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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 ~b;;(';'f \.., ':d.',.i ......',.../t,~!:;:~:,,; l!f~r)~ l~"~: Q'_!;:'" ~-~, :~,' '~ r:'l~~..:.:j, )'*1 j{)2~...r;~~. !.,'"f t...::' .. ..~ . ; ,':,) PERMIT OFFICER. ~:J ~~ c ~ . ,")':.:': n ~ . ,'(,'/~ .;.. ' . \~.~ :>' '. 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