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Home My WebLink About92-2188 / J/J C~ Property Owner: Job Address: Parcell.D. # Zoning: Description of Work BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 2188 g (~- ~- f2 Permit N~ Date ~L ~~.. . (3. J/ ~-Jt.~) . .3 q 6 /.., ex 4A7'(J rgy Code: Radon Gas: Sewer Conn Water Conn: Water Meter: T,I.F.'s: FINA 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, Valuation or ~ Contract Price Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway DATE ;; _~ f? ~- fbJ- Inspector :~;~~::,:'!jy ~ Company ( Address Telephone# PLU M Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. '.t l) , . ;.',.~$~c#. :'. '{' . " . ~'~, '.f'.;;"." :.;_., ~ ..,,~ ., .~ '. . ..Please Send Remittance to: 1\. II artlrtt IUtnfing <Of Cltentral Jrtnriba. Int. ~J i.s- \ c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 ----:> l -S: \ One Of The Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Uniroyal White Rubber Roofs OFFICE PHONE (813) 782-5585 Li;>' 'j') i v" RESIDENTIAL * COMMERCIAL * MOBILE HOME liCENSED-INSURED & BONDED "* MEMBER OF CHAMBER OF COMMERCE "* '(,~ \ I \ " \ -,--, Serving Zephyrhills, Dade City, Ridge Manor, Quail HgJlpw, Land 0' Lakes, and Surrounding Areas We have reroofed over 9000 Homes and tJMbile Homes in the last 17 Nal;l). /' ~ <',/' , ,/ , / '.,L..,I .J'/ ( ( ,. I " ! f /'. ,-, ;' / ..r'>:'J"~" ,.-r . ;1 ( _/'""1__ '/' r / / /#.1 )<.,-~l / ,/7-1 ~l .... -'. ' I ./-1/ ) I fA i' / I I //,// ' ~-~-'+_._- ~ ", / I fJ' ! " .I / ,/ j,,'f ,.,- y 4.-/ Lic.# RC 0031769 tt ,,f ,,) 1/, ; f / f Name Address ,. -- Phone \~--.. .- \ I',' \,....;' , i /; , ~'i I- i/ / D t ~'+'-I]'''''; ae --', .f..C-_ 1) Tear and haul away old roofing (clean ulp daily). Amount 2) Install new i') fett paper fi , ,.t' I . , , /,1'/ i./'if.. .I ,..... 3) Install new 2q'or 25 Y;.at class A fiberglass shingleVow erto choose color. J 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 10%. '.: j 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. /., I /, ) 10) ,/ 1 ,/..---\ "I ' I 'i i ,f ,A eJ -/i/'{;/ /'1// ,J<' I j' f. /~ i! /"h [, I}-/ // ,~old" L-' , .' , THANK YOU _>..-___ . I Your Business is Appreciated ~ '"", Payment'titJon completion unless previous arrangement made,- ," Warranties pertain to original owner All agreements conllngent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessa insurance, Our worklHS are fully covered b Workmen's Co nsation Insur nee. I ./ I ., / r; ,'_ JJ J j APPLICANT PHONE 7 RL -S-JJ?s-- OWN JOB LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. ~f 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 .~ l ____Restaurant & Health Department Approval BuiLDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR."1S.';:': ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. Valuation of Total Construction ____BUILDING ____ELECTRICAL "" ____MECHANICAL AMP Service Florida Power Corp. _h'.R.E.C, $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature CONTRACTOR Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert. or Regist. # City License Registration # **********************ft******************* MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to "deed restrictions' which aay be aore restrictive than City regulations. The undersigned assuaes responsibility for coapliance 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 aay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reQuireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 FEE~ 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 - Hoaeowner'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 docuaent and promise 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 a~plicable laws regulating construction, zoning, and land developlent. J 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 la.s regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental 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 liaited t[,: f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Waste~ater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage pla;i addressing a 'colpensating volule' Mill 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the ~ork authorized by such perlit is cO.lenced within six lonths of issuance, or if worx authorized by the permit is suspended or abandoned for a period of six lonths after the tile the work is cOlllenced. One 90 day extension of tile, f:.d'f be allowed for the perlit Kith fee charge of $15.00. 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 COKKENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEMENTS TO 'lOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMKENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th is STATE OF FLORIDA COUNTY OF The foregoing instrument before me this \.'Jas ackno\.'Jledged ~ 19_ by who is personally knDwn to me or whD has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (SignatUl-e) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC