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:
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'flvc ~'11'A 0 "->>t.;' ..' - /(fA,' I .
....,r..-... ..,' .' "':"""" .,.//
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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,