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HomeMy WebLinkAbout91-1617 STATE OF FLORIDA City of Zephyrhills Type of Permit ~~ ELE~L PASCO COUNTY BUILDING DEPARTMENT , 1-813-788-6611 PLUM~ MECH~ PermitN~ 1617 {3 Date -7 - J.- 1/ tJ'O "::> 0 ~ Property Owners Name: --Raz:. 6-1,\.11\ L-I".) SlV'1 ~ D~ ~ Job Address: 33 V1 a. 11-1 ~j)JtA L U;-,..J T,;-tL It V. Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~~. L.oo'f A ~o .,flt.. rtl/~ riD~~9 Energy Code Readout: ~ 1-liJ.Yl ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 2 J qq 7. e (j OCCUPATIONAL LICENSE # VD '2 '"', .:J (J Fee: VV SIGNATURE cf~ COMPANY MJi....lk12 (CNOS,.) iN <- ADDRESS /71<3 Hu I '1' 3DI tJ.~""bF (17'-/ /I FL TELEPHONE # 304-JSltl7. taD4-i 3~S2.~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. MII.-- !5AJ'L BUILDING Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. P e Pool Pre-M Final ICAL Breake Ducts nsl. Com ressor Fin Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of I If T Jl9) dollars shall be made for each ~.Ir-~ de.. /Ai'"; t:JV ) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. . ....~1iI~,- ~ , - 'rllltlluul Page No. of .., .. Pages . State Certlfl~d '9uildin;; Contrjdcr #CBC023221 State Registered Roofing Contrifctor #RC0055215 "'1 ItB l\H CO N~ I ; ~ U cr: ~ ~.:, !".JC. 1719 North iilgl1W::SY 301 DADE Ci TY, FLORIDA 33'525 (904) 567.6047 (a,};)) 562.2393 U.S. Intee CerWif'd 1'1',L}'!u #5204 PROPOSAL SUBMITTED TO Reginald L. SimnoH'", H.D. STREET Members Of P"sc:; Builders Assoc t~ Dade City Chan,[}.;r of Commerce 38193 Medical Center Avenue CITY, STATE AND ZIP CODE zeph rhi 11s, FL 33540 ARCHITECT PHONE dl:V7D3-7G77 JOB NAME lI.".,; liU i-, !. Si:T'0nS, M.D. JOB LOCATION DATE 06/27/91 38193 Medical Center Avenue DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Zc~hyrhi11s, FL RE-ROOF - Medical Office 1. 'Renvve all loose roof gravel and mechanically fastc:!n ~2" recovery hoard insulation over ~-'t.heeXistIiigtar and gravel roof ~lith zinc-coated ~ec.:],~ f;;,,~r,.~\JS \Ii th 3" sb:cl platos. 2:'~'-'.-Provrdeaiid iiistcilInew U.S. Intec Brat $1:>':.4 roofirq m2;nbran<~ \lhich is (1 tordl-aLvlic1, . fully-adhered modified bitlunen roof system thi1t~ is lv::?~it-({elded at the SGa!;1S to form cne ---sheet. 0:8. Intcc Brai SP-1 hC1s ;) "1 2 y:.~ur 12Zlk-pl:o')f uarranty on L'iIX)r and m3b.:.~dals ,. from U.S. Intec Ivhen ins tall e-J by a ~rtifir:?j in:3tallec. 'l'his \iarrantf is a "full -+,;;.-.---- --. ....-- " value II \-larranty, is not pro-rated, ha:; 0;10 dollClr lLnit" on r,)pair or re91ac<:'Il12nc for _____~he entire len.:]th of t.he \larranty, dnJ is tran:>fc'rdbl,~. - 3. Prior to ----iIfurglass roof and plates. installation of the Brai 8P-4 roofinJ, m:~ dill mc.-'Clunici'llly fasten a 28 lb. base sheet over the IE:!\{ inSUlation dnd throu;;h t11e :~xi[otitYf tar an::: jravel insulation into the metal decl( wit.h zinc-cuat.c)\1 rJec!~ c,Cn!;lS .lith 3" s\:;ec~l 4;'---A11 ri1ef:.alarid Concrete surfacc:,s 1fi 11 r,,~ :)rimc~.] ~lith an asphalt h,lse primer prior t<) installution of Brai SP-4 roofitKJ mer:tbraih? 5. Install a 4" perlit~ cant strip alan] all para",h;?t ,lalls and ~ all rcX)f curbs arld -'--penetrations. t)~"""Remove throo-(3).. Courses of asphalt shinglos on the;> front para[JCtwall a.nd flash the wall llith netl Brat SP-4 roofing ril:::!rnJJr:.]n'c~. Inst.all 118,/ ispinlt s~1in:::fJ,es ovc.r tl1i.; [;.09 of the 13rai SP-4 membrane. Ifr 'rupUBr hereby to furnish material and labor - complete in accordance with above specifications. for the sum of: See page two. Payment to be made as tollows: Due upon completion.. dollars ($ ) . All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions 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. Our workers are fully covered by Workmen's Compensation Insurance. / } / Authorized , . L--- 6-<' "} Signature ..x_ -.\--- -. / . V \ /r- , I' Note: This proposal may be 30 withdrawn by us if not accepted within -)/) .... . // ~-;.,~.1 ~!::::~~ { "- days. Atttptuntt of Jlroposul- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorIZed Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature 40)(2.8 l / " t J ,r 11, 1111 B. 1\ n (' 0" \",..:':.. ", "." _. . I ..1 ~ ~h ,,\, 1J..:d L l,H... J~,JI, IllY North Hlg!lway j()l DADE CITY, FLOf.?i[),,\ j3S?5 (904) 567-6047 (800) :%2-2393 '~ll.,~ :;lJ.;. ;' State Registered Roofing Contractor #RC0055215 Members Of Pasr:o BUIlders Assoc, .& Dade City Chdmb~r of Commerce PROPOSAL SUBMITTED TO Reginald L. Simmons, M.D. STREET PHONE HI3/788-7G77 JOB NAME H8:jinald L. Sinrloils, H.D. JOB LOCATION DATE 06/27/91 38193 Medical Center Avenue CITY, STATE AND ZIP CODE Zephyrhills, FL 33540 ARCHITECT 38] 93 (1e<:Ucal Center Avenue DATE OF PLANS JOB PHONE ZGphyrhi l1s, FL We hereby submit specifications and estimates for: -1..':,.All.,bloclc.parapetwalls will beurappecl with Brai SP...4 rOOfing menlbrane up the inside Of the walls and over the t.op anel c10\Jn 2" on the outside of the ~vall; fasten th~ Gdqe ';;;'..:'-_.Qfthe 8J::'aLSP::4 f;,1emb.t::'ane \dth 4ft aluminum tenninatioD bar secured uithnusonry anchors and sealed with [X>lyurethane C<:lull<. 8. The entire roof will be coatGd '#ith a !J.T.. rated Class "A" aluminuril 8illulsion roof ___COCltlng (G+unc1yAI..."1B). 9.~ U~S! Intec Brat SP....4 is a U. L. Class ",2\" fir2-rated roof m8J'1lbram!. J.0..J\11 wet. 01::'. Qqllt1CJod t::'oaf docl.;: or insulation ;viu J~ repaired as neclded on a cost-plus_u , basis. It. MilBar Construction, Inc. to provick! G~~neral Liability and ~vorJ\:2r's CompGnsation I!lE?urance ( $1 ,000, 000 linli t) . l~! MilBar Construction, Inc. to provida all mat,~dal, labor, and r:~-roofinJ pamit as sJ.X-'Cified arove. JIb 'ropose hereby to furnish material and labor - complete in accordance with above specifications. for the sum of: Iwo thousand nine hundred ninety-seven and 34/100-----------______ ') 997 'H Payment to be made as follows: dollars ($., - _' '_ ) . 1)tlA 1lpnt1 r"i)n1pl...1: ion. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions 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. Our workers are fully covered by Workmen's Compensation Insurance, Authorized Signature .f // -".., /7 //, , . - "---...:.' /" ) (- J/\ _ /'1- I /\ . --) _../.. :'7 ///;c:::(/ ...-.....- .-- '-'- ----/ ~ Note: This proposal may be withdrawn by us if not accepted within 30 days, Atttptuntt nf Jlrnpnsul- The above prices. specifications ~nd conditions are satisfactory and are hereby accepted. You are authorized Signature "'to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature l / ~ CONDITIONS OF PERMIT AFFIDAVIT 1(:\:-: NOTICE: OF DE:E:D RE:STRICTIONS:,. The undersigned understinds that this perlit lay be subject to "deed restrictions' ~hich may b~ nore restrictive than City regulations. The undersigned assuleS responsibili~r.for. cOllpHance with any applicabl~ deed rest,rictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~S If the owner has hired a contractor or contractors to undertake work, they m~y b~ r~quired to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ouner and contractor ~ay be cited for a lisdeaeanor violation under state lall. , If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813) 788-6611. Furtherlore, if the owner has hired a contractor Dr 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 Hork. 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 per&itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FE:ES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lIith a copy of "Florida's C[Instruction Lien Law - Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is soeeone other than the 'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'ollner' prior to COlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT J certify that all the information in this applicatiDn is accurate and that a1l work Mill be done in co~pliance with all applicable laws regulating constructiDn, zoning, and land development. Application is hereby .ade tD obtain a perlit to do 1I0rk and installation as indicafe~: L certify that no work or installation has co&~enced prior to issuance of a perlit and that all Hork Hill be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in lhe jurisdiction. 1 also certify that J understand that the regulations of other governmental agencies ~ay apply to the intended Mork, and that it is IY responsibility to identify what actions J must take to be in cc.mpliance. Such agencies include bill ~ie Iie,t li,lited to: I Departsent of Envi,oneental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live lands, Water/Waste~ater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering HatercOUfses I Army CorDs of Enoineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environ~ental Health Unit - W~IIs, HasteNater Treat~en~. Septic Tanks I US Environoental Protection AQency - Asbestos abatement J also certify that, if fill material is to be used in Flc,od Zone "A' Dr 'A,etc.', it is undt.rstc.[.d tl.,t a drainage plan addressing a 'colpensating volu~e" will be submitted which is prepared by a professional engineer regist~ied in the State of Florida prior to perilit issu~nce. A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of err[,rs in plans, te.nstructi[,n, or violati[,ns of any c[.de. Every perlllit isslled "hall bece..e invalid unless the work authorized by such permit is COllftenced within six months of issuance, Dr if HOlk authorJied by the perlit is suspended or aband[.ned for a perie.d of six lonths after the time the \lork is ce.r..mcnced. One 9(; day e~tt;.;;ioll of tile, lay be allolled for the per~it with fee charge of ~15.00. The extension shall be requested in "riting to the Building Official. An approved inspectic.n r..ust be l(,ggedduring each six month period, [<f the project Hi II be c[,nsidered i:ibaiidc.r,i?d. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEME:NT". SIGNATURE__~~-~~-----~ SIGNATURE_~C~~~---- OWNER OR AGENT CONTRACTOR DATE_______OJ~~l)5J------------------------ NOTARY AS TO A/. .(L _ '/J/;=/_-JJ- OWNER OR AGENT__~~~~~------ MY COMMISSION EXPIRES____t1-fd~Z-----.---- DATE_______~:7~1U~~~------------------- ~~~~~~C~~R~~~----- MY COMMISSION EXPIRES__~~}~---- ,- APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT MilBar Construction, Inc. OWNER 1719 Hwy 301 North, Dade City, FL 33525 Reginald Simmons, M.D. PHONE 904/567-6047 ADDRESS JOB LOCATION 38193 Medical Center Avenue, Z-hills LOT SIZE_____X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. f~ WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _~love ____Demolish PROPOSED USE: _Single Family _M/F _# of Units .____~1/ H ____Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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 FORl'lS.** **COPY OF CONTRACT REQUIRED. PERMTTS REQUESTED ~UILDING $ Z~':J7. 34- , Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _____H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBHfG .... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration ~fr ****************************************** BUILDER Signature ELECTRTr.TAN Company State Cert. or Regist. iF City License Registration # ****************************************** Si!!nature Signature Company State Cert. or.Regist. 0 City License Registration iF ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAL Signature ~ ..-. ~~y~ Company MilBar Construction, Inc. State Cert. or Regis t. i; RC 0055215 City License Registration if 37 OTHER APPLICATION APPROVED BY *'L:J~~~***.**'~.*.*****'*'* PEllilIT OFFICER.