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Home My WebLink About95-4877 BUILDING PERMIT Permit ~ CITY OF ZEPHYRHILLS (813) 788-6611 4877JJ '1-;l5- -9 S Date ~:Ol;;) ELECTRICAL Pmporty OW""; eI. "-rL Job Address: J r 0 d-.? - b O~ PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I,F.'s: Parcell.D. # Zoning: Energy Code: . Description of work/-( ~ ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL s-/7.c;. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector ""...... Valuation or Contract Price ~ ~ ~ 0-0 ,. ere 'lift ~~ Permit Fee .;:.s , crD SignatureL.- cLLj ~,s.-L ~/ Company , Address City License Registration # State Certified License# Telephone# / S) 7 ~ 2. t~~,r( \,)( C. c. ,J/~ I3.Jht1~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo 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. "'~"''''"",~'-I'\,,>:,~:,,,,,,,..,,,~-~.....,,,,.,-.-. -- ",-~ - "l;""--;r"'~">>~.'-_~O:-1'7~~"~""'."""',,,,,,,,,,,,''''''''~'' ._, APPLICAnOR FOR PEBKIT CITY OF ZEPBYRBILLS BUILDIRG DEPARTHERT OWRER'S IWIB C.I1Aftvl/t tV OWRER'S ADDIIESS ,3 9~ d ~ JOB ADDRESS .. ~?__ LEGAL DESCRIPTIOR: LOT(S) PHONE 7'6 8d)/ , &,~ BLOCIL--.SUBDIVISION PARCEL LD.t (OBTAl;N FROH PROPERTY TAX NOTICE) WORK PROPOSED:->>ew Construction -.-.Addition ---..Alteration ~pair _Install _Sign --..Jlove ~lish PROPOSED USE: ~gle P..tly --Yt/F _' of Units ~ _~rcial _lDdust. _Swia. Pool er Restaurant &: Health Departaent Approval ~ DESClIIPTIOR OP -,=reM tl J LiA-i fiA* 11~ I ~ iM.] .u~ BUILDIRG SIZE: X. Square Feet. Height ~\~'P P (l ( S V5"H:vV1 RE5IDEI1TIAL: COMKERCIAL : ArrACH (2) PLOT PLANS &: (2) SETS OF BUILDIRG PLANS &: (1) SET ERERGY FORKS. ArrACH (3) SB'l'S OF BUILDIRG PLANS &: (1) SET ERERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIOR. ~IRG J PERMITS REQUESTED $, ?d- 6 ().. c) Valuation of Total Construction - RT.RCDUCAL AIIP Service Florida Power Corp. W.R.E.C. --..JIEClWlICAL $ -PLUllBIRG GAS _Val~f llecbanica1 Installation ~FING SPECIALTY TYPE OF COBSTRUcnOR: ----.Bloclt _FraIIe _Steel Other PDIISIIED .FI.OOR ELEVAUOBS: Fl. IS PROJEct DI .FI.OOD ZONE AREA? YES NO .......................................... CONTRACTOR SECl'ION BIITT.DRR cotIPAIIY State Cert. or Regist. t City License Registration . .......................................... Sigoa ij L/- 7. RT.RC'l'RTCIAII COMPANY State Cert. or Regist. t City License Registration . .......................................... SiDnAture PLUMBER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature IlECllAlJICAL COMPANY State Cert. or Regist. . City License Registration f .......................................... J Signature OTRRR ~ ~ {COKPAIIY' -t.J . 0 / State Cert. or gist. t Signat~ h~ City License :Registration . ...........~............................ APPLICAnOR APPROVED BY PERHlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perlit JaY be subject to Ideed restrictions I which lay be lOre restrictive than City regulations. the undersigned assUJeS responsibility for ~liance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they laY be required to be licensed in accordance with state and local regulatiOll8. If the contractor is not licensed as required by law, both the owner and contractor JaY be cited for a lisdelleallOr violation under state law. If the owner or intended contractor are uncertain as to what licensing requirl!leIlts JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the lContractor Sectionsl of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that JOU, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that JaY be an indication that he is not properly licensed and is not entitled to perIIitting 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 IFlorida's Construction Lien Law - lkIIeolmer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOI1e other than the 'owner', I certify that I have obtained a copy of the above c1escribed dOCUleDt and promse in good faith to deliver it to the 'owner' prior to COIIeDCeJellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developll!llt. Application is hereby Jade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation has CDIeIlced prior to issuance of a perlit and that all work will be perfoIJeC1 to Il!et standarda of all laws regulating construction, City codes, loning regulations, and land develO(llll!llt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies laY apply to the intended wort, and that it is If responsibility to identify wbat actions I lUSt take to be in COJpliance. Such agencies include but are not lilited to: t Departlent of InvirODJelltal Regulation - Cypress Baybuda, letlandAreas andlnviroDleDWly Sensitive Lands, later /1Iastewater !reatlent I Southwest Florida later Manag8leDt District - lells, Cypress Bayheac1s, Wetland Areas, Altering Watercourses I AIIY Corps of Inqineers - Seawalls, Docks, lavigable Waterways I DepartJent of Health & Rehabilitative Services, InvirODJelltal Health Unit - Wells, lastewater 'freatlent, Septic 'fanks I US Invi1'ODlleDtal Protection Agency - Asbestos abatl!lll!llt I also certify that, if fill Jaterial is to be used in Flood ZOne IAI or 'I,etc. I, it is understood that a drainage plan addressing a 'co.pensating vol_I will be sublitted Ihich is prepared by a professional engineer registered in the State of Florida prior to peIlit 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 peIlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCCIIe invalid ' unless the work authorized by such perlit is COIIeDCed within slllOnths of issuance, or if IOrk authoriled by the perlit is suspended or abandoned for a period of sil IODths after the tile the work is ~ced. One 90 day &ltension of tile, laY be allowed for the perlit with fee charge of $15.00. 'file &ltension shall be requested in Iriting to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned. MARlING 'fa omR: YOOR FAILURE 'fa RECORD I NO'fICE OF COMMBICBIID'f MAY RBSUL'f IN YOUR PAYIIG 'fIICE FOR IMPROVBIID'fS 'fa YOUR PROPmY. IF YOU IIImD 'fa OB'J'III FIDlCING, COJfSOL'f lID YOUR LBJIDIIt OR U IftOIIDY BEFORE RECORDING YOUR DICE OF COIIMBN . JOBS OlDER $2,500 IN VILUE DO 10'1 DID 'f0 RECORD IBD POS'f I 'IO'fICB OF aJIIDCBMBIl'f'. SIGJII'fUIUl: CON'fRlC'fOR S'fI'f1 OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by SIAn: OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or StallPed) NOTARY PUBLIC '- ~roposal Page No. 4ALf/QS-p.,.: , L ....-- . . ~ "~-';'-' 0 y JI~ /f4f,~ ~~ -f.~\':~\ ~ .17_ . (~!;~/~~ SERVICE CD. .,~ ~ .My Quality Work Exceeds My Price. Check My Reputation,. o SARASOTA 172 - Sarasota Center Blvd. Sarasota, FL 34240 371-3366 o PASCO 11327 - 43rd Street N. Clearwater, FL 34622 845-8266 o PINELLAS 11327 - 43rd Street N. Clearwater, FL 34622 577- .~ --------, "- FULLY INSURED ~ FREE ESTIMATES STATE CERTIFIED ROOF1N6-C~TOR STATE CERTIFIED RESIDENTIAL CONTRACTOR o ORLANDO 4210 - LB. McLeod Rd., Suite 114 Orlando, FL 32811 839-1430 o HILLSBOROUGH 420 - Lazy Lane, Suite D11 Tampa, FL 33614 878-0962 PROPOSAL SUBMITT PHONE I ,..-_ c.,_ <-.. .JtCC-C02548~ #CRC.:-026297 ] DATE f-' 1 +, q~- STREET ~ LOCATION -- ----" ) MODIFIED BITUMEN ROOF SYSTEM (Commonly referred to as Single-Ply) 1. Remove existing built up roof~ y~ , ~'-........~uPPIY all labor and materials a. Glass base sheet nailed \ ~Clean and haul away all debris . b Install Modified Bitumen Roof System I 5. _ J year factory warranty ..__--- . c. roper tie-in from main house to flat roof ~ 6. ontractor to pay and pull permi~and make necessary calls for ~ d. tN, ew mfeta~ ~~v..es. <;trip around perimeter of n!,p~~~___ _. . _ __ ----- / at roo. v.., ~ -----.--- Cr> ~ Price: .J..:) Aluminum coating finish l"'~grO-~ Extra work: ~S. ~. Q .J ?~~ ~ ~;wJ\- Price $ We Propose hereby 10 furnish malerial and labor. complele in accordance wilh above specifications, for Ihe sum of 10 be paid according 10 the payment sc dule~low, unlessob is nol com lelOO. .! . . '\ \ . dollars ($ JP ~:). [\? . N. J All unpaid and outstanding balances due hereunder shall be subject to a service charge of 1,5% per month beginning from dale due. Authorized X Signalure Down Payment ______ .. __ __ __ Balance -1- ~j d-1JV .' N ) ^~. , - 1\ ~ , /'V >(' ) ~ , Wv--.",.,,,- ,^.A-..-_ I '-', Nole: This proposal m~~ wilhdrawn by us if not accepted within days. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepled. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance X Signature X Signalure X TERMS AND CONDITIONS ON REVERSE SIDE