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Home My WebLink About92-2082 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N,o , . 2082 E Date / - ,2 7 - Y ;L CBUILDlNG~ ELEC~ PLU~ Pmpeny Owne" ~>-'\.L ~ Job Address: ~ _ - ~ _ Parcell.D. # ~:::~~t;on of wo,Ofe E~'~ MEC~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or y Contract Price ~ .90 c era Permit Fee Sign~ Company Address Telephone# c..'1 tJ .. ~ ~ t(U/~ -- City License Registration #0 State Certified License# -- CAL SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. Please Send Remittance to: A. Il arthtt iRnnfitt!l (1)f <1!entrttl Jf1nriba. Int. c/o Richard Bartlett 38408 3rd. Ave, ZEPHYRHILLS, FLORIDA 33541 One Of The Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Uniroyal White Rubber Roofs RESIDENTIAL * COMMERCIAL * MOBILE HOME LICENSED-INSURED & BONDED '* MEMBER OF CHAMBER OF COMMERCE '* OFFICE PHONE (813) 782-5585 Lic.# RC 0031769 Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, land 0' lakes, and Surrounding Areas We have reroofed over 6000 Homes and Mobile Homes in the last 17 years. 1) Tearo daily). Amount Name Address Phone Date 2) Install new fe~ paper 3) Install new 20 or 25 year class A fiberglass shingles, owner to choose colo 4) Replace all damaged flashing (valley, eaves, or any step flashing). 5) Any rotten wood (roof deck, fascia, or trim) will be replaced on a cost of wood, plus 1 Carpenter charge $11/Hr. 6) Remove Old Neoprene boots and replace them with new lead boot for the plumbing vents. Carpenter charge $11/Hr. 7) Install new aluminum eaves/drip, color to match the trim of the house. 8) A. Bartlett Roofing, Inc. to provide 7 yr. warranty on workmanship; exclusions: storm damage, work done by others, tree damage, structural damage to roof deck. 9) A. Bartlett Roofing, Inc. to privide General Liability ($300,000 Limit) and workman's compo Insurance. 10) Contract to include all material, labor and re- oofing permit as stated. ~I ;2<f1D 'ANK YOU You Busi ss is Appreciated Payment upon comp , unless previous arrangement made. Warranties pertain to original owner Ail agreements contingent upon strikes. accidents or delays beyond our control. O.vner to carry fire, tornado and other necessary insurance, Our worke...rs are fullv covered b Workmen's Comoonsation lnsur flce. OWNER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT jlt/A1-r- ~ hJ ,S-~;L-Ce - S~ PHONE APPLICANT ADDRESS JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~F WORK PROPOSED:____New Construction ----Addition _Alteration ____Repair _Install ____Sign/Temp. _S ign ____Move _Demolish PROPOSED USE: _Single Family _M/F ____4F of Uni ts __M/ H ____Commercial _Indust. ____Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height _BUILDING 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. //-' $ f ') db, 0 ~RMITS REOUESTED ~~ Valuation of Total Construction RESIDENTIAL: COMMERCIAL : _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ~ECHANICAL $ 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 egist. # City License Registration # ************************************ ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Shmature 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 ~*********~************************** ~~ _ t1./\~ ,- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTpR RESPONSI~1LITIES 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 ~y law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractoi'ire uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City'of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore, 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 lay 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 Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent 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 inforlation 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 .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Envir~nle~t~lly Sensitive Lands, Water/Wastewater Treat.ent '; f Southwest Florida Water "anaQe.ent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered 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 violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Officijl frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR P YING T~ICE FOR IMPROVEMENTS TO YOUR PROPERTY. YOU TO OBTAIN F ANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY. RECORDIN~ YOUR NOTICE OF COItMENCE~ J $ 500 I lUE DO NOT NEED TO RECORD AND POST A. ~CE -' 1'1" CEI'IENT"; (l.'/" /1, /. . / ': y" /- (Vi / / . -------- ..;" ~~.........---_::-:..:._-_.:_~---------- S A URE: CONTRACTOR ~~~~~O~FF~~____________________ The f~regoing inst~: was aC~Dowledged before me this _~~_~ 19_~~y ;;h~~;:?;;~S'~~h;; produced ___LCLt)~12------------------ as identification and who did/did not ~~~/~:L___ ISig ture) . _ 13 L, - ____~~B~~-~--_~-~-__-~~~i-------- (Name Typed, Printed or Stamped) NOTARY PUBLIC UBLlC STATE OF FLO~I~~ ",",ARY ~, "ires J(II1. 28. l~)' J My commlsSIOI1. e:<P p~~h~ AW:r.cv . ...+ ::>rcon - ........'-'...... ,Bonded thrU Pil"" ~ ~~~~~yO~FF~~~~____________________ The f"O. regccing ins~ment was ackn~lwledged before me thi~~_~~__, 19_~~ by ~ / -....:j.. /~ \ ___ __ _ ..a~-..?~!:- '.----.-~- who is erso~ally kn~wn to or ho has produced __.A:::.ll:::!/2c;,,-<J.---------,------------ as identification and who did/did not ~:~:aQi~&A~E:L ~~~~:~~~~r_;f___!:3~___~~~~~________ IName. Typed, Printed or Stamped) NOTARYPUBt:..IC N'JiARY PUBLIC, STAfE OF f,,,.' , \iy commissio\' ~xpires J;.~n. 2 ,1 -' j onded thru PdtttJr~:;.on ~ 8echt i:'>.g':