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Home My WebLink About91-1994 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813- 788-6611 Permit :N! 1994~ Type of Permit ~1~~~M~L Property Owners Name: /114A-:fA./. -e ~-QJJ~ ---<....... Job Address: <.S'..s-D.b fJ,A.A ;jD--...J? ~ Legal Description: Sub.Oiv. 6 ~ !vi If-PLot Date/:J--/3-:;' / . Blk. Zoning CI: DescriP'ionofwor; I?.t< .~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: l' Q~ tJ SIGNATURE <;2..1 ~ COMPANY AODRESS TELEPHONE # Estimated Cost: 't 71 (j . C/7) All work shall be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ~- Ftr. Pre SLB Lintel FRM. Insul.Cl Wl Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($10.00) 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. Thc 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 APPLICANT ~qr~ Ue,it{. f/q11f1~1t1 ADDRESS S"'S () b :e VC,f vr.< 0 r OWNER \~f JOB LOCATION 5CZe11 ( PHONE /8 cJ v 1 3 7 b ~ 3 S LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.# /1.. -l b -1../ - 00 2...~ -0 O~ C)-c)\! () () \:) WORK PROPOSED:____New Construction ____Addition ____Alteration ~epair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units ,~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, ~BUILDING PERMITS REOUESTED L.( 7 q 0 . a.::> 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 ~ S Company -::f/.u~14 doCe ~~r\. \.. ,\ x'C = f'f.~ State Cert. or Regist. i ((Ai-s~~r ~; City License Registration # ******** ***************************H*** BUILDER Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICTAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # _ ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # - OTHER Signature APPLICATION APPROVED BY j1~'~~~"""***"*"*" PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be lore restrictive than City regulations, The undersigned assules responsibility for cOlpliance with any appticable deed restrictions, B. 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 owner and contractor ftay be cited for a .isdeleanor violation under state law, If the owner Dr 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 Depart~ent, (813l 788-b611. Furthermore, 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 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 Florida Departlent of Agriculture and Consumer Affairs, If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cOllencelent. 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 developtent, Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cO.lenced prior to issuance of a per.it and that all work will be performed to meet 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 governlental agencies lay apply to 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 not lilited to: . Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ Ldnds, Water/Wastewater Treatlent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps, of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks . US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,', it is understood th~t a d~ainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engin~er feqist~i~d in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vioi3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officidl from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every periit issued :hall beco.e invalid unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authol Jzed by the per~it is suspended Dr abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tf~slulI of tile, may 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 must be logged during each six month period, or the project will be considered dbd~duned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE-------OWNER-OR-AGENT------------- SIGNATURE-~CT1~~~~~ i J 9 } FL-- p(.2. P3lPo- .(oS- DATE _____L?-:. l3_L_-l--~':I.-= _'2?.L~~_ 92) ~g~~:~C~;R~~~~~~-_--_ NOTARY PU~L1C, STATE OF FLORIDA MY COMMISSION E-HYI~'sslon expires bUJ 28 l.ng ~onded m--p------ - ,....... 5 ru atterson. Becht Agency DATE --------------------------------------- NOTARY AS TO OWNER OR AGENT_____________________________ MY COMMISSION EXPIRES [-- ----- - ---- -D --------- - ---------- --- -------------- -- -------------- -- - -- -- - --- -- --- --- = =~= ~.= = === = = =-=== = =-= - --- -- - --- - - - - - - - -- - - - - -- - - - - - - - --- -- ---- ---- ---- - -- - - --- -- - -- ---- ===- -= ====--===-='= == = --- - ---- --- ----- -- - - -- - - ROOFING SYSTEMS, INC. State License # CCCA35614 Member Better BusIness Bureau of West Florida Contractor's Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential roofing work for: Owner: r1A~;Q V <:: r; ~ ~q n)t ~ Yl atthls location:. L b F-l OJr-f O\'. L {;./I?) l~/lb PL '3 ~ ""5,/0 This person is also empowered to obtain, complete, and sign all forms, applications, registrations, and documentation, with this limited power of attorney, on behalf of me that may be required to accomplish the issu- ance of any permits that may be required in any jurisdiction throughout the State of Florida. Authorized Person: Authorized Person's Signature: ~. ~~--- - Bill Croteau State License #CCCA35614 INVINCIBLE CENTER · 1093175THST. . LARGO,FL34647 . 813/545-1800 . 800/937-6635 [-==~--=-~~- = J ----------- - -------------- - -------------- -- - -- -- - --- -- --- --- ----------- ------ - -- - - - - -- - - - - - - - --- -- - --- - - - - - - - -- - - - - -- - - - - - - - --- -- ---- ---- ---- - -- - - --- -- - -- ---- --- - ---- ----- --- --- - ------------ --- - ---- --- ----- --- - --- --- ROOFING SYSTEMS, INC. state License I CCCA35614 Member Better Business Bureau of West Florida Owner's Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential roofing work for: Owner: 11,4-.. r< (;.. u eR I Te ;-I If tV /f..J A- Jf/ at this location: ..;"'-.//0 G. ~ uc"lSJuff. () R J #// g -z../,It-/I/S This person is also empowered to obtain, complete, and sign all forms, applica- tions, registrations, and documentation, with this limited power of attorney, on behalf of me that may be required to accomplish the issuance of any per- mits that may be required in any jurisdiction throughout the State of Florida, Authorized Person: Authorized Person's Signature: ~~4~ Owner ~N ;'NOSU~ 1'Cjj 6Er:Je ME 1t\'S~ '-1 A ;-:a~ ~{)/lPYI_/J'~~ ~s INVINCiBlE CENTER · 1093175THST. . LARGO,FL34647 . 813/545-1800 . 800/937-6635 - ([ 011 trac t I~~/'" ..-::;"---- =-- ~N~ 4- '~ [ ROOFS OF I c[(] PO~] HYPAlON" SYNTHETIC RUBB_ER_ , ROOFS OF i c[(] POm> II HYPALON" ~. SYNTHETIC RUBBER ( =;r-=.. y...,.Ta---::.. T ~..=y a _"'W ~ i I~ ., i i~ a .. i II 1; ~ ~ ~i ~.. 'i!i ..iilii...:&,. ---~----:::!!!!:::::!!!~ ROOFING SYSTEMS, INC. JOB NAME (..4 t::=-. JOB TO BEGIN (APPROX) JOB COMPLETED {APPROXI 1. PROVIDE DELUXi: DUPONT H PALON ROOF S AREA { '" ( <.J r-t ~ - 2. FURNISH & INSTALL DO~l-P~SULATION AS CIRCLED: NONE 3/4" ELUXE 1-1/4" F~.!3NISH & INSTALL ~r SPUN ALUMINUM VENTS: SMALL - LARGE FURNISH ALL REQUIRED PERMITS 3. 4. 5, CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE . @MAIL OUT LIFETIME, NO-LEAK, NON-PRO-RATED, TRANSFERABLE WARRANTY FULLY COVERING ALL LABOR AND ALL MATERIAL 7. ADDITIONAL INFORMATION: -==== ---- II fU ,~ ! E!I ....... !iil Ei a::5!!!::!5!E:. "'51 lJ5!! ~ -=======~ === -- If 'I ::~I _i=l~ "ia...EI EI E!FEi .&&-.= ~ 1::Ii!:I!b-======- - -====a ROOFING SYSTEMS, INC. State License # CCCA35614 Member Better Business Bureau of West Florida INVINCIBLE CENTER. 10931 75TH ST, . LARGO, Fl34647 . 813/545-1800 . 800 /937-6635 l ,4-'wC. , ~ $ 47ttO, Thi. tr.nsactlon i. to be ..cur.d by the Ichecked) it.m on the premi... to be improved. [ ) MOMPCIIl [ ) Mech.nic. lien [ I Other (dftcribel [ ) A..illnment of I.nd contrcct [ ] Promillory not. 1. CASH PRICE ' _ 2. LESS:. CASH DOWN PMT. $ - 0 TOUlI down pmt. $ 3. UNPAID BALANCE OF CASH PRICE ( 1 'e.. 2) 4. CASH DUE DURING COURSE OF JOB 5. TOTAL BALANCE OF CASH PRICE DUE WHICH IS PAYABLE BY BUYER(SIIN ( I~STALLMENT(S) OF ,I./. 790, -- ON COMPLETION OF ALL WORK. "BUYER', RIGHT TO CANCel" (Rever.. Side' $ -~~ S S [ ] Thi. tr.nHCtion i. un.ecured. Buved.' .cknowledge. th.t this contr.ct _ completely filled in prior to elCecution e..d .cknowledge. receipt of .n elCecuted cOl)Y of this ca.h contr.ct. I, (we) herewith expressly agree to pay not as a penalty but as liquidated damages, 10% of the principal amount of this contract to Invincible Roofing Systems in the event of a breach of this agreement by I (we) for any reason whatever. ill e A gre e h.r.by to furnish materi.land labor - complete in accordanc. with above specifications, for the sum of: ~~,~- /' ~-- ~~--../'~/ h~ ~/ P.vment to be m.de .. follows: --r:;' ~L C:~cJ Dollars ($ ('/790. 0.1...- Authorized Sign.tur. All m.t.rial i. guer.nt .d to be peclfled. II work to be compl.ted In . workm.nllke m.n. ner .ccording to .t.nd cllc. Any .Iterallon or deviation from .bove apeclflcellon. Inyolving ..Ir. co.t. will be e.ecuted only upon written ordere .nd will become an e.tra charge oyer .nd .bov. the e.timete, All .llreem.nt. contingent upon .trlke., .ccldent. or d.lays beyond our control. Own.r to carry flre.tornedo .nd other nec....ry In.ur.nc., Our work.rs .retully cover.d by Workman'. Compen..lIon In.urance. NOTICE TO OWNER Do not sign this home improvement contract in blank, or before you read it, You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. FL L1C ICC CA35614 Oet. of Acceptanc. SO,""." '/.7t;ah(fU~ ,ct ,L~ S,gnature A (e e p tan e e 0 r ([ on trae t - The above prom. speclllcat,ons .nd condition, .re ,.tllf.ctorv and .re hereby .ccepted You are authoro~ed to do the work .. speCIfied, Payment WIll be m.de as outlIned above