HomeMy WebLinkAbout02-1694
BUILDING PERMIT
. NO
Permit -
CITY OF ZEPHYRHILLS
(813) 780-0020
1694
Date I;; -3 r-tfJ J<
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. "
~s h ~ K"'i'v'7i 5\ ~
'7 -"5 ~ ~ tor {/,
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
~~g~~
Radon Gas:
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
Inspector
v
City license Registration #
State Certified license#
,5007
~::::,:e~ ~
Company .
Address w'1 """7'lI-
kTelephone#- Cg/~~ c23% -1a1~
Valuation or --1 tJ . ~
Contract Price ( (}DO .
IA-ye.. 1?000fm'J ('.cD
BUilDING ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-
Final
SlB
Tub Set
Water
Sewer
Final
//
Breakers
Ducts Insl
Compr
Fin
,II"
,.
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 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.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 sth STREET ZEPHYRHILLS, I1'L 33640
PhoneIS13-780-~020 l1'axI813-780-0021
PATS RBCJIIIVlIID, _~'"'-_._
j ) PLANS RlIlVIBlW [II . ."
OWNER' a NAMs f\o.-S h n furnl :Sfu (e.-0 PHON. CON'l'A"'~ ),3A3.;('7~
JOB alTO ADDRsas 13;]5 Croil Gh/cJ, ".2eP)i<h; i1-s I V L. 335+)
._-~.--
LEGAL DESCRIPTION: LOT(S)
BIDCK
PARCEL ID # ..J...L/ ~ ;< J 0606 O(lgQJ OOdO (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED I ONEW CONSTRUCTION 0 ADDITION '(i'ALTERATION ~ REPAIR 0 INSTAlJIJ
SUBDIVISION
DSIGN
o MOVE
o DEMOI,ISH
PROPOSED USE I DSGL FAMILY DWELLING OMULTI - FAMILY 0# OF UNITS
~COMMERCIAI' 0 INDUS'1'RIAL OSWIMMING POOL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK {(e.. - ~
o MOBII,m IIOMIll
o OTHER
BUILDING SIZE
SQUARE FOOTAGE
HB/WH'I'
RESIDENTIAL:
COMMBlRCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PI~ANS & (1) SalT ENERGY FORMS.
ATTACH (3) sEl'I'S OF BU!LDING PLANS & (1) SET ENElRclY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
P!RMITS REQUESTED
o BUILDINCl
[] ELECTRICAL,
o PLUMBING
$
VALUATION OF TOTAL CONs'rRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E,C,
o MECHANICAL $
o GAs ~ ROOFING 0 SPECIALTY
TYPE OF CONS 'I'RUCT ION : 0 BLOCK
[] OTHER
VALUATION OF MECHANCIAl, INSTALLATION
tit I~J ODD~}l
o FRAME
o STEEL
o OTHER
FINISHED FLOOR EJIJEVATIONS
IS PROclECT IN FLOOD ZONE AREA 0 YES 0 NO
BUILPBlR
COr1PANY
STATE CERT OR RElGI8T # _._
CITY PROCESSING #
SIGNATURE
******************************************************************
IIIIJBCTRICIAN
S JGNATURE ____
COr1PANY
STATE CERT OR REGrST #
CITY PROCESSING #
******************************************************************
PLtIMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNA'l'tJRE
MBlCHANICAL
***'*****'*********'***'***'*********'***'*****'********'***"*"*
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OTHBlR fc'OF/'r1 G-
BWNA'l'URE ~~~
*****************'**'***"*********'*'~**********'********'******
COMPANY U;t!.r/j ;20CF/jG {V .
STATE CERT OR REGIST # (!..~()3d-.Lj 0/ ~
CITY PROCESSING # ~L/~
**************'***********'*********'*********'******************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thq,t this penni t may be subject to "deed restrictions" which-
may be more restrictive than City regulations. The undersigned assumes responsibility for
oompliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CON'l'RACTOR 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 carify that I
have obtained a copy of the above described aocument 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.H, 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 vio~ations 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 abando~ed 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 FINANGING. CqN~ULT
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".
clJA ~J~
SIGNATURE: OWNER OR AGENT SIGNATURE: CpNTRAC OR
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_
acknowledged
19
of identification)
take an oath.
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type of identification)
and who Odid DUd not take an oath
(name of person acknowledged)
Dwho is personally known to me, or
D who has produced
(type
and whoO did Odid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Nov 27 02 11:41a
N U V - 2 7 - B::: I l ; er 1 f-4 "1
T~MPH ROOFING ce.
81.3; 23.1'11;368
TAMPA ROOFING COMPANY
1700 EAST I!lUCOlT STREET
TAMPA, FLORIDA 33610
LI(:. It''Cnsam
Telephone (8' 3) 238-6436
FII( (11'3) 237"868
November 14, 2002
Cuon Construction
ATTN: TcdtJ Cason
1026 West Hilbborough Ave.
Tampa, FL 3J606
p. (8 J 3) 232.1606
f (8/3) 232.1616
RE:
R,[YlS[D BID
K9Gh n' KltlT)'#17S2: 7325 Gall Blvd., lcp">Thills, FL 33541
/
W& prOl'Oie 10 do the following work at the above address:
r'm,.h l.bo, .nd ....."oJ '" ,avo, lb. ""'0. "Ont wall W,," g..,....",."" modi".. aM "'laU2",
aalJge Kuh "' Kan)' lear PWimetor metal with K,ynu finish, "lllIn the ti-ont wall. Cova- the front ,jde \
WIllis with granule-surflced modified, install 24-gauge Kash n' KilT}' teal perimeter metal with Kynar \
finish on the front edit: and 24-gauge while perimeter metal with Kynar finish on the fClllr edge. Install
roof 'Y5~m and 24-gauge K,ash n' I<4rry rea.l metAl in Kynar finish on the from eorni"cCl. Repla~o the
Jower front roof with 8 tapered insulation system and built-up roof. Fabricate and install standing SOlIm
8W/1inp und<< lh. com~e work. This Indudes roof penetration, n.ctl6sary for the remodel.
COST FOR LABOR AND MATERIAL FOR THE ABOVE:
51'.000,00
Thenk you for the opportunity of being of service to YOll. lfthi, proposal., a~optable. pl;ase ~liO both
copies and retum the yellow copy to us.
Payment to be made at fOllow, DRAWS AS JOII PROGIltESSES
,," ........., · - '" .. - -... {>J'........... ....1"04... I" . ............. "'IM" _"''''--''~.. At1jI.....,Cln '" _...., ,_ __
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-- --. IIr .,.. lle)oefld eo. eo_I 0.._ III -r '". - .ne! ""'. ......,. I..",.,.. ~, or_ ... ''''' a>_ b, Warlunon'. c..."..._
......-
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-..... "t/of"'t fIl ~ I.Mr 1IJ . _<llt_ ---. ,,- ,--'... ._ ... _..,. ...... _ lit.... . ...."" ...... ow _. ;...,___,
I~ UU_III INrI II flt f__nll....,. .11".... MIl......: '- ArflnlllDrl t~, Iyllt *' JIlII......UI..1'l. ann IIMor27...ao
"nil {"(JJJ fa, 0'1/' ';~1i1f6 ()/" 1I1f""'_I}/H !I.HwfflJl U fio. ..,1, rnpoIlI'PI!iry ol,1ff O'Wlff.
"..,.~. ,...... -- -..... COII1'l<nlft".."m...... - .__ c__......._..... ......_11_." ,.,~ _ q,_ .hll"" '"
~ ---- /'lie 011'" B. 'ip~ lIW. .....'" c.-.. _. ,. ,., __ OIl""", ,_ WlG _ _ ," ... tv... ".. ......... " '"'- '0<
00.......
I-
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on... .~.. tOCl_II....... Respectfully submitted,
'OJ ~.""""'.."'wtfk.,. ~fI]"
",' I TAMPA ROOFING COMPA."'Y
. -c: ~. ,4~t?,.j .~L'/.Ir "717, ~",{)'M~~
~;...;;2 . . KlilhM. Swope, Pr.kft:;t=c
4cIy. ltil'~"T1Q' -....thlfi&.,.,tll,.lrnatllMllp~ Wllhtn __. dl)o"
ro '. 1
P.02
COUNTY OF \\. \ \ '" \"."SC;, "\ ~
-'-0:" ," ,( day of-~~., . 2002 by \...., ''"--.. r J>. -,-.'~ t"., i. \
as identification and who (did) (did not)
Commission Number C c~;;;- c:, ~"" I
(Stamp)
PERMIT NUBER
NOTICE OF COMMENCEMENT
PARCEL ID NUMBER ,34 ,15 :.1./ DODD tJD3DO OO{).{)
STATE OF FLORIDA
The UNDERSIGNED hereby gives notice that improvement will be made to certain real property and in accordance
with Chapter 713, FLORIDA STATUTES, the following information is provided in this Notice of Commencement.
RETURN RECORDED COpy
TO
Owner listed below:
+
LEGAL DESCRlPTON OF PROPERTY
(Street address if available)
1247 Kingsway Road Brandon 33511
NAME: Kash n' Karry # 1752
OWNER INFORMATION
ADDRESS:
7325 Gall Boulevard
Zephyrhills FL. 33541
INTEREST IN PROPERTY: Owner
NAME & ADDRESS OF FEE SIMPLE TlTLEHOLDET (if other than owner)
GENERAL DESCRIPTION OF IMPROVEMENT
i;":.~~~
,J ::-t
~ :tJ
CONTRACTOR
NAME: Tampa Roofmg
ADDRESS: 1700 E. Ellicott St.
Tampa, FL. 33610
BOND AMOUNTS:
NAME & ADDRESS OF SURETY:
LENDING ORGANIZATION: N/A
(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 713.13-(1) (a) (7), FLORIDA STATUTES.
NAME: Warren Triol Kash n' Karry
ADDRESS: 6401 Harney Road Suite A Tampa, FL. 33610
In addition to himself, owner designates: Of
_(Name) (Address)
To receive a copy of Lienor's as provided in SECTEON 713.13-(1) (b) FLORIDA STATUTES.
EXOURATUlB DATE NOTICE OF
COMMENCEMENT:
Signature of
Owner
Printed Warren Triol
name
(On~ year from date of recording, unless specified)
10 .
. 1::.1 S I iJe-NT
CERTIFICATION
STATEOF F'<::>t-, 1.__
The foregoing instrument was acknowledged before me this
Who is personally knowg to me or has produced ,"'- \ "_
Take an oath.
file:C:(2)/forms/crtf cte.noc
..~~~. TINA M. HICKS
=.: "Ji.'; :.: MY COMMISSION # CC 808067
~'A~.....g EXPIRES: February 10,2003
....'~,9f.,ti-~... Bonded Thru Notary PubUc Underwriters
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