HomeMy WebLinkAbout92-2424
BUILDING PERMIT
Permit
2424~
~- /&-9~
quii--
CITY OF ZEPHYRHILLS
(813) 788-6611
N<!
Date
~ ~. ~-" ~~erconn
pmpe"YowneO~ cy- ~ ~
Job Add".., ... :~ - _ --_ .~ _ - Q. . - -: -r
Parcell.D. # /13 .::2/: - /_
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
~ergy COd~
( (! R'Y1 { , ,,<::fJ
Radon Gp$: ,jl~
W -L/}f.~ ~
NO OCCUPANCY BEFORE C.O.
DATE
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or
Contract Price
I-RJ 07&.
6S:-
Permit Fee
Ftr.
Pre SLB
Lintel
City License Registration # c:31/7
State Certified License# (7 (J- t!L)~:2 ~4
C, j..Aw(~ o~/~~ a,
~UI~?INO ELE~"
& -2'-1-92 Mp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Signature
Company
Address
Telephone#
PL~"
l\iH::r~ ^ ~J1C tll
Breakers
Ducts Insl.
ressor
Driveway
SLB
Tub Set
Water
Sewer
Final
FRM.
Insul. CL
WL
REINSPECTION FEES: When extra inspection trips are n essary due to anyone of the followi
charge of Fifteen and 00/100 Dollars ($15.00) shall be ma or 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.
ESTIMATE' 1095 ~,Jj Freedom Construction
~ Company, Inc.
April 13,1992
16925 Shady Hills Road
P.O. Box 11332
Spring Hill, Florida 34610
(813) 856-2682
1-800-452-3809
FAX
(813) 856-3282
Ms. Kathy Rader
Allstate Insurance Co.
P.O.Box 2103
New Port Richey,FI.
34656-2103
RE: Mr. Gorgen
39700 Meadow Loop
Zepher Hills,Fl.
Ph.#
CI.# 627-045-2383
Ms. Rader, the following is our estimate to repair sink hole damage
at the above residence.
INTERIOR:
Hall bath 5'3" x 5' x 8' Shower 5' x 3' x 8'
Repair & regrout ceramic tile walls
115 s.f.
Hall 8' x 3' x 8'
Scrape,prime,& retexture ceiling
Repair drywall wall
Refasten wall framing between bath & hall
Remove & reset base
Paint wall
Paint base
Remove & reset carpet & pad
Replace concrete floor-(partial)
24 s.f.
8 l.f.
64 s.f.
8 l.f.
24 s. f.
12 s.f.
Living room 15'4" x 11'4" x 8' + 9' x 4'
Reppir drywall ceiling
Scrape, prime & retexture ceiling
Remove & reset ceiling fan
Paint walls
Remove & reset carpet & pad
210 s.f.
304 s.f.
210 s.f.
Remove & reset contents
Clean carpet
'Cover up & protect contents
210 s.f.
Front entry 6' x 4' x 8'
Repair drywall ceiling & walls
Scrape,prime, & retexture ceiling 24 s.f.
Remove & reset light fixture
Paint walls 128 s.f.
Replace wood by fold door
Paint by fold door 2 sides
State Certified. General Contractor - CGC #052054
Estimate II 1095
Dining room 9'10" x 9' x 8'
Repair drywall ceiling & walls
Scrape,prime, & retexture ceiling
Remove & reset light fixture
Paint walls
:p~int base
Remove & reset carpet & pad
Remove & reset contents
Clean carpet
Page # 2
88 sof.
229 sof.
28 l. f.
88 so f.
88 sof.
Breakfast area 14' x 7'8" x 8'
Closet 4' x 1'4"
Repair drywall ceiling & walls
Scrape, prime & retexture ceiling
Remove & reset ceiling fan
Paint walls
Replace vinyl flooring
Remove & reset contents
Paint base
Cover up & protect contents
Kitchen 9' x 8'4" x 8'
Repair drywall ceiling & walls
Scrape, prime & retexture ceiling
Remove & reset light fixtures
Refasten wall cabinet
Paint walls
Paint base
Replace vinyl flooring
Cover up & protect contents
Bath 8'8" x 5' x 8'
Repair drywall ceiling & walls
Scrape,prime & retexture ceiling
Remove & reset light fixture
Paint walls
Repair & regrout ceramic tile walls
Remove & reset toilet
Replace vinyl flooring
Garage 22' x 12'10" x 8'4"
Repair drywall ceiling & walls
Scrape, prime & retexture ceiling
Remove & reset light fixtures
Wire lathe & stucco 1 wall
Remove & reset shelving
Paint walls
Replace door casing
Paint door & trim
Replace concrete apron ( from garage
108 sot.
285 sof.
19 Soy.
29 l.f.
75 sof.
137 sof.
12 l.f.
12 soYo
43 sof.
164 s.f.
55 so f.
7 s.y.
282 s.f
2
183 Sot 0
24 lof.
468 so f.
7 I. f .
door out)
~:",,",.,,~~...~...,.........- ."
Estimate 1# 1095
Page 1# 3
Remove & reset contents
EXTERIOR:
Front 26'9" x 8'4" + 20'10" x 8'2" + 21'5" x 8'2"
Paint walls 610 s.f.
Replace concrete drive ( partial) 81 s.f.
Front porch 7'3" x 6'3"
Replace concrete patio
North end 26' x 8'6"
45 s.f.
Paint wall
221 s.f.
South end 38' x 9'
Paint wall
342 s.f.
Rear 47'8" x 8'6"
Paint wall
405 s.f.
Rear patio 12' x 11'9"
Replace concrete patio
141 s.f.
Demolition
Debris removal
Total
$ 4,668.45
cc
GC
~f{Y
~
ESTIMATE 1# 1095
....., 11 Freedom Construction
~ Company, Inc.
June 9,1992
16925 Shady HUll Road
P,O. Box 11332
Spring Hill. Flortda 34610
(813) 856--2682
1-800-452-3809
Fax (813) 856-3282
f'1s. Kathy Rader
. Allstate Insurance Co.
P.O.Box 2103
New Port Richey,Fl.
34&56-2103
RE: Mr. Gorgen
39700 Meadow Loop
Zepher Hills,Fl.
Cl.# 627-045-2383
Ms. Rader, the following is a suppliment to our original for repairs
being made at the above described residence.
'Interior- concrete work: Living room 15'4"x 11'4" x 8' + 9' x 4'
Replace wire reinforced concrete floor 210 s.f.
Install steel reinforced concrete footer 44 l.f.
Dining room 9'10" x 9' x 8'
Replace wire reinforced concrete floor 88 s.f.
Install steel reinforced concrete footer 19 l.f.
.'
!Eeakfast area 14' x 8' x 8' Closet 4'4" x 1'8"
Replace wire reinforced concrete floor 119 s.f. I
Install steel reinforced concrete footer 30 l.f.
Tear out of concrete floor & cutting 200anqle
Excavate of footer & floor & fill dirt removal
Rental equipment concrete pumper
Gasoline air compressor & jack hamer!
Quick cut saw & blades
Electric jack hammer
Debris removal
Total
7,408.20
Sincerely
~~~~
Slale Cer1ifieo ' General Contraclor - CGC #052054
--- Ji Freedom Construction
~ Company, Inc.
(813) 856-2682
1-800-452-3809
16925 Shady Hills Road
P.O. Box 11332
Spring Hili, Florida 34610
Repair Authorization
We authorize Freedom Construction Company Inc, hereinafter reffered to
as contractor to make repair~ to the below listed property the repairs
needed are a result of!i.,/IIk II~" damage on :I-3D '9 '.J..
We agree that the total cost of the repairs will be in accordance
with estimate submitted to our Insurance Co. pending approval of
adjuster, We agree that deductibles depreciation or additional
of repairs.
Our Insurance Co. is '//S Cb J,., ifr c:>;( -0'1,)"- J.. J?
We authorize them to pay contractor irect y in accor ance wit estimate
for repairs. If loss draft or check has our names included or the name
of our mortage company. We agree to promptly endorse payment or aid ln
mortage companies signature whichever may be thecase upon completion of
repairs. We understand that contractor is not connected in any way with
our Insurance Company or it's adjuster and futher understand that we
have the authority to authorize contractor to make repairs.
The contractor guarantees all workman ship for a period of 1 year from
the date of completion. All materials are covered by the normal
guarantees, If any provided by manufacturer.
This repair authorization along with approved estimates suppliment
estimates or change orders constitute the contractal obligations of
:::: s a:~:on~c~ ~ Owner
Loss Address3~~O .. w oJ, Owner
L.olfO '2 f,f1It,~ JJ;/I.s rllJ-.
Phone~ J... 7tf2-,1611
Contractor 11..,. /lu----u
/
State Certified. General Contractor - CGC #052054
CLIENT
PROJECT
13R61JJJY 7'8ST1JYG 1:Jd113 S., lJYG
M~TERIAL TESTING 8: ENGINEERING
PO BO:< 15718
TAMPA. FLORIDA 33684
(813)884-0755/(813)733-934?"t813)846-1703
DATE
JOB NO.
06/05/92
2258 I
All..tate In..urance
Gorgen (39700 Meadowood Loop Ln.. Zeph1!lrhill... FL)
EHISTING
FLOOR SLAB
l
ANGLE CUT
TO 20 <>
----r-
4"
-L.
WIRE MESH---,
12"
/
MIN. COMPACTION 957. (ASTM D-1557)
'-","--- ~./
#5 REBAR
18"
(~ '-,'~
''-.. -,/ eJ__
G \ S \'11-
APPLICATION FOR PERKlT
CITY OF ZEPBYRHILLS
BlITLDlliG DEPAR'IHmn"
OWER'S NAKE [Ja tJ lei <f .:r ~vi v~ 0o--r;j ~
OWNER'S ADDRESS J97~ '7'J1u?~~_~ Lv
JOB ADDRESS 19 ~ m~.)onr/ L~
AlODiE'
7 tY-:;' . .)0 ~ f
;t~ij'Y ~~ / /~
~r~r /1-;& r%
LEGM. DESCRIPTION: WI'(S)
B.I.OCK:
SUBDIVISION
PARCEL I. D. f
WORK PROPOSED:_lfev Construction -..Addition _Alteration -LRepair _Install
_Sign
_I!fove
_Deaolish
PROPOSED USE: ( Single Faaily
_KIF
_' of Units
_KID
_~rcial
_Indust.
_SwI... Pool
Ot:her
_Rest:aurant &: Hea1t:h Depart:.ent Approval
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL :
COttKERCIAL :
AT1'ACII (2) PLOI' PUUiS &: (2) SEIS OF BUllDDfG PLUS &: (1) SEI' ENERGY FORKS. **
ATI'ACB (3) SETS OF BUllDDIG PI.MiS &: (1) SEI' mmRGY' FORKS. **
**COPY OF CON'I'RACf RIlXlm:RED.
PERl!lITS REQUESTED
--K-BUILDING
$ 1,/ /J 7 6~ t. 0-
Valuation of Tot:a1 Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_KECHAlUCAL
$
Valuation of Hechanica.l Installation
_PLUMBING GAS ROOFDiG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Pralle _Steel
Ot:her
FUnSHED FLOOR ELEVATIOlNfS:
FI' .
IS PRO.JECT IN FLOOD ZONE AREA?
YES NO
******************************************
COlNf'I'RACIOR SECTION
BUILDER
COKPANY ;:-r~d~ ;9dJt.~<<cl:~ e".. J:uc,
~ St:ate Cer1:- or RegiS1:- , e G.~.ao.2 ;;%"f"
7~ City License Registration 1= E~.y7
******************************************
Signat:ure
ELECTRICIAN
CO!IPMY
St:ate Cert. or Regist. ,
City License Registration I
******************************************
SiPT1~ture
PUJlttBER
CO!IPANY
State Cer1:- or Regist. ,
City License Registration ,
******************************************
Signature
KEClIARICAL
COKPANY
St:ate Cert. or Regist. ,
City License Registration I
******************************************
Signature
01'HER.
Signature
,
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay 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 I~tor is no.~ \icensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation 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 2ephyrhills Building Departlent, 18131
78B-bbll.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the cDntractorlsl 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 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
6uide" 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 pro.ise 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 Dr
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 developlent 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:
f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abatelent
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 "co.pensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A pertit 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 pertit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit 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 tite the work is eOlleneed. One 90 day extension of tile, lay be
allowed for the pertit 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 tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~~ ~ ~/11~ ~
SI6NA RE: ER OR AGENT - SI6~ATURE: NTRACTOR
was acknowledged
, 1921- by
STATE OF FLORIDA
COUNTY OF PAS CO
The foregoing instrument
before me this June 16
STATE OF FLORIDA
COUNTY OF P AS CO
The foregoing instrument
before me this June 16
\fJas acknowledged
19.1..L- by
JACQUELINE GORGEN
who is personally known to me or who has
produced
a "dentification and who did/did not
::: on:t~,'" o~: '.~"~f'$,.,f:;" r'~'''..~.".) 1fJ
"n\iDIl.. i..j'l" !H~\fH.('1
. I 1_ I \1_ of i ;,~,
(Nam€ Typed, Printed or Stamped)
NOTARY PUBLJC
Nowry Republic, State at Large, Florida
My Commission Expires July 8, 1992,
GARY CURRAN
who is personally known to me or who has
produced 5la. D. L -
a 'dentification and who
t oath.
(Name Typed, Printed
NOTARY PUBLIC
Notary Repub~ic, State at Large, Florida
My Com~lsslon Expires July 8, 1992.