HomeMy WebLinkAbout96-6062
BUILDING PERMIT
"
"
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
NC!
- 606211
Date
~-~-9t.
~ ELECTRICAL PLUMBING
:~::~::~.~A~ 'y~J
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
~J A-~-.J
Description of Work r\, ~ ...". --...., L/ tf
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL .~ -2~,...
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
Permit Fee ~~ -, ~
Signature [) ~ -< jf A./"
Company
Address
Telephone#
Valuation or
Contract Price
~ 7~o. 0-0
-'
City License Registration # r:l J? ~-
State Certified License#
rf?IAA~41- ~
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 PERKIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
HER'S NAME First United Methodist Church of Zephyr~!, Inc. 782-5645
OWNER'S ADDRESS ~Rn~~ ~~h_ Avp-. . 7,ephvrhills, Fl.
JOB ADDRESS
~i=IImA
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.' 11-26-21-0010-15000-0160
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construct.ion _Addition ---..Alteration ~..Jepair _Install
_Sign
---..Move
_Delio 1 ish
PROPOSED USE: _Single Faaily
---1t/ F
_' of Units _M/H
_ec:-ercial
_Indust.
_Swiat Pool _Other
----lestaurant & Health Department Approval
DESCRIPTION OF WORK:
Rp-rnnf
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
~CHAHlCAL
AKP Service
Plorida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
_PLtJKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA T
******************************************
YES NO
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
SianRture
PLUMBER
COMPANY
Stace Cert. or Regist. ,
City License Registration ,
******************************************
Signature
MECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration f
k~-.--.._-q~.._--- ******************************************.
~ . COMP~vman Construct1on, Inc.
. . State Cert. or Regist. 'JU'"OOn 1 nilR
Signature . s;,;.... Prp"dr1en1; Gity License Registration' 6721 ~ 7~
---- ****************************************
APPLICATION APPROVED BY
PERHIT OFPICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peClit lay b:- subj(:ct to "deed restrictions" which Jay b~ lOre restrictive than City
regulations. The undersigned assUles 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 lilY be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections I of this application for which 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 tay 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 - HOJeOIfDer's Protection
Guide" pt"epared by the Florida Departlent of Agriculture and consUler Affairs. If the applicant is sOleone other than the
.owner., I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
"owner. prior to cOJJenceaent.
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 cOIpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby lade 'to obtain a per.it to do work and installation as indicated. I certify that no work or
installation bas cOllenced prior to issuance of a per.it and that all work will be perforaed to leet standards of all laws
ragulating construction, City codes, zoning regulationsl 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:
t Department of Bnvironaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, Bnvironaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US BnviroDlental Protection Agency - Asbestos abateaent
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 volUleu will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball 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 per.it prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery perait issued shall becOle invalid
unless the work authorized by such perait is cOlleDced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of sillOntbs after the tiae the work is couenced. One 90 day extension of tite, JaY be
allowed for the perait with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each sillOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF COHMEKCEHEKr HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEK'l'S TO YOUR
PROPERTY. IF YOU IKrEKD TO OB'I'AIH FlNAHCIKG, CONSUL? WITH YOUR LBHDER OR AJI A'l"l'OmY BEFORE RECORDING YOUR KO'I'ICB OF
~ BR 12,500 IN VALUE 00 IIOf NEED TO RElllIlD CI OF ClilIIEIICIOIm'.
Pres dent
SIGNATURE:
SIGHATURE:
STATB OF FLORIDA
CGUN'fY OF Pasco
The foregOing instrument was acknowledged
before me this 23rd., 19~ by :
of Aug. .
Kevin Jl. Ryman
who is personally known to me or~
R~jxxxxxxxxxxxxxxx
as identification and who~/did not
take an oath.
STATE OF FLORIDA
COIJNTY OF Pasco
The foregoing instrument was acknowledged
before me this 23rd. of Aug,. 19~ by
Kevin Jl. Ryman
who is personally known to me or~xbDs
~mXxxxxxxxxxxxxxxxxxx
as identification and who~/did not
take an oath.
L~
Stamped)
'6~
C-}fam~ Typed, Printed
NOTARY PUBIJ~#(,,"
BOBBIE J BURKE:
* "Jiiilf * My Commi$sion CCS4S87t
.....~,!t EJcpires "~"r :J 1,2000
"" ~'fIi
I"OF fl.\)'
BOBBIE J BURKE
My Commlnlon CCS43871
Expires Mat. 31, 2000
-~~ppJ@ it:' _!~;~o~~~:~s_____~~~______ ______~_ ___~ .~_~~L1~;==-___
~.-- ~-------
HYMAN CONSTRUCTION ~~~~OSAL
ROOFING DIVISION)
37325 SR 54 WEST
ZEPHYRHILLS, FL 33541
PHONE: 813-782-6094 LICENSE: HC006164.t: Sheet No.
No.
T274
Date
PI'O osal Submitted To:
NamE tl.t.-, \ +cd Yl\e+ha:Jis. C" \A Q~~
Work To Be Performed At:
Parcel 1.0. #
City '?~h'1m\Uh
Phone j '82 - 5Cot..f6
State~L I
Street ChApeL
StreEt
City
State
Date of Plans
Architect
We hereby propose to furnish the materials and perform the labor necessary for the completion of
Bid i ""\ c..lu.dG.:f> 1 ~I p\......., wcxxJ A~d 50' \ )( Co ~iAr.
I. ) .~()l1Ipl~te.. t~Clr-().f.f of. ex...i.s tingshingles.
2.) Roof dried in with 15 lb. felt.
3.) ~a<.iplyw()()gI:'~p:I.ageq(}J;. ClcoSt OfM$35.00 per sheet.
.) Installation of new 2x4" lumber and 1x6" fascia @ $1.50
per lineal ft.
5.) Install all new valley metal with 20" galvanized metal.
6.) Installation of all new lead boots through roof.
2.s\1R 7.) Installation of new dr.i.p edge around perimeter.
. t=.i~J _8.) Installation of new. year fungus-resistant shingles.
9.) All debris removed from the job site.
10.) Five year leak warranty.
11.) All materials and labor furnished.
TOTAL
BID4t~t4I033'OO
PAYMENT DUE UPON COMPLETION OF JOB.
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars [$ 1
with payments to be made as follows:
Respectfully submitted
Per
Note-This proposal may be withdrawn by us if not accepted
\, within days.