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Home My WebLink About93-3145 BUILDING PERMIT Permit N '! CITY OF ZEPHYRHILLS (813) 788-6611 - 3145 e f-~ - 9'3 ..-- ..... cA(~ ----~ ~ Date ~[ ~. ~... Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # '~~ !1L$d~ Water Meter: T.I.F.'s: Zoning: Description of Work Ene,gYG?-_ _ c;r "100 Ga. 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. DATE Inspector City License Registration # tate Certified ~icense# fJ Permit Fee Signature Company Address Telephone# Valuation or Contract Price ~ ~/07~' PLU --roT"E"""C H A N I C A L Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. PREMIER SUNCOAST ROOFING, INC. }tJ221 5'~/J/y,'fJ 37325 S.R. 54 WEST ZEPHYRHILLS, FL 33541 (813) 782-6094 RESIDENTIAL & COMMERCIAL ROOFING LIC # RC 0061648 INSURED & BONDED PROPOSAL. TO: !-liJ /} ~l(:)) I: ,d/ '71 JCI A.) ", iMld. /II tllo(. l./.' 11/., j' r .PHONE #: '7 '5' 'if <2 2;:~ DATE: J - I S- '/ Y JOB NAME: ============================================================ WE HEREBY SUBMIT THE. FOLLOWING SPECIFICATIONS & ESTIMATE FOR THE COKPLETIONOF THE FOLLOWING: COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLES. BAD PLYWOOD REPLACED AT A COST OF $ '1 {/J'" PER SHEET. INSTALLATION OF NEW 2X4" LUMBER @ $1.50 PER LINEAL FT INSTALL ~ 1.///1. NEW VALLEY METAL. ./ INSTALLATION OF (~~! NEW LEAD BOOTS THROUGH ROOF. INSTALL NEW 15LB FELT. INSTALLATION OF NEW DRIP EDGE AROUND PERIMETER. INSTALLATION OF NEW ')~) y...,....,r,,1i,../iSHINGLES. - ALL DEBRIS REMOVED FROM THE JOB SITE. FIVE YEAR LEAK WARRANTY. ALL MATERIALS AND LABOR FURNISHED. .IV -( U (...-/ ( iV- 1\1 . ~ .-( .1/7 ';-: {7.' TOTAL BID: $ 7 07 r:-. :: PAYMENT DUE UPON COMPLETION OF JOB. ~FF~O~~ilAC'l'OR PREMIER SUNCOAST ROOFING, INC. ACCEPTED: DATED: DATED: OWNER SIGNATURE PASCO COUNTY BUILDING PERMIT APPUCAnON CENTRAL PERMITTING OFFICES: . Dade City: (904) 521-4206 410 E. Meridan Ave, Rm 234, Dade City . New Port Richey: (813) 847-8126 7432 Uttle Road, New Port Richey . Land O'Lakes: (813) 996-2203 9930 Land O'Lakes Blvd (US 41), Land O'Lakes THIS APPLICATION MUST BE TYPED OR PRINTED IN INK ------------------------------------------ ~ ~ .~0~NL~~~~~~~:13j~/ )Jf~f~~j J?r ffi PARCEL 101: S 3)' T 2 <) R...2..LSUB 60 -50 BLKVt?,o",t'J ~ OWNER'S PRESENT ADDRESS: 5 t:( , J1 -t:' . o PHONE#( ?/3 ).2ff..iL-? ? 79 LOT OJ 3 d#Rolt6€ii~:~:l:~~L:::r:~:;::1;:::'~k\::r?~:1} ~~:S~~ X "'ciTY:"'?~ Pi]!" #:li;....STATE:~ZIP '] yry,; . FEE SIMPLE TITLEHOLDER'S NAME (if olher Ihan owner): address (if applicable): CITY STATE ZIP ~ESC~TIONOF~~-~R~;7---------------------------- 8 LIVING AREA: PATIO: GARAGE: ENTRY: TOTAL UNDER ROOF: ...I # BEDROOMS #BATHROOMS:__ TYPE CONSTRUCTION: o BLOCK OFRAME o OTHER: a:l 5 ~ Q. ii: o l/) W Q . BONDING COMPANY: .s!:: ADDRESS: CITY STATE ZIP 9 . ARCHITECT/ENGINEER: a:l a:: ADDRESS: CITY STATE ZIP w i= . MORTGAGE LENDER: 0 ADDRESS: CITY STATE ZIP . IF MOBILE HOME OR RV: MAKE YEAR SIZE . WORK CODE: PLANS ON FILE?: 0 NO o YES VALUATION: $ 2. 17 7 )"' --------------------------------- --------------------------------- . CONTRACTOR: SIGNATURE: ~ ADDRESS: - 5- 9 STATE L1C # (if applicable): a:l a:: e o < a:: ... z o o . ELECTRICAL CONTRACTOR: SIGNATURE: ADDRESS: STATE L1C # (if applicable): POWER CO: PHONE # ( CITY STATE PASCO CO COMPUTER 101: SAWPOLE: ZIP AMPS: . MECHANICAL CONTRACTOR: SIGNATURE: ADDRESS: STATE L1C # (if applicable): ONEW OALTERATION VALUATION: $ PHONE # ( CITY STATE PASCO CO COMPUTER 101: (~equired) )-- ZIP . PLUMBING CONTRACTOR: SIGNATURE: ADDRESS: CITY STATE L1C # (if applicable): # FIXTURES: - SEPTIC PER #: PHONE # ( STATE ZIP PASCO CO COMPUTER 101: SEWER: WATER: WELL: ---------------------------------- . OTHER CONTRACTOR: SIGNATURE: ADDRESS: STATE L1C, (if applicable): TYPE CONTRACTOR: PHONE # ( ) CITY STATE ZIP PASCO CO COMPUTER 101: VALUATION: $ JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT. (permit form 4/91) EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERMITTING STAFF . . .. NOTiCE.... BOTH THE OWNER AND CONTRACTOR OF RECORD (Ucense Holder) MUST READ AND SIGN THE REVERSE SIDE OF THIS APPLICATION '- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understand that this permit may be subject to .deed restrictions. which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance 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 regula- tions. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what lioensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Division - Ucensing Section at (813) 847-8009. Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Block. 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 may be an Indication that he Is not properly licensed and is not entitled to permitting privileges in Pasco County. C. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES The undersigned understand that Transportation Impact Fees and Resource Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numbers 89-07 and 90-04, as amended. The undersigned also understand that such fees as may be due will be Identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a .certificate of occupancy. or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance, in accordance with applicable Pasco County Ordinances. D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended) I certify that I, the applicant, have been provided with a copy of .Florida Construction Lien Law - Homeowner's Protection Guide. prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone other then the .owner., I certify that I have obtained a copy of the above described document and promise in good falth to deliver it to the .owner. prior to commencement. E. CONTRACTOR'S/OWNER'S AFFADAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construc- tion, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commended prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to Identify what actions I must take to be in compliance. Such agencies Include but are not limited to: o Deoartment of Environmental Reaulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterNVastewater Treatment o Southwest Florida Water Manaoement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses o Armv Corns of Enaineers - Seawalls, Docks, Navigable Waterways o Deoartment of Health & Rehabilitative Services Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks o US Environmental Protection AQencv - Asbestos abatement I also certify that, if fill material is to be used In Flood Zone .A. or.A 1-A30., it is understood that a drainage plan addressing a .compensating volume. will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. I understand that a separate permit may be required for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, AIR CONDITIONING, OR OTHER INSTALLATIONS not specifically included in this application. A permit 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 provision of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One or more extensions of time, for periods not to exceed 90 days each, may be allowed for the permit. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six-mo!'\th period, or the project will be considered abandoned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. SIGNATURE!); '9~ "t,~! ()// ~ ""WAIU,RE ~NE~~ f7 b ~/hc~ RACTOR DATE DATE - ~ -_.~ ,~..-,,- ~ MY COMMI~T M- ~-;~IC ST~TE;:'/. F~~~~'" EXPIRES MY caolMIsS1ON ~ >>Ili, t.. t ~ pDED 'JHRU _...J ...0,) _NOTARY AS CONTRACTOR ...''''.......~:: := ......, 1- /. ........ .. ..' =- T "".rUL "U'l"