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Home My WebLink About91-1870 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1870 8 Type of Permit ~D1NGJ ELECTRICAL PLUMBING MECHANICAL Property owner~ ~a~~ ~~.;(~~ Job Address: ~ ~ ~, _ _ ~ _ ( --3{: ~) c2. Date / 0 ~ d-.3 .. /' 0 Legal Description: Sub.Div. Lot Blk. Zoning CI: " i2 ~ Description of Work .. E ,~'t': Energy Code Readout: ~~ /~-2-S-9/ Complete Plans, Specifications and Fee Must Accompany Application ~) J Co:t .s' A~~d . v Fee: dO I SIGNATURE COMPANY ADDRESS TELEPHONE # m,(~ --... Estimated Cost: ~ /' 9 () r 07.) All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # G AL Ftr. Pre SLB Lintel FRM, Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole POOl Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons" a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (e) 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. . . ADDRESS APPLICATION FOR PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT PHONE OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.i~ WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family _M/F _i~ of Uni ts .._M/H _Commercial _Indust. _Swim,. Pool Other _Restaurant & Health Departme~t 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 FORHS. ** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _ELECTRICAL ;2{ 1 '0 \ AMP Service valuation of Total Construction _BUILDING 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. SECTTON Company State Cert. or Regist, ~ Ci~y License Registration ~***************************** ..::- it;/l- r Signature Company State Cert. or Regist, 0 City License Registration 0 ****************************************** ET,ECTRICT AN Signature Company State Cert. or Regist, 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist, 0 City License Registration 0 ****************************************** MECHANICAL OTHER Signature Company State Cert. or Regist, 0 City License Registration # APPLICATION APPROVED BY J.7;:::*~*~~*;;*~****'~***'*****'**' PERNIT OFFICER. CONDITIONS OF P~RMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this perlit lay bl subject to "deed restrictions. which may be more restr.ictive than City regulations. The undersigned assu,es re5pon5ibilit~:forccolpliance with any applicable deed restrictions. ~,' . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r 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 ~ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 789-661 !. 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 privileg~s 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 - HOleowner's Protection Guide' prepared by the Florida Departtent of Agriculture and Consuter 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 cOltencement. 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 develop.tnt. Application is hereby lade to obtain a pertit to do work and install~tion as indicated. 1 certify that no work or installation has cOllenced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laMS regulating construction, City codes, zoning regulations, and land develDpment 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 .y responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le He.t lillited to: .r I also certify that, if fill material is to be used in Hood Zone "A" (If "A,etc,', it is understc.(.d t!.~l a drainage plan addressing a 'co.p~nsating volule" will be sublitted which is prepared by a professional engineer reqist~,ed in the state Df 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 violote, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.l froll thereafter requiring a correction (,f errors in plans; C(,nstructic,n, or violations of any t(,de. Every permit isslIl!d "hall bece'le invalid unless the work authorized by such permit is coamenced within six months Df issuance, Dr if wOI.k authDI lied by the per.it is suspended Dr abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e=te~sioll of tile, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n must be lc,gged during each six month period, or the prclject Hill be t(,nsidered abdllde,ned. RESULT INTEND BEFORE DO NOT MAY VALUE SIGNATURE SIGNATURE DATE ) () - 3- 3 -- wI" _____~../-_ _____ _________--i:.--------.--.------- NOTARY AS TO /-:J _.~~:~/_/ . OWNER OR AGENTL40:Zl:t!f:f~~. MY COMMISSION EXPIR~TARY PUBLIC, STATE OF FLORIDA l.f~~mTl'~l<'\5iresJar1.""2"8;-r9'9"5 Bonded thru Patterson - Becht AgencY DATE_____~~_~~~~~~Z~--------------- NOTARY AS TO//:> _ j7~/ .-/ CONTRACTOR_~~ --~... ~ . ,........_.\-,_..- 'YfF'LOH: D/\ MY COMMISSION EARi)\,EtSoU8UC, ""':';").3 1995 v l11nVssiOne~re"" -- ::,::,:,",",::-yr ;\~"'~~c\ \~,r" .. ,-c,~". Please Send Remittance to: A. II nrtlrtt Lufing OOf Q!entrnllJllnri~a. Int. c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 One Of The Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Uniroyal White Rubber Roofs RESIDENTIAL * COMMERCIAL * MOBILE HOME LICENSED-INSURED & BONDED *' MEMBER OF CHAMBER OF COMMERCE '* OFFICE PHONE (813) 782-5585 Lic.# RC 0031769 li;,l )l :~7-T r e:(YL /( \~-);",;) /? Name (.,' (/j/ i I _ l' 7, -t. _/ '\,-,I~'vvtr', .1 j' " ~. f ,f /I~,.i. '.. /A' . Address ) ~/ 2.. 2.- /' :'/'/ ,;!rl/:i_'!_/ CL:/i/2 (^€.,. ....-.'... . /) . / /~ ;11 d'~..._,/,. Phone ''''-''.<,=,~;>,.2-~Lf''? /1A ~.Lt/C, //-[1\__.- /i "j /"; / I /.1 " , ;' , } .,." / '/I~ / I; , \') / /,1./ Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, Land 0' Lakes, and Surrounding Areas We have reroofed over 6000 Homes and Mobile Homes in the last 17 years. Date ,,' .I ,i.. c: / , Amount / -, ;({'". 1) Tear off and haul away old roofing (clean Yfi1 daily). I .l /"j! -,2 ! q /- 2) Install new / felt paper /J I '. 1,_ i I ,j' 3) Install newt 20 9r 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 1 0%. 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. 8) A. Bartlett Roofing. Inc. to provide 7 yr. warranty on workmanship; exclusions: storm damage, 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. 10) Contract to include all material, labor and re-roofing permit as stated. , r~'; mANK YOU ,. ~; ./ (~I ('-.\ Your Business is Appreciated Total ><, / / I i 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 a.nd other necessary insurance. Our work~ are fullv covered by Workmen's Comoensation Insural)Ce.