The URL can be used to link to this page

Home My WebLink About91-1829 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 E~ ~ Property Owners Name: g~... ~ ~ .it Job Address: ?..5 / tJ - / . < -- Legal Description: Sub.Div. Zoning CI: Description of wor(")7? -4? ./L"y PermitN~ 1829lS Date ./0 -3 - 7~ ME~L Lot Blk. Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: / 9' t-9~ 0-0 All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #l s3 Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway Fee ~~ ~ SIG~AT~ ~ . COMPANY . ADDRESS TELEPHONE # MEC Tp.Serv. Rough In Meter Can Canst. Pole POOl Pre-Meter Final Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Rcpairs or corrections not made when inspection called for (d) Work not ready for inspection when called. Thc payment of reinspcction fccs shall bc madc beforc any further permits will bc issued to the person owning same. APPLICATION FOR PERtlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER PHONE '1M .--?~?~- / APPLICANT ADDRESS '. JOB LOC ;\/; 1~~Aj LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t~ <--:::-/ _Repair ____Install WORK PROPOSED:____New Construction ____Addition ____Alteration _Sign/Temp. ____Sign _Hove _Demolish _Commercial _Indust. _Swim. Pool , _____1'1 I H ;e KC/c'l Other PROPOSED USE: ____Single Family ~/F ____t~ of Uni ts ____Restaurant & Health Department Approval BUILDING SIZE: x .... Square Fee t, !cf ~ 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 FORHS.** **COPY OF CONTRACT REQUIRED. PF.RM1TS RF.OUESTED _BUILDING $ '&:IRq, t/'( Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ I.q..B ,~ !Ir/ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature CONTRAC'roR SF.CTIO~ ~ I '"") /1 Company UY...(.Ii:n '5 /<dd~ Ie; ('~/; State Cert. or Regist. iF ('),~lt6f!.{'f City License Registrat.ion lF ::5 ****************************************** 1.i.lcUL.l.LUl. \'L~-.--._- ..... Company ~, f :\ t -(' "( "(". t. ,'" ~~ {"~;- ; ~;. r d! ....._.,_~_~_._.' ,;'lly l.\\'\H\,'a\~ K\',".~',.\ \.ll \.,'\\ ;; *******.*******.*****.***...~~.~k~kaaAAA.A Company State Cert. or Regist. 0 City License Registration 0 ........*..*********....****************** PLUMBER Signature Company State Cert. or Regist. ff City License Registration # ****************************************** MECHAN1CAI, Signature OTHER Company State Cert. or Regist. ff City License Registration 0 Signature APPLICATION APPROVED BY /1 ;;;:;:a"~ ;';*;:; ..*~. ,***...,. * * * PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay bl subject to "deed restricti~ns' which may be more restr.ictive than City regulations. The undersigned assules responsibility~foT cOlpliance with any applicable deed restrictions. . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertakc 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 misde.eanor violation under state law. If the owncr or intended contractor are uncertain as to what licensing reQuire.ents aay apply for the intended w~rk, they are advised to contact the City of Zephyrhills Building Departlent, tBl31 7BB-6611. Furtherlore, if the owner has hired a contractor or contract~rs, he is adviscd to have the c~ntract~r(sl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If y~u, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the c~ntract~r wishes y~u to sign as contractor that say be an indication that he is not pr~perly licensed and is not 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 - H~leowner's Pr~tection Guide" prepared by the FI~rida Departlent of Agriculture and Consumer Affairs. If the applicant is sOle~ne other than the "owner', I certify that I have (.btained a. copy of the above described de,cullient and pr~fflise in ge,od faith to deliver it to the 'owner" prior to commencelent. 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 c~spliance with all applicable laws regulating c~nstructi~n, zoning, and land developlent. Application is hereby lade to obtain a permit to. do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all worK will be performed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdicti~n. 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 te, identify what actions I lIust take to be in compliance. Such agencies include bnt ~i e Iie,l lifSited to: . J . Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses . Ar_v Corps ~f EnQineers - Seawalls, DOCKS, Navigable Waterways . Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~e~~, Septic Tanks . US Environ.ental Protection AQencI - Asbestos abatement I also certify that, if fill material is to be used in Fltood Zone "A" or 'A,etc.', it is underste,e,d t!.ot a drainage plan addressing a 'colpensating volume" will be sublitted which is prepared by a pr~fes5ional engineer regist2ied in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vio13te, cancel alter, or set aside any provisions of the technical codes, nor shall ,ssuance of a permit prevent the Building Ufficial frol thereafter requiring a correction of errors in plans; construction, Dr violations of any c~de. Every per~it issll~d ~hall becOle invalid unless the work auth~rized by such permit is cOI.enced within six months ~f issuance, Dr if M01.k aut!.DI Ized by the perait is suspended Dr abandoned f~r a period of six lonths after the tiJe the work is c~~menced. One 90 day e:leflsioli of tile, aay be alloNed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspecti~n ~ust be logged during each six lonth period, or the project "ill be considered dbii,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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO D AND POST A "NOTICE OF COMMENCEMENT". SIGNATUR _ ~ ~~ SIGNATU E~ -----~----- -----~ER-6~- i~~i--- --------- ~~ ACTOR DATE____!{}---=--~-:_~(------------.------- NOTARY AS TO ., ~ _- / ~. OWNER OR AGENTJ;r~r~d- MY COMMISSION EXPIRES~~~~~~~E~~~l~~Ql~~~- My Comrn;?S;r.rl r"";f'"""<' 'nnil ')Q 10Q? DATE___~_~_::_~-~-~~---------------- NOTARY AS TO/h~^-~/ J~ . CONTRACTOR__/,L~-Z:~~ - 1.~ "' Notary ublic, State of F'Iorld . MY COMM I SS I ON EXP I RE9/~SQ.r!Lui:iSi.:l.J;;~ij;.*4~""'K}-""'~ \. CA.SEY & BOB. S ROOFING Casey Bowden Robert Eldridqe ROOFING CONTRACT 788-9474 Lic.#006409. 782-1237 Dear Sir: We propOSe to furnish all labor to complete the roofinq job.. All labor & material on bad wood not included in the estimate. All material will be' paid for, uPOn the sionin9 of con- tract. Casey & Bob's will except check, and pay for the material, this is so YOU will be able to recieve contractors price. All reciepts will be aviable. ~ <" -.., I i-'i7.1f-t Job Location ~J":'> CU .. . . . Cost of material_$ Q??r.cfr1 Cost of labor _$ /IW.c.z) , Any bad wood indicated AJ.1. ~j. f? ,/ ~ -'.f) U 4/<.<7 [I:' J..JJ.-l..~ ~. ..ri ('Vi. Not included! All labor must be paid for upon completion of services, unless, otherwise, stated on line below. "YOU, TIiE BUYER, HAVE THE RIGIrI' TO CANCEL nus TRANSACTION AT ANY TIME PRIOR TO MIDNImrr OF TIlE TIlIRD WORKING DAY AF7ER THE DATE OF TIllS TRANSACTION. You. are hereby authorized to all work necessary to my roof. I undrestand that all bad wood is not incl uded, and balance wi 11 be paid uPOn completion of services. ~ /J'/ U HOMEOWNER ... (i 4. r J ') l:::...._~ ~ C:-.. 4/ /" '/~- I Date '-. ,.:( c:'. <"/ /~. ~e. I 0# \~.lj~~ IcJ i / cfl, {I-o-l~u~.-LA -<-.6-> h' / /./. P..L .' . / ..--<.-;/&.. /'/ /L~~/O-{~ /(c) ,AJ/(;::&/ p- " ~/1':1/~j.dc.;;:'~. ..-{~/t.d-~ \. . Cr .., / J .P/f-' ;? Is:.