HomeMy WebLinkAbout91-1566
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
156615
Type of Permit
~:DI~~
Date ,({- t- 7' I'
ELE~-
P~.
MEC~L
Property Owners Name: .~'?1 -<Y''/ d ~f~1
Job Address:~~ -. c9.-.s - '-/ - / 7...4 ~7.
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of wor'~~;- <~~~
v
Energy Code Readoul: ~ .
~- IT-Cf{
Complele Plans, Specilicallons and Fee Must Accompany Appli alion
~
Estimated Cost: J."r- "7 {). c:')-[;)
OCCUPATIONAL LICENSE #~f ;?-f'!~f U,
t (
---zJ. . ~. / ~JJ -
~/~ -'u=;r-'(j
~~~ING~) ~
Ftr. SLB
Pre SLB Tub Set
Lintel VVater
FRM. Sewer
Insul.CL Final
WL
"-
Fee: ~_S < c:J7J
SIGNATUqLt-l /O,~ Lh
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
EL~AL
----
M~NICAL
~
Tp,Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of' (I .OC,
dollars shall be made for each lJIip."/ r.;).. d e. (;::.-: tlZ) )
(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.
PREMIER SUNCOAST ROOFING, INC.
37325 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
(813) 782-6094
RESIDENTIAL & COMMERCIAL ROOFING
LIC # RC 0061648
INSURED & BONDED
PROPOSAL TO: PHONE #:jj).-CJoCf2 DATE: 5- 7/- 1/
)1fJlfle1h -r'lL.-(r
52 <)'1 17(J, ~Jf. JOB NAME: IrL(/~
=~~tjJgi~~=================================================
WE HEREBY SUBMIT THE FOLLOWING SPECIFICATIONS & ESTIMATE
FOR THE COMPLETION OF THE FOLLOWING:
COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLES.
BAD PLYWOOD REPLACED AT A COST OF $ 1o,o~ PER SHEET.
I
INSTALL J 8 Pee-/' ' NEW VALLEY METAL.
INSTALLATION OF
A;/~ NEW LEAD BOOTS THROUGH ROOF.
INSTALL NEW 15LB FELT.
INSTALLATION OF NEW DRIP EDGE AROUND PERIMETER.
INSTALLATION OF NEW ]0 Yt'tlr fi-, /I .F SHINGLES.
ALL DEBRIS REMOVED FROM THE JOB SITE.
FIVE YEAR LEAK WARRANTY.
ALL MATERIALS AND LABOR FURNISHED.
TOTAL BID:$
15 ? ?~'()/J
PAYMENT DUE UPON COMPLETION OF JOB.
'b-
DATED,S/31/1!
DATED~~/ /5' I
I r
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~ .
/ /rJ. fYZj J. k , ~ 1 n(l [YJ-/j( R cX1fcrKi/-- i l ne. '
ADDRESS 0'1335 .:5,/?' 54 W~ST 2,../-ft//s 33.51/ PHONE '7cga.-(oog4-
.t::rnnel--f, '/\I!eR
,
JOB LOCATION 5aS~1 11Th .S1Ye.J + /-j-hUS
APPLICANT
OWNER
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.0.#
/uJ---~
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
____M/F
____~~ of Units
_____M/ H
____Commercial
_Indust.
_Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED,
PERMITS REOUESTED
____BUILDING
$ / [-/0. 6U
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
~OOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
Signature
Sie:nature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
MECHANICAL
Company
State Cert. or Regist. #
Signature City License Registration 4~
~"="""'~~~r.:~~~~:~~f;;~~ ~~l~~4f<Y~~~
***************~**************************
APPLICATION APPROVED BY 71 ~a 4"'/./).Af)..-,)
PERMIT OFFICER.
,',' ...
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions. which aay 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 Dr 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 lay be
cited for a .isdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813l
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges 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 Construction lien law - HOleowner's Protection
Guide" prepared by the Florida Departlent 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 promise in good faith to deliver it to the
"owner. prior to cOllencelent,
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but ~le not li.ited to:
. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvironMentally Sensitive lands,
Water/Wastewater Treatlent
. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways
. Departaent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks
. US Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a .colpensating volule" will be sublitted which is prepared by a professional engineer register~d in the State of
Florida prior to perait 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 issuance of a pertit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six sonths 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 cOlmenced. One 90 day ~~tEnsioli of tile, 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 lust be logged during each six to nth period, or the project will be considered dbdiJdoned.
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 UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE NCEMEN
I ' .
SIGNATURE~'~-D"NER-DR
DATE (o~L_~_ ~________________
NOTARY AS ~. J . -[1 /1 ~ .t
OWNER OR Ab~~ ~ ___
MY COMMISSION EXPIRES- .,' .... ..... .... '~-'. ,-
--,":"",-,--~~~~w---:-;-,-,------
DATE__~_Cb_r-L~f.1~---------
~g~~~~c~~R9L~L2~~-;-
MY COMMISSION EXPIRE9~~_~____~_____~___
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