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 \