HomeMy WebLinkAbout98-7554
BUILDING PE,RMIT 7554
CITY OF ZEPHYRHILLS
(813) 788-6611
13
Permit
Date -3 ~-s-~r
c9
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcel 1.0. #
~&-~~' .~~/!~
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~ Energy Code:
Description of Work j(.L:1~
Radon Gas:
FINAL
C.O,
DATE
NO OCCUPANCY BEFORE C,O,
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
P~rmit Fee ~ J~" cr-v
SIgnature ~
Company
Address
Telephone#
Valuation or
Contract Price ~ ~cJ?). ~
City License Registration # ;;J.. ~9-3
State Certified License#
...--
~'lJ -
~
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 ($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 ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S
NAME J (~~I t, kJ'1
3<i~{q
:>~Cel '1
~llr~(
k\(~<\ Ave..
A---l If ~,4- A v <..
PHONE
Z \ \-\tl\f I fL
(f "
I g~'b" 5 3
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.'
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition --.Alteration ~epair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE: _S ingle Family
_KIF
_' of Units _K/H
_~ercial
_Indust.
_Swilll. Pool _Other
_Restaurant 5: Hea1t:h Departaent
DESCRIPTION OF WORK: "TEAR oFF - K{2: tCOOF
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COKKERCIAL :
ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UILDING
$ .3 d- (/ZJ . c)-u
,
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
---1IECHAlUCAL
$
Va1uation of Kechanical Instal1ation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _B1oclt _Fraae _Steel
Other
FDfISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUn.DER
COMPANY
State Cert:. or Regist. ,
City License Registration t
******************************************
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. #
City License Registration t
******************************************
Si~ru:llture
PLUKBER
COMPANY
State Cert. or Regist. ,
City License Registration t
******************************************
Signature
MECHAlUCAL
COMPANY
State Cert. or Regist. t
City License Registration ,
******************************************
Signature
~ COIlPANY \CoO Noo)lN
State Cert. or Regist. t (. (L O:fZ87
Signature ---. City License Registration t ~
******************************************
OTRRR
APPLICATION APPROVED BY
PERMIT OFFICER,
CONDITIONS OF PEHMI'I' AFFIDAVIT
A. NOTICE OF DEED RESTHICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONT.Rl\C'I'ORS AND CON'l'.Rl\C'l'OH HESPONSIBILI'I'IES
If the owner has 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, botb the owner and contractor laY be
cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
requirl!.lents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611. .
Furtberlore, 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 which 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 tbe contractor wisbes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
,.:
.
D. CONSTRUC'l'ION LIEN L'AW (CHAPTER 713, FLOHIDA STATUTES I AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection
Guidft" prepared by the Florida DepartJent of Agriculture and ConSUler Affairs. If the applicant is sDleone 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 COllenCl!.Ient.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and tbat all work will be done in cDlpliance with all
applicable laws regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do worl and instailation as indicated. I certify that no vorl or
installation bas COllenced prior to issuance of a perlit and that all work will be perfofled to l8et standards of all law8
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goverRlental agencies ISy apply to tbe intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
t DepartJent of BnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
. Water/Wastewater Treatlent
t Southwest Florida Water Hanagl!.lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnviroRlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatl!.lent
I also certify that, if fill laterial is to be used in Flood Zone "AM or "A,etc.", it is understood tbat a draInage plan
addressing a "cOlpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued shall 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 shall is~u~nce of a perlit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued sball beCOlB invalid
unless the work authorized by such perlit is cOllenced within six IOntha of iSSUance, or if work authorized by the peClit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81t808lon of tite, lIy be
allowed for the perlit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or.tbe project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCRHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIMINTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORR RECORDING YOUR RorICE OP
COHHRNCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NERD TO RECORD AND POST A "NOTICE OF COHMENCKKRNT".
, I
SIGNATURE: ONKER OR AGENT
SIGNATURE: CONTRACTOR
STATK OF FLORIDA
COUIflY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATK OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
who is personally known to me or who has
produced
as identification and who did/did not .
take an oath.
who is personally known to me or who bas
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
11111111111 1111111111 1111111111 I1II1 "III "" 1111
98025023
Florida Statute 713 is the Construction Lien Law. The owner needs to be familiar
with all its passages. At a minimum, file a Notice of Commencement, protect your
rights by obtaining a partial or complete "Release of Lien" prior to any payments
and obtain releases from all providers before ma~ing the final payment.
'1
~.
Rept: 220465 Ree:
05: 0.00 IT: 0.00
03/05/98_______ Dpty Cler
R(3)
NOTICE OF COMMENCEMENT
JED PITTMAN, PASCO ctlJNTY D.E
03/05/98 09:50a. toft
OR BK 3891 PG 1599
Permit No. Tax Folio No.
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) Legal Description: Joblq A-\f~~ A-Vf..
(2) General Description of Improvement: ~e.~'f
Owner Information . \ . '\ . X:: , I "\ -..
(a) Name and address:U\VV'YV\'14. W\'--'--\~'/'II\S """t"\\f::.l-L-'( V0(=-'-\ '^'~...J
3<6Lo1C'j A.L?\\1'\ ~..,.f:Nl.)L Zf-2\\",,~ \-\\L.LS\ rL, -::S3o TO
(b) Interest in Property: 0lu"~i\\
(c) Name and address of fee simple titleholder:
?06 NOQ) if'!. .fC{))l: 1539C.\f,4-/:c- '3 )~'l5
(4) Contractor (Nlme a.nd Address):
(5) Surety rJ fr j
(a) Name and Address: ~l A-
(b) Amount of bond: $
(6) Lender (Name and Address): rJ[A'
(7) Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statues:
^"tA-
(Name and Address)
(8) In addition to himself, Owner designated
of
to receive a copy of the Lienor's Notice as provided in
Section 713.13 (1) (b), Florida Statues.
(9) Expiration date of notice of commencement (the expiration date is 1 year from the
date of recording unless a different date is specified)
<'~..~<; ~g~~~,J;; o~~-:;O 0 \(1 JY'<.. V
Sworn to and subscribed before me this
stA- day of .A)~ 19 9J>
~~J~
(Not Public)
-Jt
~
My Commis ion Ex ~
YL.
~ Notary PubIc. Slate of FlorIda
My oomm. expires Cd. 6. 1999
Convn. No. cc 149883
All materials are guaranteed to be as specified, All work to be
conlpl eted in a workman 1 i ke manner accord i ng to standard pract ices,
Any alteraticms or deviation frc\lIl the alJove speciflcat.lons
invoJving extra cost will be executpd only upon written order and
wi lIb e C c. mea n e:< t r a c h a r 9 e 0 v era n dab 0 vet h e e 5 t i ma t e . AIl
agreements are contingent upon strikes, accidents, or delays beyond
our contr 0 I. Owner to car r y fir e , tor nado and other necessar y
insurance, Should any indebtedness not paid in accordance with the
terms of this propusal, the undersigned customer agrees to pay all
costs of cc'llecllon including attorney's fees.
Rob Noojin Roefing will not be responsible for structural defects,
(ie, warped, deteriorated, or cracked trusses) Electrical,
plumbi:,gi and HVAC work related to the roof is by others, Finish
v!ork is by others, (ie, painting, stucco, etc.)
Pa~ment\-.terms: x:H ~UL.C u'/btJ Cc>>tr\.,6:,l~
Acceptance: .
~~
"2-~ "U>--4 ~
~ C~J-d<JM(IG.AwJ
~)- ll-0 <6
Da.t.e:
ROOFING PROPOSAL
Commercial
Residential
Indu5trial
ROB NOOJIN
state Certified Roofing License nccc 042857; Mailing address;
F.O. Box 7S896; Tampa, Fl., 3367:,-0896
Contact Rob Noojin Home: 352-~,88-4416 or Pager: (800) 940-5893
Contact Bob Cole: PagEl: 813-256-1788; Office; 813-888-8833
24 hI, Fax: 813-888-8736; E-mail: roofer228087@aol.com
To: -ntt W\uJA(\I\S-
Job Site:
33~(~ k\~~A ~V~.
WE PROPOSE to furnish labor and material to complete the following
work for the contract amount of $ :;:;CfJ --rJ\fe,lt.~>>J -\-tMJ ~\h~.
uv~ PrU- f)( SC1 \i~G- s \:t ( f'4 CrltL- S V ~L--l- E"/ Me
~td~e.-0~~, lff}V &::qS J fA-u~ ~fS" ~ G~\J -V~{~\S ,
o ~~iLJili U(J +0 ('2) -two . S~~t$ f\
" l
Lb ( ~)Ci1 ex- 1)(:(;'.
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'In S1J1tL- (\&0 (J ~ feLT) y-tt1Nl<~.ecA
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YrJlJ\V-- Nfv> r;)O'f(' f(<~
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eot.( ~ ~1i':\A~,.
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t
t.f~~ <); ( efl-1OlIlC- irvt- 0 ~ ~~ I ~
fPof"\. p[.eMc~..e.).
*Deck damage is not the responsibility of the roofing contractor
unless specified in this agreement. Any repair or replacement
required will be an additional cost to~owner/contractor at
$ l~ per square foot for plywood, $ l::>() per linear foot for lX.
$ -ZC:O per 1 i near foot f,or tongue and gr oove, $ 'Z. 00 per 1 inear
foot for 2"X 4",
-
See back of this page for conditional statements....