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Home My WebLink About91-1691 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1.813.788-6611 PermitN~ 1691 Date2- ~ -Cf ( &'~ . ~~~; - Iv~ Property Owners Name: Job Address: Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Complete Plans, Specifications and Fee Must Accompany Applica' n 'b'~ ,p Energy Code Readout: ,/~ C) ~ ;--- Fee: ~ SIGNATURE (~ /lr~ COMPANY ADDRESS TELEPHONE # Estimated Cost: /( 2 ..l"C?., ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ~. ~ ~ .l.~ ~_ BUI~~_ PLi~--=-~ ~~I_~ Ftr. SLB Tp.Serv. Pre SLB Tub Set Rough In Lintel Water Meter Can FRM. Sewer Const. Pole Insul.CL Final Pool WL Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the folIowing reasons, a charge oh"I' {'Ie i9) dollars shall be made for each~7rd de C;-5: iflJ) (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: (3 ~ b C- 1, (,,:I 1(/-6)11 55'S'r- '6-rJ ~J~ 5330 ~(~ PHONE #: 18:) - 1- 5"'.2-2- DATE: 7- JCJ...-r / JOB NAME: ============================================================ WE HEREBY SUBMIT THE FOLLOWING SPECIFICATIONS & ESTIMATE FOR THE COMPLETION OF ,THE F~~O~tNg: "{~ A ~~ fV~frI0~yCMI4( - ~ fMtH~~r/~NJf-/ COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLES. BAD PLYWOOD REPLACED Ar A COST OF $ PER SHEET. INSTALLATION OF NEW 2X4" LUMBER @ $1.50 PER LINEAL FT INSTALL NEW VALLEY METAL. INSTALLATION OF NEW LEAD BOOTS THROUGH ROOF. INSTALL NEW 15LB FELT. INSTALLATION OF NEW DRIP EDGE AROUND PERIMETER. INSTALLATION OF NEW J" YfU G.E SHINGLES. ~~t'r~~:t;r ALL DEBRIS REMOVED FROM THE JOB SITE. FIVE YEAR LEAK WARRANTY. ALL MATERIALS AND LABOR FURNISHED. J Yisda/I ((4/ ffJtlf /nj' t7t/'tIY' ro.//~ (JtJkh Q/1"(1t /ty/~ 111 ,;Jall Vfl1(/ (J fJq'c1..'?~ TOTAL BID: $ /8 ~t1. tJlJ PAYMENT DUE UPON COMPLETION OF JOB. ACCEPTED: OWNER SI DATED: 1- 3 j-I! . DATED: 7-- 3 /- 71 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT -df~EMICK 5Ltf\1COA:;;;-r ADDRESS 3/7321)5 K. 54 ~v. 730/3 (Y H~W[~ JOB LOCATION 5J3{) /~~ 711 Sf-. , t-2o () r-- OJ C1 , ~ 7; .1-11 LLS 335 iff ~lC, PHONE St3~ q ~ 2 - (oOCf'-f OWNER LOT SIZE x AREA SQ. FT. " LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .l~ WORK PROPOSED:____New Construction ----Addition ----Alteration ----Repair ~Install ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4~ of Uni ts ,____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. PF.RM1TS REOUESTED ~BUILDING $ I f 5- 0 . 00 Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING ..... GAS x ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** )3~J1T,DER SiQnature Company State Cert. or Regist. # City License Registration # . ****************************************** ELECTRTCTAN Signature Company State Cert. or Regist. 4~ City License Registration l~ ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHAN1CAL Company f>r2Ei)7 / ERE St u\./t[lfi S- r !{CC''{.I N4I1v C. State Cert. or Regist. # ,R.C u()(.oliL.7t.!-Y , City License Registration 4F fr _')-f? *** it'; * *1* *****t;~~:~ ** * ** * ** * * *,.ft* * * ** * * * * * '. ....-; /Xl ,'-;~~ /J } .::; / ~ ' PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay 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 or 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 .ay 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 - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "owner" prior to cO'lence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a per.it and that all work will be perforled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but ~re uot liaited to: · Departt~t of Envir~nlen.t1 ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treataent · Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways · Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks · US Environ.ental Protection AQency - Asbestos abate.ent ' 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 "coapensating volule" will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it 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 per.it prevent the Building Officj~J frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issll~d shall becole invalid unless the work authorized by such per.it is co..enced within six lonths of issuance, or if work authorIzed by the per.it is suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extensioli of tile, aay be allowed for the perait 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 aonth period, or the project will be considered abalidoned. 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 AT ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UND ,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMME C SIGNATURE_L~~_ \ C}-10WNER OR GENT DATE____~~t3,-L~t---_------- NOTARY AS TO r\. 'Q .. r\ , OWNER OR AGENT _~1 c (L., _~~L MY COMMISSION EXPIRES ;." "",. -~~~':J::--- My Comm, Exp, July 24. 1993