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Home My WebLink About96-6124 aO'>"- 9 EL~ PL~. Pmperty Own." '0..,~i? "uk. ) Job Add.... E-/t'1 ~dll~;eM. Parcell.D. # /I-,;lto ~,;1..I- OO/D - 00900 - {)/3rJ n Code: -=y ~ - b-p't 'Y BUILDING PERMIT, 0 CITY OF ZEPHYRHILLS Permit N. (813) 788.6611 - 6i2~ Date f- .2. /P'- 96 . ~~wer Conn Water Conn: Water Meter: T.I.F.'s: Description of Work Radon Gas: A;/MJ Zoning: NO OCCUPANCY BEFORE C.O. FINAL /6 - z.-S - 9"~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ Signature ".........( ..oo"t " Company Address Telephone# Valuation or " 0 Contract Price c5l -;:? / 0 ' - , City License Registration # .5 ~ State Certified License# ~AJ1~ an~, chI!. BUILDING ELEC~L / Pl~G , MECHA~l / Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 00/100 Dollars ($15.001 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE S'u~ ~ ~~&, PHONE /}e~ - ~)~t:, 0IilIER' S AIIDIIESS ~ ,/1 JOB ADDRESS '-- '-II LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' 11.-:< h -;;;J -00/0 - O(()9(JO - 0/2> 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -..Alteration bepair _Install _Sign --..Move ->>eJIOlish PROPOSED USE: _Single Feaily --..M/F _, of Units _K/H _<=<-ercial _Indust. _Swia. Pool _Other -Restaurant Ii Health Departaent Approval DESCRIPTION OF WORK:.J\ c.. - R BO f- a-v, ct ~ e. fa f (- BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ ~3 jOrOO ) Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Freae _Steel Other PIIUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ELECTRICIAR COMPANY State Cert. or Regist. . City License Registration . ****************************************** SignAture PLUMBER COMPANY State Cert. or Regist. , City License Registration . ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRF.R~ _ COMPANY tJ-.rL : .... /--- - /J. J.....State Cert. r Regist. f Signa re .... ~ City License Registration f ***************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOIpliance 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 requireaen~ 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 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 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 - HOIeOIDer's Protection Guide" p{epared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is sOleone other than the RownerU, I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the Rowner' prior to COIIeDCeJent. 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 perlit to do work and installation as indicated. I certify that no work or installation bas cOIIeDced 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 goveI1lII8Iltal 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: * Departlent of BnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US BnvirODJeDtal Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan addressing a 'COIpensating volUJe' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perJit 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 peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becOle invalid unless the work authorized by such peIlit is cOlIBnced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, lilY be allowed for the peIlit 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 sillODth period, or the project will be considered abandoned. WARNIIIG TO OWNBR: YOUR FAILURE TO RBCORD A IIOTICK OF COHHEIICBMEN'l MAY RBSULT III YOUR PAYING fWICK FOR IHPIlOVEMEKfS TO YOUR PROPERTY. IF YOU IN'lBIID fa 0Bf111l FIWCIIIG, CONSULT WlfH YOUR LENDER OR 1M AnoRIIEY BEFORB RBCORDING YOUR IIOTICH OF COMMEHCBHBIIt'. JOBS ER $2,500 III VALUE DO HOT HEED TO RBCORD AND POST A I OF COMHBIICEMBN'l". L/ " who is personally padllced as identific take an 0 STATE OF FLORIDA COUNTY OF The foregoing ins before me this "----.. me 01' weB AiLS who is personally p!'Odul,;ed as identifica take an 0 has .- and who di id not ~~.~ (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC "",. PI/I( .... .6.: 10 BOBBlE J BURKE *W* My Commlnlon CC543871 Explr8II M.... 31, 2000 "'; ""~ .,~, Of f~"'~ (Name Typed, Printed or Stamped) NOTARY PUBLIC ..'\"~#(" '" ~ BOBBlE J BURKE *U'* My Commission CC543871 Expkes M.... 31, 2000 "'; . ~~ .,~~ OF f~"'~ -n ~ -.....-.,..,., ',. ==~. ~I . --"-jlli -::.'~~ .' AIL @ -=-~=-::~ .' @ '1lT R CARBON LESS FORM 3850 ("""\ U PROPOSAL TRIPLICATE -._-------.__........-.....---._----_._'-_._----~-_._----_...-.........-_-_.._--_._-~"--'-- RYMAN CONSTRUCTION IN~ROPOSAL (ROOFING DIVISION) 37325 SR 54 WEST ZEPHYRHILLS, FL 33541 PHONK:813-782-6094 LICENSE: RC0061648 No. B-201 Date 2 --- ..,i.y--:.?~ Sheet No. JA1. , ft: C Pro osal Submitted To: Work To Be Performed At: ~6t, "f.?r.~ Street 30 L 9-:j5~~d .'. J7'; . Cit?f' ~ I G'-.l\2:92Lstate ~/4 7~r._ ~~/2("," Name s~...". I' Street .~....--'- <e::..... City State..... Phone Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of ....KraJ....~... f...~....~...... ....~a.i.s. .:.rN... ... LAr.t.......4~1?...,6I~...~~..-f~.~~;L~ .... ~. (!t? q.,-t.. ID +" I ,:Po -P .....................0............ ..5 ye a..r/ "q, If;: k)<I.,.. r. ..~. .c:l...~. jy. . o r-.J . $/ud: s ~ ~ .t'f3,;1.qL(.~J(J1J .~;;.. 7k.Ti? .1 ...Alr/. ~({'~6 )YL'l 6~d . 9..2-~.ELQ.. J' All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and :::':::::::5 :::~'::e:e a:~OIl:::e wo,k ;:cO"'Ple~;:;::E'k"'anl'ke ~~,~;,: [;0'9 7e~'2> ~ Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Work- men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted Per r, ....../ '\. Note-This proposal may be withdrawn by us if not accepted within days, r ACCEPTANCE OF PROPOSAL I' The above prices, specifications and conditions are satisfactory and are hereby acc~. e. d, YO.u fjre .PI6thorized to do ~work as specified, Payment will be made as outlined above, ~;nn~,'" 'N' /~:..:.~/, .('){~}'VCv~ :~_. Wili 6bt FORM 3850 TRIPLICATE ~'._.._------_._-----._._..-----_..__.-. --'--_._._<~---_.---- ------ ~ -- "----- --, - --- --~~~.~ -'--.- PROPOSAL HYMAN CONSTRUCTION INC. HOOFING DIVISION) 37325 SR 54 WEST ZEPHYRHILGS, FL 33541 PHONg : 81.3-782 -6094 LICENSE: RC0061648 No. T305 p,f2.-r....44-, '^"- . ~ ~ Date Sheet No. Pro osal Submitted To: Name 5'l~ C t;> """ -c.. ......J Work To Be Performed At: arcel I.D. ., Street..$"'.~ '1. (J~ \ \ Street 5t/!1L ..~<-- City ~ ~/'ft Phone ? ..~V- State rl"i City State. -ff".l ~(.. Date of Plans Architect We herebv propose to furnish the materials and perform the labor necessary for the completion of /pi II fo..r 41..~ ~Q~ So. ~:f.""!.: .T:.J~~!'J~.. ....It:> . . /) ~(!ol'j"k~l/;IL~.~ 8~~;J..., .~~_....w.:jiLj=~.. ..,.4!J?'''~r~------'''---'-- h1.hS. "~'z:'e""" . ......... .._.w........_.__......,............ u~.) ~) 3.) 4. ) Compl.ete....t.e ar "': ofL of existing shingles. QNcr~~-r-. Q!-'.~.-=.lt5",..t'J..t tJ ~ Roof dried in with 15 lb. felt. B.adwplywood replaced at. a.. cQst:; Qt:$~~. QQ . Per- sheet:.! ....... Installation of new 2x4" lumber and 1x6" fascia @ $1.50 perllne.al..Lt... . ,. . ... w....... ....w........,._.. III...tall all Raw \~aI18Y met.l v'i t~ 20" 9"'" u;:mi:lilQ metal. .rB a to:> 1 1 ~ t i nn nf ~ 1 1 JUi~<l..,..l.e!~,g,l.,r~.~!-~,~J,~~_';I.!h.,.E.~~!!.:: .... ..... . .."_,..___._. Installation of new drip edge around perimeter. Inst,allatl.onof.,~lt~w,., ur:.yea.t: . fuogys =J:: e.~ t~ t.~.n t, '5 hi ng)..es.!." All debris.r~~oved from the job site. Eiveyear leakwarr9nty. All materials and labor furnished. 7(,0. ~l:) fort s,;+'..r;~ ...5'3';"o-c:>.,' - .e TOTALBI[)~$!-:-"2 ~rJ3~~" ~?Tet 1/ ;Jew v;,,; f I .s~ f- J/"-vr~7 ~~/~~~7J7~;:;:':'5;'?X:':'" All mateFPclYs gu~cfnee~"'t be~~ '5~cifotei.4::fc1?ltf ~e 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 [$ /335... Cc::lj, ~.....-) . ..6."d ~) a!S12l ~) d:I2) &) BAYMENT. DUEUPQN CQM.PLETIQN OF ,lOa.. with payments to be made as follows: 0"";> (? c:r """",. ::::>.1 e" t,,~ (:> ~. J Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders. and will become an extra cha,'ge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire. tormldo and other necessary insurance upon above work. Work. men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted Per Note-This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices. specifications and conditions are satisfactory and are hereby ac~d. YO~fe aJ.l~orized to do the work as specified. Payment Will be made as outlined above. /.'\ . .....k. ,/ L~' ''':; ~., Signature ~ " ~~(/ 1,., ./ Date Siqnature