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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: ~ . /'JS/ \\ Fe.4' ~. .~ 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;'~. , . &/f ,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. . ~,r " " ,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.'- '