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Home My WebLink About96-6115 -. -, BUILDING PERMIT. 0 CITY OF ZEPHYRHILLS Permit N. (813) 788-6611 - 61156 Date 9-;<3 ---7-b ~ ELECTRICAL PLUMBING Pmperty Owne'. ?11;;r (;.-p:- ~ Job Address: <-? _ __ _ - Parcell.D. # MECHANICAL Sewer Conn Water Conn: ~ Water Meter: T.I.F.'s: Zoning: Description of Work 3Yde: Radon Gas: ,(j, '~ .,A~ NO OCCUPANCY BEFORE C.O. \ Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector permitFee~~ ~ Signature '~.,. . Company Address Telephone# Valuation or ~ Contract Price i" / (~cJ . 00 City license Registration # / JY' gt, State Certified license# !3~, ~ /A .- /( r~(j BUILDING 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. APPLICATION FOR PERKIT CITY OF ZEPBYRBILLS BUILDING DEPARTHENT OWNER'SIWIE .~j'( l/YA/ {J~F OWNER'S ADDUSS 3 J J 3 L~ 13 /lu (.1. PHONE ) tft9 - Sat:, d JOB ADDRESS ~8']'J~ B /lv' 0", LEGAL DESCRI.PTION: LOT(S) BI.OGIt.--.SUBDIVISION PARCEL LD.' 1L/~c!2(, --~/- "Old - (J.syc;{) -.OCJ/{"} (OBTAIN FROH PImPRRTY TAX NOTICE) WORK PROPOSED:-"ew Goostruction ----Addition ---Alteration ---.Jlepair _Install _Sign ---lIove ---Peaolish PROPOSWWE: ~s~eF_i~ ---14IF _' of Units ---14IH _~ercial _Indust. _Swia. Pool _Other ---.Jlestaurant Ii: Health Departaent Approval DESCRIPTIOR OF WORK: JJ U I J.. 7 u r f[ 00 r=- BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUlLDIRG PLANS Ii: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED L.BUILDIRG $ i./?c)(}~ dO Valuation of Total Construction RT.RCTRICA.L AItP Service Florida Power Corp. W.R.E.C. ----1IECllAlJI.CA.L $ Valuation of Hechanical Installation -YLUHBDlG GAS ROOFIRG TYPE OF roRSTRUGTIOR: --.--Block ~Praae _Steel SPECIALTY Other PIRISBED FLOOR ELEVAfiORS: Fr. IS PBOJEC'l IR FLOOD zon AREA! YES NO .......................................... CONTRACTOR SECTION COHPAIiY State Cert. or Regist. . City License Registration . .......................................... BUn.DER Signature RT.RGTlUCIAR COMPANY State Cert. or Regist. . City License Registration' .......................................... SiMlAture COHPAIiY State Cert. or Regist. . City License Registration . .......................................... PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... cotIPA1IY 81'11' /l/l '" N- ,-zCYF>/~ State Cert. or Regist. . ~(I-'!.JI.25'1/ k City License Registration . .......................................... MECHANICAL Signature OTIIF.R APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !he undersigned understands that this peIlit lay be subject to 'deed restrictions' which lay be lOre restrictive than City regulations. 'he undersigned assUles 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents laY apply for the intended work, they are advised to contact the City of ZepbyrhUls Building Departlent, (813) 188-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich 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 lilY be an indication that he is not properly licensed and is not entitled to perJitting 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 - HOIeOIDer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleDDe other than the 'owner', I certify that I have obtained a copy of the above described doeutent and protise in good faith to deliver it to the 'owner' prior to co.nCeJellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, zoning, and land developleDt. Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation has c~ced prior to issuance of a perlit and that all work will be perfoIJed to teet standards of all laws regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies tay apply to the intended wort, and that it is If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to: t Departlent of Environtental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands, Nater/Nastewater 'reatlent t Southwest Florida Vater Hanagetent District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses t AIIY Corps of Engineers - Seawalls, Docks, lavigable Naterways t Departlent of Health , Rehabilitative Services, BnvirODJeDtal Health Unit - NeIls, Nastewater Treatlent, Septic 'ants t US BnviIOlllelltal Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan al1dressing a 'COI(JeDSatlng volute' will be saitted which is prepared by a professional engineer registered in the State of , Florida prior to peIlit issuance. A perJit issued shall be construed to be a license to proceed with the wort 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. Every perin issued sball beCOJe invalid unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if wort authorized by the perlit is suspended or abandoned for a period of six IOnths after the tite the work is coaenced. One 90 day eatension of tite, lilY be allowed for the peIlit with fee cbarge of $15.00. fbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned. NARlING TO ONHER: YOUR FAILURE fO RECORD A NOTICE OF CotIMElCEHllfT MAY RESUL! 1M YOUR PAYING !NICE FOR IMPROVEIIEJIfS '0 YOUR PROPERn. IF YOU IMTBIfD fO OBTAIN FINANCING, CONSULT NUH YOUR LENDER OR AI AnORRIY BEFORE RECORDING YOUR NOTICI OF C(IDfIMCEHlN!. JOBS UNDER '2,500 IN VALUE DO NOT IfIID TO RECORD AIfD POST A 'NOTICE OF COMMEIfCEMIlMT'. s~~~~~ ~~~ SfAfl OF FLORIDA COUJm OF The foregoing instrument was acknowledged before ~ ;1.3 , 19~ by J1I ff R 1/ '" JU /J1J.J t? ' who is personally known to me or who has produced as identification and who did/did not ::~c~ (Name Typed, Printed or Stamped) NOTARY PUBLIC :'-;;'~X;;~--- PATRICIA NOBEl ~;~b,? COMM,ISSION # CC 392533 ',J oni'; ,,' EXP, RES JUL 14 1998 'lI/1t\\" , .. STA'I OF FLORIDA coom OF The foregoing instrument was acknowledged before me~ ~ , 19 7'6 by ~dJ6~ J!>u-tJ/c'/f/#Vl who is personally known to me or who has produced as identification and who did/did not t~~ 7~ ( ~ure) ~1 (", .II- .,;U;I4trz (Name Typed, Printed or Stamped) NOTARY PUBLIC ,"?:,y";:/I," fiM'. u't"-~ PATRICIA NOBEl ~~; .;~ COMMISSION # CC 392533 ..rf ~;H..-v' . "'~?OFf,-G~,'- EXPIRES JUL 14 1998 lUll" J roposal BAY AREA ROOFING Oi.l.C,S. 4261 112 Terrace North · Clearwater, FL 34622 · STATE CERTIFIED ROOFING CONTRACTOR FULLY INSURED PRO ~BMITTED 70 578-11 ~__ -.----' #CCCA25484 FREE ESTIMATES ] DAT~ -;1 0 9{; .. OTHER PHONE o TILE ROOF 1. Remove existing ( ) down g. Install all new tile, customer to choose style and color - flat to bare wood. ---- or barrel 2. a. 301b. felt paper base sheet, nailed -------___ 3.~~ aRej ml'tterials b. Tile granule underlayment hot mopped with tar ~.~ean and haul away all debris c. New galvanized metal valleys - ..-- 5:r---4~ar labor guarantee d. New metal eaves drip- brow . natural 6. Contractor ull permits and make necessary calls for e. Proper flash in if n inspections. f. New lead bOo s over all vent pipes Price: 1. Remove existing ( to bare wood.-_. 2. a. 30tb. felt paper base Shem;'fl8H9 b. Granule underlayment installed with hot tar c. New galvanized metal valleys d. New metal eaves drip if neede e. Install tile to match el!isliRg es as close as pos- sible. If tile is notl'flailufactured and not available the contractor reserves the right to use the existing tile. Price: SHINGLE ROOF . Insta.!!Jlaw fiber~lass shingles ( 3. YJ'PIYalllabor and materials . Clean and haul away all debris 5. ) year labor guarantee ear manufacturing warranty on shingles only 6. ontrac nd ull permits and make necessary calls for inspections. Price: ) down TILE REPAIR 3. Supply all labor and materials 4. Clean and II debris 5. ( ) year labor guarantee ontractor to pay and pull permits and make necessary calls for In . 1. Remove existing ( ) down to bare wood. 2. a. 2112 to 4/12 pitch 2 ply's of H515:felt paper._... b. 1 layer of 30 lb. felt paper if above 4/12 pitch -. c. New metal eaves drip - brown/white/oatynn- d. New lead boots over all.\{ent.pi~-- e. Proper flashing ifnesoed f. New galvanized metal valleys ) color 1. Remove existing ( to bare wood. 2. a. 2/12 to 4/12 pitch 2 ply's of15Ib. felt paper:..-__ b. 1 layer of 30 lb. felt paper if above 4/12 pitch c. New metal eaves drip if needed d. New lead boots over all vent pipes e. Proper flashing if needed ../ f. Install 18" mineral paper starter strips at all eaves before installing shingles MOBILE HOME SHINGLE ROOF ) down g. Install new fiber lass shingles ( 3. Supply all labor an :ia1s 4. Clean away all debris ear labor guarantee ) color ( ) year manufactunng warranty on shingles only 6. Contractor to pay and pull permits and make necessary calls for inspections. Price: 1. Remove existing builtup roof 2. a. Glass - base sheet nailed. b. ( ) ply's 15 lb. fiberglass mopped with tar c. Proper tie-in from main house to flat roof d. New metal eaves drip around per" brown/white/natural _ e. Aluminum coatin finish MODIFIED BITUMEN ROOF SYSTEM (Commonly referred to as Single-Ply) 1. Remove existing built up roof 3. Supply all labor and ate rials 2. a. Glass base sheet nailed --____ 4. u away all debris b. Install Modified Bitumen Roof System . ( ) year factory warranty c. Proper tie-in from main hoys..e.J ontractor to pay and pull permits and make necessary calls for d. New metal eavMonparound perimeter of inspec 10 . flat roof. e. Aluminum coatin finish or ranulated finish Extra work: '/ A Ny we 00 uJ }l ( DQ ? ~eh1~~ velV't- 0/) BUILT UP ROOF 1. Remove existing built up roof down to bare wood 3. Supply all labor and materials 2. a. 43.lb. base sheet nailed 4. Clean and haul away all debris b. ( .::? ) ply's 151b. felt hot mopped with tar - 5. (7 ) year labor guarantee c. PrtSPer tie-in from main house to flat roof 6. Contractor to pay and pUll permits and make necessary calls for d. New metal gravel stop around perimeter of flat roof inspections. / /.., ''') 00 e. Hot tar flood coat and gravel finish Price: 7.. L~ 6 - BUILT UP ROOF (SMOOTH SURFACE) 3. Supply all labor and m terials 4. Clean and debris 5. ear labor guarantee . Contra~tor to pay and pull permits and make necessary calls for at Price: Price: fJ/L,'c-e~ R ~ 0 t-. fly 5 GI~OA; reJj We Propose hereby to furnish material and labor. complete in accordance with above specifications. for Ihe sum of to be paid according 10 the payment /' schedule set forth below. unless job is not completed. 0 0 rOO/(-r#cJd.5/-)ND 5 QJ eN /?U/VJ}/UA /U/CJ./1 b ~() dollars($ Lf 7~ 0 Payment to be made as foJls>wr ~ lJ.Ld ~b DownPaymenl ~Q- (! J M .P ~..t2- -j-) t1 "Y\. ) 0 F \)0 iJ Balance l./ '7.:l 0 .~ ~~~~~~:d ~/2h~ 8(~/~~ Nole: This proposal may be withdrawn by us If not accepted within ON All unpaid and outstanding balances due hereunder shall be subject to a service charge of 1.5% per month beginning from date due. days. Acceptance of Proposal - The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance -x-----2 - 2Q~~J 6. TERMS AND CONDITIONS ON REVERSE SIDE Signatur~ 11 P!~f (l'tl Q 12 Signature X 5s ~ .:s ~ 9 - ;) 0 - 9' 7 7 V