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Home My WebLink About94-3929 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N ~ 3929 JJ Date .3 --.) g-- 5' '/ ~L~ ELECTRICAL PLUMBING ::::::,~s:.n~-fJ:f- J!;;;t! -dT MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of wo::' cJ1 ~ - ..:/)../7"'~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 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 S19nature Company Address Telephone# Yo - t> ?/Z.." ~~ Valuation or Contract Price ,.., r !TzJ. C/O J City License Registration # ~ State Certified License# ~rs' S~7' ($) s '2--L.-- PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv, 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 ($15.001 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. APPLICAn05 fOR PERllIT CIn OF ZlJ;mIKRITJ_c; BUIlDIlIG DEPAImmln' OWNER'S NAIIE-:\(~n ~1(:P lj lBJu.:d'b- r'6~<6 -~~ l _'SADDUSS~~ ~ ~,~~,~,~~'~\I ~m~ .JOB ADDRIlSS~ - _S - - ;; - - >g' \ \: _ f= . _- J ( . _ -- \-\p) LEGAL DF:iCIUPl'IOII: IDI'(S) JR.OCX SOBDIVlSIOlI S~ R€S"'\'"" ~~ PARCEL LD.' IiORK PROPOSm:_1Iew Construction _Addit.ion _Alteration XR.epair _Inst:all S. - 19I1 _Rove _.oe.olish PROPOSIID USE: Single FaUl.y _II/F _, of Unit:s _II/B _~rcial _Indust.. _Swa. P001 Other Rpstaurant. &: Bea1th ~t. Approval. BUILDING SIZE: x ~ Feet, Height RESIDENTIAL: COfIff.ERCIAL : A'lTAm (2) PIDI' P.LAIIS &: (2) SETS OF BUD.DIlIG P.LAIIS &: (I) SKI' EDRGY FOlUfS....... A'lTAm (3) SETS OF BUII.DIlIG PIAJIIS &: (I) SKI' DIERGY FOIUIS....... ......OOpy OF OON'J'IIAcr lUlQUIIUID. PI1RII1:TS REOtJF.S'I'ED _BUILDING $ l\ <dOC , 00 Va1uat.ion of Total Construct.ion -ELECTIUCAI. ~CAI. Aff.P Service Florida Power Corp. W.R.E.C. $ Va1uat.ion of ff.ecbani.cal Insl:all.at.ion _PLUflBIIIG GAS ROOFDiG SPECIALTY TYPE OF OONSTRt.JCTION: _Block _Fra.e _Stee1 Other FINISHED FLOOR ELEVAnOllS: Fr. IS PROJECI' III FLOOD ZONE AREA? ...................................................................................................................... YFS NO aJJnJL\CIOR. SECJ'IOlI BmTJlu. CUlPANY Stat.e Cerl:. or Regist. , City License Registration , ........................................................................................................................ Signature ItT.RCTRTCIAR CUlPOY Stat.e Cerl:. or Regist.. , City License Registrat.ion , ................................................................................................................ Si.....::Iture PI.Dl8D CUlPANY State Cert. or Regisl:. , City License Registrat.ion , ...................................................................................................................... Signature IlECllABICAI. lDIPANY State Cert. or Regist. , City License Registration , .................................................................................................................... 1h \l CA-b~ CUlPANY Ce"Su~~ enE~ ~~~~ t r A ~ Stat.e Cert.. or Regi..s1:. t ~ A "6 I I.2A A. City License Registrat.ion , Cc C.A:t \'61 ~ <<- 6b ............................................................................................................. Signature 0T1IRR Signature ~ APPLICAnON APPROVED BY PERIIIT OFFICER.. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 .ay be an indication that he is not properly licensed and is not entitled to 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 Protection Guide" prepared by the Florida Departeent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land developeent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: , Departlent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent , Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways , Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks , US Environ.ental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating voluee" will be sub.itted 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 fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is co.eenced within six .onths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cO'lenced. 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 CO"NENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CDftNENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C~ENCE"ENT". ~ SIGNATURE: OWNER OR AGENT ~~ It). \~ SIGNATURE: CONTRACTOR ' STATE OF FLORIDA t'\ COUNTY OF Y\. "e..l \. f\ f The foregoing in~dt was acknowledged before me this ~~19~ by (&C~(U) U066-. who is personally known to me Dr who has produced h,.. ~- l-l-c... as identification and who di~t) take an oath. V ~ STATE OF FLORIDA ~ COUMTY OF (\ e..ll J). J The foregoing instrument(was acknowledged befc.re me th i s ~~II... '1.s:+L., 19 ~ by , R\cW\~o IlCJGE:L who is personally known to me or who has produced ~ O{\.. uc., as identification and who did/~' take an oath. ~~ (Signature) l)........~ ,1- ~\" ~~SC (Name Typ~!t,_ Pr.i!1ted or Stamped) NOTARY' PUBLIC -, o ClAL NARY SEAL l KEVIN KRUSE ! NorARY pUBLIC STATE OF FWRlf)t,! COMMl:','->ION NO. CCl9705V l MY COMi'~~~~~::.!-l'S:..?:G},~I~ i (Signature) ~E.\J\(\ ~p..uSE (Name Typed, Printed or Stamped) NOTARY PUBLIC _ ~ _' -, . ' Cl.AL NOTARY "F..AL 'I. o > KE.Vl.N KRUSE Y PUBLIC STI.TE o~ FLORIDA! NarARCOM~..' <'<'-CION NO. CC,9'7050 . I ",.:N' u., '1'3 1',Yil I . nJ COMMlS510N ~~:,~~'~-...;-_. . r'~'~~";'-'_--:--------'-- <!: Otl trar t V tC1~Z<; Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WA Y WE LIVE TODA Y 10930 Endeavour Way - Unit C - Pinellas Park, FL 34647 - State License #CCCA35614 ({) 813-547-0522 Toll-Free 800-422-2012 ({) CITY, STATE and ZIP CODE \ \ s Seo fL- } (2 \ S1' :31 S II ~~-So JOB NAME DATE (\ t - ~ -d L ~l DA TE OF PLANS JOB LOCATION StH\()~ JOB PHONE JOB TO BEGIN (APPROX) JOB COMPLETED (APPROX) FURNISH AND INSTALL FIRESTONE UL TRAPL Y 78+ SINGLE PLY ROOF SYSTEM FOR FOLLOWING AREAS: ~In Mobile Home Roof 0 Carport 0 Florida Room 0 Shed SYSTEM DESIRED: CIRCLE System '1: Membrane only, termination bar, System #2: Install wood to perimeter edge of old roof surface, connect 3/4" insulation board to old roof(s} surface, install Firestone Ultraply 78+ over the insulation surface and secure with termination bar around perimeter of home. ~stall treated wood to perimeter edge of old roof surface. Connect 1-1/4" ~~""'III ffA;uminum faced insulation board to old roof(s} surface. Install Firestone Ultraply " 78+ over the insulation surface and secure with termination bar around perimeter of home. Replace all vents (except furnace vent), Additional Work: TERMS AND CONDITIONS OF PROPOSAL CONSUMER ENERGY SAVERS, INC.hereinafter referred to as seller, or your, or you; and purchaser(s}, hereinafter referred to as purchaser(s}, or /lWe, Me/Us, My/Our, agree to the following terms and conditions, to-wit: Seller to perform all work in a good workmanlike manner and will at all times maintain proper workers compensation insurance and shall comply with federal and slate contractor's license regulations, II This proposal is subject to acceptance by the seller at its office and becomes a binding agreement. It may be terminated at the option of the seller if said proposal cannot be financed if purchaser(s) elects to purchase on a time sale price. Seller has 10 days from the date of this proposal to accept or reject the same. III IN-/e agree to pay for any other work done and not specified in this proposal in the event such work is done at customer's request after work has commenced. IV If purcnase order is being financed by a lending institution or by you, INle agree to execute all necessary documents immediately upon request and presentation V l!We agree that any changes, alterations or extras from the plans or specificalions which may be required by any public body or inspector, shall constitute an extra and shall be paid for by the customer to the seller, based upon the seller's actual cost plus 20%. VI l!We agree that in the evenl of a breach by melus of this purchase order after acceptance by you and before the installation is started, I/We will pay to you on demand Ten percent (10%1 of the cash price as stipulated damage for such breach. VII II it is necessary for you to take legal action to enforce, protect or defend any of your rights under this proposal, I/We agree to pay such sum as the court deems reasonable lor attorney's fees and court costs, Venue for all litigation will be in Pinellas County, Florida. VIII No claim will be made by melus excepl as provided in this order. IX INle give CONSUMER ENERGY SAVERS, INC. permission to use pictures andlor references to our home in their newspaper and other forms of advertising. X IN/e give CONSUMER ENERGY SAVERS, INC. permission to check our credit history, XI l!We agree to pay CONSUMER ENERGY SAVERS, INC. 18% APR interest on all moneys past due per this agreement. XII In the event any provision of this proposal should be found to be illegal or unenforceable, it shall not affect the legality or enforceability of any other provision. XIII Lifetime transferrable warranty will be mailed to buyer when seller has received payment in full, The undersigned acknowledges receipt of a true copy of this proposal, acknowledges that helshe has read and knows the contents hereof, and understands thai no olher agreement(s), or representalion(s) by the salesman, verbal or otherwise, is binding upon the parties hereto, and that the same contains the entire agreement Make all checks payable 10: CONSUMER ENERGY SAVERS,INC. CASH PRICE AND PAYMENT. SCHEDULE (Reference to ." phase of construction means all work, materials and equipment necessary to complete thaI phase), Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the following payment schedule: ~4t{;ENDc- Price Tax Down Payment Balance $ $ :U~~- -f " 'DO ON COMPLETION OF ALL WORK. V "BUY R'I RIGHT TO CANCEL" IRltYe,.. Side' I have the authority to order the above work and do so order as outlined herein. It is agreed that the seller will retain title to any equipment or material furnished until final & complete payment is made. An express mechanic lien is hereby acknowledged for security of this debt and the total amount will be paid within terms shown. 1. 2. 3, 4, NOTICE TO OWNER All maferiaJ .. guaranteed to be as specified. All work to be corrpleted in a workmanlike man.r~r according t~ standard pract~...s. Any aheratlon or doviahon from above spec~lcalions involving extra costs Will be executed only 1Ip-,m written orders and will ~me an extra charge eNer and aboYe the estimate. All agreements contingent upon stflkes, accidents 01 dela)'$ beyond our control. Owner to c.r;y ',re, tornado, and other n&C:llKsary ,"surance. Our workers are lully covered by Workers COrTl>ensahon insurance Do not sign this home improvement contract in blank, or before you read it. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. A rr ep tan r r 0 f ([ 0 n t rar t - The abolle p"ces, spectf'cat,ons end condltionl ara lati.factory and are hereby accepted You are autho"led to do the work allpecifiad. Payment w,lI be made as outl,ned abolle. Oe~ of Acceptanca: S,,"..""t~ q~( S,gnatur . ~'1 ~~/ Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WA Y WE LIVE TODA Y State License #CCCA35614 Owner's Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential roofing work for: Owner: JOHN NEWELL at this location: 5248 SCOTIA ST. ZEPHYRHl LLS. FL. 37811 LOCATED IN SHADY REST MHP This person is also empowered to obtain, complete, and sign all forms, applica- tions, registrations, and documentation, with this limited power of attorney, on behalf of me that may be required to accomplish the issuance of any per- mits that may be required in any jurisdiction throughout the State of Florida. Authorized Person: RICHARD VOGEL Authorized Person's Signature: ~ \ E./uJ '-- JOHN NEWELL \> (V..JO~c,e., Df\.. Ll '- O.FFkJAL NOTARY SEAL KEVIN KRUSE NarARY PUBLIC STATE OF FLORIDA COMMISSION NO. CCl9'1050 MY CO'\'fMISS10N EXP. APR. 28,]996 ;/~ NOTARY KEVIN KRUSE SWORN AND SUBSCRIBED BEFORE ME THIS ~fJ DAY OF ('r\Prtt.eL. 19~. Consumer Energy Savers, Inc. -10930 Endeavour Way - Unit C - Largo, FL 34647 - 813-547-0522 800-422-2012