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HomeMy WebLinkAbout91-1694 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit )f~ 1694 ;} Type of Permit -----_..-:::~..:...... (~BUIL_~I~G ' Date ~rr-.6'-- 9' / E~ P~G M~.L t: i 'r Property Owners Name: \ ,cC ~ A....;.J\ - 'v (2f.~ /'1.-' -7 '1/ - J ') 2/f/ 4{. Job Address: ,,\ / D'o.. '" C ' -_ " I" 1-1/J ;1 j/ d , ,C~: '1 ///<-<AC0.:/{\ ;,...~ c:.....-~, {--t,. Legal Description: Sub.Div. Lot Blk. Zoning CI: J;' - ~; /} "7 (J CJ c7 7,--\ j I " c.1-L'''VUkMi/ (' ".C Description of Work Energy Code Readout: ~ 10 -" ,q 1 lp Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ? ,:)-{/2). (/""'7) Fee: SIGNATlJRE COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # 7'" t1r;..",( ~I;.t- .. ! )j f2 I If+ ' i1.l.} l" -" ~ (/ BUILDING '; '-- Ftr. Pre SLB Lintel FRM. Insul.CL WL '?l.~NG -, ~~~L M~ICAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ~t~ dollars shall be made for each U@. TRADE 15.00 (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. '-T t'll" . _, -."\ ." PROPOSAL . ..., CONTRACT No. 196 H.W. Aluminum & Concrete Date 7-26-91 38430 South Ave. Zephyrhills, Fl. Shee': No. 33541 Proposal Submitted To: Work To Be Performed At: :;.. Name Street City State Phone Vander_Meule. L-~ ~ fJ/....fc..-e 5721 20th st. zephyrnills,Fl. 782-1232 I/-~"-~ / Street City Date of Plans Architect (.'0/0 -0 /' ?OO -C>O State 1= L .(. , We hereby propose to furnish the materials and perform the labor necessary for the completion of 81' 5" K gutter and downspouts Aprox. 230' of soffet installed with vents Aprox. 230' of fascia installed take down chimney and frame in square siding installed covering .r -~ t{Jw?>L> all wood ," !) jU"! . /: '...1 fOA.-' Approx. 18' to 20' around house. ." .w,. Approx. 1800' denny board insulation inst,alled ;VI FJ t.V . ! . /), ~A tl" ~U~~ sets 0; shutt~rs L{)r; / I.~ ~. U/(/1.YL~ Lr) ~ff:7h . /~ - ~ri XYI? /" l'1~y W.u-,t"~ ~- /~r hiq 8' post repla);ed for front porch. (Alumium 3x3 ,post) . . W. <<J 4tP ~ ~ ~~ I CLV\.. C.OI-" d f,b VJ "Y ..ak!.R-~ ~, . 50 year non-prorate~ warranty fr~ alcan and aleo transferable All material IS guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of , , ":2 (;'J:1'f!'1 c / P A _ ~ Dollars ($~$ao.. DOl. wit~Yments to be made as follows: ...;;; 00 0 q ~ 0 ~ -. r_ _ ., t if~ ~;p c /;;:{ (~ --'--e) ~.;J ';'~-'-1 Any alteration 01' deviation from above specifications involving extra costs. Will be executed only upon written orders, and will become an extra charge ovel" 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 Insurance on above work to be taken out by Respectfully submitted , I //,~? / / ,,' .~ ./ 'rfJ -' 6//7.//' // ""'." /-/(:~Y'f.-/' ,~~/ ~/k'1 / ~. --- Per Note- This proposal may be withdrawn by us if not accepted within days. "'\ ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified, Payment will be made as outlined above. .... . /it.. () p, ~/~t/\ p?7 --0 -Ld// ~ '//'~ f) ~~g;/ DL.)~,.1.'1Signature o{~-p"!M... ,':M' Date "/ - Z b - 9 I / ~O (' O. tP Signature {:(~~ (,/'2-" \ cL-..J;/L!~/;~L-v--- TCJPS~FORM 3850 DUPLlCA TE LITHO IN U.S.A APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT till At,' /J /"'.. f) I/:'e~, ~ l.J. {/Yi;nU.t/YJ :1.. ~U~~ ADDRESS 38'--130 &u'-/11 A v~~ 0 PHONE ~ 8 f:.3 - BaL-I'-1 OWNER I-tLt-nhJ~rl f/ 4/l'cr::, V()nd~r (Y)(4j llFJYl JOB LOCATION 612J 2~, C{f;, ~ --H4LUo LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) PARCEL I.D.~F / /- 2G7'~ 2/ BLOCK SUBDIVISION enlC) -O'78CD -CC1'75 ~epair _Install WORK PROPOSED:_New Construction ----Addition ----Alteration _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~F of Units ,_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. PERMITS REOUESTED V/BUILDING $, ? S . C--D, C,--' Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\-V.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR ~ ~ ^ Cnl Company . W . A I urn kr)~~ <$ (I vefe State Cert. or Regist. iF .>t 0 /tlf J City License Registration #- 9 ****************************************** BUILDER Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. ~F City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ****************************************** '-/1 ""'<< 'c~ ;Y ,A ",""- , PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictiDns" whicR may b~ IDre restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictiDns. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a cDntractDr Dr contractors to undertake work, they lay be required tD be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, bDth the owner and contractDr lay be cited for a .isdeleanor violation under state law. If the owner or intended contractDr are uncertain as to what licensing requirelents lay apply fDr the intended work, they are advised to cDntact the City Df Zephyrhills Building Department, (813) 788-6611. Furtherlore, if the owner has hired a contractor Dr 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 you, as the Dwner sign as the cDntractor, you are indicating that you, rather than the contractor, are responsible for the work. If the cDntractor wishes YDU to sign as contractor that lay be an indication that he is not prDperly licensed and is not entitled tD periitting 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 CDnstructiDn Lien Law - Ho.eowner's PrDtection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is SOleDne other than the "owner", I certify that I have obtained a copy of the above described document and prDmise in good faith to deliver it to the "owner" prior to cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wDrk will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work Dr installation has co..enced prior to issuance of a perlit and that all work will be perfDrmed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulatiDns 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 lust take to be in compliance. Such agencies include bllt ile not limited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environmental Protection AQency - Asbestos abatement 1 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 "cotpensating volule" will be subtitted which is prepared by a prDfessional engineer registered in the State of Florida prior to perlit iss~ance. A perlit issued shall be construed to be a license tD proceed with the wDrk and nDt as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, 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 issued 3hall becole invalid unless the work authorized by such perlit is cO'lenced within six months of issuance, Dr if wDrk authorJzed by the perlit is suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e~tfnsioll of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be cDnsidered aballdoned. 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". c.f) -kj} I fU1_ f) J ~~// L# ~ (l.. ~ r= SIGNATURrt;X~.JLQ:n..~.J/~ SIGNATUR~__,", '/ --_'::~~--~~;L-~--~.:.. OWNER OR AGENT- , ONTRACTOR . DATE__~_~_~_r_lq_~j________________ NOT ARY AS TO r\ ./'\ OWNER OR AGENT_~~~ ~An'l P"~' rr ('""G~E ",... FLORID' MY COMM I 55 I ON EX PI, VrY'~~~~;:.::....E.!~~-f~~.-H;-H~-- BC1:~ED "i::'.U 'cE ;5:i,:' L::. U:,Q. DATE ~~-~t--~-~~-t--------- 9__Q:-~- flOTJl.RY PUSUC STP,TE (; FLO::iIDI\ ~~..,,".:.- ",', (,..., lTP ')1 1095 EX ' l'l.:.,'c,,:"l:"",', L.'\!"" I":-:..."~ "..:J hLt. --ft~ij-"'€e;€-R~..:-+'~-tH,:e'i"- NOTARY AS T CONTRACTOR MY COMMISSION