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Home My WebLink About92-2737 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<l 273713 Date II - / -?.2. 0UllD~) ElE~ Pl~ MECH~ :::::;,~:~"6 711qJ;J17a::t (GOlD UI: II ) Parcell.D. # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: Description of Work '7 -'<. ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 02 - DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector - City license Registration # --S State Certified License# Permit Fee <.5-:s--- ~ Signature Company Address Telephone# Valuation or Contract Price e- ~ . t:/'t) ~~?:~ C 'BUll;~2 ~ E~ICAl ----- P~ - ~NICAl ------ Ftr. Pre SLB lintel FRM. Insul. CL Wl Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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: ~art1rtt Luting OOf <ltl'ntrnl.Jlnrilla. INf. '--1 V c/o Richard Bartlett ~t '- ,G 38408 3rd. Ave. ,. ~ TlLf'll . ( q ~,ZEPHYRHILLS, FLORIDA 33541 ~ ..) (0 2_1( .~~Of The Largest, Oldest, Most Dependable / riAl I0 1".---....-- ,R.o.ofi~g CO'!7panies if"! CentrC!1 Florida ~,' " ~W~,' , __ 1 /'/- Specializing In Mobile Home Umroy,a~'Whlte Rubber Roofs . II. \j\ v..---;.q RESIDENTIAL * COMMERCIAL * MOBILE HOME . .' tJ LICENSED-INSURED & BONDED Lic.# RC 0031769 ~j J '-~~) ~fl_\~~~~JR OF CHAMBER OF COMMERCE * ~J?' Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, land 0' Lakes, and surroun, d,ing Areas , We have reroofed over 6000 Homes and Mobile Homes in the last 17 years. 0: . ,oJ l' ;/ ....:s~ OFFICE PHONE (813) 782-5585 Name 9V1Y7fJ--.?~ Ar&~vHold~rm~n I GOOdWil~~ ~. '( ) ~ Date 1 () / Q / Q ? Addre.. 6739 Gall Bl vd. Phone Zephyrhills, Fl. 33541 DESCRIPTION '{J(Jf} ?L - - ;; Remove flat roofs.on both stores (Goodwill & store No-Name) new 75 lb. fiberglass base shee~. ~Hot tar 1 ply fiberglass flashing in ;:z s AecTS' (f'f' ,r) Iv ~l) IN V rubber roof over entire roof. 0vp 300(' I..' 'c...-;r- ;- (I! N CfJ/Vr! ,'.hvv.J' THANK YOU , ,You Business, is Appreciated Payment upon completion unless previous arrangement made, Warranties pertain to original owner All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and o1her necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance, Total A-VUV t)tt.-- APPLICATION FOR PERMIT CITY OF ZEPIIYRIIll.LS B1JJIJLDIBG DEPARnDrNT OWER'S mONE OWNER. ' S JOB ADD SUBDIVISION PARCEL LD.I WORK PROPOSED:_lNlew Construction _Addition _Alteration _Repair _Install _Sign _!!love _Deaolish PROPOSED USE: Single Fanily _KIF _, of Units _K/H _eo..ercial _Indust. _Swia. Pool Other _Rest:alllrant & Hea1th Departaent Approval BUILDIRG SIZE: x Square Feet, Height RESIDENTIAL : COHKERCIAL : ATTACH (2) PLOT PLAJlS & (2) SETS OF BlJlII..DIlN1G PLMS & (1) SEt' ENERGY FORKS, ** ATTACH (3) SETS OF BUILDlllG PLMS & (1) SEt' ENERGY FORKS. ** **copv OF CONTRACT RE'Qm:RIlD. .. PEmlIlS REOUESTED _BUILDING $ Valuation of Total Construc'tion _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KECllMITCAL s Valuation of Mechanical Installation _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTIOl!il: _Block _Fnme _Steel Other FIl!ilISHED FLOOR ELEVATIONS: FI' . IS P.ROJECT IN FLOOD ZOlN1E AREA? 'YES NO ************.********..******************* BUILDER CO!tPMaY State Ce L City License Registrat10n ****.***.....***.****.*****.********** Signature ELECTRICIAN COIfPMiY State Cert. or Regist. I City License Registration # ****************************************** SiP-Oature PLmtBER COIIPMiY State CerL or RegisL #f: City License Registration f ****************************************** Signature KEC'IIAIflCAL <D'!IPMiY State CerL or RegisL ,I City License Registration I ****.***********.************************* Signature 01'HER COPIPMiY State Cert. or Regist. #f: City License Registration , ****************************************** Signature APPLICATION APPROVED BY '-ff(UfU',,~ .~ UJj"JM'Y PERHIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .aay be subject to "deed restrictions" which way be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIEf.; 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 lay be cited for a lisdeleanor violation under state IaN. 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 Department, (813) 788-6611. Furthermore, 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 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consu.er Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cO'lencelent. 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 permit to do work and installation as indicated. I certify that no work or installation has cOlmenced prior to issuance of a perlit and that all work will be performed to leet 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 my ~sponsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: I Department of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways , I Department of Health ~ Rehabilitative Services. ~nvironmental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc,', it is understood that a drainage plan addressing a "compensating volume" will he sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 pertit prevent the Building Official frol thereafter requiring a correction .of errors in plans, construction, or violations of any code. Every periit issued shall become invalid unless the work authorized by such pertit is cOltenced within six tonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six tonths after the tile the work is com~enced. One 90 day extension of tile, lay be allowed for the per.it with 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 COMMENCEMENT MAY RESULT IN YOUR pAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_____ by who is personally known to me or who 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. (Signature) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC