HomeMy WebLinkAbout91-1845
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
'"
184W'
Date /{}~' If) -- 9' I
I '
Permit N~
Type of Permit
C~ ~AL ~.., ~AL.
~::P:;:r~:~ers Name: ~~~~ ~~~:r:!
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
Energy Code Readout:
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SIGNATURE A1a~ r:. /5fl~l.-:
Complete Plans, Specifications and Fee Must Accompany Application
~ d.. ~/
Estimated Cost:r- / OJ f?3()' --
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #
COMPANY
ADDRESS
TELEPHONE #
,/ BUILDING
( ...,.../
'--Ftt::' ." ",~_,""M~'~-'
Pre SLB
Lintel
FRM.
Insul.CL
WL
PLUMBING
ELECTRI~.A.L
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
MECIo4ANIr.AI
~LB_ ,
tub-sEff
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 ($10.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
'..'~-
,11
CARBON LESS
FORM 3850
(~)
NO
CARBON
REQUIRED
PROPOSAL
TRIPLICATE
PROPOSAL
G & S Roofing,
1091 Jessamine
Dade City, FL
(904) 588--3854
Inc.
Road
33525
No,
Date
.10-9--91
Sheet No., 2. of 2
License #CCC029557
Proposal Submitted To:
Name Gude Brothers Construction,Co.
Street 1091 Jessamine Road,
City Dade Ci ty
State Florida
Phone (904) 5 8 8 -- 2 7 5 0
Work To Be Performed At:
Johnson Eye Institute
Street 38038 North Avenue
City Zephyrhills State FL
Date of Plans
Architect
We hereby propose to furnish the materials and perform the labor necessary for the completion of
5. Provide and install EM (Contractor to choose color).
6. G & S Roofing, Inc. to provide a 5 year warranty on workmanship.
7. G & S Roofing, Inc. to provide General Liability and Workman's
Compensation Insurance.__
8. Contract t~o include all ma.t.erials, labor, and reo-roofing permi t
as stated.
All material is guaranteed to be as Specified, and the above work to be performed in accordance with the drawings and
speCifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Sixteen thousand, tvlO hundred, fortY-of i ve Dollars ($ 16,245.00 I.
with payments to be made as follows:
Due ,upon, Completion.
Any alteration or deviation from above specifications involving extra
costs, will be executed only upon written orders, and will become an
extra cherge over and above the estimate, All egreemants contingent
upon strikes, accidents or delays beyond our control. Owner to carry
fire, tornado and other necessary insurance upon above work, Work-
men's Compensation and Public liability Insurance on above work to be
taken out by
Respectfully submitted
Per Genera 1 Manager
Note- This proposal may be withdrawn by us if not accepted
within 30 days,
ACCEPTANCE OF PROPOSAL
The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified,
Payment will be made as outlined above.
Signatur~~
\~9-
Date 00-
q
\<1<=\\
Signature
t;'~.
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,OJ
CARBONLESS
FORM 3850
/,,--,
\,' )
NO
CARBON
REQUIRED
PROPOSAL
TRIPLICATE
. ~ '.
PROPOSAL
G & S Roofing,
1091 Jessamine
Dade Cit.y, FL
(904) 588--3854
Inc.
Road
33525
No.
Date, ,10-9--91
License #CCC029557
Sheet No.1,. of, 2.
Name
Street
City
State
Phone
Gude Brot.hers Const.ruct~ion_co,.,...,
1091 Jessamine Road
Dade City
Florida
(904) 588--2750
Work To Be Performed At:
r
Johnson Eye Inst.it.ut.e
Street 38038 Nort~h Avenue
City...Zephyrhi 11 s
Date of Plans
Architect
State FL
Proposal Submitted To:
We hereby propose to furnish the materials and perform the labor necessary for the completion of Ins t.a lla t. i on of roof
on addit.ion and re-roof of existing building.
1. Provide new roof on "addi tion,Ln., Install perli te t.aper insulat.ion by mop
applying wi t.h hot~.asphalt.,_to....p1:'ovide pos i ti ve dra inage to dra ins.
2. Mop apply fiberglass,base,.,sheet.over t.aper insulat.ion.
3. Provide and Inst.all four.roofdrains
4. Mechanically fast.en fibergl,assbase sheet. over remaining area
of new roof.
5. Provide and inst.all_Bit.ec APM-4T which is ,a t.orch applied modified
bitumen.
6. Provide and install 'edge "rn-e-'CaT'''(C"o'ntractor to choose color)
7. Cont.ract. does not. include.,aIly,p'lumbing, reo-roof .
1. Tear off and haul. away old,._f.lat,..roofing ',.
2. Provide and install, fiberglass,.base, sheet mechanically fast.ened.
3. Provide and inst.alL ,new "r,ooL.drains,tobe att.ached t.o existing
drain pipes.
4. Provide and install Bi tec ..APM--4T._.
All material is guaranteed to be as specified, and the above work to be performed in accordance with the
specifications submitted for above work and completed in a substantial workmanlike manner for
Dollars [$
drawings and
the sum of
l.
with payments to be made as follows:
Due_uponComplet.ion.
Any altaration or daviation from above specifications involving extra
costs. will be aXBCuted only upon written ordars, and will becoma an
extra charge over end above the estimata. All agreements contingent
upon strikes, accidants or dalays beyond our control. Ownar to carry
fira, tornado and other necessary insuranca upon above work. Work.
men's Compensation and Public Liability Insurance on above work to be
taken out by
Respectfully submitted
Per General Manager
Note- This proposal may be withdrawn by us if not accepted
within 30 days,
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
~ayment will be made as outlined above.
Date oJ
9
\~, ~tt...."
Signatu...~J \ ~9---
Signature
APPLICATION FOR PER1'lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
G q.-.y
fD '(I
D ".. ...,.. /VI". (.
/<00 /'v15 :
r ',,~ c...
Rei Do.le.
t.1-., 1= L
PHONE
S"g~ - '58 S-,/
APPLICANT
ADDRESS
,....
.1 Q.SSO,
VlAI"'Q.
5 ~O:3 ~
<'</o~'1
/1/ OJ' f-I.-.
.
C;oV'\
JOB LOCATION
Jlue-
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D .lj
WORK PROPOSED:____New Construction ____Addition ____Alteration ~~pair
____Install
_Sign/Temp.
_Sign
_~Iove
_Demolish
PROPOSED USE: ~Single Family
",:,-M/F
____ij of Uni ts
, .____M / H
_Commercial
_Indust.
_Swim., Poo 1
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COM1'1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & 0) SET ENERGY FORHS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
~UILDING
$
/D '~ 30.2!-
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_\-l.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
.-
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
*********~********************************
Signature
G // I .- CONTRACTOR SECTION
Y-.5 l.le:.o_r'lA!j' / VI Co Company
A4 -'- /?,-rI ; State Cert. or Rer,is t, il
/Y/~L;." C- V IL'I~ City License ReGL; Lra t" ion iI
******************************************
BUILDER
r;-y-
Si!!nature
Company
State Cert. or Regist. 0
City License ReGistration iI
******************************************
ELECTRICIAN
Company
State Cert. or Regist. iI
City License Registration iI
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
MECHANICAL
Signature
/r-'
* *.(* *
OTHF:R
Signature.
,Jj. .
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" "
,APPLiCATION' APPR~VE~ ~y
PER1'IIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The ,undersigned understands that this permit lay be sub5ect to "deed restrictions' which ~ay be ~Dre restrictive than City
regulations. The undersigned assumes responslb~litf~for, cOlpliance with any applicable de~D restrictions.
.,' '
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor .or contractors tD undertake work, 'they lay be required to be licensed in accordance with
state and local regulations. ' If the contractor is not licensed as required by law, both th~ OHncr and contractor ftay be
cited for a misdemeanor violation under state law., If the ~wner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
78S-bb II.
Furtherlore, if the owner has hired a contractor or contract~rs, 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 work, If the contractor Hishes you to sign
as contractor that lay be an indication that he is not properly licensed ~nd is not entitled to 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 provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is soeeCne other than the
'owner', I certify that I have ~btained l c~py of the above described document and promise in good faith to deliver it to the
'owner' prior to c~llencelent.
'1 :.: ~ '.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inf~r~ation in this application is accurate and that all work will be done in coapliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby lade t~ ~btain a permit to'do work and install~tion as indicated. I certify that no worK or
installation has commenced prior to issuance of a per.it and that all w~rk will be performed to meet standards of all laws
regulating construction, City codes, zoning regulations, an~ land devel~pment regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply"to the intended work, and that it is
my responsibility tel identify what actions I lIluSt take to be in compliance. Such agencies include bllt ~l e Ii(,t lillited to:
...
I Depart.e~t of Envir~nmental ReQul~tion - Cypress Bayheads, Hetland Areas and Environmentally Sen;i tive L3nds,
Hater/Wastewater Treatment
I S~uthwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland ~rea5, Altering HatercOUfSES
I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services, Environmental H~alth Unit - Uells, UasteHater Treat~en~. Septic Tanks
I US Environ~Ental Protecti~n AQency - Asbestos abatement
I also certify that, if fill matr:rial is to be used in Flc.od Ze,ne 'A" (.f 'A,dc.', it is undHste,(,d t1"t a drainage plan
addressing it 'compensating voluie' will be sublltted which is prepared by a prDfessional engineer registered in the state of
Florida prior to permit issuanCE.
A perlit issued shall be construed to be a license to proceed with the work ahd not as authority to viol~te, cancel alter, or
set aside any provisions of th~ technical codes, nor shall issuance of a permit prevent the Building Dfficial fro~ thereafter
requiring a corrEction of errors in plans; c~nstruction, or violations of any code. Every per~it iS511~j ~hall becolE invalid
unless the we,rK auttlCtTized by such permit is ce'JUIenced within six I'lonths of issuance, e,r if Hc,d: alltl,cq ],ed by the pHlit is
susp~nded or abandoned for a period of six months after the ti)e the "Drk is commenced. One 90 day e~te~5ioll of tile, ~ay be
allowed for the permit with fee charge of $15.00. The extension shall be r~quested in writing t~ the Building Official. An
itpprov~d inspectie,n r..ust be logged during each six month period, CoT the pr~ject Iii II be cc,nsidrred dbdl,oe",ed.
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 Al"TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08S UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_~-dc-B~-----
OWNER OR AGENT
DATE__LQ~LQ=lj------------,--,--_._---
S]GNATURE_J1Ii~-c;--jj~-
CONTRACTOR
DA TE________LO-::-LQ-:-1L-~ ----,------ --
~~~~~y O~S A~~N~~_!'__-_~-~~.. ;~~~~~C~;R~~-~
"
VIVIAN M. McCORMICK
State 01 Florida
UyCon\lll. Exp. May 22.1.
MY COMMISSION EXPIRES
MY COMMISSION
- - v~I"i~~t.tcK
yY Comlll. Exp. *Y 22.'- '