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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