The URL can be used to link to this page

Home My WebLink About00-9164 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09164 /- /'1-00 . Date Property Owner: Job Address: Parcell.D. # ELECTRICAL ,r'.... P~ M~ Sewer Conn Water Conn: BUILDING ----_/ Water Meter: T.I.F.'s: Zoning: Description of Work 2rgy Code: - L, iliA ~p~tN{; R~ Gas: . /'" -1-/ A..JL, erJ'1JL.,. .~.fi/;LY4, 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. FINAL -. - ~ --,ociJ DATE Valuation or Contract Price .-- (2. /f00. , City License Registration # t9... / 6 ~ State Certified License# ff~~ .br?' PCl? ~. BUILDJ.Mt/ ,., lm J.t1. D 7Jl?fi ~;?O)L - J1 - ti) /lc.1 ELECTRICAL , ~~~ ~;L Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ($ 25.00 I 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 PERM.IT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OIINER'S ~ fl, .Ih~d OWNER'S ADDRESS ~ ~tf~ h ~f '/)fl JOB ADDRESS ~ IJlGAL DBSCIUPrION: LOT(S) ~ BLOCK SUBDIVISION -s PARCEL I. D,' 0'3 - d ~ 'J J - () I ()..() - (')fY)rJ 0 - rJ ,V (J (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration __epair _Install POO-;' ;r3-T-~~ 7ef~VlLp{ ( '& :3 s -I S;-;(J(C((. oPrks pjft~lE- , _Sign -",ove _DeJIOlish PROPOSED USE: _Si~leF~ily _KIF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Departaent Approval fJlzro/\ E~r /n t/A '/\ t:2 C//V~ _ S-J;/77(.?A. BUILDING SIZE: x Square Feet. Height RESIDERTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, ~UILDING ~ELECTRICAL PERKITS REOUESTED $ OZ yo 0 l ~O Valuation of Total Construction AMP Service Florida Power Corp. W,R.E.C. ~CHAIIICAL $ Valuation of Kecbanical Installation ~UKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FI.RISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA'l YES NO .......................................... CONTRACTOR SECTION RIJTUlER COKPANY State Cert. or Regist. . Signature City License Registration . .......................................... =CIAR ~-:>.7 COIIPAJIY !/t'/,-~ M~ ~~-~ ~ .~/"., State Cert. or Regist. . - /'? L. __ ure~ ~ City License Registration' !2..I.Jl..!L -:-- - .......................................... PLUMBER COMPANY State Cert. or Regist, . Signature City License Registration , ............................*....*........ MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . .......................................... OTRRR COMPANY State Cert. or Regist, , Signature City License Registration t .......................................... APPLICATION APPROVED BY PERM.IT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations, The undersigned assUles responsibility (or cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On RESPONSIBILITIES 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, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiretents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtherlOre, 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 t'lan the contractor, are responsible for the work, If the contractor wishes 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 II D. CONSTRUC'rION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ BOIeOMDer'. Protection Guide" prepared by the Florida Departlent of Agriculture and ConsOllr Affairs. If the applicant is sOIeDne 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 cOllenCetent. E. CONTRACTOR 'S/OWNER'S AFFIDAVI'I' I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all lawl regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not lilited to: t Departlent of BnviroDlental Regulation - Cypress Bayheads, Vetland Areas and BnviroDlentally Sensitive Lands, Vater/Vastewater Treatlent t Southwest Florida Vater "anagetent District - Veils, Cypress Bayheads, Vetland Areas, Altering Vatercourses t Arl' Corps of Engineers - Seawall's, Docks, Havigable Vaterways t Departlent of Health i Rehabilitative Services, BnviroDlental Health Unit - VeIls, Vastewater Treallent, Septic Tanks I US BnviroDlental Protection Agency - Asbestos abatllent 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 volOle" will be sublitted which 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 lrUl thereafter requiring a correction of errors in plans, construction, or violations of any code, Every peIlit ilsued shall beCDIB invalid unless the worl authorized by such perlit is cOllenced within sil IOntha of issuance, or if worl authorized by tbe per.it is suspended or abandoned for a period of six IOnths after the tile the worl is cOllenced, One 90 day utension of tile, 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 sil IOnthperiod, or the project will be considered abandoned. VARlHNG TO OWHER: YOUR FAILURE TO RECORD A HOTICB OF COtfHBNCBHBHT HAY RESULT IH YOUR PAYlHC niCE FOR IHPROVIIIIIl'S TO YOUR PROPBRTY. IF "YOU InRHD TO OBTAIH FIHAHCIHG, COHSULT VITH YOUR LENDIlR OR AN ATTORIIlY BIlFORIl RIlCORDIHG YOUR NOlICl OF CotIHEHCE"ENT, JOBS UNDER $2,500 IH VALUE DO NOT HEED TO RECORD ABD POST A .HOTICE OF COIfHIlHClllBHT., . SIGHArURIl: OWNER OR AGINT .' I SIGHATURE: COHrRACTOR STATE OF FLORIDA couny OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUHTY OF The foregOing instrument was aCknOWledged before me this , 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 has 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 5-3y8G l~~ Y'7C w{3 J>qS . NATIONAL HEADQUARTERS and MANUFACTURING FACIUTIES 10597 Oak Street N.E.. St Petersburg, FL 33716 St. Pete/Tampa 576-1143 Toll Free (BOO) 683.9505 FLORIDA SALES OFFICES. Ft. Myers. 3800 Fowler Ave., Ft. Myers, FL 33901 Pompano Beach. 3750 Park Central Blvd., N. Pompano Beach, FL 33064 l'/'MV.roll-a-way com FL State Lic. #SC C049534. ECAOOl435 A PRODUCT OF PRIME MARKETING GROUP '"" SALESMAN \!) AuAD /1J1Cfl (r" DATE /c;) /ff..9/Yr PAGE I of I '-/ 1? WEEKS . ESTIMATED TIME OF INSTALLATION ORDER NO CUSTOMER NAME '):{, M~:;;:; .;:> /fiE: iJ HOME PHONE go/3 7f1A'- JYOL WORK PHONE ADDRESS !: S 9 . /')'A It. CITY Z F:F# YA./~,1L-L..... C:;' STATE Fi- ZIP ...?5S'/j-Oh/3 - JOB ADDRESS NAME OF CONDO # ELEVATION Shutter Classification: o Solarshade o Security (B1iurricane Protection Mar:'lufactured and installed in compliance with all local building codes. Stand!!tr~rs for Tracks and Valance ar~ White; (IV) Ivory; (B~~nZe; Special Color m Slats . IIs/Angl~ Buildout/Angle JraCk-l3'Z.-valance Back panel~BTM SlatJj'Z Purlin SHUTTER OPENING NUMBER # j # . # # # # # # TYPE OF SHUTTER (jyslF TYPE OF SLAT PROFILE fJ&S WIDTH (TRACK TO TRACK) /1)' I ho/ TRACK HEIGHT ; OPERATOR TYPE 04 OPERATOR LOCATION (ISLO) I-r-AJ rJ MOTOR OVERRIDE (YES/NO) V&.f PURLlN CODE AND TYPE II BACK PANEL (YES/NO) Nfl OPERATORS SPECIAL INSTRUCTIONS 1) Pull Strap 2)3:1 Crank w/Strap I have been furnished a copy of the Consumer Rights Notice and a Notice of Commencement required by Statute 713~ (Initial) 3) Gear & Crank Handle 4) Motorized Execution of this Sales Agreement by Buyer constitutes authorization for Prime Marketing Group to obtain Buyer's credit report from a credit reporting agency. TE~ CONTRACT AMOUNT $ :2 )500 - 1/3 DOWN, BALANCE ON COMPLETION LESS DEPOSIT 2S Ot5 o FINANCING CHECK NO L//() t:) o OTHER BALANCE DUE PER TERMS bh7S CIRCLE ONE: MC VISA DISC AMEX MAKE ALL PAYMENTS TO ROLL-A-WAY ACCOUNT NO. EXP. DATE 10601 OAK ST., NE, ST. PETERSBURG, FL 33716 .// - PAYMENTS IN.., CA~~, ALWAYS REQUEST A RECEIPT SALESMAN I( L:/j II Z; 1/~. f _ ~ ClUTt:H (7./..:T~ //- '1. Y . ss# , ACCEPTED BY ~ -~ ( J G v'k/" BUYER ~"../ It# '. SS# THIS ORDER BECOMES A CONTRACT ONLY WHEN ACCEPTED BY PRIME MARKETING GROUP, AT ITS HOME OFFICE, AS REFLECTED BY THE ACCEPTANCE AND SIGNATURE OF A COMPANY SAlES MANAGER. AN INTEREST CHARGE OF 1.5% PER MONTH Will BE ADDED TO ACCOUNTS NOT PAID AT INSTALLATION. ADDITIONAL TERMS AND CONDITIONS ARE ON THE REVERSE SIDE OF THIS CONTRACT. 'Ic€ - I'll 5" 5#-tLJ N () SALES AGREEMENT ,Affi ~ Fo B Q)L --- . 5-3Y8'b - QJII~~ I =~.;o .a. ~.... STORM AND SECUFITY SHUTTERS . ... America's Favorite ROiling Shutter ~AU?S~N . ~.... ..' . ...,.~:L~. ESTlMATEOllME OF INSTALlAfltJN' .... CUSTOMER NAME ADDRESS S CITY Z p:p# YA..#.I~~ C; - JOB ADDRESS -l~~ Y"'7 C - VVO ~.J' Cf 5 NATIONAL HEADQUARTERS and MANUFACTUI'llNG FACIUTIES 1llS97 Oak SllM~ N.E.. SL Pelef1bulg. FL 337111 SL PlItll/Tampa 578-1143 Tal FrH (800) 883.85(15 FLORI[),J, SALES OFACES . A. Myn . 3800 Fowler Ave.. FI. Mye.... Fl33901 Pompano Beach. 3750 Park Cenltal SIvd.. N. l>ampano S.ach. Fl33064 www.rOI-.wayam FL S1Ite LIe. #80 0048534. ECA001435 A PRODUCT OF PRIME MARKE1lNO GROUP S.ALES AGREEMENT I of / . R- PAGE OROER NO HOME PHONE ~ WORK PHONE ZIP ...f~~/"';"~A # WEEKS , I>.:;....,. ,. ....1>. >~~; STATE NAME OF CONDO ELEVATION Shutter Classification: 0 Solarshade 0 Security (B1iurrlcane Protection Mat:l~actured and Installed In compliance with all local building codes. Stan.~P?~rS for T~ and Valance are~) White; (IV) Ivory; (BBZ~nze; Special Color Slats . IIs/An9hf~BulldOut/Angle.oc...TraCk..l3Z.-Valance Back pane'-~BTM Slat!jZ Purlln /5Z. SHUTTER OPENING NUMBER # # # # # # # # TER~ l!fV3 DOWN, BALANCE ON COMPLETION o FINANCING o OTHER CIRCLE ONE: MC VISA DISC AMEX ACCOUNT NO. EXP. DATE TYPE OF SHUTTER TYPE OF SLAT PROALE WIDTH (TRACK TO TRACK) I TRACK HEIGHT 1 OPERATOR TYPE OPERATOR LOCATION (ISLO) MOTOR OVERRIDE (YES/NO) PURUN CODE AND TYPE BACK PANEL (YES/NO) OPERATORS 1) Pull Strap 2) 3:1 Crank w/Strap 3) Gear & Crank Handle 4) Motorized . . SPECIAL INSTRUCTIONS I have been furnished a copy of the Consumer Rights Nollce and a Notice of Commencement required by Statute 713~ (lnitiaO execution of this Sales Agreement by Buyer constitutes authorization for Prime Marl<eting Group to obtain Suyer', credit report from a cred"t1 reporting agency. . CONTRACT AMOUNT LESS DEPOSIT CHECK NO Lj/O t:) BALANCE DUE PER TERMS $ a .;5) GO I /; (/{")" MAKE ALL PAYMENTS TO ROt...-A.WAY 10601 OAK ST., NE, ST. PETERSBURG, FL 33716 PAYMENTS IN CAS ,ALWAYS REQUEST A RECEIPT SALESMAN ACCEPTED BY SS# SS# ., THIS ORDER BECOMES A CONTRACT ONLY WHEN ACCEPTED BY PRIME W.RKETING GROUP, AT ITS HOME OFFICE, AS REFLECTED BY THE ACCEPTANCE AND SI~NATURE OF A COMPANY SALES MANAGER. AN INTEREST CHARGE OF 1.5% PER MONTH WILl BE ADDED TO ACCOUNTS NOT PAlO AT INSTAlLATION. ADDITIONAl TERMS ANO CONDITIONS ARE ON THE REVERSE SIDE OF THIS CONTRACT. BUYER ~4t'/ M 'k/- """ G>~... tt--_ ~- - r--...... a A.. , '" A / /J ,...." (R -r- vA L l^/ /3 .;"" ?J1.f~ (/ ':'1 . ....... ORDER NO. ORDER DATE SALESMAN 1)AU/.fJC)YEZRL €'Y PAGE ESTIMATED TIME OF INSTALLATION / DIR~TIONS 5L En3T 10 {} Y ?/'1~g fA /<.E: L F" f:""T TeL L CJ vV ro 01' L vi;- /? C)A K ( / , CUSTOMER NAME /If! tfl. ~ET.Ef5- /7-/ rr ~_I HOME PHONE J/ 3-78R -3'70~ ADDRESS 6$ ~ 0 R) /( , /14 () 01'\ ~/R I BUS. PHONE CITY ;2" ('p/IY/{ ffiLL-S STATE FL- ~ RESIDENTIAL _ CONDO CONDO NAME kJoU..a.!@! I ... .........,1lCUIWTY1H\JTTIM @ I OF / SALESPERSON WORKSHEET #05-03 ZIP ::; l -/ / ,- ~/ OUT OF TOWN ADDRESS PHONE PROTECTION: ( ) SOLARSHADE ( ) SECURITY (v-jHURRICANE (IF OTHER THAN PER CODE) SHUTTER ZONE: ( (/fNON - COASTAL; COASTAL: ( ) INTERIOR (v-) ENDZONE 1 ( ) ENDfONE 2 MILES FROM COAST BLDG HEIGHT: (.....-) < 60 FEET ( ) > 60 FEET J BLDG STORIES; SHUTTER LEVEL: FLOOR; ROOF SLOPE: ( ) < 10 DEGREES (...-r > 10 DEGREES COLORS: (WH) WHITE; (IV) IVORY; (BZ) BRONZE; SPECIAL COLORS: SLATS (j/f6t:- MULLS.3 z "~URLlN 'F)Z TRACK 73:z HOOD f5Z- BACKPANEL N AI BTMSLAT .A.7. SHUTTER NUMBER # I # # # # # # # SHUTTER TYPE 5Y:J$ SLAT TYPE I . p-.. ,..x:. 'J REBAR SPACING f ALL WIDTH: T - T It) G TRACK HEIGHT (,'1 i t SHUTTER ZONE LOCATION OF OTHER THAN ABOVE) , L) OPERATOR TYPE CODE aLl OVERRIDES YES/NO $ YE:J OPERATOR LOCATION (ISLO) lr:c31J UNIVERSAL TYPE - FIXED/REMOVABLE I;::J _ _ ALP , BACK PANEL YES/NO A./ A- HOOD SIZE: 6,7,8,9,10,12 '1 HOOD STYLE: 4/5/6 SIDED (~ , SOFFIT - RECESSED YES~N? / I 1J(j ; l/O POSTS - { NO rL~,1J SWITCH TYPE (MO or MA) Ii \-' PURLlN CODE il PURLlN SIZE ~.0 FIXED OR REMOVABLE I '. , ~ --- --- a a', . -- - SPECIAL INSTRUCTIONS & DIRECTIONS: " COLLECTION ARRANGEMENTS: ~ This worksheet IS an Internal company document Intended to be used for preliminary Internal purposes only. All figures and information contained In the worksheet are subject to change at any time and may not be relied upon, in whole or in part, 'or any purpose by the customer. Under no circumstances shall this worksheet or any of the in'ormation contained therein constitute a contract document, nor shall it be regarded in any manner as a document which changes, contradicts. varies or modifies any contract between the parties. BUILDING SPECIFICATIONS FORM (FOR PERMIT APPLICATION) CUSTOMER NAM~~~&1'2 PRO'PERTY OWNER YES ~ NO ADDRESS 6!;c. 0, fij)(j ':?J10tYZ Dz ( UNIT # CITY~M'YV'P'd '1- COUNTY ~/9a C.(':J' PHONE NUMBER7A 7;7 j - 3}, (j 0- 1. STRUCTURE: MASONARY ~OOD CONCRETE ALUMINUM OTHER WINDOW FRAME: IF OPENING VARIES FROM ABOVE MATERIALS, INDICATE TYPE_ 2. ROOF SLOPE: LESS THAN 10 DEGREES GREATER THAN 10 DEGREES ~ 3. FIRE SPRINKLERS: YES NO V 4. BUILDING NUMBER OF STORIES -'- 5. FLOOD ZONE: YES_ NO~- ';;f(; ~ Lit Willi- $$OeJ, CJ15Y ~ (J Ie +,./#lS oN RF$"T-1 - OP ~ctJL 2. ALL ROOMS MUST BE IDENTIFIED ON THE DRAWING 6. CONDO/ASSOCIATION APPROVAL: REQUIRED NOT REQUIRED 7. ARE SPECS AVAILABLE? YES NO ALL DRAWINGS MUST INDICATE THE FOLLOWING 1. CORRECT SHAPE OF BUILDING 3. OPENINGS TO BE REPLACED OR WHERE SHUTTERS ARE TO BE INSTALLED / 4. WHETHER MANUAL OR ELECTRIC (SHUTTERS ONLY) 5. MANUAL OVERRIDE LOCATION (IF POSSIBLE) 6. MAJOR STREET MUST BE IN 7. COMPASS DIRECTION MUST BE DRAWN IN (j) FIICED E L \f" MIff} P~-rE/? /.//Ir&L- 65 lfb FOK /J100Fe DI? Z E~~/~ /T/LL-5 ~L- d35~/- 0613 .-...:: 1. COUNTY ?A\4CO 2. ROOF HEIGHT ~ // MEAN ROOF HEIGHT 13 /-/ 3. CODE .(-f L'Jr 4. MPH /{JO 5. PSF - END 3d INTERlOR ROLL SHUTTERS: SLATTYPE ?53 REBAR END INTERIOR ALL V'. 2ND 3RD NONE PURLIN SIZE HEIGHT 2.0 2.3 6!L ACCORDION: BLADE LENGTH END STORM PANEL: PANEL LENGTH END 3.0 I l'-.TTE RI 0 R INTEl-UOR 4.0 " D~ 01 ~~\v :t--<?~ ~f>-G WHI~E 0 IVORY O. 5JtYft BRONZE@ Nfl .~o~ \~c\<. 62 \ ~ ..- ..- WHITE 0 IVORY 0 BRONZE 0 LOCATION: WHITE IVORY BRONZE .... o o W VALANCE' <.... ~URLlNS _ Slats - - TRAGKS - -- WHITE IVORY BRONZE WHITE IVO~Y BEIGE GRAY BRONZE o o @ o o WHITE 0 IVORY O' BRONZE -@ o o I SHUTTER It's: #/