HomeMy WebLinkAbout96-6107
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
NC! --6107/3
Date
9 -- / ~-J> b
~ ELECTRICAL PLUMBING
Pmperty Owne" \. .f7J... .~ 1~
Job Address: ~ 5' ~~ t.f J - ~........~ J..::;-
Parcel I. D. #
Zoning: Energy Code:
Description of Work ~K -L. .~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee / ~ ---.S .... t::Y'C>
Signature
Company
Address
Telephone#
Valuation or rJ.
Contract Price / ~ Y.!:> 7J. c:T1)
City License Registration # :2.1
State Certified License#
;j~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 Dollars ($ 1 5.00) 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 PERMIT
CITY OF ZEPIIYRlIlLLS
BUILDING DEPARTMENT
,I
OWNER'S NAME Ve1o..: F~A-Nk rf L 1/11 M S
OWNER'S AUDRESS / fer C ( If () e y I Lf -R. J. Grl1 ~- p Pc> / A.J f.(~
JOB ADDRESS .3 rgt/Q./ C R C; if Z-eP~l" L 1/<:;
PHONE
fh~ 'f fJ. ~ 0
::;L
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.# a.d. ~(p;)/ tJ()(O o~ao6
BWCK
C)C>OlO
SUBDIVISION
WORK PROPOSED:____New Construction ----Addition
(OBTAIN FROM PROPERTY TAX NOTICE)
IJ. ~ Roof
____Alteration ~Repair ____Install
____Sign
____Move
____Demolish
PROPOSED USE: ____Single Family
~COIN8ercial
____M/F
____, of Units ____M/8
____Indust.
____Swim. Pool _Other
____Restaurant & lIealth Department Approval
DESCRIPTION OF WORK:
R-fi!.. ,(,'00 .c
Square Feet,
Height
BUILDING SIZE:
x
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
-.ELELJRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____FrUle ____Steel
Other
FINISIIED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
Signature
COMPANY
State Cert. or Regist. f
City License Registration #
******************************************
ELECTRICIAN
Sia.na.ture
COMPANY
State Cert. or Regist. #
City License Registration t
******************************************
PLUKBER
Signature
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
MECHANICAL
Signature
COMPANY
State Cert. or Regist. I
City License Registration t
******************************************
OTIIF.R
Signature
COMPANY
State Cert. or Regist. #
City License Registration ,
...................................1...it..~. ...-.~...~..";,-;,;::;.~~]...~...,:.. ......
f ~;i_'T>F ~'
...,~"""..c..~ ~1l/MI_l..-;~........ . _ _ -.c.,!
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned ass utes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED 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 tbe owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
188-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" 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 perlitting 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 - Hoteowner'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 have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
"owner" prior to CODenCl!.lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation 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 permit 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 perf OIled 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 governtental 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:
· Departtent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanagetent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Departlent of Health & Rebabilitative Services, EnviroDlental Health Unit - Wells, Nastewater Treatlent, Septic Tanks
* US EnviroDlental Protection Agency - Asbestos abatelent
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 volute" will be sublitted 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 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 perlit issued shall becOle invalid
unless the work authorized by such perlit is cOllenced within six IOnthS of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the per.it 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 six IOnth period, or the project will be considered abandoned.
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKlNCEKlNT HAY RESULT IN YOUR PAYING fNICE FOR IHPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NnH YOUR LENDER OR AM AnORHEY BEFORE RECORDING YOUR NOTICE OF
COKHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A -NOTICE OF COKKlNCEMENT".
ea/~ J../l-c. SIGNATURE: CONTRACTOR
STATE OF FL~~
COUNTY OF, a-.;).e.-()
The foregoing instrument was acknowledged
before me this ~ /1 , 19.!l.i.z. by
IJ..,; Iii <L--r1--t F lJ 9 -e.
who is personally known to me or who has
produced
as . entification and who did/did not
ta n oath.
~.-
....'-,~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
IlARlLVN NEL.8ON
-......
.,Clala,.".
c....llC_
*-------------------------: MetroScan/Pasco :-------------------------------*
Parcel:02 26 21 0010 06000 0020 BldgId#:l of 7 Xfered :08/01/91
Owner :VEGA FRANK J & LINDA S Price
Site :38441 C R 54 ZEPHYRHILLS Owner Ph:
Mail :189 CLOVERLY RD GROSSE POINTE MI 48236 TenantPh:
Use :11 COM,STORE,l STORY MLS Grid:
Census:Tract Block
Bth:2.00 YB:1974 Prk: Pool: HtdSF:1,054 Ac:.86
*-------------------------: MetroScan/Pasco :-------------------------------*
parcel:02 26 21 0010 06000 0020 BldgId#:2 of 7 Xfered :08/01/91
Owner :VEGA FRANK J & LINDA S Price
Site :38441 C R 54 ZEPHYRHILLS Owner Ph:
Mail :189 CLOVERLY RD GROSSE POINTE MI 48236 TenantPh:
Use :11 COM,STORE,l STORY MLS Grid:
Census:Tract Block
Bth:1.00 YB:1974 prk: Pool: HtdSF:930 Ac:.86
*-------------------------: MetroScan/Pasco :-------------------------------*
Parcel:02 26 21 0010 06000 0020 BldgId#:3 of 7 Xfered :08/01/91
Owner :VEGA FRANK J & LINDA S Price
Site :38441 C R 54 ZEPHYRHILLS Owner Ph:
Mail :189 CLOVERLY RD GROSSE POINTE MI 48236 TenantPh:
Use :11 COM,STORE,l STORY MLS Grid:
Census:Tract Block
Bth:1.00 YB:1974 prk: Pool: HtdSF:1,116 Ac:.86
*-------------------------: MetroScan/Pasco :-------------------------------*
Parcel:02 26 21 0010 06000 0020 BldgId#:4 of 7 Xfered :08/01/91
Owner :VEGA FRANK J & LINDA S Price
Site :38441 C R 54 ZEPHYRHILLS Owner Ph:
Mail :189 CLOVERLY RD GROSSE POINTE MI 48236 TenantPh:
Use :11 COM,STORE,l STORY MLS Grid:
Census:Tract Block
Bth:l.OO YB:1974 Prk: Pool: HtdSF:450 Ac:.86
*-------------------------: MetroScan/Pasco :-------------------------------*
Parcel:02 26 21 0010 06000 0020 BldgId#:5 of 7 Xfered :08/01/91
Owner :VEGA FRANK J & LINDA S Price
Site :38441 C R 54 ZEPHYRHILLS Owner Ph:
Mail :189 CLOVERLY RD GROSSE POINTE MI 48236 TenantPh:
Use :11 COM,STORE,l STORY MLS Grid:
Census:Tract Block
Bth:1.00 YB:1974 Prk: Pool: HtdSF:1,860 Ac:.86
*-------------------------: MetroScan/Pasco :-------------------------------*
parcel:02 26 21 0010 06000 0020 BldgId#:6 of 7 Xfered :08/01/91
Owner :VEGA FRANK J & LINDA S Price
Site :38441 C R 54 ZEPHYRHILLS Owner Ph:
Mail :189 CLOVERLY RD GROSSE POINTE MI 48236 TenantPh:
Use :11 COM,STORE,l STORY MLS Grid:
Census:Tract Block
Bth:1.00 YB:1974 prk: Pool: HtdSF: Ac:.86
The Information Provided Is Deemed Reliable, But Is Not Guaranteed.
*-------------------------: MetroScan/Pasco :-------------------------------*
Parcel:02 26 21 0010 06000 0020 BldgId#:7 of 7 Xfered :08/01/91
Owner :VEGA FRANK J & LINDA S Price
Site :38441 C R 54 ZEPHYRHILLS Owner Ph:
Mail :189 CLOVERLY RD GROSSE POINTE MI 48236 TenantPh:
Use :11 COM,STORE,l STORY MLS Grid:
Census:Tract Block
Bth:1.00 YB:1974 Prk: Pool: HtdSF:930 Ac:.86
The Information Provided Is Deemed Reliable, But Is Not Guaranteed.
~'~ease Send Remittance to: , '-1-- .. ",!;->
(p 2- '-J?';u
1\. IImIttt nfittg OOf Qtentral3Jflnriba. Inc.
CIO Richard Bartlett
38408 3rd. Ave.
ZEPHYRHILLS, FLORIDA 33541
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home Dupont White Rubber roof
& Insulated Aluminum Roof-Overs
OFFICE
PHONE
(813) 782-5585
RESIDENTIAL * COMMERCIAL * MOBILE HOME
LICENSED - INSURED - BONDED
"* MEMBER OF THE CHAMBER OF COMMERCE "*
Lie.# RC 0031769
Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, land 0' lakes and Surrounding Areas
We have reroofed or repaired over 9,000 Homes and Mobile Homes in the last 22 years.
Oat. August 21, 1996
Nam.
Vega Plaza
Addr...
38445 S.R. 54 East
Zephyrhi11s, Florida
Phon.
CONTACT: Samantha
782-5506
Century 21
OPTION #2
DESCRIPTION AMOUNT
COMPLETE RE-ROOF ,
Remove complete flat roof in sections - including all
insulation board. Check plywood deck replace where rotten
at $ 24.00 per sheet. Remove perimeter metal cap. Nail
down to plywood deck a 75 lb. fiberglass base sheet. Hot
tar to fiberglass base three plies of fiberglass felts.
Install all neli lead boots. Install a 18" modified rubber
around perimeter. Re-insta11 perimeter metal cap. Coat
CONTINUED ON NEXT PAGE
A Bartlett RoofingofCentral Florfda's UfIIlIlIIIIl'.Wlnan!Jappllesto any complete 181001, whether lbe D~R\Jlber, Celatex 25 yr. FtJerglass Shingle, or Royallnsulated
Aluminum roofs. The warranty appllesto the ortgtnalpartles oIlhecontrad. and"".theyal8slxty-fllleyearsorolderwhen conlnlctlsstgned. II Is nottranslerrable III anylulul8
generations.
p~eSident & Owner ~.n A'~~g p~entral FL., Inc.
Sign: I 'l ~
Richard C. Bartlett
THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made,
Warranties pertain to original owner
All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other
necessary insurAnce, Our workers are fully covered by Workmen's Compensation If!surance, Customer is liable lot any
charges incurred in collecting this bill. Total
PJease Send Remittance to:
.A. IInrtutt iRnnfing OOf Cltentrttl Jf1nriba. lur.
c/o Richard Bartlett
38408 3rd. Ave.
ZEPHYRHILLS, FLORIDA 33541
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home Dupont White Rubber roof
& Insulated Aluminum Roof-Overs
RESIDENTIAL * COMMERCIAL * MOBILE HOME
LICENSED -INSURED - BONDED
~ MEMBER OF THE CHAMBER OF COMMERCE ~
OFFICE
PHONE
(813) 782-5585
Lie.# RC 0031769
Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, land 0' lakes and Surrounding Areas
We have reroofed or repaired over 9,000 Homes and Mobile Homes in the last 22 years.
PAGE 2 OF OPTION #2 Date August 21, 1996
Name
Vega Plaza
Addr...
38445 S.R. 54 East
Zephyrhills: Florida
Phone
CONTACT: Samantha
782-5506
Century 21
CONTINUED: OPTION #2
DESCRIPTION AMOUNT
entire flat roof with factory recommended emulsion. After
four oays a special factory recommended aluminum coating is
applied over entire roof.
If properly maintained and
$ 17,95. 00
coated every 5 Years the roof should last 15 Years.
Deposit of $ 7,000.00 - When men and materials arrive.
The balance of $ 10,950.00 is due upon completion of job.
8 YEAR LEAK
rglass ShIngle, orRoyallnsulaled
. tt Is nottranslenable to anyfulure
THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrantlement made.
Warranties pertain to original owner
All agreements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire. tornado and other
necessary insurAnce. Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable lot any
charges incurred in collecting this bill. '
Total