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Home My WebLink About96-6068 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 606813 ~ Date ~ -:L'7-/~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn :::::'~':~.:3fs~* j~~~r Parcel 1.0. # Water Conn: Water Meter: T.I.J=.'s: Zoning: ~ Energy Code: . Description of W~.J ~ -1~7 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # State Certified License# ~ Permit Fee Signature Company Address Telephone# ~:tfr7} \~ _J~ Valuation or Contract Price ~'- au-v. cRJ .... (~~~j~ &O/f~ 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. APPLICATIOII FOR PERHIT CIlT OF ZlJ;ntYJfH IT.LC; BU.I.lJ)IJIG DEPAR1IIIl'.In' OWNER' S IWIE MERL & BFA .m..J:N FIIOIIE 813-782--a331 0WlIER' S ADDRESS 38521 REMl<A AVENUE #78 ZEFHYRHIllS, FL. 33540 (Sane As Above) LEGAL DESClUPI'IOIII: IDI'(S) JOB ADDRESS 78 .IROCIL-SUBDIVISIOII SLEEPY lllI...(M1 t1fP PARCEL I.D. # IiORK PROPOSED:_IIev Construction --..Addition _Alteration _.Repair _Inst:a.ll S. - 19D. _lIove _Deao1ish PROPOSED USE: Sing1e F-Uy _M/F _# of Unit:s -L-II/H _~rcia1 _Indust. _S.n... P001 Other --'lesblurant &: Hea1th Departaent Approva1 12 28 BUILDING SIZE: 14 X 04 ~e Feet. 1232 Height RESIDENTIAL: COItIIERCIAL : A1TAaI (2) PLOI' PIAIIIS &: (2) SEI'S OF BUILDDIG PIA8S &: (1) SEt' EllERGY FORtIS... A1TAaI (3) SEI'S OF BUIlDDIG PIAIIS &: (1) SEt' ElIERGY FORIIS... ..mpy OF mlll'RAcr IUIQUIRED. PIlmITlS REOIIRSTED _BUILDING $. 5200.00 Va1uation of Total Construction _ELECI1UGAL AtIP Ser:vice F1orida. Power Corp. W.R.E.C. ----lfEalANIGAL $. Va1uation of llecbanica1 Inst:al1ation ---.J'LUttBIlIG GAS x ROOFING SPECIALTY TYPE OF mNS1'.RUCI'I0R: ___..JI1oclt _~ _Stee1 Other FIllISHED FLOOll ELEVATIOIIS: Fr. IS .PRO.JECI' III nooD ZOlIE AREA'!' YES NO .......................................... QD'IRACIUR SECl'IOR B(ITTnER ~AIIY <nN.MER ENm;Y SAVERS, INC. ~~ (\p:... bOlte Cert. or Regist. # CCC057196 Signature ~ City License Registration # ~r,f-~ .......................................... RT.F..CI1UCIAR lDIPAIIY State Cert. or Regist. # City License Registration # .......................................... NA SiPIIJlture PT..IlIIRF.R Signature lDIPAIIY NA State Cert. or Regist. # City License Registration # .......................................... IlEalAlnGAL Signature lDIPAIIY NA State Cert. or Regist. # City License Registration # .......................................... OTIIRR Signature aJ!IPAIIY N A Sblte Cert:. or Regist. # City License Regist:ration , .......................................... APPLICATIOR APPBOvllD BY PERIIIT OFFICER. CONDIflONS OF PERMIT AFFIDAVIT A. ~OI.I!,:E OF _.PEED........f:~STR IJ~J IONS. The undersigned understands that this per_it lay be subject to "deed restrictions" Nhich lay be _ore restrictive than City regulations. The undersigned assules responsibility for cOlpliance Mith any applicable deed restrictions. B . ~!!'lL I CENSED CONTRACTOR9-_..Bn!Lj';Qt.tTRI1C_T.QR J3g?ElJN~.I.!U ~I.I1EJ2. If the owner has hired a contractor or contractors to undertake Mork, 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 lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of lephyrhills Building Departlent, (9131 798-6611. Further.ore, 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 t.he City of lephyrhills. c. TRAN!?rORT A T ION I "trACT FEEE.L.fl!'..!P__I::!.I.I.I:::1..TLJ::~.gN~_ECI_li:11LFEE.$.. D. ~ONSTRUCTION LIEN LA~ (CHAPTER 713~ FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a CDPY of "Florida's Construction Lien Law - HOleo"ner's ProtectiDn 6uide" prepared by the Florida Departtent of Agriculture and Constller Affairs. If the applicant is so.eone other than the 'oNner", I certify that I have obtained a copy of the above described document and prolise in good faith to deliver it to the "owner" prior to cottence.ent. E. CONTRACTOR' S/OHNER 1 S AFE.!..D?l~l.T. I certify that all the infortation in this application is accurate and that all work "ill be done in co'pliance 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 cOI_enced prior to issuance of a pertit and that all work "ill be perforted to teet standards of all laNs 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 lay apply to the intended Hork, and that it is .y responsibility to identify Nhat actions I .ust take to be in coepliance. Such agencies include but are not li.ited to: I Departtent of Environ.ental RequlatiDn - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treat.ent , Southwest Florida Water Manaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways , Depart.ent Df Health & Rehabilitative Services. Environ_ental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks I 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 volu.e' Hill be subtitted which is prepared by a professional engineer registered in the state of Florida 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, or 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, Dr violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is cOI.enced within six .onths of issuance, or if Nork authorized by the perlit is suspended or abandoned for a period of six tonths after the tile the work is cO'lenced. One 90 day extension of tile, .ay be allowed for the pertit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An approved inspection tust be logged during each six .onth period, or the project Nill 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 FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCE"ENT'. \G- ' , .0., \".i"'h~~- ~ - SIGNATURE: OWNER OR AGENT "Ias acknowledged 19_ by STATE OF FLORIDA ~ COUNTY OF f\ SO;:) The foregoing instrument1wCls acknowledged befc,re me th i s~~ ~~ t 19~ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this c.J\~ who is to me or who has pl-[,duced ~ as identification and who did id not' take an oath. 0L'. - (Signature) ,~. i .-l. .--- t.<=-eu. ..... ~Se. (Name Typed, Printed or Stamped) NOT ARY PUBL I C OFFICIAL NOTARY SEAL ",,?-~Y PUe KEVIN KRUSE ~~IE.fl{~ COMMISSION NUMBER tJ, '!~;*, ~ CC548891 7", !~aa' d? MY COMMISSION F.XPIRES f' OF f\..:-)' t\PR.::>'8 ~l'lOf,) who is personally known to me or who has produced as identification and who did/did not take an oath. (SignatLll-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WAY WE LIVE TODAY [2350 S. Belcher Rd. #2-B. 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: MFRL & BFA ,m,TN 38521 REM:I\A AVENUE #78 at this location: ZEFHYRHII1..S FL. 33.540 (Sleepy Hollow 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: RIGIARD VCXE., Authorized Person's Signature: j) \~.uQ Owner: ~~J20~ {tV Pu OFFICIAL NOTARY SEAL 0"1>- 61<;., KEVIN KRUSE t \TIESif ~ COMMISSION NUMBER '1 ,~;;~~ <c CC548891 >'..l' ~~ ~ MY COMMISSIO:-; f:XPIRES ~ OF \,\.0-- M'R. 28,:UHlQ STAlE OF FlDRIDA, CUJNIY OF PINEllAS The J9~~oing instruIlEIlt was acknowledged before IIE ~y offWG0~ ,19Qt;. ,by O~l'4\~t\~n (/-i/:- KEVIN KRusE Personally KnCMIl?o OR Produced identification Type of identification Produced State License #CCCOS7196 co 813-536-2274 Toll Free 800-422-2012 CO o I ,6 C/ . [Dtltraet Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WA Y WE LIVE TODA Y FLORIDA STATE CERTIFIED ROOFING LICENSE #CCC057196 TOLL FREE 1-800-422-2012 PHONE 813- JOB NAME DATE OF PLANS 6~. JOB TO BEGIN IAPPROXI JOB COMPLETED IAPPROXI FURNISH AND INSTALL FIRESTONE UL TRAPL Y 78+ SINGLE PLY ROOF SYSTEM FOR FOLLOWING AREAS: *In Mobile Horne Roof D Carport XFIorIdI Room D Shed CIRCLE SYSTEM DESIRED: System .,: 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. ~stem ~ Install treated wood to perimeter edge of old roof surface. Connect 1-1/4" ~ 7 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 IlWe, 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 al all times maintain proper workers compensation insurance and shall comply with federal and slate contractor's license regulations. II This proposal is subjecl to acceptance by the seller at its office and becomes a binding agreement. II may be terminated althe 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 INle agree to pay lor any other work done and not specified in this proposal in the event such work is done at customer's request alter work has commenced. IV II purcflase order is being financed by a lending institution or by you, INle agree to execute all necessary documents immediate~ upon request and presentation. V I/We agree that any changes, alterations or extras Irom the plans or specifications which may be required by any public body or Inspector, shall constitute an extra and sliilll be paid lor by the cuslomer to the seller, based upon the seller's actual cost plus 20%. VI IflNe agree that in the event 01 a breach by melus of this purchase order alter acceptance by you and before the installation is started, VWe will pay to you on demand Ten percent 110%) of the cash price as stipulated damage for such breach. . VII I it is necesslll)' for you to take legal action 10 enforce, protect or defend any of your rights under this proposal, IN/e agree to pay such sum as the court deems reasonable for attorney's fees and court costs. Venue for all Htigation will be in Pinellas County, Aorida. VIII No claim will be made by me/Us except as provided in this order. IX INle give CONSUMER ENERGY SAVERS. INC. permission to use pictures and/or references to our home in their newspaper and other lorms of advertising. X INle 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 aereement. XII In the event any provision of this proposal should be lound to be illegal or unenforceable, it shall not allect the legality or enlorceability 01 any other provision. XIII Lifetime transferrable warranty wiD be mailed to buyer when seller has received payment in lull. The undersigned acknowledges receipt of a true copy of this proposal, Bcknowledges that helshe has read and knows Ihe contents hereol, and understands that no other Bgreemenl(S), or representatlOll(s) by the salesman, verbal or otherwise, is binding upon the parties hereto, and that the same contains the entire agreement. Mike all checks payable to: CONSUMER ENERGY SAVERS, INC. CASH PRICE AND PAYMENT SCHEDULE (Reference to <I phase of construction means all work, materials and equipment necessary to complete that phase). Buyer agrees to pay Seller the Cash Price al Seller's office in accordance wilh the following payment schedule: 1. Price 2. Tax 3. Down Payment 4. Balance $ 5~OO ~ : \ o~ $ 5 lJOO ... ON COMPLETION OF ALL WORK. "BUYER'I RIGHT TO CANCEl." . IReverw Side I I have the authority 10 order the above work and do so order as outlinecl herein. It Is agreed that the seller will retain tide to any equipment or materlallurnlshed until final & complete payment Is made. An express mechanic Hen Is hereby acknowledged for security 01 this debt and the Iotal amount will be oaid within terms shown. Authcwized A tt 1\ . ~ ~ ' Si..atura ~~ AI mIII.rial II ll"arentMCI to be . It*'ilieel. All work to C:leleel in . workmanlik. men_ _Cling to Ilanclard practices. A"" .......ion 0< dtlllielion from above If)eCilicoltioM invOlving extra _ts wit be uec:uteel only upon wrllen o<ders end wil become an ...... ""-8. over and ~ the ..timate. AI agr..ments oontingenl upon strik.., IICCicIllnIs 0< cliIe,. ~ our -.trot Owner 10 ClIl'I}' fir., 'o<nado, and olhw _aery inauranoe. Our ___ .,. full, _eel .. Wor..... ~ion inlurance. 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. Accrutanr r 0 r (! on trar t - The lbove prIces. SpeClf'CltIOns ~ cond1tlons .,. ..tilfec:tory end .ra hereby ec:ceplld. You Ife luthorozed to do the work.. IDKified. Plyment will be mlde IS outlined Ibove. Dete of AccepUlftCe: v/::?)... f) !h>oL __ _ Slgnlture "V"~ ~ Slgnlture Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WA Y WE LIVE TODA Y State License #CCC057) 96 ~=:'el)tE~rnt)(~:J' :-~:4 J 199f> City of Zephyrhills Building Dept. (:;ENTRAl, PEht.11TTING !';; ();-3 C' HtJl ~;tre~~~t ZephYl'hil1s Fl. 33540 RE: Cancellation of Bldg. permit USE: Re-Roof of Mobile Home 1=' }{ h' 1-.f T Ttl .:,.. .'-,J.....~......... '- .. 60f3aB OWNERS NAME: Merl & Bea Joslin ADnr-Il~:~:C!S: ~;E;521 Fiemoka Avenue Wi8 CITY. Z8p})yr}lills, Fl. ZIP crJDE: 3354() [f t,he:Y';::'~ (:-irf;:':; ari")T 1:'eft.t~ncis ()l" c:r~?d.itf) (ltle~ l')le::.{sE~ rlc1tif"':,' tlS ,:=tt,; Consumer Energy Savers, Inc. ],235rJ S. Belc}ler H,]. Ste. 2-B Largo, Fl. 34643 T h ('.m 1, you ) Dave MI.'N,cot,t, ,'''~ C'; n t r l'-:;t c: t, ...-) .1'.... 12350 S. BELCHER RD. - #2-B - LARGO, FL 34643 - 813-536-2274 Toll Fme 800-422-2012