HomeMy WebLinkAbout95-5029
BUILDING PERMIT _-..
CITY OF ZEPHYRHILLS permitN! i 502Qij
(813) 788-6611
Date 6 -/ b -9r
@ ELECTRICAL PLUMBING MECHANICAL
P,opertyOwne" ~~/ ~
Job Address: b 6/ - a-
Parcell.D. #
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of worr-R ~
Energy Code:
~7
Radon Gas:
FINAL
C.O.
c)
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
DATE
L1 ~
Inspector
Permit Fee ~~. de:)
Signature ~3~ :;>Q....~
Company
Address
Telephone#
Valuation or /"..
Contract Price --.:> t:. / r" Ql)
/
City License Registration #
State Certified License#
/ll./ll3dA.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Serv.
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
APPLICANT ~iW\(~ \ NL \~ J {VL \t:Bf" {)l'hAbtfU{ h~Y\ \ \Vll
I
ADDRESS \ 5 S \ \ Ll, So. 30 \. ~A.Q C '-~ \ k 33C1Z-t:; PHONE
'" () - A
OWNER ,\ r\~.A)I)utl D",dOW1\lIllLU/Vt SS~ln:r;lY1
JOB LOCATION <Dull" l1ll.DlS A~li"v\ (OUr-+ LOT SIZE X
;x)4-) f161 - IOD4- I
I
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.~~
Kt.Roof
WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install
_Sign/Temp.
_Sign
_Move
~emo1ish
PROPOSED USE: _Single Family
_M/F
_# of Units
_M/H
_Commercial
_Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
X
Square Fee t ,
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.
.2C:'BUILDING
$5111l\~ Sl
PERMITS REOUESTED
(H~t' Naluation of Total Construction
____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
Si2nature
Company
State Cert. or Regist. #
City License Registration #
******************************************
F.T.F.CTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Signature
Company N\\\&r G>Vl5.iYIAltll)\'\. \"'L
State Cert. or Regis t. # ' 'KC ()bb5 Z\ S-
City License Registration # -:\.
OTHF.R Koo F-l N (~
******************************************
APPLICATION Al.fUJlfEILBY
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l!f~r)~ l~"~: Q'_!;:'" ~-~, :~,' '~ r:'l~~..:.:j, )'*1
j{)2~...r;~~. !.,'"f
t...::' .. ..~ . ; ,':,) PERMIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .ay 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 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 Zephyrhills Building Departlent, (B131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for whicb tbey will be responsible. If you, as the ONner 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 - Hoaeowner'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 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 cOlaenced prior to issuance of a perlit and that all work will be perforled 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 governaental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
f Departlent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaqeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental 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 '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, Dr
set aside any provisions of the technical codes, nor shall issuance of a per.it 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 eOlleneed 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 cOI.enced. One 90 day extension of ti.e, lay be
alloNed 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""ENCEftENT ~Y RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
C~~ . JOBS k .2;/:;;; ~B ncrBHD mz ~7;~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF PAblO
The foregoing instrument was acknowledged
before me this ,~'"" .~u9~ by
~)!v\(L L. M\ \h~
who is personally known to me or who has
produced 1\\ A
as identification and who did/did not
t.a~~K. ~
(Signature)
STATE OF FLORIDA
COUNTY OF ~~~
The foregoing instrument was acknowledged
before me th i s \~"'- "\\A.YHL , 19 ~ by
~,*-(L L \vt\~
who is personally known to me or who has
produced ~Ar
as iden~~~~tion and who did/did not
tat)n~re. ~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
DAVID A. ABLA
Notary Public. State of Flerida
My Comm. Expiros Aug. 23, 1998
Comm. No. CC 402501
(Name Typed, Printed or Stamped)
NOTARY PUBLIC DAVID A. ABLA
Notary Public, State of Florida
My Comm. Expire~ Aug. 23. 1998
Comm. No. CC 402501
,,-",,--' t1t:.L,;Y(,jLl::.LJ j-IAr-~li
~,6> Contents: 40% Pre.Consumer. 10% Post.Consumer
_ /C"-:~.
tJroposal
Page No.
1 of 1
Pages
~
IT/7jy
Member of the Florida
Roofing and Sheet Metal
Association
~
MilBar Construction, Inc.
Roofing' Concrete' Commercial' ReSidential
15911 US Hwy. 301 North. Dade City, Florida 33525 0<
904/567-6047 800/562-2393 FAX: 904/567"4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
U.S. Intec Certified
Platinum Installer
#5204
PROPOSAL SUBMITTED TO
Driftwood Condominium Association
ST~t.n: Henry Copolla, President
38350 Ironwood Place
CITY, STATE and ZIP CODE
PHONE
DATE
813/788-2712
JOB NAME
Driftwood Condaniniurns - 2 Bldgs.
06/09/95
JOB LOCATION
DATE OF PLANS
6618-6626 & 6617-6625 Aspen Court
I JOB PHONE
Zephyrhills, FL
FL 33540
We hereby submit specifications and estimates for:
SHINGLE RE-RCXlF - 2 Buildings
6618-6626 & 6617-6625 Aspen Cburt
.... "'Teareff a.ridhauTa.wayeldroofirigfcleariup W6rka.rea.da.iIY~
UT~
"2~ 'Previdea.ridiriStalrriew30Ib~sa.tura.tedfeltpaper ~
w'3~wPfevia.ea.rid "'iriStalln.ewGAF .. ..ttsentinel'~ ... 20' . year . .. fiberglass" . shingles feeler ..... tow bE
"Cypress Tan". GAP 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 existing eavedrip is to remain in place; provide and install new pre-finishec
w ... ..wwttbreWh'~ridge . Vent~
... '7~ ..... ....Ahyrettenerw damagedwoodw (roof ..... deck, ... fascia, .. or ...trirnlwi:llw be wreplacedon We
cost-plus basis above and beyond the contract price.
8. MilBar Construction, Inc. to provide 5 year warranty on workmanship; exclusions:
.... "'stbrmdamage,work or damage . done by others , tree damage, 'andlorstructuraldamagE
to roof deck.
9. Owner to provide access for delivery trucks to allow roof loading/unloading for thE
.. . ,wwentireroofwarea~ .
10~wM11BarConstruction,Inc~' . .to .... provide .. . General'"Liability "andWorker's'Ccxnpensatior
Insurance ($1,000,000 limit) and re-roofing pennit.
me 'ropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Payment to be made as follows:
dred thirt seven and 62/100
-collars ($ 11 ,237.62
)-
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 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 Workman's Compensation Insurance.
Authorized
Signature
ad
Note: This proposal may be
withdrawn by us if not accepted within
20
days.
~.
~
Acceptance of t9roposal - The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specifie Payment will be made as outlined above.
Signature
~ ~~
91 ~// c; ~ ~ /-.:- .
Date of Acceptance:
Signature
,f