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Home My WebLink About94-4197 BUILDING PERMIT CiTY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4197 i3 Date 1J~ S,..q..., o <)".......0 :.J~\ BUILDING ELE~ PLU~ ME~/ Sewer Conn Water Conn: Property Owner: FLo'i~ nAYf-rLS Job Address: toLl q ~lLO YT. Water MJ!jer: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: Reef CXfI- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL~'- 9- 9' DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O, All work shall be performed in accordarr::-e with City Codes and Ordinances. DATE City License Registration # State Certified License# 1k Permit Fee Signature ~ Company Address Telephone# ~t Inspector- Valuation or Contract Price 3 -g c/' u 0 . :' (...I . i J . t ~~--'( ~MF-L~Y #'&(0 BUILDING Ftr. '~ Pre SLB Unt.' (t.:P':-0i- FRM. A 'nsul.~~ ,) ~ l LY Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewe Fina Breakers Ducts Ins. Compr Final 'AL 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. APPLICATIOIi FOR PERKIT CIty OF ZIl;ruIKH I T.Le; .BUII.DllIC DEPAImIIl'.lI1' ~~ OWNER'S RAttE FlOYD MYERS .moD 813-788-1232 OWRER'S ADDRESS 6219 CAMED ST. ZEHlYRlilll.S, FL. 33540 JOB ADDRESS 6219 CAMED ST. ZEfHYRHII.I.S, FL. 33540 LEGAL DESCRIPl'IOW: urr(S) B.I.OCX SUBDIVISIOR ZACKS OAKSIDE M-IP PARCEL I.D. # IiURK PROPOSED:_lIIev Coos1:ruc1:ion ~1:ion _A11:era1:ion ~R.epair _Inst:all S. - I.gO. _Move _De.o1ish PROPOSED USE: Si.ng1e F-u.y _II/F _, of Unit:s ---1t/H _ec-ercia1 _Iudust:. _S,"--. P001 Ot:her Rpsl:auran1: &- Hea1t:h Departaent: Approva1 BUILDIlIG SIZE: 16 x~ an ~e Fee1:. Height: RESIDENTIAL: COItIIERCIAL : A'lTACB (2) PUJI' PLAlIS &- (2) SEI'S OF BUILDIlIG PLAlIS &- (I) SEl' ElIERGY FORKS. ** ATrAaI (3) SEI'S OF BUIlDIlIG PLAlIS &: (I) SEl' EIIERGY FORIfS.** **mn OF OONrRAcr KIlQUIIUID. PIImIT'IS REOUESTED _BUILDIlIG $. 38.':0.00 Va1uat:ion of Tot:a1 Coos1:ruc1:ion _ELECTRICAL AIIP Service F1orida. Poiier Corp. W.R.E.C. --.JIECIIAlIICAL $. Va1uat:ion of lIecbanica1 Installa1:ion _PLlItBIlIG GAS ROOFIIIG SPECIALTY TYPE OF mllSTRUCI'IOll: --B1odt _~ _S1:ee1 Ot:her FIRISHED FLOOR ELEVATIOIIS: FI' . IS P.RO.JEcr IIi FLOOD ZOIIJE AREA? YES BO ****************************************** Signat:ure t> aJJn'.RACIOR SECI'IOll BIIL CRO!FAU <<DIPAllYUNSlMER ENERGY SAVERS. INC. \ Sl:at:e Cer1:. or Regis1:. , cr:rA35614 ~ Cit:y License Regist:.ra1:ion # p ~ **..**.*....*******..***************..**** ~() 1 Ci BmTBER RT.F.CTRICIAN COIIPAIIY SI:a1:e Cer1:. or Regis1:. , Cit:y License Regis1:ra1:ion # ********....*********..***..******..*..*** SiPIIAl:u.re PLDIBER. COIIPAIIY Sl:at:e Cer1:. or Regis1:. , Cit:y License Regist:.ra1:ion # ****************************************** Si.goal:u.re IIECIIAlIICAL COIIPAIIY SI:a1:e Cer1:. or Regis1:. # Cit:y License Regist:.ra1:ion # ***********..***************************** Sigoat:ure OTIIIIR COIIPAlIY SI:a1:e Cer1:. or Regis1:. # Cit:y License Regist:.ra1:ion # ****************************************** Sigoal:u.re APPLICMIOR - .... J 2,1 .1.---l/ A~u'-- PERllIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations, The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay 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 law. 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 Departlent, 1813) 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 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 - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. 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 perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,", it is understood that a drainage plan addressing a "colpensating volule" will be sublitted 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 frol 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 cOllenced within six lonths 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 cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of tI5.00. 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"NENCENENT NAY RESUlT IN YOUR PAYING TWICE FOR INPRDYE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COIINENCENENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMENCE"ENT". b \~M.Q SIGNATURE: OWNER OR AGENT \ STATE OF F~A COUNTY OF '. f\t',\bS The foregoing inS1(ument before me this ~ 'ri.. who ~~~~ producE!d .__ as id ctification take n-.. oa h. was ~OWledged ,19 by to me or who has .D .--J UJ-f SIGNATURE: CONTRACTOR " STATE OF F~ ' COUIITY OF \/i. vie \ \0 S The foregoing inst U ent(was a~n~wledged before m this , 19~ by . ~Jl_ o me or whet has id~~ (Name yped, Prin e NOTARY PUBLI C YSEAL KIMBERLY GOULD NOTARY PUBUC STATE OF FLORIDA COMMISSION NO. CC370326 COMMISSION EXP. MAY 1998 t. ~,; U:> L'~ I ( (Jri' .l~~ [Oll tnc t Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WA Y WE LIVE TODA Y 10930 Endeavour Way - Unit C - PineUas Park, FL 34647 - State License #CCCA35614 (() 813-547-0522 ToU-Free 800-422-2012 (() FURNISH AND INSTALL FIRESTONE UL TRAPL Y 78+ SINGLE PLY ROOF SYSTEM FOR FOlLOWING AREAS: ~in Mobile Home Roo' 0 Carport 0 florid, Room 0 Shad 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 ""bId roof(s) surface, install Firestone Ultraply 78+ over the insulation surface and secure with termination bar around perimeter of home. System #3: )nstall treated wood to perimeter edge of old roof surface. Connect 1-1/4" ~-aluminum 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 IIWe, 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 oomply with federal and state 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 purcllase order is being linanced by a lending institution or by you, IN/e agree to execute all necessary documents immediately upon request and presentation V IN/e agree !hat any changes, alterations or extras from the plans or specifications 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"10. VI IN/e agree !hat in the event of a breach by me/us 01 this purchase order after acceptance by you and before the installation is started, IIWe will pay to you on demand Ten percent 110"10) of the cash price as stipulated damage for such breach. VII f it is necessary for you to take legal action to enforce, protect or defend any of your righls under this proposal, I/We agree to pay such sum as the court deems reasonable for attorney's lees and court costs. Venue lor all litigation will be in Pinellas County, Florida. VIII No claim will be made by me/us except as provided in this order. IX IN/e give CONSUMER ENERGY SAVERS, INC. permission to use pictures and/or relerences to our home in their newspaper and other lorms of advertising. X IN/e give CONSUMER ENERGY SAVERS, INC. permission to check our credit history. XI IN/e 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 Dr unenforceable, it shall not affect the legality or enforceability of any other provision XIII Liletime 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 Ihat he/she has read and knows the contents hereof, and understands ,that no other agreement(s), or representatlon(s) by the salesman, verbal or otherwise, is binding upon !he 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 that phase). BUYiragrees to pay S,e,lIer the Cash Price at Seller's office in accordance with the following payment schedule: . -:> Q r ~, 1. Price . _~ c-}. ,.~ - 2. Tax $ :: ,~:=~~ayment--m,--:_~ (~~_~____I ON COMPLETION OF ALL WORK. / .- -BUY~11 ,"GHT--TOCANCEL--'-'----- ever.. 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 lian is hereby acknowledged for sacurity of this debt and the tatal am aunt will be paid within terms shown. ""thoriled $;..et"re NOTICE TO OWNER 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. An material is guaranteed to be as spec~ied. All work to be completed in a workmanlike manner according to standard pr.et~s. Any atter mion or doviation from above spec~icationl involving extra oosls will be executed only IIp:m wrrtten orders and will become an extra charge O\Ier and above the estimate. All ag'ee~nts contingent upon strikes, ~denls or delays beyond our control. Owner to car;y fire, tornado, and olh8f" necessary Insurance. Our worker. are fully cove,ed by Wo,kers Compensation Insurance. Acceptance of ([ ontract -The above p"ces. specifIcatIons end condItion, ere ,.ti,t,ctory and Ire hereby accepted You are autho"zed to do the work II ,peeitie_d. P.~.nt~ill b~'~ of(netrove. Dete ot AccePt,nee: ~ a S,gnature S,gnature . .. . l Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WA Y WE LIVE TODA Y 10930 Endeavour Way, Suite C Largo, FL 34647 State License NCCCA:iS614 Contractor's Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all neces- sary permits for residential roofing work for: . Owner: WYD MYERS at this location: 6219 CAMED sr. ZErnYRHIlLS, FL. 33540 LOCATED IN ZACKS OAKSIDE MHP This.person.is.a1so empowered to obtain, complete, and sign all forms, applications, registrations, and documentation, with this limited power of attorney, on behalf of me that may be required to accomplish the issuance of any permits that may be required in any 'jurisdiction throughout the State of Florida, Authorized Person: RICHARD VmEL Authorized Person's Signature: _~ tw( # /C-~ -, Bill Croteau State License #CCCA35614 o ICIAL NOTARY SEAL KIMBERLY GOULD NarARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC37o.::l26 MY COMMISSION EXP. MAY 5.1998 OORN AND SUBSCRIBED BEFORE ME _ S 9 ~ my CF tA\:q l J'Y- lW.. (() 813. 547. 0522 Toll-Free 800. 422 · 2012 ([)