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Home My WebLink About91-1946 ST A TE OF FLORIDA City of Zephyrhills ,./ ,~D PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1946$ Date //-2/- 7/ ME~ Type of Permit (,~.~~ ~.- Pkt1f;;1siNG Property Owners Name: Job Address: ~j-;;- ~/7i1~:~. L~l~) Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work (~_v ;;;1 Energy Code Readout: ~tJ Complete Plans, Specifications and Fee Must Accompany Application Estimated cost:f r~ tJ t,o ~ Fee:! ~3. 0 .- 4 // " SIGNATURE ..' iI.t!/ /I'--1~>(.'/ I . COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. \,..-.". L BUILDING / J PLUM BJOO" ~ Tub Set Water Sewer Final ELECTF3.lGAL I....--.~ ...- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ,--' -'-- M EC J:j.ANfCA L .- Ftr. Pre SLB lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway 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) 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER 7l/db~ a~J (~/}Jj 6o"f~ /7Pl P ./ ~ l1"- ~~~ /~ 7V1L/~A- S/tmL ?IMP '/--L/L__ PHONE ~/?'- 7P-.3- $/3 ~L::t:::t- $A-. APPLICANT ADDRESS JOB LOCATION LOT SIZE x AREA SQ. FT. '. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSED:_New Construction ----Addition ----Alteration ----Repair _Install _sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4F ofUni ts __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department 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 FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _PLUMBING .~ _V~ation of Mechanical Installation ~ROOFING SPECIALTY _MECHANICAL $ GAS TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION;) " (' f Company -Trt1Y),C-r ~:oC6 State Cert. or Regist. # City License Registration # ****************************************** -- he. SilZnature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANTCAT. Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ** PERMIT OFFICER. "'-;,:~~~!e~~tJ#'TPrVED ,~; -~;' V: : ".; F~~'~-I ~~":jlM""""""lI'~':'~-"""'~""""'" -'.~ f....,:, .",...-1" , BY ! CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which may be lore restrictive than City regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they tay 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 tisdeteanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the 'Contractor Sections' of this application for which they will be respo~sible, 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 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 - Ho.eowner'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 docutent and pro.ise in good faith to deliver it to the 'owner' prior to cOllenCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developtent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has co.tenced prior to issuance of a pertit and that all work will be performed to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the 1urisdiction. I also certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is tY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but ~re not limited to: I Depart.e~~nt of Envir~nlentt1 ReQulation - cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departtent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent. Septic Tanks I US Environtental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A' Dr "A,etc,", it is understood that a drainage plan addressing a .cotpensating volute' will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Offici~1 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issll~d shall becole invalid unless the work authorized by such pertit is co.tenced within six lonths of issuance, or if work authoflzed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is co..enced. One 90 day e~tensloli of tiie, lay be allowed for the permit with fee charge of $15.QO. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, or the project Mill be considered i:lbcilidoned. 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 COMMENCE EN- " SIGNATUREX~~Yi:._2t/~! OWNER OR AGENT DATE__~_~__~+__JC~_~~___________ NOTARY AS TO #- A OWNER OR AGENT_~~ ~-- MY COMMISSION EXPIRES AI FINNEGAN State of FlorIda M -1tf'C&1MI:Eij:rQ.18, 1_ ICe 1371~ EXPIRES KARI~ ... of FIorfda 1IJ~s~1"1- :if-' J () I '5 PREMIER SUNCOAST ROOFING, INC. (/"[rlhof/t./ ere Y 37325 S.R. 54 WEST ZEPHYRHILLS, FL 33541 (813) 782-6094 RESIDENTIAL & COMMERCIAL ROOFING LIC # RC 0061648 INSURED & BONDED PROPOSAL TO: U/ t/ I 1ft)' 6'045 17 71/ S,I. PHONE =It: }'t:!j-88/3 DATE: I( -I ?r if I JOB NAME: W/lL";/j,t// v}//C;LJv'9 t//,,c;1/ /( Il( ------------------------------------------------------------ ------------------------------------------------------------ WE HEREBY SUBMIT THE FOLLOWING SPECIFICATIONS & ESTIMATE FOR THE COMPLETION OF THE FOLLOWING: COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLES. BAD PLYWOOD REPLACED AT A CO'ST OF $ ]>:00 PER SHEET. INSTALLATION OF NEW 2X4" LUMBER @ $1.50 PER LINEAL FT INSTALL NEW VALLEY METAL. INSTALLATION OF 4 NEW LEAD BOOTS THROUGH ROOF. INSTALL NEW 15LB FELT. INSTALLATION OF NEW DRIP EDGE AROUND PERIMETER. W J). INSTALLATION OF NEW.10 Yeor F"'~1SHINGLES. ALL DEBRIS REMOVED FROM THE JOB SITE. FIVE YEAR LEAK WARRANTY. ALL MATERIALS AND LABOR FURNISHED. ieqr OF? F/a~ f"C'{lP !tefl/va.- ? pl:/ u-ilC! r' Jt? U/jr/ 5 Y s Ie 1~7 IU " f L, ./ v TOTAL BID: $ ::10 hf./.Ou PAYMENT DUE UPON COMPLETION OF JOB. ~~ .' :::z.-t:..---L' , L. RYMAN, CONTRACTOR DATED: ACCEPTED: ~~dd/Jf'X~eLe1/ OWNER SIGNATURE DATED:7?tf-rJ~c?~ /C;") 7// I- J2u~CA? ~c)s. ~ "