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HomeMy WebLinkAbout91-1909 STATE OF FLORIDA City of Zephyrhills ". PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1909if Date /'l- -5" -7 / .25 Type of Permit (~!~ E~AL P~G M~-icAL .--J......./ /-;7'J Property Owners Name: "_A ~~ '~I 'J7)~~"'- Job Address: ~91f~' Ci:-/.~V&f!j:, i~j/# Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: . '~<.~ -~ q--::1.a~ t:t:~)) 'flvc ~'11'A 0 "->>t.;' ..' - /(fA,' I . ....,r..-... ..,' .' "':"""" .,.// ~U~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: .11 ~ '1'0 t) . --- , 8-LL- Fee: 2 ~. i 1M'"'" SIGNA TURE /'. tl i, '-' / 1.-fLi'tlarJ J All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # COMPANY ADDRESS ,BUILDING).! '---~ P!J,J.MBiN G ...- E L..s.c"ff'nl5A L ....- M~CAL'--'-'--' -- / Ft~- Pre SLB Lintel FRM. Insul.CL WL 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 ten ($ IO'()()) dollars shall be made for each trip. (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. JOB LOCATION ]tA"mt0t(L ~tLJ' ~O I : ftr'ht1L '~. 'Bcutxu tL W-~~ 3D J :, .s () tuJf\ M ' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT L h~M-rdr~ ) '19Y - q5~- 9 APPLICANT ADDRESS ( h JIl'i/L- PHONE Sfcch'orl) OWNER LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.tt WORK PROPOSED:____New Construction ____Addition _Alteration (;:P#6t _Install ____Move ____Demolish ____Sign/Temp. _Sign PROPOSED USE: ____Single Family ~/F _tt of Units , .____M / H _Commercial _Indust. ____Swim., Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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 FORMS.** **COpy OF CONTRACT REQUIRED. URMITS REOUESTED ____BUILDING $ valuation of Total Construction _ELECTRICAL AMP Service Florida power Corp. _W.R.E.C. ____PLUMBING GAS valuation#of Me~hanical Installation ~ ROOFINct 9 tJ7] SPECIALTY _MECHANICAL $ TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ONTRACTOR SECTIORl) ~ DUlT.DF.R ~ Company rretYLUC "WtC " ~ State Cert. or Regist. it Signature ~a....- City License Registration j~ ~***************************************** SiO'nature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** f.J.ECTRTCT AN Signature Company State Cert. or Regist. ~ City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAl, APPLICATION APPROVED BY Company State Cert. or Regist. 0 City License Registration # DTHER Signatn~~'~.~ :?~ PERMIT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The,undersigned understands that this perlit lay be subject to "deed restrictions" which lay be aore restr,ictive than City regulations. The undersigned assumes responsibility:~or, cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor~r contractors to undertake work, 'they lay be required to be licensed in accordance with statt and local regulations. If the contractor is not lic~nsed as required by law, both the owner and contractor lay be cited for a lisde.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 Depart.ent, (8131 7BB-bbll. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sl 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 IIi shes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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.eollner'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 obtained a, copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to co..encelent. : \< . ~ : E. CONTRACTOR'SIOWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work lIill be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to'do work and install~tion as indicated. I certify that no 1I0rk or installation has cOllenced prior to issuance of a per.it and that all work will be performed to ~eet 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 govern~ental agencies ~ay apply'to the intended work, and that it is 'y responsibility to identify what actions I /lust take to be in cOlllpliance. Such agencies include but ~I eliCIt linited to: .. . Depart.e~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlV CClrps .of EnQineers - Seawalls, DDds, Navigable Waterways . Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks . US Environaental PrDtection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Fl\:IDd Zone 'A' Dr "A,etc.", it is understcleld 11101 a drainage plan addressing a 'colpensating volule" will be sub.itted which is prepared by a professional engineer fegist~ied in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Offici~1 frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d shall becole invalid unless the work authorized by such permit is COllenced within six months of issuance, or if work authoi lzed by the per.it is suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~tEDsioll 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 inspection ~ust be logged during each six lonth period, or the project will be considered dbolldoned. 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 $2,500 IN VALUE 00 NOT N~ECORO ANO'j/T A "NOTICE OF CO~MENCE " SIGNATURE~~~_~_~~~l~ SIGNATURE~_~___-___ OW~~R OR AGENT CONTRACTOR DATE__________/J~J23J-----------,--,------- DATE_______LL~E_qL_________________ NOTARY AS TO A/," -1 ,', J, NOTARY AS TO d/". . l, U4 --.J OWNER OR AGENT_~~-~:11~~~t1--~-~- ' CoNT~ACTOR----~t~:1~l~--Zit.7------ MY COMMISSION EXPIREs___~;;~~..'r COMMISSION EXPIRES__~ -~~~. PROPOSAL Proposal No. "r r.~ ..,..~~~ ,,,. ~.." .~(... "'-T n""~~,~"i..Ii,- PI 1>1.."; "lj4ew;:.:.~."tl ~,;.;~: ~y"Jd' ,,:f'~'~~), 1!I'1t,..'~0l-'1n~~, S.~/. .:;:.-1(': t3. r:.~. E4 i".t\iEf3'" ~J Zt2''::'i''\Yr':iH~LLS, FL 33541 (8"";;3) 782-6094 "I' f1...., ~ j'''.:J'';aI- Sheet No. Date 10-28-91 Proposal Submitted To Work To Be Performed At Name James - Fina Station Street City State Telephone Number (] W - q 51 c 9 Street 301 & South Ave. City Date of Plans Architect State We hereby propose to furnish the materials and perform the labor necessary for the completion of Tear-off and haul away of existing flat deck. Replace with I-ply base sheathing to be followed by 3-ply fiberglass m()p do'WI1 :syst.E:Illon approximately 27 x 27 roof. Includes one coat of emulsion and one coat of silver coating. All walls to be flashed with 90 lb. and any metal needed. Any fibered irisulation or wood replaced due to water damage will be at extra cost. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of One Thousand Six Hundred and 00/100..................................Dollars($ 1,600.00 ). with payments to be made as follows: Upon Completion ./ My ''''''''00 0' d~"'oo "om _~ "",'1;""00' 'OW'y'", "..p'otlully 'Ubm;A:~~ extra costs, will be executed only upon written orders, and U will become an extra charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond Per Premier Suncoast Roofing, Inc. our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Note _ This proposal may be withdrawn Public Liability Insurance on above work to be taken out by contractor by us if not accepted within 45 days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Q / Signatu ",---, ~~ (-' // /~~~~/rC'L< ./ C- ~t7?f /'r) /J/;j/ Signature Date TOPS FORM NO, 3750 LITHO IN U,S,A, PROPOSAL Proposal No. -,R SUNCOAST ROOFING !NC a7~l25 S.~. 54 WEST ' .. ZEPHYRHILLS. FL 33541 (813) 782-6094 Sheet No. Date 10-31-91 Proposal Submitted To Work To Be Performed At Name es Street City State Telephone Number We hereby propose to furnish the materials and perform the labor necessary for the completion of Street Fina Station City Date of Plans Architect State Repair of ceiling - Cut out ceiling Wl1el;'e cla.Il@.gecl1:l;'QJ[Iwa.tel;',CiIld replCice with new sheetrock and plaster tQma.tch existing ceiling. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Three Hundred and 00/100............................................ Dollars ($ 300.00 ). with payments to be made as follows: Upon Completion Any alteration or deviation from above specifications involving Respectfully submitted extra 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 delays beyond Per our control. Owner to carry fire. tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by contractor Suncoast ROOfing, Inc. Note - This proposal may be withdrawn by us if not accepted within 45 days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are he~~~ePted. You are aU,t"horized to dcrthe work as specified. Payment will be made as outlined above. ,- ~) /- #/ Signatuk ~ c1'(4..~ ~(L- '/') ,.1,7 /j' ,^ ~ ,---- '+- U.:;r /() /..:?/ /s-:/ Signature Date TOPS FORM NO, 3750 LITHO IN U,S,A,