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Home My WebLink About00-9432 BUILDING PERMIT Jo.e BUILDING ELECT~AL PLU~ING MECH~'CAL 09432 Date Lj /2-, /00 , CITY OF ZEPHYRHILLS (813) 788-6611 Permit Property Owner: (<: "'" C L.." h C. Job Address: 5 "? ~ '- (; th ('1 ' ParceII.D.# II-)~~)I - 0010 - ,.)100- 601:1 Sewer Conn Water Conn: Water Meter: T.I.F:s: Zoning: Descriotion of Work Energy Code: Q~ - 'U(l +- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ~ / "- c!JJt) DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE &..2 Permit Fee - Signature Company Address Telephone# Inspector 5o.~ ~. --t. Valuation or Contract Price 1750, QygJ City License Registration # State Certified License# \"'.5- '/ ~J - <oJ ~ ,). S- f2 y 1-'- G\ '" BUILDING ELE RICAL PLU MECHA ICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final \ \ \ \ i . \ \ \ '\ \ \ \ \ \ \ \ SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 ($ 25.001 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. OWNER'S NAME @ DATE RECEIVED PLANS REVIEW FEE ~-I'V\, ~ fJ. h "- L C.c ~ -I-~ 't. ..(j QrU t;:;:-'10 I - 3?s -..209/ 534c:G 10 S+,) etP~rhL tl~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # II ~02.. to - .J.-I- 00/0 ~ }~:J tJO ~A.~ROM PROPERTY TAX NOTICEl WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION DALTERATION ~R 0 INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER ~ DESCRIPTION OF WORK _~LRESTAURANT & HEALTH DEPARTMENT ~6\~ SQUARE FOOTAGE APPROVAL BUILDING SIZE 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. o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL' $ VALUATION OF MECHANCIAL INSTALLATION o GAS ~OFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE !O:CHANICAL ***********,******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE 0>mR~~G\~(] SIGNAT - - _::::-/ ~ - ***************************************************************** COMPANY-f2t1c'7'Yl"--.. ~ STATE CERT OR REGIST # ~. . / (p Zfg' CITY PROCESSING # ***************************************************************** \,.,V.l'olJ.)J..J...l..V.!.'<I,.) VJ.: J.:J.~.d:.."'\J.'J.J..J... .n..J.:I:.J..J..)l""\.VJ....L A. NOTICE OF DEED RESTRICTIONS The 'undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 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 which they will be responsible. If you, as the owner signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be perfor.med 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 other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida pr!or to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER ~~OT NEED TO RECORD AND POST A "N EMENT". SIGNATURE: nWl\T R.~:T CO STATE OF FLORIDA F") AJ _ _ r STATE OF FLORIDA \'0 COUNTY OF Y <-~"'-.> COUNTY OF '\ ~ The for7going inst~~ent war,acknowledJed The foregoing instrument was acknowledged bBeyfOr~. ~. :~i~ 1. P:;. a~aayy . of (~, ~~'o Before me this~ ..,Vto. day ofCc'<>,'?~-Z ,~e ~ ~ by ~ ~\-,--,\.~~0\.- Ln.arne of person acknowledged) (name of person acknowledged) ~o is personally known to me, or ~s personally known to me, or acknowledgement o who has produced ----- (type of identification) an~ Dd~dL~<..OO<Od t:~:..?c o~th ------ Signature of per~on taking acknowledgment o who has produced (type and/.ro>D d;d J ~d not ~") B-f-..--CLL Signature of per.on taking of identification) ake an oath. ,v--/L^-- Name typed, pri!l1 ~~ed \; * My CommiSSIon CC914443 .,.."t' Expires March 31 .2004 Name typed, prin.~illJ*:i * * Mt CommIIIIon cca14443 ~..~ Expires March 31, 2004 ~IQPJe ~ RYMAN CONS (ROOFING & 37~5 SR 5 2R RHILL PHONE 813- , , PROPOSA~ TRIPLl9ATE i/ '" t..' C lfl4 ,"""~ ,,~JJ_f" ..,s.:.f.'f'~ " ~ ..S~r Work To Be Performed At: ~ TION ~M..P(J!SAL MINUM DIVISION) ST FL 33541 -6094 LICENSE:RC006164 Name Parcel 1. D. # Street Street <ZtJl- 39 ~~O(CJ f( City2qio,~J:b~l~ State FI Phone. 9 01- . -.~'l~,~-tf2S"' City State i; ~ Ii I I Date of Plans Architect_ We hereby propose to furnish the materials and perform the laqor necessary for the completion of "~ "-.. '~"._.,-.,,_..~""-"~-.-------,---- 1.) 2. ) 3. ) 4. ) 5. ) Complete tear-off of eXisting shingles. Roof d r i e a-In WIth 1 t> .L b . --.Ier:e--:--.--------~-'-.--,----_~~__,____,_________, Install all new valley metal with galvanized metal. InstallatIon or a.ll new lead bo-ots-ttrrutlyh ,[ uuf. Installation of new drip edge around perimeter. ns a a Ion 0 new All debris removed from the jOb site. All materials and labor furhished. Five year leak warranty. ~-~..~------._~----- ----.--..-----,- 7. ) 8. ) g. ) ---~._--"------_._~-----~_.---- ----'----------.-~'PAYMENYLJUK'-UPOW__cOMPl:;'ETTON-OF ":JOB';-" .,.... .... _____ '__,_~ ______."__________~___ 00 ~'TOTAL--B-xB-:- -$.-----I+s::a.-----___~~__, EXTRAS: Bad plywood replaced at a cost of $ 40.00 per sheet. EXTRAS: Installation of new 2 x 4" lumber and 1 x 6" fascia or ...---,... ----------arrY-O't-h-er---wo-crd..-wurk--'tO.--be-repl-aCed___oft--'a-,t-i'me--and--.~_______~___~ material basis, at a labor cost of $ 30.00 per hour, ) , :J. All mate"al Is gua'anteed to be as specified, and the above wo'k to be pe""'med in acco"'ance with the d...wlngs and specifications submitted 'II'ribo,," 'IIl'''!, and completed In a substantial wo'kma~l;p. manne, to, the sum of ' ',SW....,4.~<\L&~~~ -'-'--~ _', _ _, . ~ Dolla... [$ /'7 $1:J. lJO 1. :~~"k;;s.",;:;:d~:S~~(>;}~~w=~=:=_,_,___,_,,___, Any alteration or deviation from above specifications involving extra costs. will be executed only upon written orders. and will become an Respectfully submitted 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 .~y~~.,~~t~__....... .Is,-,~... ...G~-EI?:{l . .-"" - " - .~-..~-'''''_._''''-"..,--.".- Per Note-This proposal may be withdrawn by us if not accepted . h' ~ 1) d ,,' WIt In~, _.' ays. _