HomeMy WebLinkAbout98-7607
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7607 ~
3- ;23-9J
'"
Date
ElE~AL_. Pl~--" M[EnANII.-AL
:::::,~.:~eq':<J;~~VJf;{ff;(J;?~~
Parcell.D. #
... Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy
NO OCCUPANCY BEFORE C.O.
FINAL (0-.;14 - 9
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
/ Lf.-
?~~:f:A
Oh~~'
ELECT_RI _-
Permit Fee
Signature
Company
Address
Telephone#
'-:i/~4-#~
Valuation or " c)
Contract Price 9'.~ r:( . -
City license Registration # c:J I ;
State Certified license#
PLUMBING.....-... '
-
MEClIAr~IEAL
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.OOl shall be made for each trip for each trade:
;L~-:t7P
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.
I
APPLICATION FOR PERHIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
.f{23 J~
OWNER'S ADDRESS
OWNER'S NAHIL--JJanIL\ ~ /. j)o'(l)(jM'f I-
~~'3Z? \IA" AV1,Y/Il~.
.3~g 2.3
"lLJi
t.Y1ut J
R \VeJ13
Z~~l\ I~
.
Z-kWk
PHONE 7B ~ -1...'\ \ 4
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D. f 14 -7 ". 1..1. nn \ D - l) l> 30D ' CO 54 ~ (OBTAIN FROM PROPERTY TAX NOTICE)
R-t.\&of
WORK PROPOSED:____New Construction ____Addition ----^iteration ~ Repair ____Install
____Sign
---1fove
____DeJlolish
PROPOSED USE: ~Siogle Family
____M/F
____, of Units ____M/H
____eo..ercial
____Indus t.
____Swim. Pool _Other
~Restaurant & Health Department Approval
DESCRIPTION OF WORK:JplI) "\Y\ I v~1 ~ 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
$ ~S 2 . u l)
Valuation of Total Construction
____ELEGTRIGAL
AMP Service
Florida Power Corp.
W.R.E.C.
____HEGllAlUGAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Fra.e ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
.................................*........
CONTRACTOR SECTION
BUTlllER
COMPANY
State Cert. or Regist. #
City License Registration f
.......*..................*...............
Signature
ELEGTRICIAR
COMPANY
State Cert. or Regist. ,
City License Registration f
....*.....................................
SionSlture
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration ,
......*..................................*
Signature
HEGHANIGAL
COMPANY
State Cert. or Regist. ,
City License Registration f
~ *********.******..*....*******...**.*.*.**
~ COItPAliy_M;\.9Y P~md'\oY). I V\C.
. S. tate Cert. or Regist.' ~L ~~S.~7 I~ /
_~City License Registration.' z.. 1.,/
**.*..*..**...*.*...**...***...****.**.*** .
Signature
OTHRR
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PEI~IT AFFIDAVIT
A. NOTICE OF DEED RES'l'IHC'l'IONS
The undersigned understands tllat this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned aS8U1es responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CON'l'RAC'l'OnS AND CON'l'HAC'l'OH HESPONSIBILI'l'IES
If the owner has hired a contractor or contractors to undertake work, Uley lay be required to be licensed in accordance with
state and local regulations, If the contractor is not licensed as required by laN, both the owner and contractor lay be
cited for a lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing
requirelents lay apply for Ule intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
788-6611.
Furtherlore, if the ONner has 'Iired a cuntractor or contractors, 'Ie is advised to have Ule contractor(s) sign portions of the
"Contractor Sections" of tlJis 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 the contractor wishes you to sign
as contractor that lay be an indication tJlat he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES "
D. CONS'l'RUC'l'ION LIEN L1\W (CIlAP'l'EH '/13, FLOHIDl~ s'rA'rU'l'ES, AS AMENDED)
I certify tha~ihe appIica~j~Ye!been provided with a copy of "Florida's Construction Lien Law _ HOl8owner's Protection
Guide" prepared by the Florida Deparllent 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 prolise in good faith to deliver it to the
"oNner" prior to COlllenCelent.
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 cOlpliance with all
applicable laNs regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and t'lat all work will be perforled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goverfilenlal agencies lay apply to tbe intended Nork, and that it is
IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/WasteNater Treallent
· Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· DepartJent of J/ealth & Rehabilitative Services, EnviroDlental J/ealth Unit - Wells, Wastewater Treallent, Septic Tanks
· US EnviroDlental Protection Agency - Asbestos abatelent
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 volUle" will be sublitted which is prepared by a professional engineer registered in tbe State of
Florida prior to perlit, issuance.
. A perlit issued s'lall 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 per.it prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOIe invalid
unless the work authoriled by such perlit is cOllenced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a periOd of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, aay be
alloNed for the perlit wilh fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be l~~ged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHKNTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDBR OR AN ATTORNBY BEFORE RECORDING YOUR NOTICE OF
CO!OO~J08SUND'R 12,500 IN '"LOB DO NOT NRRU IV RRCQRO AN~NUI1C' OF ~..
I1-IL~ / fifL~
Sl ATURB: OWNER OR AGENT S~~RACTOR
STATE OF FLORIDA
COUNTY OF ~,~ to
The foregOing instrument was acknowledged
before me this D3 J2~ , 19~ by
who i't1>j:'~~l}rkl~r who haB
produced
as identificat'on
take an oath
STATK OF FLORIDA
COUNTY OF ? '8~ \.0
The foregoing instrument was acknowledged
before me this D~l'~ , 19~ by
who iBi~~::..rly kI~~ D!hr who haB
produced
as identificat'
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
o! .iliA A. LOVETT ,
$~' '"v Notary rll~lic Slate of FlOrida
~ ~ liMY C!rnm e~plres JulY,.g 2816,2000
% --. .~ C~mn:. No. CC57;'
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~. OUVIA A. LOVETT '.
~ . ';. Notary PuWic, Slate of Florida
i 0: My ~mm expIres July 28,,2000
r, Ccmm No. CC572910
, :c,L\ j, i:i) ; tit 1 I tl\' tiL I U CONSr.
r
~ of lhIt FtJrida
"~ Ind sr... ,....
: At800IIaIDn
: U-6, Intec Cel'lililld
. PlIIInum Itl.NIrtt
I\ItIl2Ot
; 3-13-88; 15:55 ;BETTER BUILT CONST. ;'0
: -- prOpOJilJ . .
A 23/8
ID:t:I MIIBar Construction. ne"
ADoIln(I . Cc:lncftt. . 0cIrnrnMlI.I. "Nishlnli.,
158ft US Hwy,301 Ndrth' Dtlde City. FlOrida 335:19 <::>e
352J&e74047 aow6G2-ZM. FAX: 362/(561-4464
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BuIlder flCeC023221
Stllte ~11flItcl
Roofer 1CCC051682
9t.'. f!tVl4it"'~lf
Rooter#RCO~f8
RCI R.,J"ld
Roof CoI'llUllllU <<11..9
~ 8131783~2414 DATlH:'(: 115 -8')45
813/788~47i9 FAX j 11"98.
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~I'lQI"tlSAl5U...,TT~1) TO
· ^ -,. AVENUE
C1AT'! D" fot.ANs (J.,.. JOIl PHON,. __.
--..- FL. ~_ I
-- .~:~....~::;;i:.::.:.~i:i;,n;-Ina:~~,;;:-~~r-b.t.i ..ay .X:iBHilg-...:Tv,.r-.bingie"!
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. .... .. .g,_..,-.>""-~.!tt....!!ll!U_'<<>"'!tr.ctJ,'!.,,-,-_!vP... -~.. .-'-I1!!'M-'!....L'"l.1.q.~.~,\.. o~~-.!~.Y.!r_"L!!!.!.. 1~. .l!!~. -. . .....1'
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;to 1n.t.l1 th. new GAF .S.ntln.lw 20-y.ar tib.~gl... BhingleB. ,
.., '''C'-- ~liT..;..n-iia...giNi-fi-..j,ing. 'j ;..i"y;--;;';;;t;~;. 0;;;"';011 . iiv.lii.gl .- ''''-'' _.m. i
--. -~~-----'iP;;OYld.' ...nbot.ir ....-i.....;;.....- i ..'-.il.-liili...,;.;......;.. .. ii.';;;;.' th...e'..fiiH'ii" . J
- '-". ..-.-.. fQ.!:~..!!!--!!!!h.. .. --.- --.-.. .... -... ....... ... _ """ .---.--.-.--...... . '.. ......... ..... . _.. ... "__ ....... ..... . . ......1
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~r bro_n). K118.r Gon8truatLon, Inc. to install tb. ..~.dr1p.
IDEIlCE _~, J ,i,'
'd:-;\I.1~. F-" 1",
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.. "';.: "--"""-;:01: t;;''"or-iiio.OiiOdY"ooii'c;:.o:i" d;ci~;-~_1.~-'ti-iii.' ~.;;:; ".n:ni..~r.~"iac;,;:n;y-- _ ... _. . .
.... ._,.._u...__._...J.'-tU!.-r~..!'!H.~,P'_OD.t:r;'.'!'.~~~.I?P.l.. ..J~c;J -'. ..._._ _._..._.................._.._.__. .... .. _..
.....!...... - .1'.!.!~.!'L .Q~!!!~J!.:!!a!!!.'!L.J_~!!.... .':.0. .~!!y!~..,5:.l'!!!"_!~!"!~_~U ..~!'.! .!..~~~!l}__'..!!.~~.~!!,>!.'!,..:... . _..
~... ....ge. work do.. or d.-.g. br oth.... tr.. d...U" ..d/or .tr.ct~'l d..oU.
e roof d.ok.
-- ..
.. .'rvp... hereby to lumlsh mel.rial and lobo. - compMs in OCCOroan.. ";;'h 'bove '00001".00', f<x tho "'In ot
. .., ., , " .. . ,~............_...'.N.. .........,'",..,...... ,".' ..... ,.. "'_''''1 ...... '"'' _'... . ".."." '...
SEE PA~ TWO.
Paymeftt tD ba.. ade a, IoltOWI
OQlIar5 {S
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1
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\llI18Ilerial il oiw~ to bII 8' ~. All WQrlI to be COtl'(II.19<:l I~ . W<<1<mIn.~.
1IA"""'1ICllonI~ t<l.lllIlckltd JlI'..... My 4IIIt8''''" OIl1ev1l1l/vr1 .11"1 .bQ". ~~CllIll)tl$
MIMc111~ ...via will bt IxWClltq O/IljIllpOA "'nlla" ordlf9, M(1 ..,ill ~ ., 'lItr.
PlIIrpt over IIfl abaw IIle !:$limate, All .,.11I1."" llmIIngent upOn stri"-,, loelclenta
r d.ley_ 9ur GV'ltfoI. Own., 10 carr, .~. 't)f,'*iv ami ClIr1.r n.tetSliery f1&UlIIIIC&.
" WOI1l""ll' -flAy ~rld Dr WOrkm.....s Corn;J90S8I1o" IIlluranC/fl.
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~'.ttptqnrt of IJrnpuiul_ T~ above ptices, so.cjti~.t1lm$
,d cO"dltillll1 .,.. fltilflCtory and a~ het'el)V <lccItPtea. lb", ;'119 authorlred
I do the 'Ml? 3$ IDeclfl8d. PlYment Wll~ be m~ outlined ~,
II' or Aoo.plflnoe; - 7 - / -"I c; L
. L __
AI.Ithorii.~
SilJlll,tU1'9
NOle; ThI~ pmpQ'lIIl may b,
'o'IIlM'lIwn by UI If not lIOCeple<l wlIl1in
Signature
:.
91gnMu,,- ~
..;/ ;eUJtl< bUILT COr.ST.
d
3-13-98; 15:56 ;BETTER BUILT CONST. ~
'ropoluu
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11I5204
~ MII'!!t.~~e.s~~~"nc.
11!1111 US Hwy. 30. North . DQ ClIy. Florida 33823 <>-
3G2Jller....7 8OOIIIN3t3 FAX; 3521ee7-4454
PHONIl 813n83-24H --I OIIT!!
IKC. 8131788-4709 ~
JOe /\lAM!:
8ttIC& ce~
Dull. NCBC023221
St_ certllled
Roofer .cCC051~
:Jlat. RegbieflQ
Floofer "OO00G0218
R~' RlIglnNttd
Roor~~14G
;# 11 1
w,,'~
"
IOPOIAL
BETTER BUILT COISraUCTIOK,
~T TTH~ nIl! FIKE
P. O. X"2
ry 8TAThlld l1~OOO!
CRYST SPRINBS FL 33824
CHITIiO'T
03/10/98
DATIi OF ".......3
DOROTHY RIYERS RiSIDEKCE
JOO LOCo\llOI.
38823 .A" AYilUE
I JOII PHONE
I
w. h.,MIV au ap.llIl1clll1lol1S aM ..~.I.. 101';
ZEPHYRHILLS, Fl.
"'" ..J"__"_~.fQJJlIr. ..t.R..JU'..RY.~9.F-.....R.Q.......IJ~1."...."'-..J.~y..lU:J...!.r."'~.Jl,,,~.~... ."-! ~~. ~. r o~~ ...!~-~~!!:,..a !.~~.!_t!.:'!.!1.!I!"._~.9.!.....t~~",.
i-ntire roof ar.a.
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10. [!il8ar Con.iruc~1on, lnc. 1. not respona1ble for Iny wcrk/aat.ri*la
~.,.,.._...'"..."."fj,I).".llt'.dLpl:'ucJ.d.d.....JllJ..t..t..t.t:...l!gj,l \.. .C.Q.Il..t.DAlii.1rJ...v.n,A....J.!!.Cd~. .,....... __. ,.d.. ..." ..."'..,, ...... '...."
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,In....r.no. ($1, eee, lell !i.it) ..nd n-ruoting p."'1I.it.
. .............,-,.......... ..1....-....". ..,'.,..... ,..... ....-... ._~.....,.,........___. ._.4................ .,.........~........ ....._.....w. . . .. .. ,,'........... .......... ,.... '.. ...
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.... ..__..........:.......,........'....4.. .......-.................""....... .... .,...".................".. .. .... II '10' ..... ..... ...... .... ......... to ..... 4._.... ................. .. . ..... .................
.., ......." ...'..,.."...........-...... ., 10'
· P'OPOIl hQreby to fumi.,h material and labor - complete In 8r;cordance wIth abOve SPl/lcl11cations, for the 8urn of
./
I
'1
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....---.........,................. ...-....-..........,.....,. .. ..... ...... .......-.......... ......".. ...... ........ .... .....,. ..... --..... . "'" -.- ..............,..,... ~ ......... .. _.... _..
HINE iUNDR!D FIFTY-two AIID "/l00----------------~_-______..__.h_
. dollarll ($
ym.nl kI b mid... foIlollWB:
DUE U 0" COKPLtTl0N.
~52.00
1.
---..--j,
mBt......~. ';UlranMd IICI be .. 1ptClIlIIa. No WOtk 10 " ..~,., ;~ . wOlkm.n1ilW
_r .. ilia lIlMdafll prBGIIlg... Anr .1Ieranon 01 M~;,tiOll -... ~ lI,"~ignf
iMtl; 1m · Q!1It, "'. '" IXIIC:IUd OIIty UflGl'I YMIItn Oil'''. " wIl OfGlI"" an 8m
174' ,- 4l~ ... N1imB.... All .~r.erqrn. ~Ol1!lngefll lIPOIl _Iq,. BCcid8lJl&
iIIliI,. b d aUl ClllIIroI. Own... to OM) lInI. I\lfl18ClO enll WIt' MC9INry InwurMG..
-ne.,. "fully ooverf9 I>t WOl4lho.rfs C<lmPWfJnl'lI~ IlIIur.'lCIt.
,
AultlOrized
liignatUre
~'~au.rt ~f l1roposo 1- Tile 11I0Vlf prices. 5:~,~,tlOnfi
, Cooditicp5 ." satisfactory 100 .re hereby acceal,d. 'rbu Ire authQrized
Ig 1Iwt "rtI as specllled. P8'jmant w.' be mltde 85 0UIIined 1bGvb.
.of_,.. 1. - l "1 ~q f. :
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