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Home My WebLink About94-3836 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ 3836 /1 Date c2 -,1"--9 'I BUILDING .--'" ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmperty Owne" ~ Job Address: ...3 r -' t:4,c...O _ Parcell.D. # Zoning: Energy Code: Description of Work~.o ~ Water Meter: T.I.F.'s: Radon Gas: C1~ ~/,."J \'}' NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~~ cri) Signature~ ~. Company ---1- Address Telephone# Valuation or Contract Price ~ 9 7 ~ - trtJ City License Registration # t y State Certified License# ELECTRICAL PLUMBING MECHANICAL Tp, Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called, d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ,. .. Proposal G IS- S Roofi.n& IDC. 12349 Curley Street lb5t Office Box 1260 San Antonio, FL 33516-1260 (904) 588-3854 License No. ccaJ29551 Pro~:/;/ /i~~ Proposal Submitted to: ~Ii's. fJq /mf.r Cf:JS'lJ /, "'" ~tre. -z.-Hillj, PL... ~3 S'f.c 81,3-73'3- q '13 Work to be perfo~ed at: 5a..".,~ We hereby propose to furnish the materials and perform the labor necessary for the completion of I~r crI+ J. 1,,.,,, i al.4.1a \1 oed (;ro...dO I /'Cco-F ~ ~~7::1 ~ &~~ ~::~~ /f/~t.! /h"d'-~'~~ ~u6~rn~'d ~OO~ ~ ""'_ w;',_ ~_L_)" 41et../ 0,..,_ bcJ.1:!L ~I\ _ L~d -no~. Pro""t.k::. G-CY\-e.r~J L/4b,Jd-'1 -i lJOI!" kn.,.- <' cO~F- Prov,d,< t4 S.....,r- '-~w.j. Wlfrk""',^,<t..'r Wo.rrc...A-f.'1 All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of .' + :::#/() Dollars ($J.O 3'''. po) X' s 7" O'st.ou.o'\ - T 7 t ' (> " An rotten wood (roof deck, fascia, or tri.) is not included in contract allOunt and will be replaced, only, on a cost-plus basis. with payments to be made as follows: Due Upon Completion. All' aJt..rat:h'lI fir d.yJat:h'lI lro. aM... .,..eJIJcat.tcua. .iIlYDJriq ....tr. c:oat.. v.iJJ .be I'...eutl'd alld "jJJ l>..e".. .a extra cllIar.. cn''I'r aDd ........ th. ..t:l..te. AJJ ..r....ara eoat.t...,.t upo. atr.tk.a. aec:.1d.8.e. or ..Ja,e It.,aad oar ea8rroJ. O.a.r to carry Il.n. tona'o. aad ath.r ......,.,. J...u...... UPG. .k... writ. ~ Respectfully Submitted ..=::> Per General nager, G IS- S Roofing, Inc. Note: This proposal may be withdrawn by us if not accepted within ..l!L- days. Acceptance of Proposal The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. pay.ent will be .ade as outlined above. Date I!:;;o!qq SignaturedJf){)~ p~ '. Please provide Parcel No. (19 digit number found on taxpapers) J2 -;t 6 - 2-1 ... 0 0 '-I tJ - 0 0 ( 00- t) 0 C(, 0 PASCO COUNTY BUILDING PERMIT APPUCATlON SHADED AREAS FOR OFFICE USE ONLY CENTRAL F ERMIITING OFFICES: . Dade City: (904) 521-4206 410 E. Meridan Ave, Rm 234, Dade City . New Port Richey: (813) 847-8126 7432 LIttle Road, New Port Richey . Land O'I..ak8s: ( - 9930 Land O'I..ak8s Blvd (US 41), Land O'I.ak86 THIS APPLICATION MUST BE TYPED OR PRINTED IN INK AND IS VOID IF NOT PERMITTED WITHIN 6 MONTHS ------------------------------------------ lll:: ~ CD II: W Z ~ o . FEE SIMPLE TITLEHOLDER'S NAME (If olher than owner): address (If applicable): CITY STATE ZIP ~ESCnl~IONOF~~B~~~~-~~~r-~Zd~T~I---------------- l:5 LIVING AREA: PATIO: GARAGE: ENTRY: TOTAL UNDER ROOF: 9 # BEDROOMS # BATHROOMS: _-_ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER: CD z o F= a. a: o III W o . IF MOBILE H~~_ , WORK CO~~NSON FILE? MODEL NAME: '{EAR SIZE o NO 0 YES VALUATION: $ I cni.. 00 . BONDING COMPANY: lll:: ADDRESS: CITY STATE ZIP 0 9 . ARCHITECT/ENGINEER: CD II: ADDRESS: CITY STATE ZIP w i= . MORTGAGE LENDER: 0 ADDRESS: CITY STATE ZIP . CONTRACTOR: Cr~ 12 tU:l.f~;r I X" (. - SIGNATURE:~ ~ - . - PHONE# ( q O~) S- J>.r . '54" socr lll:: ADDRESS: p..o, (!;(\J( 'l.~D CITY ~h.A. A^/~A"D STATE Fl. ZIP ~~S-'6 9 STATE L1C # (if applicable): PASCO CO COMPUTER 101: "1/0Y CD II: e o < II: .... Z o o . ELECTRICAL CONTRACT.OR: SIGNATURE: ADDRESS: STATE L1C # (if applicable): POWER CO: PHONE # ( CITY STATE PASCO CO COMPUTER 10~ SAWPOLE: ZIP AMPS: . MECHANICAL CONTRACTOR: SIGNATURE: ADDRESS: STATE L1C # (if applicable): ONEW OALTERATION VALUATION: $ PHONE # ( CITY STATE PASCO CO COMPUTER 10.: (Required) ZIP . PLUMBING CONTRACTOR: SIGNATURE: ADDRESS: CITY STATE L1C # (if applicable): # FIXTURES: . SEPTIC PER #: PHONE # ( STATE ZIP PASCO CO COMPUTER 10.: SEWER: WATER: WELL: . OTHER CONTRACTOR: SIGNATURE: ADDRESS: STATE L1C # (if applicable): TYPE CONTRACTOR: PHONE#( ) CITY STATE ZIP PASCO CO COMPUTER 10*: VALUATION: $ ---------------------------------~ OTHER FEE TYPE: -------------------------------- JOBS UNDER $2,SC';O IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT" (permit form 10/91) EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERMIITING 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 DEFD RESTRICTIONS The undersigned understand that this permil may be subject to "deed resbictions" which may be more restrictive than County regulations. The undersigned assumes responslbiUty tor complianoe with any applicable deed resbictions, B. j,)NUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES -~.. II the owner haS hired a contractor or contractors to undertake work, they may be required to be licensed In accordance with slate and local regula. tions. II the conlractor is not licensecl as required by law, both the owner and conlraclOr may be cil8d lor a misdemeanor violation under state law. II the owner or intended contractor are unoenaln as to what licensing requiremenls may apply lor the Inlendad work, they are advised to contact the Pasco County Building Division. Ucenslng Section al (S13) 847.8009. Furthermore, If the owner has hired a conlraclOr or contractors, he is advised 10 have the contractor(s) sign portions of the "Contractor Block" 01 this application lor which they will be responsible. II you, as the owner sign as the conlractor, you are indicating that you, rather than the contractor, are responsible lor the work. lithe contractor wishes you to sign as contractor, that may be an Indication that he is nol properly licensed and Is nOlentlded to permitting privileges In Pasco County. . C, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVFRY FEES The unaerslgned unaerstand that Transportation Impact Fees and Resource Recovery Fees may apply to the construction 01 new buildings, change 01 use In existing buildings, or expansion 01 existing buildings, as specified II. P;.sco County Ordinance numbers S9.Q7 and ~, as amended. The undersigned also understand that such laes as may be due will be identlfiecl at the time of permitting. Ills further understood that Transportation Impact Fees and Resource Recovery Fees m Isl be paid prior to receivlflg a "certiflcale of occ:upancy" or final power release. lithe project does not Involve a certificate of occ:upancy or final power release, the fees must be paid prior to permlllssuance. Furthermore, If Pasco County Water/Sewer Impact lees are due, they must be paid prior to perm II issuance, in accordance with applicable Pasco County Ordinances. D. CONSTRUCTION LIEN LAW (Chapler 713, Florida Statutes, as amended) II valuation of work is $2500,00 or more, 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 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 commencement. E. CONTRACTOR'SIOWNER'S AFFADAVIT I certify that all the Inlormation in this application is acaJrale 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 permil to do work and Installation as indicatad, I certify thal 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 idenllfy what actions I must take to be In compliance. Such agencies include but are not limited to: o Department of Environmental Reoulalion . Cypress Bayheads, Weiland Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment o ~outhwest Florida Water Manaaement District. Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses o Armv Corns 01 Enoineers . Seawalls, Docks, Navigable Waterways o Deoartmenl of Health & Rehabilitative Services Environmental Health Unit. Wells, Wastewater Treatment, Septic Tanks o US Environmental Prolectio~ Aaencv . Asbestos abalement I understand that the following restrictions apply to the use of fill: o Use of fill is not allowed in Flood Zone "V" unless expressly permitted. o If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. o If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. o If fill material is to be used in ~ area I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties. the owner may be cited tor violating the conditions of the building permit issued under the attached permit application. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing conslruction. I understand that a separate permit may be required lor electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permil issued shall be construed to be a license to proceed with the work and nol as authority 10 violate, cancel, alter, or set aside any provision of the Iedmical 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 authorizad by such permit is commenced within six months of permit issuance, or if work authorized by the permills suspended or abandoned for a period of six months after the time the work is commenced. One or more extensions of time, lor periods not to exceed 90 days each, may be allowed for the permit. The extension shall be requesl8d in writing to the Building Official. An approved inspection must be logged during each six-month 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 ~i0 C TRACTOR SIGNATURE~ ~ WNER OR AGENT :::. ) DATE MY COMMISS EXPIRES ,,____.. 4 ... -, - .....,~fI!' NOTARY PUBLJC $'"i''''''' tJE' "":'r "";""':1 MY COMMISSICN S;;.~;LY :j:. ~'9S5 BONDED TilR(i '="'."',"". ',"C ~. ...... . \:_.s.~~ "'J.\,~,~; . ._ ,....., ~""~'d.II~~