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HomeMy WebLinkAbout91-1646 STATE OF FLORIDA City of Zephyrhills ~ # PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 16466 Date /}' - J.:2 - 7j Type of Permit (c:~~~.~I~g/ ~AL P~'" ~iCAL Property Owners Name: Job Address: Legal Description: '7J? (Lfl'~ cl-s U:t~ ~ dJ $ /J 7 0 "'---:Jr7( e ~ L?'-c) J Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ) ~,97 ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway - ~ Fee: ~~. SIGNATURE V--'A1CL"~~ COMPANY ADDRESS TELEPHONE # C /S("A~ MECHA Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of t.R (, I r --0 dollars shall be made for each tRp.. Tr a.. de 0~.J (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. 6~. W. '" CARBONLESS FORM 3850 n NO CARBON REQUIRED PROPOSAL TRIPLICATE PROPOSAL :~': ~: G & S Roofing, Inc. 1091 Jessamine Road Dade City, Florida 33525 (904)-588-3854 No., . .. ~,,- . h"'~"';''''-;...lo~....-;"..''''' ~, '>~:', June 21, Date"'d'__ .. Lics.#CCC029557 Sheet No. Proposal Submitted To: Name Barbara Jayne Street ~4791 Evergreen Way City Rl.dge Manor State Florida Phone 583-5961 Work To Be Performed At: R_-o;U.l lIallse J",J o.YIle. oJI-e"'" Street 5307 Tangerine Drive' eS~Qfc. City Zephyrhills State Florida Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of Tear off existing shingle roof and flat roof, and replace shingle area with new 20 year fiberglass shingles (owner to choose color). Flat roof to be replaced with new 4 ply built up roof system, consisting of 1 ply of fiberglass base sheet; 3 plys of fiberglass finish ply sheet, all hot mopped over 15# dry in, with emulsion and silver coat finish paint. Price includes new eavesdrlp;valley (where needed), 15# felt dry in, remova of debris from site, materials, labor, Workmens Compensation, General liability Insurance, permits and permit fees. Any replacement of rotten or'damaged wood to meet codes will be replaced on a cost of materials and labor'pluslO% basis. Fiberglass shingles carry a manufacturers warranty for 20 years for replacement of both labor and materials, pro rated after 1 year. G & S Roofing, Inc. provides a 5 year warranty on workmanship on all re-roofing. All material is guaranteed to be as specified. and the above work to be performed in accor'dance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of ONE THOUSAND EIGHT HUNDRED NINTY SEVEN Dollars ($ 1,897.00 ). with payments to be made as follows: Full payment at completion of,job. Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Work- men's Compensation and Public Liability Insuranca on above work to be teken out by Respectfully submitted P General Manager: G&S Roofing er /t1 d c:. 6d.iL Note- This proposal may be withdrawn by us if not accepted within 30 days. . , ACCEPTANCE OF PROPOSAL The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authol'ized to do the work as specified. Payment will be made as outlined above. ~.'I.J /J. s;gno..,e.,IJ~ fir p-~ Date 7- 2 - 7 I , ',' Signature -,\" APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~ rm I~V\ ~ ' T ~ c , ~ / (0 c:r I :J Q S S ... \A.'\ ~.V\ e. t< <s Clot fJr>..r b", .r", .../ r;... '-/ VI ~~. PERSONAL / 530 7 reo '^.:3 EV' ,,, e.. . D p PHONE ~'3"g- :3 '3rtf C;'" 5 ADDRESS OWNER --.Q" Jon LOCATION RF.PRF.~:::ln.j'rATTV:E" for thp p!':r.<lh:> of . Judy Jayne Molter LOT SIZE_____X AREA SQ. FT. LEGAL DESCRIPTION: LOTeS) BLOCK SUBDIVISION PARCEL I.D.t! WORK PROPOSED:____New Construction ____Addition ____Alteration _____Repair ____Install _Sign/Temp, _Sign ____}Iove ____Demolish PROPOSED USE: ____Single Family _M/F ____t! of Units .____~I / II ____Commercial ~Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Peet, Height RESIDENTIAL: CO~fr1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** A TT ACH (3) SETS OF BUILDING PLANS & (1) SET EN ERGY fOR~IS.,~-I: **COPY OF CONTRACT REQUIRED, PERMITS REQUESTED ____BUILDING $ /) <691' - Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. H.R.E.C. ____MECHANICAL $ ____PLlJNB U.[G GAS Valuation of .., ~/ ROOFING Mechanical Installation SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ ~ CONTRACTOR SECTION BUILDER L:?""f- --5 ' ~~/J//;l.(;. Company AI1.-/- /1. J / A State Cert. or Regis t. t! Signature //nrtJ.~C~)(:).n~. City License Registration ****************************************** /'~~ ~;;~~):: ELECTRTCIAN Company State Cert. or Regist. 0 City License Registration 0 ****************************************** Sirm;:tture pr.mmER Signature Company State Cert. or Regist. ~ City License Registration 0 ****************************************** HECHANTCAL Signature Company State Cert. or Rcgist. 0 ,City License Registration ~~ ****************************************** OTHER Signature Company State Cert. or-Regist. 0 City License Registration ~ . ( ~'.i;"~,,""imisz;;; "*Y' ",d .._..~ Y ,~ APPLICATION APPROVED BY PERNIT OFFICER. CONDI~IONS.OF PERMIT AFFIDAVIT Po ..: NO" I CE OF DEED RESiR I C,. I ONa ;', , . Ih. ......i,..d ..d.,.".d. 'h., 'h" p"'" .., b. .~I'" .. "d..d ...'.,.".... ...,~ .., .. ..,. ......,.,.. Ih.. C," ,.,....,.... Ih. ..d.i.I,..d ....... ...p....h."" ,,' ".pll.... ..,. .., .,,1"..,. ,..d ,..".,..,... . .:. '::\"'~" ~ .,~. . B. 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".. id"" .h."d.."d. 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 $2,500 IN VALL DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 5IGNATUREIl~ ? j-!.J~._,~.- OWNEtE~T iI-/~----- DATE__~I_~_~~_j_~_fL__------------~------ I NOTARY AS TO ~ ~ OWNER OR AGEN ___ _'J1t11J- J16!..~._- . . No"'" "'bile.. ...1 Florid. MY COMMISSION IRE~~mm~~~!~~~1~~~~~1~--- SIGNATURE_j(J~-~__D~-- , CONTRACTOR ---- DATE_____~~&~--!~7-{~jf!---------- NOTARY AS yJI-tV? ell CONTRACTOn~l(f-:!j(L~;;" - -.--.-""-- ~. '" .. "" pubH Z ate or Honda \.Io,a., .., . 'Cl'" MY COM~il S5 N EXP ~~(iS~ls::~__~r:$}:~::~:~_.