Loading...
HomeMy WebLinkAbout01-0064 BUILDING PERMITN~ 0064 CITY OF ZEPHYRHILLS (813) 788.6611 Permit Date I /2b 10 I r 00 2~. ,- BUILDING ELEC~ICAL PLUM~G MECH\NICAL Sewer Conn Water Conn: Property Owner: Te",,,~ fi1.~ () Lo...(V\ fb.fl t ( Job Address: A1 I'w 17" .g~ n. s 7 () I Parcell.D, # ll-)e". -21 -0010- 05,00- ()O~, Water Meter: T.I.F.'s: 0", Radon Gas: -f. 'r~ of a-A)Q Zoning: Energy Code: Descriotion of Work "']:",,+er I'c)'" ~a NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ;; 1". ~ _ Signature Company Address __ Telephone# /27-&1../1- f15S-Q Valuation or Contract Price City License Registration # State Certified License# Pc. 4 I Dc. oJ;' ~ ~- 'A / BUILDING ELECTI ICAL PLUMBI ~G MEC MNICAL Ftr. Tp.Serv. SLB Breakers Pre SLB Rough In Tub Set Ducts Insl Lintel Meter Can Water Compress Dr FRM. Const. Pole Sewer Final InsuJ. CL Pool Final WL Pre-Meter \ FInal Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faliJlty 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 PEmaT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME {/C/L4v/ j"/'1/JF c-/lft1/I3~iL JOB ADDRESS 15_Y 0 I g-lfI SI PHONE <(;/1-777-2& (76 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # //- z.& - 2(- DOlO-OS 700- 'Q 030 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION 121 REPAIR [J INSTALL [J SIGN PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [J MOVE [J DEMOLISH [JMULTI-FAMILY [J INDUSTRIAL 0# OF UNITS [J SWIMMING POOL o MOBILE HOME [JOTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK k.c/-:4/~ t::,I I?E J24 r-i A tf" BUILDING SIZE SQUARE FOOTAGE 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 REQUESTED [J BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C. [J PLUMBING [J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING o SPECIALTY [J OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME [J STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J NO SIGNATURE COMPANY h....L LJiviS STATE CERT OR REGIST # CITY PROCESSING # BUILDER ***************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE * ** * *** *** *,* *** ***** *** ** *** *** ** * ** ** ** * ****** * ** * **** * * * * **** *** MECHANICAL SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** 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 si~ 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 VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid Q:l.id not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Ir ~t C~!!'~i'!u~~!~~f~~~~~!?e~ January 23, 2001 Estimate 008422 Supplement: 1 Page 1 JOHN BEAVER STATE FARM 10045 CORTEZ BLVD. BROOKSVILLE, FL, 34613 JENNY MAE CAMPBELL 8501 8TH STREET ZEPHYRHILLS, FL. 33540 Home Phone 813-997-2608 Loss Date: 01/05/2001 MR. BEAVER HE FOLLOWING IS OUR ESTIMATE TO REPAIR DAMAGE CAUSED BY FIRE AT THE ABOVE EFERENCED PROPERTY; 01 LIVING ROOM ------------------------------------------------------------------------------- Length 17' 6" Width 9' II" CEILINGS 1. REMOVE 1/2" SHEETROCK CEILING 2. REMOVE BLOWN INSULATION Unit 173 S.F. 173 S.F. Price .19 .24 WALLS 3. REMOVE 1/2 SHEETROCK WALLS 4. REMOVE 3 1/2" BATT INSULATION 388 S.F. 388 S.F. .17 .10 Area Total Height 7' I" Extension 32.87 41.52 65,96 38.80 179.15 02 DINETTE ------------------------------------------------------------------------------- Length 17' 6" Width 8' 6" CEILINGS 5. REMOVE 1/2" SHEETROCK CEILING 6. REMOVE BLOWN INSULATION Unit 148 S.F. 148 S.F. Price .19 .24 WALLS 7. REMOVE 1/2 SHEETROCK WALLS 8. REMOVE 3 1/2" BATT INSULATION 368 S.F. 368 S.F. .17 .10 Area Total Height 7' I" Extension 28.12 35.52 62.56 36.80 163.00 03 KITCHEN Length 9' 0" -----------------------------------~------------------------------------------ Width 7' I" ul Davis Restoration of Pasco, Hernando, Citrus Fl Licence CBC051266 44 Rutilio Court, New Port Richey, Florida 34653 888-PDR-FIRE Height 7' 0" Ir ~I~ C~!!~il!u~~f~~f~~~~~!?e~ January 23, 2001 Estimate 008422 Supplement: 1 Page 2 Continued 03 KITCHEN CEILINGS 9, REMOVE 1/2" SHEETROCK CEILING 10. REMOVE BLOWN INSULATION Unit 63 S.F. 63 S.F. WALLS 11. REMOVE 1/2 SHEETROCK WALLS 12. REMOVE 3 1/2" BATT INSULATION 225 S.F. 225 S.F. CABINETS 13. REMOVE WOOD BASE CABINETS 14. REMOVE WOOD UPPER CABINETS 10 L.F. 12 L.F. Area Total Price .19 .24 .17 .10 3.75 3.75 Extension 11,97 15.12 38.25 22.50 37.50 45.00 170.34 04 HALL ------------------------------------------------------------------------------- Length 5' 0" CEILINGS 15. REMOVE 1/2" SHEETROCK CEILING 16. REMOVE BLOWN INSULATION Unit 24 S.F. 24 S.F. Area Total Width 4' 10" Price .19 .24 Height 7' 0" Extension 4.56 5.76 10.32 05 MASTER BEDROOM ------------------------------------------------------------------------------- Offset Closet Length 11' 10" 2' 4" 2' 0" CEILINGS 17. REMOVE 1/2" SHEETROCK CEILING 18. REMOVE BLOWN INSULATION Unit 149 S.F. 149 S.F. Area Total Width 10' 0" 4' 9" 10' 0" Price .19 ,24 Height 7' 0" 7' 0" 7' 0" Extension 28.31 35.76 64.07 06 BATHROOM Length 5' 0" ------------------------------------------------------------------------------- Width 7' 0" ,ul Davis Restoration of Pasco, Hernando, Citrus Fl Licence CBC051266 44 Rutilio Court, New Port Richey, Florida 34653 888-PDR-FIRE Height 7' 0" [r ~I. C~!!'~i~~~f~~f~~~~~!?e~ January 23, 2001 Estimate 008422 Supplement: 1 Page 3 Continued 06 BATHROOM CEILINGS 19. REMOVE 1/2" SHEETROCK CEILING 20. REMOVE BLOWN INSULATION Unit 35 S.F. 35 S.F. Price .19 .24 Area Total Extension 6.65 8.40 15.05 09 GUEST BEDROOM ------------------------------------------------------------------------------- Length 12' 7" Width 10' 0" CEILINGS 21. REMOVE 1/2" SHEETROCK CEILING 22. REMOVE BLOWN INSULATION Unit 125 S.F. 125 S.F. Price .19 .24 Area Total Estimated Cost of Repairs ul Davis Restoration of Pasco, Hernando, Citrus Fl Licence CBC051266 44 Rutilio Court, New Port Richey, Florida 34653 888-PDR-FIRE Height 7' 0" Extension 23.75 30.00 53.75 $655.68 UH. .1 A..oi.~ ../\,.)f' "" {, if. .- Ir ~I@ C~~~i'!u~~[~~f~~~~~!?e~ January 23, 2001 Estimate 008422 Supplement: 1 Page 1 JOHN BEAVER STATE FARM 10045 CORTEZ BLVD. BROOKSVILLE, FL. 34613 JENNY MAE CAMPBELL 8501 8TH STREET ZEPHYRHILLS, FL. 33540 Home Phone 813-997-2608 Loss Date: 01/05/2001 MR. BEAVER HE FOLLOWING IS OUR ESTIMATE TO REPAIR DAMAGE CAUSED BY FIRE AT THE ABOVE EFERENCED PROPERTY; 01 LIVING ROOM ------------------------------------------------------------------------------- Length 17' 6" Width 9' 11" CEILINGS 1'~ REMOVE 1/2" SHEETROCK CEILING 2. REMOVE BLOWN INSULATION Unit 173 S.F. 173 S.F. Price .19 .24 WALLS 3. REMOVE 1/2 SHEETROCK WALLS 4. REMOVE 3 1/2" BATT INSULATION Area Total \ 388 S.F. 388 S.F, .17 65.96 .10 38.80 Height 7 ' !..:J Extension 32.87 41.52 179.15 I.,~ ---------------------------------------------------------------.---------------- Length 17' 6" Width 8' 6" . 02 DINETTE CEILINGS 5. REMOVE 1/2" SHEETROCK CEILING 6. REMOVE BLOWN INSULATION Unit 148 S.F. 148 S.F. Pr:lce " 19 ,,24 WALLS 7. REMOVE 1/2 SHEETROCK WALLS 8. REMOVE 3 1/2" BATT INSULATION 368 S.F. 368 S.F. ..17 .10 Area Total /'- Height 7' 1" Extension 28.12 35.52 62.56 36.80 163.00 -----------------------------------------------------~-----~-----~------------ 03 KITCHEN Length 9' 0" Width 7' 1" ul Davis Restoration of Pasco, Hernando, Citrus Fl Licence CBC051266 44 Ruti 1 io Court, New Port Ri,chey, Florida 34653 888-PDR-FIRE Height 7' 0" '\ ----1...---- I jo ../ .or '" ;'1) [r ~t C~~~i~~y[~~~~~~~~!?e~ January 23, 2001 Estimate 008422 Supplement: 1 Page 2 Continued 03 KITCHEN CEILINGS 9. REMOVE 1/2" SHEETROCK CEILING 10. REMOVE BLOWN INSULATION Unit 63 S.F. 63 S.F. WALLS 11. REMOVE 1/2 SHEETROCK WALLS 12. REMOVE 3 1/2" BATT INSULATION 225 S.F. 225 S.F. CABINETS 13. REMOVE WOOD BASE CABINETS 14. REMOVE WOOD UPPER CABINETS 10 L.F. 12 L.F. Area Total Price .19 .24 .17 .10 3.75 3.75 Extension 11.97 15.12 38.25 22.50 37.50 45.00 170.34 04 HALL Length 5' 0" ---------------------------------------------------------------.---------------- CEILINGS 15. REMOVE 1/2" SHEETROCK CEILING 16. REMOVE BLOWN INSULATION Unit 24 S.F. 24 S.F. Area Total Width 4' 10" Price .19 ,24 Height 7' 0" Extension 4.56 5.76 10.32 . 05 MASTER BEDROOM -------------------------------------------------------------------------------- Offset Closet Length 11' 10" 2' 4" 2' 0" CEILINGS 17. REMOVE 1/2" SHEETROCK CEILING 18. REMOVE BLOWN INSULATION Unit 149 S.F. 149 S.F. Area Total Width 10" 0" 4" 9" 10" 0" Price .19 .24 Height 7' 0" 7' 0" 7' 0" Extension 28.31 35.76 64.07 06 BATHROOM Length 5' 0" .---------------------------------------------------------------,--------------- Width 7' 0" ul Davis Restoration of Pasco, Hernando, Citrus FI Licence CBC051266 44 Rutilio Court, New Port Ri,chey, Florida 34653 88B-PDR-FIRE Height 7' 0" ~~ n.nr"-,,r " .,- ~ ~ ~ m m] If, ..; ;.,., -- r '" . ')1 [r ~I@ C~!!~il!u~Y[~~~~~~~~!?e~ January 23, 2001 Estimate 008422 Supplement: 1 Page 3 Continued 06 BATHROOM CEILINGS 19. REMOVE 1/2" SHEETROCK CEILING 20. REMOVE BLOWN INSULATION Unit 35 S.F. 35 S.F. Price .19 .24 Extension 6.65 8.40 Area Total 15.05 ------------------------------------------------------------------------------- 09 GUEST BEDROOM Length 12' 7" Width 10' 0" Height 7' 0" CEILINGS 21. REMOVE 1/2" SHEETROCK CEILING 22. REMOVE BLOWN INSULATION Unit 125 S.F. 125 S.F. Price .19 .24 Extension 23.75 30.00 Area Total 53.75 Estimated Cost of Repairs $655.68 .ul Davis Restoration of Pasco, Hernando, Citrus Fl Licence CBC051266 44 Rutilio Court, New Port Richeyl Florida 34653 888-PDR-FIRE I \