HomeMy WebLinkAbout92-2054
BUILDING PERMIT
Permit
2054 f5
/ - /0--7::z..
CITY OF ZEPHYRHILLS
(813) 788-6611
No
, .
Date
~IN~
~L
P~
ME~AL
Sewer Conn
Pmperty Owne' !!!f .. ~~
Job Address: ,s:::: - L./
Parcel 1.0, #
Water Conn:
Water Meter:
T.I.I=.'s:
Zoning: Energy Code:
Description of wor'k]?.P .../).ry
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
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
Signa-ture
Company
Address
Telephone#
O;~'
Valuation or
Contract Price ~ 0 7 Sf. tJV
City License Registration # 3 7
State Certified License#
YJ1.;jA~
~- - ~~~~-~
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
-~
~BING
~
M~CAL
ELE'e=mlCAL
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following 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 ~\t1>AK. CbUt>'\f\.U c.:n6t.\'\' \~c..
ADDRESS \.,\~ \.\'H't Ml" 'N.~"'T\-\I n~f. ('rN\~1. $2SPHONE ~J~tD7.{d)4..1
OWNER .~ I t'i\\I~J~U.C.E\"
S~1.' .' .
JOB LOCATION SS2.~ . 4"T'\.\ '~~':\"1.F~\oli.'jll"\~ LOT SIZE X AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~t
WORK PROPOSED:_New Construction :~ddition -^lteration _Repair _Install
I:.
____Sign/Temp.
PROPOSED USE: ~Single Family
~commercial
_Sign
~ ':Re.. ~OOF' _l'love
_tt of Units
_Demolish
'._M/F
__I'l/II
~Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
Height
RESIDENTIAL:
cOmtERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'!S. **
**COPY OF CONTRACT REQUIRED. '
ERRMITS REQUESTED
-L.BUILDING
$ \1074. ~G,
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_H.R.E.C.
_MECHANICAL
$
Va~uation of Mechanical Installation
_PLUMBIN'G
0'"
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
. State Cert. or Regist. 0
City License Registration 0
******************************************
nUIT.DER
Si!!nature
Company
State Cert. or Regist. 0
City License Registration n
******************************************
ELECTRTCTAN
Signature
Company
State Cert. or..Regist. 0
City License Registration 0
******************************************
PLlJMRER
Company
State Cert. or Regist. 0
City License Registration 0
*****~.~******~****************************
!-lECHANICAT.
Signature
OTllF,R 'R..o~
Signature it'~
Company ty] ,J3.Afl ~JJ~T1/tJCT1~AJ I lAUd
State Cert. or Regis t. Ii ~CC as/5I1Z
City License Rcgistrattofl. i! :~7
"
'21f~;r'*~*~:;:';"""**********'*'
. - ~ ~
PERl-lIT OFFICER.
APPLICATION APPROVED BY.
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tONDITIONS OF PERMIT AFFIDAVIT
A:.' NOTICE OF DEED RESTRICTIONS ;:, .
The underslgnad understinds that this per_it lay be subject to "deed restrlcti~ns' which ~ay b~ 8~r~ res~rictiva than City
regulations. The undarslgned assules respDnsibili\y for co.pliante Hith any applicabl~ dged restrictions.
. ':' .:.,..,',. ,.,:. .' '. .
; ." ..~. ~ .. "
B. UNL I CENSE'D 'C'ONTRACTORS.' At-ID :;~ONTRACTOR RESP..ONS 113 I LIT I ES
, ' ,1';"
If the owner has hired a contractor Dr contractors to undertake Hor~, they may b& r~qllired 1.0 be licensed in accordance with
stlte and local regulations. If the contractor is not licensed as required bY law, bDth,the owner and contractor ftay be
cited for a aisdueanor violation under state hH.',1f .the .t'l!nl!Lt'~.. intendl!d ce.ntract(,r af!! llncertair. a.s, to wt,at licensing
requireaents lay apply for the intended work, theY are advised to contact tbe City of Zept~rhills ~uildlng Departee~t, (8131
788-6611.'"
Furtherlore, if the owner has hired a contractor Dr contractors, he 15 advisl!d to havl! the contractor!s) sign portions of the
'Contractor Sections' of this application for which they will be responsibll!. Jf y~ll, as the ~wner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the cDntractor wishes you to sign
as contractor that lay be an indic~tion.t~at 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 'with a copy of "Florida's Construction Lien Law - Hoceown~r's Protection
Guide" prepared by the Fl~rlda Dl!partlent of Agriculture and Consumer Affairs. If the applicant is soaEone other than the
'OHner", 1 certify that I have obtained a copy of ' the above described document and pro6j~e in good faith to deliver it to the
'oHn~r' prior to cOI~encement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work Mill be done in co~pliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby aade to obtain a penH to do work and installatie,n as indicated. I c~rtif"t that no H(lr~ or
installation has cO&lenced prior to issuance of a perlit and that all work will b~ performed to ~ect standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
IY responsibility to identify llhat actions Illlust 'lake to be in cr'lIlpliance. Such agencies include bllt ~l e IiC,t li~ited to:
I Department of Envi(on~enial ReQulation - Cypress Bayheads, Hetland AreaS and Environmentally Sensitiv~ Ldnds,
Water/Wastellater Treatment
I Southwest Florida ~later ManaQelllent District - Hells, Cypress Dayheads, Hetland Areas, ~ltering HatercDurses
I Army CorDS of Enoineers - Seallalls, Docks, Navigable Waterways
I Depart.ent of Health L Rehabilitative Services. Environmental lIealth Unit - W~lls: WastEwater Treat~~n~. Septic Tanks
I US Envir(ln~ental Protection Anency - Asbestos abatement.
I also certify that, if fill material is to'be used in Fle,od Ze,ne "fl" Dr 'A,elc.', it is underste'(ld tl.~l a drainage plan
addressing a 'colpensating volullle" will be submitted which is prepared by a profes~i~,nal engineer reqi5t~ied in the State of
Florida prior to permit iss~ance.
A per.it issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
set aside any provisions of th~ technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
requiring a correction of errors in plans, construction, or violations of any cDde. Every per~it issu~d ~ha)1 becole invalid
unless the work authorized by such permit is commenced within six months of issuance, Dr if uork aulhDrli~d by the per.it is
suspended or abandoned for a period of six aonths after the tim~ thl! lIork is cOlmenced. One 90 day f:ti~5iO'1 Dr tile, say be
alloHed for the per~it Hith fee charge of $15.00. The extension shall be requested in "riting tD the Building Official. A~
approved inspectie,n /'.lust be le,ggedduring each six Mnth period, Cor the prc,j~cl IIi 11 be cCorlsidered ilbdIlG(,ni:d.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUn 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".
5IliNATURE,c..~__-t_jlt~---- 51 GNATURE__~__-t!.-!tt~-
. : ". . . OWNER.1JR AGENT CONTRACTOR
DATE___~-___---~~~~------------------
NOTARY AS TO ~~;~~/~~~~
OWNER OR AGENT__~~--------
MY COMMISSION EXPIRES
1f . OLIVIA A. LOVETT
tt:i~\ NotarY Public, StaIll of Florida
My Comm. Expirll _30. 1*
No. ~1928
DATE _____~"" ___~LIL.5'~~-~ ~--- ---------
~g~~~~C~~R~~_~-
MY C6MMISSION EXPIRES__________________
,'.~~ -,,4, OLIVIA A. LOVETT
... \ ~ No\IlY Public. S1aI8 of F\llrida
My Comm. Expir- Sepl30. 1*
No. CC051928
".
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Jrnpn.aal
Page No.
1 of 2
.- :-'ages ~
Member of the Florida
Roofing and Sheet Metal
Association
rM1
MilBar Construction, Inc.
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
U,S. Intee Certified
Platinum Installer
#5204
Roofing. Concrete. Commercial. Residential
1719 Hwy, 301 North. Dade City, Florida 33525 ex
904/567-6047 800/562.2393 FAX: 904/567-4454
PROPOSAL SUBMITTED TO
Milton/Alice Jones
STREET
PHONE
DATE
ARCHITECT
DATE OF PLANS
01/06/91
5611 First street #13
CITY, STATE AND ZIP CODE
(Duplex )
Ze h hrills FL 33541
I JOB PHONE
We hereby submit specifications and estimates.for:
RE-RCXJ.F - 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 warranty 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. rtilBar Construction, Inc. to provide 5 year warranty on workmanship; exclusions:
stonn damage, \vork 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.
Br JrnpnIlr hereily to furnish material and labor - complete in accordance with above specifications. for the sum of:
C'ee ~a~e two.
Paymen to e made as follows:
dollars ($
) ,
Due upon completion.
All material is guaranteed to be as sp"cified. All work to be completed in a workmanlike
manner according to standard practice';, Any alteration or deviation from above specifica-
tions involving extra costs will be exec uted only upon written orders, and will become an
extra charge over and above the estimatl~, 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 WorkrTpn's Compensation Insurance.
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
30
days.
Date of Acceptance:
tJNA/c-7Z-,
Atttptantt of Jroposul- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Paympnt will e made as outlined above.
\
Signature
Jrnpnsul
Page No.
2
of 2
- Page~-
Member of the Florida
Roofing and Sheet Metal
Association
Ef1
Mil Bar Construction, Inc.
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
U,S, Intec Certified
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
LTE
~06 91
813/783-1444
JOB NAME
5611 First street #13
CITY, STATE AND ZIP CODE
Zephyhrills, FL 33541
ARCHITECT
LaraL
JOBIi~"
38007
Apartment Buildinq (Duplex)
~~ $r ~D
1 ; th Avenue
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 ($1,000,000 limit).
11. Contract to include all material, labor, and re-roofing permit as stated.
/Z,( [)o ~bl Dl2-t:>f
13cJ Ai DL ~>
oAJ
KbO'F .
Dr 'rnpngr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
One thousand ninety-four and
Payment to be made as follows:
Due upon completion.
dollars ($ 1
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 If not accepted within
Atttptantt of 'roposal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment wil be made as outlined above,
Date of Acceptance:
".....--
Signature