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Home My WebLink About97-6400 BUILDING PERMIT ~ :~o CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! --640&,8 Date j- c:j ;-97 C~G ELECTRICAL PL.UM8'tN"G M~CHANICAL P,"perty owne' '7:1:ff b~) Job Address: ~ _ ~ ----'_ _ Parcel 1.0. # /~- JtR -::2/- f)//"o-r;OLJo?J- OOPD Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ,::;J - .:l 4 - DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or Contract Price t)t.,; 62.. ,;),/J D' ~ , Permit Fee Signature Company Address Telephone# City Liconse Regis..o.ion # "f;~ ;yJ State Certified license# I? V hi (;.1(, 1f1"~ ~ I\- k.. ~ILDIN3) El~. ~-- 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 00/100 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 ZEPHYRHlLlS BUILDING DEPARTMENT OWNER'S NAME MARTHA KAPETAN PHONE 78 8 -1 6 31 OWNER'S ADDRESS 4715 Larch ZEPHYRHILLS, FL. JOB ADDRESS Same LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' 15-26-21-0160-00000-0080 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction -Addition ---Alteration -X-Repair _Install _Sign --..Move _Deaolish PROPOSED USE: _S~eF~ily --..M/F _, of Units _M/H _eo..ercial _Indust. _Swim. Pool _Other ~estaurant & Health Department Approval DESCRIPTION OF WORK: Re-Roof BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : A'lTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. A'lTAGB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ ??nn nn Valuation of Total Construction _ELEcnuCAL AMP Service Florida Power Corp. W.R.E.C. _MEC8AIU.CAL $ Valuation 'of Mechanical Installation _PLUKBING GAS ROOFING TYPE OF CONSTRUCTION: -Block _Fr~e _Steel SPECIALTY Other FINISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. t City License Registration f ****************************************** Signature ELEC'I'RICIAH COMPANY State Cert. or Regist. t City License Registration f ****************************************** Si2llature PLUMBER COMPANY State Cert. or Regist. t City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. f City License Registration * ****************************************** Signature 2IUR ~. COMPANY RYMAN C.ONS'T'RITC.'T'TON TNC. (ROOFTNr, , ~ State Cert. or aogist. # RC0061648 Signature. City License Registration it S R ****************************************** DIV. ) APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peait lay be subJect to "deed restrictions" which lay be lOre restrictive than City regulations. fhe undersigned assUles responsibility for cOlpliance ~ith any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake wort, 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 lisdBleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner bas bired 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 - HOJeowner's Protection GuideD p{epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is saleone other than the Downer", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the Downer" prior to COIIBDCBlent. 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 cOllenced prior to issuance of a perlit and that all work will be perfoaed to leet standards of all laws regulating construction, City codes, zoning regulations, dDd land developlent regulations in the jurisdi~tion. r also certify that I understand that the regulations of ether govelIllental agencies lay apply to the intended wort I and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * $~uthwest Florida Water ManagBlent District - Wells, Cypress Bav.heads, ~etland Areas, Altering Watercourses * ^rlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abatBlent I also certify that, if filllaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a DCOlpensating volUle" will be subJitted whicb 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 procf;ad 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 frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pBIlit issued sball becOIe 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 IOntbs after the tile the work is cOllenced. One 90 day extension of tile, Jay be allowed for the peait with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IMTKHD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED 1.'0 RECORD AND POST A "NOTICE OF COKHENCEKENT". ~~ ~~._~ ATURB:1lIfIftlR OR AGE SIGNATURE: CONTRACTO STATE OF FLORIDA ~ COmy OF --..C....~ The foregOing instrument was acknowledged before me this I :::>-0 , 19~ by who is personally known to me or who has pro u as identification and who did/did not take an oa~. ~:A ~ '-111. ~ (Signature) (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC ~^' *M':* "'~~I1f'p.(ftIo'l;'" DONNA M SINCLAIR My Commission CC382618 Expires Jun. 14,1998 STATE OF FLORIDA ~ COUNfY OF r----'~_ The foregoing inSjrument was aC~lowledged before me this _( ~ , 19 97 by who is p'ersonally kno~~gor who 'has pro uce --.-- as identification and who did/did not ~oath. ~. ~~, (Signature) - (Name Typed, Printed or Stamped) NOTARY PUBLIC .,tAY,.,.. fi ~ DONNA M SINClAIR * ]iii:ijf * My Commission CC382018 ~, Expit_Jun.14,1998 '\~tJ,p.dt' _ -~__ ~'_~-_~~_~i!~______~~~_I_~~~~_~~-~- HYMAN CONSTHUCTTO.N R(x)FING DTVISION) 37325 SR 54 I;~EST *EPHYHHILLS~ FL 33541 IjHONE: 813-7H2-6094 LIC;EN,Stl:~, RC::0061 64 J3heet No. Proposal Su'mitted To: Work To Be Performed At: Name Pla/ r -j' g;q. L/7 /-J:- Streee City ,,-~ .-, /...,/ Jrr/t'/ Phone 2~:? I j PROPOSAL TNC: . [\Jo. . _"0 --j '."'O-.J Date c<- A::- <( f~ r a ,>-/ Parcel ,l) c- C>.L :.,<' -( n l. . LJ . ..;} " tof / ~" [) ,~:;L (}r) ,~.~ - / /'1"..- ~ ,2 <.'~ 0'" ; ...r.. Ii. '- ""_ v' <.. H Street State -~--~ /"'". ~-' //"7'" City State /~ 3/ Date Q.~ P,;Iafls Architect We hereby prop,ose to furnish the materials and perform the labor necessary fQ.stt;,e\~ompletion of C) '\ \, Complete tear-off of existing shingles. RooLdried in with 15 lb. felL Install all new valley metal with 20" galvanized metaL, Installation of all new lead boots throu<jh :coof. Installation of new drip ed9c cH'ound perimet~:r. Ins.tallat i on of new 2 5 year fUll q ds-r es j~? t. ail t,.'i ~l.i..: '01 J es All debris removed from the job site. Five year leak warranty. All materials and labor furnish8d, $'Iv slalf RId. 5 ~ I/~ ~T- PA.YMENT DUE UPON COMPLETION OF JOB. (Ct>. ) @.) @. ) .@.) 'l!?5. ) <'9'. ) i:'J . ) -~. ) ~.' ) c~. (I~/t:'t- 13eo..... ~ v.JCIU.J 5t:1l,vo'? EXTRAS: Bad plywood replaced at a EXTRAS: Installation of new 2x4" $2.00 pe~ lineal ft. TOTAL BID: $ _~2.:2_DD.~~~_ co:ot of $ 1 u II' :') '2; r' d n d .,10.0<) per sh(c:et. 1 )( f." f. a f) '~~l ;.:_~ ~~ 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 [$ ] 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. cornado 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 .{:.;: ma /,-j / Per "Ir'11 , >c ~ ....",) ,.- J (""~ l~- :.:.;- (~l~ t./ I ,. Note-This proposal may be withdrawn by us if not accepter: within days. ACCEPTANCE OF PROPOSAL U.\ I The above prices, specifications and conditions are satisfactory and are hereby accepted. YOl,l are aut.horized tLl clo tJ18 vvm'k as Pay:nent will be made as outlined above. " ' : ! \* /1 Date Signacurc I I i I .....-.-.-...-. .j Signature