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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 - Pages ,------.-' " 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 /