HomeMy WebLinkAbout92-2160
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<? 21608
,~ -d 6 - ;9 ;L
Date
~ E~ PLU~ MEC~ Sew.,Cooo
. t, Water Conn:
P,"perty Ow,"" Mr;z j} ~Yl t.' C2~, W"., Met.,
Job Address:.3<f "0'F- J ~ d.-3 3 .P-~:25' J3Q;A:::....~~/rO,"- T.I.F,:s:
./
Parcell.D. #
Zoning: Energy Code:
Description of Work~a A.. '11-11
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
- 4-t:f 2-
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
City License Registration # , ? ?
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
~~-
Valuation or
Contract Price
3,
,
977 0[)
ELECT~
PLU~G
-------
~CAL
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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 OF ZEPHYRHILLS
BUILDING DEPARTMENT
ADDRESS
hWT\JJID1\ ~O..mDM\l\l\Ut^'l\
3}~30~ IRtl~\l.mfili 1\ fl.c.~
])R\~WDD1) rD\.lj)Ot'l\\\..l\\lM ~(,\I\c"\)N
JOB LOCATION ,")9,711, 39>2.\5. 3~2'Z.31 ( 382 2.5 '\.~tiD LOT SIZE
\\J~
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
~~4Y \ fl<\1 () \J
APPLICANT
PHONE ~1?17~. 3~[)l)
.
OWNER
x
AREA SQ. FT.
PARCEL 1. D. #
WORK PROPOSED:____New Construction ----Addition ----Alteration
'I- ~e.. RC1Vf
~.epair
____Install
____Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_4; of Uni ts
____Commercial
____Indust.
_Swim. Pool
_M/H
to ".,Jots
)>< Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
_BUILDING
PERMITS REOUESTED
$ 31?/~7. SD (!;\ ~~) Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
~ECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
ELECTRICIAN
Sienature
Company
State Cert. or Regist. #
City License Registration if
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. if
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. if
City License Registration #
******************************************
OTHER ~!':I~gc
Signature p~~~
Company tf\ \ LB~ C ti\iS~I,)L \\ 1"1 ~ \ \oJ (
State Cert. or Regist. if ~ Rc _ {\[)5S71<:
City License Registration 4F ~7
APPLICATION APPROVED BY
PERMIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit 'lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to 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 the owner and contractor lay be
cited for a lisdeleanorviolation under state law. If the owner 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, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, 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 respo~sible 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 perlitting 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 - HOleowner's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
.owner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
.owner. prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
. Departlent of Environlental Requlation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treatlent
. Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Yater courses
. ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environ.ental Protection Aqency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone .A" or .A,etc.., it is understood that a drainage plan
addressing a .colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is COllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY 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
:--~~~~~~~:::_::::~_:'COR~::-~~~_~~__________________
~: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF ___~~~________________________
The foregoing instrument was acknowledged
before me this _~~_f~_, 19_~~_ by
___~~~~--1-~_L~~-~_------------------
who is persc,nall y known to me &r "h6 has
~odu~ed _______________________________
, 'and who ~eid Rel
~ ~~~--~-----
~#~-_.
(Signature)
take an oath.
---~-------------------------------------
(Name Typed, Printed Dr Stamped)
NOTARY PUBLI C
~~,.~
..'"' ,.,
: II
OliVIA A, LOVETT
NoIao'V Public. S1aI8 01 F10ridI
My Ctmm. EJcpirel Sepl30. 188'
No. ~1iZ'
STATE OF FLORIDA
COUNTY OF _______~~CL______________________
The foregoing instrument was acknowledged
before me this _~_JF~__, 19_~__ by
_____~~~~~___L~__au~~~_________________
who is persctl-,ally known to me pr t.,hB hilii
prDdu~ed _______________________________
as identification and who ~did not
;;;~~;~~;;;~~~----------
----------------------------------------
(Name Typed, Printed or Stamped)
NOT ARY PUBLI C
,..~~..~ OUVlA A, LOVm
. 'Ii NofaIy Public, Stall of f10ricIa
My Comm. Eapirll Sept~ 3D. 1894
No. CC051a28
U,S. Intee Certified
Platinum Installer
#5204
V rnlttl1nd
:#iD7tQ
MilBar Construction, Inc.
Page No.
1 of 1
Member of the Florida
Roofing and Sheet Metal
Association
Roofing. Concrete. Commercial' Residential
1719 Hwy. 301 North, Dade City, Florida 33525 C>c
904/567-6047 800/562.2393 FAX: 904/567-4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
PHONE
Drift\<<lOd Condaninium Association
SA~th: George Roberts, President
38303 Ironwood Place
CITY, STATE AND ZIP CODE
813 783 9300
JOB NAME
Driftwood Condaniniums
JOB LOCATION
FL 33540
DATE OF PLANS
38217 38219. 38223 & 38225
Ze h hills FL
, We hereby submit specifications and estimates for:
:~;:". ~R(X)F - Shingles
:.~i;;~:::\', :t,:'" ,',
t~y,; ;''fiear.offana-naulaway.old roofing; clean up \<.Ork area daily.
.;;"';t,;i~aearj(rThSl'aTI-ne'r1'Ib. saturated relt paper. rI yJ, r f -fqr>t tit!,
!7~~bviae 'and~--IriStalr--new~G.A.F. lISentinel" 20 year c..:l'rglaS~ Shingl~ own:r to
choose color. G.A.F. shingles have a 20 year warranty on labor and materials.
Leave the existing brown
Replace all dan1?ged flashing (valley or wall flashing).
.' .o--;:-aluminum eave drip in place.
,t'~!:',':f~i'~,":\'f';;
5l\<i]~aoove-exisfirigTeaab60ts; replace with new lead boots for the plumbing vents.
':~,;!:;~';:' :,,-,-:~
~o;;".~'-P:fovide and install new pre-finished aluminum ridge vent; owner to choose color _
~:-=white'ero~k, or gray.
7. Any rotten or ....damaged wood (roof deck, fascia, or trim) will be replaced on a
'---.-cost-plus basis.
a-;'~~MtlBar.CortStiticti6n~-.-IhC. to provide 5 year warranty on workinanship; exclusions: stonn
, damage, \<.Ork done by others, tree damage, and/or structural damage to roof deck.
,:::~
9';',"0Wner to provide delivery truck access to roof for loading/unloading of roofing
T',7-materiiHs.
-~'!f~ ":'; .~
;so,
fO'~.l."""1.fil:ear'-CohSt:ffict:16n;o.- 'Iric. to provide General Liability aIldWorker' s Canpensation
Insurance ($1,000,000 limit) and re-roofing pennit.
lit 'ropOSt hereby to furnish material and labor - complete in accordance with above specifications. for the sum of:
'lbree thousand nine hundred ninety-seven and 50/100--------________ dollars ($ 3 ,997.50
Payment to be made as follows:
),
DUe upon COI!1.2J,etion.
All material IS gUdrdnt~~d to be as spectfied. All work to be completed in a workmanlike
manner <)1:((,ld,I.. (,. '.lal,!l,!f" practices. Any alteration or deviation from above $pt~Clfl(,,1
bons invlJI'illl;; \.11., \;v,I., will be executed only upon written orders, dud will beClHlle an
edra (har~:l; JI;l;Ve Hie estirnat~. All agreements contlllgent upon slrj~es. dUllknl:::.
or deli:l~ beyu",J, ,u'J,lrlJl. Owner to carry 'ire, tornado and other 'lecessary IflSlHiJllr.C
Our worker!> Mt: fui1f Lovered by Workmen's Compensation Insurance.
~:::::;:,~~" Jh~)~,<'" ~.___
[j, ,it. 1111:, prupoSiJl II1dY Le 30
wlthdr<JWII IJ',.' II:'" II 11<,1 ,It,ll;IJlui wlttllll_______
days.
};
AtttptuUtt of Jlroposul- The above prices, specifications
and condi!lolls are satisfactory and are hereby accepted, You are authorized
to do the work "s specified, Payment will be made as outlined above.
Date of Acceptance:
S;'"""';~#Rt 17'~r.zl
Signature
~
,----4' '