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HomeMy WebLinkAbout95-5030 BUILDING PERMITNI! CITY OF ZEPHYRHILLS Permit. (813) 788-6611 ~~-503Q t5 Oat€! ~ -/6 '9'..S- & ELECTRICAL P<operty owne"ll~--I Job Address: t h /R- 6 6 ~ b PLUMBING MECHANICAL Sewer Conn Water Conn: ~L t?y~-'1 a- Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Energy Code: Description of Work ..- k 1/1 ~ 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 City License Registration # State Certified License# <.S7 Permit Fee ~ < -... cJ-V Signature ....:3~ '+?t. .~ Company Address Telephone# Valuation or Contract Price ~- 6 I f-- P'V / Ji1 ;I & BUILDING ELECTRICAL PLUMBING MECHANICAL - Ftr. Pre SL~ ~ Lintel ~ FRM. (o-Z;l~'1'; Insul. CL WL rlL,<- Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 OWNER YA.NC1~ L. MILTl'lN J ml~~ l0f-,l::.-rRllLTI\)NJ \t-J( \'0':) II LJ ~. 3()lr VnA-t. {\~ I {::L ?i~S zS' PHONE aD4j 6/'07-&14-1 :bRIF1~1)1)~ 1\/J~i>lVl\"\lJW\ k(()L\RT10N APPLICANT ADDRESS JOB LOCATION lnlq IS - (/J1.4 zG, LEGAL DESCRIPTION: LOT(S) A b pt',,\ COlA rl- LOT SIZE x AREA SQ. FT. BLOCK SUBDIVISION ~e- 1(0".~ WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install PARCEL 1. D. # ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4~ of Units ,____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. ~BUILDING $ f). {,It?>. ~ I . PERMITS REOUESTED (32~~) Valuation 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. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Sirznature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Signature Company --1Yl\ lh1r fClI'lf.\rurt-ii)f\ I \ 111 <- State Cert. or Regist. # RL ()05SLIS City License Registration # 31 OTHER ~O[)-rl~a ,} ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit -lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes 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 MOrk, they lay be required to be licensed in accordance with state and local regulatiuns. 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 fDr the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the "Contractor Sections" of this application for which they will 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent 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 cOlleocelent. 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 MOrk and installation as indicated. I certify that no work or installation has cOllenced 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 governlental agencies lay 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: . Departlent of Environtental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida WatEr "anaoeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enoineers - Seawalls, Docks, Navigable Naterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental ProtEction Aoency - 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 "colpensatirrg volule" will be sub.itted 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 perlit prevent the Building Official frol thereafter requiring a correction sf errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by suchperlit is cOltenced within 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 work is cOllenced. One 90 day extension of tile, lay be allowed for the per.it ;Iith fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An approved inspertion aust be logged during earh six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Co""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF 7~D]fRd;l DO ~T ~EO TO ~~ rom ~z O']";dt- SIGNATURE: OWNER OR ~3ENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF P I\<;,Li:J The foregoing instrument before me this \~ Jv.V\@ was acknowledged , 19 ~ by STATE OF FLORIDA COUNTY OF "VA.(,.( 0 The foregoing instrument before me this l6~ ,\.tvH' was acknr.wledged , 19~ by ~OVl~ L. t{\~ \-\01\ who is personally known to me or who has produced ~ lIr- as identification and who did/did not 'O:pK' ~ (Signature \)A-NL~ I " ('t\ \tro~ who is personally known to me or who has produced l-J ~ :~:o~o did/did no' (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLIC DAVID 'R. ABLA Notary Public. State of Aorida My Comm. Expir>>$ Aug. 23, 1998 Comlf.i. r{o.. C(:, 4tJ2S01 DAVIt) R. ABLA Notary Public, State of Florida My Comm. Expires Aug. 23, 1998 Com.:. Nt:: GC 402501 H~l..Y.....Lt:U t-'At"t:.H Contents: 40% Pre-Consumer. 1 O~/Q Post.Consumer ..4---~ {lroposal Page No_ 1 of 1 Pages .~ IT / 7.5~ 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 ex 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 PHONE DATE Driftwood Condominium Association sTMtn: Henry Cop:>lla, President 38350 Ironwood Place CITY, STATE and ZIP CODE 813/788-2712 JOB NAME 06/09/95 DATE OF PLANS Driftwood Condaniniums JOB LOCATION 6618-6626 & 6617-6625 Aspen Court JOB PHONE 2 Bldgs. FL 33540 Zephyrhills, FL We hereby submit specifications and estimates for: SHINGLE RE-ROOF - 2 Buildings 6618-6626 & 6617-6625 Aspen Cburt Tear off aridhatilaway old roofingf clean Up' work' cfreaaaiTy'~ .....T~ .......2:..... ....Proviae....arid...instaTr..new..30.Ib.~......satW:'ated....felt....paper~... -3:" ._.Provide.....aridIiiStaTI newGAF .....Ilserttihelft ....20 year fiberglass "shihglesjCblbr .to-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-finishee .. .tfbrbWh'~ridgeVent~. 7~-Ahy-rbttenbr ..dartJagoo wood (roof' deck, fascia,ortrirnl -. will .. be replaced -on "'co cost-plus basis above and beyond the contract price. 8. MilBar Construction, Inc. to provide 5 year warranty on workmanship; exclusions: ....stormdamage, "'workordamage done by others, tree "damage,and!orstructuraldamag( to roof deck. 9. owner to provide access for delivery trucks to allow roof loading/unloading for thl: . 'entireroofarea~' lO~-M11BarCOnstruction, ... Inc'~' ...to . . provide "GeneraILiability ....and Worker1s-eompensatiol Insurance ($1,000,000 limit) and re-roofing pennit. me 'ropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: ed thirt seven and 62/100 dollars ($ 11 ,237.62 ). Payment to be made as follows: 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, tomado 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 'roposal- 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 Y/~r~ 2. Date of Acceptance: Signature f