HomeMy WebLinkAbout01-0685
BUILDING PERMITN~
0685
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
~G
10<- 2'7- 0 I
Date
PLU~NG
Property Owner: G- led'( S {(e--. fCl./\
Job Address: !7"(O 'T~a.. be,y Lt.
Parcell.D. # 10' b.. 2. - 0 t to ~ OOou D .00S'"O
2 5" <:S;I
< -
ELECTRICAL
MECH~ICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Energy Code: Radon Gas:
DescriPtion of Work (;(~:, .(;,,. ~ "'- ~r
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City license Registration #
State Certified License#
Permit Fee
~ Signature
Company
Address
.,\ Telephone# ;?7'CJI"? ~6'1r'3" ~nO r-;(;)3/
Valuation or
Contract Price
~ 00
00,--
\ , MEC~NICAL
UILDING ELECTRICAL ;lISL PLUMBII G
,
Ftr, Tp. Serv. SLB Breakers
Pre SLB Rough In Tub Set Ducts Insl.
Lintel Meter Can Water Compressor
FRM. Const. Pole Sewer Final
Insul. CL Pool Final
WL Pre-Meter ,
Final
Driveway
Va.(~.
, A Cloli.:.A - u. y
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 001100 Dollars ($25.00) 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
OWNER' S NAKE
G/i!ll>Y~ ,6,lYJfeN
::3 7 Yo J-FIJ ~I?:r- ~f.J-
"37[/0 k;4~~5V ~tPp. ?."<:::fAy/l/r, Er ;:-:>S-Y/
SUBDIVISION W~~y> iJ /1'lr'J b MAA..I?Il-
(OBTAIN FROM PROPERTY TAX NOTICE)
PHONE
i 7~ - <9:rY7
OWNER' S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL I.D.' /CJ-;).{i}. J-{)/~o-()('Yr'Y')- f)t) STJ
WORK PROPOSED:_New Construction _Addition b1teration ~epair _Install
_Sign --"ove _Deaolish
PROPOSED USE: _Single Faaily _M/F _' of Units _M/H
_<=<-ercial _Indust. _Swia. Pool _Other
_Restaurant Ii Health Departllent Approval
DESCRIPTION OF WORK: nI7<f'^ Fi'Pa/l. 'r In [J//'I\.() d SJ(7)PAS_
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENEltGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
.1X.ELECTRICAL
---1IEClWlICAL
$
PERMITS REOUESTED
7.00. Valuation of Total Construction
AMP Service Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel
Other
FDUSBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
..........................................
YES NO
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
~
RT.RCTRICIAH." COMPANY. .
,// ~ State Cert. or Regist.' c
::: / . /' . City License Registration .
~ ..........................................
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration ,
..........................................
Signature
KECBANICAL
COMPANY
State Cert. or Regist. f
City License Registration ,
..........................................
Signature
OTRRR
"
COMPANY
State Cert. or Regist. f
City License Registration f
..........................................
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A~ NQTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lav be subject to "deed restrictions" which lay be .ore restrictive than City
regulations. The undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRAC'l'On RESPONSIBILI'l'IES
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 nol licensed as required by law, both the owner and contractor .ay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply [or the intended Nork, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-66lJ .
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 than the contractor, are responsible for the work. If tbe contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES "
D. ~ONSTRUCTION LIEN L~W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOIeOne 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 COllenCelent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
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, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to .eet standards of all law.
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govefnlental agencies lay apply to tbe 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:
· Deparllent of EnviroDlental Regulation - Cypress Balbeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treallent
· Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Deparllent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater rreattent, Septic ranks
t US EnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to b2 used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan
addressing a "coapensating volUle" 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 witb the work and not as authority to violate, cancel alter, or
set aside any provisions of the tecbnical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or vioiations of any code. Bvery per.it issued shall beCDII invalid
unless the work authorized by sucb perlit is cOllenced within sil IOntha of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of sil IOnths after the tile the work is cOIIenced. One 90 day eatenBion of tile, I8Y 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 six IOnth period, or the project will be considered abandoned.
WARKING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCRHENT HAY RESULT IN YOUR PAYING "ICE FOR IHPROVIIIBIl'S TO YOUR
PROPERTY. IF"YOU IIfTENO TO OBTAIN'FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIIEY BEFORB RICORDIIIG YOUR larICE OF
COMMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHKNCRHENT". .
, I'
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATK OF FLORIDA
COUHTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY 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 bas
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
I PERMIT NUMBER
STATE OF FLORIDA
NOTICE OF COMMENCEMENT
((?-,\b'.J,.), ()'~O' CW::O'.
PARCEL .0. NUMBER
50
The UNDERSIGNED hereby gives notice that Improvement will be made to certain real property
and In accordance with Chapter 713, FLORIDA STATUTES, the followfng Information Is provided
In this Notice of Commencement.
LEGAL DESCRIPTION
1111111111111111111111111111111111111111111111111111111111II
2001148086
Rcpl: 538481
DS: 0.00
10/24/01
Rec: 6.00
IT: 0,00
Dpty Clerk
IJ/~~ 1l./'Nf';}c1 /1:/.4~ ~ S'f'-' I J. ~
I
JED PITTMAN PASCO COUNTY CLERK
10/24/01 0i: 0!pm 1 of 1
OR BK 475'1 PG 1811
NAME & ADDRESS OF FEE SIMPLE TITLEHOLDER (if other than owner)
H
ADDRESS
NAME (:.J AO,! 5
INTEREST IN PROPERTY
,
GENEA}lDESCRI~'9"N OF~OVEMENT
7N5'lJr fI 5/1 (/ I A ~<:)""
Jerry H;;:ks, Valco Enterprises Ltd. DBA Roll-a-Way CONT:=tA~TOR
NAME _. Qualifier ".____ ADDRESS
10601 Oak Str. NE, St. Petersburg,FL.337 1 6
BOND AMOUNTS
,11/ ()r
Mil
I\j(>r
NAME & ADDRESS OF SURETY #1
LENDING ~RGANIl.ATION
(Name and Address)
Persons within the State of Florida, designated by owner upon who notices or other documents may be served as provided by SECTION 71 ~,13 (1) (a) (7),
FLORIDA STATUTES, .
A/Ii-
A/Pr-
Nfr
of
/l/IJ-
(Address)
NAME
ADDRESS _
In addition to himself, owner designates
(Name)
to receive a copy of LIenor's as provided In SECTION 713,13 (1) (b) FLORIDA STATUTES,
EXPIRATION DATE NOTICE OF COMMENCEMENT
Signature of Owner e> ,~~, t-/.
Printed Name (f) GI tt~y 5 H' I{ e /)--1 p e..N
(One year iwm date of recording, unless specified)
STATE OF -fLD/2 I f) A
The foregoing Instrument was acknowledged before me this II day of
CERTIFICATION
COUNTY OF -p, J-I.ta (... (...1'\ ~
0'-', . 20QL, by
who Is personally known to me or has produced
as Identification and who (did) (did not) lake an oath.
Commission Number
.'; "
I'il~...' '.
0.'. ~
III :' "\:'. ' ~
~.~~.
'e_ .~
MY COMMISSION * DO (;)6121
EXPIRES: June 21. .i05
Ilondod Thru Bud"" >. . . e..ie.s
\
Sl'l,\fTE O~.:: ';:!! 1"''f: .'i'A
COONTY Q'jf j;1h\SCO
TI:-HS 16;l11O'G$RI1FY THAi THE eGRf-';OING IS A
TRUF ANn CQRlliiCT CCW-Y (J.fi Th,: rr1CUi\'i;'i'liT ON FILE
Of, OF PUBUC R['COfW, I.!\) r'~Is. or.'fICE..~ ..TINESS MY
Hj\~' \ ~ FIGiAL :SEAL Tt!y~,. DAY OF
_2U4-
JED lliif ~I\~ 'L Ri'- OF CIRCUIT COURT
BY "tT DE~)UTY CLFSK
.SlIle,\' Agree/lien!
...~ IL
~L:!:~
NATIONAL HEADQUARTERS and MANUFACTURING FACILmES
10001 Oal< S~, NE, SI. PolOBburg, FL 33716
SI. PelefTompe (727) 57&.1143, (800) 683.9505, Fox (727) 577-5026
&:mID: In'OCIroII+way.com WUIilI: www.roIl+way.com
FlORIDA OFFICES
Fl Myers - 3800 Fowl. Ave" Fl. Myers, Fl 33901
(941) 215-7581, (800) 505-1186, F"" (941) 215-3528
Pompano Beech - 915 S. Dixie Highway E.s~ Pompano Beach, Fl 33060
(954) 978.0992, (800) 667.()63(J, Fax (954) 782-3309
Fl Sla'o Lic# SC C049534 - 000 2228
Product of Velco Enl8f'D(ises lid, d/b/a RoJl-8-W811 Storm & Seaxlt Shutlers
SALES REP. A1.JO i 'fi'd~A-S DATE 10-/7- 0 ( PAGE~OF~
ESTIMATED TIME OF INSTALLATION "'2.- ~l.fLflS WEEKS JOB NO.
OWNER'S NAME ~1.. A 0 'i s H. t:;:.fJII\ P IZ. ,..J HOME PHONE ~/~. 7<jJg-q~l{7
ADDRESS '374b TEA &i.J<.(lt L. oCt' WORKPHONE (11'?:>.. ~- DO!>Q
CITY '"2fZPtHf.r1lLL<.. STATE~ZIP'3~S<-l1 E-MAIL ADDRESS
JOB ADDRESS CONDO/ASSOC. #
PHONE ELEV.
Valco Enterprises Ltd. d/b/a Roll-a-wayiI!l (the "Seller") will furnish all labor, materials and equipment necessary to Install the
b dd
followlna Droducts at the a ove a ress:
Shutter Classification: ~olarshade 0 Security 0 Hurricane Protection Scaffold Reauired: 0 YES~O Type
Colors: (WH) White; (IV) Ivory; (BZ) Bronze; (SG) Beige lf4i"'t)"
Onerstors: 1'1 Pull Strao 21 3: 1 Crank wlStrao 3) Gear & Crank Handle 4 otorized 51 Motorized wlOverride Crank
-=:/
SIZE SHUTTER SLATIBLADE PURLlN COLOR OPERATOR INSTALL LOCATION
NO. WXH TYPE TYPE CODE/TYPE FRAME HOOD SLATS TYPE (#)
T ~2. x99 9'1s.,.,. p- "7 1/- (''lL 2',~ y~ \l1n wti 4 ~"N(lOOo"'\
4- ..." X~I I... I'". -rr 1>-'71 III /='''' <1,3 IWI1 !'ud 1.!1-I y c. u N (l...ool"')
X _ \
X ........... ""'- ./ \
X ~ ...- r
X ......... V ,
X ............... ./ T
X ............... ,,7 \
X ;><... \
X /" ............ T
X ~ l
X ./
1+-+ Total number of openin~~covered (multiple sections count as one), Units are numbered from left to
ri ht as viewed from In ile 0 Outside 0
9
ADDITIONAL SCOPE OF WORK AND OPTIONS NOT SHOWN ABOVE:
TERMS
o (40%) DEPOSIT, Make payment to sales rep to submit with the order,
(40%) DUE ON DELIVERY OF SHUTTERS, make payment to installer,
(20%) DUE ON COMPLETION, make payment 10 installer,
o FINANCING
o DEPOSIT CHECK NO,
CIRCLE ONE: MC VISA DISC AMEX
ACCOUNT NO. ~f'. 0041./ - ()C>l ~ . ~<61
EXP. DATE 12. Jt.~ I
,
MAKE ALL PAYMENTS TO ROLL-A-W A Y SHUTTERS
DEPOSIT PAID WITH ORDER
(40%) $
$ Z7q(),00
/Oq6.00
loq~ . ao
CONTRACT AMOUNT
A(.'('(.
CASH 0 ^L~
AMOUNT DUE UPON DELIVERY (40%) $
AMOUNT DUE UPON INSTALLATION
COMPLETION (20%) $ t;;"~ . 00
You may cancel this Sales Agreement, without any penally or obllgallon within three (3) business days from the above date. If the ownar stops the contractor
from beginning the work after the end of any cancellation perfod which the owner has under applicable law and/or regulallons or ordinances, the owner will be
liable to and pay the Seller for all costs and 8xpenses Incurred (10% minimum) arising out of or In connection wllh the work, Includl99 but notllmlled to the
eX8cution of this contract and any preparation and purchases made for the work, To cancel this Sales Agreement, you must timely send via certified or
registered mall delivery a signed and dated copy of this cancellationrioti~ or any QlhIr written notice, or send a telegram, to Roll-a-way, 10601 Oak St. NE.,
St. Petersburg, Fl 33716 no later than midnight of (dale) to ~ ~O _ 0 ~
IfV'offl hereby cancel this transaction (date) Owner's Signature
IfV'offl understand thai this Sal8s Agreement pertains to the purchas8 and sale of specially manufactured, custom mad8 goods to conform to specifications
relating to my/our properly, Upon acceptance of this Sales Agreemenl in the manner set forth below, Seller Is expressly authorized to take such steps as it
deems necessary to perfect Its lien rights under Chapter 713, Florida Statutes to secure payment of the outstanding balance due hereunder and Is hereby
authorized to obtain my/our credll report from a credll reportlng agency, Addltionallerms and condlllons are contained on the reverse side of this Sales
Agreement.llWe hereby certify thalllWe have read, understand and accept this Sales Agreement. l!We have been furnished a copy of the Consumer Rights
""" ...-"",..,""'.~ ':"-..., ,,-....-......-.-"'. /,)
Owner'sSignaIU@~~ f!; f<p->~~ S g '1- 3Jj.-~ '1), D~{) -1'7- 0 f
Owner's Slgnatu~~ -.3/-.;J. Y Date /'(f - /7-,:1 I
Salesman Accepted By Date
Tho ordor lor 'peci811y lnOnul_ good. sot Ior1h In tIl,. S.... Ag-...m end ony IUbsoquont Chonge orders hereto shen become a binding contnIct only when tIli. Soles Agreement or
.,y change order hereto Is accepted by Sener, at "I home otnce, IS renected by the acceptanee and sfgnature of A comnMV Slit''''' mAnA<Jer (tr (,l'1rnor"tA nfri....r _nl'\' ..."."..r-t t... tt.... ................
l'lpDroval ofth"! r:nmn~l"lv'" n.."'......I...."'"I.....,..l_....~_ :. ~....,,_~'-. ".
NOTICE OF CANCELLATION
...~. IL
.~,~~:!:~X
ORDER NO.
SALESMAN "N.~
ESTIMATED TIME F
DIRECTIONS
(
CUSTOMER NAME (,LAf\'/ ~.
ADDRESS n4D "T"F'A.
CITY ZE ~ 'fR~ " LS
;x.- RESIDENTIAL _ CONDO CONDO NAME
OUT OF TOWN ADDRESS
--: )
PROTECTION: ((SOLAR () SECURITY
SHUTTER ZONE: ( ) Z -lL; COASTAL: (
BLDG HEIGHT: ( )~O ~( ) > 60 FEET
ROOF SLOPE: ( ) < 10DEGREES ( ~E~S
SLATS "'H MULLS IN'" ~H
SALESPERSON
WORKSHEET #05-03
SHUTTER NUMBER
SHUTTER TYPE
SLAT TYPE
REBAR SPACING
WIDTH: T - T
TRACK HEIGHT
SHUTTER ZONE LOCATION ~F OTHER THAN ABOVE)
OPERATOR TYPE CODE
OVERRIDES
YESINO $
OPERATOR LOCATION (ISLO)
UNIVERSAL TYPE - FIXED/REMOVABLE
BACK PANEL YES 1 NO
....HoQD SIZE.: 6, 7,8,9, 10, 12
HOOD STYLE: 4/5/6 SIDED
SOFFIT - RECESSED YES 1 NO
POSTS
SWITCH TYPE (MO or MA)
PURLlN CODE
PURLlNSIZE
FIXED OR REMOVABLE
,
SPECIAL INSTRUCTIONS & DIRECTIONS:
COLLECTION ARRANGEMENTS:
ORDER DATE U)-Jt1...0 I
A.....,~(Lt., PAGE I OF
INSTALLATION z.w~~~~
.
t-l. t!:e.M ~I="-l
~A.p..i L06P
HOME PHONE ~I~ .7~~-qt<47
BUS, PHONE ~13 "/~.0030
STATE t:: L-. ZIP~1.J I
PHONE
( ) HURRICANE (IF OTHER THAN PER CODE)
.~~_ ( ) ENDZONE 1 ( ) ENDZONE 2 MILES FROM COAST
G STORIES; SHUTTER LEVEL: FLOOR;
COLORS: (WH) WHITE; (IV) IVORY; (BZ) BRONZE; SPECIAL COLORS:
TRACK W t1 HOOD t.4'H BACK PANEL WH BTM SLATttI,.J
# , #2 '- # # # # #)
~~Z- ~y~ \ /
P-71 p." \ /
NO ND .~.~ . \ ...... ,. /
112 I"JZ \ /
~~ SI <. \
)
\ /
~ lJ ./o,.r \ /
NO .' ND \. 1/
rr~ '1'&0 \ J
V
,.10 HO /\
~ q / \
<" , <' .- j i\
1'4(\ NO / \
MO riD / \
MA 'MA - '/ \
" \\ I \
", ~ 7~ / \
").
-r,~ / ----
. . ~
.
,
,
,
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, for any purpose by the customer, Under no circumstances shall this worksheet or any of the information 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.
. -
ROLL-A-WAY /PRIME WINDO
Storm and Security Shutters Aluminum and Vinyl 'Replacement Windows
Corporate Headquarters * 10601 Oak Street N,E. * St. Petersburg, FL 33716
(727) 576-1143 Toll Free (800) 683-9505 FAX (727) 576-8477
SOLARSHADE/SECURITY DISCLAIMER
By signing this document, the Buyer aclmowledges that he/she is
aware that the product being purchased for opening #s 1-+ 1-
is only designed for sun control and security protection in accordance with
the prevailing building code in the Buyer's municipality.
The product is not tested to withstand hurricane force winds,
therefore the Seller would not recommend relying on such product for
hurricane protection.
Customer Signature:
Printed:
4{J.~
GIA~ ys. H, f{ C-/Yj pEN
~
\:iO 'CO)
" t> "
D ;:, 0
~
;t.
..
r V) ~
~
c 1i.
..,. 1-
t. b r..
0
3
,
...
*
tJ
BUILDING SPECIFICATIONS FORM
(FOR PERMIT APPLICATION)
CUSTO~ER NAM~ bLA o-f S -It \::'h~PE,J
PROPERTY OWNER YES X NO PHONE # ~,~- 7gg -QS4;
ADDRESS 374D
lEA
B~ i LOOP
UNIT #
CITY, STATE 'ZE~~1i1 U ~
C.L.
STRUCTURE: MASONARY_WOOD ~ONCRETE_ALUM._OTHER_
\VINDO\V FRAME: DOES MATERIAL DIFFER FROM ABOVE? TYPE
· ROOF SLOPE: <10 DEGREES_ >10 DEGREES~
.
.
FIRE SPRINKLERS: YES_ NO )<.. FLOOD ZONE: YES_ NO~
BLDG.#OFSTORIES ARE SPECS AVAILABLE YES_NO~
CONDO/ASSOCIATION APPROVAL: REQUlRED_ NOT REQUlRED~'
.
.
** All drawings must indicate: Correct shape of building - Room type (bedroom, kitchen, etc) _
\Vhere shutters are to be installed or openings to be replaced - If manual or electric shutters _
Manual override location - Main street, if other than customer's address (pertains to condos and
Townhouses) - North, South, East, 'Vest Direction Indicator
***Drawiogs may be done on the reverse of this form.
COUNTY H/Ll..s
ROOF HEIGHT
Jf"
CODE
SLAT TYPE P-77
REBAR (END)
:MPH
l\IEAN ROOF HEIGHT J '3
PSF END '0 INTERIOR
NONE X
ALL
2ND
3RO
REBAR (INTERIOR) ALL
2:'00
3RO
NONE
2.3 X
PURLIN SIZE
2.0
3.0
4.0
ACCORDION: BLADE LENGTH
END
INTERIOR
....
BUILDING PERMIT~~
'"
0686
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
~O.~
BUILDING ELE~lcAL PL~BING
Property Owner: fVl H I d-e.r-
Job Address: 5'8 O~ Da,] \.v0od &-I *
Parcell.D, #
Date jO- )9- 0 (
MEC~NICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
. EnJY Code:
~h(7
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector
City License Registration #
State Certified License#
'>0. ,.cJ_"
Permit Fee ~
Signature
Company
Address
Telephone#
Valuation or
Contract Price
(400. ~
Ftr,
Pre SLB
Lintel
FRM.
InsuJ. CL
WL _
Tp, Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compressor
Final
BUILDING
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 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.
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