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Home My WebLink About91-1562 STATE OF FLORIDA City of Zephyrhills o X ,,-v y q..~' Type of Permit ELEC~ BUILDING Property Owners Name: Job Address: 3 <17 7J 5'ft{l~ rf _ q .ft, PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PLUM/, MECL Permit :N~ 1562 13 Date 0- 3-q ) fVbtt tll S !lV Legal Description: Sub.Div. Blk. Lot Zoning CI: Description of Work ---t:<..e.. {.pOI::: Energy Code Readout: ~ {,-tf.9.( (3.,'J Complete Plans, Specifications and Fee Must Accompany Application Estimated co!J17 S Fee; $2-5:0 e All work shal! be performed in accordance with the above and all City Codes and Ordinances. SIGNATURE COMPANY ADDRESS TELEPHONE # OCCUPATIONAL LICENSE # :s- _f?ww. C 17 rt-ot:>t':/~ BUILDING AL Ftr. Pre SLB Lintel FRM. Insul.CL WL PLUMBING SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. P e Pool Pre-M Final Driveway ELECTRICAL Breakers Ducts In Com pre sor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge OfllllR 1!l&.OO) dollars shall be made for each Mp. {rd.-de. V6:tJOJ (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICANT ~ ADDRESS ~~ 02- OHNER~ ~ { .n.J.. /' JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D ,l~ WORK PROPOSED:~ew Construction _Addition _Alteration "?Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ of Uni ts _!,l/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet. Height _ELECTRICAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P-LANS & (1) SET ENERGY FOR!'lS. ** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~:* **COPY OF CONTRACT REQUIRED. ? (7 j l'lffiMJTS REQUESIED AMP Service Florida Power Corp. Valuation of Total Construction RESIDENTIAL: CO!1.I1.ERCIAL : _B,UILDING _W.R.E.C. GAS ;Zluation of rlech&nical ROOFING _Frame ____Steel Installation ____MECHAN~CAL ~_. .J _PLUMBING SPECIALTY TYPE OF CONSTRUCTION: ____Block Other FINISHED FLOOR ELEVATIONS: FT. ********************************* Signature ~CONTRACTOR ~ECTI0N Company c!o, e.'/YJp "* ,-;2 S;2. City License Registration ********************************** il~-.~ 7) ELECTRTCTAN Company S i InH!. t\ln~ City License Registration # ****************************************** pLUMBER Company . Signature City License Registration D ****************************************** MECHANICAL Company Sighatur'e City License Registration # *************************~*~~~*~~~******** ...... . ...., OTHER -" Signature Company City License Registration # APP~ICATION APPROVED BY ****************************************** {~{,/~ ;/. ;Si7;; PERMIT OFFICER. /" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS -- T~e\undersigned tlndersta1l(ls that this per.it, aay besubjed to "deed restrictions" which lay be lore restrictive than City re!}u1ati~ns.. The -!.!nde~.sign,edassu.es res~o~sibility f~rco.pliance with any ,applicable deed rest,rictiCtns. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS}BILITIES 1 If the owner has hired a contractCtr or contractors to undertake work, they may be required to be licensed in accordance with state and lCtcal regulations. If the contractor is not licensed as required by hw, both the 'clwner and cCtntractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as tCt whatlicensin!} requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Buildin!} Department, (813) 788-6611. Furtherlore, if the Ctwner has hired a contractor Dr contractors, he is advised t~ have the cCtntractCtr(s) si!}n portions of the "CCtntractor Sections" of this application for whi~h they will be responsible. If YCtU, as the owner si!}n as the contractor, you are indicating that YCtU, rather than the contractor, are responsible fCtr the work. If the cCtntractCtr wishes YCtu tCt si!}n as contractCtr that lay be an indication that he is nCtt properly licensed and is not entitled to perlllittin!} privile!}es in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713" FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's ConstructiCtn Lien Law - H08eowneros Protection Guide" prepared by the Florida Departlent of Agriculture and Consulller Affairs. If the applicant is sOllleone other than the " Ctwner " , I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to CCtllence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infCtr.ation in this applicatiCtn is accurate and that all wCtrk will be done in cCtlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby aade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a plfllit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governlental agencies may apply to the intended work, and that it is 'Y responsibility to identi~y what actillnS 1 lust take tCI be in cOlllpliance. Such agencies inc!!I~e but are nClt liaited to: - f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnmentally Sensitive Lands, Water/Wastewater Treatment * Southwest FlDrida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks * US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it' is .understocld that a dra~nage plan addressing a "collpensating volule" will be sublitted which is prepared by il,pyofAlssic.nareTl(jineer registered in the State cof Florida prior to penit issuance, ' . '. , : ,_ ,I ,: , ~,' _ - - - _... _ ' . _ ' A penit issued shall be construed to be a :license to proceed with the work and ntlt'~~;aubc.rhy i'o vic.late, cancel alter, c.r 1 . " set aside any provisions of the technical codes, nor shall issuance of a per&it prevent the Building Official from thereafter requiring a correction of errors in plans, 'cons"truction,or violations of any code. Every perllit issued shall becc'llIe invalid unless the work authorized by such permit is cOlae~ced within six lonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths,after the tile the work is cO~IDenced. Doe 90 day extension of tile, lay be allowed for the per.it 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 lonth 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 U DER 0 IN DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC SIGNATURE_~~~~~----- OWNER OR AGENT CONTR TOR DATE___Oktn QL___________________ DATE___fJJ,pjtJ31qL-m------------ ~ NOTARY AS TO ~ [( ...-:t-rT- , /"'" , ..Cfn~tO'RIDACONT~CTOR "~~I/ ' My commission expires Jan. 28 1995 ~, NOTARY PUBLIC, STATE OF FlORIOA MY COMMISSION EXPIRE~gea..Uu:u...eat1ecsog...~li\ht-kene1 MY COMMISSION EXPI~commission expires J<1n..28, 1995 L'B'onded tl.IU Pall,,'''vlI - fSecht Agency SIGNATURE NOTARY AS TO OWNER OR AGENT Please Send Remittance to: 1\. II mutt iRnnfing <Of <lteutrttl 3Jf1nri~a. Int. c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 One Of The Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Uniroyal White Rubber Roofs RESIDENTIAL * COMMERCIAL * MOBILE HOME LICENSED-INSURED & BONDED '* MEMBER OF CHAMBER OF COMMERCE '* OFFICE PHONE (813) 782-5585 Lic.# RC 0031769 Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, Land 0' Lakes, and Surrounding Areas We have reroofed over 6000 Homes and Mobile Homes in the last 17 years. 1) Tear off a d haul away old roofing (clean ulp daily). {"'\) fen paper Amount Name Address Phone Date 2) Install new 3) Install new 20 or 25 year class A fiberglass shingles, owner 4) Replace all damaged flashing (valley, eaves, or any step a 5) Any rotten wood (roof deck, fascia, or trim) will be replaced on a cost of wood, plus 1 0%. Carpenter charge $11/Hr. 6) Remove Old Neoprene boots and replace them with new lead boot for the plumbing vents. Carpenter charge $11/Hr. 7) Install new aluminum eaves/drip, color to match the trim of the house. 8) A. Bartlett Roofing, Inc. to provide 7 yr. warranty on workmanship; exclusions: storm damage, work done by others, tree damage, structural damage to roof deck. 9) A. Bartlett Roofing, Inc. to priv' Gener iability ($300,0 Limit) and workman's compo I nsu rance. THANK YOU Your Business is Appreciated Payment upon completion unless previous arrangement made. Warranties pertain to original owner Ail agreements conllngent upon strikes, accidents or delays beyond our control. ONner to carry fire, tornado and other necessa insurance. Our worklLr$ are fullv covered b Workmen's Compensation lnsur nee.