HomeMy WebLinkAbout91-2010
STATE OF FLORIDA
City of Zephyrhills
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PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
/,
2010~.
Type of Permit
Date---,I ~ -.:zd ~- ~/
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..ELEG'lR1CA L
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::~:::r~:~ers Name: cf-;1i (jqt'7'1t~
Legal Description: Sub.Div. . / Lot
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Blk,
Zoning CI:
Description of Work
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Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Fee: 1 ~~
SIGNATURE . '#
COMPANY
ADDRESS
TELEPHONE #
etA LXA-1
-....
Estimated Cost: 4- ~ /}' 70 ' &:!;2
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
J:.L,.UMBtNG
SLB
Tub Set
Water
Sewer
Final
~+eAL
Tp,Serv.
Rough In
Meter Can
Canst Pole
Pool
Pre-Meter
Final
Mf.CUftJJI~
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Reinspections: 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.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
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37325 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
(813) 782-6094
-10 1x tLOU [~fc l_ .
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PREMIER SUNCOAST ROOFING, INC.
RESIDENTIAL & COMMERCIAL ROOFING
LIC # RC 0061648
INSURED & BONDED
PROPOSAL TO: Jf1CI/ rJqJ'jcll- PHONE #: 7fj';j-'2/)~ DATE: /:)-fj-1/
(1/ ') {)o d j lfo (Ul JOB NAME:
------------------------------------------------------------
------------------------------------------------------------
WE HEREBY SUBMIT THE FOLLOWING SPECIFICATIONS & ESTIMATE
FOR THE COMPLETION OF THE FOLLOWING:
COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLES.
BAD . PLYWOOD REPLAC ED AT A COST OF $ '] 5.06 PER SHEET.
INSTALLATION OF NEW 2X4" LUMBER @ $1.50 PER LINEAL FT
INSTALL
011
NEW VALLEY METAL.
INSTALLATION OF
if
NEW LEAD BOOTS THROUGH ROOF.
INSTALL NEW 15LB FELT.
INSTALLATION OF NEW DRIP EDGE AROUND PERIMETER.
INSTALLATION OF NEW 20 Y cor fU'111;) SHINGLES.
"
ALL DEBRIS REMOVED FROM THE JOB SITE.
FIVE YEAR LEAK WARRANTY.
ALL MATERIALS AND LABOR FURNISHED.
V s'c E Y,'5 h Vi Vell)- {J /'1t0C
TOTAL BID: $ 4 7 7C/, /'J/?
PAYMENT DUE UPON COMPLETION OF JOB.
~~
'. L. RYMAN, CONTRACTOR
DA TED: I :2 - If - q /
ACCEPTED: DATED: (~-{6-ql
0
(:r 10 'tv-1 k 'jO ::r e FF e\. b 0 <.(. i ~d f2 . ('J Ii ~ It J.<OV,S
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT .!U ~ ;~~tt
ADDRESS (p f /5 _~/L _Qt1J
OWNER SA-ntE
SAm F
PHONE 19 f ~ 2/55
JOB LOCATION
----
LOT SIZE
x
AREA SQ. FT.
'.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.iF
epair ____Install
WORK PROPOSED:____New Construction ----Addition ----Alteration
____Sign/Temp.
_Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
~/F
_4~ 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.
PRRMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
____PLUMBING
.'"
GAS
Valuation of Mechanical Installation
t
ROOFING
SPECIALTY
____MECHANICAL
$
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR
Company
State Cert. or Regist. iF
City License Registration
*****************************************
Signature
Company
State Cert. or Regist. iF
City License Registration #
******************************************
ELECTRTCTAN
Company
State Cert. or Regist. iF
City License Registration iF
******************************************
PLlJMBF.R
Signature
Company
State Cert. or Regist. if
City License Registration iF
******************************************
MECHANICAL
Signature
APPLICATION APPROVED BY
Company
State Cert. or Regist. if
CityL,icense Regi~trat~on iF
OTHER
Signature
PERMIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it may be subject to "deed restrictions" which .ay 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 Dr contractors to undertake work, they aay 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 ~ay be
cited for a lisdeleanor 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)
7BB-6611.
Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 may 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 - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docuaent and prolise 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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a permit to do work and installation as indicated. I certify that no work Dr
installation has cOllenced prior to issuance of a permit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
.y responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but ~re not lilited to:
f Departle~f1t of Envir~n.enitl ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treatlent
f Southwest Florida Water HanaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health ~ Rehabilitative Services. Environ_ental Health Unit - Wells, Wastewater Treatlent. Septic Tanks
f US Environlental Protection AQency - Asbestos abate.ent
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 "compensating volule" will be sublitted which is prepared by a professional engineer registEred in the state of
Florida prior to per.it issuance.
A permit 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 perMit prevent the Building Official flOI thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ;hall bee ole invalid
unless the work authorized by such perait is COllenced within six aonths of issuance, or if work authorIzed by the perlit is
suspended Dr abandoned for a period of six months after the tile the work is co..enced. One 90 day e~tensloli of tile, lay 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 lust be logged during each six lonth period, Dr the project will be considered abalidoned.
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".
SIGNATURE~~~_~~_________
CONTRACTOR U
DATE________L~~~JL-i~l---------------
~g~~:~c~~~
Y COMMISSION EXPIRES --~~EGAN
SIaIt of FlorIda
_ Comm.I;lcp. AlIa. 18. ,.
ICe 1371.fO
MY COMMISSION EXPIRES___
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.... 01 PIDIIda
"'CDmm.ICC~~ 18.1.
SIGNATURE~___
DATE