HomeMy WebLinkAbout98-7510
BUILDING PE"RMIT 7510 13
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date _
.J--~'- y~
CSU~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: , .#~
Job Address:3 i- S'/ /J -
Parcell.D. #
Zoning: Energy Code:
Description of Work~ f(, <2 .~
JJ--",.(/~/
tj$7~ ~
Water Meter:
T.I.F.'s:
Radon Gas:
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
I
Permit Fee
Signature
Company
Address
Telephone#
3&..cri)
Valuation or
Contract Price ~ --S -0-0 . cY-v
..,~C
City License Registration # oL ~
State Certified License#
--
.- F~ -'ow"
BUILDING
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($+tt:O'O) shall be made for each trip for each trade:
~-. crt)
a.
b.
C.
d.
e.
f.
g.
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
?lr0PS@ 1f:"
CARBON LESS
FORM 3850
I:JROPOSAl
TRIPUCATE
~RYMAN CONSTRUCTION DaftDn~41
(ROOFING & ALUMINUcl ~Y~~d~)
37325 SR 54 WEST
ZEPHYRHILLS, FL 3354l
PHONE:8l3-782-6094 LICENSE:RC006l64
T5ll
Sheet r~o.
;2- /7 ~ err
C)/o
Proposal Submitted To:
Work To Be Performed At:
Name
/J /. ;r V\, ,V\. "'- ~ I
.3 &--,..5 YJ cfr#
:e ? -//- '/1"'3 State
7&:-3 ,.. 21 &1
Parcel 1.0.
#
Street
/,]dJ
J-/
Street
City
City
State
Phone
Date of Plans
Architect
We hereby propose to furnish the materials and perform the labor necessary for the completion of
1.)
2.)
3. )
4. )
5. )
6. )
7. )
8. )
9. )
Complete tear-off of existing shingles.~ /.nel.k~
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 driB-edge around perimeter.
Installation of new ;2~ 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.
TOTAL BID: $ /.500. c)C)
Bad plywood replaced at a cost of $ 40.00 per sheet.
Installation of new 2 x 4" lumber and 1 x 6" fascia or
any other wood work to be replaced on a time and
material basis. at a labor cost of $ 30.00 per hour,
per man.
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
00 <2, Dollarp [$ / J.
with payments to be made as follows: fb..;cA. l:bvtiJ iro. F<l!Ct/JCf 0"; l~l'II"'lf7, I"J
Any alteratiOn or deviation from above specifications involving extr"
costs, will be executed only upon written orders, and will become an
e:<tra charge over and above the estimate All agreements contingent
upon strikes, accidents or delays beyond aliI' control Owner to cal'ry
fire, tornado and other necessary insurance upon above work. Work,
men's Compensation and PubliC Liability Insurance on above work to be
taken out by
R"'pee"""y ,,"bm;tted ~ ~4 J __
Per /~//;J/,f- ~ _~ ("-> / ..../ r ~ ->
Note-This proposal may be withdrawn by us if not accepted
within days.
:~\>:. "
\.... ....................'.. " . ..... .,' ACCEPTANCE OF PROP~SAL
:.............'.,......Th....,...... e.a~.pveprices, specifications and conditions are satisfactory and are hereby acc . ed, You a
x payment will be made as outlined above. ,
} . Signature';,.'
do the work as specified.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S ADDRESS
STEVE HUMME2
38541 4th. AVE. ZEPHYRHJ22S
PHONE
783-2101
OWNER'S NAKE
JOB ADDRESS
SAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction ----Addition ----^lteration ____Repair ____Install
____Sign
---.Jfove
____Demolish
PROPOSED USE: ~Single Family
---.Jfl F
____, of Units ____M/H
____eo..ercial
____Indust.
____Swim. Pool _Other
~estaurant & Health Department Approval
DESCRIPTION OF WORK: RE-ROOF
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 FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
____BUILDING
$
ISOO. ore>
Valuation of Total Construction
_ELEC'l'R.lCAL
AMP Service
Florida Power Corp.
W.R.E.C.
---.KECHAHlCAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
x
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae ____Steel
Other
FINISHED FLOOR ELEVATIONS:
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 #
******************************************
Si2D.ature
PLlJMB~
COMPANY
State Cert. or Regist. #
City License Registration #
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. #
City License Registration .
******************************************
Signature
Signature
... ~ ~~.. . COMPANY RYMAN CONSTRUCTJON (ROOFING
~. State Cert. or Regist. # RCUUo 104"
~ Y . City License Registration # L I:)
/ ******************************************
DIV.)
QIIIER
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
lhe undereigned ueder,tend, that thie peDlit ..y be 'ubject to 'deed reetrictioo,' wbicb .ay be lOre restrictive than City
regulations, The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ....r ben hired a contractor or contractors to undertale worl, tbey .ay be reguired to be licensed in accordence with
state and local regulations. If the contractor is not licensed en required by law, both the owner and contractor ..y be
cited for a lisdeoeanor violation under stete law. If the owner or intended cootractor are uncertaio as to wbet licensiog
requiresents .ay apply for the intended worl, they are advised to cootect the City of Zepbyrhills BUilding Departlent, (813)
788-6611.
PUrtheDlore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections' of this application for whieb they will be responsible. If you, as the owner sign as the contractor,
you are iOdicating that you, rather tben the contractor, are responsible for the worl. If the contractor wisbes you to sigo
ae coetractor that .ay be en indication that be is not prnperly 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 oectify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien taw _ Bcoeooeer's Frotection
Guide' Prepared by the Florida Departsent of Agriculture end Cons"", Affairs. If the applicant ie SOlOone other than the
'OlIOer", I certify that I beve obtaioed a copy of the above described dOCllllent and pr"i" in good fai th to deli ver it to the
"owner" prior to couenceJent.
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 laws regulating construction, zoning, and land developJent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation ben COIIenced prior to I880ance of a perlit and that ell worl will be perfoDled to leet standards of all IONS
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies lay apply to tbe intended work, and that it is
IY responsibility to identify wbat actions I must take to be in compliance. Such agencies include but are not lilited to:
* Department of Environmental Regulation - Cypress Baybeads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater TreatJent
* Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t De artJent of Health & Rehabilitative Services RnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatement
I also certify that, if flII .aterial is to be used in Flood Zooe 'A" or "A, etc. ", it is understood tbat a drsinaqe pi"
addressing a "cOlpensating volUle" will be submitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per,it issued shall be construed to be a license to procoad with the worl and not as authority to violate, ceoceI alter, 0'
set aside any provisions of th. technical codes, nor sball issuanc. of a peroit pr.vent th. Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per..it issued shall be cOle invalid
unless the wort authorized by sueb peroit is COIIenced withIn siz IOnths of i,suaoc., or if wort authorIzed by th. peroit is
anspeoded or abandon.d for a period of siz IOntha after th. ti.e the worl Is COIIeJJced. One gO day ..tensioo of u.e, lay be
allowed for the perJit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCKHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKHENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COliJIENCSJm/II" JOBS ONDBR 12:500 IN V?Ol NEEO 10 RNCORD AlID POSl A 'NOllCE OF COJlJO!NCIDIEN!". .
\/~~~ /~, ~~/ ~ ~
~..~ p~~-'-. J ~~~
SIGNATURE: A E SIGNATURE: CO RACTOR '.
STATE OF FLORIDA %?
COUH7Y OF \~ )~
The foregOing instrument was acknowledged
before me this ,~~ \"i , 19~ by
STATE OF FLORIDA
COUNTY OF _ ~~ r-,,~ ~
The foregoing ins~rum~
before me this~ t)~\1
was acknowledged
, 1932- by
who is personally know to me or who has
produce
as identification and who did/did no~
ta~n ~ j\~ '-___/__
~ ~~, "-
(Signature)
who is~sonally~O me or who has
produced -----"'~
as identification and who didY~cGlof)
ta~an~.~
--:.... S;'\, - ~ ') K", K~ "---
(Signature)
(Nam~ Typed, Printed g,t; S..t,am~~dl(}
NOTARY PUBLIC #'6"'" nne . ~nner
~.~MY CommIssIon CC703125
....,....." Expires December 16. 2001
(Name Typed, Printed >>eQ,};SSion CC703125
NOTARY PUBLIC ~....,..,., ExpIres December 16, 2001