HomeMy WebLinkAbout03-1741
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
1741
(813) 780-0020
Date
/~,j-tJ3
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: ~4''1 !l1/~.s
. 'f'-.. ~
Job Address: 55 of /1 s ( .
Parcel 1.0. ,
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
'/<('.- p~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
City license Registration #
State Certified license#
307'1
Inspector
.. - eo
Permit Fee ~ .. ~
I ~~ignature/";: ...Q
..xr- /'
Company
Address
\}'elephone# .3 ~).. - ? 7 9 ~6 :L:l- g
DATE
/Iso
Valuation or
Contract Price
2. '-ISO. ~
,
?(oFFi-tt~ !lIcKs 72-oo!l~
BUilDING
Ftr.
Pre SlB
Lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
MECHANICAL
Breakers
Ducts Insl
Compr
Fina
Driveway
REINSPECTlON 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.
.1'
'..
!. ~
CITY OP ZIIPHYI\HILI.S PIIRMIT APPLICATION
.UI~INQ DCPARTKsNT 53l! ," STR.~ ~.PHY.Hl~~.. Fu 33.'0
.bOD.,1l13.,eo-aoao ,-.lll-nO-GOal .. "
. PAT. ucarve. .:..._="__._
PLANS ItltVIlIf lPj._,_~L.'_'_'__
H u t:.1f e S l?HONE CDNTJ\ c~_"--'--"'--___
f 9-r1t5r __=--:-~=.____.____~._ '__..
OWNBR' S I~Nlq fl1/f n y
JOS SITS ADDRESS S 5'01
LSGAL Ol9CR1PTION, LOT (g)
BLOCK
BI.JBDIVI.. LeN
__R_.._.__________
----
l'ARC1!lJ, It! #
(OBTAIN FROM PROPERTY TAK NOTICE)
won: PJl051SS0 I [:J lU;W CONSTRUCTION o ATlDITrou o Al.TIliRA'rrf'lH CJ RBPAIR o nvSTIU.I.
OSIGN o HOVE 0 DEMOLISH
PRO "OSIilIl tJSII. DS03L I'JUoIILY PWIilLLINQ D~lUt.'l' r -l/'AMILY 011 011' UNITS [J MOIi nit 1IDt11i1
o COMHilRC lAt. D I.mfJSTR IAl. o SlnMMU~G POOL o OTHIlR
------~
PlilscaI,TION OF WORK
CJ RIl8TAT.J!lIU'lT .. HEAI.Tll OIllPARTl1l1Nl' APPROVAL
_-.11... C fl. 00 F ..? b 'qj
BUIT,!HNtJ SIZR
...--..--..-----...---
"QUARE FOOTAGE
HllJfl!lT
----------.- -
i!.lilIlIPIllNTIAt. I ATTII~~H (~) PLOT PI.ANS " ':i i Sill'S OF BUII.Dum PLANs 10 (1) SET IlfolKlltiY YORt'IS.
COI'IM!l.-CIAL. A'l"J'ACH (J) sirrs Oil' BUi'r,O!NG PlAN!l " (11 es'!' ENIi:R(jy FORMS.
PROPIIRTY SUftVBY ~aOUIRll:O FOR A~L NSW ~ONBTAUCTrON.
G IIlILDINIl
C) BLIiIC'fRI CAt,
o PLUM1UNG
Co
. :2... 406 ~.--
P BRMI'r!L&l.Q.W.irlm
, VALUATION uP' TOTAL CONB'rPfTCTI~lN
AMP ,9I1lRvr':;:'1IJ
o FLORrm~ PQIIlIItl.
o \'I.R.a.c.
o loUilCHAN:rCAL
~
-- VALUAT!ON OF Mi!:C!iANCl.P.L rN9T'''Lt.ATION
o GAS
() ROonna
o SPIlOIAI..'t'y
CJ O'THBll.
T~PR 0' CONSTaUCTION; LJ BLOCK
FINISKIIP Pl.oCR Ilr,IIVI\TIONlll
o I1'RAMII
o ilTillI!.
o OTHiliA
re PRCXTl!:O'! IN FLOOD ZONE ARIilAt:J Y'1IIE:i
ot:o
aUILIJ..
COMPT>..~y1!;(orFITr+. H, C.K'7. fl.oorl.A~5?L (IV L
STAl'Pl CfiiRT eR ftll\1181';.4' _!?fff-C 1.. 7~
cay PROCIISBIlKi II 0'7 _____
s rOt~A Tug
lILIIClTJI I C tAN
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BI3NA'fURII _________.
CONP1<NY __
81'1.1'2 CilRT OR REQ!O'!' il
- CITY ~p.oc~aSINO #
-----.--...-------
-----,.---
PLUWBIIR
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-------.--..---------
6 IOHATI1RII
COMPAla'____.
STATE CERT OR RBQIS1' ~
CITY PROCII8SING _
'-
MJlCKAHICAl.
A*.~....*...~~..~~.~*~'*t.*.~....*.W..~.".6~a.*'.....*.~*....~..~
BIGNATURII
COM "ANY
!ITA'!'! CERT OR Rt3u'r 11_
CITY ?RCCaSSING #
O'I'HDa
.....~.*..***....*...~........~..*.*.*.~....*..**.**.****4_..._..
COMPAtlY
STATII caRT OIlii:iGIST II
CITY PROCElIlSnlG "
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sr<iNh'l'UlIlI
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.'*.~W*~'.~"*~.'***.*~*.*..**~.*-**........w.*.t*~.t.~~*~..*.~*~
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COt1D!TIONS OF PE.RMI'l' AFF!OAVI'I
A. NOTICI!: O!' DEED RJ:9TIUCTJOOS
The undersigned ~n~er.tand. that thia permit may be .ubj.~t ~o ~deed restrictions" WldCh
IJIllLY .be more relltrictive than City regulations. 'l'b'C 1.:nderlligned assume!! rfuponsl.b1lity for
compliance witb any applicable deed re9tri~tion..
B. UNLICDl'St.D CONTRACTORS AND CONTAACTOR RBSPCNSIBILIUES
If the owner hils hir..a II COl:1:ractor or contractors to undertake wo!:k, th&y ~y b':!o cp.quire<:i
to be licensed 1n a,:cordanc., w.1.th state .r.d local J:'ell'llllt.!.ons. I r the contractor .is nl'lt.
1ioaus.d .. requIred by ~aw, both the owner and oontractor mAY be oi~.d f~r a misdemellnor
Violation u~der sta~ft law. If the owner or intended contractor /lre uncertain as to whll.
licensing requir<<mants mAy IIpply for the intended work, they are advi:sed to oontact the
City or Zepb.yrhills Bul1dinq D..pa~tment, 813-7611-661)..
FurtheLlIlOre, ;I..f the O"..ne1' has hired a <~cntrllctor or contrllct<;C&, he i.s advi3Qd to :la;r,~ the
cOnt~acto)r (Ii' lIi'ln porth'ns of. the "Cc,ntract:or Secti.,n&" of th.is app11Cllt!.on for wj"d.'~h they
will be .raaponaiple, It: you,~:; the owner Signs ae tr.e con;:racr.c,c, you are i:1.dic8.ting t.hat
ycu, rather thiin the <:;:Ontrlctor, are respollsible fe-,r th", work. It the .:ontr.a-otor \'li.sil...,.
you to s:'qn .. contra<:;:tor that may ~ an indiCAtion thOl'.: he is not. prop~rly l~cerHied ana 1"
net ent.itIed to pe~tting privileges in the City of Zephyrhl118.
C. TRJ\J1SPORTATION IMPACT I!'E&S AND UTILITY CONNECT!Oil FEEs
D. CCNS'I'P.lTC'1'UIo..~ LIEN LFJi1 (CHAPT!:P. 713, l!LORI01\. S'l'.ATUTES, AS AMENDeD)
I certify that I, the applicant, hAve l:leell provided with II copy of. "Florid.'.. Conatruction
lie!; Law - Bomuowner'.. 1'l:otec;1t1on GuideN prepar..d hy the Floridll D"p_ttmen:: of J>.gdc.ulture
And CUn.~~ Affaire. It the .pplic.nt ift someone ether that the "own.rN, I cerify that I
hllve obtained a copy of the above deacrtbed. document ilnd promise .!.n good. hlth to dl'!l.tvel:
it to the "owner'" Prior to cOllllll.ence1l\ent.
E, COt/TAACTOR' SlOWER'S An'.tDA.VIT
I c:ert.lfy that all t..ha 1ntgn....tioD in this applio.t1011 ia accunt.e IInd t..l'.>>.t all work will
be donlt 1n cOUlpliance wi.th all Ilpplicable law. .regulating construction, :roning, and lall<1
de',el ofm..n t .
AppliclltJ.on i. hereby Il"....dtl to obtain. permit: to de work and inatslhtioll U incitclltlld. I
c~rtify that no work or installation has co~nced prior to issuance of II ~ermit and t~t
all work will b. performed to meet atan~al:~ of all laws regul_t.J.ng conatruction, City
coca., :l:oning ..regulation., and land de\'elopJllel)t regu).atlo!:oa in the jUl:'1I'diC1:10n. I a180
certify th~t I underetand that ehe regulations of other goverrunental agenci~s ~y apply to
tile i.ntended lro.rk, and thllt ~t 1. It(\" r.ellponsihUlty to identity what llct.1.cms I mUllt tltlc~ to
be in c~llan<:;:.. Such agencies include but are not 11~t.d tOI "Department of
Env1ronmental Regulation-Cypres. Beyhe.d8, Wetland Are_. and Environmentally Sen8it~ve
!,lmcts, Watftr/W.stllwater Treatment .
"'Sout.hwest Ylorida Water Hanagement Diatrict-Wel,1s, CypresE; Ba.yheads, Wetland Areas,
Altering Watercoursea
"'Array Cor.p. of Engineerll-S,..walls, PoQks, Navig~ble Waterway..
"'Department. of Health, R..habJ.llt:atlve Services, Envirordnl'n1::al H...alth l/ni.t-Well$,
WalStewater Trca~nt, Septic Tanka
.U.S. li:nV1ronmental Pl.otection Agency-Aabest.Oll ablt8l<lOnt
I a180 oer.tify that, if fillll1ateria.l ia to be ..sed in Flood Zon.lfl "A" tlt" "A,etc.", itlS
understood that a drainage plan ad<:ire8lling a "compenl'lati~g volume" will he ""Omitted wt.;.<;h
ia prepared. by a prol!l>>lsicnal engineer registero!d in tl'". Stat.. of FloridA pl.ior to penoi t:
ill.ullnc..
A permit iaauea lIhal~ be con.trued to he a licenlle ~o p~ooe.a witll r.he work and not AS
.utbority to "'io~.t., cancel, alter, or .et _.id.... any prOVisions 01 the tschn1cllJ. code'!;,
nor shall issulIDce of a pe~t prevent the Bw11d1ng Offi=ial from tberearter requiring a
correction of errors in plllns, conatruction, or v101<<t:l('ns of any code. Every pennit
i..ued :ahllll beoame invaIta unleas the work authori~.Q by &uch permit is commenced within
aix montha of issu~nce, or i.f work autnor1~.d by the permit is lIuspend.ea or abandoned tor a
pe.r10d of six IllOnt.r.a II:-t.r the time the ,.ork ia cOlll1\enced. One 90 clllY extenll;.on oE time
-V be allowed for the permit with fee charge c-t $15.00. The eKtensio!:'. shall be .L'.q1l..ted
j n wri tin9' to the Building Ofticial. An apprcved. inBpe::tion must be ::'ogge<l du.rJ.nq "Itch aix
month period, or the project will be consiQered ~bandoL~d.
i'lARHIN'G TO OWNER: YOUR FAII,URE TO RECORD A NO'rrCI!: O~ COMMDlCEt4ENT !olAY RESULT IN YOUR
PAYING TWICI!; FOR IHIi'ROVEMi:NTS TO YOUR PMPERTY. IF YOU nrr~D ~'O OElT".IN FINANCING, CONSULT
WITH YOUR LENDER OR AN Ari~RHEY B~FO~E RECORDING YOUR NOTICE OF OOMM~NCF~. J0B5 UNDER
$ , N VALIJE 00 Nf}T NF-ED TO RFCORD ANO POST A "NOTICE OF COM;,>ll!:NCEMENT".
-'----~,-. -.----.-
:3 IQlUlTURE, CONTRJ>..CTOR
STATE OF !'LO~
COUNTY OF ,v rl ~ D/I
Tha foregoing ~~nt w~acknowledged
l>et:or,~ th;j .' ~ ~ or CLn --' .:.te.e3
by .. ~ /l.r; ~
(name of perlSon a nowIedged)
~ho i" personally known to me, or
o who has producecl
(type
o did no
ST,WE OF ~'LORIDA
COIm'I'Y ()F
The forellolng i.nst.rUlJ1ent "".1I
Before me thia -----Pay of
:by
aoknowledged
, 19 ___
(name of person ~ckr.owledgedj
CHho 1.. personally known to me, or
N~ typed, pcintod or st~ped
o wtH' halS produced
itype of identification)
and who Odid [Jijd not t.!':e an oath
.'.
S,1.:gr4l~i~ perao' tdring acknowl..dgment
No:o'v ., t)il~ - Stote of Florida
or .tArnp"'CI
--------
~ . d
~Vo,~' rqJ
SlllHdfHd3Z ~r !l!~
h d 'j 'J ; 0
.:- L! I) .~
J!'
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Shingles to be nailed with 6 nails per shingle, Company not responsible for any flashing, chimneys. risers. deadwalls, aluminum soffit. .
.
fastia, gutters, windows or solar systems. The Company agrees to carry Workmen Compensation and Liability Insurance. Company .
agrees to furnish all permits required, All debris will be removed from area, NOTICE TO HOMEOWNER: If job is canceled after permit .
. .
. is pulled there will be a lO% surcharge on contract. .
~ SIGNATURE_ OF HOMEOWNER' \VI'~ / { /~t~ ~
: IF PROPOSAL IS ACCEPTED, HIS WILL ALSO SERVE AS A CONTRACT :
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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MasterCard
Proffitt & Hicks Roofing Inc.
15250 Blair Ave.
Brooksville, FL 34609
(352) 799-0228 or(352) 796-0415
Fax: (352) 544-1003
Sta Certification No: CC C057381
~
C;O / q-.-
~ /3 - 'J<?~ -IQ30
I VISA I
Street Address:
City, State, Zip Code: 2~ 0 h \./ r )1; J / {,
I I
Phbhe:
THERE IS A 5 YEAR WARRANTY ON ALL WORK PERFORMED BY THIS COMPANY.
PROPOSAL CONSISTS OF REMOVING OLD SHINGLES OR TILE FROM ROOF AND HAUL AWAY
REMOVING OLD FLAT ROOF SYSTEM IF ONE IS PRESENT. HOMEOWNER TO BE RESPONSIBLE FOR
ALL SOLAR SYSTEMS TO BE REMOVED FROM ROOF BEFORE PERFORMING WORK BY US.
REPLACEMENT OF WOOD WILL BE CHARGED AS FOLLOWS: $60.00 PER SHEET OF
PLYWOOD OR $6.00 PER LINEAL FOOT ROOF BOARDS, FASCIA OR SOFFIT.
Squares of shingle
Squares of caps
QJ( I 'IV
& - fu y b' ru' S - bt~!1t,) 17
/1ltfeJ eLf ~ (l;( cLu~
~~.
10'- ~ L 'f!MJu-;.1f
Rolls of 30# felt
1 \;2" lead plumbing boot
2" lead plumbing boot
3
I
3" lead plumbing boot
4'GRV
10" GRV
/
Color of present roof
New color flUhllnn
&Ek) i1
Feet of Ridge Vents (COLOR)
Rolls of valley material
J
wtll
Feet of Eave Drip (Color if needed)
Torch down One ply system
Rolls of 43# Base Sheet
(;DrniVlj ~~
This price gooB for 30 days only
3 TAB 25 yr warranty shingle
C)Llc:;t. ~
- 0 f)JP-11 5
T-30 yr warranty shingle
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