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Home My WebLink About97-6706 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 -- 6706.J3 Date .,iJ--/-71 c;;J; ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::::,::~.,~ ?i~L Parcell.D. # Zoning: En~rg~~~: Description of Wo;-;- t(o ~ Water Meter: T.I.F.'s: Radon Gas: FINAL 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. DATE Inspector 8;/ "' . Permit Fee ~ SignaMe j;~ G Company Address Telephone# (&.ilv~ Valuation or ...... Contract Price j? Y-s ~ c:t-o City License Registration # c;l 71' State Certified License# \ ,- ,f'1f~~ 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 ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S ~0Jv\r.A.~ ~ OWNER' S ADDRESS~ ~ 'd.. \ ~("'.A -^^!J (l) ).p A JOB ADDRESS S~ . ~ .l.J. ....e PHONE 'l'7Q '00 s8 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION~ 0.... U J2.J2a dL- (OBTAIN FROM PROPERTY TAX NOTICE) PARCEL I.D.' WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _DeJBolish PROPOSED USE: _Single Faaily _KIF _, of Units _K/H _ec-ercial _lndust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: ~ - \'2...00 ~ 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 FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ o( t1 q ~ ~ PERMITS REOUESTED Valuation of Total Construction _ELECJ'RICAL AMP Service Florida Power Corp. W.R.E.C. _KECHAlUCAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRUC'l'IOR: _Block _FrUle _Steel Other FlRISHED FLOOR ELEVAITONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTIOr( BUILDER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature ELECTRICIAR COMPANY State Cert. or Regist. # City License Registration # ****************************************** SiQ"flAture PLUMBER COMPANY State Cert. or Regist. f City License Registration # ****************************************** Signature KEGBANTCAI. COMPANY State Cert. or Regist. # City License Registration . ****************************************** Signature OTHER ~ ~ COMPANY 7~c.- ~~ '. . State Cert. Regist. # ~c. 0 I Cf ~, City License Registration # S4. **************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that tbis perJit lay be subject to "deed restrictions" whieb lay be lOre restrictive than City regulations. the undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake wori, they lay be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a tisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. Furtherlore, 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 peIlitting 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 - HOJeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber tban the "owner", I certify that I have obtained a copy of the above described docUJIent and prolise in good faith to deliver it to the "owner" prior to couenceBIent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforlation 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 work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to teet standards of all laws regulating construction, City codes, zoning regulations, and land develop_ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies laY apply to the intended work, and that it is Ii responsibility to identify what actions I tust take to be in co_pliance. Such agencies include but are not lilited to: . DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater !reatlent . Soutbwest Florida Water KanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways . DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic 'anks . US EnviroDlental Protection Agency - Asbestos abatement I also certify that, if fill taterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan addressing a "cOlpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 peIlit 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 sucb pertit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, JaY be allowed for the peIlit 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 IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKBNCEMENT KAY RESULT IN YOUR PAYING 'tWICE FOR IKPROVIlMBlITS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT!ORNEY BEFORE RECORDING YOUR NOTICE OF COMKENCKKENT. DER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE KHENCKKENT". STATE OF FLORIDA COUNTY OF P fJS c.. 0 The foregoing 1nstrument was acknowledged before me thi~__, 19.CJ_'f by (lIh~ersonallY known to m~or who has produced as identification and who did/did not take an oath. STATE OF FLORIDA ;!' coum OF '/J-S C l) The fOregOin~strument was acknowledged before me th1 ~~ , 19~ by (~iS personally known to~or who has produced as identification and who did/did not take an oath. (Si~~.~ (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC l\-Y"~ #~ DONNA M SINCl..AIR * iff * My Commission ccae2819 Expir_ Jun. 14. 1998 ".~ II' 'ltOFf\.# (Si9~ '/rl, ~ (Name Typed, Printed or S amped) NOTARY PUBLIC ~~+> ~U'* <111> OF f\.#~ DONNA M sINCLAIR My CommInIon OC38II.e Expirea Jun. 14.1888 CARBON LESS ,FORM 3850 ( I ~! PROPOSAl. TRIPLICATE ----._~ RYMAN CONSTRUCTION P~OSAL 37325 SR 54 WEST ZEPHYRHILLS, FL 33541 PHONE:813-782-G094 LICENSE:RCOOG1G4 Sheet No. No. T368 pate,Sj lIS 7 Proposal Submitted To: Work To Be Performed At: Parcel 1.0. IJ Name '1\~~ ~ _ Street 12-1.\ ~~Q~ ~ Cit~~~ StateC\ Phone 1'1 '4 - boG b Street ~ l s 'S7J<~VJ) City State Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of s\~~s ~ ~~ CA.~V-+ V5tuy\ a-d-)~P~~ '--n~./ i~ C-<:>~ 'cN4Jh.D, ~~ 1.) Complete tear-off of existing shingles. 2.) Roof dried in with 15 lb. felt. 3.) Install all new valley metal with 20" galvanized metal. 4.) Installat~on of all new lead boots through roof. 5.) InstallatIon of new drip edge around perimeter. 6.) Installation of new 25 year fungus-resistant Shingles. 7.) All debris removed from the job site. t6Lv\.. 8.) -Fi\p9year leak warranty. o 9.) All materials and labor furnished. ~OJ~~ PAYMENT DUE UPON COMPLETION OF JOB. ~c.Q) ~ ~~~'\2'-r~~.-n~b rJ1~ EXTRAS: Bad plywood replaced at(~ cost of $ 40.00 per sheet. EXTRAS: Insta1lation of new 2x4" lumber and lx6" fascia @ $ 2.00 per lineal ft. o~ TOTAL BID: $J795 - All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars [$ J 79 S-:-- J. 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 contmgent upon strikes. accidents or delays beyond our control. Owner to carry fire, tornado and other necessary msurance upon above work. Work- men's Compensation and Public liability Insurance on above work to be taken out by Respect;fully submitted ~ ~ I Pee ~ ~"----- Note-This proposal lTlay be withdrawn by us if not accepted within"'30 days. .. '. -------=1 . ACCEPTANCE OF PROPOSAL pcico,. ,poc;fic't;on, 'nd cond;t;o", ,ce 'ol;sf,ctocy 'nd ,ce heceby ""peed Yoo ,ce aothoc;"d to do the wewk" 'pec;';od, will be made as outlined above. . ,/ -:::1'. W. ~L Slgnature^ / -. L.. I