HomeMy WebLinkAbout92-2053
BUILDING PERMIT
Permit
205315
/- 1.s--9a..
CITY OF ZEPHYRHILLS
(813) 788-6611
.....1'0
...1:.'- .
Date
C BU:~ ELE~ PLUMBINli._
Pcoperty Owne' }11ff.; ::+- ~_~
Job Address: 3 ~ - - ) --
Parcell.D. #
ME~CAL
Sewer Conn
Wat,er Conn:
Water Meter:
T.I.F.'s:
~::~'~~tion of w;;;f( e ~:;9
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL /-- 4
C.O.
2-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
~~
Valuation or
Contract Price
/ C>
,
7 if t:rD
City License Registration # ...3 J
State Certified License#
h1 ~~t X/LA
CBUI~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
ELE~
----
PLUM"ffiNG
.........,
M~~A.NICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the foUowing reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
. .
APPLICATION FOR PERMIT
CITY OFZEPHYIDIILLS
BUILDING DEPARTMENT
. .
. .. .
APPLICANT J1L.BIl.~ ~~srRUCnD~\\~'-
ADDRESS lll~ IJwy ~l' 'N.l)~.~~G1'I, ~L. ::t\;]C. PHONE ?lCJ4.16617. (Jj47
OWNER j~~~~) \'t\ \L."nu."\ J~\_U~.:
JOB LOCATION 3~Db1 - i\ -n-\' ~\l~t}~""i~P~\\U~ LOT SIZE X AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.~~
BLOCK
SUBDIVISION
WORK PROPOSED:____New Construction
I'.
~ddition _Alteration
____Sign ~E:~a;
_Repair
_Install
_Sign/Temp.
_!-love
_Demolish
PROPOSED USE: _Single Family
.~M/F
--,-~t of llni ts
__H/Ii
~Commercial
":-:'-Indus t .
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING ~IZE:
X
Square Fee t,
Height
RESIDENTIAL:
COH.HERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORI-IS. **
**COPY OF CONTRACT REQUIRED.
,ERRMTTS REQUESTED
X-BUILDING
$ l. 1'>74. 3(~
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.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist. iF
City License Registration ~
******************************************
BUTLDER
Si!:'nature
Company
State Cert. or Regist. n
City License Registration U
******************************************
ET.F.CTRTCTAN
Signature
Company
State Cert. or.Regist. ~
City License Registration !~
******************************************
PLUMBER
Company
State Cert. or Regist. 0
City License Registration 0
*****,~*******t******~*********************
MECHANICAL
Signature
ft'I'\lf.R - RD~
Signature "'. jlc!7f,;;d
Company M\l ~R. ~~~~('T'Ct..:\ I \~L.
State Cert. or Regis t. ;.! ttc.. ~~\St'JJ2..
City License Registration n OJ
~***********lj**************************
APPLICATI.O:.':I'.p~~~:.~~ -,LLa~q ,xLt;!/l ~_J . ,." "
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~t~"'~, '. ."..,...' .;. ,t> ..'of;' : :.." '
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PERI-lIT OFFICER.
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CONDITIONS OF PERM~T ~FFIDAVIT
A.': NOT I CE OF DEED RESTR I CT IONS ;', , .
The undersigned understinds that this perlit aay be subject to "deed restricti~ns' which ~ay b~ mor~ restrictive
regulations. The undersigned assules responslbll1'~,f~~ cOMpllance Hith any applicabl~ deed restriction~.
;" ~'''_ ::. !: .\' ',,, ".. t . f,
UNLICENSEDC~NTRACTORS AND CONTRACTOR RESPONSIBILITIES
, . ." "~ ' . c " " .. - of; ,
than City
8.
If the ONner has hired a contractor or contractor. to undertake Hork, they may b& requir~d to be'licensed In accordance with
ltate and local rrguJatlons. If the contrador is not licensed as rlHlulrl!d"b~law, bi.H, .the ounor alld contractc,r uy bl!
cihd for a lisdeaeanor violation under state hll.', If the ['Hner .o.r i'ntende,d contraclclr are uncertain as to what liconsing
requirelents lay apply for the intended 1I0rk, theY are advr~ed ldfon\~ct th~trtV of.2e~hyrhills ~uitdin9 Departeent, (813)
78a-bbll. ',',' .
Furtherlore, If the OHner has hired a contractor or contractors, he is advised to have the ce.ntractor!s) sign portions of the
"Contractor Sections' of this application for IIhlch they Hill be rosponslblo. 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 wishes you to sign
as contractor that lay be an indication that he Is not properly licensed and 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 'lIith a copy of "Florida's Construction Lien Law - HoeeoHner's Protection
Guide' prepared by thl! Florida D~part.ent of Agriculture and Consuler Affairs. If th~ applic1nt is SO!EOne other than the
'oHner', I certify that I have obtained a copy of'the above described document and pro.i~e in good f~ith to deliver it to the
'owner' prior to cOi~enCeftent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work "ill be done in cD~pliance ~ith all
applicable la~s regulating construction, zoning, and land develop~ent.
Application is hereby .ade tCI obtain a perl it to'do llork and installatie,n as indi.cate.d. l' e~rtify that no HClrk or
installation has co&!enced prior to issuance of a permit and that all work Hill be performed to ~eet st~ndards of all laws
regulating ct,nstrudieln, City c(,des, zoning regulations, and land development requlaticlns in the jurisdidie.n. 1 alsCl
certify that I understand that the regulations of other gClvernmental agencies may apply to the intended Hork, and that it is
IY responsibility to identify IIhat adions I lIlust'take to be in cr.mpliance. Such aqeflcies ii,c1ude but ~le nt.t li~ited to:
I Department of Envi~on~ental ReQulation - Cypress Bayheads, Hetland nreas and EnvirDnmentally Sensjtiv~ L~nds,
Water/Wastellater Treatment
I Southwest Florida Hater Hananelent District - Hells, Cypress Dayheads, Hetland Areas, Altering WatercDurses
I Ar!y CorDS of EnDineers - Seallalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, WasteHater Treat~en~. Septic Tanks
I US Environ~ental Protection Anency - Asbestos abatement.
I also certify that, if fill lIaterial is to'be used in Fleood Ze,ne "A" Dr 'A,etc,', it is underste,eld t,,~t a drainage plan
addressing a 'colpensating volume" Ilill be submitted Ilhich is prepared by a professional enqineer reqisteied in the State of
Florida prior to permit iss~ance.
A perllit issued shall be construed to be a license to proceed with the we,,'k. and DC.t as authclrity te, vic.]~te, caneel alter, c.r
set aside any provisions of the technical codes, nor shall issuance of a permit prevcnt the Building Official fro~ thereafter
requiring a eorrection c.f errcors in plans, c(,nstrudie,n, or violations e.f any ((,de. Every pcr~it iSSlled .hdJI bece,ae in'lalid
unless the work auth~ri2ed by such permit is cOJftenced lIithin six months of issuance, Dr if wo!'k authoflied by the per.it is
suspended Dr atarode,nl?d fe,r a perie.d of six lonths after the tilDe the llork is ce'Menced. One 9(; day c,~t~i,sic'lI clf tile, say be
alloHed for the per~it Ilith fee charge of ~15.00. The extension shall be reqllested in writing to the Building Official. An
approved inspectie,n f.lust be le,gged 'during each six lIIonth period, tor the prclject lli11 be CClnsidered ;;baliGc.n"d.
WARNING TO OWNER: YOUR FAILURE TO RECORD A ~lOTICE 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",~_~~~~-----
'. '. >, 'UWNEH OR AGENT
SIGNATURE__~___-;{MA---
. CONTRACTOR
DATE____~_______~~~~~----------~-----
~~~~~yO~SA~~NT_~~--~----
MY COMMISSION EXPIRES___ ---------
>,,,,~., ..~ OlIVIA A.LOVETT
~ 11 Nofaty Public. Stata 01 Florida
My Clmm. &pires Sept. 3); 191M
No. ~1Q2S
DATE______~__~J~~~8~----------------
NOTARY AS TO #1/ dO ._~Jt-JA~~
CONTRACTOR_~~~--------
~Y C6MMISSION EXPIRES__________________
:..~~:t ..~ OLIVIA A, LOVm
~ '1\ Notary Public. StaIB of f10rida
My Comm. &pireI Sept. 30. '994
No. C<D192S
".
/'"
'roposul
Page No.
1 of 2
Pages
Member of the Florida
Roofing and Sheet Metal
Association
1@
MilBar Construction, Inc.
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
U,S, Intec Gertified
Platinum Installer
#5204
Roofing' Concrete. Commercial' Residential
1719 Hwy. 301 North. Dade City, Florida 33525 C>c
904/567.6047 800/562-2393 FAX: 904/567-4454
DATE OF PLANS
783-1444
PROPOSAL SUBMITTED TO
Milton/Alice Jones
STREET
PHONE
5611 First street #13
CITY, STATE AND ZIP CODE
Ze h hrills FL 33541
ARCHITECT
JOB PHONE
We hereby submit specifications and estimates for:
RE-RaJF - Shingles
1 . Tear off and haul away old roofing; clean up work area daily.
2. Provide and install new 15 lb. saturated felt paper.
3. Provide and install new G.A.F. "Sentinel" 20 year fiberglass shingles; owner to
choose color. G.A.F. shingles have a 20 year \varranty on labor and materials.
4. Replace all damaged flashing (valley, eaves, or any step flashing).
5. Remove old neoprene rubber boots and replace with new lead boots for the plumbing
vents.
6. Provide and install new pre-finished aluminum eavedrip; owner to choose color -
white or brown.
7. Any rotten or damaged wood (roof deck, fascia, or trim) will be replaced on a
cost-plus basis.
8. r-1ilBar Construction, Inc. to provide 5 year warranty on workmanship; exclusions:
stonn damage, work done by others, tree damage, and/or structural damage to roof
deck.
9. OWner to provide delivery truck. access to roof for loading/unloading of roofing
materials.
lit Jropo.at hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
dollars ($
) .
Due upon completion.
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 necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Authorized
Signature
o~
Note: This proposal may be
withdrawn by us if not accepted within
30
days,
Atttptaurt of 'roposal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will e made as outlined above.
Signature
tJNA/~~
Date of Acceptance:
Signature
Jrnpnnul
Page No.
2
of 2
P~ge$.
Member of the Florida
Roofing and Sheet Metal
Association
~
MilBar Construction, Inc.
State Certified
Builder #CBC023221
Slate Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
U.S, Intec Gertified
Platinum Installer
#5204
Roofing. Concrete. Commercial' Residential
1719 Hwy. 301 North. Dade City, Florida 33525 c:>c
904/567-6047 800/562.2393 FAX: 904/567-4454
PROPOSAL SUBMITTED TO
Milton/Alice Jones
STREET
PHONE
t:'E 01 / QQL91
813/783-1444
JOB NAME
5611 First street #13
CITY. STATE AND ZIP CODE
Zephyhrills, FL 33541
ARCHITECT
LaraL
JOBtj~"
38007
(Duplex )
DATE OF PLANS
JOB PHONE
Ze h hills, FL
We hereby submit specifications and estimates for:
10. MilBar Construction, Inc. to provide General Liability and Worker's Compensation
Insurance ($1,000,000 limit).
11. Contract to include all material, labor, and re-roofing permit as stated.
IZ-, Do tJ bl DlUJf
BUM DLt:->
010
K601= .
D1' Jropon1' hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Atteptante of Jt'oposal-The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Pay, nent wil be made as outlined above.
Date of Acceptance: ----J, ~
dollars ($ 1
One thousand ninety-four and
Payment to be made as follows:
Due upon completion.
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 necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Authorized
Signature
Note: This proposal may be
withdrawn by us ,f not accepted within
days.
04
Signature