HomeMy WebLinkAbout00-9426
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09426
Date
1-/-4,5"-00
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
~~~4~ jjj~ Q.
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
DescriDtion of Work
Radon Gas:
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
~ ~t7tJ
DATE
Valuation or LJ 0 I' n , 1t.E..
Contract Price "-4 2 _~
Permit Fee
~ure
Company
Address
~lePhone~ I~ ~ 937-~'6"~
City License Registration # 3 V r
State Certified License#
~-jl/J? IW "...d/!,) /l:5SD<tlJL.C!-
BUILDING
ELECTRICAL.----''
..-----
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
PLUM.WNa--
---
MECHANlrAI
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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 ($ 25.001 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
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME -120 u..-e-AJA T . ,,\~1tJ1< i ;tiS
JOB ADDRESS L(bCJ ,,'S Of2Av~ &C)S~(3)^"
/i-j
IY-2b-Z/' oZ9A
PHONr(<6/3) 7J?2 - go 5;
1>-2-
LEGAL DESCRIPTION: LOT(S)
BLOCK SUBDIVISION WflllTr3f2S P412:!r:t
~OCl CtC9 - ~~~gN FROM PROPERTY TAX NOTICEl
PARCEL ID #
WORK PROPSED: []NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
[] SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
[]MULTI-FAMILY
[] INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~ILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
f?.€!:'- ~F
BUILDING SIZE
SQUARE FOOTAGE
/~ $(JlS
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
'19/ 2- I e-eJ
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
[] FLORIDA POWER
o W.R.E.C.
[] PLUMBING
o MECHANICAL $
o GAS ~FING
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~THER 9 INGL.e;- -Pi l( A&f716R.1#e
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY ~=C:"
~ STATE CERT OR R G ~~ -#!t'
CITY PROCESSING # ~ .
TEL: (8OCJJ ___I FAX: (717) 841
***********************************************!tAtE~.~57
SIGNATURE
ELECTlUCIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
1
,
,
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 Building 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 construction, 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 commenced 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 ~~"he time the work is commenced. One 90 day extension of time
may be allowednJ~HC9D~rmit with fee charge of $15.00. The extension shall be requested
in writing to~~e~ Official. An approved inspection must be logged during each six
montffi~ta~J1:~1:@~~ll;r be considered abandoned.
WARNING TO'nwtllSR: ~IF1U;!mE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEME TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L OR AN AT RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN ALU DO NOT N D TO REC D POST A ~NOTICE OF COMMENCEMENT".
STATE OF FLORID
COUNTY OF
The foregoing instrument wa~~nowledge~
Before m this day of 11..--., ~
by
(name of person
who is personally
o who has
and who
Signa
Name ty
SIGNATURE:
STATE OF FLORID
COUNTY OF
The foregoing instrument w~T~owledged
Before me this ~day ~f)'ff'f( , ' 1iJ zn:,o
by 13 rz. IAN c=' v'c5TL-
, ~name of person acknowledged)
wrho is personally known to me, or
o who has
and who
'-
Name
CONTRACT FOR:
INSULATED
WATERPROOFING
SYSTEMS
INVINCIBLE. d Q .
4Q)~/X T"'''''''''''___
INVINCIBLE ASSOCIATES, INC. "
10931 75TH ST, . LARGO, FL 33777 . 727/545-1800 . 800 / 937-6635 . STATE C RTIFIED LICENSE #CCC049367
MAKING FLORIDA A BETTER PLACE TO LIVE SINCE 1987". ONE HOME AT A TIME
- " ~3
Name(s): J< oWeN' A- .I, ...J et{ K,N <.> .. Phone: (H) 7~]., <7{):,C4 (W)
,-1 . { - 0L05S0 M 1)/<" , , . -. CL. 33.c-ti (
Mailing Address:" (pO J O)? 4/</\ b City: :z.. e P'1//i f/IWcounty l'4-Sc. b State: ~ Zip: .J "1
(If Applicable) MHP: \VI,,-, rt(L ~ P fr(l..k:... lot #:
l!We the owners of the premises described below, hereinafter referred to as 'Purchaser' offo,r to contract with INVINCIBLE ASSOCIATES, INC" herinafter
refe~ed to as .contrac~or~ furnish, to deliver and arrange ~~stallatiOn of all m~terialS necessary to improve the premise~ located at:
JobsiteAddress:~bO.') OJ2.-t-,v'Je&t..6S5<Jn. City: Z e.PJir~idI~~5u_StatFL Zip: 13Ls-41
according to the following specifications:
/'( ~ 2(;, - 2/-
1120100
CHECK MEMBRANE TO BE USED:
~STEVENS SOLID WHITE EP 0 STEVENS SOLID TAN EP
o EREZ WHITE SHINGLE-LOOK 0 EREZ TAN SHINGLE-LOOK
1. PROVIDE DELUXE ENERGY-SAVING INSULATED WATERPROOFING SYSTEM FOR THE
FOLLOWING AREA: ~IN J1U/vi t'
2. INCJ..UDE ENERGY-SAVING DOUBLE-FOIL FACED INSULATION AS INDICATED:
~ELUXE 1-1/4" 03/4" 0 NONE
3. INCLUDE NEW SPUN ALUMINUM VENTS: a. SMALL --.!i-LARGE
4. INCLUDE ALL REQUIRED PERMITS.
5, CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOB SITE.
6, MAIL OUT LIFETIME, NO-LEAK, NON-PRORATED, TRANSFERABLE
WARRANTY FULLY COVERING ALL LABOR AND MATERIAL, INCLUDING ALL
STORM DAMAGE FROM RAIN, LIGHTNING, HAIL AND WINDS UP TO 170 MPH.
7. ADDITIONAL INFORMATION:
8. IT IS UNDERSTOOD THAT THE FOLLOWING AREAS WILL NOT BE INCLUDED IN THE
COVERAGE AREA PROVIDED BY THIS AGREEMENT:
5y-t..~t.="tv" f-oOJVI J C4 iL pI,) (L.T) P 0 ~c... t../
OTHER NOTES: VGPu 5 ... r B '{ c.. I-Ie-(..\<. ~ t.:>~ 4/ .$ f 000. cC
NOTE: RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING:
I certify that I own the land on which the structure I am improving is permanently affixed. Furthermore. I have filed a
declaration with the Property Appraiser reques ing the structure be assessed as realty and it bears an "RP" decal.
SIGNATURE: .;!; -:'~"(I,( ( ))" .... / '. -i!f II ;('; . _' <.)./
The CASH CONTRACT PRICE for all Labor & Materials (including any applicable discounts) is $
LI q I z..
Terms: m Ca.h ~Subject to the approval of the Credit Sales Department) Sale. Tax $ C
If this is a cash tr~ the purchase price s~lIIJ.I~Q ~id as follows: 0 4 Q I '"')
Ca.h down Payment (Minimum 33%) $ I DCD. DO Balance Payable $ '3 <} I Z, V Total Price $ ,'-
If this is a credit transaction, the agreement for credit is contained in a separate document which is incorporated herin by reference and made a part thereof,
I/We the undersigned are hereby authorizing INVINCIBLE ASSOCIATES, INC, to verify and review my/our credit record with an independent credit reporting
agency and release them from all liability incurred from inadvertent omissions or errors,
Verbal understandings and agreements with representatives shall not be binding, All understandings and agreements must be set forth in writing in this
Contract. ADDITIONAL PROVISIONS ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRACT.
IN WITNESS WHEREOF Purchaser(s) have hereunto signed their name(s) this ~ day of A ?i2.. ( L 20 C c:)
and acknowledges receipt of a true copy of this Contract.
UNLESS OTHERWISE SPECIFIED, IT IS UNDERSTOOD THAT THE OWNER(S) IS/ARE READY FOR THIS WORK TO BEGIN, THE PURCHASE PRICE
QUOTED ABOVE WILL BE HONORED ONLY UNTIL , Purchaser(s) understands and agrees that if this agreement is cancelled after the
recission period, the Purchaser is liable for twenty five percent (25%) of the total sales price as damages to the Contractor, In the event this offer to contract is
not accepted by Contractor, any payment made hereunder shall be refunded to the Purchaser(s) and this proposal shall be null and void and of no effect.
Contractor is not responsible for existing structural defects, dry rot or code violations, No repairing, plastering, painting, carpentry, or decorating is included
unless specifically charged for and specified in writing herein.
r--------------------------------------,
1~4 5~ I Lf.-/~.-OO h:J-~H~C,Ul" <J. C)en..ltii,J/.l-/~-'1i)J,1
I SUBMITTED BY: Representative Date ACCEfPTED BY: Purchaser , / Date I
I I
I ACCEPTED BY:Authorized Signature for Contractor Date ACCEPTED BY: Purchaser Date I
L______________________________________~
[INVINCIBLE] ~~~Kfg~~~
Customer t<oW EN Pr 1 , 3" E.~< I tJ 5
MHP VVI^,T~(t5 r4-~I< Job Address LJ(oos O~"'''''lG 6L OS So 1\1\ Ole.
City ZePJ{'-/IZJ-.f.1 LL5 Zip '3 35"'-f I Phone (8/3 ) 7gz. - g03~
SYSTEM: if ULTRA GOLD - 1-1/4" Insulation 0 Silver - 3/4" Ins. 0 Bronze- Membrane only
VENTS: Small 0 Large Lf STUFFERS: Quantity (), Size: ~
SKYLIGHTS: Quantity Q Size: _ X _ GABLES: Quantity ~ Size: ~
SHOW ROOF PROFILE HERE!
Show Ridges, Drops. and Flaps INCLUDING Dlmensionsl
( )
( ) I RIDGE ,(
If roof is a Double-Wide, CIRCLE:
( ) DROP
show width of EACH half! I <<< FLAP
DIMENSIONS
Must include Over-Seals,
Ridges, Flaps and Drops
Home: 'Z 5'01/ x s-g'<ou
FI. Room: x
Carport: x
Other: x
ROOF DIMENSIONS: Show all Lengths and Widths to be covered, including Over-Seals of
6" each Side and 6" Front and Back. If Main Home is Double-Wide, Show Width of Each Halfl
Main Home INCLUDING Over-Seals: NOTE: INDICATE SOFT DECKING
o l-W!de W!dth = at, If_ U (1,1 AREAS WITH "X"s ON DIAGRAM!
o 2-Wlde Widths =Tf'l, + 12. III = '2... 5' 0
Length =~"u - - -
SC.fl.~f3'N It t\1
( Nt
-l 5' ?~(P_~/________,__ }
Type of existing roof: t11 ~ T 4- L 51<-1 tv' Should a Tear-off be considered? IV"
Is there soft decking that may need to be replaced? tV ()
SPECIAL INSTRUCTIONS: N' c... ~ NoT I Ai c 01\1 TfUJ L T
DIRECTIONS TO JOBSITE: X-27S- e-~~, 10 ):'-?r... r-7) /Vofl-r'-/
'/0 € ~lr 5<6 / J{W"'( 5'1, J.(\,v....( 5<..1 G II- ) T 10 Co~ tl., ,e p.
5€'~ A--Trlt-~J{CD /Vl-/l,-p5
ALL WORK DONE TO SATISFACTION
Customer Signature:
COD Amount: $ 3 '1/ '2,(J 0
t= 11V~,vc.e-t>
Date:
Crew Leader Signature:
Work Order Submitted By: /1~ ~
Date: 'I -{ '1- 0 0
10/10/97
....
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