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.