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HomeMy WebLinkAbout91-1959 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1959g /2-4-91 , -' it Date ~. E~ p~.' M~ ~::P::~r~s:~ersName~~J~f'Jiq77;bo~0l!6L 7f;dL Q;9) Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work (~~--(~ i/ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 1- ;; ~V 0' e 04 /)_ f}O Fee~L ~ ' SIG~ATURE~# jI-zc~ COMPANY ADDRESS TELEPHONE # - All work shal! be performed in accordance with the above and all City Codes and Ordinances. BUILDING EL CAL ME ICAL Ftr. B Tp.Serv. ,/ Pre SLB Tub Set Rough In Breakers lintel Water Meter Can Ducts Insl. FRM. Sewer Canst. Pole Compressor Insul.CL Final POOl Final WL Pre-Meter Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of ten (SIO.00) 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 PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT .6~,- !tUNG , (} {J 3 J AJ {~ 0 'f/J ) J ,i). ~/D,A~c f\tjL<-- 1{1DJLTY / ADDRESS Sf. PHONE f if)- 3cZF1) JOB LOCATION . ~\'nm~F S 111Yl.k. '. OWNER LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # LRepair _Install WORK PROPOSED:_New Construction _Addition _Alteration _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family ~/F _~~ of Uni ts ,._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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. GAS Valuation of Mechanical Installation '/ROOFING SPECIALTY _MECHANICAL $ _PLUMBING TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION~ .. . . Company ,n ' State Cert. or Regist. ff Signature LJ- City License Registration j~ *************************************** ELECTRTCTAN Company State Cert. or Regist. # SiRnature City License Registration # ****************************************** . PLUMBER Company State Cert. or Regist. ff Signature City License Registration j~ ****************************************** MECHANICAL Company State Cert, or Regist. # Signature City License Registration j~ ****************************************** OTHER Company State Cert. or Regist. ff Signature City License Regisation j~ APPLICATION APPROVED BY PERMIT OFFICER. ~.~, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . lh, ,undersigned understands that this perlit lay bl subject to "deed restricti~ns" which lay be m~re restr.ictive than City regulations. The undersigned assules responslbllity:~for"colpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If thl owner has hired a c~ntract~r'or contractors to undertake work, . they lay be required to be licensed in accordance with stat, and local regulations. If the contractor Is not licensed as required by law, b~th th~ owner and contractor ,ay be cited for a lisde.eanor violation under state law. If the owner ~r intended contract~r are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-bbI1. Furtherlore, if the owner has hired a contractor or contract~rs, he is advised to have the c~ntractorlsJ sign portions ~f 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 w~rk. If the c~ntractor wishes y~u to sign as contract~r that lay be an indication that he is not properly licensed and is not entitled t~ per.itting 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 C~nst~ucti~n Lien Law - H~.eowner's Protection Guide' prepared by the Fl~rida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleDne other than the 'owner", I certify that I have obtained a. copy of the above described d~cu.ent and pr~mise in good faith to deliver it to the 'oMner' prior to co.,ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be done in coapliance with all applicable laws regulating c~nstruction, zoning, and land developlent. . Application is hereby lade to obtain a perait to' do work and install~tion as indicated. I certify that no Mork or installation has COI.enced prior to issuance of a perlit and that all work will be perf~rmed t~ leet standards of all laws regulating constructi~n, City codes, 20ning regulations, and land development regulati~ns in the jurisdicti~n. I als~ certify that I understand that the regulations Df Dther governaental agencies ~ay apply't~ the intended work, and that it is IY responsibility to identify what actions I lust take to be in COMpliance. Such agencies include bllt ~le n~t liaited to: #' I Departle~t of Envir~nlenial ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds, Water/Wastewater Treatment I S~uthMest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Envir~naental Pr~tecti~n AQenct - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc.', it is underst~~d that a drainage plan addressing a 'compensating volUle' will be sublitted which is prepared by a pr~fessi~nal engineer regist2red in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and n~t as authority t~ vi~late, cancel alter, or set aside any pr~visions of the technical codes, nor shall issuance of a permit prevent the Building Official fr~1 thereafter requiring a c~rrection ~f errors in plans; constTucti~n, ~T violations of any c~de. Every perlit iSSlIed :hall bec~le invalid unless the Mork authorized by such perlit is com.enced within six months of issuance, ~r if WOl'k authDrlzed by the per.it is suspended or abandoned f~r a period of six lonths after the tiJe the Hork is c~~menced. One 90 day e~ttD~ioll of tile, lay be all~Med for the permit with fee charge of ~15.00. The extensi~n shall be requested in writing to the Building Official. An approved inspectic.n must be lc,gged during each six lonth period, ~r the preoiect will be cc.nsidered ilbdl,dc.ned. 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 ~RECO:D~~N~:OST A "NOTICE OF COMME~/ENT'~ SIGNATU~E___.k!~.(~~ ... ____________ SIGNATURdJ~------~----~ OWNER OR EN /tilt. EA/Z.. YI1IJ vb CONTRACTOR . hU;)~/ . /~ -;( - ClL ::::~_:~-~~-24Z'Y-V--------------------- ;;~;~~~~~;:-;v: ------.-;;J----- OWNER OR AGENT .. ~- , -~---~~---------- MY COMMISSION EXPIRES__;?~LqJ---------- MY COMMISSION EXPIRES__________________ ~._-, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - - - - NOU-18-1991 11:14 FROM BANK OF TAMPA TO 178867739860101 P.02 --- PIlZHIER 8tJNCOAST ROOPING, INC.. 37325 S.R. S4 WEST ZEPHYRHILLS, FL 33541 (813) 782-6094 RESIDENTIAL & COMMERCIAL ROOPING tIC * RC 0061648 INSOR!~ & BONDED PROPOSAL TO l It trr I II" v#') tr. '1 ~ ~t{ f 41.... ()I(:1 y /to 5-f. 'f~fc. ') J 76/1;1 PHONE #: Z7tl.... 3otJ() DATE: 1/...,')"'.. C'(f ~~2.....=_~============~==.~~..===:========~====~._..~=~==== JOB NAHEa 17 () If N. "/,7,111;, L ':)3 AI _7.1"t1 5-r ~O ../ .'-V. t7 kE HEREBY SUBMIT THB FOLLOWING SPBCIPICATIONS & !STIMATE FOR THE COMPLETION OF THI POLLOWINGa COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLtS. :BAD PLYWOOD REPLACED AT A CO'ST OF $ 3 <1.(/ ti PER SHEET. INSTALLATION OPO NEW 2X411 LUMSE~ . $1..50 PER LINR.AL E'T INSTALL 1;( t(Y"~r :J(J I NEW VALLEY METAL.. INSTALLATION OF '1 NEW LEAD BOOTS THROUGH ~OOF. INSTALL N~ ISLB FELT. INSTALLATION OF NEW DRIP EDGE AROUND PBRIMBTER. iNSTALLATION OF NEW ~J.7 Y~I' p'((~:(SJ{INGLES. ALL DEBRIS REMOVED FROM THE JOB SITE. FIVE YEAR LEAK WARRANTY. ALL MATER1ALS AND LABOR FURNISHED. PA~MENT DUE UPON COMPLETION OF JOB.. TOTAL SIDt $_ I.'; all. ()t) fJI#.. ~ CONTRACTOR ACCEPTED, {'~f\l. ~ OWNER SIGNA R DATBlh I J~ I zr"- ~ I DA'rED : -1J :-J 'l-c; I ..