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Home My WebLink About91-1726 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1,813-788-6611 Permit :N'9 1726.f] Date gr- .:21 - 9 / Type of Permit ~-~ ( BUt~' E~L_ PL~. MECH~ Properly Owners Name: 9~~:; ~~.& Job Address: '-~/V/ ______ Legal Description: Sub.Div. Lot Blk. Zoning CI: /~ ~: De:lti~n of Work / loP - / lA'. ~ - Z[.~.-(') - ~~, K7f0A'~/ ~/~.I,/.7!:~/? - ~.I - / f I ,.. ~ J.J/~tJ-?/ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE #//1 ().-t././L:JJJ~ /'(/l~;r;t5fr~=-SY :~,inl~ <=; PL NG Fee: ~-~' / Cf)?, SIGNATURE ~~~~/ ~- ;6-a.J.-; COMPANY 'j20ffrn.-P ~&-c.fC-- GAJI'. ADDRESS TELEPHONE # Estimated Cost: /; b~~O. ~~D All work shall be performed in accordance with the above and all City Codes and Ordinances. ----- Ftr. q ~ iT-; I Pre SLB - c,o'll ~ Lintel FRM. 1,~ZC/-71 ~d Insul.CL WL MEC 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 I dollars shall be made for each ....TYd- d. e. (/6": tJ7) )' (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. ;-;;.,,- '-"'. ~ )" .. .".' Richard Back Contracting, Inc. 5215 Bernadette Drive Zephyrhills, FL 33541 (813) 782-7277 Proposal Page No. of Pages PROPOSAL SUBIIITTED TO PHONE DATE f'-j9-~)J. ".' i\-', ; f'-': STREET JOB NAME CITY, STATE AND ZIP CODE JOB LOCATION ~l \.' -( ,,' ."::t ',~' \'-11 ARCHITECT 1 C' .:,", 'if' DATE OF PLANS JOB PHONE , ; '~ We hereby propose 10 furnish materials and labor necessary for Ihe complelion 01: ;.; ; ~ ' '( , { t. ;~ ',.,' ". t '1 ;-1 ~~ ~ ., I ) ,', ,~ I-'~ -. T', t1 , " .. " f i rqJ I;: l~: f..l \'\l ~')."- I" r'l ,,': ( :; d "J l.... !, Ji ~~,thC,T n l'iC~ j.';'~l ~:~':. r j (" ! .(~~ +- rl Y"t-)n~l, ,\ff' () 1 d s~n -i r:~i I E'),~ ',': L r:~-'l ~ t:1t .f"'"' \,....... L "~I, ";',,\' ~',l \' ':' l.;~.r i 1.. c:'; .r (.1 ,_:~ t:J.:: .: ~l l..L.ili,J\.::; l:c~:is[ant b r~ 1_1~1() , " ":i (;J: DC tilde':, filL 'or t ~::: J t (,1 L i '~.....i' j 1 (.; '._, i ?i j. :.. ' rn i n II n l ci"'; 1 r: ;,:'; (1 (: (; E:i n.j d:- s :) ;. ;S ~:.: , l. (', ~ i :~:: () t .-~. d -::'. '.:; 1 .';. C,I., V'l U(iG .l.:'t::.~ c~ 1 ac.."f.;nlf~ n t l t ne '.' '::: s s ~j -L V) i_:.,j !. ,j----" ci! ;.-.. ",C ~.. ",,~ \~:l .- " ~ _:' 1 it. :. ''-OJ ~.~. '. .'l,,-- ::t fLn /:':"'''5'"'(7: 9/ 'l C8S~ :1:"1)(',; ': }....C .Lt~,Ct('-C~ i:r (;-i" t.1J l S r' 1 (~(~ 0 11 ~"'~' C j F :~,..l(. d ; [; (~." tJ (; ,~,: .,' ,,::J' j a.t.1Q L J,; i.l1:: t t (~L ) .:J ,1. ;;. ...1:('. .1 \~(1"~ [1 q the :'~~:?; c ~.:;;S '::' ;] E V ';d{)I~)O f.'1s(:~,a :.' r:. ~,) 'v, ( (1 ,- , ,~:'~. L .:.. (.~f <, ~ 6 l ~:. ,j',(', n:,,;,,' }j\)'~.jd eritd""y . __ :.. t < ',' r f-:~}~ J_,.~:', ;'. J_ n <.~ ;......;~~ < .I. (,: "~ l:~ ~, . /;'~ -." 1. " ';:1 \ .d. ::~~} t t:~ 1.: _ ,:J .L,~ j.. ~,Ct:: i" ,~u(L '~_\_:;p, : rt~ .~; [:~Ja:), l.1 b U :c (; ,..1 :'..'?,. ;1'"'' :. _..'~ t~ rn !.Ln(:'~, ..s j ,a 1, ,() -:~. :";f~d,r~; ;;uo t r,:'. JC.; .c. :'; ,..:' ~1(} d,'" t': . 'j'] 6" ,j ; .< J ;:,\: ne1::'" e(': ^ 1;:1. i Ll t:' ',- , L ,)_", " \',H L: . . ./.', ':';1 c.r ..;; , . I., ~~. Ln 9 :110.~' <i n. ,~'t .....__/ Vi d .L 1, ,::: d u [: .": d.(r', .,'-1. .- ,iI"..." .l t~ ..1\,' :-.:- L' {' rf;C 1~ f~~ r J_ L~ .1~! ~i ,;c::eb5d.i-"J l, ::, i': sr (1 I,; ., If 'll '<:'_'!~...'_~C;() L-r Ie ~ j~\.-:' 'i,'L1Ct2~; :~'j.~.:',1.ri""1y',P :-;r:d ,. ,,~','\-' , , _'11. ~;J :,~ f d C \,',1 .. i) to< '\,':.l.j"I, ",-- ~. l Nh,lLi }.J t':L c; ~,~ ,:.'~. .'bl,j 1 ~) ~,n~:lt";C' '.' n.i. ) I:"~ WE PROPOSE hereby to furnish material and labor - com;>lete in accordance with above specifications, for the sum of: 'J i - 4- .""; " dollars ($ ) payment to be.~ad. ~~ fol~\ilWS~ ',' I All material Is guaranteed to be as specified. All work to be completed in a sub- stantial workmanlike manner according to specifications submitted, per standard Authorized -, practices. Any alteration or deviation from above specifications involving extra Sicnilure " , ' II.. L. .... . 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 Note: This propoul m.ay be clllayS beyond our control. Owner to carry fire, tornado and other necessary in, iurance. Our workers are fully covered by Workmen's Compensation Insurance. wilhdriwn by us il not iccepled within diYS. ~~CEPTANCE OF PROPOSAL The above prices, specifications and condi- t ons are satisfactory and are hereby accepted. You are authorized to do the work Sicniture ' . f~_$peclfied. Payment will be made as outline above. , !}Ite of Acceptance: I Sicniture \. Richard Back Contracting, Inc. 5215 Bernadette Drive Zephyrhills, FL 33541 (813) 782-7277 Proposal PROPOSAL SUBMITTED TO PHONE I DATE , ", " ~" , ,.>, STREET JOB NAME CITY, STATE AND ZIP CODE JOB LOCATION ARCHITECT I DATE OF PLANS I JOB PHONE Page No ' of Pages We hereby propose to furnish malerials and labor necessary for the completion 01: i:, ":'" ~.na ~,.f c.': .. : J(;; rc;s :i.(1~~nce tc be "l 'C.~ .' 1. t"~;' (j . , ~ ; ,,:,(j c i ,',' ] 1 . 1 \ ldtlij'C dn('j ':A7t";;.":~'1 i~; n{.)~,.:.s.~:;(;r\l t..r :.)l'i.}:">~. 'I -~.: ~:.:' c't J ('. (:~:, j :': ; .; t. (~<.: t:~:X t t (./ C t -I.,:::~ I' (l e '" WE PROPOSE hereby to furnish material and labor - com;>lete in accordance with above specifications, for the sum of: ,~.",., i ~':, t')! '"' S', V ,j, ,'" ,! .-" r' F 1. t t \' - .-". - .... < ~ ..~ ~" .'. - -- - -t"tnCi l.( / It,: -. ,- ._~- dollars ($ ,.6~)(J.JO ) Payment to be made '3s follows: All material Is guaranteed to be as specified. All work to be completed in a sub, stantlal workmanlike manner according to specifications submitted, per standard Authorized practices. Any alteration or deviation from above specifications involving extra Signature -, 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 Note: This proposal may be delays beyond our control. Owner to carry fire, tornado and other necessary in, withdrawn by us if not accepted within ,) \" days, surance. Our workers are fullY covered by Workmen's Compensation Insurance. ACCEPTANCE OF PROPOSAL The above prices, specifications and condi- tions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outline above. Signature Date ot Acceptance; Signature .J 11 t 5 "PlH)t;. 'P~-l-r- ~"""""'''''--'",''''''''''''''-'''----''' - APPL'ICAT'ION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 'R,'c.H-AfZ.D 13Jtc..JL- C/)IV~c..171J6, . 3fc 37 ~n./DIt aNr.1+ ~/"vD. OWNER #1<5, creAAl MILLeI<- JOB LOCATION 51 4-1 ~ s--r: II ~ /'2- ;)-1 ~c, PHONE 782'-72. 7'7 ADDRESS " LEGAL DESCRIPTION: LOT(S) LOT SIZE_X BLOCK t 54 SUBDIVISION AREA SQ. FT. PARCEL I.D.iF WORK PROPOSED:____New Construction ~Addition ____Alteration /' Repair _Ins tall ____Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~~ingle Family _M/F _iF of Uni ts ,__M/H _Commercial _Indust. _Swim. Pool Other J/- db _Restaurant & Health Department Approval RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.'~* **COPY OF CONTRACT REQUIRED. qfpD Square Feet, q' H 0-'0 Height , ( BUILDING SIZE: '3~ X ~D , /BUILDING Ef.RMITS REOUESTED '0 !a 501 !!!!- 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 ~E~~ l'll1T.DER 13~-B. --B~ ' Company 1t-/2.D 15~ Co~rIN(P/:::tiJc., . c..Af' -../1 6 - State Cert. or Regist. iF eJ'i'C.cxz.t;:.2.tff - Signature -/.;;>. .;~... City License Registratinn" 1/ 'i' ****************************************** ****************************************** El.ECTRTCTAN ~ Company State Cert. or Regist. Q City License Registration Q ****************************************** Signature pl.UMBER ~ Company State Cert. or Regist. 6 City License Registration # ****************************************** Signature MECHANICAl. ~ Company State Cert. or Regist. Q City License Registration 1 ****************************************** Signature '" PTHER;1?~ &~ Company l'JWI.< 16/Z- ' , - State Cert. or Regist. # 5 igna ture _ D\N'-" -" ___ . City License Regis tra t ion II _, ," , *7;;,r**********~************1d:1:***, 1:1:#*** ",IOl!',....~~ I ~' . .",Ap..F~~i.~~ii~nlJ~~" BY (L./]A...ti ~."^ , O/)A!\..-....., ,..,- ",i,\, ....... '!,t: ,...c~,...,. "ft"'''''~' _.. ...~~'. -It li'S6f~ ~~ . -.;-...,,~ '.-. ~ ,l~._.... ,-.JI.._ ,"'-"'-.", .~.". -".' " -,..',.~""'''*-.., ....._". ,-' . .~ .....,-. "t ~...:~ ,", .{ 5? PERMIT OFFICER. .!.......~~C1**... ; . .... . ~ .... ..". .-.-....- .,............. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tht,undrrsigned undtrstands that this per.it lay be subject to "deed restricti~ns" which .ay be I~re restr,ictive than City regulations. The undersigned assules responslblllty;for,~olpliance with any applicable deed restricti~ns. 8. UNL I CENS~~ CONTRACTORS A~D~ONTRACTOR R'ESPON~ I B I L I -r'I E~ If tht owner has hired a contractor or contractors to undertake work, they .ay be required t~ be licensed in accordahce with state and local regulations. If the contractor is not licensed as required by law1 both \he owner and c~ntractor ,ay bl cited for a lisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as' t~ what licensing require.ents .ay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Dep,artlent, (B131 788-6611. ' '" Furtherlore, if the owner has hired a contractor Dr contractors, he is advised t~ have the c~ntract~r(sl sign portions ~f the "Contractor Sections" of this application for which they "ill be responsible. If you, as the owner sign as the c~ntractor, you are indicating that y~u, rather than the contractor, are responsible for the w~rk. If the c~ntractor Mishes y~u to sign as contractor that lay be an indication that he is not pr~perly licensed and is n~t entitled t~ permitting 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 - HOle~"ner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne ~ther than the "owner", I certify that I have obtained a, copy of the above described doculent and promise in good faith to deliver it t~ the "owner" prior to co..ence.ent. , :'. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work "ill be done in co.pliance with all applicable la"s regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work Dr installation has COI.enced prior to issuance of a per.it and that all work "ill be performed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies may apply'to the intended work, and that it is IY responsibility h, identify what actions I lust take to be in cOlllpliance. Such agencies include bill ~le 1i{ll lillited to: .... Iillso'tertifythat~. if fill ,aterial is to be used in Flood Zone "A" Dr "A,etc,", it is underste,{,d thill a drainage plan addressing 'a "C{llIpe'nsating volullie" will 'be sub.itted which is prepared by a professi{.nal enginr:er fe~ist;;ied 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 tD viol~te, cancel alter, Dr set aside any prDvisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro. thereafter requiring a correction of err~rs in plans; c~nstructiDn, or violations Df any CDde. Every permit issu~d ihall beCDle invalid unless the work authorized by such permit is cO.lllenced within six months of issuance, or if wOI'k authol Ized by the perlit is suspended or abandoned for a periDd of six lonths after the tiJe the Hork is co~meneed. One 90 day e=le~sioll of tile, .ay be all~wed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspecti~n lust be logged during each six lonth period, or the project will be considered dballdoned. 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". SIGNATURE__~_~_~="" CONTRACTOR SIGNATUR ~_ ._s:J~_-2,~. ...------ ~w~ OR AGENT DA TE_________K-:2-t2--:-il----~-----,------- DATE 0'... :2.0 -'9/ ' -----~---------- ----------------- MY COMMISSION . v . ....... . ...-.,.... . " ""--....-.-...#,..................#... -... ..~ ,Richard Back Contracting, Inc. \.}) ~ )> < rn z:. c \\i , r:)( 1$1""1 N b ~E71 OE:.N c.e., ,.c:. l'bl. dl I ( II 0-0 ~ \ - ~ ~ -r:2. _ " rf'D OSE ~ )(. 1:2- 0A::t-t?~ Atol--n 0 tJ t'vCOND- L.1T"l+1 C- S~ u:>A1:> ~12.' r-J a. ...t' 0() . ( , ( 00 - 0 5/4-1 - - - S fA 5112-e&l 5215 Bernadette Drive, Zephyrhllls, FL 33541 (813) 782-7277