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Home My WebLink About95-5351 BUILDING PERMIT-~ CITY OF ZEPHYRHILLS permit:N! '-5351LS' (813) 788-6611 . 0 - Date / l- CJ -/-s c9 ELECTRICAL PLUMBING MECHANICAL ::::,::~.~~rg.~~m~/~ ) Parcell.D. # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: Description of Wo;; ~/~' ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. /- /1.../ - ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ~ Permit Fee Signature Company Address Telephone# ~;CS': c7"D \C1 Valuation or Contract Price 3, 7 ? .3 , o-t) " {~~A' ~ o<I- 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 ($15.00) 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. APPLICAnOR FOR PERltIT CI'IY OF ZEPIIYRII.IU..S BUII.DIJIG DEPAImUl'.liT OWER'S IWtE C / /J ;2.elll C L . r )} /l/ 111 A OWRER'S ADDRESS - 4 b 4 ~ C JlIi te te r :s Q Yr>e fJe rvde r SON PIlOIIE <6/3- 7 f ~ - ~ Ie 7/P S r 0:.v E J 1'- t-v c eel rn H fj 2.~phYIII./)I ~ F J :3 55 Jj ) G:t. b 0 ve.... JOB ADDRESS 01 !i. LEGAL DESCRIPl'IOIl: 1OI'(S) .BLOCIL-SUBDIVISIOB E c( 9t. VII cod 1Yl 1"1 P PARCEL LD.' WORK PROPOSED:_"ev C'onstruction ~tion _Alteration ~ir _Install S. - 19B _I!fove _De.o1ish PROPOSED USE: '-1 Single Fa.ily _"IF _' of Units --1I/H _~rcial _IDdust. _Swill. Pool Other ~1:aurant & Hea1t:h Deparment Approval BUILDIXG SIZE: 39, ~..... X J '1 J g33 ~e Feet, Height RESIDENTIAL: AtTACH (2) PLOI' PLAIIS & (2) SEI'S OF BUII.DDfG PLAJlS & (1) SET ERERGY FORKS. ** cottItKRCIAL: AtTAat (3) SEI'S OF BUII.DIJIG PLAJlS &: (1) SET ERERGY FORKS. ** **COPr OF COIITRACT :REqUIRED. PJr.RJfTlS REOUESTED _BUILDING $ '37')3,13 Valuation of Total Construction _ELECTRICAL A!IP Service F10rida Power Corp. W.R.E.C. ---'lECBAlUCAL $ Valuation of "echanica1 Installation _PLUKBING GAS >< r ROOFDiG SPECIALTY TYPE OF CONSTRUCT'IOIl: ---..Bloclt _Pralle _Steel Other FIlIISBED FLOOR ELEVATIOBS: FT. IS PRO.JECl IN FLOOD WIlE AREA? YES NO *.**.*******..***.*********************.** BIJTI.DER COU'KACIOIl S~' 1211 ve- I}1c .Alc- 7/ ' .Qru~~IY7'<4" ew"w11 SaVlrs. )1=-iV:C. ~~~MJ' }:).'>5~ " il.lch.r V'.;l-e l.,q"o "'I 3Vj,.~ _' te Cert. or Regist. # CCG057~ 1~ License Registration # ~/~ ***.*.***..*..****..******.*****.***..**.* Signature ELECTRICIAN aJIIPAlIY State Cert. .or Regist. # City License Registration . ..***.*************************.***.****** SiPnature PLUtlBER aJIIPARY State Cert. or Regist. # City License Registration . ***.*.*****.***...*************..****...** Signature ItECIAlIICAL aJIIPAIIY State Cert. or Regist. . City License Registration # .****..******.***.**..***.....****.******* Signature 0T1IRR aJIIPARY St:ate Cert. or Regist. # City License Registration # **.********.***.*..*******.**.*.*.*.****** Signature APPLICAnON APPROVED BY PERItIT OFFICER. ~_.,.~ CONDIfIONS OF PERMIT AFFIDAVIT A. ~OTICE OF pEED 8~STRICTION~ lhe undersigned understands that this per.it lay be subje(t to "deed restri(tions" whi(h lay be .ore restri(tive than City regulations. The undersigned assules responsibility for co'pliance with any applicable deed restrictions. El . ,=-=!!~JL I CENSED CONTR{~CTqR9-_..B.N!LJ;:P!JT.81ll;:TJJR J3~$.E:.PN9-L!n LL:L!~_9. If the owner has hired a contractor or contractors to undertake work, they may 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 .isde.eanor violation under state law. If the owner or intended contra(tor 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, (8131 788-bbll. Further.ore, if the owner has hired a contractor or contra(tors, he is advised to have the contractor!sl sign portions of the .Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contra(tor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contra(tor that .ay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the City of Zephyrhills. c. If.:AN!:?F-ORTAT I ON I r'lF-ACT FEE9. I-)Nl)_lJLL~TLJ~.QNltECTJ m'LF E E.?. D. ~ONSTRUCTION LIEN LAij (CHAPTER 713~ FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida'~ Construction Lien Law - Ho.eowner's Prote(tion Guide" prepared by the Florida Departlent 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 pro.ise in good faith to deliver it to the "owner" prior to cot.encelent. E. CONTRACTOR 1 S/m.Jt-lER 's AFF I DQ~J..I I certify that all the infor.ation in this application is accurate and that. all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby tade to obtain a pertit 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 develop~ent regulations in lhe jurisdiclion. I also certify that I understand that lhe regulations of other govern.ental agencies .ay apply to the intended w~rk, and that it is ~y responsibility to identify what actions I aust take to be in co.pliance. Such agencies include but are not li.ited to: . Departtent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater TrealMent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart_ent of Health ~ 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 .alerial is to be used in Flood Zone "A" or "A,etc.", it is understood thal a drainage plan addressing a "co~pensating volule" Kill be sub_itled which is prepared by a professional engineer registered in the state of Fl~rida prior to per.it 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, Dr set aside any provisions of the technical codes, nor shall issuance of a per_it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such pertit is cOI.enced within six lonths of issuance, or if work authorized by the pernit is suspended or abandoned for a period of six lonths after the tile the work is co..enced. One 90 day extension of ti.e, .ay be allowed for the per.it Hith fee charge of tI5.00. The extension shall be requested in Hriting to the Building Official. An approved inspection lust be logged during ea(h six .onlh period, or the proje(t 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 A '"NO F CO lCE" SIGNATURE: CONTRACTOR STATE OF FLORIDA (), COUNTY OF ~~t\ S The foregoing instrument was acknowledged before me this ~~ 19~r- by STATE OF FLORIDA COUtITY OF B.~e1A"'J The foregoing instrumentlwas acknowledged befc.re me this ~\ ~~19 ~(\ by who is pe me or who has pl-oduced as identification and who did/did not take an oath. . ./ V '-4// who is ersonally or who has produced as identification and who did/did not take an oath. I / ,/ ,V =::-' ({ (Signatw-e) ~V/ I\. 1<(?J.se;;: m ed) l' LN AR 5 I C KEVIN KiWSF. NorARY PUBLIC STATE OF FLOPJDA COMMISSiON NO. CC19'1050 MY COMMISSION EXP. APR. 28,1996 (Signature) (Name Typ NOTARY PU (Name Ty NOTARY ed. <P1'!1~\!eiiDtt:1\~~ MY ,,,. ,f~:;",:~~tr;;;;~"C1" I .". .~.,,'.h' .". A"': """<I{j ----..:;:,~~~~~ (1; Dtl trilt t >l ~I Corporate Office 12350 S. Belcher Rd. #2-B largo, Fl 34643-9925 (813) 536-2274 OPOSAL SUBMITTED T Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WAY WE LIVE TODA Y FLORIDA STATE CERTIFIED ROOFING LICENSE #CCC057196 ~\\l_' ~ ['. , ;ii ~ TOll FREE 1-800-422-2012 Vera Beach Branch 1121 7th Avenue Vera Beach, Florida 32960 (407) 569-2788 --5_ JOB NAME JOB LOCATION ED<bEWc-a FURNISH AND INSTAll FIRESTONE Ul TRAPl Y 78+ SINGLE PLY ROOF SYSTEM FOR FOllOWING AREAS: ~aln Mobile Home Roof 0 Carport 0 Florida Room 0 Shed CIRCLE SYSTEM DESIRED: I I . I i.I I ~ ~ .~ 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. ~Ystem #3: nstall treated wood to perimeter edge of old roof surface. Connect 1-1/4" _ aluminum faced insulation board to old rool(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 I/We, Me/Us, My/Our, agree to the following terms and conditions, to-wit: Seller to pertorm all work in a good workmanlike manner and will at all ~mes maintain proper workers compensation Insurance and shall comply with federal a!:a state contractor, license regulations. 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 linanee: 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 purchase order is being financed by a lending institution or by you, IN/e agree to execute all necessary documents immediately upon request and presenta:'or. V IN/e agree that any changes, alterations or extras from the plans or specifications which may be required by any public body or inspector. shall cons~tule an extra and shall be paid for by the customer to the seller, based upon the seller's actual cost plus 20%. VI IN/e agree that in the event of a breach by melus of this purchase order after acceptance by you and before the installation is started, IIWe will pay to you on demand Ten percel' (10%) of the cash price as stipulated damage for such breach. VII If 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 for attorney's lees and court costs. Venue for all litigation 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 andlor references to our home in their newspaper and other forms of advertislno 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 Ihe event any provision of this proposal should be found to be illegal or unenforceable, it shall not affect the legality or enforceability of an~ 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 1I1al no other agreement(s}. or representatlon(s) by the salesman, verbal or otherwise. is binding upon the parties hereto, and that the same contains the enlire agreement Make all checks payable to: CONSUMER ENERGY SAVERS, INC. ;: 'ji CASH PRICE AND PAYMENT SCHEDULE (Reference to i1 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. 2. 3. 4. Price Tax Down Payment Bala ON COMPLETION OF ALL WOR "BUYER', RIGHT TO CANCEL" (R.verA Side) $~ $ $ I have the authority to order the above work and do so order as 001i,ned herein. II is agreed that the seller will retain tiUe to any equipmenl or material furnished until final & complete payment is made. An express mechanic lien is hereby acknowledged for security of this debt ano the total amount will hR =iri within IRrm~ ~hnwn Autnoriz Signatura NOTICE TO OWNER All materiaj is guarantee as specified. All work t be cO"l=Jleted in a workmanlike manner accOt'ding t~ stan ard pracltc;..s. Any alteration or doviahon from above SpecRlcations involving e:dra costs will be executed only IIprJn written orders and will become an .e.dra charge O\Iel and above the estimate All agreements contingent upon strikes, aCCidents or delays beyond our control. Own., to carry fir., tornado, and olhet" n~sary Insurance. Our worker. are fully COy",ed by Workers COfTl)&nsahon 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. ~ Ace fptanc f 0 f ([ ontral: t -The ilbolle prom. spectf'cilt,ons .nd condltionl Ir, I"idactory and are hereby accepted. You ilre iluthorozed to do the work al lpecifi.d. Paym.nt will be m.de ilS outlined ilbolle. D.lW of ACC'Ptlnce: SIgnature' ~ t~ 1/ /{PA S,g~J ~ ~ ,\--- Consumer Energy Savers, Inc_ GOOD IDEAS FOR THE WAY WE LIVE TODAY . 12350 S. Belcher Rd. #2-8, Largo. FL 34643 State License #CCC057196 Contractor's Letter or Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential roofing for: Owner: CLARENCE AND ANNA HENDERSON 4648 Charter St. Located in Edgewood MHP at this location: Zephyrhills, FI.33541 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: RICHARD VOGEL Authorized Person's Signature:---> Ii Owner: ~~O)~ D~ 'J State License #CCC057196 VAL- KEVIN KRUSE NOTARY SWORN AND SUBSCRIBED BEFORE ME THIS3l~AY OF O~e.",- 1995 OFFICIAL NOTARY1,EAL KEVIN KRUSE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CCI97050 MY COMMISSION EXP. APR. 28,1996 (() 813-536-2274 Toll Free 800-422-2012 (()