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