HomeMy WebLinkAbout91-1781
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1781 {]
Date-Z- /3 - " /
L~
PL~ MEC~AL
Property Owners Name:
Job Address: J / 7 ..:? .s
s6~ ~Oj
-
- /L?JZ a~
Legal Description:
Sub.Div,
Lot
Blk.
Zoning CI:
Description of Work')(e i"t:tr
Energy Code Readout:
O;-~4!~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ? b / 'I. crt>
Fee: dcS~ ~
SIGNATURE if~;, ~-
COMPANY
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
ADDRESS
OCCUPATIONAL LICENSE ..:J}'j/ +?- TELEPHONE #
J1( J~ 11/VL
~BUILDING)~
tr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
~
SLB ~
Tub Set
Water
Sewer
Final
EL~CAL
-----
Tp.Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
M~ICAL
"'-..,
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspect/ons: 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.
, ..
APPL'ICATION FOR PERMIT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
MilBar Construction, Inc.
1 719 H'iJY 30l North .
Dade City, FL 33525
S'IDNE, BARBARA
PHONE
904/567-6047
APPLICANT
ADDRESS
'~ 0, ,
Jon LOCATION 37733 - 14th Avenue
LqT SIZE
x
AREA SQ. FT.
0600
LEGAL DESCRIPTION: LOT(S)
0230
BLOCK OOOOQUBDIVISION
PARCEL I.D.U 10-26-21-0600-00000-0230
Re-Roof
~Repair ____Install
WORK PROPOSED:____New Construction~ddition ----Alteration
1:. "
____Sign/Temp.
_Sign
_I'love
____Demolish
PROPOSED USE: ~Single Family
~M/F
____U of Units
.____~l/ H
____Commercial
~Indust.
_Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Pce t,
Height
RESIDENTIAL:
CmU-1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PORtIS. H
**COPY OF CONTRACT REQUIRED.
...A.-BUILDING
,PERMITS RF,QUESTED
$ 1,014.38 (10 sqs) Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
H.R.E.C.
_MECHANICAL
$
Va~uation of Mechanical Installation
____PLUMBIN"G
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regis t, if RCOO::,::,n~
. L' n' '....,' 31
Clty lcense l,cr,'lstratlon
******************************************
MilBar Construction, Inc.
I1UTLDERlRoofer
Signature
ELECTRTCIAN
Company
State Cert. or Regist, n
City License Registration n
******************************************
Si!"'nature
Company
State Cert. or.Regist, #
City License Registration 0
******************************************
PLtJMRER
Signature
Company
State Cert. or Regist. n
.City License Registration ff
*****'~***********************************
MECHANICAL
Signature
Company
State Cert. or Regist. n
City License Registration n
OTHER
Signtiture
******************************************
'. 'AP!,LI:ATl~ON~APPROVED BY .'71 /.1 A1~~. ~ ~~~ ,,'. .:
PERtlIT OFFICER.
......
CONDITIONS OF PERMIT AFFIDAVIT
A:: NOTTCE OF OEEO RESTFUCTIONS:."
The undersigned understands that this perllt lay bl subject to "deed restrlcti~ns' .,hich' &ay b~ m~r~ restrictive than City
regulatlOM. The undl!Tslgned USUIl!!1 responslbiHh',,for, cOlpliance Hlth any applicabl~ deed restridion~.
':. .;,\"." . '.
E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
; ',. .,:~
If the OHner has hired a contractor Dr contractors to undl!rtakl! work, thl!Y may hi r~quired t~ be licensed in accordance with
slale and local regulations. If the contractor II not licensed as requirl!d by laH, b~th the ollner and contract~r ftay be
cited for a lisdeaeanor violation under state laH,', If the OHnl!r or intended contractor arc uncertain as to what licensing
requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills ~uilding Departeent, (813)
7BB-bbll. ',','
Furthermore, If the owner has hired a contractor or contractors, hI! is advis!!d to hav!! the conlractorts) sign portions of the
'Contractor Sections' of this application for which thl!Y will be responsible. If you, as the ~Hner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the Hork. If the conlractor wishes you to sign
as contractor that Day be an indication that he is not properly licensed and is not entitled to p~r&itting 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 provid~d .ith a c~py of "Florida's Construction Lien Law - Hoceowner's Protection
Guide" prepared by the Fi~rlda Oepart~ent of Agrltulture and Consum~r Affairs. If th~ applicant is SDeeone other than the
"OHner" , I certify that I have obtained a copy of "the above described document and prD~i~e in good faith to deliver it to the
'oHner' prior to cOI~encement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all ~ork ~ill be done in co~pliance with all
applicable laws regulating construction, 20ning, and land developDent.
Application is hereby aade to obtain a ,erait to'do Hork and installation as indicated. I certify that no Hork or
Installation has cO&!~nc~d prior to issuance of a perlit and that all work will be perf~rmed to ~eet standards of all laws
regulating construction, City codes, 20ning regulations, and land development rcqulations in the jurisdiction. I als~
certify that I understand that the regulations of other governmental agencies may apply to th~ intended work, and that it is
ay responsibility to identify l1hat actions I lUst 'take to be in cc,mpliance. Such aqeflcies include but ~l e Ii"t li~ited to:
I Depart.cnt of Envi,onmental RCQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~nds,
Water/Wastel1ater Treatment
I Southwest Florida ~later ManaQeDent District - Wells, Cypress ~ayheads, Hetland ~reas, Altering Haterc~urses
I Are, CorDS of Enoineers - Seawalls, Docks, Navigable Waterways
I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, WasteHater Trcat~en~. Septic Tanks
I US Environ~ental Protection AnencI - Asbestos abatement
I also certify that, if fill IUteria1 is to'be used in Flood Ze,ne "1\" or 'I\,etc.', it is underste,c,d tl,~t a drainage plan
addressing a 'colpensating voluae" will be submitted which is prepared by a professional engineer rcqist~jed in lhe State of
Florida prior to permit iss~ance,
II perDit issued shall be construed to be a license to proceed with the Hort 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 fro~ thereafter
",.,,,,, ' "m" ,,, ,r "'"" ;, p ;"'. ",,''"' "'" or ,I, """, ,f "Y "do. ,," Y pO" it j "",,' d" II boo'" j '" lid
unless the work authorized by such permit is cO.lenced Hithin six .~nths of issuance, or if Hork authoflicd by the perli! is
,"'p"d,d " ""dmd ror , por;,d " ,Ix "nth' ,nor th, "" th, ""l j, ",,,,,,d. 0,,, q(, d., "'or,;"" or Ii". "Y b.
allol1ed f~r the per~it Hith fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
approved inspectic.n i!lust be l(,gged'during each six lIIonth period, (,r the prc,jl:ct Hill be c('Tisidned db.;iiGe,nfd.
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 "NOTICE OF COMMENCEMENT".
SlGNATURE__~__~--~-----
OWNER OR AGENT
SlGNATURE__~_L~--
CONTRACTOR
DATE_____Q~lJJ3)---------------------~-----
NOTARY AS TO ~~
OWNER OR AGENT ~-~~~~
-- N;ta; Public. Stat;~;;;~;--
MY COMMISSION EXPIRES___~-~~~~-~~~~~~--
DATE______Q2LllL21---------------------
NOTARY AS TO ~M~A~
CO.NTRACTOR__~:::.- -- ----'--
Notary Public, Stat. of Florida
MY COM!'1 I SS I ON E xr I RES __~-~!,!,-~~-S!l'!,-~.-~9~
Member of the Florida
Roofing and Sheet Metal
Association
~
!j9J State Certified
Builder #CBC023221
MilBar Construction, Inc. State Certified
Roofer #CCC051562
Roofing' Concrete. Commercial' Residential
l~rutJu!ial
Page No,
1 of 1
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Pages
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"
U.S. Intec Certified
Platinum Installer
#5204
:"
1719 Hwy. 301 North' Dade City, Florida 33525 ~
904/567-6047 800/562.2393 FAX: 904/567-4454
State Register8d
Roofer #RC0055215
Brant Blessing Insurance, Attn: Lori Beth
STREET
813/788-5554
~------- -.-
08/30/91
PROPOSAL SUBMITTED TO
PHONE
JOB NAME
38357 C.R. 54 E.
Barbara Stone Residence
CITY, STATE AND ZIP CODE
Zephyrhills, FL 33540
ARCHITECT
JOB LOCA nON
37733 - 14th Avenue
Zephvrh;ll!';. FL
I JOB PHONE
" 7 R2.. - 0#'"2..
'\ D'~ 'Z(i/ '.:"z:.'\'~"""""" '~._,,,,,,,,,..
O~()O ~ DDDDQ or" DZ.~O
DATE OF PLANS
We hereby submit specifications and estimates for:
- PARTIAL RE-ROOF - Shingles
(Approx. 1,000 sq. ft.)
1. Tear off and haul away old roofing; clean up work area daily.
2.
Install
new 15 lb. saturated felt paper. .
CAt.:e,~ Con'''\1C1 fllntj!) eeSi':ib,.b Sh::X5'k--<. whi6 (BS)
ne,v G..A...E- "Sent nel.!L 20 year fiberglass shingles; color
have a 20 year warranty on labor and material.
to be white.
G.A.F.
3.
Install
shingles
4. Replace all damaged flashing (valley, eaves, or any step flashing) in damaged roof area.
5. Any rotten wood (rOOf decle, fascia, or trim) will be replaced on a cost-plus basis.
6.
Install new white pre-finished aluminura eavedrip around perimeter of ~p,proximatelY
sq. ft. damaged roof area. ReNolc6 AlumInum LJ..X:c<.:.l3YCLun (EI:.>)
MilBar Construction, Inc. to provide 5 year warranty on workmanship. Exclusions:
damage, worle done by others, tree damage, and/or structural damage to roof deck.
1,000
7.
, stonn
8. MilBar Construction, Inc. to provide General Liability and Worker's Compensation
Insurance ($1,000,000 limit).
9. Contract to include all material, labor, and re-roofing pennit as stated.
Be JropoBe hereby to furnish material and labor - complete in accordance with above specifications. for the sum of:
Nine hundred sixty-four and
Payment to be made as follows:
i
38/100--------------------------------- dollars ($ 964.38 ) , i
+ 5:) ,0 c.:-runsUJ Y"esrmnt
(IDscp) 10 1'1.3~ fp
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 lIecessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Authorized ~;f ;d{e;.-
Signature 'It..L
----
Note: This proposal may be
withdrawn by us if not accepted within__ 30
.Acceptance of Jropo.aal- The above prices. specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as spe~ 7ymen'fi:i11 be made as outlined above.
Date of Acceptance: 5/ 9 (
Signature
&lnto/'o g_ ))t.rAO
days,
<
Signature
/