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Home My WebLink About01-0307 BUILDING PERMIT~~ 0307 CITY Of ZEPHYRHILLS (813) 788-6611 Permit ~o.~ BUILDING ELEC~CAL P~BING Property Owner: T G\ ""'"' (I S ~~ ,.; e r Job Address: ? i So J 10....... Av (l . Date 5" Its 101 MEC~NICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D, # Zoning: Energy Code: Description of Work_R~ - FuO(.. Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.O. DATE Inspector I~ 70. t6:P - Permit Fee ~ ~ ..\' Signatur~ if>. tb ~,v.J Company Address +-- Telephone# '7;? J.~o2;)-"5 Valuation or Contract Price City License Registration # State Certified License# eyn".... {~o...*~ BUILDING ELE RICAL PLUM ING 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 Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 001100 Dollars ($25.00) 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 ZEPHYRHILLS BUILDING DEPAR~ DATE RECEIVED PLANS REVIEW FEE - OWNER'S NAME 1(lI~J '"' JOB ADDRESS 16~ PiU}~p0LI ~ /15 f1rJ I-fd--t PHONE ? 8?- ;fiG () LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: [JNEW CONSTRUCTION (OBTATN FROM PROPERTY TAX NOTTCEl [JADDITION [JALTERATION [J REPAIR [J INSTALL [J SIGN [J MOVE [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [] MOBILE HOME [J OTHER ~ DESCRIPTION OF o RESTAURANT "ORK~Z- - (~ & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT RESID~TIAL: 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. [J BUILDING $ PERMITS REQUESTED I, L 09 0 . 00 VALUATIO~ OF TOTAL CONSTRUCTION AMP SERVICE [J FLORIDA POWER [J W.R.E.C. [J ELECTRICAL [J PLUMBING ~ [J MECHANICAL- $ [J GAS [J ROOFING [J SPECIALTY VALUATION OF MECHANCIAL INSTALLATION [J OTHER TYPE OF CONSTRUCTION: [J BLOCK [] FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J Y:ES [J NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRJ:CIAN SIGNATURE COMPANY. STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY. STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *****************************************************~*********** SIGN ~::>-~ -- -. COMPANY (X~--h ' L- ~... STATE CERT OR REGIST ('j':r. . CITY PROCESSING # ~~. vCDb(plloL/P A. NOTICE OF DEED RESTRICTIONS The unciersignedunderstands 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 IMP~CT 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 performed 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 prior 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, ~r 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 YO R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2 0 IN VALUE DO T NEED TO RECORD AND POST A ~NOTIC NT". ST COUNTY OF The foregoing instrument was acknowledged Be~.<l:t.s-G- da"lt~1 by A I lit l > ^ (name of person aCkno-w edged) ~o is personally known to me, or o who has produced ...c-:J, ( type (tJ~d not u.n..L.th. .. ,/I - .ft2bl0U COUNTY OF yabCV , The foregoing inst~ument was~tro~)edg~_ Before e is ~day _-I.- " by . ~-~(name of person ackno edged) (__.~ is personally known to me, or , 0 who has produced (type of identification) and" wwh~OW O~did, ,~.,-; not" tak,e" an oath \:-~J~ '" ~I ~~ Signature of per~~~~~knowledgment *W *My Commission CC800247 'It .",:.1 ExolrelI JanU!llV 3 2003 Name typed, printed or stamped of identification) a an : oa:;;,~ S Name typed, printed or stamped PROPOSAL RYMAN CONSTRUCTION, INe. (ROOFING AND ALUMINUM DIVISION) 37325 S.R. 54 WEST ZEPHYRHILLS, FL 33541 PHONE: 813-782-6094 LICENSE: RCOO6164R k T B P rf d A osal Submitted To: \Afar 0 e e orme t: Pro Name f'.\ 2, W(A, Y\It~ Street _58; 30 ~ l O..&z1 CLu-e- City 2-{) ~ ~ State Phone ~~~- 8QO Street City Date of Plans Oa\ ~ktt ~2fv~~ State Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of 7 ..~::~ - D(P ~Lf - ~ ] .) Complete tear-off of existing shingles. 2.) Roof dried in with 15 lb, felt. 3.) Install all new valley metal with galvanized metal. 4.) Installation of all new lead boots through roof 5.) Installation of new drip edge around perimeter. 6.) Ins41llation ofnew~ year fungus-resistant shingles. 7.) AU debris removed from the job site. 8.) All materials and labor furnished. 16~t; 9.) ~'ear leak warranty. PAYMENT DUE ON COMPLETION OF JOB. 12..-s~.' t. - ~<S)t 1 '(~ t\) ~ l~~~~ ti 'Z}v TOi AL Bmi I b 4 (] .:-- EXTRA'S: Bad plywood replaced at a cost of$40.00 per sheet. EXTRA'S: Installation of new 2" x 4" lumber and 1" x 6" fascia or any other wood work to be replaced on a time and material basis, at a labor cost of$30,OO per hour, per man. All material is specifications guaranteed to be as specified, and the above work to be performed in accordance with the drawings and submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars [$ (bqOo~J. with payments to be made as follows: _ P Q..LA-._..."'O ~ () ..~.It7'lo ~ --(\~ .........r...~ 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 beyonc our control. Owner to Carry fire. tornado and other necessary insurance upon above work, Wor,- men's Compensation and Public Liability Insurance on above work to be taken out by ,-- ~~~~ Note-This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices. specifications and conditions are satisfactory and are hereby accepte Payment will be made as outlined above. Date i Signature ./' !Y Signature ORIGINAL O{lU'?~F-d