HomeMy WebLinkAbout95-4971
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit ~
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~DI~ GCTR~ PLUMBING MECHANICAL
Property owner:h. (\ 1-.1 h J f:.,;/LL- ~ ~
Job Address:' -S~/6. nJ/!:if 7/;-- --~gRtJ.:L'-~~~
Date S- d;;l- 9S-
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of wo;;- .R ~~
A..J.
Radon Gas:
kUA..- p~~
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NO OCCUPANCY BEFORE C.O.
FINAL ::1=1
)
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#
.y~"
Inspector
Valuation or
Contract Price
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BUILDING
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ELECTRICAL /V PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel ,/ ~"v
FRM. t' /
Insul. CL-$~~ -,
WL ~ u..--
.
Tp. Serv,
Rough In ~ \/
Meter Can ~)f<../
Const. Pole \ l \ Ct ~
q'
Pool "(Ib'
Pre-Meter (b \
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
SEMINOLE FORM 596
PROPOSAL
Page No.
of
John J. Trebour
37308 Nicole Avenue
Zephyrhills, FL 33541
Pages
PROPOSAL SUBMITTED TO:
PHONE,
I
I DATE:
NAME:
JOB NAME:
St. Joseph Catholic Church
STREET: STREET:
CITY:
5316 - 11th Street
STATE:
Zephyrhills, Fla. 33540
CITY:
I STATE:
We hereby submit specifications and estimates for:
I, John Jacob Trebour, general contractor, county license #RB00033, submit
estimates for several remodeling and alterations to St. Joseph Catholic
Church rectory. I will do and complete these jobs with all necessary
help. My terms are time and material, plus 20% above cost of all labor
and material including all sub-contractors.
St. Joseph will provide credit at necessary suppliers for my
convenience. I will be paid Friday for labor completed only. Total time
to complete all proposed projects will be sixty (60) working days.
Each job will be tentatively priced as a proposed bid. At completion
of job we will settle for all monies owed.
We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of:
__dollars ($
) with payment to be made as follows:
Arlrlpnrlllm of p::I,n projp,t ::Inn ,nc;;t- lA1i 11 np on ::I c;;pp::lr::ltp p::lppr 1 i c;;tprl
as per plan. number.
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 specifications involving extra costs, will be executed only upon wrillen orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes. accidents or delays beyond our control. This proposal subiect to acceptance within
thereafter at the option of the undersigned.
days and is void
Authorized Signature
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made
as outlined above.
0-6- ;i~
I /
ACCEPTED:
Date
St. Joseph Rectory Alterations
Job descriPtion
Time & Material Estimate
I. Fix sidewalk on front of home so that it will conform to easy
access to front door (no landscaping)
150.00
2. Paint front wall with block filler where necessary and paint
where wall and window have been altered with a close match of paint.
Replace canvas awnings that were removed.
150.00
3. Place \yall next to and immediately behind and next to #2 with
pocket door in the middle. 2"8' x 68". 8' \vall paneling both sides
400.00
4. Remove three walls around attic access. Rebuild headers to
carry ceiling joist. Replace ceiling with 5/8" drywall as needed and
leave ceiling access ladder. Repair walls with 1/2" dl!'\vall. Texture
and finish to be decided by occupants.
1.200.00
5. Kitchen: Refrigerator on north wall will be moved to west
wall approximately 5' from north wall. Move and fit existing upper
cabinet above refrigerator. Cabinet will be extended to conform to
space between where refrigerator was to new location. All new
countertops to be installed and new tile to be laid above all new
counters. Refrigerator will be recessed approximately 5' into existing
wall. Tile and countertop \\-ill be occupants choice.
3.200.00
6. Remove wall at 4' from rear of building to make room larger.
Ceiling wiII have to be removed and replaced by owner choice (or
dty'\yall) Fr. Ed's suite.
900.00
Nothing in these estimates includes floor coverings. My wages "ill be
$10.00 per hour and help will be equal or less.
This is a proposal and not a firm price. as I know there will be other
changes as job continues.
Thank you.
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APPLICATION FOR PERKIT
CITY OF ZEPRYRBIu.5
BUILDING DEPARTMERT
OliIlER'S lWlI\c-St (Jas~d (Ju:J /;c aU ~LIJB giJ 1J?:)-.;if,{.d
OWlIER'S ADDRESS J;.-4) ~ ~ //~-/~~r
JOB ADDRESS c:::7A2Jloc2 ~ c;4L/~ '--
LEGAL DESCRIP'l'ION: LOT(S)
BLOClL--.SUBDIVISION
PARCEL LD.'
_Sign
-.JIove
(OBTAIN FROM PROPERTY TAX NOTICE)
pte rat ion __epair _Install
..
_Deaolish
WORK PROPOSED:-'iew Construction -^ddition
PROPOSED USE: _S~eF_i~
b/F 1-. of Units ----3t/H
_ec:-ercial
_Indust. _Swia. Pool _Other
__estaurant & Health Departaent Approval
DESCRIPnOR OF WORK: IlM~~ /~ ,/~E -
BUILDIRG SIZE: X , /,,fO() Sq~re Feet,~Height
RESIDENTIAL: ATTACH (2) PLOT PLARS Ii (2) SETS OF BUILDING PLANS & (1) SET ERERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION.
PERMITS REQUESTED
--BUILDING
$ ~ / O/JtJ, CJ()
/
Valuation of Total Construction
_ELECTRICAL
AIIP Service
Florida. Power Corp.
W.R.E.C.
--.-KECllARICAL
$
Valuation of Kechanical Installation
_PLUKBIRG GAS ROOFING
TYPE QF CORSTRUcnOR: ~loclt -LF~ _Steel
SPECIALTY
Other
FI1IISBED FLOOR. ELEVAnORS:
FT.
IS PROJECl IN FLOOD ZOO AREA!
)t
YES NO
..........................................
CORTRAClOR SECTION
RMIDRR
cotIPARY
State Cert. or Regist. .
City License Registration .
..........................................
Sisoature
COMPANY -z..-l.\. c(""L") G., ~~ c'"t - S ~flJ "-
State Cert. or Regist. . Oc,,\('\ ~t.(6.r
City License Registration' {O
..........................................
PLDMRRR. COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
KECIWlICAI. COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
APPLICATIOR APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands that this perait laY be subject to -deed restrictions- which lay be lOre restrictive than City
regulations. !be undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors 'to undertake work, they JaY 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 lisdell!Bllor violation under state law. If the owner or intended contractor are uncertain as to .bat licensing
requirBlellts laY apply for the intended IIOrk, they are advised to conlact the City of Zepbyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
-Contractor Sections- of this application for wbich they will be responsible. If JOU, as the OlDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
City of Zepbyrhills.
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 - lDeoIJler's Protection
Guide. prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is 8OII!ODa other than the
-owner-, I certify that I have obtained a copy of the above described docuJent and pmOse in good faith to deliver it to the
Bowner. prior to COIIBDCl!IBDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will -be done in COIpliance with all
applicable laws regulating construction, lOlling, and land developlBDt.
Application is hereby Jade to obtain a perait to do wort and installation as indicated. I certify that no work or
installation has CDleDced prior to issuance of a perait and that all work will be perf OIled to _t standards of all laws
regulating construction, City codes, loning regulations, and land develo(lleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gove11llBlltal agencies laY apply to the intended work, and that it is
II responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of InvirOlllelltal Regulation - Cypress Bayheads, lIetland Areas and BnvirolllBDtally Sensitive Lands,
lIater/llastewater 'l'reatlent
I Soutbvest Florida later HanagBlellt District - lIells, Cypress Bayl1ea4s, lIetland Areas, Altering lIatercourses
I AIIY Corps of lnQineers - Seawalls, Docks, lavigable lIaterways
I Departlent of Health i Rehabilitative Services, InvirODlBDtal Health Unit - Ifells, lIIastewater 'l'reatlent, Septic I_
I US InviIOlllBDtal Protection Agency - Asbestos abatBIBDt
I also certify that, if fill Jaterial is to be used in Flood ZOne -A- or -A, etc. -, it is understood that a eJraiDage plan
addressing a -COJpeDsating vol.- will be sw.itted which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A p~it issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall beCOlB invalid
unless the work authoriled by such perait is COIIBDced within sillOnths of issuance, or if work authoriled by the perait is
suspended or abandoned for a period of sil IODths after the tHe the work is co.enced. One 90 day stension of tDe, laY be
allowed for the perait with fee charge of $15.00. 'l'he 81tension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
IIIAR1ING '1'0 l*DR: YOOR FIILURB '1'0 RECORD A IO'I'ICE OF <mmICDlBII MlY RESUL'I' II YOUR PAYIIG NICE FOR lIIPROVBIID!S '1'0 YOUR
PROPIRIY. IF YOU II!IJID '1'0 OBtIIM PIIHCIIG, COISUL'I' IIIIB YOOR LIIIDIR OR D AnoRIIY BlPORB RICOBDIIG YOUR DICE OF
C(JOIDCIMIIft'. JOBS UlDBR $2,500 II VILUI DO 10'1' lIED '1'0 RECORD AID POS'I' A -IO'I'ICE OF aJIMDCIIIIIl!-.
SlAD OF FLORIDA
coum OF ,J? tl .J (: ~
The foregoing in,trument was acknowledged
before me this /fa]/,~ c2 f 19n::, by
~Jrl(, J~ /-4 Vo i/k all
who is personally know& to lie/or who has
produced A' .,AI () L.</ N
as identifi~tion and who did/did not
take an oa~J . C/.' /) (;z:
A/. ~U:/2 7' /';/ '~/<~~/
(Signature) j
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
SlArE OP FLORIDA /'/l
coum OF r tl J C /)
The foregoing instrument was acknowledged
before me this //ay U?~ , 191L hy
/
JOiN :T //,(j};Oi/r
who is personally known to me or who has
produced .:;r D
as identificatio \and who did/did not
take an oath. ~ '/<) _%
(Signature)
(Rame Typed, Printed or Sta.ped)
NOTARY PUBLIC
~~OORl8 K. PUlTZ
.~:~. MY COMMISSION' CO 808944
~~ l EXPIRES: Augutt 18, 1997
'. ',1/ ,,,.,, Bonded Thl\l NotlIIy PuIIlk: UndelWrhell
"'~~~ DORIS K. PUlTZ
l~ :.': MY COMMISSION 1# CC 308944
.=;J EXPIRES: AugUlt 16. 1997
r"if.'" Bonded Thro NolIJy PublIc UnderMl18IS