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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, ~' ~~