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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.