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Home My WebLink About91-1929 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 192~ Date / j-IS-Y / Type of Permit ~I~ EL"CTAIG'~ ~ M~L Property owner~ame: ~~X' Job Address: 0 :;J...;L..2 - Y _~ - Legal Description: Sub.Div. Zoning CI: r--;) ( ~ Description of Work.1\. <l ./J/"u;f Lot Blk. Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 9' /77J #" en) , All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE IL~~ 9?+J~ 11~ ~' . u . ~ /1'L cr;;;:J1LDIN0 - J~NG Ftr. SLB ~ Pre SLB Tub Set Lintel VVater FRM. Sewer Insul.CL Final WL Driveway Fee: /5~. COMPANY ADDRESS TELEPHONE # ~CAL ------ ME~ICAL " 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 ($ 10.(0) 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. APPLICATION FOR PERl-tIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS J //~/ ij/~ 'X 9t,;! ~A/~ ,A/. PHONE :7' , APPLICANT ,<) d-9-:J~ OWNER JOB LOCATION 5c9- ;;J- 2-- ;!? 'IL ..,,3 !- LOT SIZE x AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ____Addition ____Alteration ~pair ____Install .---- ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _~~ of Units , .____M / H ____commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t I 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. ~ERMTTS REQUESTED ____BUILDING $ t7C-. r tZJ -:::0-. 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, ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. !~ City License Registration # ****************************************** IHJTLDER Signature Company State Cert. or Regist. # City License Registration a ****************************************** Pol ,ECTRT CT AN Signature Company State Cert. or Regist. # City License Registration ~ ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration 1~ ****************************************** MECHANICAL Signature Company 6d4:/~'1 5 R,.,-f!, ';.q . State Cert. or Regist. l~ o~/.,,'/ b I L/ City License Registration l~ ~3 I APPLICATION APPROVED BY *************~************************* '-;If (7~ p1~_ .,;J-1~J. PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this perlit lay be subject to "deed restricti~ns' which may be more restr.ictive than City regulations. The undersigned assules responsibility;for cOlpliance with any applicable deed restrictions. .' . . 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner 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 ~wner and contractor ~ay be cited for a tisdeleanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) 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 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 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 - HOleowner's Protection Guide" prepared by the Fl~rida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOle{.ne other than the "owner", I certify that I have obtained a. copy of the above described document and pro~ise in good faith to deliver it to the "owner" prior to cOI~encement. .,: 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 compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit to. do work and install~tion as indicated. I certify that no work or installation has co.tenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, an~ land development 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 IY responsibility tc. identify what actions I lust take to be in cOlilplianc~. Such agencies include but ~l e IlClt I ifti ted to: #' I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Matercourses I Art' Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hastewater Treat~en~. Septic Tanks t US EnvironAental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in Flood Zc.ne "A" or 'A,etc,', it is understc'(ld t1,~t a drainage plan addressing a 'coapensating volule" will be sublitted which is prepared by a pr~fessional engineer reqist~,ed in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yiolate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it issu~d ahall becole invalid unless the work authorized by such permit is coa.enced within six months of issuance, or if "o).k autho, lzed by the perlit is suspended or abandoned f~r 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 extensiDn shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project "ill be considered abal~oned. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATU~ SIGNATURE~--------- ~~n DR AG ~ONTRACTOR DA TE_______________.I1~-.L~-::-CZ1---.------- DA TE____LL:.L5:-:-:lL---------------- NOTARY AS TO 7n / - /, ./J /' / NOTARY AS TO f77 />. -/ /J-r---( OWNER OR AGENTI'~~;~~~ CONTRACTOR__~~~~-~~~ " MY COMMISSION EXPIRES__tlWa~~~~~~~~-~ MY COMMISSION EXPIRES_______________~~- nmr bl' State of FlonaZ' 1~y' CC'mm):sion[xp:res JUliO 29 1097 Notary Pu Ie, n' 1"'2 .. _ _ _ ,. __ My commission Exn:r~~<) Ji.,:ne /.,-.), i:.~J '" ~ .~ \, CASEY & BOB. S ROOFJ:NG Casey Bowden Robert Eldridge ROOFING CONTRACT 788-9474 Lic.#006409.. 782-1237 Dear Sir: We proPOSe to furnish all labor to complete the roofin9 job. All labor & material on bad wood not included in the estimate. All material will be paid for. upon the sionin9 of con- tract. Casey & Bob' s wi 11 except check. and pay for the material. this is so YOU will be able to recieve contractors price. .1\11. __i_..-~s ."'.. ~ ~l~. .Job Location ~~.:3 1-/....Af ~ ~~-A~ Il-"h~._ Cost of material_$::!i!!ZCL L/~/'\. Cost of labor _$ I ~CI ~ LaL-... Any bad wood indicated YPf Not included! All labor IDUSt be paid for uPOn completion of services. unless. otherwise. stated on line below. .'YOU. THE BUYER. HAVE THE RIGIIT TO CANCEL THIS TRANSAt:TION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD WORKING DAY An"ER THE DATE OF THIS TRANSACTION. You. are hereby authorized to all work necessary to my roof. I undrestand that all bad wooc:l is not included. and balance will be paid UPOn COIIlPletion of services. HOMEOWNER J~ /<1. J/~ Date 1/) I d / ., /