "IOTICE OF COMMElCEMEfft'''.
~ ~'f~-^J
SIGIATU : OWItKR ~_. "----
~ ~ lw~
SIGJlnORE: COfft'IlAC!OR
STATE OF FLORIDA
coum OF Q... ill.... J
The foregoing instrument was acknowledged
before me this \ \ '\ , 19.3.1... by
,
\'? AC'.h ~ V 068-
who is personally known to me or who has
produced ~ rO,,-,- U<-
as identification and who did/did not
take an oath. ~ ~
(Signature) ~
(Name Typed, PrinteY~1~~edf ~
NOTARY PUBLIC
S'ATE OF FLORIDA (')
coum OF .t:1 r--dl ~ f
The foregOing instrument was aCknowledged
before me this ~, 19_____ by
~~~ VOG€\-
who is personally known to me or who has
produced R... Dk, l..t.<- ~
as identification and who dLiI id not )
take an oath. 1/ -t/
(Signature)
Id:uil\ ~.s~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.....-..~':'..:. ....-"~~
:. :
. ~,J