HomeMy WebLinkAbout91-1701
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1701A'
Type of Permit-
-~.- .-- '.-."..--...........
(BUILDING ELECTRf6-A.b.-....,
G'
Date (f> 7" 7/
P~
MEC~
Property Owners Name: ~l<1
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Job Address: -,-;;....;> , ..
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,,'~.. ,.-J..71-
,
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
~-"')
f) .{<
/
~~
Energy Code Readout:
~. /J..-IJ-If/
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ./6 f~i. - (.-;-T'
/
Fee:
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OCCUPATIONAL LICENSE #. '5- ;f-t}-~...c "-< r;kh.
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BU"ILDIN'O---- ,~/ ~u~
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SIGNATURE
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
<.....
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
ELE~AL
-....--...
ME~NICAL
"
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_eo fill flO)
dollars shall be made for each fiIli:p.Ty~ de (/~-:o-v )
(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
Please Send Remittance to:
1\. II artIttt iRnnfittg OOf C!tentral Jflnrilla. Int.
Name
c/o Richard Bartlett ~ \ \
38408 3rd. Ave. C-\
ZEPHYRHIL.L2, FLORIDA 33541
One Of The Largest, c1d~ Most Dependable ~) \
Roofing Companie!j iJ:O~entral Florida_,
Specializing in Mo~ Home fJdn' yal White Rubber Roofs -
RESIDENTIAL * COM I * MOBILE H~E .
LICENSED-I E ONDED ~.# RC 0031769
* MEMBER OF~_....... F COMMERCE '* \ Y
Serving Zephyrhills, Dade City" Ridge M':'/t' Quail Hol 0, od O~io'g"'la'
, We have r~r.~~:ed..~ver 6000. \,\\an~,-M\le Homes in the lastvyears. ~-._~"'_.
; I -,-- +-.-#:, . \~I, ':' ~ \ ' \"
I / I/"' [I" ' " I \
/ / , ,I, ,/' j (! li..J/l..,.../ ' \
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OFFICE
PHONE
782-5585
Phone
1--/)' rt.
, -----
1) Tear off and haul away old roofing (clean up daily).
Date
2) Install new
/ ~
felt paper
3) Install ne'f';20~r 25 year class A fiberglass shingles, owner to choose cOlor(
4) Replace all damaged flashing (valley, eaves, or any step flashing).
5) Any rotten wood (roof deck, fascia, or trim) will be replaced on a cost of wood, plus 10%.
Carpenter charge $11/Hr.
6) Remove Old Neoprene boots and replace them with new lead boot for the plumbing vents.
Carpenter charge $11/Hr. - '
7) Install new aluminum eaves/drip, color to match the trim of the house.(/ C\}._..l~t./E :'
\
8) A. Bartlett Roofing, Inc. to provide 7 yr. warranty on workmanship; exclusions: storm da
work done by others, tree damage, structural damage to roof deck.
9) A, Bartlett Roofing, Inc. to privide General Liability ($300,000 Limit) and workman's compo
Insurance. .
.S-TrU
10) Contract to include all material, labor and re-roofing permit as stated.
i
/\[,.,."...V.'.-....j /~) .
THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made.
Warranties pertain to original owner
All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado
and other necessa insurance, Our workers are fullv covered b Workmen's Com nsation lnsur flee.
APPLICANT
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
UILDING DEPARTMENT
PHONE
7f~ -~-:)-;f~
JOB
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~~
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
_Sign/Temp.
____Sign
____!'love
____Demolish
PROPOSED USE: ____Single Family
~/F
____t~ of lIni 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 FORNS.'1d:
**COPY OF CONTRACT REQUIRED.
(&~~
j'F.RMITS REotJF.STED
____BUILDING
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida power Corp,
_W,R.E.C,
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT,
Signature
CONTRACTOR SECTTON
Company
State Cert. or Regist. !~-
City License Registration n
*********************************
SiO'nature
Company
State Cert. or Regist. n
City License Registration n
******************************************
ELECTRTCTAN
Signature
Company
State Cert. or Regist. #
City License Registration n
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
Citi License Registration a
******************************************
MF.CHANICAL
Signature
Company
State Cert, or Regist. #
City License Registration 0
OTHER
APPLICATION APPROVED BY
******************************************
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PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions' which may be lore restr.ictive than City
regulations. The undersigned nSUl1l5 responsibUitY~'for co'pliance 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
stlte 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
require.ents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart_ent, (813)
788-6611.
Furtherlore, 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 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 lay be an indication that he is not properly licensed'and is not entitled to 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 Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a. copy of the above described doculent and promise in good faith to deliver it to the
"owner" prior to co.aencelent.
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 coapliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby lade to obtain a pertit to do work and install~tion as indicated. I certify that no work or
installation has cOlmenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
regulating construction, City cod~s, zoning regulati&ns, and land d~velopment regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is
ty responsibility tc, identify what actions I lust take to b~ in complianc~. Such agencies include bllt ~ie Holliaited to:
.r
I also certify that, if filllaterial is to be used in Hood Zc,ne "A" or "A,etc.', it is understc,(,d that a drainage plan
addressing a 'coMpensating volul~" will be sublitted which is prepared by a professional engineer reqist2ied in the State of
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every permit issu~d ihall becole invalid
unless the work authorized by such permit iscotllenced within six months of issuance, Dr if H01'k authDI lzed by the per_it is
suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e=te~siOll 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, Dr the project will be considered aba\.doned.
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 A 'TORNEY
BEFORE ,500 IN
DO NOT
NOTARY AS T
MY COMMISSION
MY COMMISSION EXPIR/llQTARY ~U~L1C, STATE OF FLORIDA
~-E:~R'lflltSSrorr1:!lqlfres:rari:-28 1995
Bonded thru Patterson Becht A'
- gency
SIGNATUR ,