HomeMy WebLinkAbout03-2094
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
~
Permit Number: 2094 Issued: 5/22/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ELECTRIC SERVICE/NEW
Proposed Use: NOT APPLICABLE i
Sq. Feet: Est. Value: I
Cost: Total Fees: 35.001
Amount Paid: 35.00 Date Paid: 5/22/2003 I
Address: 37412 CORNWALL DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-00000-0450
Name:
Addr:
Name: PETTERMA ELMA
Address: 37412 CORNWALL DR
ZEPHYRHILLS, FL. 33542
Lie:
ELEC. TO SHUTTER
Phone:
f(~j 1/, {I 3 f[(o
FOOTER 1 ST RO I
PRE-SLAB 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL WATER FINAL MECHANICAL
FRAME SEWER MISC
INSULATION WALL MISC. MISC.
INSULATION CEILING 'I MISC. i MISC. MISC.
DRIVEWAY MISC. , MISC. FIRE DEPT. FINAL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35,00) 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
"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,"
Y:~~ ~OOCCUPANCY BEFORE C.O. ~_ ~
o TRAC ORS'SI AT RE ~ PERMIT OFFI --~-
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAME E#;/f fkr-TtJlJJ1M/....
OWNER'S ADDRESS "37.Vla cr;ti AiU/A ((- /J II..
JOB ADDRESS 37V/~ ~~A/WA(( blL
PBONE?r/).7~ -br1fO
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
teration _Repair _Install
WORK PROPOSED:_New Construction _Addition
_Sign
--'love
_Deaolish
PROPOSED USE: _Single Faaily
_KIF _' of Units _K/B
_ec:-ercial
_Indust. _Swia. Pool _Other
DESCRIPTION OF WORK:
_Restaurant & Bealth Departaent Approval
A (7pl\_ r#c ~10 lv/A&-
(iJA/e SIv7JPA.,
BUILDING SIZE:
x
Square Feet,
Beight
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
CottKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. 0t3-' 7
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, I-&"O 0 ~ q SD
PERMITS REOUESTED f, y1 ).3 q
-BUILDING
-X-ELECTRICAL
~C&AHICAL
$
Valuation of Total Construction
AtIP Service
Florida Power Corp.
W.R,E.C.
$
Valuation of Mechanical Installation
_PLUHBING GAS ROOFING
SPECIALTY
TYPE OF CORSTRUC'l'ION: _Block _Fraae _Steel
Other
FIRISBED FLOOR ELEVATIORS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
BIITT.DD
COMPANY l/t'J.l-,9- Vt//J--/
c:-- State Cert. or Regist~ . Set: (') J(tJ..r~7Y
~, City License Registration' ~
.. ......................................... '-fa ~ ~
. COMPANY I/lJkC) ~ d-- J-O '!5!-- cO- .
State Cert. or Regist.' ..t:; LRnr) ~~A9'
City License Registration .
..........................................
Signature
PLUHBER
COMPANY
State Cert. or Regist, .
City License Registration t
..........................................
Signature
MECHANICAL
COMPANY
State Cert. or Regist, t
City License Registration .
..........................................
Signature
OTRRR
COMPANY
State Cert. or Regist, t
City License Registration t
..........................................
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations, The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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 not licensed as required by law, both the owner and contractor liy be
cited for a lisdeieanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611,
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 OlDer sign 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 lay be an indication that he is not properly licensed and is not entitled to per8ittiDg privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
.'
" -
D. ~ONSTRUC'I'ION LIEN L'I\W (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOI8OIOer's Protection
Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleone 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 COllenC8lent.
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, laning, and land developtent,
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoCJed to teet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber governaental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance, Sucb agencies include but are not li8ited to:
· Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Rnvirontentally Sensitive Lands,
Water/Wastewater rreallent
· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· Arl' Corps of Engineers - Seawalts, Docks, Navigable Waterways
· Deparllent of Health & Rehabilitative Services, Bnvirontental Health Unit - Wells, Wastewater rreattent, Septic ranks
· US Bnvironaental Protection Agency - Asbestos abat8lent
I also certify that, if ffJl lJilterial is to be used ill Plood Zone "A" or ~A,etc,., it is understood that a drainage plan
addressing a .co.pensating volute" will be sublitted whicb is prepared by a professional engineer registered in the State of
Florida prior to per.it. issuance.
. A perlit 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 is~u~nce of a perlit prevent the Building Official lrOl thereafter
requiring a correction of errors in plans, construction, or violations of any code, Bvery pettit issued shall beCOle invalid
unless the work authorized by such perlit is COll8nced within Sil IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOnths after the Ule tbe work is c(8C!nced, One 90 day IItension of tbe, Ii, be
allowed for the perlU with fee cbarge of $15.00, Tbe extension sball be requested in writing to the Building OffIcial. In
approved inspection lust be logged during each six IOntb period, or tbe project will be considered abandoned.
WAMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMtIBNCEHBlff HAY RlSUL! IN YOUR PAYING TIIICE FOR IHPROVIIIBII8 TO YOUR
PROPERTY, IF1'OlJ INTEND TO OBTAIN FINANCING, CONSULT WI'I'H YOUR LENDER OR All ATTORBEY BEFORB RECORDING YOUR lIO!'ICB OF
COKHENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RICORD AND POST A "NOTICE OF COHHINClHBlff., .
SIGMI1lIIIl: OIIJIBR OR AGBIlt S~ro.!/I;,. ~ -
. I
STArl OF FLORIDA
COUNTY OF
The foregOing instrument
before me this
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
STATI OF FLORIDA
COUNTY OF fJlMAG4:f
The foregoing instrument was acknowledged
before me this /114,./ /J , ~~ by
I
;p.vj;:/f,/ 'aL5 t.r N'C /l--
who i personally kno 0 me or who bas
produce
as identificatio~~~~hO ~id/did not
(~~.Y/~
(2~~U~)5 r C~/~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
was acknowledged
, 19_ by
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
""', Lynn 5 Conlen
:'.fiJJ * My Commission CC90!!320
\._# o:-u... March 26, 2004
I', ., flP- ItC"F
Sale,\' Agreelllel11
r:jolL.a.wax
r.... STOAMA/lJSECURTYSHJmRS @
NATIONAl HEAOOUARTERS... MANUFACTURING FACILITIES
10601 Oak s~, HE. Sf. ~ Fl 33716
Sf. PelolTompo (727) 576-1143. (110O) 663-9505, F.. (727) 577 .5026
~~,.",,~'....w.y.com !ttItIIII: www.roH+way.com
'i FlGii'DXOFFoC~S
Fl Myers- 3800 Fowter Ave, FI. M)Ws. Fl 33001
{941127H567, (600) 505-7166, Fa (9<11275-3526
Pompano Booch - 915 S. DOdo Highway E.... P_ _. Fl 33060
(95<) 97~2, (600) 66HJ630. Faa !95417112-33dIl
FL St... L"" SC C04tl534 - 800 2226
Produd 01 V E ,... ltd. W. Rl)I.. Stann & Sec:u ShuU...
PAGELoF-!-
--.,
SALES REP.
ESTIMATED TIME OF INSTALLATION
OWNER'SNAME E(..4?~ PE:::4f:.~/;Jf;;:'?IrlOMEPHONE 813780 -Od.80
ADDRESS '- ~ 7 '7/2 . ( f) r:. /V LL. WORK PHONE
CITY Z E ~~YIC' #,L z..S STATE~ZIP_1J.5l/2. E-MAIL ADDRESS
DATE
WEEKS
JOB NO.
JOB ADDRESS
CONpO/ASSOC_
. PHONE
#
ELEV.
Varco Enterprises Ltd. d/b/a Roll-a-way@ (the "Seiler") will furnish all labor, materials and equipment necessary to Install the
followln roducts at the above address:
Shutter Classification: 0 Solarshade 0 Security Ct11urricane Protection Scaffold Reauired: 0 YES-Ct1<lO Type
Colors: (WH) White; (IV) Ivory; (BZ) Bronze; (BG) Beige
o erators: 1 Pull Slra 2 3:1 Crank w/Stra 3 Gear & Crank Handle
SIZE SHUTTER SLAT/BLADE PURLlN COLOR OPERATOR INSTALL LOCATION
NO, WXH TYPE TYPE CODEITYPE FRAME HOOD SLATS TYPE (I)
"
I '6() X I() fJo/ () Ll.. F<5 C} Ii WII 111//, //tIt. ~ I~ ....~.. b ,<-)(5 LJ
X
X
X
X
X
X
X
X
X
X
X
~ ~otal number of openings.to be cove.red (multiple sections count as one). Units are numbered from left to
right as viewed from Inside 0 OutSide 0
ADDITIONAL SCOPE OF WORK AND OPTIONS NOT SHOWN ABOVE:
TERMS 50 '10
o t*%) DEPOSIT, Make payment to sales rep to submit with the orde/.
(40%) DUE ON DELIVERY OF SHUTTERS, make payment to installe/.
(20%) DUE ON COMPLETION, make payment to installe/.
o FINANCING
o DEPOSIT CH~C NO. CASH 0
CIRCLE ONE: MC VISA DISC AMEX
ACCOUNT NO. '(10 7/11-1 O~ I fJ .5 <(, if/
EXP_ DATE O~ 05
MAKEA L PAYMENTS TO ROLL-A-WAY SHUTTERS
CONTRACT AMOUNT $
51~
DEPOSIT PAID WITH ORDER (~) $
AMOUNT DUE UPON DELI
[51J.L-.
AMOUNT DUE UPON INST
COMPLETION (20%) $
NOTICE OF CANCELLATION
You may cancel this Sales Agreement, without any penalty or obligation within three (3) business days from !he above date. If lhe owner stops the conl7actor
from beginning the work after the end of any cancellation period which the owner has under applicable law and/or regulations or ordinances, the owner will be
liable to and pay the Seller for all costs and expenses incurred (10% minimum) arising out of or In connection wfth the work. Including but not limited to the
execution 0' this contract and any preparation and purchases made for the work. T cancel this Sales Agreement, you must timely send vta certified or
registered mall delivel)' a signed and dated copy of thIs cancellation notice Dr a r elU!otice. or send a telegram. to Roll-a-way, 10601 Oak St. NE.,
St. Petersburg. FL 33716 no later than midnight of (dale) .,...,
IIWe hereby cancel this transaction (date) Ow er's Signature
INVe understand that this Sales Agreement pertains to the purchase and sale of specially manufactured. custom made goods to confann to specifications
relating to my/our property. Upon acceplance of this Sales Agreement in the manner set forth bAlow, Seller is expressly authorized to lake such steps as it
deems necessal)' to perfect its lien rights under Chapter 713, Florida Stalules to secure payment of the outstanding balance due heleunder and is heleby
authorized to obtain my'our credit report from a credit reporting agency. Additionaltenns and condftions are contained on the reverse side of this Sales
AgreemenUIWe hereby certify thatllWe have read. understand and accept this Sales Agreement IIINe have been furnished a copy of the Consumer Rights
Notice requiled by Slatute 713. _and two ~p'ies of this agreement Including the above notice of cancellation:
/d. -/ J . . ;;
Owner'sSignature '7.-/</// :' 1>/1-.?-//h r;- Jp, ss# :.JIlL -__C-7v ~/Ci:"}LDate L/- (/__ L' _-3
SS#
Date
Salesman
Accepted By
Date
............. 6"'" ...... .................., _........ ............. ............... _....II .......__..... ..........11__ __ .... __t.. ......__ ''''.. <"...__ .._
1/ -{I (
1!i
5l'f
t::-<t
ORDER NO. ORDER DATE ~/h/'/ rJ ':3
....C. IL SALESMAN OAUI/78YFfiI7~ PAGE / '/ OF
1."0 .a.~
r--. """" - _1HImI.. .'Bi ESTIMATED TIME OF INSTALLATION -"f W /"(' C; ("'),,( _C,..."...,./\ <e rt'_...
-
SALESPERSON DIRECTIONS 54- e/J.c,T m "c:: / L...., oN ..0 ~L v/) /if, L.,r=- ~ r- ,.
~/L..n \.-1/ /?J r;: p:" r;:,c- /l A'/J ,~A,"" LJ"/ 7U ?tV.c- /)/ '-,A/.rJrV1 ,
WORKSHEET #05-03 ,
HOME PHONE (?/ =i 7,ff)-"( C'Y"" R <
CUSTOMER NAME FI mA PE-rr.,c-/:? 11"7.4 N/1/ ~
ADDRESS ,"1 7 '-f /:;'; C Ot11'1 YvI1L / On. BUS. PHONE
Z E P//VA /,.0/ L e;- STATE ;==z ~2 '7.j{, 7 '\,
CITY ZIP ..i ,\ ~.,-;. '-
...
_ ~ESIDENTIAl - CONDO CONDO NAME "
'.
OUT OF TOWN ADDRESS PHONE ,-
~
PROTECTION: ( ) SOLARSHADE ( ) SECURITY ~ HURRICANE (IF OTHER THAN PER CODE) ,
SHUTTER ZONE: (~ON -COASTAL; COASTAL: ( . ) INTERIOR ~NDZONE 1 ( ) ENDZONE 2 MILES FROM COAS"i ~
BLDG HEIGHT: (~ < GO FEET ( ) > GO FEET / BLDG STORIES; SHUTTER LEV~ / FLOOR; "
,
ROOF SLOPE: ( ) < 10 DEGREES (0< 10 DEGREES COLORS: (WH) WHITE; (IV) IVORY; (BZ) BRONZE; SPECIA~ COLORS: "
SLATS 'AI/; , /'1, Ii I/'I/i BACK PANEL ,/~/H BTM SLAT '0/ JI
MULLS ,/,,!, I PURLlN '^/ /J TRACK HOOD
, ,
SHUTTER NUMBER # / # # # # # # #
SHUTTER TYPE 15\~ 7L
SLAT TYPE y P ~_~
REBAR SPACING lv/A
WIDTH: T - T to
TRACK HEIGHT Cjn
SHUTTER ZONE LOCATION OF OTHER THAN ABOVE)
OPERA TOR TYPE CODE L:)
OVERRIDES YES / NO $ VFC, ..:.
OPERATOR LOCATION (ISLO) -t-Pl.n
UNIVERSAL TYPE - FIXED/REMOVABLE R P fY7 (y AQ., L F.
BACK PANEL YES/NO iY4'
HOOD SIZE: G, 7,8,9, 10, 12 to
HOOD STYLE: 4/5/G SIDED .S
,
SOFFIT.. RECESSED YES/NO Nn
POSTS .
IV!)
SWITCH TYPE (MO or MA)
PURLlN CODE II
PURLlNSIZE J.?,
FIXED OR REMOVABLE F 1.:[ IF } P._CL. f1t?G;t
r.la. . . ",aL..... "
SPECIAL INSTRUCTIONS & DIRECTIONS: ,
. ,
COLLECTION ARRANGEMENTS:
This wor1<.sheet is an internal company document intended to be used for preliminary internal purposes only. All figures and information contained in the wortsheet 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 infor.nation 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 tte oarties,
~
BUILDING SPECIFICATIONS FORM
(FOR PER.\IIT APPLICATION)
CUSTOMER NAME C. L /J1,Lf
/2:: TTE/Z /J14/V/1/
PROPERTY OWNER YES ~O
ADDRESS 37 L.j fA CO~ /v W-4LL
CITY, STATE Z E";P/I'Y ~ I~/LL..S
PHOl'l'E #
D/(.
rL-
Ul'I1T #
336~~
.
· STRUCTURE: MASONARY_WOOD_CONCRETE_ALUM. OTHER_
WINDOW FRAME: DOES MA TERI.'-\L DIFFER FROM ABOVE? TYPE
· ROOF SLOPE: <10 DEGREES >10 DEGREES /
FIRE SPRINKLERS: YES_ NOX FLOOD ZO~'E: YES_ NO /
BLDG.# OF STORIES-L ARE SPECS A V AILABLE YES NO
CONDO/ASSOCIATION APPROVAL: REQUIRED ~ NOT REQUIRED_
.
.
** 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
***Drawings may be done on the reverse of this form.
CODE
COUNTY P/t-8C1J
A!>pr
MPH / I D
MEAN ROOF HEIGHT 13 r r-
PSF EI't'D (] 2,1 INTERlOR 2 P;
ROOF HEIGHT
SLAT TYPE
P55
REBAR (END) ALL 2:"iD 3RD NO~'E ~
JJIY REBAR (INTERIOR) ALL 2~D 3RD I'IONE
/3.0
PURLIN SIZE 2.0 2.3 4.0
,Jf+ ACCORDION: BLADE LENGTH END I1~TERIOR
.5
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