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.
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MY COMMISSION EXPIRES ~ ___
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