HomeMy WebLinkAbout97-6431
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
--6431-J?
Date
"
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-3 -7 7
L9 ELECTRICAL
P<operty Owne" A~
Job Address: '_ S~ . - ~
Parcell.D. #
Zoning: Energy Code:
Description of wor~t{ t:7 ~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
!~?
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
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
&8
Pe'mlt Fee ~ ch> ~.....
Slg?-;;-G~ -
Comj:! "
Address
Telephone#
Valuation or
Contract Price
/9 3-.s '. 0-0
"
City License Registration # Ii &t)
State Certified License#
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BUILDING ELECTRICAL
PLUMBING
MECHANICAL
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 ($15.00) 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 NAME !f4r,6,qr/9
OWNER'S ADDRESS :;1> ~ _ok;
jf t-{ J" A/ r::-7/-
~J a~&/ J/
PHONE 7gj!-;? 3;(3
-<e-~A -v-r .-I,' /6
, ./
/;;t,
'".? ~r yC)
-
JOB ADDRESS ) If, L/7
.R 3 '--'f.( .;7,
LEGAL DESCRIPTION: LOT(S)
BWCK
SUBDIVISION
PARCEL I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
.."
WORK PROPOSED:_New Construction ____Addition ____Alteration -K.Repair ____Install
"
_Sign ____Hove _Deaolish
-X-Single .
PROPOSED USE: Family ____H/F ____, of Units _K/H
. ~.
____~ercial _Indust. ____Swia . Pool ___Other
_____Restaurant & Health Department Approval
DESCRIPTION OF WORK:
~
,
d- .I? e. /'00 r:
A~oo Square Feet,
Height
BUILDING SIZE:
x
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
____KECHANlCAL
$
Valuation of Mechanical Installation
_____PLUMBING
GAS
.x ROOFING
SPECIALTY
TYPE OF CONSTRUGTION: ____Block ____Fralle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
Bun.DO
COMPANY
State Cert. or Regist. ,
City License Registration ,
..........................................
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. ,
City License Registration t
..........................................
SilmAture
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration t
..........................................
Signature
KECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration ,
..........................................
Signature
COMPANY !~''f' 1& ~OtJIL~
State Cert. or Regist.' f C ()t') :( S .5-/S
City License Registration f .1 80
..........................................
OTRF.R
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Yhe underSigned understands tbat this peIlit .ay be subject to "deed restrictions" whicb lay be lOre restrictive than City
regulations. Yhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they .ay 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 IaJ be
cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
DContractor Sections' of this application for whicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather tban tbe contractor, are responsible for tbe work. If the contractor wisbes you to sign 'r
as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN iiAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOIDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone~ 6lber than the
Rowner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"owner" prior to cOllenCetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify tbat all the inforlation in tbis application is accurate and tbat all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is bereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation bas cOlJenced prior to issuance of a peIlit and that all work will be perforted to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDJental agencies tay apply to the intended work, and that it is
If responsibility to identify wbat actions I .ust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* Departlent of EnviroOlental Regulation - Cypress Baybeads, Wetland Areas and EnviroOlentally Sensitive Lands,
Water/Wastewater Treatlent
* Soutbwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Knqineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, Bnvirontental Health Unit - Wells, Wastewater Yreatlent, Septic Tanks
* US BnviroDleDtal Protection Agency - Asbestos abatetent
I also certify that, if fill .aterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood that a drainage plan
addressing a uCOlpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it. issuance.
. A pertit 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 sball issuance of a per.it prevent the Building Official fIQI thereafter
requiring a correction of errors in plans, construction, or VIolations of any code. Every peIlit issued shall becOJe invalid
unless the work authorized by sucb perlit is cOllenced within six IOOthS of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOntbs after the tile the work is COIIeIIced. One 90 day extension of tile, lay be
allowed for the peIlit with fee cbarge 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.
WARlHNG YO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COMMBNCEIIEH'l MAY RESULT IN YOUR PAYING FOR IMPROVEIIEH'lS TO YOUR
PROPERTY. IF YOU INTElfD TO OBY CING, COIISULT WITH YOUR LPDER OR All A . CORDIIIG YOUR IIOflCE OF
COMMENCEMEN,'!''JBS UH?~.>D IN VALUE IIOT IIEED fO RECORD AIfD POST A ~J<<Jt CEIIEH'lu. j
// /,/
, ~ /' '
F., FLORIDA
CO F
The foregoing instrument was acknowledged
before me this , 19____ by
SYATE FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~,,~;'"
.,.".....
(
Jrl1pl11ial
Page No.
of
Pages
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Reroofing & Repairs
Since 1964
JOHN C. YOWELL
2220 Old Cypress Creek Road
Land O'Lakes, Florida 34639
(813) 949-4661
License IRC 0025515
c=~.
SUBMITT
HOME PHONE
? -,1.J:l:J
WORK PHONE
DATE
I~-~ -9~
STREET
S" 6 lfJ
JOBI
CIl; STATE AND ZIP CODE
A..l' 11 ~r A,- J/J
We hereby submit specifications and estimates for:
~J~ .sr-
/1..
J J S C/O
,.. ~
JOB ADDRESS
1 . V Tear off old roof '2. layers
2.---:;;;;' Replace all rotten IUiber at additional cost of J. 9.>sq. ft. $
3 .~Dry in roof with ply J r;, lb. felt If
4 . -----Replace all lead boots: Size '1- J , J- ii ,
5. Replace or cleal)JlJld reseal vent: Size
6.~ Replace ,) in. Eave metal: Color P,.ow,J Painted Steel
7. -' Replace valley metal J
8. 1/" Install ~ Oy'" Type Class A fiberglass fungus resistant shingles by rC!" 10 t ('" J(
9 .~ShingleS will be 6 nailed to meet Florida Codes for wind
O.~Cut hole and install yo ft. vent ridge: Color for proper ventilation
11._Built up ~fing
12 ._Dry in with 43 lb. base sheet
o"tl;~Hot mop 3 ply fiberglass felt with hot asphalt
14._ Torch apply 1 ply modified roofing: Color
15._Replace in. eave metal: Color
16._Coat deck with aluminum roof coating
17._
18._
19. -" Clean up an haul away all trash
20. ---.:;;;;;r- Pull magnet around job to pick up any loose nails or staples
21 .~Dun)Q.fee and permit included in price
22.~ .,.) year workmanship warranty from date of completion
per full sheet of % inch plywood
Color
~Q/~,. R~I
/ J: 00
,q o~ -~)u -~, Ih-vf.,
)
painted steel
frll c,
9 "00
J JS 1-), IA. 1tJ.k
V~^'fA yA.cbc... t!J/(,.-9
':l..s" ,rJ
11ft 'rOpOSl' hereby to furnish material and
Payment to be made as follows:
Deposit of $
,vq
labor - complete in accordance with above sDecifications for the sum of:
/ GJ'O:; ,
dollars ($ 9 J 5' ~ . ) plus any lumber charge.
/9'Z 5' 60
. Balance of $ _./ due upon completion.
During the course of the roofing work, the customer agrees to hold harmless John C. Yowell for any
coats or damag.. resulting from eebeItoI materials in the roof system including but not limited to all
coats of litigation and attorney f88l.
Any line' bill not peid upon completion 01 job will be subject to I 18% Ilight""" percent) APR on unpeid
balance compounded dally. All material is guaranteed to be al specified. All work to be completed in a
workmanlike manner ac.cording to standard practices. An)' alteration or deviation from llbove apectfica-
tionl involving costs will be executed only upon written orders, and will become an extra charge over and
above the proposal. All agreements are contingent upon strikes, accidents or delays beyond our contract.
Owner to carry fire, tornado and other necessary insurances.. Our workers ar. fully covered by Workman's
Compenllltlon end Lisblllty i..........08. ' ,
This pr_1 il subject to Icceptlln08 within ~ CJ
undersigned.
Customer agr.. to provide adequate roof acC818 for trucks, equipment and personnel. Customer aleo
19'" to fumloh electricity II n88d8d to Comletl the job.
Date of Acceptance:
d. - /3 - 7' '7
Signature
Attorney Fees & Costs: In connection with any litigtion arising out of this contract, the preyailing party shall
be ""titled to n,ce)\'", ell coati, Including _e 8ttOm8y 1_.
Atttplautt of 'rnpnllal- The ebove p,icel, ,Ipecilicltlonl Ind
conditionl.... utisfactory .nd .. hereby accepted. You are authorized to do the work 88 specified. Silnature
Poym.nt will bel1Uld8.. outIInecI_. By ICcepting this propolll. It beco"",,, our contrlct,