HomeMy WebLinkAbout91-1587
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1587 f3
Date /~ -/7- 7/
~~
ME~
Property Owners Name: ..~.M.M ,1'vI..
Job Address: J., :s.--.si - r 7L
~/.:jk~
4
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of wor;-;? J2.. __.A_..tI~
Energy Code Readout:
~/,,-7-5'-71 If>>
Complete Plans, Specifications and Fee Must Accompany Application
Fee ~
SIG~ATU ~~
COMPANYV-
ADDRESS
TELEPHONE #
Estimated Cost: B.-~ 6. t:r<.;,
/
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE ..53 'li'7;"J t:,d,
~~
r.
Pre SLB
Lintel
FRM.
Insul.CL
WL
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 (II A.fie')
dollars shall be made for each _./1'"""d-. d... e.. (id-'01J)
(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.
{,
\,
CASEY & BOB. S ROOFING
Casey Bowden
Robert Eldridge
ROOFING CONTRACT
788-9474 Lic.#006409..
782-1237
Dear Sir:
We propOSe to furnish all labor to complete the
roofinQ job. All labor & material on bad wood not included
in the estimate.
All material will be paid for, upon the siqninQ of con-
tract. Casey & Bob' s will except check. and pay for the
material, this is so YOU will be able to recieve contractors
price. All reciepts will be aviable.
JO~ Locationjl.nrnLnJf'm?)))L~I''rns:) 5' J J if-.. J;f
Cost of material_$ ~ 'i I. 7" 6". '
Cost of labor _$ 1.1, S' o. () () ~~ J/ ~) c~ 3 I: , 7s
Any bad wood indicated~X.-b ,
Not included!
All labor must be paid' for upon completion of services.
unless, otherwise, stated on line below.
"YOU, THE BUYER, HAVE THE RIGHT TO CANCEL THIS TRANSACTION
AT ANY TIME PRIOR TO MIDNIGIIT OF THE THIRD WORKING DAY AFTER
THE DATE OF THIS TRANSACTION.
You. are hereby authorized to all work necessary to my
roof. I undrestand that all bad wood. is not incl uded. and
balance will be paid upon completion of services.
,'" ~.,
; I. {"/ 'j ....
H~, ~-1I.J(/u<-~~- " _ , II ,'..:,.-........-/.- ()-l
; I
" .
Date
OWNER
JOB LOCATION 5S-~1
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICAN
- 6-.L-
ADDRESS
PHONE 7;1;J- err 1 r
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
--------- --
PARCEL I. D. ~F ------
BLOCK
SUBDIVISION
WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install
____sign/Temp. ____Sign _Move ____Demolish
PROPOSED USE: ~ngle Family _M/F ____~~ of Units _____1'1/ 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 FORNS."H
**COPY OF CONTRACT REQUIRED.
____BUILDING
PERMITS REOUESTED
$ ?2.J0 I '7S:-Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_PLUMBIN"G
GAS
Valuation of Mechanical Installation
~~FING SPECIALTY
____MECHANICAL
$
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
Signature
Sil?:nature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration # -
******************************************
~ ~ .........~
. \.. ~ .'
Company, ~ (. -,r? <<, c7r. ""9
Stat.e Cert. or Regis t. ~F - S-
City License Registration #
MECHANICAL
Signature
Cc."
Signature
******************************************
PERNIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit tay bl subject to "deed restricti~ns" which may be lore res~rictive than City
regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a contractor or contractors to undertake work, they eay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, b~th the owner and contractor ~ay be
cited for a lisdeteanor 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, (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 y~u, as the ~wner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes y~u to sign
as contractDr that lay be an indication that he is not properly licensed and is not entitled t~ permitting 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 Depart.ent of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the
"owner", 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 cOlaence.ent.
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 cOipliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby tade to obtain a pertit to do work and ~nstallation as indicated. I certify that no work or
installation has c~&.enced prior to issuance of a perlit and that all work will be performed to meet standards ~f all laws
regulating construction, City codes, zoning regulations, and "and development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
.y responsibility to identify what actions I fIlust take to be in compliance. Such agencies include bill ~i e liot lillited to:
I Departlent of Envitontental Requlation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water Manaqelent District - Wells, Cypre5s Bayheads, Wetland Areas, Altering Watercourses
I Art' Corps of Enqioeers - Seawalls, Docks, Navigable Water>>ays
f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks
I US Environmental Protection Aqency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tli3t a drainage plan
addressing a "cotpensating volume" will be sublitted which i; prepared by a professional engineer registered in the State of
Florida prior tD pertit issu,ance.
A permit issued shall be construed to be a license to proceed with the work and not as authority to vioIdte, cancel alter, Dr
set aside any provisions of the technical c~des, nor shall issuance of a permit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit iS5U~d ;hall bec~.e invalid
unless the wDrk authorized by such pertit is co..enced within six months 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 commenced. One 90 day e~t€nsioll of tile, lay 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 lonth period, or the proiect will be considered dbaiid~ned.
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 CORD D POST A "NOTICE OF COMM~T". .
SIGNATU -~ER-~------ SIGNATURE~~ACTOR----------~---
,
DATE____~:1~~_2_L_________________________
DATE-I7- "tL
--------------- -------------------
NOTARY AS TO I1D _ . '2 _
OWNER OR AGENT i.2:&~~'\l\..\-..h~'-'-k~_:_-
MY COMMISSION EXPIRES___.:.:.:.____...::__::.._____~~__
NOTARY PUBLIC STATE OF FLORIDA
MX,,~~I~MIS~ION.EXP. MAY 21.1994
Bc;:~IJr.D TH,,-U GENERAL INS. UNO.
NOTARY AS TO~I " P
::N:::::::~:~~~~~~~-:=~~
NOTARY PUBLIC STATE OF FLORIDA
t.n CC>1MISSION EXP. MAY 21.1994
UOWJEiJ HmU GENE;tAl INS. UNO.