HomeMy WebLinkAbout97-7330
BUILDING PE.RMIT 7330
Permit
CITY OF ZEPHYRHILLS
(813) 788--6611
13
Date
JJ--16- r7
e ELECTR:CAL PLUMBING
::~::,~=~e:3 f;~L;!~'"~
Parcell.D. #
MECHANICAL
Sewer Conn
Water Conn:
.t?-~
Water Meter:
T.LF_'s:
Zoning: Energy Code: .
Description of Wo;; K ~ ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL J ~- 30- q 7
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
I<-L
Valuation or
Contract Price k, J --3 t/. t::)-i.:J
City License Registration # ;;! ,-..s-
State Certified License#
p.'m;tFee~
Signature ". .< ~.__.
Company (..-.. "
Address
Telephone# 7~.:2 - 0<7< ,!l~
~)(if~d~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1-S-:-ge1 shall be made for each trip for each trade:
~ -: tr[)
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
C.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
COKJc., 1"'1::-
OWNER'S NAMll R, 'IUS ~ f?c: q /.''i
\.d_U Uli L:.KPHYRHILLS
BUILDING DEPARTMENT
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JOB ADDRESS
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OWNER'S ADDREsS _< V" l M?
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LEGAL. DESCRIPTION: LOT(S) BWCl\ S DBDIVIS ION ~..i"
PARCEL I. D. '3.<, :2S" .:L I Q rllll. o~ r (JOo oJ D (OIlTAI: Fl\!lll PIlOPERTY TAX ~ciilh
WORK PROPQSED'____New Constructioo ----Additioo ----Alteration ~sir ____~~
:U,.'"
\'0' ',,;~: .
_Sign
--.Move
_Demolish
PROPOSED USE: _Single Family
.',
,;~,;},;: .
_M/F
/&, of Units
_M/H
.C
_CoIIlIlercial
_Indust.
-,---Swint. Pool
_Other
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ENERGY FORM$~f
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DESCRIPTION OF WORt:
-Restaurant & Health Department Approval
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BUILDING SIZE:
X--.,~(,{jf)
Square Feet, /(,..
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANS & (1) SET
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
PERMTTS REOUESTEI!
.$
~ ~glJ, 00
Valuation of Total Construction
_ELECTRICAL
--..HECllAHICAL
GAS
ROOFING
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.J:.t
~W .R. E. C';~ll-
j~l;
Insta11ation;'~.;I~~ i
: ~ ..~.
SPECLU.TY~J
Other
AMP Service
Florida Power Corp.
$
Valuation of Mechanical
_PLUMBING
TYPE OF CONSTRUCTION:
_Block
_Fr~e
_Steel
FINISHED FLooR ELEVATIONS:
.......*...*******************************
-
YES NO
:,;';iJ,.~
,.".~;.' ,
FT.
IS PROJECT IN FLOoD ZONE AREA?
BUlLDF4R
~ONTRACTOR SECTIO~
Signature
COMPANY
State Cert. or Regist. #
City License Registration #
*****************.*~**********************
ELECTRTCL\N
Silmature
COMPANY
State Cert. or Regist.#
City License Registration #
**.**.********************...*..*.****.***
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Signature
COMPANY
State Cert. or Regist. ,
. City License Registration #
.************.*..*******.****.************
ELUMB~
MECHA~ICAL
Signature
COMPANY
State Cert. or Regist. #
City License Registration,
.*************~*************.*************
lll'IIIliI ~. COMPANY -e/
. I.. /..- State Cer . or Regist. ,
Signature ~ ~ City License Registration
- ~ .........................................
I
APPLICATION APPROVED BY
PERMIT OFFICER.
· :it~~; . CONDITIONS OF PERMIT AFFIDAVIT
:;;'~A. NOTICE OF DEED RESTRICTIONS
)f~lhe undersigned understands that this pertit lay be subject to IJdeed restrictionslJ which lay be 1I0re restrictive than City
}~~~egulations. rhe undersigned assUles responsibility for,colpliance with any applicable deed restrictions.
':i~;r:
:CIB,. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
. the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
ate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
" 'ted for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
, ':, 1:equireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
1~188-661l.
";;;~~~;r
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,,~)urther.ore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
.., . ntractor Sectionsu of this application for which they ,will be responsible. If you, as the owner sign as the contractor,
,,' 'are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
~:. ~" contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
j'l "
";;l~~ty of Zephyrhills. ,
!~. TRANSPORTATION IMPACT FEES AND UT;LITY CONNECTION FEES
.~~1{;'~
)p;. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
..:,'~:/certify that I, the applicant, have been provided with a copy of uFlorida's Construction Lien Law _ HOIIeowner's Protection
'iG,pide" p~epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
~pllDerl/, I certify that I have obtained a copy of the above described docUJIent and prolise in good fai th to deliver it to the
L~Pwner" prior to couencl!.lent.
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,:~,~ CONTRACTOR' S/OWNER I S AFFIDAVIT '
:~lrcertify that all the inforlation in this application is accurate and that all work will be done in cOllpliance with all
';,~pplicable laws regulating construction, zoning, and land developlent.
:"..i~
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'i(Pplication is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
:}lD8tallation has cOllenced prior to issuance of a perlit and that all work will be perforJed to Deet standards of all laws
;~~~ating construction, City codes, zonin~ regulations, and land develoPD:nt regulations in th~ jurisdiction. I also
jt~lfy that I understand that the regulatlons of other governaental agencles lay apply to the lntended work, and that it is
~~;responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not liaited to:
'(~Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
:;t.l~;: Water/Wastewater 'freatJent
;;~Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
i~l'my Corps of Engineers - Seawalls, Docks, Navigable Waterways
;'~DepartJent of Health Ii Rehabilitative Services, Envirollilental Health Unit - Wells, Wastewater Treatment, Septic Tanks
~lus Environaental Protection Agency - Asbestos abateJent
I.iMso certify that, if fill laterial is to be used in Flood Zone "A" or IJA,etc.", it is understood that a drainage plan
'~essing a uCOlpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
.F1.Qlida prior to perJit issuance.
,;'-.i:g:?
atpeIlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
' aet~aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
r~qtiiling a correction of errors in plans, construction, or violations of any code. 'Every perJit issued shall become invalid
UdJess the work authorized by such per.it is cOlllenced within six lonths of issuance, or if work authorized by the per.it is
8~pendedor abandoned for a period of six IOnths after the tile the work is cOlllenced. One 90 day extension of tile, ,ay be
allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
.Bp'pioved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
KG 1'0 OIiNBR: YOUR FAILURE TO RECORD A HOrICE OF COKKEHCEHBHT HAY RESULr IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
!Y. IF YOU IURllD ro OBrAIN FIHAHCING, CONSULI WIrH YOUR LEHDER OR AN ArTOIDIEY BEFORE RECORDING YOUR NOTICE OF
~~::~:;oo ~2~~ ro.~rnoo:;:::c~~~
~;!!GiAIURI: 0liIIER oR~ ~-' SIGIlAIO~: COH~ ~-C-<:
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S.i~JB OF FLORIDA ~ '
coum OF ~
Ta~e.~.f,.oregOin9 i~ ent wa,s aCknowledged
before me this /. , 19..L1.- by
....'l":~~;. .
~~kn~ ~as
.. prQdllced ~
ai~den . ication
taJti' t
"~~;'i
(S~ ature)
~~f:Ji;~'~' .
(~,~J! Typed, p~.~ or Stamped)
NOTARY PUBLIC "'W~ 10 BOBBIE J BURKE
".',' * * My Commission CC543871
'::';, ~!I>" Expires Mar. 31, 2000
, ""t OF f~'!;""
STATE OF FLORI~
COUNTY OF \1 ~
The foregoing inst~rnt was aCknowledged
before me tl)is /-7' /.( ,1~ by
~Q~A~
who is personally known to me or who has
produced~
as identificatib
take an h
(Signature)
(Name Typed, Printed ~~~pe~JSURKE
NOTARY PUEt! C * ~ * MrComminion ccs.t387t
~ ~!I>" &pheM.r.31.2ooo
'9)-e OF f~'!;""
U.L-.a..J-,.....,&.....oI- --. -
ASSOCIATE
"I' W..J..-~.lirri~" "'*""'_......_
No.
'.l'42tl
BINGHAM REALTY, INC.
7335 Gall Blvd" #1
Merchants Square
Zephyrhills, FL 33541
Licensed Real Estate Brokers
Telephone:
(813) 788-2759
Eve_ (813) 779-9189
~3541
1 LICENSE:RC006164
Date / t> - / (p - 9 7
Sheet No.
Work To Be Pe,,7~
arcel 1.0. .,
jS 2~ ~I-t:)c~t:) ~;;/~"/O
Street ~-
()(,(p + otG,.
~~
"Name8"N~A.o..Y"'o- Ree..../.I;'
Street7~.3,s- @..a../ ( e/~
~ ~,H' 1'1 .5
78k 2. ?sy
City
State F /
City
State
Phone
Date of Plans
Architect
We hereby prppose to furnish the materials and perform the labor necessary for the completion of
8p(J~ /31!J~
:::::d:: 2-
~~ /'
1.) Complete tear-off of eXisting shingles.
2.) Roof dried in with 15 lb. felt.
3.) Install all new valley metal with 20" galvanized metal.
4.) Installation of all new lead boots through roof.
5.) Installation of new drip edge around perimeter.
6.) Installation of new 25 year fungus-resistant shingles
7.) All debris removed from the jOb site. .
8.) Five year leak warranty.
9.) All materials and labor furnished.
c.
E~ad PlYWOOd\-:-'hip~a,.ced at a costl'of $
nstallation .p_fr.; rl-ew 2x4" l~~cf ~d
2.00 per,lrn'eal ft. ,(ofl
l.,
JOB~ ::< --roft:i! B/~ $I
~~~~$
'930.00
P~YMENT DUE UPON COMPLETION OF
. ,':
40.00 per sheet.
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All material is guaranteed to be as specified, and the above
specifications submitted for above work and completed
with payments to be made as follows: ':,
i~'j
/' iVI'
..-'
work to be performed in accordance with the drawings and
in a substantial workmanlike manner for the sum of
Dollars [$", ~.
c:. c;?.$t). 0 ~
.
...., ( .,'., ~J l
Any alteration or deviation from above specificatiors invoLving extra y
costs, will be executed only upon written order?'i:ii~.d -will become an R~spectfully submitted
extra charge over,and above the estimate. All i!grEiement;s contln~e'1t. ,<'
upon strikes, accidents or delays beyond our control. Owner to ~arry
fire, tornado and other necessary insurance u~ol a~ve wqr\. Work- Per
men's Compensation and Public Liability Insujaf'lc i1'abbve work to be
taken out by , . II
~.. -:; :tl'l~
Ky /He;( ~
/J?~ i~ S-~/~/'(J-.S
Note-This proposal may be withdrawn by us if not accepted
within days_
ACCEPTANCE OF PROPOSAL ,:;, '(j CC)c,/ C~<:/\
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do ~ wm as specified.
Payment will be made as outlined above.
SignatuI'e
Date
Signature
~ FORM 3850
DUPLICATE
MADE IN U.S.A.
State of FT.nRTDA
County of
Rcpt: 202142 Rec: 6.00
DS: 0.00 IT: 0.00
12/16/97 Dpty Clerk
JED PITTMAN, PASCo COUNTY D...ERK
12/16/97 10:02a. 1 of 1
OR BK 3851 P6 1240
A:u.C.O
1111111 alii 11111 11111 111111111111 I1III III1IIR
97140973
NOTICE OF COMMENCEMENT
THE ImOERSIGNBD hereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Co~nenc~mcllt:
1. Description of Property: Parcel No. .3..s-:z..s 2 J 0010 O~9 D''''JOlfJ_
..J..47/!L ?""~ c.cl1J P.I t. uJ A j/.
(Legal descript~on of the property and street address if available)
2 .
General Description of Improvement
,e As-F--
3 .
O\Yncr Information: Name t'~.c.J'al ~~
.f.,v~ I
Address 7"3.3$ ~I/ ~/vL
City 2~~~~//~
State r;( 335'1(
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
R4.
Contractor: Name
RYMAN r.nN!=:'T'RTTr.'T'TnN.TNC'
(ROOFING DIV.)
Address 17i?S q R
Sd WRqrp
City ZEPHYRHI1LS
State
5.
FL
.3 "3$"<( (
Surety: Name
--- ~._-._-~-.---_.--
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7 .
Persons within the State of Florida
notices or other documents may be
713.13(1) (a)(7), Florida Statutes:
designated by Ol,vner upon whe!1,
served as provided by Section
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lien0r's.Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp~ra~lon dnte ot NotIce or Commencement (the expIration date is 1 year
fr?m the date of recording unless a different date is specified.)
DRIVERS I,ICENSE
Signature of Owner:
STATE:
19l1.
me this -J~ day of <\)~\.~
~rr
(!}W,:)e.....
Sworn to
cClea
2001
My Commission Expires:'