Loading...
HomeMy WebLinkAbout98-7376 BUILDING PERMIT " CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7376 .;g Date J --g--1~ ~ ELECTRICAL PLUMBING MECHANICAL P~perty Ow.., [) dY\ -!;r5i~ Job Address: ,6 0 /b _____~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code:_ Description of Work -----;:.? J) .A...o-z/ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 8 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 ( :~;:::~~~ Company Address Telephone# Valuation or Contract Price ;2... .,;L S/~ --. tJ-v " City License Registration # ;2 7 Y State Certified License# '~/Y~cr.A->_ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($ ~I shall be made for each trip for each trade: :L$':~ 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. APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER'S N~O.~ S~. '"} iC~ 01 / e 1/1.0<. I" $ f- OWNER'S ADDRESS ~ 01 (p. / ~ -;/-f !..S'/ PHONE ?8'R - /J>~ ~ JOB ADDRESS Sa ~ <:.- 2 -h/, /.(, ~~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install ____Sign --.Hove ____Deaolish PROPOSED USE: ____S ingle Family --.H/F _, of Units --.H/H _eo..ercial _Indust. ____Swim. Pool _Other ~estaurant & Health Department Approval DESCRIPTION OF WORK: e IJOftJ+ BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMTTS REOUESTED ,4:...BUlLDING _ELECTRICAL $ 2 f2 '-/ -<: co i Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. _KECHAHlCAL $ Valuation 'of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ----Block. ,_Frue _Steel Other FINISHED FLOOR ELEVAttONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. # City License Registration # ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. # City License Registration # *********,******************************** Silmature PLUMB~ COMPANY State Cert. or Regist. # City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. # City License Registration # ****************************************** Signature l!IIIIlII ~ COIIPANY 4:/?l~~ d~ . "" . / /, State Cert.or Regist. # ,f'e "1'1 ~/~ 'YR Signature . City License Registration # 2'/0:;/ ~~...................................... - APPLICATION APPROVED BY PERMIT OFFICER. ,,/ '. CONDITIONS OF PERMIT AFFIDAVIT -A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peClit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUJes responsibility f~r 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 lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as requ~red by lall, both the ollIler and contractor lay be cited for a lisdeleanor violation under state lall. If the ollIler or intended contractor are uncertain as to IIhat licensing requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the 1I0rk. If the contractor IIi shes you to sign as contractor that lay be an indication that he is not properly' licensed and is not entitled to per.itting 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, have been provided with a copy of "Florida's Construction Lien Lall _ HOIeOllDer's Protection Guide" p+epared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the "ollner" prior to couencelent. 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 compliance with all applicable lalls regulating construction, zoning, and land developlent. Application is hereby lade to obtain a permit to do 1I0rk and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a per.it and that all 1I0rk lIill be perfoCled to leet standards of all lalls regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other goverIllental agencies lay apply to the intended lIork, and that it is my responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Department of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastellater TreatJent t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Army Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volUJe" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to procf;Gd 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 permit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becOle invalid unless the work authorized by such permit is cOllenced lIithin six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the ti.e the lIork is couenced. One 90 day extension of ti.e, laY be allolled for the perlit with fee charge of $15.00. The extension shall be requested in IIriting to the Building Official. An approved inspection .ust be logged during each six IOnth period, or the project lIill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERrY. IF YOU INTEND TO OBTAIN FINANCI!lG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR !IO'fICE OF r.oHMENCSMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM!lliNCEHSNTII. _ ~4J- ~~4^L~ SIt!lATURE: DliNER O~NT ,. SIGNATURE: CONTRACT , STATE OF FLORIDA COUNTY OF 'i:::\:-~ ~ The foregoing instrument was acknowledged before me this \ -I , ::. 9 ~ by STATE OF FLORIDA COUNTY OF \:Q... '}-.., ~ The foregoing instrument was aCknowledged before me this \._) , 19~ by who i ersonally known~o me or who has d ~ pro uce as identification and who di~_~o~ take an oath. I\. ".. ",,,-y . ~tt~.-~~~ 1'<''' "'"_ (Signature) who i~rsonally ~ to me or who has produced-- as identification and who di~ take an oa~. "_ \\ ~/' ~%.~~~ $) ",~~- (Signature) '."6."'~ Annette H Kenner * *My Commission CC70312~ (Name Typed, Printed ot.. ,~ NOTARY PUBLIC (Nam~ Typed, Printed NOTARY PUBLIC or Stamped) ""6"~ Annette H Kenner *~ *My Commission CC703125 ......" ".".- ExpIres December 16, 2001 --.... -, - -.... RYMAN CONSTRUCTION ~JMJ.POSAL (ROOFING & ALUMINUM DIVISION) ~37325 SR 54 WEST 2:EPHYRHILLS, FL 33541 PHONE:813-782-6094 LICENSE:RC006164 Sheet No, No. Date _, . "X:444 ~ ,;~,P; :-.:,.;.-.... .- :.' ...'j L 2. ~/-~__~:~~/i ' /,~...S. '.1., Name Dc) rJ S L.v ) V ({ Ie- 1-/.... r"$ +-- Work To Be Performed At: Parcel 1.0. fI. $!1ijj!!y~ Pro osal Submitted To: City t, oj b 1(., i Ii -sY- / /- ;;::::.-/' 2. - 1/',,/ rs- State 7 V S- I ~' l, (,.; Street Street City State Phone Date of Plans Architect We hereby propose to furnish the materials ami perform the labor necessary for the completion of 1.) 2. ) 3. ) 4. ) 5. ) 6. ) 7. ) 8. ) 9. ) Complete tear-off of existing shingles. Roof dried in with 15 lb. felt. Install all new valley metal with galvanized metal. Installation of all new lead boots through roof. Installation of new drip edge around perimeter. -' Installation of new ~ year fungus-resistant shingles. All debris removed from the job site. All materials and labor furnished. Five year leak warranty. PAYMENT DUE UPON COMPLETION OF JOB. fel, })~ ~ J:Jy1) -5lJ{), ~ TOTAL BID: $ J 9 :lD ,. c'C:l Bad plywood replaced at a cost of $ 40.00 per sheet. Installation of new 2x4" lumber and lx6" fascia @ $ 2.50 per lineal ft. ~C)ct.:+ ~~ac ~c. ria f- ~o-F /)N ~.se4. r ~~.s :J2.Sto with payments t;n be made as fnllows. 500. cC,;. ~ v,;),.J work to be performed in accordance with the In [) substantial wor-kmanlike manner for Dollars [$ /34:.1. IV flH' O,.J rY t:J ~I' I,. f,' 0 .,J drawings and the sum of ], All material is guaranteed to be as specified, and the above specifications subrniUed for C1bovp wnl'k and completer! ^ny alteration Qt' devi8tinn from ahov~ sP8clflc8tiunr; i!)'J'll'/inq pxtr(l costs, INill he execlIted only uf-lnn writ.t::en nrdprs, nnr:l '.vlll lJp.cnrnc an Axtf'a char'ge over ~Ild ab(Jve t.he estim;:It:p,. All r1greenv:'l1t.s COllt:ingent upnn st,r'ikes, ncdrlp.nl s nr rklays heyond Olll' control OWrlPr' to cRrry firp, tornado Rlld oth8r flPCPSScH'Y insuF'(ItlGP, upon abuve wnr k. Wfwk 1111"!11'S Comp8ns8t.inll ~md PlllJlir: I j:lhdiLV In~IJr~tlrp' no nbuvp wOft to hr> t:akr'!rl (ll It IJV Respectfully submitted 4 rYJ 'l.. ~ Per j/Yl, k r >t:"rv..r.....> NoL8 1 his pr'oposal rnay be withdrawn by us if not accepted within days. ACC'EPT ANCE UF PROPOSAL The above prices, specifications fmd conditiuIIs are satisractorDl, ',re h,"eby acc:&,p, , You are aut.horized to do the work as specified. Payment will be made as outlined above.. ,.,....,,.-; , A _" () /J /1......,.,----.. -_ I ~g J (~~clA<J"',, .i- Odte Signature .--------_. ---_.._-------_.~--~_.~-~ .-.--'-..- ...----.- --.,...._- -- ,- --- -----_._.-~.. --.--------- nmnlNAL MADE IN USA.