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Home My WebLink About96-6204 " BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 620t~ Date /D 4t2/i-7~ ...--~ ~ Property Owner: Job Address: Parcel I. D. # E~-. ~. ~.<~~~. - 9-,y1~.. ~~ Sewer Conn Water Conn: Water Meter: T.LF.'s: Zoning: Description of Work qCod., Q ,J7 - (J if Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # te Certified License# ) :' ~ 7tO()A~ 5?! Inspector . ~.oo Permit Fee - Signature t;; c.~ ~ """"'- Company Address Telephone# DATE fi' Valuation or Contract Price ELECT PLUM MECHANICA Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 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. APPLICAnON FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME Billie Dodd 39301 9th. Ave., Zephyrhills, Fl. OWNER'S ADDRESS 782-3566 PHONE JOB ADDRESS Same LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' 12 -2 6-21-03 00-000 00-0 040 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ----.Alteration ~epair _Install _Sign ----1fove _Deaolish PMPOSED~E: _S~eF_i~ --ll/F _' of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other ____estaurant Ii: Health Departaent Approval DESCRIPTION OF WORK: Re-roof BUILDING SIZE: x Square Feet, Height RF.8IDENTIAL: COMKERCIAL : ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING 00 $ ~J 7100' - Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECllAllICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING TYPE OF COIISTRUC'l'ION: ~loclt _Fr_e _Steel SPECIALTY Other FIlJISHED FLOOR ELEVAnOBS: Fl. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature F.T .RCTIUCIAN COMPANY State Cert. or Regist. , City License Registration , ****************************************** SionAture PLUMBER COMPANY State Cert. or Regist. . City License Registration t ****************************************** Signature KECHANICAL COMPANY State Cert. or Regist. t City License Registration . *****************...*..*....***....**..... Signature OTInffi COMPANY Ryman Construction, Inc. Roofinq Div. . ~.. e Cert. or Regist. ,RC006l648 Signature . . License Registration' 58 * ************************~*..*********~* APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this peIlit lay be subject to Ddeed restrictions" wbicb lay be lOre restrictive than City regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be reguired to be licensed in accordance with state and local regulations. If the contractor is not licensed as reguired by law, both the owner and contractor lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents JaY apply for the intended work, they are advised to contact the City of Zepbyrbi11s Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe 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 wisbes you to sign as contractor that JaY be an indication that he is not propp.rly licensed and is not entitled to perlitUng privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 71.3, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of uFlorida's Construction Lien Law - HOIeowner's Protection Guide" p~epared by the Florida Departlent of Agriculture and ConsUIBI Affairs. If the applicant is SOleoDe other tban the Downer", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to couenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a peIlit and that all work will be perf OIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!l1llBDtal agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lillited to: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlBDtally Sensitive Lands, Water/Wastewater 'freatlent * Southwest Florida Water ManagBleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * AllY Corps of Engineers - Seawalls, Docks, Havigable Waterways * Departtent of Health i Rebabilitative Services, EnvironleDtal Health Unit - NeIls, Wastewater 'freattent, Septic Tanks * US EnvirODJeDtal Protection Agency - Asbestos abateaent I also certify that, if fill taterial is to be used in Flood Zone "AU or "A,etc.u, it is understood that a drainage plan addressing a uCOIpensating voluteu will be sublitted ubich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to pr(,~eed with the work and not as authority to violate, cauc!l alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the work authorized by such peIlit is couenced ,dthin six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IODtbs after the tile the work is couenced. One 90 day 81tension of tile, JaY be allowed for the peIlit with fee charge of $15.00. Tbe extension shall be reguested in writing to the Building Official. An approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned. WARMIHG TO OIINER: YOUR FAILURE '1'0 RECORD A HOTICE OF COMMEHCEHEH'l' MAY RESUL'f IH YOUR PAYIHG BICE FOR IMPIlOVEMIMI'S 'f0 YOUR PROPERfY. IF YOU II'fIlfD 'fO OMAIN FIlIAHCING, CONSUL'f WU'H YOUR LBHDER OR All AnORRBY BEFORE RECORDIHG YOUR HOTICE OF COMMEHCEHEH'l'. JOBS UHDER $2,500 IH VALUE 00 HOT HEED 'f0 RECORD AIID POST A uHOTICE OF COMMEHCIMIH'l'''. d~~~ STATE OF FLORIDA COUH'l'Y OF Pas c 0 The foregoing instrument was acknowl~dg~d before me this 10/28 , 19~ by Bobbie J..Burke who is personally known to me GIPwlfox!iaCx produced XXXXXXXXXXXX as identification and who .i61did not take an oath. (Signatur~ VJ?1<~L (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC S'fArE OF FLORIDA COUH'I'Y OF Pasco Tg~for.egoing instrument was acknowledged before me this 10/28 , 19~ by Bobbie J. Burke who is personally known to me R;{Mx~xx produced xxxxxxxxxxx as identification and who~/did Dot take an oath. (Si~ '?}1 _~~A/j" (Name' yped, Printed or Stamped) NOTARY PUBLIC iur:t" --&j~~ ~f,.\.K~U:':.{;..~~~:j~ .-.JjJ"I "-~""~' :~, FORM 3850 ,hi:JUi";/,IE , H'f'MAN CONSTH{JCTION~OSAL (ROOFING OTVI,STON) 3'7325 SR 54 WEST Z;!:PHYRHILLS, FL 33541 PHONE: 813---782--60Q4 LICENSE: '~o, 8-- 2 1 --;/ Date I', - :7 .(- <7 "'- t.-' .....-.-.v ,.; '- / rv~_____ RC006l (: 'S'ti~t No. Prooosal Submitted To: City ti3//I,-~ 00 J~ :3 '7..30 f q -+-t-l- .s r .2- q<:)!-I 'f - State -)8'2- ~3$&,,,;) Work To Be Performed At: Name Street Street ;:::- I A City State Phone Date of Plans Architect <;' We hereby propose to furnish the materials and perform the labor necessary for the completion of " ? 30 ",htJ.5 ~ 1/ _$ f~6 .2.:5'" 1'" .5 /t/,-.uS Ie- s A,vI-/1Ile s,./tkf--- r tl 1/ J..,)<:. ......::. t:"of"Jt:"'Tr I ~ ? e..,.J /~~t:;;.-'r: > I.....~..~ :'~t>_ J~~ ,- ~ y<J f!"~ .~ fo.:, ",.tt ~- <;'. ,...{~ '-'" e>QJ;' At\ Tr R. \ t+ ,5Y~Q.r J,.. ,Q, lc W a.. .r-v 't:.. .....I"" - J ~+~( 2---ICo lj. 0 u ~a...ie-{ : ~ l~ Y La.. bo r- ~ 2. ') to (I. ........,--- All material is guaranteed to be as specified, and the above specifications submitted for above work and completed with payments to be made as follows: work to be performed in accordance with the drawings and in a substantial workmanlike manner for the sum of Dollars [$ ~, ) , 6. o-q Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra ch3rge ove,- ancl above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owne,' to carry fire, tornado and other necessary insurance upon above work. WOI-k. men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted ., ~'<I v'4 c ~ ....,- J~' /J.-" <-" -.. f~" '/ I'"~,-.- -,,<,~...~--~.,'t.~........ /' -.:' // :~: <::0 I ......- Pei' The above prices, specifications and conditions are satisfactory and are hereby accep~ed. You are authorized to do the wOI-k as spEciF!EO Payment will be made as outlined above. .:' > Signature /---. ,; (~'\.,. I ) --1 I I I I I Note-This proposal may be withdrawn by us if not accepted within days. ACCEPTAi\JCE OF PROPOSAL