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HomeMy WebLinkAbout95-4925 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 4925.B S-/67 .-9~- Date ~~. ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmp'''V Own" :Jt-' f1:.'!..~~ Job Address: &_---~--- ~ Parcell.D. /I Water Meter: T.I.F.'s: Zoning: Energy Code: Description of wor;-R ~ -~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL .:.J'-- / j - S- 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 Signature Company Address Telephone# ~?~ Valuation or Contract Price <.. '? 0 ,~--O . trV -'" City License Registration # /0 I State Certified License# r/3 ..$"36 2.271 (~~-1HO~ BUILDING ?-Ch O(JJ-- ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICATIOR FOR PERKIT GIlT OF Zll:PHIJlHIT.LC; BUllDIIiG DEPAImIEIIT' OWNER'S RAKE GEORGE FAGNER OWNER'S ADDRESS 6138 LINNET STo ZEPHYRHILLS, FL. 33540 PlK)RE 783-3267 JOB ADDRESS 6138 LINNET ST. ZEPHYRHILLS. FLo 33540 LEGAL DESCRIPl'ImI: WI'(S) ~OBDIYISIOll OAKSIDE MHP PARCEL I.D.' WRK PROPOSED :_Rev C'oostruction ----Addition _Alteration .x....Jepair _Install _Sign ~ve ~lish PROPOSED USE: Single Faaily _H/F _, of Units ~/H _ec-ercial _Indust. _Sw~. Pool Other -----,estaurant & Hea1t:h DeparbEnt Approva1 BUILDING SIZE: 12 X 48, 766 ~e Feet, Height 10 ~ 19 RESIDENTIAL: AITAaI ,,2) PLOI' PLAlIS & (2) SEIS OF BUILDIlIG PLAlIS & (1) SET ERERGY FORMSo** COttItERCIAL: AITAaI (3) SETS OF BUII.DIIIG PIAIIS & (1) SET EliERGY FOJUIS. ** **con OF COllTRACI IUIQUIRED. PII'RIIITTS REQUESTED _BUILDING $ 3050000 Va1uatioo of Tota1 Construction _ELECTRICAL AIIP Service Florida Power Corp. ._WoRoEoC. ---1tEGlWiICAL $ Va1uat:ion of Hechanica1 Installation ~UHBIRG GAS y ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _~ _Steel SINGLE PLY RUBBMh~MBRANE FIIIISHED FLOOR ELEVATIONS: fT. IS PBOJECI IN FLOOD ZONE AREA? X YES NO .*****.*.*.....*....*****.*..*********..** COJI'I'KACIOR SECJ'IOR DAVE MCNETT MY rnNC;;:TTMR'R Rl\IR'RGY S A. "li:R~ INC tate Cert. or Regist. '<:<:<:057199 . ELECTRIGIAR SiPnAture COIIPARY State Cert. or Regist. , City License Registration , .....*.*...*.....*.......***.*.*....*...** Signature COIIPAIIY State Cert. or Regist. . City License Registration f .*.**.**.*........***...****.***.**.....*. PLOtIBER KEmAlIICAL Signature COIIPAIIY State Cert. or Regist. , City License Registration f ***..*****....*.*..*.*.***.*******.*...*** 0T1IF.R Signature aJ!IPAlIY State Cert. or Regist. , City License Registratioo f __ ..*~.*.***...*.*..********.*.*.*..*.*.***. APPLrCAnO" APl'IlOYI1D BY 11~4fuq J1f ~Li PElm:D' OFFICERo CONDITIONS OF PERMIT AFFIDAVIT A. t.~UTICE OF PEEILrif_STRI_CTIONE":i. The undersigned understands that this per.it May be subject to "deed restrictions" which lay be .ore restrictive than City regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions. tl . I,,~~JL I CENSED CONTR{~CTORS AI'-JD CONTR{~CTOF\ RESPONS I B I LIT I EE, If the owner has hired a contractor or c~nt';;do~-~-t~-~~d~;t-~i;';~~i;they--;;;'-'b;;~q;i-r-;d't~-b-;-i'iCl!nsed in accttrdance with state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Depart.ent, lBl31 7BB-6611. . Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractorls) sign portittns of the .Cttntractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, yttU 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 perlitting privileges in t.he City of Zephyrhills. l' IF:ANf?PORTAT I ON I t'lP{-,\CT FEEtLl)N.p__lJ.LLUl.Y...J,:~.gNLiECTLQI'(YEE9-. D. CONSTRUCT I ON L I EN '=-.1l.H (CHAPTER 71 3~. FLOR I Dn STATUTES ~ AS AI'1ENDED) 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 Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'oNner", I certify that I have obtained a copy of the above described docll_ent and prOMise in good faith to deliver it t(l the 'oNner" prior to co..ence.ent. E. CONTRACTOR 'S/m'JNEFi~~.J)fE.LD{lY-.!.I. I certify that all the infortation in this application is accurate and that all work will be done in COMpliance Nith all applicable laws regulating constructi(ln, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work Hill be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended Hork, and that it is ay responsibility to identify what actions I lust take to be in co'pIiance. Such agencies include but are not li_ited to: I Depart.ent of Environlental ReQulation - Cypress Bayheads, Hetland Areas and Environ.entaIly Sensitive Lands, Water/Wastewater Treat~ent I Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Hetland Areas, Altering Waterc(lurses f ArlY Corps of EnQineers - Seallalls, Docks, Navigable WaterHays I Depart.ent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environ.ental Protection AQency - Asbestos abateMent 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 "co.pensating volute" will besublitted Hhich is prepared by a professional engineer registered in the State (If Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, (lr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOM thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the "ork authorized by such perait is co.tenced Hithin six .onths of issuance, or if Hork authorized by the perlit is suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of ti,e, 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 tonth 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". (Ldtif0~ ~~ SIGNATURE: OWNER AGE T SIGNATURE: CONTRACIOR STATE OF - IDA . COUNTY OF ne1 The foregoing instr t I'/as ~Wledged befof'e me this . ~ 19. by r3 (jJj)L<" ~ P f/?r:: U'''' l 1"1110 is ~c;"'n;a 1 y ImE;wn to me or l~ho has pr'oduced as. identification i~~ ke a me or who has ~>------- INam Typed~ Prin NOl ARY PUBLI C ~-"----.- f c',,;'r.:.': 'i "~.' NO;' P.,~f'TS;:i~ L 1 " r, ! ;~'.".: -,C!:ULl!\) . i I <~~~~rF'~Ci;;T.'NO'tA[~Y SEAL 'I y G'~Y:.TLD ~ ':"'f ;=j,~;' Fl..ORIL1.;,~..i r.._",'_ ,.',.:~ , , r , [olltract '-'2J ,~'--)- ~~f't. - ~dV-- C Corporate Office 12350 S. Belcher Rd. #2-B Largo, FL 34643-9925 (813) 536-2274 PROPOSAL SUBMITTED TO Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WAY WE LIVE TODA Y FLORIDA STATE CERTIFIED ROOFING LICENSE #CCC057196 <i:..R. Vero Beach Branch 1121 7th Avenue Vero Beach, Florida 32960 (407) 569-2788 DATE 5-~ .-C1 s- TOLL FREE 1-800-422-2012 :;{61 STREET (01 ()~T 5. CITY, STATE and ZIP CODE Z - \-\i ARCHITECT '7-6 ~~SLlo DATE OF PLANS JOB PHONE 1\ We hereby submit the following specifications and estimate" JOB TO BEGIN (APPROXI JOB COMPLETED tAPPROXI FURNISH AND INSTALL FIRESTONE UL TRAPL Y 78+ SINGLE PLY ROOF SYSTEM FOR FOLLOWING AREAS: )(Maln Mobile Horne Roof 0 Carport )(Florlda Room 0 Shed CIRCLE SYSTEM DESIRED: 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. ~~ ~ Install treated wood to perimeter edge of old roof surface. Connect Hi." 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: ~OOlS .1:nC- 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 I/We, 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 il purchaser(s) elects to purchase on a time sale price. Seller has 10 days from the dale 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 purchase order is being financed by a lending institution or by you, IN/e agree to execute all necessary documents immediately upon request and presentation. V IN/e agree that any changes, alteralions or extras from the plans or specifications which may be required by any public body or Inspector, shall constitule 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 that in the event of a breach by me/us of this purchase order after acceptance by you and before the installation is started, llWe will pay to you on demand Ten percent (10%) of the cash price as stipulated damage lor such breach. VII If il is necessary lor 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 for attorney's lees and court costs. Venue for allliligation will be in Pinellas County, Florida. VIII No claim will be made by melus except as provided in this order. IX IN/e give CONSUMER ENERGY SAVERS, INC. permission to use pictures and/or 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 IN/e agree to pay CONSUMER ENERGY SAVERS, INC. 18"10 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 Ihat he/she has read and knows the contents hereof, and understands that no other agreement(s), or representallon(s) by the salesman, verbal or otherwise, is binding upon the parties hereto, and that the same contains Ihe 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). Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the following payment schedule: 1. Price $ _~O SO 2. Tax $ \ 3. Down Payment $ 4. Balance $ -y) SO ON COMPLETION OF ALL WORK. "BUYER's RIGHT TO CANCEL" (Reverse Side) I have the authority 10 order the above work and do so order as outlined herein. II is agreed thaI the seller will relain lille to any equipment or material furnished until final & complete payment is made. An express mechanic lien is hereby acknowledged for securily of this debt and lne tolal amounl will be paid within terms shown. .".."... 0 ~ ~ ~ ~ ' Slgneture 0 ~ All malerial is guaranleed to be as ."edied. All w~rk 10 be rrpleled j. man,ner according to standard praetic~s. Any atteration or dnviahon In... specifications invONtng extra costs wiH be executod only 1Ip-:>n written 0 ~me an,eX'tra charge CNer and above the eslimate, All agreements 00. stnkes, ac~dent' 01 delays beyond our contlol. Ownel to cariy tire, lornad necessary Insulance, Our work.... ale lully covered by Workers Compens 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. Acceptance of ([ontract-TheaboveP"ces.speclf,catlons Ind condltionl ere latisfactory and ere hereby accepted You are authorized to do the work aSlpecified. Payment will be made as outlined above Dete of Acceptence: SIgnature ~_~~ . I S,gnature r. P a.~~ .. y ) Consumer Energy Savers, Inc_ GOOD IDEAS FOR THE WAY WE LIVE TODAY 12350 S. Belcher Rd. #2-B, Largo, FL 34643 State License #CCC057 196 Contractor's Letter or Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential rooting for: Owner: GEORGE F AGNER at this location: 6138 LINNET ST. ZEPHYRHILLS, FL. 33540 LOCATED IN OAKS IDE MHP This person is also empowered to obtain, complete, and sign all forms, applications, registrations, and documentations, 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: p vM/I"?'1 f r;.e~t:'N-: / :/ .fJ . Authorized Person's Signature: i~~~../ (?-11./'1./).-........... (. - ~c! Owner: BERLY G ULD Ii SWORN A D SUBSCRIBEp ~EFORE ME THIS <"' (~./'6 ! 1 . DAY Od:~~_199 1 I ~~ Dave McNett State License #CCC057196 ({) 813-536-2274 Toll Free 800-422-2012 ({) Consumer Energy savers, Inc. GOOD IDEAS FOR THE WAY WE LIVE TODAY State License # CCC057196 Owners Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential roormg for: ()~er: GEORGE FAGNER atttuslocation: 6138 LINNET ST. ZEPHYRHILLS, FL. 33540 LOCATED IN OAKS IDE MHP Ttus person is also empowered to obtain, complete, and sign all forms, applications, regis- trations, and documentations, 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's Signature: Authorized Person: r'----:, >>" NOTARY S~ORNj AND SU'gRI~, i . ~I DAY OF 1995. , Consumer Energy Savers, Inc. .12350 S. Belcher Rd. · #2-B · Largo, FL 34643 · 81JeS36.2274 800-422-2012