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Home My WebLink About93-3471 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _3471/1 9-.3-<)3 Date ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmp'''YOwoe, -{t~4~ Job Address: ~~ ,- Parcell.D. # Walter Meter: T,I.!~.'s: Zoning: - r-ie Description of Work ~ E~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ~o/ Permit Fee c..3.5"; t:T"h Signature ~ ~~ Company Address Telephone# QO'1-S'J'H' -3~s-'f Valuation or Contract Price t o-z:rE) ,. t7L) ~/~ _ . n. B:''o!?ING _ . . Ftr. Tp. Serv, Pre SLB Rough In Lintel Meter Can ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Const. Pole Pool Pre-Meter Final 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 111. 9 Pi'oposal G & S Roofing. Inc. 12349 Curley Street Post Office Box 1260 San Antonio. FL 33576-1260 (904) 588-3854 License No. CCC029557 Date g/:.l3/9'1 Proposal No. ' I <-j'i Proposal Submitted to: L)A'. ,;r '" i11 ~..s rn a so", 5 6St:)" GAl-I- 8utt /-e. var&J 2-H"'U I FL. 3-.:s'-l1 3/j -1J'J - '3.1'30 Work to be[erformed, at: Sctmt: OCQ "'/''-0,,", We hereby propose to furnish the mate,:: ,5 and perform the labor necessary for "the gJJIlpletion.,pf J,lJ5fq/1 Ij :J b Gaue. c ~- PC411 C I RbIJF//\t D,v;siol1.CI(o'.' +0 b~" c. - ,^'" 5ol.t ..J hf!(.,&$ -I-~, 1'1 \,t-e.. . M~f~/S Furn;<;J-1 (({(;I!:1e C-""P # P4/JC:/ Ck~ Si-i-i'h Ftu-f-8"\erf\ Q~~' Wb 5+\/ Ie. [ 'r:: Si-r I pj , S~rLfc.tlAr.., I ;-C6-A'~ uS, II e 'I m f!!'+q / . c.u..; A", J~ (' 0(.(-1- 4'01' VM-fIIIl~~;;',,;J Provu)e ~ Svr. t. ~4 k .,.. UJOIl\;' . .1.I\~h, ,to ~ 0.( rai\+V I prOVia~ &el\er,,\ f,.~"io~',i..'1 a".,GJ ~::'o,Ic#Y\Ca"! Co"""p-el'~""'io^ I All material is guaranteed to be as Sptcl.""ied. and the above work to be performed in accordance with the drawings and speciLc~!tions submitted for above work and completed in a substantial workmanlike manner for ti e sum of Dollars \S'J./,ClOIJI' (JlJ All rotten wood (roof deck. fascia.. or trif,)) is not included in contract a.aunt and will be replaced, only, on a cost-plus basis. - with payments to be made as t'ollows: Due Upon Completion. Aq1 ..1t.rafiDJI or d....:t.aflon tro. .bay. .p..cilJc.rJaJU: J.,,'nIJ....!q .xrr. CO.f.. vilJ b. .....cut.d .ftd _,ilJ ..c".. ." .stra l::llter,. o......r ..... ebo... tt>>. ..ti...t'4 All ..r....#Dt. cDnt.i.....at upaD .tr,:U(..~ .ccid.Dt., ar 4.1.". b.yorKt OUT CCllftrraJ.. OW..,. fa carr" fir." tora.da. .od atlt..r R;;;;C~f~ii~ US~b;ft;:;~ ~ (J L:twuAA- Per General Ma'-Aager, G & S Roofing. Inc. Note: This proposal may be withdrawn by us if not accepted within.J!L days. --------------------------------------------------------------------------------------------- Acceptance of Proposal The above prices. specifications, and conditions are satisfa~tory and are he~b.Y adcceg:,c::. You are authorized to do the work as specified. Payment WJ.11 be made as out ~ne a . q ~ 3- Cf 3 Signature (h /)~ {L /, !l/aJ-01 '- ' V Date -...to. - - -- - - - - - - - -"- - - -- '- - - -'- -.--- -- APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Dr. tktmeJ /l?t'jJO.'" ADDRESS Sl.S-,,\- Gull IJOlt!e.U{rJ OWNER i/'t:i(/IU5 rn~.JO.'l JOB LOCATION S-bS-~- 6u " fSc...le"c<rc! '2-1-1, t lj PHONE -1 P2 '- "3?3 0 ~-H, ~(j LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.1~ WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install ____Sign/Temp. ____Sign _~'love _Demolish PROPOSED USE: _Single Family ____M/F _1~ of Units __H/H .-X-Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x '3 SoO Square Fee t, .J' Height RESIDENTIAL: COl'11'lERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS.'~* **COPY OF CONTRACT REQUIRED. PF.RMITS REQUESTED ....!-BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\-i.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUM B IN'G GAS q' X ROOFING (he lei I SPECIALTY TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. iF City License Registration ~~ ****************************************** nUIT.DER Signature SiC'nBture Company State Cert. or Regist. 0 City License Registration a ****************************************** E1.ECTRTCIAN Company State Cert. or Regist. ~ City License Registration ~'~ ****************************************** PLUMBER Signature Company State Cert. or Regist, 0 City License Registration J ****************************************** MECHANICAL Signature OTHER Signature ~ ~:... Company C,..J-S ~ () F~"~ ~-"'L.. State Cert. or Regis t, i; e.LC 0 1... '1 :;- S I City License Registration if -4=fj, Y ****************************************** ( APPLICATION APPROVED BY PER1'lIT OFFICER. :; , ~,~, CONDITIONS OF PERMIT AFFIDAVIT A.', NOT I CE: OF DE:E:D RE:STR I CT IONS:, , The undersign~d understands that this per.it lay be subject to 'deed re5tricti~ns' whicn may b~ m~r~ restrictive ~han Ci~y regulations. The undersigned USUIeS responsibili~Y,fD~ cOMpliance with any applicabl~ need restrlct\on~. ...,.l'. -'\ B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the o"n~r has hired a contractor or contractors to undertake work, they may be required t.o be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OHner and contract~r nay be cited for a lisdeaeanor violation under state law. , If the owner or intended contractor ar~ uncertain as to what licensing requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills 8uilding Departeent, (8131 788-6611. Furtherlore, 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 Hhich 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 Hork. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled te, per~itting 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 - Ho~eowner's PrDtection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so!eone 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 cOi~encement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lIade to obtain a perlllit to do work and installatic1n as indicated. I certify that no we,rk or installation has co~~enced prior tD issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other governmental agencies ~ay apply to the intended Mork, and that it is .y responsibility to identify what actions I lust take to be in compliance. Such agencies include bIll ile nDt li~ited to: I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive L~nds, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering WatercDurses I Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treat~En~. Septic Tanks I US Environoental Protection AQency - Asbestos abatement I also certify that, if fill matHial is to be used in Fle,od Zone "A" or 'Il,etc.', it is underste.od t!.,t a drainage plan addressing a 'colpensating volulle' Mill be sub.itted which is prepared by a professional engineer re9ist~ied in the State of Florida prior to permit iS5u~nce. A per~it 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 prDvisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a correction (If ernrs in plans, ct.nstrudie,n, or violations of any ce,de. Every perillt issued ::hall bcce'le invalid unless the work authori2ed by such permit is cOllmenced within six months of issuance, or if HOlk authorIzed by the perlit is suspended or abandoned for a period of six lonths after the time the >>ork is co~menced, One 90 day e=le~5ioll of tile, lIay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspedie.n oust be le'ggedduring each six month period, c.r the pre,j~d will be ce,nsidered dboude.ned. 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". DATE --------------------------------------- SIGNATUR~---~~NT~------------ DATE___~~?~~~------------------------ ~g~~~~~Jhjl- MY COMMIS~@I~~----- : Ii *. ~:. Mar 09.1997 . . Hucldeben'Y AIleooiatM lno "'~ ~ 800-422-1555 ..,~ OF f\fj~ SIGNATURE__________________________________ OWNER OR AGENT NOTARY AS TO OWNER OR AGENT_____________________________ MY COMMISSION EXPIRES______________________