HomeMy WebLinkAbout98-7906
BUILDING PE.RMIT
BUILDING
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
(813) 788-5262
PLUMBING
Permit
7906 13
Date
J?-/,f-- ?P'
MECHANICAL
Sewer Conn
Water Conn:
Pmperty Owne" ~ 1- c..-~ Wate, Mete"
Job Address: ~.O'..-A'L 7/~CI~--~ ,f~ T.I.F.'s:
Pame".D.' J / - -;:-J/. 0 P L 0.. " "1.J.<:1 ~:. 0 ~ 0
Zoning: (J Energ~o...dej-- ". ~Ran nAG G~aa~s~~ T J ~ fL. _ ~
Description of Work I..y<~ _.f/~~~ ~ ~ ""-
NO OCCUPANCY BEFORE C.O.
FINAL
P -z..7-9J JL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
.<<A-
Inspector
Permit Fee ~ ~
Signature ~~. "/~
Company ~S5 ~JL9S r. G,.) .IlJe.,.
Address 2855.5.5Je.- 5q.. W J Wf3Gl--EN CI.f'~Ft...
J
Telephone# Cf73- l..flq I
13"I....L
City License Registration #
State Certified License#
/(PCJ
Ci~ &~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. 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-e-:ee1 shall be made for each trip for each trade:
.;L.~-; V"'"D
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.
07/28/1998 10:37
8139734348
l.;I'<U::'::' 'uUI'l::> I r<:uo.., I o..,u
1,..,\.AI- U 4-
PlIF J of I
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~'Pf)S,4.L
---
CROSS CONSTRUCTION CO., INC.
P.O. BOX 7106
WESLEY CHAPEL, FL 33543
8131973-4191 8131973-4348 F....
J>rupo.I Sllblllil1lXl to: Ms. Linda Y ouog Reffit Pbonc: Dno:
C/O Centu 21.. Mike Prilliman Jul 10 1998
Sueet:
P.O. Box 578
City, StI&te anclZip Code:
Ze h hills Florida 33539
Am;
Job Name:
Demolition
Job Location:
1605 Ft. Kin H
Consultant:
. \
'11 Florida
Fu
813-783-2724
WE HEREBY SUBMIT SPECIFICATIONS AND BSTlMATES FOR:
We propose to furnish all )abor~ materials, equipment, insurance and permits necessary for the demolition and
removal of tbe structures located at the above referenced project location_
All demolition work to be done in compliance with all EPA and OSHA rules, regulations and guidelines~ and to
be done in a timely and worlonantike manner by employees of Cross ConstnlCtiOll Co., Inc.
All materials will be properly disposed of in an authorized landfill.
The prices quoted includes the disconnect and capping of existing sewer lines or the complete removal and filling
(with dirt) of existing septic tanks.
Prices proposed as follows:
A. 1605 Ft. King Hwy- ( one structure) ~. ~ ) 2.00. I2Q. ~
Cross Construction hereby excludes removal and disposal of hazardous waste if located during demolition
ocedures.
We propoIB ~ to ~ ~J a: JabQr 0IIII;If'Ide in ___ with above spectflCl1kllll. for \bI: sum of:
AS STATED- ~------..............
PlIymaIt to ~ .... _ iJIbft:
o ON A PTANCE
All meteri81 II patINIed 10 be.lIpICified. A11-': 10 be campIcIlxl ~.
ill. ~ _~ lO~pndicra. ADyaltcnttion
Of ~liun &olIIew-.lf*ifioali_ illvoMot ... -'tI will b..
~ vN)'1,lplO ~ ..., will ~... _ cheop OWl" end Authoritod s~; RicbMd o.ck, Pmj.Dl:I ~
.bo\4t theC!dirttat*, A.D.~ ~ upoo 1IIribII, ~
or cX!.ys bcyoad ow GQQlIvL 0Mta-1O QIR)' fiR. tomIdo... otJ:w N( IT);: Thill prupoI8l may .. wiUIdnl_ by .. it QlIC
ftlICUMJ}'~. Our worUn -lWly eo-..d by WoRa'" .~ wi!hin 3lLday.,
C 'OIIID1unn11e.
ACCEPTANCE OF PROPOSAL:
The Ibove prices, specirlCltions .. concIidons Ire
satisCIttory IIIId 1ft J.nby I\L"tqJIId You_
aIIhoriZlId to do Ihc work III specified. Payment
will be: IINIdc 85 QUtIQJod .oove.
AS STATED
~ ~ ~ ::h.P.#- /1- Z?-.2/- t::JCJIO- 00200-005"'0
c:rcd4 tJ--~~ ~ :Z C~7~'~
aJ41' dd 5 ~ !, -- ( "'() /).A-pr . (l -. - .--
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECE:IVED
PLANS REVIEW FEE
OWNER'S NAME L-INDA "('0 UN b RlSFflT
JOB ADDRESS I ro 05 FT: KIN G Hw i. . ZE.PH-("Rlfl LLG
.
PHONE 7 f 5 - , s r 5 ~-r; '7
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # II ~ 'L(, ~ 2/- 00 10 - 002.-00 - 0050
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
~EMOLISH
o REPAIR
o INSTALL
o SI GN
o MOVE
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
2 S)(. 30
DE.lVIoUS>H ?T~Uc....TURE.. ANb GLeAN ~PI5E<:tY
f'fZ..OM ? \"Tl:!.
SQUARE FOOTAGE '750
. '
j. ,.,:
liEI GHT
DEl3~S
, sn,~Y'
DESCRIPTION OF WORK
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 REQUESTED
0"BUILDING
$
2- 'Z.. p t:l. !2t2
I
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
l:.'!'-":, ';"j;'Li::.!:'
"CON1'RACr.r.oR~t;S!:cti:IOi;'.
~ '-;" .......,....;,". ,;..' .~,', .','" ".,r "" ", .;. _,c.,:.. ;. _,., ., ..\,\~;"._.,,~.:'..,}t '-f>l
SIGNATURE
~~~
COMPANY c:.~s.Go Cl:'J.J $>T~c....n oJJ 60, J I NC
STA'fE CERT OR REGIST # c.,e.c.OZ(,p2lf'
CITY PROCESSING # ~ ~ 0
BUILDER
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills auilding 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 which they
will be responsible. If you, as the owner signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating constru~t~on; zoning, and land
development. .
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has comnenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways ,
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
~$2 ,500 IN VALU~E DO NO~" NEE; ;, ;CORD AND POS'!, A "N~CE OF COMMENCENEN'!'''. .
~ ~ ~/,/6. ~
SI ATURE: 7NOR' AG N SIGNATURE: CONTRACTOR
~~~~~yO~FFLORIDA AS(!O ~~~~~yO~FFLORIDA //;.5(10
The foregoing instr ment was The foregoing instrument wa?Lacknowledge~
:~f02~ me this day 0 :~fore ~~:n!r &~~~' 19 'tL.
(name of person acknowledged) (name of person acknowledged)
Owho is personally known to me, or C1ho is personally known to me, or
~ who has produced F/tJi!."JJIJ- ./kIllers}" c:.- ~ho has produced rAM!!':O.4 .LJ~JveL5. LI c...
(type of identification) (type of identification)
d not take an oath. and wh Ddid ~i not take an oath
acknowledgement
of person taki acknowledgment
~ ~ NeD Petty
_My Commission CC740062
Name typed, &pIledlayCuaped
~' ~ Nell Petty
.fl f,~~ion SG?ioaa
Name type .. &ris {2Ob2amped
SPECIFICATIONS FOR DEMOLITION
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
PERMIT FEE: $50.00
PERMIT #
1. Contractor shall be licensed and/or registered by the City of
Zephyrhills.
2. Permit application complete with owner's notarized
signature. Permit for demolition must be obtained from the
City of Zephyrhills Building Department.
J
3. Septic Tanks: Contact Glen Thompson - Health Department, Dade
City. See attachment.
4. Get signed release from Power Company, G.T.E., and other
utilities.
5. Building shall be demolished to ground level plus footer if so
constructed and after demolition work has commenced, contractor
shall pursue work diligently without unreasonable interruption
for safety reasons.
6. Any surface holes, irregularities, etc. shall be filled with
clean fill dirt and graded to provide effective surface
drainage and then reseeded.
7. All debris and accumulation of material from the structure and
yard area shall be removed from the premises. No material
shall be buried on site.
8. Building's sewer line shall be effectively plugged with
concrete or an approved plug at the property line and then
inspected by the Zephyrhills Building Department.
''<\'\15 ;/ Ch~r.j~
FLORIDA, WER REPRESENTATIVE,
GENERAL TELEPHONE COMPANY REPRESENTATIVE
OTHER UTILITY