HomeMy WebLinkAbout93-3241
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
3241&
Date ~--/ Y - 9:. -3
~
E~
PL~
M~
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
~::~~t;on of Wo" ~Iie ~'~
Water Conn:
W ter Meter:
_.~
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
tJ
Permit Fee tC CJ ~ cJ()
Signature 0~ f>. i?~J' """.UA
Company
Address
Telephone#
Valuation or
Contract Price f; fY SI'--.S": d7J
City License Registration # J.?
State Certified License#
./J;~~/~~ ~
~)
E~I
PLU MBiNG-----.
MECHA~~
-------
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Ftr.
Pre SlB
Lintel
FRM.
Insul. Cl
Wl
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($15.001 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
APPLICANT _\)\'I\trflf ~~'t\j-ln~dI0i11 \ \~lC
ADDRESS n~ j \--\1U\J ~~\ ~\\)"f~t i
OWNER \1\~* (1\Q9A rf',\ArttlM\l\\1\\'V\
l~ 1) .. f:
JOB LOCATION 31;< ~?c:;- - ~9.?3 \
"3 02.40' ~ ,"t(.
LEGAL DESCRIPTION: LOT(S)
})(i ~v C~\1. \ \-'L
~SSoc .
PHONE
SMI F5W-l.(o M '
lnh"l}OO~
llroY'llU 00 c\
~~ 1\ ( -e-
\ ~('{.
BLOCK
LOT SIZE_X
AREA SQ. FT.
SUBDIVISION
PARCEL 1. D. #
WORK PROPOSED:____New Construction ____Addition ----Alteration
~-l~o~
~epa1r
____Ins tall
____Sign/Temp. ____Sign _Move ____Demolish
PROPOSED USE: ____Single Family _M/F _# of Units .~/H
_Commercial _Indust. _Swim. Pool (llJ\\.!D ~- 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
$ $5) B4G DD
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
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
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
OTjlER Ko'~
Signature --#~~~
Company {VL \ ?JAr (L~~lI!l( h .h'\ \v\C.
State Cert. or Regist. # RC ()OSC;Z15
City License Registration # ~~
******************************************
APPLICAT~qN APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" Ilhich lay be lore restrictive than City
regulations. The undersigned assuaes responsibility for cOlpliance Ilith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ollner has hired a contractor or contractors to undertake IIOrk, they .ay be required to be licensed in accordance Ilith
state and local regulations. If the contractor is not licensed as required by law, both the ollner and contractor lay be
cited for a .isde.eanor violation under state lall. If the ollner or intended contractor are uncertain as to Ilhat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813)
788-6611.
Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is} sign portions of the
"Contractor Sections" of this application for Ilhich they Ilill be responsible. If you, as the OMner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the Ilork. If the contractor Ilishes 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 lIith a copy of "Florida's Construction lien lall - HOleollner's Protection
Guide" prepared by the Florida Departaent 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 cOI.encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all Ilork Ilill be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a perlit to do IIOrk and installation as indicated. I certify that no Ilork or
installation has cOlaenced prior to issuance of a perlit and that all Ilork Ilill be perforled to leet standards of all lalls
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I alsD
certify that I understand that the regulations of other governlental agencies .ay 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 Departlent of EnviroRlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterways
f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatetent
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" Ilill be subtitted IIhich is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A pertit issued shall be construed to be a license to proceed with the Ilork 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 vf errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the Ilork authorized by such per.it is cottenced Ilithin six tonths of issuance, Dr if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the Ilork is cOllenced. One 90 day extension of tile, lay be
allolled for the perlit ;:ith 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 Ilill be considered abandDned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
PROPERTY. IF YOU INTENu TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CZO]'ffi;OO WT - ro .E_ Mm P~TZ 7NiiI~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FlORIDA
COUNTY OF V\M Ic\ c.....
The foregoing instrument was acknowledged
before me this ~, 19 93 by
\1~We L. ~t\~~
who is personally known to me or who has
produced N. l'\r
as identification and who did/did not
take a'{tl~. J/;JIX'l'r-
(Signature) ~
()I-I v i A A. LulE-r;--
(Name Typed, Pr i nted c.r Stamped)
NOTARY PUBLI C
STATE OF FLORIDA
COUNTY OF r-: I Dr I d a.
The foregoing instrumeR~ was acknowledged
befc,re me this J4fh may, 19~ by
V;:H'(~ L, /11,) h n
who is personally known to me or who has
produced ;.J 1Ir-
as identification and who did/did not
take anlll~ ~7f
(Signature) if /, _
j~lvlR Lt .~/~IT
(Name Typed, Printed or Stamped)
NOTARY PUBL r.
1Io:~"~ ., OLIVIA A. LOVETT
I , ~ NotIllY Pul:llic, State of Florida
My Comm.l:.xplr. Sept, 30. '*
No. COOlI112.
~
OLIVIA A. LOVETT
NOlIIy Public, State of Florida
My Comm. E.xplres Sept. 30, '*
No. CC061828
l~rl1P4laal
'\
Member of the Florida
Roofing and Sheet Metal
Association
@
$H3t,
MilBar Construction, Inc.
U.S. Intec Certified
Platinum Installer
#5204
Page No.
1 of
Pages
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
()Z.-U. . L I' oz.-i/l.
i) 7 I ~
DATE 'iI
Roofing' Concrete. Commercial. Residential
1719 Hwy. 301 North, Dade City, Florida 33525 <:::><
904/567-6047 800/562.2393 FAX: 904/567-4454
PROPOSAL SUBMITTED TO
Driftwood Condominium Association
STft.~: George Roberts, President
38303 Ironwood Place
CITY. STATE AND ZIP CODE
Ze h rhills FL 33540
ARCHITECT
DA TE or PLANS
We hereby submit specifications and estimates for:
Building "D"
04/15/93
& "E"
"E'~ (4 units)
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; color
"Cypress Tan". G.A.F. shingles have a 20 year warranty on labor and materials.
4. Replace all damaged flashings (valley, vent, or any wall flashing).
5. Provide and install new lead I:::xJots for the plumbing vents.
II
6. The existing eavedrip is to remain in place; provide and install new pre-finished
"brown" ridge vent.
7. Any rotten or damaged wood (roof deck, fascia, or trim) will be replaced on a
cost-plus basis (above and beyond the contract price).
8. MilBar Construction, Inc. to provide 5 year warranty on workmanship; exclusions:
stonn damage, work or damage done by others, tree damage, and/or structural damage
to roof deck.
9. OWner to provide access to roof for delj,very truck for loading/unloading of roofing
materials.
10. MilBar Construction, Inc. to provide General Liability and Worker's Compensation
Insurance ($1,000,000 limit) and re-roofil'lCl pennit.
lit 'rnpnJ:lt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Ei ht thousand ei ht hundred fort -five and 00 00---------------- dollars ($ 8,845.00
Payment to be made as follows:
Due upon completion.
Price Br
~~Buildin9 D
$4,422.50
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.
).
anlrlin9~
Authorized
Signature .'
(~/ --
Note: This proposal may be
withdrawn by us if not accepted within .
30
days.
{
-Ti-/~ ~
4--- / r~ .~"'"-lr.
T~ ~ c:J~
,
-- ----~
/;
(,-... " -- .-?-
Signature... U ~__r -
,
Signature~
Member of the Florida
Roofing and Sheet Metal
Association
rMJ
l~rlllttt!iul
Page No.
1 of
1
Ptlges.
,
.~
U.S. Intec Certified
Platinum Installer
'5204
~H3(,
MilBar Construction, Inc.
State Certified
Builder #CBC023221
State Certified
Rooler #CCC051562
Slate Registered
Roofer #RC0055215
Roofing' Concrete. Commercial. Residential
1719 Hwy. 301 North, Dade City, Florida 33525 C><
904/567-6047 800/56~.~393 FAX: 904/567.4454
PROPOSAL SUBMITTED lO
pHONE
Olz..~
LE
04/15/93
-[I-OZ.IA
,)7 IA
oJ
Driftwood Oondominium Association 1 /783-9300
slA\:fn: Geonje Ro~rt~~Presid~t JOB NAME
CI~~~T~~E !N~~%~ Place --------- ,~~i~~~3f(.n~nr~~~9f~~" & "E"
Zehyrhills,FL33540 _ '-"-3 O-'3~ h ~DW' P\(lc:c...
ARCHITECT DATE or PLANS JOB PHONE
We hereby submit specifications and estimatl's for:
Building "D"
Z h '
RE-ROOF - ~leS
(4 units) aIld Building "E'~ (4 units)
,'. . -, - '., ... .r"~l't!l:""'':~
1 . Tear off and haul away old roofing; clean up \o,Urk 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; color
"Cypress Tan". G.A.F. shingles have a 20 year warranty on labor and materials.
4. Replace all damaged flashings (valley, vent, or any wall flashing).
5. Provide and install new lead boots for the plumbing vents.
,
6. The ~isting eavedrip is to remain in place; provide and install new pre-finished
"brown" ridge vent.
7. Any rotten or damaged wood (roof deck, fascia, or trim) will be replaced on a
cost-plus basis (above and beyond the contract price).
8.
MilBar Oonstruction, Inc. to
stonn damage, \o,Urk or damage
to roof deck.
provide 5 year
done by others,
warranty on workmanship; exclusions:
tree damage, and/or structural damage
9. OWner to provide access to roof for del~very truck for loading/unloading of roofing
materials.
10. MilDar Oonstruction, Inc. to provide ~eral Liability and Worker's Cbmpensation
Insurance ($1,000,000 limit) and re-roofiIl~ pennit.
Dll' ilrupul1l' hereby to furnish material and labor - complete in accordance with above specifications, for the sum 01:
Ei ht thou~and eiqht hundred forty-five and 00/1-Q0---------------- dollars ($ 8,845.00
Payment 10 be made as follows:
Due upon completion.
).
Pri ~dQwn~~ildin9 D - $-LA_22..50_n___l3Uilding~...:::- $4,422...
All material is guarant~ed to he as spe. c. ified AI' wmk to be compleled in a workmanlike .
manner according to standard practices Any alterrltion or deviation. from above speclhr.il A~thonled ~
tions involving p:wha costs will be executed only upon written order~. and wilt become an 6.gnature '
extra charge over and above the estimate. All agreements contillgent IIpon strikes,. aeddents Note: This proposal may be
or delays beyond our contml. Owner to carry fire, tornado and other f1ecessary msmance.
Our workers afe tully covered by Workmen's Compensation In~lIrance. withdrawn by us if not accepted within '
~:::z// --
30
days.
Attrptuutr ITf Ifrllpllliul -- The ahovl' proces. ~pl'<:lflr~flO"S
and condilions are satisfactory and are hereby accppled_ YOI) are aulhorlzl'd
10 do the wo.rk as Specifil'~!" -~~ 'fiP as outlined above_
Date of Arcl'ptanrl': ---n--------_{-_-fS-_--_-
f
- Z ~
/ :t--/ ~
(...../ __ i -- ~
Slgnalure,~rt---Y- .,1 ~ ---~.
Signature~~ U~~
-_.~