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Home My WebLink About96-6191 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 619116 Date /0 -.:13 -7~ ~ E~ PLUMDI~JC M E9::!.~,N I (' N. Sewer Conn Water Conn: Zonin9: Description of Work Water Meter: T.I.F.'s: Property Owner: Job Address: Parcel I. D. # NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # ? r! ~ State Certified LiC~ q6}~~::t;p Permit Fee Signature' Company Address Telephone# Inspector Valuation or Contract Price -vO .. g. / R D ' , BUILDING ELECT~-- ------- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLUMBIN~-' ~ MECI'~I-\NICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE JAMES E. RIGJARll) OWNER'S ADDRESS 5234 VINEYARD SIREEI' ZErnYRHIIlS, FL. 33541 PHONE 813-782-4114 JOB ADDRESS 5234 VINEYARD SIREEI' ZErnYRHIIlS. FL. 33541 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION SHADY REST'MAP PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration .....!..-Repair _Install _Sign _Move _Deaolish PROPOSED USE: ~Single Faaily ~M/F _, of Units -LM/H _eo-ercial _Indust. _Swim. Pool _Other _Restaurant &: Health Department Approval DESCRIPTION OF WORK: REROOF M)BILE In1E lOCATED AT 5214 VlNF.YARD ~. wrrn SThfHi: PLY RIlRRF.R MJ<MRRANR BUILDING SIZE: 14 X 53. 742 Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ 3100.00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _HECBAlfICAL $ Valuation of Mechanical Installation _PLUMBING GAS x ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION RIITUlER Signature NA COMPANY State Cert. or Regist. t City License Registration , ****************************************** F.T .RGTRICIAN Si2Wlture NA COMPANY State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature NA COMPANY State Cert. or Regist. , City License Registration , ****************************************** MECHANICAL Signature NA COMPANY State Cert. or Regist. , City License Registration f ****************************************** OTRF.R ~ COMPANY crnstMR ~ SAVERS mr. ~~ 0 ~ State Cert. or Regist.' CCC057196 Signature ~~~ ~ City License Registration' RR5 - ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this pertit lay be subject to "deed restrictions" wbicb lay be lOre restrictive tban City regulations. rbe undersigned asSUles responsibility for cOlpliance with any applicable-deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake wort, 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 lilY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave 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 wisbes you to sign as contractor that. lay be an indication that he is not properly licensed and is not entitled to perJitting priVileges in the City of Zepbyrbills. 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 - HlIIeOImer's Protection Guide" prepared by the Florida Depart.lent of Agriculture and Conslller Affairs. If the applicant is sllleOne other than the "owner", I certify that I bave obtained a copy of the above described docUlellt and prOlise in good faith to deliver it to the "owner" prior to COIleDCeJeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforliltion in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOlleDced prior to issuance of a perlit and that all wort will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverJ1ll!Jltal agencies lily apply to the intended wort, and that it is Iy responsibility to identify what actions I lUSt take to be in colpliance. Such agencies include but are not laited to: t Depart:Jent of EnviroDlental Regulation - Cypress Baybeads, NetIand Areas and Envirol1leJltally Sensitive Lands, Nater/Nastewater Treablent t Southwest Florida Nater Managl!lellt District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses t ArlY Corps of Engineers - Seawalls, Docks, lavigable Natenays t Departlent of Health & Rebabilitative Services, EnvirODlelltal Health Unit - NeIls, Nastewater Treablent, Septic Tants t US EnviroDlental Protection Agency - Asbestos abatl!lellt 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 addressing a acOJpensating volDlea will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued sball 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 pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless the work authorized by such perlit is COllellced within sillOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of sil IOnths after the tile the wort is ~ced. One 90 day extension of tile, lily be allowed for the pertit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each sillODth period, or the project will be considered abandoned. WAIUfIKG TO 0IIlfBR: YOUR FAILURE TO RECORD A IOTICE OF COIDIDCBIfIlft' MAY RESULr II YOUR PAYIIG "'ICE FOR IHPROVEIIBIfS ro YOUR PROPERTY. IF YOU IJlTBHD TO OBTAIH FlHAHCIIG, COHSULT NITH YOUR LBIIDBR OR U AnOIlRBY BlFORB RBCORDIHG YOUR IOTICE OF COMMBHCBMBtn'. JOBS IJlfDER $2,500 II VALUE DO lOT lEBO TO RECORD un POST A IIIOTICE OF COHHEHCBIfIlft'". SIGHAfURE: ONHBR OR AGEJIT SIGIATURE: COJITRAC'l'OR STATE OF FLORIDA COUJITY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum OF p,~ ~ \ The foregoing instrument was acknowledged before me this ~\ 9creQ~ 1~ by who is personally known to me or who has produced as identification and who did/did not take an oath. ~~~~ who is p~ n y o~o me or who has produced as identification and who di~d n~ take an oath. V~ . (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) ~VI ^ t<'e--vSc(" (Name Typed, Printe or Stamped) NOTARY PUDI. Tr "{tV p OFFICIAL NOTARY SEAl. ~'" u~( KEVIN KRUSE .f 1\U~~{ '6 COMMISSION NUMBER 1J, '\til~ ~ CC548891 ~~. ~ MY COMMISSION EXPIRES ~ OF f\.O APR, 282000 ;..... y <g'O-lf~ l!utltract TOLL FREE 1.800.422.2012 ~JtJj) t/d/)~ f)-~... -' ~ ()- ~;9-~ ~O~ CorDorate Office 12350 S.-Belcher Rd. #2-B Largo, FL 34643.9925 (813) 536.2274 It L aU8MITTliO ~ Consumer Energy Savers, Inc. GOOD IDEAS FOR THE WAY WE LIVE TODA Y FLORIDA STATE CERTIFIED ROOFING LICENSE #CCC057196 JOB NAME JOB TO BEGIN IAPPROXI JOB COMPLETED IAPPROX) FURNISH AND INSTALL FIRESTONE UL TRAPL Y 78+ SINGLE PLY ROOF SYSTEM FOR FOLLOWING AREAS: ~In Mobile Home Roof [J Carport [J Florida Room [J Shed SYS"" ~SIRED: CIRCLE 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 . 'me. Install treated wood to perimeter edge of old roof surface. Connect 1.1/4" 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: I Saller to perform all work in a good workmanlike manner and will at all times main1ain proper workers compensation insurance and shall comply with federal and state contractor's II ~;~~~biect to acceptance by the seller al ils office and becomes a binding agreement. It may be terminated at th8 option of the s811er 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 rejeclthe sarn8. III l!We agree to pay for any other work done and not specified in 1I1is proPOSal in the event such work is done at customer's raguest aller work has commenced. IV If purcfiase order is being financed by a lending institution or by you, I/We agree to execute all necessary documents immedlat8~ upon request and presentation. V l!We agree 1I1at any changes, alterations or extras from the plans or specifications which may be required by any public body or Inspector, shall cons~tute an extra and stiil" be peid for by the customer to the seller, based upon the s811er's actual cost plus 20"10. VI l!We agree 1I1at in the event 01 a breach bY mehl6 of this purchase order alter accep1anc:e by you and before the installation is started, lIWe will pay 10 you on demand Ten percent 110%) of the cash price as stipulated damage for such breach. VII f it is nacess8/}' lor you to take !&gal action to enforce, protect or defend any 01 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 lor all Ntigation will be in Pinellas County, Aorida. VIII No claim will be made by melus except as provided in this order. IX l!We give CONSUMER ENERGY SAVERS, INC, permission to use pictures and/or references to our home in 1I1eir newspaper and 01l1er forms of advertising. X lIWe give CONSUMER ENERGY SAVERS, INC. permission to check our aedit history, , XI l!We agree to pay CONSUMER ENERGY SAVERS,INC, 18%APR interest on all moneys past due per this agreement. . XII In the event any provision of this proposal should be found to be,Ulegal or unenforceable, it shall nol affect the legality or enforceability of any other provision. XIII lifetime transferrable W8I1'8I1ty wiD be mailed to buyer when selkir has received payment in full. The undersigned acknowledges receipt of a true copy ollhls proposal, ecknowkldges that he/she has read and knows the contents hereof, and understands that no other agreementls), or representalion(s) by the salesman, YerbaI or otherwise, is binding upon 1I1e parties hereto, and that the same contains the entire agreement. Mlk. all checks peyabl.lo: CONSUMER ENERGY SAVERS,INC. .;., CASH PRICE AND PAYMENT SCHEDULE (Reference to a 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 wilh the following payment schedule: 1. Price $ ~cFtJ. 2. Tax $ 3. Down Payment $,. 4. Balance $ .31 Jl () ON..~~~~~:~~ ~~ ~~c~~H~f~t/(Zt' J /) ~ fReverM Side. . .', I have 1I1e authority lO order 1I1e above work and do so order as oulline<l herein. Ills agreed IhaI1he seller will rel8ln tille 10 any equipment or material furnished unllllinal & complele paymenlls made. An express mechanic lien is hereby lICknowIedged for l18Curity ollhis debt and the lOtaI amounl will be oald wl1hln terms shown. AU1ftOfiled $itMtur. . .. :'.,.,:,:,;:'"1;;:I~;.,.,:;, ~,'.. ", 'x. '_:-.':1,.'\.~,t.J~4~~~.~: >u,,_, AIIlIIII.. iI ~ lobe..bd-Ied. Allwaill tObe~R" WllIIunInlh ~-::"':.~~.' be-~-=-... -.ll.p;;:=~wiI..." become lift extra~ _lIIllIlbcIwe........,M.-. ~ IlpOft Ilrill.., ___ Of ~~ _-*aI. OwneftoCll!lfY ........ ind olher -...,ineurMCe..CN .";,..:.;,.,,.~~~;~;~~ ~~n~!l~!t~c.. to do ttIe work.. soecifled. Payment Wtlt NOTICE TO OWNER Do not sign this home Improvement contract in blank, or before you .read it.Y~u are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. Sign'tu II 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 roofing for: Owner: JAMES E. RIamRffi 5234 VINEYARD SIREET at this location: ZEmYRHIIIS. FL. 33541 Shady Rest 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: RIaJARD vmEL Authorized Person's Signature: ~ J~ ^^+- Owner: ,.. ~~ ~Krn~~.mwrr~~ . . The ioregomg 1.IlStrurent was aclmowledged before lIE State LIcense #CCCOS7196 tJri9{1~y.of ~et\. ,19Q(. ,by ~~ l\.C'oe\:' ~y P OFFICIAL NOTARY SEAL :\,'" U6'<: KEVIN KRUSE ~'U~qr ~ COMMISSION NUMBER ~ ~i~ ~ CC548891 "Y"... ii? d? MY C07..1MISSlt8 F.XPIRES ~ OF 1'-,-0' Ai-A. 2B,?CJOU J4 KMN~' Personally Known ~ OR Produced identification Type of identificatlOl1 Produced -: \' ~ H ... L .. /1) 813-536-2274 TolfFree 800-422-2012 (l) _, .'.c ., " t 3TATE OF FLORIDA COUNTY OF FASCO TH!S :S TO C~riFY THAT THE rO~EGOING IS A - . . ,- T"~ ,,-.nl' """1 O".J FILE T".'- "".) l"')ttOr.I'T, r:.'l'>{ l),' Ill:. ~.'I'.II!..... I hut. Nt'\> \.t' jtnc.:...,~.v. . I _""{' ();( o]r '''. BUG REf.'"'' '" "IS ~fC~.~~~~" MY HAND . lI.~fl fU-i.cM.L" ~AL THiS' 4AY OF ~19 JED P MAN, qL~OF CIr:CIJIT COURT I . BY \, D.C. 111'"'""""11 "'" "'" "'" 11111 11111 11111111 96111011 Rcpt: 108672 Reo: DS: 0.00 IT: 10/23/96 6.00 0.00 Dpt Y Cler. JED PITTftAN, PASCO CO~NTY CLER~ 10/23/9& 12:16p. 1 of 1 OR 8K 3647 Pli .1 330 .:'.~. OFFICIAL NOTICE OF COMMENCEMENT THE UNDERSIGNED hereby gives notice that improvement Will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: M:mlE lIME ~'IED AT 5234 VINEYARD sr. IN '!HE SHADY REST MIP ZEHIYRIilllS, FL. 33541 Acet# mm~ 2. General description of hriprovement REIDF M:mlE lIME wrrn SllGH'LY RI.JBBm MEMmANE 3. Owner Information: JAMES E. RIGJARIE A. Name and address 5234 VINEYARD sr. ZEHIYRIilllS;' FL. 33541 B. Interest in property: M1Rll F. HJ1E avNffi C. Name and address of fee simple titleholder (if other than owner) NA . 4. Con~actor name and address: <n&MER !"NElG' SAVERS. lOC. R 12350 S. m.c:Jm RD. #2...:a UIm, FL.34643 5. Surety (if required) A. Name and address NA B. Amount of bond $ NA 6. Lender name and.address: NA 7. Persons within the State of Florida designated by Owner upon notices or other documents may Pe served as provided by section 713.13"(1) (a) 7 Florida Statutes. Name and addr.ess: CINDER ENm.;Y SAVERS. lOC. l23SO s. maIER RD. #'2-B UIm, FL. 34643 8. In addition to himself, Owner designates CIHDD ENm;Y SAVERS. lOC. to receive a copy of the lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes. 9. Expiration date of Notice of Co~cement (the expiration date is one (1) year from the date of recording unleis a different date is specified) . 199_. Signature of Owner or Authorized Agent:~~ () ~ ~AMES E. RIGJARIE ffiE'APRED BY: Sl'A1E <F l'l..aUIl!\, 0l.NIY <F P -fl.s:.Ct.. JANICE FRIEND . The f~ing inst:runent \eS acknowledged before lIE 1235Al S. BE1.(}Iffi RD. #2-B this~y of~f\~ l~b~~ E, R,c~ lARD, FL. 33773 ., - ",\tv Pf.1 OFFICIAL NOTARY lEAL -l~ ~o'\ ~~ KEVIN KRUSE KE.VIN KRl5E -<< \l1.B.Sl ~ C0MMt88lON NUMBER Persooally I<"Jn..n CR Produced identificati.cn ,b ~-" ~'" ~ C C 5 4 8 891 Type of identificatioo Produced t?/\ Lt L - f' 0,< 'tI.O~ MV f?~~l/~:~r',:;~~~E8