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Home My WebLink About91-1618 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 161sL? -7 '1 7 Date----L - 0'- - . I Type of Permit ~~ 'EL~CTFIIG^L Property Owners Name: If~.,f^ ,I! f'fJ!; ~~r Job Address: ,-?;7 'J I~ - ~'-;f~-u~l?~;' X J; PL~. MEC~AL Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of work7 e ~( Energy Code Readout: ~~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: IS f-'-. <,~ 7.. ()LJ ./ ~JU Fee: All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #h;i--;2~q ~. . d ~ .( ~~ J!.k . ,~ -~ ':7 - . -Eiu'LD'NG ". ' ~G___ Ftr. SLB Pre SLB Tub Set Lintel VVater FRM. Sewer Insul.CL Final VVL COMPANY ADDRESS TELEPHONE # ~ICAL -., M~ICAL -......... 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 k;", (I III O''C') dollars shall be made for each ~ T Yd-d e.. J/..~ - t/i) \ (a) Wrong Address ( r, :.; (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. RETURN WHITE COpy WlfH ~TGNATURE g;~ ROOFING SPECIALTIES OF PINELLAS COUNTY, INC. 714 Tuskawilla Street CLEARWATER, FLORIDA 34616 (813) 447-6128 Roofing Cert. #2711 State Registration: # RC 0044636 June 17, 1991 Crist Development 701 Enterprise Rd. Suite 302 Safety Harbor, Fla. 725-4323 East JOB: Best Buffett 37915 Fountain Blv . Zepherhills 34695 FLAT ROOF: Disconnect AIC units. Remove complete roof. Haul away trash. Install 431b. base sheet dry-in. Install new eave metal. Install modified Bitumi roof. Install pitch pans where needed. Reflash walls with modified bitumi roof. Reinstall AIC units. Paint aluminum. Replace any damaged insulation on a time and material basis. EXTRA: ANY WOODWORK NEEDED WILL BE CHARGED ON A TIME AND MATERIAL BASIS. THREE YEAR GUARANTEE ON ALL NEW WORKMANSHIP SPECIFIED ABOVE. TEN YEAR WARRANTY FROM MANUFACTURER OF BITUMI MATERIAL. PAINT NOT INCLUDED IN WARRANTY. We are not responsible for damage done to sidewalks and driveways caused from weight of truck. 1%% Late charge added if not paid within 30 days after completion of job. WE PROPOSE to furnish labor and material - complete in accordance with above specifications, and subject to conditions found on both sides of this agreement, for the sum of: Six Thousand Eight Hundred Fifty Seven Dollars andOqfo~~s($ 6,857.00 ). Payment to be made as follows: Payment due upon completion of job. Schedule subject to change, depending on weather. We will notify. ACCEPTED. The above prices. specifications and conditions are satisfac. tory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. (Read reverse side). Date of Acceptance 6/L / I? I BY~'/-?U~<.-# ?ve- By Respectfully subm-itted, ROOFING SPECIALTIES OF P ElLAS COUNTY, INC. President This proposal may be withdrawn by us if not accepted within 3 0 days. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~~Dc ~-:J~ <;.p~(,i'A\-h~<:, Xx. _ ADDRESS 1/lf 7V ~",i If A S:'+lQ,t-;f t(-'"p,.r.~ I OWNER Ze.ph'j R. Iq - ~Je^S~;,f) JOB LOCATION~71J5" ~!ll\;tn~,'V'. BltJI\. fi ?/I~ (e, PHONE 4t.{7-.(o/~ BLOCK LOT SIZE_X AREA SQ. FT. ?y()(\ SUBDIvIsloNlefh1Rh') Il) d/,,;Y\ ~ C,.,,"AA'J UwuS LEGAL DESCRIPTION: LOT(S) , PARCEL I.D.1~ C)3?~J ~\) ()() IOfC) <s'-f i)()L.x>3i WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish -X-Commercial ____Indust. _Swim. Pool ._M/H Ae-S+uQ(U ,,~T- Other PROPOSED USE: ____Single Family ____M/F _1~ of Units _Restaurant & Health Department Approval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORt-IS. H **COPY OF CONTRACT REQUIRED, x 2-'1M Square Feet, Height PRRMITS REQUESTED -i-BUILDING $ ~ f;,S'7,OD I Valuation of Total Construction _ELECTRICAL AMP Service Florida power Corp. _\-l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIALTY R(J KoC) F- Other TYPE OF CONSTRUCTION: ____Block ____Frame _Steel FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration # ****************************************** BUILDER Si!!nature Company State Cert. or Regist. n City License Registration 0 ****************************************** ET.ECTRTCT AN Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** t>lskl .DBt:1; 1) I . - _ --. Company f'lC:oh~ C"j... (r:; fd: (1 (/4 i ~ e ~ 1~.jc . C IceA. State Cert. or R~gist. 11"-1:'<'" ""l6(Vt..:ito -r.t' City License Registration jJ: MECHANICAL APPLICATION APPROVED BY ****************************************** --n "'''"''J zIj. P/l4h~r , PERMIT OFFICER. . "--'-'~-"""'-' '--"~'-'-' ._,-,.... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restricti~ns" which ~ay be I~re restrictive than City regulations. The undersigned assules responsibility.fo~ compliance with any applicable deed restriction~, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance Nith state and local regulations, If the contractor is not licensed as required by law, both the Ollner and contractor ~ay be cited for a .isdeaeanor violation under state law, If the owner or intended contractc,r are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 7811-6611, Furtherlore, if the owner has hired a contractor Dr 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 y~u to sign as contractor that lay be an indication that he is not pr~perly licensed and is not entitled tc, 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 C~nstruction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent 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 d~cument and promise in good faith to deliver it to the .owner. prior to cOI~encement, 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 co~pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has c~&.enced prior to issuance of a pertit and that all wor~ will b~ performed to meet standards of all laNs regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I /Dust take to be in compliance, Such agencies include bill ~le liC,t lillited to: . Department of Enviionmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Army CorDS of EnQineers - Seawalls, Docks, ~avigable Waterways . Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood tl13t a drainage plan addressing a "colpensating volume" will be sub.itted which is prepared by a professional engineer regist~,ed in the State of Florida prior to permit iss~ance, A pertit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Official fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlllit issued ;hall becole invalid unless the work authorized by such permit is co..enced within six months of issuance, Dr if work authDrlzed by the pertit is suspended Dr aband~ned for a period of six lonths after the tillle the work is cDmmenced. One 90 day e:tE~5iDll of tile, aay be allowed for the perlllit with fee charge of $15,00, The extension shall be requested in writing to the Building Official. An approved inspectic,n must be le,ggedduring each six month period, or the project Ilill be C[,nsidered ilbalidc,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 RECORD AND POST A "NOTICE OF COMMENCEMENT". (\"'~, I: / . SIGNATURE~ '____________________ (, \ NER OR AGENT . I DATE_____~~__L~~~j_______________________ n , ' lJu ---- 'f A /' SIGNATURE~, ~ / _________________ , ! CONTRACTOR DATE ----------------------------------- MY COMMISSION EXPIRES______________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ NOTARY AS TO OWNER OR AGENT_____________________________