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Home My WebLink About92-2093 BUILDING PERMIT Permit 2093g I-S/-7;L CITY OF ZEPHYRHILLS (813) 788-6611 ~fO ~,. Date ~~ ELE~ PLU~ ME~L Pmp'rtyOwn" ~ ~. Job Address: S _ - ~~ - Parcell.D, # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: Description of Wor~ J? e... J') ...(J-zT Radon Gas: FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, Inspector Pe,m;l Fee !f;;j7 c:ri) Signature ~ Company Address Telephone# Valuation or ;y Contract Price .i '7 (tv &. c/1) City License Registration # .sR" State Certified License# Breakers Ducts Insl. Compressor Final B Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT C f~L ! I ELL/(L .. !1.sS()C- . l.NC, 7g:<'-&117 PHONE JOB LOCATION t/ !GrVLJ1WJJ (1 5/ 5/ C; fJlJ.-.- !3A.V \S~11'1YI.L SIf-/fLL ADDRESS OWNER LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.if WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ~/F ____~~ of Uni 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. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____PLUMBING GAS Valuation of Mechanical Installation / ROOFING SPECIALTY ~ECHANICAL $ TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVAHONS: FT. Signature ****************************************** CONTRACTOR SE~Nr Company ,E. > State Cert. or Regist. # City License Registration ****************************************** BUILDER Silffiature Company State Cert. or Regist. # City License Registration # ****************************************** ET.ECTRICTAN 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 ~*********~************************* dA11'~ B~ PERMIT OFFICER. ""''''~..::........."....,-ry''''''''~,''_f" .<",-.-c.;',-,-"-' 1 ,."._~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fne undersigned understands that this pertit 'tay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes 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 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, 1813} 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 Departaent of Agriculture and Consuaer 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced 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 lay 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 Environaental ReQulation - Cypress Bayheads, Yetland Areas and Environ.entally Sensitive lands, Yater/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, 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 Environaental Protection AGency - 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 voluae" 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 Official fro. 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 cOlaenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six tonths after the tile the work is cO'lenced. One 90 day extension of tile, .ay be allowed for the perlit with fee charge of tI5.00. 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 CO""ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH ATTORNEY BEFORE RECORDING YOUR NOTICE OF ( ),~BS *-:_ ,~OO IN VAllE 00 lilT NEEI ~Tl _ _NCENENT". SIGllATIIlE. IIMR OR A6EIl ~rnR STAnE OF FlORTOR---;:>~ COUNTY OF The foregoing ~A~m~lr was ~knOWledged before me thi 0,. 19~ by 1 ---r STATE OF FLORIDA ~ COUNTY OF ) 'a Jl() The foregoing ~~trum~nF was acknowledged before me this~ ~I , 19~ by who is personally produced as iden i take me or who has who not who is personally produced as identif'cation and who did/did not take h. h _ ~ ! '1/J1 . (L,ll) 11 AI Ai E?J Ih (Name Typed, Printed Dr Stamped) NOTARY PUBLI C (Signia;tf1.r:~ - , I KtlI\...1 hlfNE~AkY (Name Typed, Printed Dr Stamped) NOTARY PUBLI C 'i' KARl FINNEGAN 8IIdlt of FIoItda .., ConIn.ICC~~ t8, t_ ~ KARl FINNEGAN State of Florida My Comm.1;xp. Aug. 18, 1995 ICe 13710f0 PROPOSAL PR&![fIJGER SUNCOAST ROOFiNG, INC. 37325 S.R. 54 WEST ZEPHYRHILLS, FL 33541 (813) 782-6094 No, Date i.,- 28-92 Sheet No, 11:3 Proposal Submitted 'To: Work To Be Performed At: Name Street City State Phone C Fsed Deuel & Assoc. Hwy 301 Zephyrhills (813) 782-6717 Street City Date of Plans Architect State .,"""'. rLr We hereby propose to furnish the materials and perform the labor necessary for the completion of 1.) Complete removal and tl!cH,-off of existing gravel roof. Replace with new 5-ply fiberglass and tar built-up. Roof to he ccatE~d with emulsion roof coating followed by Karnack 90 silver coating. Include complete job site clean-up and haul away of all rubble. Includes permit, materialsf and labor. Five year leak warranty. TOTAL BID: $ 1,435.00 Additional: 1.) 8" galvanized metal cap installed over South & East. p...pet walls. ADDITIONAL~ $ 350.00 All material is guaranteed to be as specified. and the above work to be performed in accordance with the specifications submitted for above work and completed in a substantial workmanlike manner for Dollars [$ Upon Completion drawings and the sum of l. with payments to be made as follows: Any alteration or deviation from above specifications involving extr'a costs, will be executed only upon written orders, and will become an extra charge over and above the estimate, All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fwe, tornado and other necessary insurance upon above work, Wor'k- men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted Per Pel!mj.er Sunc:oast Roofing, Ine. Contractor Note- This proposal may be withdrawn by us if not accepted within 45 days, "\ ACCEPTANCE OF PROPOSAL The above prices, speCificatIOns and conditions are satisfactory and fJre hereby acceayou are authorlled to do the work as speCified Payment will be made as outlined ab8ve, . . ",';, / 1- (~,. ,/ Signature v ViW f- - Date /- 3 I - 9 2- Signature '-------------....-, .__...~---~~-".._-,--_..--_..__...._--------,---_.._- TOPS. FORM 3850 DUPLlCA TE LITHO IN UB.A