HomeMy WebLinkAbout96-5533
BUILDING PERMIT ..-
CITY OF ZEPHYRHILLS Permit lI!
(813) 788-6611
i-5533f3
- -
Date
1- /~-9h
~~ ELECTRICAL PLUMBING MECHANICAL
P<aperty Owne" k.?~ ~
Job Address: b/~'-/ ' ~ Ao /" -h-
Parcell.D. # ~ -6J-b * tfLI- 0 &.;l 0 -- t:J o3cl 0 - 00/ D
Sewer Conn
Water Conn:
Water Meter:
T.I.IF.'s:
Zoning, '::;t!- Cod.,
Description of Worr If: d"v"-f' ~
Radon Gas:
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.
Inspector
City License Registration #
State Certified License#
371
Permit Fee
Signature
Company
Address
Telephone#
c::::
--.
Valuation or ,.,
Contract Price j /tJ-z;, (')-i:>
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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 ($15.00) 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.
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I JAMES BUSHOUSE P .E.
I Davie, fl. PHONE: (305)474-0345
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1"11
I COMM. NO. I ADVANCED MOBILEHOME SYSTEl
941 S.W. 8lh Slreel
I ;l . t~~~,- I Pompano Beach. Florida 33069-00~
..
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE ~V\ /Y1c... \~Y\
OWNER'S ADDRESS (g f S{ Q I-.QCtSGlI\ J S I
JOB ADDRESS 6orJ^R-
PHONE 7 ~2 -l2--g b
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL I.D.' Z -2(; ~ Z (-002..0 ,~t)o:Soo- 0:)1 0
SUBDIVISION OA- K.st;l~
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ---Alteration .!1-.-Repair _Install
_Sign ---1Iove _Deaolish
PROPOSED USE: _Single Faaily ~M/F _' of Units _M/H
_~ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:)+l V-.M I ~ 1A..VV\ eCJO\=--oUCCA- m tl17lsl t1-v(r\JL-
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
bUILDING
_ELECTRICAL
$ J 7CO
Valuation of Total Construction
AKP Service
Florida Power Corp.
W.R.E.C.
_KECllAlfICAL
$
Valuation of flechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
*.********.*.*****.*********.****.**..***.
CONTRACTOR SECTION
BUILDER COMPANYA..d vbrV1~ tlt()b/leJ,~ f''t~J v'
_____~ State Cert. or Regist. . L..6-C 0 3 ~ ~ , '1
Signature.~~'- r I City License Registration . J 2.z:.
.*********...**.*....***********.*.*.*.***
F.T.RCTRICIAN COMPANY
State Cert. or Regist. f
SiDnAture City License Registration .
*.***********.*.**.**.************..*....*
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
********.***...****.*******.****..*......*
tlECBABICAL COMPANY
State Cert. or Regist. .
Signature City License Registration f
**************..**..**.*********.*.....*.*
OTRRR COMPANY
State Cert. or Regist. t
Signature City License Registration .
**************.*********.*****.*.***...*.*
APPLICATION APPROVED BY PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this petlit JaY be subject to -deed restrictions" which Jay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable'deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they JaY 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 JaY be
cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
RContractor Sections" of this application for whieb 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 perlitting 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, bave been provided with a copy of -Florida's Construction Lien Law - HoIeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeODe other than the
"owner", I certify that I have obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
"owner" prior to COlll!l1CeJellt.
E. CONTRACTOR'S/OWER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all wort will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developJent.
Application is hereby lade to obtain a petlit to do work and installation as indicated. I certify that no wort or
installation has CDIIeDced prior to issuance of a petlit and that all work will be perforJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJental agencies JaY apply to the intended worl, and that it is
If responsibility to identify what actions I lust take to be in COIpliance. Sueb agencies include but are not lilited to:
t DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally 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, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic tanks
t US EnvirODlental Protection Agency - Asbestos abateJent
I also certify that, if fill Jaterial is to be used in Flood Zone RA" or "A,etc.R, it is understood that a drainage plan
addressing a uco.pensating vol_" will be subJitted whieb is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A pmit 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 petlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. !very perlit issued shall beCOle invalid
unless tbe work authorized by such pmit is cOllBDced within six IOnths of issuance, or if work authorized by the petlit is
suspended or abandoned for a period of six IOnths after the tile the wort is cOllenCed. One 90 day extension of tile, lay be
allowed for the petlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF aJlMENCEIlEN'f MAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIEI'lS TO YOUR
PROPERTY. IF YOU INTBNJ) TO OBTAIII FIIIAIICIIIG, COIISULT WITH YOUR LlllDER OR All AftOmY BEFORE RECORDIIIG YOUR NO'I'ICE OF
COMHENCEHEln'. JOBS UNDER $2,500 IN VALUE 00 NO'I' NUD TO RECORD AND POST A "NO'I'ICE OF COMMDCBMBIITR.
~~C;;;a//
SIGKATURE: OWNER OR AGEln'
_____---c::.-
SIGNATURE: COln'RACTOR
60//
STATE OF FLORIDA
CO11m' OF
The foregoing instrument was acknowledged
before me this , 19____ by
STAIB OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
. "f-;,""'.""'.'W'""4'!'r.'. ,. '''','''''' _F~ ".-
''-'~'-'''''''''''''''-~'''''''''''''-''-'''~'.''''''''-- ......,
'-"-"~."-r ""'.'rwtI'~~_...... .,.....~=::~::'t.~~~"jli~11Jh~itJ~;~~~~1!!f~~,::i;"rrnn,''''t'~iI;.,~m'''l;?tr;
:<1.,f"' ;'f'~''''t
INSTALLATION AG
\-]/4 7 / /
PRODUCT Kt;cJr (?.:~:c- '
, SOURCE .~~ "ee,r-:::
'l':~ate.t/P,i ~9 qr P~one# (~i.s) :7SJ~ ~ /.~rf6
Address: 6. /..;-/ fY,.(at)Sf'!/./Y City;, 2c?/Jllf/,e/JI&g Zip ~#_P8rk04rS/J6
Home-Own V Ren~ Land-Own RentL RIP #.
City ~'W<V'~8te;;Y / Zip ,t/.96/~hon. # (dr';j ~ &'.:3'>:?. --6(':.J~
(out 0' FlorIda)
AMS III, INC, ("AMS") proposes to furnish all materials and labor for the Job(s) specified below:
tz{ ROOF JOB DESCRIPTION. Install Weather-Lok* Roof system (Pat. #4,548,002), consisting of 2" Polystyrene Insulation and .024" aluminum roof with
baked white enamel finish, over existing roof. Remove and replace fan & plumbing vents. ~hlS does not Include gas appliance stacks.
o OTHER. ..;t.;~':Sif/~c!C /;Ph:?.) :j~~7/Y&eb~ fooF ()tI~ /;0~/~
//,-I/,"'c..~ IJ~ 6=ve .11 c)f..J/-- s ~~8;r: ,.(/Sj ~G (S: /A./6-'
.~i/(~Yl~)rJf.5/l,/ Ye-')h;?E- /juIJ e#~r'oAr #.v~ ,Ra!J'/h #1JhT76
.1:/,.<)' ,l)(,(-:J,t?,-r .,-;L/u'e.~ t/IJe-.r .paA1~ ~/J%6'~ /}vlJ
I~ ,<r: errr,,?:, (:;:-- tJ-&,eR~4 very
ADVANCED MOBILEKOME SYSTEMS
AMS /II, INc
13764 W Rena Drive
Largo, FL 34641
CONT. NO.
TARA2196
: , ,
:
Buyer
~,c:_0139~ CC C042,?h I}.
OWNER; ::w /'j tJ/str Y11 /f/
/!/J('-l' -,
County ',/L C l._J
Address ,-7/-.1 .~} -?,f ./,-
(out of Florida): /."'/ .....'c r-'//'-'-
J l~ ;! :~,:! '-:' 1 ,;\ ;'
'. I'. .'
'...
.~ !
/):.~'L~(: tf),L J, -/eR 6' eeL
o Check here only If space above Is Insufficient for complete specifications, description of work, or materials. Any additional specifications or plans are
attached to and incorporated Into this Agreement.
AMS requires a 30% non'refundable deposit, payable when this Agreement Is executed, but may at Its option vary said deposit. The entire remaining
balance is du~ uPO~,J.?b com~lell?n. All fthe '!V~rk to ~ pomijletea ,a} ~escrlbed above for the sum of:
TOTAL $ C} ,~, 7/:~ \ X/ S-::/"f/Z:::;/./ #t/ 'u/J,ee-~ (U.S, DOLLARS $) ($ 1 7 C)('J .CD
Sal.. Tax S
jYj}//J :;:~ r't/L-G
d/l~
/'/.?f/O
, TOTAL S
AMS Is authorized to furnish all materials and labor required to complete the work described In the above proposal, for which I/We agree to pay the full amount
specified In said proposal, and In accordance with all terms of this Agreement.
THE UNDERSIGNED ACKNOWLEDGES THAT BEFORE SIGNING HE HAS READ, UNDERSTOOD, AND RECEIVED A COMPLETED, LEGIBLE COPY OF
THIS AGREEMENT AND OF EVERY OTHER DOCUMENT INITIALLED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS, AND AGREES TO BE
BOUND BY ALL THE TERMS THEREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE SIDE.
This Agreement shall be binding upon the Buyer's written acceptance hereof In the space provided below or upon the AMS's commencing performance. Upon
such acceptance or commencement of performance, this Agreement shall consmute the enllre contract and be binding upon the parties hereto, there being
no covenantll, promises, warranlles, or agreements, written or oral, express or Implied, except as herein set forth or as created by applicable law.
NOTICE TO BUYER: THE TERMS AND CONDITtONS ON THE BACK HEREOF ARE PART OF THIS AGREEMENT.
(lNIT.) Xl~ !'f./'1 X X-~ 11_ EV,RYTHING PROMISEDAS PART OF THIS CONTRACT IS COVERED IN THE ABOVE.
.. RESPECTFULLY SJ!S~.kT1;!9:
ACCEPTED AND AGREED: ' . / By AMS REP. 6T(I-I!J..U' ~i-"C~'>-<--'
X '~f'1-(u-_1I 7/1?;'-d'~" Date / / PI"':z.. 19 ?-GOCIAl SECURITY. J 7/ J;J 9 ~7 3
~ y). or-'
X & ,'>---I J I 'A n. M tl~ Date I. 19~ SOCIAL SECURITY # 0 ;o~ ?" .:Jd
IRlI"A '.. ~inn"t"r~\
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.'~ :$.
AM$,' Layout Sheet
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CUSTOMER ~..t'>,-~rJ k.c-M mA~t) CONT. NO. :r/JC# 02/96 PG. of
Address: l/q/f'l /k/'Y~S'~r Phone# 7S>,Z-/,<~r;; Date /#,2 z/~
City: --::;'<.-'/7/~/ ~'C c S State ~?- Zip 53i'f/O Lot # Parll C/".fK
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CenterCap_HI. A -2112"_ A
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Height "8 .1-
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Urethane_ C . 8'~
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ROLLS TO ORDER
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X
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X
, " , " Gutters
X Spec. Lunber
. " , "
X Sp. 'Uildup 1"
01
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D~
O~
Un. Ft. _ 0.5.
Ft.
Sht. 2" _ Sht.
Pan Size _"
Vents ;:z
Plumb -J
Fan ~
Kit
Heat
A -2Y,"_ B
'8.
'~'-
A-2Y,"_ 0
'8 - _
"C - 8"_
Ft.
Ft
EVERYTHING PROMISECAS PARTOFTHISCONTRACTISCOVEREC IN THEABOVE.
CUSTOMER Signature c::?;:o.-w.dX ~ /p'.~y Date ~~.)/ ..2..2 /9>-
ADVANCED MOBILEHOME SYSTEMS CCC042787 CGC033977