HomeMy WebLinkAbout96-5795
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit W!
(813) 788-6611
J-579~ J
Date
- / " 9/
-.5 - b - / ez.
~~ ELECTRICAL PLUMBING
:~::::~.3 '/X?b Ytr~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of Wor~ ?fa ~
Radon Gas:
FINAL
~ \0 1 L.
o TE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
c~ 7 ~6 ~ cTD
I f ::l-
City License Registration #
State Certified License#
Ll!~..u~ ~ J../~~ J)~
.
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 Ins!.
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.
^ri'J,H~T.tO" "mt J"R1Uf1T
r:llT or 7f\MlYlUUHS
"''1 IT n, 11(; DIlT' A:RT'fT''1lrT
, .. ..,
.~1-iM[;(' _ NAft.L_..Ln~~__DJ.lCk~...:t.__.Lf".~,~_.._____.._____ .Jltc)!tR_~~~- 5t? 'f?7' 3
~'~ ADDRR!';."i.,__3...QL3_? _S::.~AJjZ ,
.IOR ADDR~,___. _3jJ.3.2_..s=+:__ Av.?
I.F.!~. DftSCR.I.PT1OW~ HlT(S>.._... _"_'
,._~__SUBDIVlSIO"---~2I-(V~ ~/oAr
P,\RGP.T. Ln_'~:,;?~_:~.l__.(JC!.3.C2.- ,vp.pIJO- 0030..._____
WORK PROPOSED:._____ .JJ~v COO8t:ructioo ___,NldiU
~ter(lt:i.on ~_Rt'!plItt' __....__Inst81J.
_......"J iKll
, __..._}k,ve
__,_,_D~ll.f>h
m.o~_1lSBL_ '/::.single F_Uy
.. ____lt/F
.__.' of thlits
--"I B
_r~f'CI81
"'_ _Tndust.
_.__,.S..,1.. Poul
,Ot ht"r
_~sttmnmt . B.-81th Dcper~t Approva.l
BUILlHNG SIZE'
.x....,__ _ '.__ ...,._..._ _ ' _
SqUAce Prf!t ,_._______. ___ ","'n...-Uf!i~t
.. RF.Sl DEHT1At.;
COHHERCIAl. .
,,'r~H1I (2) Flm Pf.A~ &: (2) SErn OF ROllJlINC PlANS.. (1) SEt EMY.RCY FORHS.'H
~. .'Il2f (J) SB'1'5 OF ftUIl.nlJlG I'LANS &- (1) SET ERER(."Y FollltC;..."
".uFT ot' WH"I'MCT UQUJ:RED.
K-e-i<oc'F
,r'
-L...BUTLDDfG
ftIftlJA..,RtUlIf.Sl.&ll
$__3.7_~_bQ_O____,.._._VAltu1tiOlr'l of T()t~J r.on.unlt"tion
__Y.f .ECTRT(~A'.
_...w_n..__.)UW 5eJ'Vic:-p
._.___.Ylorida POWP.r Corp.
\i.R.E.C.
KY.{~M' t CAI.
$,_._...._,..__..-__..____,_____VAlu.eUOl1 of tkdUllllir.1l1 Inntallatioo
J'u~nTW~
.w".., ____ ,_CAe;
__,__ .__. J<<)(Jt'l.NG
___... .___~PJl:CTAJ.TY
TfPE Of ; ) -,,'r~n(;Tl 011 : _ ___.Block.
Fr~
~trp.l
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FnrJc;m::n flU,UK RJ-RVATIOtiS:_J,__--__".
IS I'RO.JE(."Y ]Jf flOOD ZOHt: AIu:'.AT
YES NO
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Sjgrua'l1Tr.
.wnBA!,;toL~.&q- 1014
CQtJ'MT__.Q ).lL~~..:H'l:>mr;..",L_:t ,MjLBi ~(?,.K 11'1
StAte (:Prt.. OT' Rt>Rist - f.._Q..Q.f.Q__.d?J..}L(;.~.. ,,________
__ ___~u_ City Lic("n,;r R~gtstTation . .---L~
.. ....1It.* ... ~..*.......*............................ '...
M1:lL1lm
m:.&.11U~
~u.re "_....,
CIllIPASY ,___,,______ ___
st~atc Cf'ct. or ReKist.. , __"
.ow... .. _.. .. .. ..__ CIty l.ice1)9~ R{'Rh.trotion ,
....."'..'... -.. ........ ..... .............. ...........,...
l'LVtm.&J\
(ll"fl'AMY, .. ,_ __.... ........ _.... ...__...__,._______
StAIr. C'A",r. or R"et~t. .....'ntrn__h_ ...._
City Lin...",.". Rr.R Ir.t:ration , ______~_
......~........................****...........
Si ~turr.
~lllAL
S I RJl"ture _...___
{;lIJIlIYAl!fY, _______.._.___,______~,.,,- _
StAte ~t"L Of Rc~ist.. ,~,__.___
__ _____"__,,,...._,_, __., City Lit,:t.~!Y~ R(!~i6trat'inn t .
....................A......................
tYlJ1l:;.8.
CO!WANY
St".t(' (:,.rt'. or Rret~t. f..__.,_..__
..__'..,_..... ..._.~.._ ,.. City J.h:prl!lr. Jt,,~js:t.nltiOft , ,.. '.'
...-......~...............*.........*.....
APPI.W.ATIOV A1'M!llVfJl .. ..._llA~.~~,-
.; ~ MVltllre
PJJUUl nfT1CER.
CONn T T T (1N~ OF PErm IT i\FF'I Dl"lt,J IT
A . tiQJJJ.':JLQL..I.2.EEI> _..BE 6 l R ~ !=,J LD.!.'l..s..
'h! undersigned und".t.nd. th.t this <"[-It '~y be .ubJ!tt to "deed r!~trlttln~,' _~Irh 'IY b. 'Or, ,~,trictive than City
t.gul,tlons. The und.r"gn.d ",u.~. ",! .'tv for IG'rll~nre ~Ith ~~v '~rlitab)! derd restrlctlonl.
B. !.lliWCEN$e;O CONTRAC U,:j;b_Ht.::l!>. .CONJJim:~TJ]R.,.B._F.5F.'..Q!\jE;lJUJ:.!.T.l_~f:;!
If thl ~wner hi' hirld I contrlt'~r or contrlctors to und~rtate wor~, they lay be rPQulr~d t& b, llrrn~ld In .ccordanr.. with
state and IDtl' r,gul.tlons. If the c~ntrl[t~r is no\ licenspd as requirpd by laN, both the own.r and contractor lay bp
cited fDr I Illdt.elnor violation under statt IaN, If the oMner or lntpndp.d contractor Irr unT!rtain a~ to "hit licpnsln9
rpquire.ents IIY apply fDr the Intended wor~, they Ire advispd to c~nt~ct the City of 2rphyrhill~ Fulldlng ntpart.,nt, lel3}
788-6611.
Fur\hrr.or!, if thr own,r hal hired a contractor or tPntractors, he Is advised to have thp CO"trait~r('} ~\gn portion. of the
'Contractor Bections" of thit .pplit~tion for "hlch they will b~ rr~pon5ible, If you, II thr ~Nn,r lion ., thp contractor,
you ar. IndltlUng thlt you, nthu than thr tonh!lctor, ille rnpon!libll! for tht Nor~, Jf thp rnntr.dor whhn you tll 519n
.s contr.ctor that lay be an ln~lt.tion that h, is n~t properly licrn5rd .nd i!l not pntitlpd to p~r.lttln~ rrivlleg!s in thr
City of ltphyrhills,
r.. IBANSPORTAT ION IMe.ec.L"F"I;I;S__~lir,LWIU:,.JIY.r::QW~r::.r,;,IJ.PlLE.!=:ES
D. ~ONSTRUl;T I,Ot~LJ....tf.N..J..AW (CHAPTER 713, FLOR t DA STATUTES ~ AS AMENDED)
I ',rtify that I, the applttlnt, have blln prDYided with a copy of 'Florida', Construction Lipn LaN - H~"oNn@r's Protection
6uld," prepafed by the Florida Departlent'Df Agriculture and Con)ul~r Affairs. If the applicant II ,olt~n. othtr th,n the
"owner', I clrtify that I hlvt ~bt.ln,d I tOpy Df the Iboye described dotu.en' end prollle In vo~d filth to dlllv,r It t~ th.
'own.r' prior to tOI.rncf.rnt.
E. CONTRACTO~ I aL_QHtI~B":~1::\.[C1.'pAV D_
I t,rttfy th,t III lh. inforlltlen in thls appllc.tlon is .tcuratr and that all N~rk will be donp In co.plian~' Nith all
applicable II.' re9ulatlnq con.truction, zoning, and land d~y.lop.pnt,
Aopllcatlon II h!rpby ..d@ to obtain a pp.rlit to do Nort and installation ~,indir~tpd. 'r~rtifv that no M~r~ ~r
installatiDn hl~ cDII,ncfd prior to 1ssuante of I per.it and that all Mork will hr pprfnrap~ tn le~t stlftdards of ell II~~
rr9ulatin9 construction, City codes, zoning regulations, ,nd land d~v!lopIPnt rrgulations In thp Jurisdiction. I al~~
cprtify that I understlnd that the regulations of Dther governlrntal Iq~nci@~ lay ~pply to the intended work, end that it is
IY respon,ibility to idtntify whit actionl 1 lust tlke to be in cOlplianc!. Stich 1gencie~ Includf but Ire npt lilitrd to:
, ~!rt'~~!f__l~,ir2-"!lntal ~eaul.tiDn - Cypress eayheads, Wetland Areas and Environ.ental1y Sensitive lends,
Uat~r/W.st!N.t!r tr!at~pnt
, $~\!~J1~,~tJl!rid.!Jl.tte_r.)I'!lJJ~JlIL~~~~tlc;!. - lIells, Cypress Bayheads, Wetland Aru~, Altl!rinq "atl!rr:Nlr~~~
, ~U'__~~~r.Lo1..!!I.9.!nt!!1 - SUNaHs, Doeb, Navlqable II,terwey.
. ~rp!tJl!~t of "tilth , Rrh'blllhtlvl!,_~!L~.!!!.h.l!!..~lronlenhLl:!uJl!L.lI!!H - Wel h, wntewahr trlltllnt, s,ptlc hnk~
, US ~n_Yi~.,!'!mtal..PrD!Ir:"on Almu - ~\lb"hs .battllnt
I also c~rtlfy that, If fill I,tlrl.l II to be used in Flood 20n! 'A" or -A,etc.', it II underltood that a drl'nagl plan
.~~r~!5inq a 'colprns.ting volul" Mill b, Illblltt.d which It pt.par'd by e ~rofessionll enqlneer r!qistered In the Stlte of
~lorida prior to pvr.it issuantl.
A p,rlit i&sued shall be eonstrutd to be a license to proceed wilh thr work ~~d not al authority to vlolat., c,nctl alt.r, ~r
Sft aside any provisions of th. t,chnical codel, nor ;hall i< of a ptrJit prevent tht 8ullding Dfflci.l frol thrrt.fter
requiring I corrl!ctlon of trrors in plans, con~tructI9n, or ,n, of an~ code. EVlry porlit ilculd ~hall bltOI. invalid
unless the work luthorized by .uch pp.rlit i! rOIIl!nCl!d Nith'.' "~nths of ),;uance, or if Mort .uthorited by the perllt is
5u5p~nd,d or .b.ndoned for, period of sir lonths Ifter thr I · ~~ work \~ rnl,pnrpd. One 90 day eKtenslDn of tl.e, lay bf
allDwed for the p,r.lt Mlth ft. charo' of $I~.OO. The exten! c~ll b, requested in writinq to the Building Official. An
approved Inlp.ctlon IUS' b. I0991d during tach Ii. lonth p.rl" th! proj!tt .ill be considered Iblndoned.
W~R"I"G TD OWNERl YOUR FAILUAE TO RECORD A NOTIC~ OF to""[NLt 1~Y P.ESUlT IN YOUR PAYING TWICE FOR IHPRDVE"ENTS TO YOUR
PROPERTY. IF YOU INTE IN FINANCING, CONSUlT HIT" YOUR Ll~rER OR AN ATTORNEY BEFDRE RECORDING YOUR NOTICE or
NOER .~,50 IN VALUE DO HOT "EtD TO RECORD ^HO POST A' T C CO"nEN T'.
STAff or ~lO~~~
CDUUY OF _~~ _._____
The foregoing ~n.trument wa& acknowledged
hllltc.l"p mp thl-. !l1~,~--, 193..c;;_ by
_~ R:.g~~__ _ ---------
who is p~n5ona 11 y ~tnown to me (.1" who h....
produced ,____..____________ _" _.._.._,..__~~
e5 identification And who did/did not
:~~"m&~..... .....
-
(N~m~ Typ~d, Pri
~\J1 AI~Y. .EYflLJ~
1-
STATF or HORICh
tOUlI1 V lIF _...:r::-.~----- .
The for&91:.1ng in~trllment was .clmowledged
befc.re ml't thic; 11J.~.~-;-~ lqX:~_- by
____Li~R_~~-v.. ,-.
whO is..EG'I"SClnal1y known to me or who has
['lrc.dllr:ll'd ~__._ ,.____-_._. ~,_.__
;\~~ iden Hc~tic" and whc:> did/did not
t~,k .e, )~~~)L&~....
(..l nn-"\t:n-,,)
(~I~rr'l:I TypUr:I, F'
:,. r :Y?V PYJ~,~t~
, · r StFlilT1'!>1r""'
!~ ~~ Notary ~u'Mic. ~t8t8 of F10rfda
~ J.~ My Comm. Exp. Sept. 28. 1998
". .'j'--' Comm. No. CC 409908
~~~!~BY~R2~ES
.. .......
-.---.-.......-..-------...-.-..-....-. '" _..---.....- _.._'_.+--~.._-._._-~~ ---.-----~.~~
P.O. Box 1474 · Dnde City, FL 33526 . (904) 567-5143
PROPOSAL SUBMITTED TO:
DATE April 03, 1996
PROPOSAL No. P-960026
Mickey LeBlanc
39133 5th Avenue
Zephyrhills, Fl. 33540
Phone: 813-783-2468
Contractor License No. CB CO 36549
Roofing License No. CC CO 42866
We hereby propose to furnish the materials and perform the labor necessary
for the completion of re-roofing house.
1. G.P. 30 year Summit fiberglass shingles with approximately 80 L.F.
aluminum ridge vent.
2. Install (1) one 2x4 Acrylic Skylight.
2. Classic Homes to provide General Liability and Worker's Compensation
Insurance.
3. Contract to include all material, labor, and permit as stated.
The above work will be for the sum of: $3,982.00
EXTRAS: 1. Roof sheathing damage possible - replacement on cost plus basis.
~. Electrical work needed for the installation of s~ylight is not included.
TERNATES: /________________
_..!....JOwens Corning 25 year Oakridge II fiberglass shingles..,... (.~L2~~_._.QQ-)
2. GAF 25 year Woodline fiberglass shingles............... i.... .$3,747.00
All material to be as specified. All work to be completed in a workman like
manner according to standard practices. All agreements contingent upon
strikes, accidents, or delays beyond our control. Owner to carry fire,
tornado and other necessary insurance.
PAYMENT to be made as follows: /-)
To be discussed at time oft ')gning Of contract. A
charged to any un~aid ba,)an ,,~te/~Yim8, then every
Respectfully Submltted - fi. ~___________
monthly 1.5% will be
30 days thereafter.
Authorized Signature
NOTE: This proposal may be withdrawn by us if not accepted within Thirty (30)
days.
***************************************************************************
ACCEPTANCE OF PROPOSAL
The above prices, specifications, and conditions are satisfactory
hereby accepted. You are authorized to do the work as specified.
:~~~ be ;:e 38 _OJ?ned above , signatur~ll1jw ,~'=-
and are
Payment
Date
Signature
11825 Old Lakeland HWY · Dade City. FL 33525