HomeMy WebLinkAbout96-5580
BUILDING PERMIT'
CITY OF ZEPHYRHILLS Permit lI!
(813) 788.6611
-;~5580t3
Date
r2- -8'- 9 c,
~~
ELECTRICAL
PLUMBING
Sewer Conn
Water Conn:
Water Meter:
Job Address:
Parcel I. D. #
Zoning: Energy Code:
Description of Wor;- R.Q. ../)~
T.I.F.'s:
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.
DATE
Inspector
p~rm~'tFee -. th) ~ _./'7
Signature ~ ~
Comp
Address
Telephone#
Valuation or
Contract Price
-.5~S-5(). d-lJ
,
City License Registration # ~8-t)
State Certified License#
rff;
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
Jroposul ~.
Page No.
of
Pages
Reroofing & Repairs
Since 1964
YOWELL'S ROOU:;ING
2220 Old Cypress Creek Hoad
Land O'Lakes, Florida 34639
(813) 949-4561
license #RC 002551!)
C~X
SUBMllTED TO
IJ/05S OM
tft/j- LJ/osso.tYl
CITY, STATE AND ZIP CODE
;1...)1. ,.c/
~
1'9 Nc A
$/(/((
Sf/I
HOMF PHONF
DATE
0"114
STREET
~I'/J (I;~___
2.!f}'.= 0007
WORK PHONF JOB #
JOR ADDRFSS
506 tII / '-/t,< t -,(!, iJ/o.JJ 0'"""
e hereby submit specifications and estimates for:
1. c../' Tear off old roof I layers 00
2.~Replace all rotten lumber at additional cost of J, 10 sq. ft. $ _3 s- .-.--
3. V Dry in roof with / ply---.L..[""_lb. felt I
~. . u? II i..j. J I
4._Replace all lead boots: Size L- 1'(__, ~ - '--r
5.~Replace..r ul~ilIR aRB .uuvul l./ ___._vent: Size /0 I ___
6.~Replace <;" in. Eave metal: Color droww Painted Steel
7. ....,.. Replace valley metal
8. ~ Install ~ Oy,.. Type Class A fiberglass fungus resistant shillyles by r; / () f ~ '"
9. t./'" Shingles wil~ be 6 nailed to meet Florida Codes for wind
10.~Cut hole and install /;1. 0 ft. vent ridge: Color 1Jr()w~ .for proper ventilation
11 ._Built up roofing
12 ._Dry in with 43 lb. base sheet
13 ._Hot mop 3 ply fiberglass felt with hot asphalt
14._ Torch apply 1 ply modified roofing: Color
15._Replace in. eave metal: Color
16._Coat deck with aluminum roof coating
17.~ S;(y /"1_ 'J .q.lcl 7P
18._
19 .~Clean up an haul away all trash
20.~Pull magnet around job to pick up any loose nails or staples
21.~Dump..tae and permit included in price
22. V' S year workmanship warranty from date of completion
per full sheet of % inch plywood
Color 6 n//p.v .e!/'Ow,!l/
fo .cr ,n14 "w
~p,.r r An..(#....
painted steel
<9" ~
/0,.
If",/ha"",,,;v +-
, - -
JIIIr J1roponr hereby to furnish material and labor - complete in accordance with above ~ifications. for the sum of:
dollars ($ rS.30 ) plus any lumber charge.
rrJ ~
. Balance of $~';:> 0 due upon completion.
Deposit of $
IV~
Payment to be made as follows:
During the course of the roofing work, the customer agrees to halo harmless Yowell's Roofing for any
costs or damages resulting from asbestos materials in the roof system including hut not limited to all
costs of litigation and attorney fees.
Any final bill not paid upon completion of job will be subject to 8 18% (eighteen percent) APR on unpaid
balance compounded daily. All material is guaranteed to be 8S specified. All work to be completed in 8
workmanlil(l~ manner according to standard practices. Any alteration or deviation from above specific...
tion!'; involving costs will be executed onlv upon written orders, and will become an extra charge over and
above the proposRI. All agreements are contingent upon strikes, accidents or delays beyond our contract;
Owner to carry fire, tornado and other necessary insurances, Our workers are fully covered by Workman'.
Compensation and Liability insurance.
Customer agrees to provide adequate roof access for trucks, equipment and personnel. Customer also
agrees to furnish electricity if needed to comlete the job.
Atttptautt nf Jlrnpnllal-1he above plices. specific"tions "nd
conditions are satisfactory and are hereby accepted. You are authorized to ria the work as specified.
Payment will be made as outlined above. By accepting this proposal, it becomes our contract.
Attorney Fees & Costs: In connection with any litigtion arising out of this contract, the prevailing party shall
be entitled to recover all costs, including reasonable attorney fees.
Date of Acceptance:
Signature ___
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILIS
BUILDING DEPARTMENT
, ~
OWNER'S NAKE OrtCI./VYl::- /J/oSSDfl'1 ~A-t"/ C-;~dG PHONE 7?'?- Ot::?o 7
"
OWNER'S ADDRESS 71'60 7- t,'~1? 9- C/.5-~..>- Ys-.:/7 j]A1n'DP1 /J/f../L'f X,,;/'#' a '3.:>..><;//
JOB ADDRESS
>?l/l?~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration -L.Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Fallily
-L.M/F
_, of Units _M/H
_CoB.ercial
_Indust.
_Swiat Pool _Other
_Restaurant &: Health Department Approval
DESCRIPTION OF WORK:
BUILDING SIZE:
x
,s~oo 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
$ ..s~ c-.sO (!fO
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
'0 ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FDlISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUTT.DER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
RT.RCTRIClAN COMPANY
State Cert. or Regist. .
SiQDAture City License Registration .
******************************************
PLUMBER COMPANY
State Cert. or Regist. t
Signature City License Registration f
******************************************
MECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration .
***********************************
OTRRR COMPANY ~e /~ /co~? JD~"'I/ C ~ r;> /'/
State Cert. or Regist. f #c t:?t?x 5'5'/..>'"
Signature City License Registration f g:- 3'0
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A_ NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to 'deed restrictions" which JaY be lOre restrictive than City
regulations. !he undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
.Contractor SectionsH 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 lay be an indication that he is not properly licensed and is not entitled to pertitting 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 - HOIeOMDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIeone other than the
'owner", I certify that I have obtained a copy Df the above described docUJent and prOlise in good faith to deliver it to the
"owner" prior to cOllenCeJent.
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 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 cOlleDced prior to issuance of a pertit and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveDlJelltal agencies JaY 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 lilited to:
* DepartJent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater TreatJent
* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatJent, Septic Tanks
* US EnvirOJllental Protection Agency - Asbestos abateJent
I also certify that, if fill Jaterial is to be used in Flood ZOne HA' or "A,etc.', it is understood that a drainage plan
addressing a RCOlpBDsating volUleR 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 sball 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 becOIe invalid
unless the work authorized by such pertit is cOllenced within sillOnths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of sillOnths after the tile the work is co.enced. One 90 day l!Itension of tile, JaY be
allowed for the pertit 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 each sixlOnth period, or the project will be considered abandoned.
WARMING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMERCEMElft' MAY RESULT IN YOUR PAYING fIIlCE FOR IMPROVEIIElft'S !O YOUR
PROPER'fY. IF YOU Ilft'ERD TO OBtAIN ULT WITH YOUR LERDBR OR AI A!'fORHEY BEFORE ~CO NOTICI
COMMENCEMENT. JO UNDER NEED '1'0 RECORD AND POST A 'NO'rI C
S
STATE
COUlft'Y OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE 0 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