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Home My WebLink About91-1796 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN'~ 1796/3 Type of Permit (";~;~~~ -.....--- Property Owners Name:__! Job Address: :5'~ ~ - Date~f'- a 0 - 7/ ~ ~ M~AL ~ 1jzU~_ ~/ . - 1j, {~~~~ Legal Description: Sub.Div. Lot Blk. Zoning CI: DeSCriPtiOnOfwor:-;(.e ~- Energy Code Readout: t}~~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ / If" 7; t:T7) ~~ Fee' c2 ~ , .:- SIG~ATURE un o/~ COMPANY All work shal! be performed in accordance with the above and all City Codes and Ordinances. ADDRESS OCCUPATIONAL LICENSE #0 7/1?/rp~:-" ~ TELEPHONE # . (/ m<'j) /j{J.A. CBUILDING -~) ----- Ftr. Pre SLB Lintel FRM. Insul.CL WL ELE~L ~ Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final ME~NICAL ~, PLlJMsJ.tLG ----- SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO) 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 OFZEPHYlliiILLS BUILDING DEPARTMENT JOB LOCATION . '.;' M \ L ~ lO\J$1V.Ucno ~ \ .\'N c.. n\~ ~'" ~C\ N..~~ ( \"t'f R 9 '. I I rr J~~w~ {~i"Ht)U~"r \hJ~~ 5 ~2.D - I\~' ~1:ae.t- 3'3~i~S PHONE 9n+l~~7. ("D47 APPLICANT ADDRESS OWNER LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ 1\ - z.G.. z... \. DO \ 0 - \ 7 I 0 D. b f~ D WORK PROPOSED:____New Construction '~ddition ____Alteration '-L"Re.. ~D .:- ~Repair ____Install ____sign/Temp. PROPOSED USE: ~'~nsle Family _Sign _l'love ____Demolish '._M/F ~# of Units .____H/II ____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.** CmmERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl-IS. ** **COPY OF CONTRACT REQUIRED. X;;ILDING $ \. \B9.0b U.E -S.,:jRMITS REQUESTED . Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTION ^ Company (Yh\"'~ l'~~1'RIl(:t"\Q~ I \'tJ <- . State Cert. or Regist. 1ft ~ 0055"2..1~ City License Registration.. 31 ****************************************** Si!!nature Company State Cert. or Regist. 0 City License Registration n ****************************************** ELECTRTCTAN Signature Company State Cert. or.Regist. 0 City License Registration U ****************************************** PLUMBER Company State Cert. or Regist. 0 .City License Registration 0 *****J*******f**************************** MECHANICAL Signature OTHER Signature Company State Cert. or Regist. 0 City License Registration 0 . ~'} , ~;:.:~'~~ '.' .Ii !\l"FLl-CA'TION-o APPROVED BY -jtl~:****~;~~:~*::******************* 1 ~ .,' ..". . "'... ... . " . ..: \..r' PER1'lIT OFFICER. -''''''. CONDITIONS OF PERMIT AFFIDAVIT A.': NOT t CE OF nEEO RESTR I CT IONS ;', . The underslgn~d understands that this perllt lay be sublect to "deed restrictie,ns' which' ~ay b~ 8~r~ res~rictivc than City regulations. The undorslgned assules responslblll'1.fo~ compliance with ~ny applicabl~ decd restricti~ns. ':. ,:.\' '". """ ; . ; c'.' ,_,~ B. UNLI'CENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to under'ake work, they may hi r~quircd lD be licensed in accordance with slah and local regulations. 1f the conlradoT h not llcennd as required byhllt, be,th n,C'Ollncr and contracteor fIilY bl! citl!d for a lisdul!anClr violation under shte lall,', If the t,wner t.r i'ntended wntracle.r are uncertain as tCl what licensing requirelenls lay apply fDr the intended work, they are advised tD cDntact the City DfZephyrhills ~uilding Departeent, (813) 7BlHbl1. ':',: Furthermore, If the .ollnlr has hired a contractor Dr contrac\ors,.he is advis~d to have the CDntractor(s) sign portions of the 'Contractor Sections' of this application for IIhlch they 11111 be responsible. If'YDu, ~s the"owner sign as the contractor, YDU are indicating that YClu~ rather than the contractor, are respDnsible for the wDrk. If the cDntractDr wishes YDU to sign as cDntractClr that lay be an indicatiDn that he is not properly licensed and is not entitled tD per&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~~y of "Florida's Construction Lien Law - HDeeowner's Protection Guide" prepared by the Florida Depart_ent of Agriculture and Consumer Affairs. If the applicant is S~leDne other than the 'ollner", I certify that I have ~btain~d a copy of'the above described dDturoent and prDli~e in gDod faith to deliver it to the 'owner' prior to COimence~ent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the Information in this application Is accurate and that all MDrk lIill be done in co~pliante wilh all applicable laws regulating cDnstructi~n, z~nlng, and land d~velopm~nt. Application is hereby lade tel Cobtain a p'erlit tD'dD work and Installatic,n as indicated.. I c,edify lhat no wc.rk or installation has cD&lenced priClr to issuance of a perllit and that all wort will b~ performed ID ~eet standards ~f all laws regulating cDnstructiDn, City c~d~s, zoning regulations, and land develDpment requlatiDns in the jurisdictiDn. I also certify that I understand that the regulations of other govern~ental agencies ~ay apply tD the intended liDrk, and that it is flY responsibility to identify what actions llust'tate to be in cc.mpliance. Such agencies iilclude but ~le li(,lli.lited to: I Department of Environ~enial Rl!Qulatlon - Cypress Bayheads, H~tland Areas and Environmentally Sensi lil'~ l~nds, Water/Wastewater Tr~atment f Southwest Florida Water Mananellent District - Wells, Cypress Dayheads, Hetland nreas, Altering HalercDurs~s I Ar.y CDros of Enoineers - Seallalls, Docks, Havigable Waterways f Departlent (,f Health ~ Rehabi 1 i talive S~rvices, EnviroMental Health Uni t - He'lls, \Ias\eHatH Trea\r.€n~. Septic Tanks I US EnvirDn~ental Protection nQ~ncy - Asbestos abatement I also certify th;it."iL~illllatl?ri.~l is. to'be used in Flc,od Zc,ne "fI" or 'A,elc.', il is undersle.od t,,~t a drainage plan addre~sing a "c~.pensating volume" ~ill ~e submitted ~hich is prepared by a prDfess~Dnal engineer rcgist2fod i~ the State of Florida priDf to permit iss~ancl!, A perllit issued shall be constru~d to be a license to proce~d with th~ li(.rk and not as aulhtorily Ie. '\'ie.]~te, cancel alter, tor set aside any prClvisiDns of the t~chnical codes, nor shall issuance of a permit prevent the Building Official frD~ thereafter requiring a correction c,f ernrs in plans, cc,nstructic,n, Dr violations e.f any ce.de. Every pcrillit issued ohall bece'le invalid unless the work authorized by such permit Is comftenced liithin six ~onths of issuance, Dr if HDlk authorIzed bi the perlit is suspended or abandDned fDr a period of six lonths after th~ time the Mork is CDamenced. One 90 day e:\e~5ioll Df tile, lay be allowed for the per~it liith fee charge of $15.00. The extensiDn shall be requesled in Hriling tD the Building Official. An approved inspedie,n l!Iust be lc'gg~d 'during each six 1II0nth period, or the project Hill be cC<rlsidered db.\ide,ned. 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". SIGNATURE__~_~_-~~-~----- OWNER OR AGENT SIGNATURE__~_i?M~--- CmHRACTOR NOTARY AS TO OWNER OR AGENT_ ................. .... E E S ; Publle, State t:lf "Of!~a' MY COMMISSION XPIR __~_~mm~s~~~-M~--- MY COMt-l I SS I ON DATE___________~~~~J--------------~----- NL1Gbr eoi1sti~uction, Inc. 719 Hwy 301 North Dade City, FL 33525 Ph: 800/562-2393 904/567-6047 Fax: 904/567-4454 ~- .). ...... , No. 1fSSS- Dil,;P 07/23/91 ~ ~;t ...... -. '-'-.'~~,.','- ",~"._".,..--...., i,k1 1 of 2 .---' Narne '}",',,'.:ai; ~"d'IA;':.:j Connie Stemnock ._,~..._____~__.__. _....__..~_._M _.._.'_ ____ _.__~,.~_._.,.,...,'~... _... ..._. .~. <_._.,._^._.__._._..,~_........... St. Joseph's Church 38802 - 5th Avenue Zephyrhills FL 33540 813/782-2813 ,.t};;.; ;'; 'fo g".:~ P'~~t..tn;~iH:S'(~ t\t: " Street City State Phone Guest House Street 5320 - 11 th Stn~et City Zephyrhills State FL Date of Plans Architect ./ We hereby propose to furnish the mater'ials and perform the labor necessary for the completion of "\ Re-Roof - Shingles 1. Tear off and haul allay old roofing; clean up wor]{ area daily. 2. Install new 15 lb. saturated felt paper. 3. Install new G.A.F. "Sentinel" 20 yr. fiberglass shingles; mmer to choose color. G.A.F. shingles llave a 20 year ,varranty on labor and materials. 4. Replace all damaged flashing (valley, eaves, or any step flashing). 5. AllY rotten wood (rOOf deck, fascia,or trim) will be replaced on a cost-plus basis. 6. Remove old neoprene rubber boots and replace with ne,1 lead boots for the plumbing vents. 7. Install new' pre-finished aluminum eavedrip; mmer to choose color - ,..hite or brmm. 8. MilBar Construction, Inc. to provide 5 yr. warranty on worlmanship. Exclusions: stonn All material is guaranteed specifications submitted See page two. with payments to be made as follows: Due upon completion. to be as specified. and the above work to be performed in accordanGe wit~ the drawings and for above work and completed in a substantial workmanlike manner' for the sum of Dollars ($ l. Any alteration or deviatIon from ebove specifications involving extra costs, will be aXBCutad only upon written orders. and will become an extra charge over and above the estimete. All egreements contingent upon strIkes, accidents or deleys beyond our control. Owner to carr'y fire. tornado and other necessary insurance upon above work. Work: men's Compensation and Public Liebllity Insurance on ebove work to be taken out by Respectfully submitted I Per I Note- This propo[,al may be withdrawn by us if not accepted ! within 30 days. . . ... ) ,",~,~"~.,..,~..-,.," '\ I The abuv,~ jJrices, specificiltions dnd conditions ell'e l>fJti:,factory dnd are hf:1l'ehy accepted. Y0U w'e authurized to do the work as specified. i Pllvmellt will be mmJe as outlined above. ACCEPTANCE DF PROPOSAL Siynature ~ ~ Ol.!t.e j \. "'1 -31 -q I SiqniJt: l.if'~~ T[lP'3 ~ F(}Hrv1 :'I~l~j(J 'i ORIGINAL LITHO IN U.SA pnOP05jl,\L struction, Inc. 9 Hwy 301 North Dade City, FL 33525 Ph: 800/562-2393 904/567-6047 Fax: 904/567-4454 No. #99'5 07/23/91 Date Sheet No. 2 of 2 Proposal Submitted To: Work To Be Performed At: Name Street City State Phone St. Joseph's Church 38802 - 5th Avenue Zephyrhills FL 33540 813/782-2813 Guest House Street 5320 - 11th street City Zephyrhills Date of Plans Architect State FL r We hereby propose to furnish the materials and perform the labor necessary for the completion of damage; \'/orIC done bY others, tree damage, and/or structural damage to roof deck. 9. MilBar Construction, Inc. to provide General Liability and' Worker's Compensation . '''~Insurance ( $1 ,000, 000 limit). 10. Contract to include all material, labor, and re-roofing permit as stated. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of One thousand one hundred eighty-nine and OO/lOO-------------------------.-Dollars [$1,189.00 ). with payments to be made as follows: Due upon completion. (Hi S<Js ) ";"".~'- ..,.;~.::A,........>~.....';; ....;t":....... ,.'_\:l.',~'Il..;~-,,- /".: Any alteration or devietion from above specifications involving extre costs, will be executed only upon wr.tten ordel's, end will become an extra charge oVer Bnd above the est.m!lte. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fira. tornado and other' necessar'y insUl'ance upon above wOl'k. WOI'k- men's Compensation end Publ.c Liability Insurance on !lbove work to be taken out by Respectfully submitted ~x,aR Per Note- This proposal may be withdrawn by us if not accepted within 30 days. /\CI":;-;--,-, ",f'!,f-":- r" "\ I J The 1'1\)(1',,' <'aVfrlE~I't !'Jf ;q ;'11',:.1\_" ~~ Date ~-~\ -C\ \ ~ > q)l--I' d",; Tnps~ ,.....,. ~ \ ",