HomeMy WebLinkAbout96-6132
BUILDING PERMIT N~
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
Date
If)- /-
.
.6132 ;8
7Y
~.,-_..,-*~".-~._-----
C:~ E~- PL~ MEC>....'"~AL
:::::,~:~e' ~6?~ 31!o!f~~.5 , J4<C"
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning:
Description of Work
~~~~~ 6? nf-adon Gos
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
:~;~~::,:e:to=.::' ~~"
Company
Address
Telephone#
Valuation or
Contract Price
&, /~O . ()~
I
Oty Ucense Reg;st<at;on .1...7' h~ l?o (j}fY'I/J't"
State Certified License#
. '
~.u
M
Breakers
Ducts Ins\.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.00) 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 ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S IIAIlIl 3 -~ ~o.I r J;,.. ir~jlRBON~
OWNER'S ADDRESS .3c13~ 10 ~ t).
S~p_
76"-:3' - -:53 c6
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL LD.' f:? -.:<.b-dJ -0000- &o/OD -- Oot I (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ----Alteration #epair _Install
_Sign
--.-Kove
_Deaolish
PROPOSED USE: _Single Faaily
--.-KIF _' of Units _M/H
_ec-ercial
_Indust. _Swia. Pool _Other
~estaurant Ii: Hea1th Departaent Approval
DESCRIPTION OF WORK:--!\ e -lR'tJO+
BUILDING SIZE:
x
Square Feet,
Height
RESTI>EBTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR AL'L NEW CONSTRUCTION.
~i f 5D. l.i)
PERMITS REOUESTED
_BUILDIHG
$-
Valuation of Total Construction
_ELEC'l'RICAL
AKP Service
Florida Power Corp.
W.R.E.C.
----1fECHAlUCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS t/ ROOFING
SPECIALTY
TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. .
City Licen5e Registration ~
******************************************
Signature
ELEC'fRICIAB
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
SiRlUlture
PLUMBER
COMPANY
5tace Ge~t. or Regist. ~
City License Registration .
******************************************
Signature
MECHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration *
. . .' ..... *************************~***********~~***R. ~ . :C-JW~.
OTHER . ' " COMPANY ~l .=. "
. 1.//;J. 1. .~/ . , &tate Cert. or Regist. t . ~ .
Signatur~~ .... . . -. City License Registration # ~. ~
.'. .' . . ** **************'k l********************** /"' '
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'l'be undersigned understands that this perlit lay be subject to Ideed restrictions" wbich lay be lOre restrictive than City
regulations. fhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or ~ontractl)rs to undertake work, they lay be required to be licensl!d 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 lisdeJeaDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requiruents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections I 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 peIlitting 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 IPlorida's Construction Lien Law - HOJe01mer's Protection
Guide" p{epared by the Plorida Departlent of Agriculture and ConsUJeI Affairs. If the applicant is SOROne other than the
.owner", I certify that I have obtained a copy of the above described docUJent and pIOlise in good faith to deliver it to the
"owner" prior to cOllellcuent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develoIment.
Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation has COIIenced prior to issuance of a perlit and that all work will be perforled to Jeet 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 oth()r goveI1llental 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 liJited to:
t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Netland Areas and EnviroDlentally Sensitive Lands,
Water/Nastewater freatlent
t Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses
t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - NeIls, Wastewater freatJent, Septic fanks
t US Environlental Protection Agency - Asbestos abatuent
I also certify that, if fllllaterial is to be us~ in Flood Zone "AI or "A, etc. ., it is understood tl1at a drainage plan
addressing a .cOlpensating volUle. will be snblitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it 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 sball issuance of a perlit prevent the Building Official trOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball beCOle invalid
unless the work authorized by such peIlit is COIIBDced within Sil IOnths of issuance, or if work authorized by the petlit is
suspended or abandoned for a period of sil IODths after the tile the work is COIIenced. One 90 day eztension of tile, Jay be
allowed for the perlit with fee charge of $15.00. 'l'he eztension 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.
WARNING TO OWHER: YOUR FAILURE '1'0 RECORD A HOfICE OF COJIHBHCEHm HAY RESULf IN YOUR PAYIHG nICE FOR IHPROVEMmS '1'0 YOUR
PROPERTY. IF YOU IIft'BHD '1'0 OMADI FIHAHCDlG, CONSUL'I' IIII'I'H YOUR LENDER OR !If AffORBBY BEFORE RECORDING YOUR NOfICE OF
~CFJm' JOBS UIDIR 500 IN VALUE 00 NO! NEED fO~~"
STATE OF FLORIDA ~
COUNTY OF \. ~
The foregoing inst~ent was acknowledged
befure me this , 19~~ by
Sf ATE OF FLORIDA n
COUNTY OF I' ~
The foregoing instrument was acknowledged
before thilJ,':2~ ~ f-, 19~ by
wh is personally
produced
as identification and who ~/did not
take an oath.
Printed 0 S amped)
"..", ,.
.f;>'~' ~
~ BOBBIE J BURKE
* ~ * My CommIssion CC543871
-:.f!ll'I9, ~ Expiree Mar. 31.2000
"'" OF fl.fIo"'~
wh is personally kno to me or wile lias
...prsdaeed
as identification and who ~/did not
take an oath.
(Signat
(Name~~~
NOTARY PUBLIC .f;>"n'#~~ BOBBIEJBURKE
* ~ * My Commission CC543871
'" ~, ~ Expires Mar. 31.2000
~)" ..~
, OF fl.\)'
PROPOSAL
RYMAN CONSTRUCTION INC.
(ROOFING DIVISION)
37325 SR 54 WEST
ZEPHYRHILLS, FL 33541
PHONE:813-782-6094 LICENSE: RC0061648
Proposal Submitted To: Work To Be Performed At:
Name
ZEPHYR AIRCRAFT ENGINES, INC.
Street 39320 AVE. B
Street
City ZEPHYRHILLS,
State FL 33540
City
State
Phone 788-3305
Date of Plans
Architect
( We hereby propose to furnish the materials and perform the labor necessary for the completion of
1) Removal of exsisting flat deck over house.
Install new 1" insulation, 45 lb. base sheathing
3 ply built up fiberglass & hot tar roof with
emulision coating followed by Karnach 90, silver
or white coating.
Includes all flashing, boots and
drip edges.
TOTAL BID:
$3,200.00
2 )
Replace ceiling in N.W. bedroom.
Remove & replace
drywall on walls & any damaged framing replaced.
Inc;ludes
insulation.
Remove & relace trim.
Repainting on all new
areas. Carpeting installed, allowance of $300.00 Includes
ceiling repair as needed in N.E. Bedroom.
All material is guaranteed to be as specified, and the above work to be performe~9JTMo~J;-Qe \^~ 1t~.5 Q..,:,QJhgc:; l'lnd
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars [$ ],
with payments to be made as follows:
Any alteration or deviation from above specifications Involving 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
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 accepted. You are authorized to do the work as specified,
P,ymeot will be made as Mlined 000,,". Sig~~tu~.~~.
Date" SigQat,ure.
~ rnD~~ ~p~~
f"'\n. I"" ,-.. 1\ ,
. .
Permit No.
State Of~RlDA-
NOTI CE OF COMMENCEMENT
County of ~.o
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 13 - 2.'- -~ I - 6000 ... OC!) 100 - OO/l
(Legal description of the property and street address if available)
2. General Description of Improvement
3.
Owner Information:
Name Y~r'-~'~~C~~'~ .j~
~ '>-6 CityS~ State .q.-P (fI\.ttf-
Address 3C,3 ~o
I nterest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
City State
f(L~&---,- C~<)L~~ J(~~ J
S, e. S""l GJ CityS~~JJ.., State~
SS-S" ~l/
Address
4.
Contractor: Name
Address 6130) ~
5.
Surety: Name
City
State
Address
Amount of Bond: $
6. Lender: Name
City
State
Address
7. Persons within the State of Florida designated by Owner upon whom notices
or other documents may be served as provided by Section 713.13(1)(a)(7), Florida
Statutes:
Name
Address
City
State
8. I n addition to himself, Owner designates
of to receive a copy of the Lienor's Notice
as provided in .Section 713.13(1 )(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from
the date of recording unless a different date is specified.)
Signature of Owner: ~~ ~~
\ ~-
Sworn to and subscribed before me 'this .:z7 btrCiay of " .- - .L&1.~-
19q<.- .
Notary Publ;c: ~~~.
My Commission Expires:
:\~", '11#
"'~fi"'"
~W:
~~~ Of f\.r;"~
BOBeIE J BURKE
My Commlnion CC543871
Expires Mar. 31, 2000