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Home My WebLink About96-6269 '. BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 626a.6 Date }!- /~"- (/~ I . -.----....... ~~INg) E~ PL~ M~erConn Water Conn: Property Owner: Job Address: Parcel I. D. # ~fn~ ~~.~ ~ 7 ~ ~~. Water Meter: T.I.F.'s: Zoning: Description of Work Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL~ / r Z-"Z- '"'- DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE $ LL _ (;) C.) Pe.mitFee ~ Signature L.. (". Company Address Telephone# Valuation or Contract Price ;;/p~~'~ ~7~- City License Registration # ~.. Certified Licens}e# lj../YYI dJ --r..../ ----~ ~LDI~ , ELECTRICAL ~ ---" PLUMBI~-- ~ MCCIIAr41CAL 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 PERKlT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT v/ OWNER'S NAKE ERMA WATERS PHONE 782-4278 'I 6217 AGATE STREET, ZEPHYRHILLS, FL 33540 OWNER'S ADDRESS JOB ADDRESS same as above LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I.D.' 02-26-21-0020-00300-0010 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition -.Alteration --!.-Repair _Install " _Sign ----1Iove ->>eJlolish PROPOSED USE: ---!Single Faaily ----111 F _, of Units _M/H _eo..ercial _Indust. _Swim. Pool _Other ---.:Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: RE-ROOF BUILDING SIZE: x 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 REOUESTEQ ....x.....BUILDING $ 1.665.00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHAIIICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FIRlSBED FLOOR ELEVAnORS: FT. IS PROJECI IN FLOOD ZONE AREA? ****************************************** YES NO CONTRAr.TOR SECTIO~ BUILDER COMPANY State Cert. or Regist. t City License Registration f ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. # City License Registration # ************~~***+.~~***+.****~~************ SignAture PLUMBER COMPANY State Cert. or Regist. f City License Registration # ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. # City License Registration f ****************************************** Signature 2I.ImB Signature COMPANY RYMAN CONSTRUCTION, INC(ROOFING OIV) State Cert. or Regist. f RC0061648 City License Registration # 275 ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pel'lit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. the 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furthermore, 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 whicb 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 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 - HOIeowner's Protection Guide" p{epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is so.eone 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 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 developlent. Application is hereby lade to obtain a per.it to do wurk and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a pertit and that all work will be perforJed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of uther goveInlental agencies lay apply to the intended work, anO that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, HnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateJent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan addressing a .cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perlit 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issuea shall becOle invalid unless the lIork authorizea by such pel'lit is cOllellced within six IOnths of issuance, or if work authorizoo by the perlit is suspended or abandonea for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of tite, JaY be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARNING TO OWNKR: YOUR FAILURE TO RECORD A NOTICE OF COKHENCHHRNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVHHRNTS TO YOUR PROPKRTY. IF YOU IHTHHD TO OBTAIlI FIlIAlICING, COllSULT WITH YOUR LElIDER OR All ArTORllEY BEFORE RECORDING YOUR lIOTICB OF COHKElICEHBN'l. JOBS UNDER $2,500 IN VALUE DO NOT NEED fO RECORD AlID POST A "NOTICE OF COKHENCHHRlIT". SIGlIArURB: OIOOlR OR AGEHT SIGNATURE: CONTRACTOR STATE OF FLORIDA COllN7Y OF The foregoing instrument was acknowl~dged before me this , 19____ by STATE OF FLORIDA COUNty O!" _ The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to m~ or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~AII~ ~A~ 1r...l)'i "I _ ~~:-Z~;~~~~:""".~,,~ -'~'~""~O~~,..~,====,,,in:~,~;;,,~.,.,.. PROPOSAL RYMAN CONSTRUCTION INC. ROOFING DIVISION) 37325 SR 54 WEST ZEPHYRHILLS, FL 33541 Sheet No PHONE:813-782-6094 LICENSE: RCOOG164\R osal Submitted To: Work To Be Performed At: No. [late T3.17 II - /:-5 - p t::. " Pro Name iE'rm ,;q M41e/ '$ Parcel 1. D. /I Street(,:212 ,.61~a. t-c:.H.s .7--- City. .O.l!.c:.Slcle 2. ~~ State Phone/.9':Z 7':2...2 JY Street ~M- ~yo City State Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of j:X'/iiI .. ... j:fxt.r..~___ ~)Complete tear-off of exist.ing shingles. ~) Roof dried in with 15 lb. felt. :r:TBadplywood replaced at a cost of $35.00 per sheet. 4.) Installation of new 2x4" lumber and lx6" fascia @ $1.50 ._""~per-Ilnear .:ff'. '---"'.'. S.} IIISLdll ",11 Hew ynllcy "!OLd v.'ith 20" ')./Viil.n4;lli:d m.@.t~..... 4fi):r-rns"EallaElon'o{-'aTI new lead boots through roof, ([)) Installation of new drip edge around perimeter. 8.5 TnsEalia: t..i OTl at: new .2.5' year fungus-res i stan t all i ngJ 83. 9.) All debris removed from the job site. 10. ve year leak warranty. 11.) All materials and labor furnished. ,..;..~. .. PAYMEN'tDuEUpoii COMPLETION OF JOB. TOTAL BID: $-../6 ~_~__~____ All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Collars [$ 1. with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance upon above work. Work- men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted /1 4~/~ ~~-h~...T~ - 'y ~/ .. -_....J ~;:h ....,.J' /1 <:_~ /' .rc..rlT h._ _'/\J"-<-"~ "_'. Per Note-This proposal may be withdr'awn by us if not accepted within ..""c..'") days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accej;1.ted. You are authorized to do the work as specified. Payment will be made as outlined above. (-:; .. // /,--. --r----. Signature /,f,-C;{/;;~'d D{"-:'if/P.1"r.:/ .1 ,I 'j II I: iJ