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HomeMy WebLinkAbout92-2023 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~' 2023-8 Date---L'- 6 - 7 r;;L -EL[CTRIr.AL ~G ME~L --- ----- Property Owners Name: a..~~./ _ ~ Job Address: ...r-6~ V >>1~ ..4 <c cr Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work~,z . ---1-<7 ~ Energy Code Readout: ~.. / Complete Plans, Specifications and Fee Must Accompany Application Fee' J 6., oU SIG~ATU~ z..A:-. COMPANY _ __ - ADDRESS TELEPHONE /I Estimated Cost: ~'t:J7;). OD All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE /I ~b 1l-L~?74 C~UILDt.t5 PL~ E~ Ftr. SLB ~ Tp.Serv. ~ Pre SLB Tub Set Rough In Lintel Water Meter Can FRM. Sewer Const. Pole Insul.CL Final Pool W L Pre-Meter Final ME~ICAL ~ 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.(0) 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 t.he person owning same. '. \. CASEY & BOB. S ROOP":I:NG Casey Bowden Robert EldridQe ROOFING CONTRACT 788-9474 Lic.#006409.. 782-1237 Dear Sir: We propose to furnish all labor to complete the roofinQ job. All labor & material on bad wood not included in the estimate. All material will be paid for. uPOn the sioninQ 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. .lob Loc::at ion ,,-&:LIt YYlJd~ J. Cost of material_$ 1~..:L.0 Z- Cost of labor _$ / ?'f/-J creJ Any bad wood indicated ya", t:(b(~ Not included! All labor must be paid for UPOn completion of services. unless. otherwise. stated on line below. "YOU. THE BUYER. HAVE THE RIGIn' TO CANCEL THIS TRANSAc:TION AT ANY TIME PRIOR TO MIDNIGIrr OF THE THIRD WORKING DAY AFTER TIlE DATE OF THIS TRANSACTION. You. are hereby authorized to all work necessary to my roof. I undrestand that all bad wood is not incl uded. and' balance will be paid UPOn completion of services. HOMEOWNER (~~ Date APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION ---------. /l~ 2t$-- 0~'1 //Z~d, --------- PHONE APPLICANT ADDRESS LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) .----- BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _# of Units ._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 $ ~6:?c::Jc/. 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. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # MECHANICAL Signature Signature ............................~.**.~/*~*. ~ ~~ Company /.J'u5V~r c ,;,-,.~, . State Cert. or Regist. iF (? bIer;; City License Registration # .5"'"1 APPLICATION APPROVED BY ~,***********~************************ 11 ~ Q-' . ~.A...Vl.."r- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lhe undersigned understands that this permit may 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 may 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 misdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 1813l 788-6611. Furthertore, if the owner has hired a contractor or 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 tay be an indication that he is not properly licensed and is not entltled 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 - HOleoNner's Protection Guide" prepared by the Florida Department 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 doculent and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a pertit 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 governmental agencies may apply to the intended work, and that it is IIY responsibility tCI identify what actions I tust take to be in cClillpliance. Such agencies include bl1t ~Ie liCtl lillited to: * Department of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater lreat.ent * Southwest Florida Water HanaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic lanks * US Environtental Protection AQency - Asbestos abatement I also certify that, if fill taterial is to be used in Flood Zone "Aft or "A,etc.", it is understood thit a dr'ainage plan addressing a "cotpensating volume" will be subtitted which is prepared by a professional engineer registEred 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 ,iuj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffici~l from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iS511~d ~hdll beco.e invalid unless the work authorized by such per.it is co.tenced within six months of issuance, or if work authol lzed by the per.it is suspended or abandoned for a period of six tonths after the tile the work is cOfimenced. One 90 day e=te~51ull of tile, may be allowed for the permit with fee charge of $15.00. lhe extension shall be requested in writing to the Building Official. An approved inspectic,n must be logged during each six Ic'nth period, Clr the prc.ject will be considered ilbilIJde,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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE :~G::: NEED T RD AND POST ~_~~~:TI::G::Tu:Z~X;L---- - T ACTOR t' DATE__________~_~~:1~_________________ DATE_______l~_~_~~~_____________________ NOTARY AS TO I't ~ _ ~ OWNER OR AGENT-~~~-------~----G MY COMM I SS I Ott:~~ IfflBmLs.UllE..'OE..f.!.!lIli.!l!________ 1,1'( (or',m~':;I0~1 EXP. ~1AY 21,1994 BOi~[)[D nmu GENERAL INS. UND. ~~.~:~C~~R:~__~~-"-~ MY COMMISSION EXPIRES ~ ___ tlQT"qy PU!TI:rc-'!imr~"fl..~,,~ i~'(i:::C.C~J!\;~;;~;f,c:>;i~~~~.L!j'i~s~ 1 u~~:4