HomeMy WebLinkAbout96-6061
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Nt? 606113
Date
JY-tB -76
G
Property Owner: )JJ;/L:; A J uiL/1<- L
Job Address: J n ..s.s..... .- ,--~':d (l,p-e.-.
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning:
Description of Work
Energy Code:
f( Q kJ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
}o - /./ q b
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee ~ cJ'z) ~
Signature [ ~~ f!~-
Company
Address
Telephone#
DATE
~6
Valuation or 4/
Contract Price / I ~ t Y 3 - tJ7,)
City License Registration # c2 tz.!;-
State Certified License#
~ r~ (NT
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.
APPLICATION FOR PKRKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE
Martha Dunford
PHONE
OWNER'S ADDRESS 4828 20th. St.. 7.~phyrhi"Q ~1
JOB ADDRESS
Same
LEGAL DESCRIP'l'ION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.' 13-26-21-01 20-00000-0~qO
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction -Addition ---..Alteration ~epair _Install
_Sign
---.Move
~ellolish
PROPOSED USE: _Single Faaily
---.MI F
_, of Units ---.M/H
_ec:-ercial
_Indust.
_Swiat Pool _Other
~estaurant & Health Department Approvel
DESCRIPTION OF WORK: Re-roof
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COHK.ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
-"ECIIAlilCAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
x
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREAT
******************************************
YES NO
~ONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. ,_
City License Registration'
******************************************
Signature
ELECTRICIAR
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
SianAture
PLUMBER
COHPANY_
State Cert. or Regist. .
City License Registration ,
******************************************
Signature _
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration f
******************************************
Signature
~---~
2IIIER COMPANY..B.ym;:ln ("nnQf-rllt"'f-inT'l. TnC"".
'.1 State Cert. or Regist. #I RC0061648
SillJUlture ~ - . :-,prl1.~ 1 d~n t City License Registrstion . R P 1 .x t;r ~
******.********************************
APPLICATION APPROVED BY _
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSEP 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 laY be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that laY be an indication that be 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOJeOlDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the
.owner", I certify that I bave obtained il copy of tbe above described docutent and prOlise in good faith to deliver it to the
"owner" prior to couenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infortation 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 per.it to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to teet 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 governaental agencies lay 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:
* Department of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
* US Environaental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone "AU or "A, etc. ", it is understood that a drainage plan
addressing a .cOlpensating volute. will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perJit 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 perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
unless the work authorized by such perJit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sillOntbs after the tite the work is cOllenced. One 90 day extension of Ute, laY be
allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each Sil IOnth period, or the project will be considered abandoned.
WARNING TO OmR: YOUR FAILURE TO RECORD A NO'I'ICE OF COHI'ENCEMEKr HAY RESULT IN YOUR PAYIKG TWICE FOR IMPROVEMEHTS TO YOUR
PROPERrY. IF YOU IKrEKD TO OBTAIN FIHAHCIHG, CONSULr WITH YOUR LEIDER OR AK ATTORNEY BEFORE RECORDIKG YOUR NO'I'ICE OF
COMMENCEMEN UNDER $2,500 IK VALUE DO NO'I' NEEn TO RECORD AND PO T A 'NO'I'IcE OF COHHEHcEMEHT'.
, President
STATE OF FLORIDA
coma\" OF -Pasco
The foregoing instrument was acknowledged
before me this 21st.ofAllg19--9.fi... by
STATE OF FLORIDA
COUNt'{ OF Pasco
The foregoing instrument was aCknowledged
before me this 21st.Aug , 19~ by
Kevin i. Ryman, President
who is personally known to me ~i~x
produced xxxxxxxxxxxxxxxxxxxxxxxxxxxx
as identification and who 4idVdid not
take an oath.
Kevin i. Ryman, Presiden~
who is personally known to me RIc~~
produced xxxxxxxxxxxxxxxxxx
as identification and who~/did not
take an o~th.
BOBBIE J BURKE
My Oornn....1on CC543871
Explrell Mar. 31, 2000
(Name
NOTARY
BOSSIE J BURKE
My CommlnlOn 00643871
Explr.. Ma" 31, 2000
CARBON LESS
FORM 3850
Q
PRUI-'U:'f'L. "
TRIPLICATE
-'"
~,.....,j,:._~
PROPOSAL
RYMAN CONSTRUCTION INC.
ROOFING DIVISION)
37325 SR 54 WEST
ZEPHYRHILLSr FL 33541
PHONE:813-782-6094 LICENSE:RC006164
No,
T280
Date
Sheet No
Proposal Submitted To:
Name rnA (~+V~- ,Q ~~8l
Street ..1-+ 23 ~s 20+"" st"
City 'Z..5.pb1..) R h\ \..1..'5. State--.:FL:-.
Ph~)1-\ iQ;;Jlb-q93-5Y~)
Work To Be Performed At:
/
"'\
Parcel 1.0. t#
\ 3 - C.h - 2J D 12Lj - o::::x::x::x:;- 03Efv
Street
City
State
Date of Plans
Ar'chitect
We her se tp fut ' ~Is and perform the labor necessary for the completion of
\00 IF \ ~Gef'~kiA Wh~ A-I~d~.
3...~,/~il PL.\'IWD~ _ r'\
l pc :<-:i'X3'1 c::,gf'P,+ ~ }-p () 'Y+ d C:::;M~ f\~J):91<"j
Com.p~ete.. ....t.ea.r""o.f.f ...of. ...exis..t.1.ng...shi.n.gles.
Roof drie~ in with 15 lb. felt.
Bad .. .plywoodr.epJ..ac.e.d.at acost...of. $.3.5.00 persh.ee.t.. - w
Installation of new 2x4" lumber and lx6" fascia @ $1.50
p.e rlinealf t .
5.) Install all new valley metal ~ith 20" galvanized metal.
6.) Installa.tion of ~lJ.new leadbootsthr.ough
7.) Installatton of new drip edge around, perimeter.
.. 8.) Inst.allati.onof new 20 yearfungus,.,.r'esistantsh.ingles. .......
9.) All debris removed from the j6b site.
10.). Fiv..e..y.earleakwar.r.anty.
II,) All materials and labor furnished.
~2") 4 ~ ro' K,J~ Jb'~k.
PAYMENT DUE UPON COMPLETION OF JOB.
..,..l..~..)
2. )
3..)
4. )
JA. 2-~""""""""OO
TOTAL BID }-~___ 7 G-O
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars [$ ].
with payments to be made as follows:
\
Any alteration or deviation from above specifications involving extr
costs, will be executed only upon writt%l orders, and will b me a
extra charge over and above the eS1;imat, All agreements c 'n e
upon strikes, accidents or delays beyond our control. Owner t
fire, tornado and other necessaryinsurandz upon above work. Work-
men's Compensation and Public Liability Insu~ance on above work to be
taken out by (
f=tFf;C E
drawn by us if not accepted
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepte~. You are authorized to do the work as specified,
Payment Will be made as outlined above, , '. X' 7?n .. p,~ 1- 64. .... A... '. A
Signature I' v, ~' ~~