HomeMy WebLinkAbout97-6522
BUILDING PERMIT N!
CITY OF ZEPHYRHILLS Permit
(813) 788-6611 Date :3 - S -77
A
6522~
~~
5LECTRICAl
P~
MECHAI'Jlr.!!.1
Sewer Conn
::~:::,::~.. ~ ~7@1 qy~ O/T-<'
Parcel I. D. #
Zoning, ~gy COd~_ Radon G.., . ~
D..eriptionofWo~ r:5?JIJ<~~;::I~L~ ~
.5_J3-t::jJ
DATE
Water Conn:
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
,t.. L
Permit Fee
Signature
Company
Address
Telephone~
Valuation or
Contract Price
/1, / iJ.2 . ~
R~S-
City License Registration #
~~~~~
BUILDING
~EC~-.
Pl~
ME~'
Breakers
Ducts Ins!.
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 PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAME Mf P. CIDPER
PHONE 813-782-5673
OWNER'S ADDRESS 38714 IDrnA AVENUE
ZEFHYRHIIl.S FL. 33540
JOB ADDRESS 38714 IDrnA AVENUE ZEFHYRHIIl.S, FL. 33540
SLEEPY HJIl..!)V MHP
LEGAL DESCRIPTION: LOT(S)
PARCEL I. D. f Acet# s--axm-a38
103
BLOCK
SUBDIVISION SLEEPY HJIl..!)V MHP
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration -LRepair _Install
_Sign
--'love
_Deaolish
PROPOSED USE: l-.Single Faaily
\
--'l/F
--L-. of Units !..-M/H
_<=<-ercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK: REROJF fvDBIlE lIME WI'IH SmE PLY RUBBER MEMBRANE
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ 4102.00
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
--'lEGllAlllCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING SPECIALTY
RElUJF- SmE PLY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel RURRFR MEMBRANF. Other
FlRISHED FLOOR ELEVAnONS:
Fl' .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. f
City License Registration f
******************************************
Signature
F.T .F.GTRICIAN
COMPANY NA
State Cert. or Regist. f
City License Registration .
******************************************
Silll"lllture
PLUMBER
Signature
COMPANY NA
State Cert. or Regist. f
City License Registration .
******************************************
MECHANICAL
Signature
COMPANY NA
State Cert. or Regist. .
City License Registration f
******************************************
OTRF.R
~ COIlPANY a:NSlMER FNEJ<;Y SAVEllS lOC.
State Cert. or Regist.' CCCOS 7196
Signature W ~ City Liceose Registration t ~
******************************************. .
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. . NOTICE OF DEED RESTRICTIONS
'I'he undersigned understands tbat this peIlit laY be subject to "deed restrictions" wbich lay be lOre restrictive than City
regulations. !be undersigned assUJes responsibility for COIIpliance with any applicable.'deed restrictions.
. .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireleDts lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for wbich 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 wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been prOVided with a copy of "Florida's Construction Lien Law - HOIl!OWDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUlleI' Affairs. If the applicant is SOIIeODe other than the
"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"owner" prior to coaencl!Jlent.
E. CONTRACTOR'SjOWNER'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, loning, and land developlent.
Application is berehy lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation bas cOllenced prior to issuance of a petlit and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlll!Dt regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!11lleDtal agencies laY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not li.ited to:
t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater 'I'reatlent
t Soutbwest Florida Water Hanagl!Jlent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Vastewater 'I'reatlent, Septic ranks
* US EnviroDleDtal Protection Agency - Asbestos abatl!Jlent
I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan
addressing a UcOlpeDSating voluteN will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A peIlit 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 petlit prevent the Building Official frOl 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 COIIenced within sil IOnths of issuance, or if work authoriled by the peIlit is
suspended or abandoned for a period of sil IOnths after the tile the work is co.enced. One 90 day eJtension of tile, lilY be
allowed for the peIlit with fee charge of $15.00. !be eJtension sball be requested in writing to the Building Official. An
approved inspection lust be logged during each sil IODth period, or the project will be considered abandoned.
WARlUIIG '1'0 OWNER: YOUR FAILURE '1'0 RECORD A 1I0!lCE OF COMMDCEIIBM! MAY RESUL! III YOUR PAYIIIG !VICE FOR IMPROVBIIBIft'S '1'0 YOUR
PROPER'lY. IF YOU III'I'EIID '1'0 OB!IIII FIIWICIIIG, COIISUL'I' WI'I'H YOUR LODER OR All AftORRIY BEFORE RECORDIIIG YOUR lfOfICE OF
COHHENCEHEII'I'. JOBS UNDER $2,500 1M VALUE 00 NOt HEED TO RECORD AIID POS! A "NOtICE OF COMHEIICBIIEII!".
SIGIIAfURB: om:R OR AGEII'I'
SIGIIA'I'URE: COII'I'RAC'I'OR
SrA'I'E OF FLORIDA
COUII'I'Y OF
The foregoing instrument was acknowledged
before me this , 19____ by
S'I'A'I'E OF FLORIDA 0
COUII'I'Y OF '( '-^ e..U. ^ )
The foregoing instrument was acknowledged
before me this 3.. \ ~ , 19~ by
,
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is
produce
as identification
take an oath.
and who did1d1'Q n~
~
(Signature)
(Signature)
~'" ~S~
Printed or At '( lEAL
lJ KEVIN KRUSE
0"'" 8(", coMtAl"'Otl MU.-IER
~ ~l'" CC548891
;., , . 'jJ ti CQMl.\\SSION EXPIRES
11... ~ MY APR. 28,2000
f' OF r"-O
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed,
NOTARY PUBL
<!:DlItract
'olo[)~
Corcorate Office 'i'itt<',:,
12350 S. Belcher Rd. #2-B
Largo, FL 33n3-3005
(813) 536-2274
"' L aU.MlTT
Consumer Energy Savers, Inc.
GOOD IDEAS FOR THE WAY WE LIVE TODA Y
FLORIDA STATE CERTIFIED ROOFING LICENSE #CCC057196
~~. ("v-~k
TOLL FREE 1.800-422.2012
JOB NAME
ltoo
JOB PHONE
JOB COMPLETED CAPPROX),
FURNISH AND INSTALL FIRESTONE UL TRAPL Y 78+ SINGLE PLY ROOF SYSTEM
FOR FOlLOWING AREAS:
~In Mobile Home Roof D Carport )(f=lorlda Room D Shed
CIRCLE SYSTEM DESIRED:
~. I
System '1: Membrane only, termination bar.
System '2:
Install wood to perimeter edge of old roof surface, connect 3/4" insulation board to
old roof(s) surface, ins ' + over the insulation surface and
. a Ion bar around perimeter of home.
, ~
Install treated wood to perimeter edge of old roof surface. Connect 1'1I4~V'-.-"""':
aluminum faced insulation board to old roof(s) surface. Install Firestone Ultraply
78+ over the insulation surface and secure with termination bar around perimete
of home. Re laCe all v nts (except furnace v. nt). .,.,.- .
"'''t<t.~,;-c
.t.-",:\:';n"
"J'!.:'
Additional Work:
TERMS AND CONDITIONS OF PROPOSAL
CONSUMER ENERGY SAVERS, INC.hereinafter referred to as seller, or your, or you; and purchaser(s), hereinafter referred to as
purchaser(s), or lIWe, MelUs, MylOur, agree to the following terms and conditions, to.wit:
I SeIer to perform all work in a good workmanlike manner and will at all times maintain proper workers compensation insurance and shall comply wi1l1 federal and state contractor's
U~~ ~~ubiect to accept8nce by the seller at its office and becomes a binding agreement. It may be terminated at 1I1e option QltbeHf/er if &aid proposal cannot be flll8/lc:ed
if s) eIeclil to purcbase on a tirne sale price, Seller has 10 days from the date of this proposal b accept or reject the same.
IU e a to for any other work done and oot specified in this proposal in the event such work is done at cusbmer's reguest after work has commenced,
IV If is being financed by a lending institution or by you, IN-Ie agree to execute all necessary documents immediately upon request and presenlalion.
V e agree atrt changes, alterations or extras Irom the plans or specifications which may be required by any public body or 1IlSp8CIOr, shaD .
constitute an ex and sliall be paid for by the customer b the seller, based upon the seller's actual cost plus 200/0. .
VI Wle agree flat' event of a breach by mehls of this purchase order after acceptance by you and before the installation is started, Wle will pay to you on demand Ten percent
110%) of the cash price 88 stipulated damage lor such br~.
VII I it is 118C8868/Y for you to take ~a1 action b enforce. protect or defend any of your rights under this proposal, Wle agrBe to pay such sum 88 the court deems reasonable for
allomey's fees and court coslll. Venue for a1lliligation wiD be In Pinellas County, Rorida.
VIII No claim wiD be made by meAls except as proviCled In this order.
IX lIWe give CONSUMER ENERGY SAVERS, INC. permission to use pictures and/or references to our home in their newspaper and other forms of advertising,
X WI, give CONSUMER ENERGY SAVERS,INC. permission to check our credit history.
XI WI, agree to pay CONSUMER ENERGY SAVERS, INC, 180/0 APR interest on all moneys past due per this a9f88!l1enl.
XII In the eYllntlll'f provision of this proposal should be found to be Ulega! or unenforceable, it shall not affect the lllg8Iity or enforceability of atrt other provision.
XIII Lifetime transf8nab1e wananty will be mailed to buyer when saller has received payment in full,
The undersigned acknowledges receipt of a true copy of this proposal, acknowledges thaI helshe has read and knows the contenta hereof. and underslands that no other
agreement!s). or representation(s) by the salesman. verbal or otherwise, is binding upon the parties hereto, and that the same contains the entire agreement.
MIk.1I1 chick, payabl. to: CONSUMER ENERGY SAVERS, INC.
CASH PRICE AND PAYMENT SCHEDULE (Reference to (\ phase of construction means all work, materials and equipment necessarY to
complete that phase). Buyer agrees .1.0 pay Seller the Cash Price al Seller's office in accordance with the following payment schedule:
1. Price $ 71 t1 ;;J..
2. Tax $
3. Down Payment $
~.~.~lance $ .. ~/.6::2
ON COMPLETION OF ALL WORK. .
"BUYER'. RIGHT TO CANCEL"
(R."..... Side)
~
I have the authority to order 1ht above work and do 10 order as OUtllrJecI
herein. Ills agreed thaI the s... wit retain tide 110 any equlpmenl or
material furnished untllllnal & complete paymenlls made. An up'8U '
mechanic tien Is hereby ecknowIedged lor a,curh1 ol.1hia debl and the
total amounl will be paid within terms' ~'.';' ':" .';
\
C ,C;, D
Authorized
....ture
NOTICE TO OWNER
Do not sign this home improvement contract In blank,
or before you read it. You are entitled to . copy of
the contract at the time you sign. Keep it to protect
your legal rights.
. AllnlIIerW it ~ 10 be. epecfied, AD WIlfk 10 be CO"llleted in . workmanlik.
- ___10 ~ pqoclicots. ""I "",.ion or dtlllietion from lIbove
ljleCiiolliww inlHillIing extra __ wiI be exec:uted only upon written ord_ end wit
become... extra ~ _ Md __. the ..Iimlde, Allllreementl contingent upon
....... aoaiclenla Of ~~ our calIrol. Owner 10 carry lir.,lornado. ind other
~__il~~~~~~~~,~ion..urance,
.,,1".),
Ar~tanr2 Dr C!ontrart -The'bo~Prlce~.lpeclficetlonl
..... . tlon8.. utl.fK1Oty .nd.,e hereby ICcepted, You .re .uthorlzed
I to do tht work _lC*:ifiect,'.yrnent will be made '1 outlined .boue,
'~\':'- - -- '::;-- ,.::;.t-'_~~:'
I Dlne.ot~,;.',,,~,
s;~ ~'iieCf~
S,gn.lure
...
. COD:Sumer Energy Savers, Inc.
GOOD IDEAS FOR THE WAY WE LIVE TODAY ,
12350 S. Belcher Rd. 1/2.B, Lario. FL 34643 Slale License #CCC057196
Contractor's Letter or Authorization
I hereby authorize the below named individual to act as my agent to obtain all necessary
permits for residential rootlng for:
Owner: AMY P. <:roPER
38714 R:EM::RA AVENUE
at this location: ~JS FL. 11"i40
SLEEPY JllI.(].J ffiP
This person is also empowered to obtain, complete, and sign all forms, applications,
registrations, and documentations, with this limited power of attorney, on behalf of mt:
that may be required to accompIJsh the Issuance of any permits that may be required in
any juris~iction throuahout the State of Florida.
Authorized Person: RICRARD VCXE..
Authorized Person's Signature:
\~
~
Owner:
~ .Q~ STAlE (F FI1lUn\, CillIIY (F PlNIillS
Dave ~. . · :. . 'The foregoing irntnm2nt """ ackn""1edged before ""
State LIcense #C~COS7196, '. ~y of~el.. ,19~,by ()f\u:; ft\
~'
TT. \ KE.VIN, KRlSE
Personally ~ rn Produced identification
'I)rpe of identffication Produced ..
...\< l Pi.t OFFICIAL NOTARV SEAL
O.....r <9~ KEVl!'f KRUSE.,
~ . ('\ COMMIISION NUM81l!R
it It._
<.!1 '"A <{'CC 548891
7... , #- ' MY COU!WC$tqt.l ~~f,:S .
(" OF F\.O APR. -282QQD .
. . - . . . ~
. '.
o 81,3~536-2274 Toll Free 800-422-20120
I. ....~:" ..... >",' '. .... " '. . .
STATE OF FlORlD,i\
COUHTY OF PASC(1
~I::,U,[~.~~J:}<;~/~~~~~';', .:.~:';i~~~;~:i~~3;~]~~s~~;
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JEiJ ).-)tT-rt\,~t-d\~; ..t::J\r:, L-f CiHt.,. CJURT
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, 111111 "'" 11111111111'111111111111I1111111111111
97024075
BY
D.C
Rcpt: 136794 Rec:
OS: 0.00 IT:
03/05/97
6.00
0.00
Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
03/05/97 12:34p. 1 of 1
DR BK 3706. PG 1843
OFFICIAL NOTICE OF COMMENCEMENT
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: HEI.E lD1E lOCA'IED AT 38714 RHiEA AV IN TIlE SLEWY JII1D.l
MIP zmIYRHTIlS FL.' 33540 ror 1m Aced 8-<Xm9-<l38
2. General description of improvement REmF HEI.E lD1E wrrn SNI.E PLY ~ MEMBRANE
3. Owner Information: }Mf P. <IXl'ER HIm: 813-782-5637
A. Name and address 38714 REKRA AVENUE ZEFHYRHlllS FL. 33540
B. Interest in property:HEI.E In1E GJNER
C. Name and address of fee simple titleholder (if other than owner)
NA
:::.T'
4.
14'"
~l.;
.~ ',I
5.
"
Contractor name and address:
HmE: 813-536-2274
FAX: 813-535-9991 ,.
Surety (if required)
A. Name and address
B. Amount of bond $
CIJBHR lNElQ' SAVER). DC.
123~ S. ~ RD. #2-B IAm:>, FL.34643
NA
NA
6.
Lender name and .address:
NA
7. Persons within the State of Rorida designated by Owner upon notices or other
documents may Pe served as provided by section 713.13-(1) (a) 7 Florida Statutes.
Name and addr.ess: ~ ENElQ' SAVER). OC.
12350 S. ~ RD. #2-B IAm:>, FL. 34643
8. In addition to himself, Owner designates CIlB.Iwm ENEK;Y SAVER). OC. 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 one (1) year
from the date of recording unless a different date is specified)
.199_.
Signature of Owner or Authorized Agent ~ ~
PREPARED BY: SI'A1E <F F1..C1UDr\, CIlMY <F~^,s~
JANICE FRIEND . The foregoing i..nst:ruDent was acknowledged before Ire
= ~.~ RD. #2-B thisOl~ of ~~,.19~by tt1'^,,"\ P ~D.t~
SEAL
~..:l't P{J8<. KEVIN KRUSE I ~A"
~. '0 COMMIItIOH HUMBER lCEVlN ICRl5E
1h . ~ CCU8li1 Pe..~l8l.1y ICron CR Produced identifi.catioo4
7' S MY COMMI88IOH IXfIIMI '1\.......... of identif; ,.",,0-: - Prod.......I p.
~ OF f\.O(f. APR. 28,2000 "'}'C .LA.Qw.\AI.u..;cu ~ u.~