HomeMy WebLinkAbout91-1703
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1703J?
<f'- 7 --1"/
Type of Permit
C~~0~~
--
o ,;
Properly Owners ~ame:_=U
Job Address: 0 O-.S ~- -
Date
~~,
ME~CAL
~-c~
.-!--ct
/~ " ~
Legal Description:
Sub.Div,
Lot
Blk.
Zoning CI:
Description of wo.1:;P" ~.
Energy Code Readout:
~~Lq-{lrql tJ
Complete Plans, Specifications and Fee Must Accompany Application
Fee: C2 O~8) ~
,~
::~;:~;E. .~- ~ - . .
ADDRESS
TELEPHONE II
-- -~ ,.
Estimated Cost: .i S .5 - c;--Z:;J
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE 11.63' ;;r~:-z q ~,
; <f
j)~~;3<'J!: q
, BUILDING ,--, <J PLUM.6.lNG
\, ----
_.~._---
~RICAL
............--
MEC~AL
"'.,
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of l\... (lW.96)
dollars shall be made for each -C:Fif>7ra.de. ( /S-:ro)
(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.
.\~
CASEY Be BOB. S ROOFING
Casey Bowden
RODert EldridQe
'ROOFING CONTRACT
788-9474 L1c.#006409..
782.-12.37
. I
Dear Sir:
We propose to furnish all labor to COIIlPlete the
roofinQ' job. All labor & material on bad wood not included
in the es.timate.
All material will be paid for. upon the siqning of con-
tract. Casey & Bob t s wi 11 except check. and pay for the
material. this is so YOU will be able to recieve contractors
price. All reciepts will be aviable.
Job Location J:2o~ d 1:/1 II ~4., 1:) () s:. 5 I}) t li j
Cost of material_ ~3" 7 R (J\ Y .--r;) I~ f\;J ii
Cost of labor _sJ ~6. 7S ~~ v~ (rU~'-fI553/ 73
Any bad wood indicated
Not included!
All labor must be paid for uPOn completion of ser:viceL,
unless. otherwise. stated on 1 ine below.
"YOU, "mE BUYER, HAVE THE RIGHT TO CANCEL TIllS TRANSACTION
AT AJfY TIME PRIOR TO MIDNIGHT OF THE THIRD WORKING DAY AFTER
THE DATE OF THIS TRANSACTION.
You,are hereby authorized to all work necessary to my
roof. I undres..~ that all bad wood is not incl uded, and
balance will be paid UPOn completlon ot serv1ces~--
H~ il~
Date
cj-1L~-Y/
.,i
APPLICATION FOR PER}lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
PHONE
APPLICANT
C
ADDRESS ~
'.
JOB LOCATION
<51) S S- Is! A
-
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~~
WORK PROPOSED:____New Construction ____Addition ----Alteration ~pair ____Install
_Sign/Temp,
_Sign
_!'love
_Demolish
PROPOSED USE: ____Single Family
_M/F
_~~ of Uni ts
._M/H
_commercial
_Indust,
_Swim., Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
W/-1~~
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 FORHSJ*
**COpy OF CONTRACT REQUIRED.
EF.RMITS REOUESTED
~LDING
$ ~-.s,-3. o--V
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.
******************************************
~ONTRACTOR SECTION
Company
State Cert, or Regist. !~-
City License Registration 6
******************************************
J3UTLDF.R
Signature
Si!Znature
Company
State Cert. or Regist. 6
City License Registration 6
******************************************
f,T.ECTR1C1 AN
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Company
State ~ert. or Regist, iF
City License Registration IF
**************************~****:r*\*~**~* ~:
Company ~fl('P7 .s;" , m (~.
State Cert. or Regist. i~ /X2 1/01<1
City License Registration i~ D
MECHANICAL
=
APPLICATION APPROVED BY
~*********~~J**************************
-L,LdcttA' J 0#-"^ '!:v~- . ' PERMIT OFFICER.
CONDITION$ OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The ,undersigned understands that this perait lay bl subject to "deed restrictions" which may be more restr,ictive than City
regulations. Tht undersigned assules responsibility;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
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ftay be
cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay 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!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 per&itting 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 provi~ed with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
'owner", I certify that I have e,btained a, copy of the above described dc,culBent and pre,mise 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 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 perlit to do work and install~tion as indicated. I certify that no work or
installation has cOI.enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development 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
IY responsibility to identify what actions I lust take to be in complianc!!. Such agencies include bill ~I e He,! lil!i!ed to:
~
I Departae~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live Lands,
Water/Wastewater Treatment
I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
I Departlen! of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Hastewater Treat~en~. Septic Tanks
I US Environmental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flc,od Zone "A" or "A,etc.', it is underste,(,d 11.31 a drainage plan
addressing a 'compensating volule" will be sublitted which is prepared by a professional engineer regist2ied 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 violate, cancel alter, or
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 .hall becole invalid
unless the work authorized by such perlit is COlmenced within six months of issuance, or if work authDI lzed by the perlit is
suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. 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 tonth period, or the project will be considered abilldoned.
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/~E
DO NOT NEED TO RECORD N OST A "NOTICE OF COMMENCEM . -L'
SIGNATURE ~ /' SIGNA _____ _ __:o~-~--
------- 0- f;lEB jR- GE ,------------ ~TI'CTOR
DATE____________.?L'?'-b-/------------- DATE__ ______?/.-2kL---------
~~~~:VO~SA~~NT~~~ ~~~~:~C~~R~~~~~
Not P bf' ~ _ t" f'" Notary Public, State of Florida
MY COMMISSION EXPIRES ,ary. u IC, ~tl.~ (1 Flancia MY COMMISSION EXPIRES , .' . I,," ~n 199"
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