HomeMy WebLinkAbout94-4461
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BUIL~!t:~~HY~L~RM!,! m _4461P
(813) 788-6611 Date, /1-- /t:J~7~
Property Owner:
Job Address:
Parcell.D. #
~c PL~-.. M~'SewerConn
,!Jf)}7/}/~~~ji e~tfts ,~
Water Conn:
Water M..E!jer:
T.I.F.'s:
Zoning:
Description of Work
FINAl~?. - / tf'-l
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C,O. _
All work shall be performed in accordarce with City Codes and Ordinances.
DATE
Inspector
Valuation or A ~ C- .., / ' o~
Contract Price ..ll-- ~ 7 ~~r.a
C;ty Ucense Reg;s"at;on' & 'I ?o~~
State Certified icense# !JV
Permit Fee
Signature
Company
Address
Telephone#
,~~
~
AL
G
Ftr.
P,e Sl~ 5
Lintel - l..\
FRM ,; ,
Insul:~~~ i
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
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
APPLICANT ---..b\.\t~a.V"" Ct'l~trl1c+~V\ ~ \~.\(,..
. -Dad~
.
f~ j FL 33sz.s-PHONE
~)4\ 5u1. (d)\-1
I
ADDRESS \'5~\\ . U, S. 3D\
OWNER ~IfI(lr(. \VLL
JOB LOCATION ,)<6t DD \OWV\v\e l.A.)
b\~ tt-1..
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. #
3t;;.z-r::,- 2...\. I)llll1' 1')9'1[)f)' Ou\U
WORK PROPOSED:____New Construction ----Addition ----Alteration ----Repair ____Install
____Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_4~ of Uni ts
__M/H
_Commercial
_Indust.
_Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
~ECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
ET.ECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
SilZIlature
PLlJMRER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
~-/!. !II-~
Company ~\\\ \ \) d( ( 6ltS. +. \ \ I'\. L
State Cert. or Regist. 4F . if Rc...oo~S2-l<;"
City License Registration # '37
OTHER
'-
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit .ay be subject to .deed restrictions. which lay be .ore restrictive than City
regulations. The undersigned assuaes responsibility for cotpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be
cited for a tisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to ~at licensing
requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
788-6611.
"",
Further.ore, if the ONner has hired a contractor or contractor~l he is advised to have the contractorlsl sign portions of the
.Contractor Sections. of this application for Nhich they Nill 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 .ay 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 Nith a copy of .Florida's Construction Lien LaN - Hoteowner's Protection
Guide. prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is so.eone other than the
.0Mner., I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the
.0Nner. prior to cottencetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infortation in this application is accurate and that all work .ill be done in cotpliance .ith all
applicable laMS regulating construction, zoning, and land developtent.
Application is hereby tade to obtain a pertit to do Mork and installation as indicated. I certify that no work Dr
installation has cottenced prior to issuance of a pertit and that all work Nill be perforted to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and that it is
IY responsibility to identify what actions I tust take to be in cotpliance. Such agencies include but are not litited to:
. Departtent of Environlental RequIation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater Treat.ent
I Southwest Florida Water "anaqetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departtent of Health ~ Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks
. US Environtental Protection AQency - Asbestos abatetent
I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
addressing a .cotpensating voluae. will be subtitted Nhich 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 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 perlit issued shall becote invalid
unless the Nork authorized by such pertit is cottenced Nithin six tonths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six tonths after the tile the work is cOllenced. One 90 day extension of tite, tay be
alloNed for the pertit ilith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six tonth period, or the project will be considered abandoned.
WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~T. JOBS UlmER $2,500 IN VAlUE no NOT MEED TO REcnRD AND POST ~.OTI E OF CO""ENCEHENT".
,~ ~ II1dJ .. · i #/d-
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
to me or who has
STATE OF FLORIDA
COUNTY OF ~,5CO
The foregc' i ng in~tr;'tment
before me th i s/t)!!> IIJdtL.
()I4P1~~ t- /{1/0-.
who is personally known
produced
as identificatiol
take
was acknowledged
, 19~ by
STATE OF FLORI~
COUNTY OF . 5C' .)
The foregoing in5tr~jP~ was acknowledged
before me this /O'lL/)(J, 19~ by
to me or who has
who did/did not
did/did not
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
GAIL Y. GRINDLE
Notary Public. State of Florida
MV oomm, expires Mar. 25. 1888
Comm. No. co 8888eO
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
GAIL Y. GRINDLE
Notary Public. State of Florida
MY oomm. explr.. Mar. 25, 1888
Comm. No. CC 8S8&eO
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Mer:fmber. FloriOa
AoQfing and he8t Metal
u.s. Intec .tied
Platinum installer
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~rn.pnsal
Page No.
1 of 1
Pa~c'
MilSar Construction, Inc.
Roofing. Concrete. CornmerdaJ . Residenlial
1719 Hwy. 301 North. Dade City. Florida 33525 C>c
9041567-6947 · 8001562-2393 . FAX: 904/567-4454
Statlit Cer1iti4ild
Builder #CBC023Z21
State Certified
Rooter ICCC051562
State Registered
Rooter'RC005S215
PROPOSAL SU8MITTi;O TO
DAH
11/01/94
lbwnview APartments ~\1, ~
JOB LOCATION =----1 .~ .
OATE OF "LANS
e . Is
... .~~ h~~b~ SU~~~~ Specifidtoo~s a~d.~stimates lor:.. ...... RE-RXP _ _~.J.~ .
:t',~~~~,!~~~::if~~~~~Y;
: ~':"-~dS 'aiK3j instaif60' 'of ne;jp%-8::fin1Shed -aiuminum'ridge vent.
.4-':--PiWide' ami inStallnewOO'-Jlsen8."nel" '2oi8ai fiberglass shingles; owner to chooSf
..eoJ.~~_~I_~~les ha,ve a_2.0. .Y~~~~y~. lab?f,~ materials.
:: ::~::: =~: .:~~:: :~~lasldng).
;;:;~_."--~~~. ~l install new ~~~~~~-'~~um eavedrip; owner to choose color - whitt
3>-'-:::="1.,.. ,damaged -, (~.~,.fasc1a, or trim) will be replaced on
. 9:-- ==~~:; :~ ::=:::~anty on ~r~p; e=lusion.
-.--.storJU damage, work.. or ~ ,done by others" tree damage, and/or stxuctural dama...,
: to roof deckj. - ,
'10~'..' cMn~.: 1,;" ~*i&-;~~s fof--deiiWry trucks to allow roof - loading/unloading for thE'
, ., ,., fmwe rQO~ C:.,:: . . .
'~"~"~~f,t~~~~:"~=i~:.~~~~;~~'~~tl~
'~. .'. ..' , '.
"Iii' JrnpDsI hereby to furnish materi~.1 and labor' - complete in accordance with above specifications. for the Sum 01
., ,i ve thousand fi J h.uOOred twant -six and 00/100---------_________ dollars ($ 5,526.00 ~) .
. yment to lit mad. 1$ to 10 $:
I ,
. letiOn.
l
. AU materiil Is ,uarantMcl to b4 I lpeeilied. A" wotk to be completed In a workm..nllke
, man..... ~oIcIin. CO 'tandal'd pr;actlcn. Any altelalion or devialion from above SpeCi1lCil'
ticN!$ inYOlVin8 extra coats will ~ f1"cuICd only upon wrlttell OI'dCf$, and will beCOonfl 1111
tlCtril cn..... OVtr and alia... tl1a ..timlttv. All all_m..nta continllent llpotl lltri...... accidents
. : or de. beyond our control. Ow~'" to cerry fi.... fOmMO and otn.r nec:...;uy in"''''ne..
, Our woridor'$ e,.. fully cOYtred by I rflmfln's Com~n"lj"" '"llIrene..
)" I .
, ... . ' I
,Atttptaut, .of ',U.pOSal-The above prjce~. Specifications
:.an(ll;Ondition$ a,. Sltisf.cto and are hereby .cc:.ptcd. You are authorj~ed
to do the WO:rlc as'specifie<!. yment will be made: itS outline<! abovlt.
-9
Authorized /./.- '-?" Y)1"'//5F2.", ~'J
Signatl.lre - f/4#L/V ~"..~_~/.
Note: This proposal may be:
withdrawn by us If not accepted within _, 30 days.
Oilte of AccePt.nce:
\.. ' '
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