The URL can be used to link to this page

Home My WebLink About91-1752 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitX~ 1752d Date 9' - 5 - 9 I Type of Permit Ce~ ~AL ~_. M~ :::P:::r~:~9rSNam9: <~--;~'-;y:;c:i~~;Yfo i'?/~_ 77/;;I,-Z) Legal Description: Sub.Div. Lot Blk. Zoning CI: Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: C;9'l: , , ~fl ~ Fee: '1' .~ 0 ' .~~ . // ,//':::X ~ SIG N A TU R E ...---z~;~Uulz{~~J1-?f'~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ? BUILDING PLJJ..M8t~rG ~ SLB Tub Set Water Sewer Final ELEgJ.R-tCAL --- ~IAI41l"AC----" Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.00) dollars shall be made for each trip. (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. . ; APPLICATION FOR PERMIT CITY OFZEPHYIDIILLS BUILDING DEPARTMENT APPLICANT N\\L.. ~ Cl'l~S'"m.\K'\\bN\ \t..lC' .' \ 11 ~ Q'N'I '3'D\' \.1.~Rfu ~E. (Jr'1 YL 3352~IONE ,~rAJC;'{l7' ~041 E.lD\~f.. 'RD\~N (~$)"r"iAa \,>\d~a \\k.btt$ c;(olS ("Ibo..\ I ~L\11'\' 7~i.\HLLS LOT SIZE X AREA SQ. FT. ADDRESS OWNER JOB LOCATION LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. ~~ \\ ~ ?J,.,. 2.\ .' DD \D' DS~OO. . Dh/ C WORK PROPOSED:_New Construction~ddition _Alteration '><:Repair _Install _Sign/Temp. _Sign __Nove _Demolish PROPOSED USE: _Single Family .~M/F _;.._j~ of Units ._~I/1l _Commercial ~Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** Cor-U-IERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'lS. ** **COPY OF CONTRACT REQUIRED. ;PERMITS REQUESTED V BUILDING )RooAt.lG,$ 997.118 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBHl'G .... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration ~: ****************************************** BUILDER Signature Sip-nature Company State Cert. or Regist. U City License Registration 0 ****************************************** EI.ECTRTCTAN Company State Cert. or.Regist. 0 City License Registration U ****************************************** PLUMBER Signature NECHANICAI. Company State Cert. or Regist. 0 Signature . City License Regis tration Ii ~~~ ~~A ~ It1Jr...........:::::::W<~:~:**;:~~lf')f,n\ ~~ State Cert. or Regist. Ii c.. (,\{)l:;57t~ Signature City License Registration Ii 31 ) ~;.~*** APPLICATION APPROVED BYl ~. .j /' PER!'lIT OFFICER. ""- CONDIT,IONS,OF PERMIT AFFIDAVIT A:: NOT r CE OF DEED RESTR I CT IONS:. . . The undersignad understinds that this plrllt IIY be sub'ect to "daed restricti~ns' which' may be ~~re restrictive than City regulations. The undersigned assules responslbIII'~,fo,~ compliance Hith any applicable deed restriction~, .:" 1,:0\ ." ; '. ; .'. ~.~. B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPONS I B I L'I'T I'ES If the OMner has hired a contractor o~ copt~ac\ors to undertake ~ork, they m~y bi require~';~ be licensed in accordance Mith I~ah and loc~l rrgulaHCI~s. If the contTldor 11 not licensed' n rc,quired by l.wI be,th the Ol/ner and contracte,r nay be c\ted for a alsdeleanor VIolation under state law.', If the OHner or intended c~ntract~r arc uncertain as to what licensing requirnents uy apply fe,r the intended 1I0rk, they are advised 't~ c(.nhct the City e,f Zephyrhill!i. Building Depart!trIt, (8131 788-6611. 'I'" ' Furthlrlore, If the OHner has hired a contractor or co~tractors, ha Is. advised to have the c~ntrac,tor(s) sign porti~ns of the 'Contractor Sections' of this appllCltlon for which they will be responslbld. If you, as.the ~wner sign as the contractor, y~u are indicating that YClU, rather than the contractor, are re!i.ponslble for the H~rk. If the ce'ntract~r wi!i.hes you tCl sign as contractClr that lay be an indication that he Is not properly licen!i.ed and is not entitled t~ pcr&itting privileges in the City of Zephyrhill!i.. 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 providedllHh a copy of "Fle.rida's Ce,nstrudion Lien LaH - He'oeoHner's Pre,tedion Guide' prepared by the Florida D~partlent of Agriculture and Consum~r Affairs. If the arplicant is !i.Ole~ne other than the "ollner", I certify that I have obtained a copy of "the above described document and pr~Di~c in good faith to deliver it to the "owner' prior to COi~encement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that. all M0rk Mill be d0ne in c0~pliance Hith all applicable laH!i. regulating construction, zoning, and land development. Application is hereby .ade to obtain a per.it to"do lIork and installation as indicat~d., I certify that no H0rk or installation has co,!enced prior to issuance of a perlit and that all work will be performed t~ roeet ~tandard!i. of all laMS regulating ce,n!i.tructie.n, Ci ty ce.des, zoning regulations, and land development. requlatie,ns in the jurisdictie.n. 1 alsCl certify that I understand that the regulations of other govern~ental agencies may apply to the inlended work, .nd that it i!i. IY respon!i.ibility to identify what action!i. I lust 'take to be in celmpliance. Such agerlcies ii,clude bllt. ~lC Ii~,t li~ited to: I Department of Environmental ReQulation - Cypress Bayheads, ~etland nreas and Envir0nmentally Sensitiv~ L~nds, Water/Wastewater Treatment I Southwe!i.t Florida lIater ManaQement Di!i.trict - Well!i., Cypress Bayheads, Hetland Areas, Altering Halerc~urses I Army C0rO!i. of Enoineers - SeaMalls, Docks, Navigable Waterways I Departaent of Health L Rehabilitative Services, EnvirClnmental Health Unit - We1ls, Waslewater Treal~En~. Septic Tank!i. I US Envir0noental Prolecti0n AQency - Asbestos abatement I al!i.o cedify that, if fill material is to'be used in Fle.od Ze.ne 'n' or '(\,etc.', it is underste,e,d tt.~t a drainage plan addres!i.ing a 'colpen!i.ating volu~e' Hill be sublitted Hhich i!i. prepared by a rr~fessi~nal engineer rcqist~icd in the State of FIClrida pri~r to permit iss~ance. A permit issued shall be construed to be a license to proceed with the lIork and not as authority to yioJ~te, cancel alt~r, or !i.et a!i.ide any provision!i. of the technical codes, nor shall is!i.uance Clf a permit pr~venl the Buildi~g Officiol fr~~ thereafter requiring a correction elf errelrs in plans, cconstructie.n, or viCllatiton!i. e.f any c~de. Every pcr~it iSSlled ::hall bec(,ae invalid unles!i. the work authorized by such permit is comnenced lIithin six mClnths of issuance, Of if lIo1"k aulhorliQd by the periit is !i.uspended or abande,ned fe,r a perie.d of !i.ix aonth!i. after the tillle thl! \!~rk i's c('Menced. One 90 day c~I~I,si(," (,f tiie, lay be alloHed for the per~it Hith fee charge of $15.00. The extension shall be requested in IIriling to the Building Official. An approved inspectie,n /!IU!i.t be le,ggedduring each six 1II0nth periCld, Cor the pre,ject IIi J I be c(.nsid~rE-d dboiide,r,ed. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ 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 "NOTICE OF COMMENCEMENT". SIGNATURE__~_f..._.ii1~~{(L~___--- SIGNHTURE__~_LA~----- . OWNER OR AGENT CONTRACTOR DATE___~____---_~~~~----------------- NOTARY AS TO~' . OwNER OR AGENT__ -~- H tary Public. State of Florida MY COMMISSION EXPIRES_~l_~~_~~~~~~~---- DATE________i7~~~J-----------~------ ~~~~~~C~~R~~~~------ Notary Public:, State of Acrid. MY COM~1ISSION EXPIRES__~_~~!!.'_~I!:.~JI!.-3!l.....~j4 """ Member of the Florida Roofing and Sheet Metal Association @ 4F~7 Mil Bar Construction, Inc. ~~rllll1luul Page No, 1 of 1 Pages ,r= .,- -- '\ U,S, Inlec Certified Platinum Installer #5204 Roofing' Concrete. Commercial. Residential 1719 Hwy, 301 North. Dade City, Florida 33525 ex 904/567-6047 800/562-2393 FAX: 904/567-4454 Slale Certified Builder #CBC023221 Stale Certified Roofer #CCC051562 State Registered Roofer #RC0055215 PROPOSAL SUBMITTED TO Florida Plaza Motel, Attn: Eloise Rmvan STREET PHONE 813/782-2512 DATI: 08/30/91 5615 Gall Blvd. CITY, STATE AND ZIP CODE Ze h rhills, FL 33541 ARCHITECT JOB NAME Florida Plaza Motel JOB LOCATION 5615 Gall Blvd. Zephyrhills, FL I JOB PHONE DATE OF PLANS We hereby submit specifications and estimates for: RE-RooF - Flat Only on Apartment Side (Approx. 15' X 40') 1. Tear off old built-up roofing; clean up work area daily. 2. Mechanically fasten a 28 lb. fiberglass base sheet over the plywood deck prior to the installation of Brai SP-4. 3. Provide and install new U.S. Intec Brai SP-4 roofing membrane which is a torch-applied, fully-adhered modified bitumen roof system that is heat-welded at the seams to form one sheet. U.S. Intec Brai SP-4 has a 12 year leak-proof warranty on labor and materials from U.S. Intec when installed b a certified installer. This ,varranty is a "full value" warranty, is not pro-rated, has "no dollar limit" on repair or replacement for the entire length of the warranty; this warranty is transferable. 4. All metal and concrete surfaces will be primed prior to installation of Brai,SP-4. 5. New galvill1ized metal eavedrip will be installed around the perimeter of the roof. 6. The entire roof will be coated with a U.L. rated Class "A" aluminum emulsion roof coating (Grundy alMS). 7. MilBar Construction, Inc. to provide General Liability and Worker's Compensation' Insurance ($1,000,000 limit). 8. Contract to include 'all material, labor, and re-roofing 9. An rotten wood (rOOf deCk, fascia, or trim) JUt Jrllpllnt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Nine hundred ninet -seven and 58/100----------------------------- Payment to be made as follows: Due upon completion. dollars ($ 997. 58 ), 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- Authorized tions involving extra costs will be eKecuted only upon written orders. and will become an Signature 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. Note: This proposal may be Our workers are tully covered by Workmen's Compensation Insurance, withdrawn by us if not accepted within__ 10 ! i days. ~ I .Atttptuntt of 'ropo.aul- 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: ::3 0 I+u b &J I Signature ~ . ~)