HomeMy WebLinkAbout96-5534
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit II!
(813) 788.6611
'-553_ L3
Date
I-/r-J?b
e
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Water Meter:
T.I.F.'s:
Zoning: En~gy Code:
Description of w~ 7 #-I./L-
Radon Gas:
NO OCCUPANCY BEFORE C,O.
FINAL ~ -JJ-.5\ ~
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O,
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
p~rmi::2 g;P
Signa _
Company
Address
Telephone#
Valuation or I '1 h
Contract Price // f" 0( /. #t/
City license Registration # c.2!) 9
/
State Certified license#
a~Lel /Y!~~
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
..-.bo"~~_.__'"
.....
INSTALLATION 'AGREEMENT
ADVANCED MOBILEHOME.SYSTEMS
AMS III, INC
13764 W Rena Drive
Largo, FL 34641
-,,;<r r 1 ~i.?;
.CONT. NO.
TARA2?12
PRODUCT
~,,~
UU-~
SOURCE
CG C033977 CC C042787 ' 'i' ;/:
Buyer OWNER: IJ#$~P j-/;-AlS~ Date~..<3 197'6' Phone # (6'tO) 7R~-oasf/
....
Address: (5 ~o"7 ~~ City:, ~I/f~/~t;& ~,IP '.gd~ll~t # _ Park (!!),I~..$/~
County P%<!O Home-Own V Rent Lend-Own 'Rent ~R/P#.
~~~r:fs~IO~ida): fl"f/ /~.s ~bJ Clty~lI/tuState ~I ZIP~~Phone#~ ?~~f/C9'
(out of Flo,ldl'
AMS III, INC. ("AMS") proposes to furnish all materials and labor for the Job(s) specified below:
~F JOB DESCRIPTION. Install Weather-L.okN Roof system (Pat. #4,548,002), consisting of 2" Polystyrene Insulation and .024" aluminum roof with
baked white enamel finish, over eXI~g roof. Remove and replace fan & plumbing vents. This does not Include gas appliance stacks.
D OTHER. ,.::z:::A6r:r-..h:L ~ b/~4:J~V A3L0p otJJrL ~/AJ ~,s-
/JS /'67e ~dV S'~ L ~ r:NI6/1/~ LJ~<!fY)(...J ~
~ ~fr: $,u$lr/lu:.. ~~tJtuIPuJPv '/t> ~V~. IV/AJtl:3u.J1.S ~
~ rll-lC:5 .Pb~ ..z-.v~IJe::s y-~~ /J-,u/) ~~ ~ A-~
.L/ Fe77~ e;- ,1U~AJry'
1: .
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'lb non'refundable deposit, payable when this Agreement Is executed,.but may at Itloptlon vary laid d~pollt. The entire remaining
balance Is due upon Job completion. All of the work to be completea as described above for the sum of:
TOTAL S d1A,g-T//()US~() rLX/.e #u;tl~ 16/~~S, DOLLARS S) (S
IJ ~/r d //,;IF "17:< ~ Salea Tax'
TOTAL'
/1";/ 7. ~O
361 ~ <.
/r57~~6;Z
1'/'?J6~
//()CJ ,,00
Deposit Amount S
Balance Due on Completion'
A separate written warranty relating to the Weather-Lok* Roof system will be mailed when contract price Is paid In full and a completed application for warranty
is received. A copy of the form of this warranty is available upon request. '
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 constitute the entire contract and be binding upon the parties hereto, there being
no covenant., promises, warranties, or agreements, wri<<en or oral, express or Implied, except as herein set forth or as created by applicable law.
J/ ""..1 NOTICE TO BUYER: THE TERMS AND CONDITION8 ON THE BACK HEREOF ARE PART OF THIS AGREEMENT.
(INIT,) x/V'1f- x EVERYTHING PROMISED AS PARTOFTHIS CONTRACT ISCOVERED INTHEABO VE.
'i 1"
RESPECTFULLY S~ED:
ByAMSREP. ~
1996 SOCIAL SECURITY # 01. - - [)
/~-3
ACCEPTED AND AGR~
X r-~ ~ Date
X Date
(Buyer's Signature)
19_ SOCIAL SECURITY #
CONT,NO.~~~~/~
Phone # ?R'z -.sa.3y
State rt- Zip 33~o Lot # Parle. e~S/tJ<tr
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AMS~ Layout Sheet
:USTOMER /}~~/A/6' ~4:;v..s(~;;cj
'ddress: t5;;l.a "7 ~tY4/b
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ROLLS TO ORDER
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Center Cap_HI. A -2112" _ A
Height " 18.:?O
Urethane_ '" C . 8"_
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Fan I 1./
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Heat I V'"
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'C.8"_
/0 Ft.
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U ft
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" Spec. Lunber
Sp. Buildup 1"
Un. Ft. _ D.S.
Ft.
x
Sht. 2"
EVERYTHING PROMISEDAS PARTOFTHISCONTRACTISCOVERED INTHEABOVE.
:USTOMER SignaIUre~, ~ d~ I~~ Date 1- /3-9~
ADVANCED MOBILEHOME SYSTEMS CCC042787 CGC033977
04-20-1995 08:04A~1
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TOTn\.. r.01
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE K q:4-h.Q~(~ ~ H-OthSQV'"\
Ab-A- T~ So T
PHONE
7[;2 - SCJ Slj
OWNER'S ADDRESS l, 2-0 I
~
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL I.D.' Ol-a.b-d-. 1-00&.0-00300-0010
SUBDIVISION CJI4-KSI ~
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _A<!dition ----Alteration LRepair _Install
_Sign
---1Iove
_Deaolish
PROPOSED USE: _Single Faaily
"
_M/F
_, of Units +M/H
_Swia. Pool _Other
_ec:-ercial
_Indust.
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: m ctA l~ ~ e DO t=' -eVe:-<..... ( ,a..lul'h 1~(\o'1 J
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.
I/' BUILDING
PERMITS REOUESTED
$ J LfJ7, ---
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E,C.
--1IECllAlfICAL
$
Valuation of flechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frye _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
***************************.****.***...*..
BUILDER
Signatur~
CONTRACTOR SECTION
=~~~~~~{~
~C?;~ City License Registration .
*.********.*...***...*...*******.*..*....*
RT.RCTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration .
***************..****.*******.****........
SianAture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration .
******.***..**..*****.*..********........*
Signature
KECBABICAL
COMPANY
State Cert. or Regist. .
City License Registration .
*****************.*****************..*...*
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration .
*.*********.******************.**.****.*.*
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this pellit lay be subject to Rdeed restrictions" which Jay be lOre restrictive than City
regulations. the undersigned assUles responsibility for COIpliance with any applicable""deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner has bired 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 laY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtberlOre, 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 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 (CUAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of -Florida's Construction Lien Law - HOII!OlIDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIIeOIle 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
"ownerR prior to cODellceJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has COIIenced prior to issuance of a pellit and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJeDtal agenCies JaY apply to the intended work, and that it is
If responsibility to identify what actions I lust take to be in colpliance. Sueb agencies include but are not liJited to:
* DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJentally Sensitive Lands,
Water{Wastewater TreatJent
t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t AllY Corps of Engineers - Seawalls, Docks, Havigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic tanks
* US EnvirODlental Protection Agency - Asbestos abateJent
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 "cOlpensating volUJeN will be subJitted which 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 pellit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pellit issued shall beCOle invalid
unless the work authorized by sucb petlit is COlleJlced within six IOnths of issuance, or if work autborized by the petlit is
suspended or abandoned for a period of. six IOnths after the tile the work is ~ced. One 90 day l!Itension of tile, JaY be
allowed for the petlit with fee charge of $15.00. The l!Itension 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.
WARHING TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COIMBRCEIlBIft' MAY RESULT IN YOUR PAYING DICE FOR DIPIIOVIIIBIft'S 'fO YOUR
PROPERTY. IF YOU IrrrEHD TO OBfJUH FIlWfCIIG, COISULT WITH YOOR LBlDER OR AI ArroRIIY BEFORE RECORDIIG YOUR JfOTICB OF
COHHEJfCEHEIft'. JOBS UNDER $2,500 IH VALUE DO HOT lfEED TO RECORD AJfD POST A "HOTICE OF aJDlElfCEllBIft''' ,
SIGlfA'fURE: OWIfBR OR AGEIfT
SIGlfATURE: COIfTRAC'fOR
STATE OF FLORIDA
COUIfTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
coum 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