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Home My WebLink About91-2012 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit Nt..: 2012g Type of Permit ~) Property Owners Nameq 4n ~ ' Job Address: 07 _-~_ _- Date1~ c 5>0 - '7 / ELECTRICAL PLUMBING MECHANICAL Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of wo~ /j~ ~ /" ~/ 92- Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /.L/ f <f~ 0-0 , OCCUPATIONAL LICENSE #.s-3 Fee: .?2 SIGNATU ~-::2- z:~~ COMPANY /' ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~r~ '-- - BlJILDING~.. ~ Ftr. SLB Pre SLB Tub Set Lintel Water FRM. Sewer Insul.CL Final WL EL~ ME~~ ~ ---- Tp.Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. APPLICATION FOR PERtlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /::1 .-3'/,,~ ' ADDRESS .5--II? ~ !J1:.J./~; . OWNER ,~/}''-') ':Ih/P/; : PHONE - . JOB LOCATION LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .i~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: ____Single Family _M/F ____i~ of lIni 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 FORl"lS. ** **COPY OF CONTRACT REQUIRED. pERMITS REOUESTED _BUILDING t, $11 (</o/L/ ' J-~ 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 U ****************************************** BUTT.DER Si!!nature Company State Cert. or Regist. iF City License Registration U ****************************************** f.T.ECTRICT AN Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. iF City License Registration 1 ****************************************** . JJ I Company f3r."U4h S 1:./'(/ I {~ State Cert. or Regist. i~ . '()tlf(f.,.It{ City License Registration U ~~ MECHANICAl, Signature APPLICATION APPROVED BY :i!;;~*~~~*;:;.:*-'*~*****W"*** PEilllIT OFFICER. .- CONDITIONS OF PERMIT AFFIDAVIT -A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit may be subject to "deed restrictions" which may be ~ore restr.ictive than City regulations. The undersigned assumes 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 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 lay be cited for a misdeteanor 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 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractortsl 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 provi'ded with a copy of "Florida's Construction lien Law - HOleowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SOle6ne other than the "owner", I certify that I have (Ibtained a copy of the above described de,culllent and pre,mise in good faith to deliver it to the .owner" prior to co.mencement. 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 lade to obtain a permit to do work and install~tion as indicated. I certify that no work or installation has COltenced prior to issuance of a permit and that all work will be performed to ~eet standards of all laMS regulating construction, City codes, zoning regulations, anrl land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental Ggencies ~ay apply'to the intended work, and that it is my responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le not li.ited to: or I also certify that, if fill laterial is to be used in Flc.od Zone "A" or "A,etc.", it is underste,od th~l a drainage plan addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer regist2ied 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 not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction [If errors in plans; c[,nstructie,n, (.r vic,lations of any code. Every permi t issllL'd :hall bece,le inval id unless the work authorized by such permit is cOllenced within six months of issuance, or if wOl'k authDI lied by the per.it is suspended or abandoned for a period of six lonths after the tiJe the wDrk is cD~menced. One 90 day e=tE~siDll Df tile, say be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection ~ust be logged during each six month period, or the project will be consider~d abdlldoned. 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 $2,500 IN VALUE DO NOT NEED TO RD AND POST A "NOTICE OF COMM~T"~ SIGNATUR -~a-~--------- SIGNATURE_~R-------------- DA TE_____J.-d-=-/.Z.::.-2L--~------------ DATE______12_:_I~--:-c:tL----------- ~~~::v O~S A~~NT __~.:~c-, . MY COMMISSION EXPIRES______________________ ~~~~~~C~~R~~____~~--~~/ r,,' #c"'--:;;'-~----7 =--"'::::':---"--;j' MY COMM I SS I QN ~~.~I,~E;~-:--o'.--..,..,..,...'t-'~;i-:r------- .h '."j ~ ; ': ~; .'.-'."" '., (-.' , "L" ~ '; ,~;,"~,(~ . ,,~~ ~ "\. CASEV & BOB. S ROOFJ:NG Casey Bowden Robert Eldridoe ROOFING CONTRACT 788-9474 Lic.'006409.. 782-1237 Dear Sir: We proPOSe to furnish all labor to complete the roofino job. All labor & material on bad wood not included in the estimate.. All material will be paid for. uPOn the sionino of con- tract. Casey & Bob' s wi 11 except check. and pay for the material. this is so YOU will be able to recieve contractors price. All reciepts will be aviable. Job Location S-1/f! Cost of material_$ d?1~~ Cost of labor _$ 6t1t? .od Any bad wood indicated \I..P&, I Not included! All labor must be paid. for uPOn completion of services. unless. otherwise. stated on line below. "YOU. TIlE BUYER. HAVE THE RIGIn' TO CANCEL nlIs TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD WORKING DAY ArrER THE DATE OF nlIs TRANSACTION. You are hereby authorized to all work necessary to lIlY roof. i undrestarld that all bad wood is not incl uded. and balance wi 11 be paid uPOn COIIIPletion of servi ces . , -l.,;'~},.__ HOMEOWNER l"~1/r - "~Jr~ Date ) j - A.