HomeMy WebLinkAbout95-5114
BUILDING PERMIT ....
CITY OF ZEPHYRHILLS permitN!
(813) 788-6611
-; _ 511t 15
Date
7-/3-r~-/
~~ ELECTRICAL PLUMBING
~
Property Owner: ~' 'y ,.
Job Add..." <3 ~/]Yff a....,
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
~::~~~~ of Wo;' lP.., E=?
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
s
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
j:;;pJ,,//
Valuation or
Contract Price ~ .3 -5& . cJ()
City License Registration # --3 7
State Certified License#
JJ;J &/L
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp, Servo
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,
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APPLICATION FOR PBlUlIT
CITY OF ZEPBYIUIILLS
BUILDING DEPARTHBNT
OWNER' S IL\KE ~~ \ 1\ 1)1\l\I \ l::1 l, J~ PHONE ,t)U4 } 52~- 1~71
OWRER.' S ADDRESS \ ~ J?>4- 9J~ ~-Tr f ~-t- ~Ax- C\+y I FL '3 ~)Sz.t;
JOB ADDRESS ~'i)lD42. . I O"-lt, ArVEN()~ Z~tt'i)C. t+J U '" PL
J ,
LEGAL DESCRIPTION: LOT(S)
BLOClL-..SUBDIVISION
PARCEL I.D.' 11- Z(.,- 2.1 . () /) \0 - oa~OD' \1115 (OBTAIN PROM PROPERTY TAX NOTICE)
Re.f>o,k- :
WORK PROPOSED:__ew Coostruction --...Addition --Alteration ~ir _Install
_Sign
--...JIove
---..oe-olish
PROPOSED USE: X Single Faaily
----.Jf/F _' of Units ----.Jf/H
_ec-ercial
_Indust. _Swia. Pool _OtJ;1er
Restaurant & Health Departaent Approval
DESCRIPTlOR OF WOlUt: 9-,,\\ \Vl~ Ie - Re . Ruk
BUILDING SIZE: X Square Feet.
(X~ ~~5>)
Height
RESIDEIITIAL: ArrACII (2) PLOT PLAItS & (2) SETS OF BUILDING PLANS & (1) SET BRERGY FORMS.
COHMERCIAL: ArlAQI (3) SETS OF BUILDING PLANS & (1) SET BRERGY POBIIS.
PROPERTY SURVEY BEQUIRBD FOR ALL HEW CORSTRUCTION.
PBlUlITS REQUESTED
~UlLDING
~CAL
---.JIECIIAIIICAL
$.
/3S'J Sl)
Valuation of Total Construction
AIIP Service
Florida Power Corp.
W.R.E.C.
$.
Valuation of Hecbanica1 Installation
-PUllBIRG
GAS
ROOP1lIG
SPECIALTY
TYPE ()F OOIIS1'IlUCl'IOR: -B1ock _Fraae _Steel
Other
P1IIISIIED FLOOR ELEVATIORS:
Fl.
IS PROJECT IR FLOOD ZOO AREAT
YES NO
..........................................
COJITRACTOR SECTION
BIJTI.DRR
mtlPAIIY
State Cert. or Resist. .
City License Registration .
..........................................
Signature
RI.RCTRYCIAII
COHPARY
State Cert. or Regist. .
City License Registration .
..........................................
Si-ture
'PI.I1MRRR
COHPAIIY
State Cert. or Regist. .
City License Registration .
..........................................
Sigoature
IlECllAlfICA.I.
COMPANY
State Cert. or Regist. .
City License Registration"
..........................................
Sigoature
OTIIRR
COHPANY . rt1, (J)M IhVlstrtA(tll)V1 \ I VlC
;/)jil-' /~ ~- State Cert. or Regist.' Rc OlJ5521S'
L.. m City Licease Registration . ~ I
..........................................
Signature
APPLICATIOR APPROVED BY
PERHIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this penit JaY be subject to 'deed restrictions' whieb JaY be lOre restrictive than City
regulations. !he undersigned asSUle& responsibility for cmpllance 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 reguired 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 JaY be
cited for a lisdeJeallor violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing
requireJellts JaY apply for the intended work, they are advised to COIIt.act the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
IContractor SeCtiODS' of this application for whieb they will be responsible. If JOU, as the owner sign as the contractor,
you are inc1icating that JOU, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting 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, bave been provided with a copy of 'Plorida's Construction Lien Law - ~'s Protection
Guide' prepared by the Plori4a Departlent of Agriculture and COnsUIeI Affairs. If the applicant is 8OII8ODI other than the
lowner', I certify that I bave obtained a copy of the above described docUIent and pIOlise in good faith to deliver it to the
lownerl prior to COII8IlCl!lll!llt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIliltion in this application is accurate and that all work will - be doDe in COJp.liance with all
applicable Ian regulating construction, loning, and land developleDt.
Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation has CDleDced prior to issuance of a penit and that all work will be perfOlled to .et standards of all Ian
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDleDtal agencies JaY apply to the intended work, and that it is
Ii responsibility to identify what actions I lUSt take to be in COI(Iliance. Sueb agencies include but are not luited to:
t DepartJent of EnvirOlllel1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolll8lltally Sensitive Lands,
Water/Wastewater 'I'reatJent
I Southwest Plorida Water Hanaq8l8llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I AllY Co11l8 of Enqineers - Seawalls, Docks, lavigable Watmars
I Departlent of Health i Rehabilitative Senices, IDviroDlelltal Health Unit - Wells, Wastewater 'I'reatlent, Septic 'I'anks
I US EnviIOlllental Protection Agency - Asbestos abatl!ll!l1t
I also certify that, if fill Jaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
addressing a 'COIp8Il8ating volUle' will be sublitted whieb is prepared by a professiODal engineer registered in the State of
Florida prior to penit issuance.
A ~it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a petlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall beCOle invalid
unless the work authoriled by sueb peIlit is ~ced within slllODtbs of issuance, or if work autboriled by the penit is
suspended or abandoned for a period of slllODtbs after the tile the work is co.enced. One 90 day ateDSion of tile, JaY be
allOlfed for the penit with fee charge of $15.00. 'I'be 81tension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sil JOnth period, or the project will be considered abaDdoDed.
WARIlIIIG '1'0 ODBR: YOUR FAILURE '1'0 RBCORD I IO!ICE OP aJlllllCIIIBII lilY RESULt II YOOR PAYIIIG nICE PORDIPROVIIIII!S '1'0 YOUR
PROPDfY. IF YOU III'fIID '1'0 OBIAII FIIIIICIIG, COKSDL! lID YOUR LIIDIR 01 U ItmIIIY BBPORI RlCDDIIG, YOOR DICE OF
~ _ $2,Y/IJ II VILIIll DO lOr mD !O IIIIllIID lID IlIIl'I I "AlIIICl or ClIIIIII:IIIIII.
#/J. L e'#I.s4uu
S"IGJII!UII: (JIJIII 01 AGm SIGJII'I'URB: COI!UC'I'OR -------
S!A'fI OF FLOR~
coum OF ;qsr CJ
The foregoing inst~ent.was acknowledged
before me this (:J- ~, 19.1.L by
()Ahc..R L 4. IleA
who is personally known to me &r WBe hils ...,
pEsduced
as id ificat'
take oa
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
GAIL Y. GRINDLE
Notary Public, State of Florida
My comm, expires Mar, 25, 1998
Comm, No. CC 368560
GAIL Y. GRINDLE
Notary PUlii\G, State of Florida
My comn'! /;;(t~ireG Mar. 25, 1998
Corr,;;< No GG 368560
\6(f) Contents: 40% Pre-Consumer' 10% Post-Consumer
'roposal
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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
Floofer #CCC051 562
State Registered
Floofer #RC0055215
j::-- / 7 '" (:?
U.S, Intec Certified
Platinum Installer
#5204
PROPOSAL SUBMITTED TO
PHONE
DATE
Ruth Reid
STREET
t
904/523-1871
JOB NAME
06/15/95
13934 - 8th street
CITY, STATE and ZIP CODE
Reid Pro
JOB LOCATION
/ tn.. l. I. (J) 10 . ;) 3 ~'DJ . D/ ~
Dade Cit
ARCHITECT
FL 33525
38642 - 10th Avenue
DATE OF PLANS
JOB PHONE
Ze h hills FL ~ './1.-
We hereby submit specifications and estimates for:
SHINGLE RCXlFING
NEW SHINGLE ROOFING (Addition)
1. Provide and install new GAF "Sentinel" 20 year fiberglass shingles; owner to
,......"...."".,..,...99!9:r...!..,.
choose
. ....~..~. ......,...:p:J;Qy:tq~ .,~c:li,I1,?t::ci,!J new .~!Cl::;]:1i,z:lg".,(yCl!!~y."c:>:r;".\:'lCl!,!....~!Cl::;h,i,z:lgl,....
(;'::""-"-^"f' \e S
,)! ...w...:P:r;9y,i,<:.l.~~c:lJ~tCl!! newp:r;~=ti,P,,i,::;h~Cl!l,lflli,:rllJlll~y~i,P::~i,t~ . C:>J::'I::>J::'9~.
..A~"~~~io~~t~~~9z:ldama~~~. r:f'" &~iifb/woik ~~eY~()t:h~~~tfree on ~~~7;~
."" "..,.. .....,::;t:r:Jl.~t~Cl!",~g~,..,.t:.9.,',J::'9c.>~.<:.l.~~.....
..,'.. ~..! ,....~~l:'Jl:)t:9P:r;c:>Yi,c:l~t:~J::'9:J::'y ..~!~1::J::'i,~, 1 5 lb. ".. ~~!t:ciJ:y=i,I1,c:ll:lc:1th~Il.~~!~c:1J::>c?c:>h
for the plumbing vents.
'sifiNGLEIlli=RooFING(EXIstlngT "
. T~' .. Tear Off andhaufaway old roofirig; clean up work area .da.Ily~
2. "..,.......Provide""arid"'.':Lnstaii""riew'....,'s"'"ib.~.'.'saturated""felt'.'paper~,..
3. .......'."'Provide"...ana.".IriStiiII...new"".'GAF.,.".'iiseriHneliim'20m'year"".'iIberglass""shIngles ~ '6Wri.er...."E6""'chooSl
color. .....~....f:;l:1:i,l1:g!f;:!f:;'ml1.:lyf;:!,.<.l.",?9,.,y~~:t:'(,lI'lt:y()l1:m!(,ll:>c:>:t:'.CiIl!J,."Il1<:lt:~:t:'~.:l!f3.,'
me 'ropolit hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
See e two
Payment to be made as follows:
dollars ($
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
Note: This proposal may be
withdrawn by us if no cepted within
30
days
Acceptance of 'roposal - The above prices, specifications ~
and conditions are satisfactory and are hereby accepted. You are authorized Signaturtl'_'
to do the work as speCified. Payment will be made as outlined above.
Dale of Acceptance: Signature
.,.,,40% Pre-Consumer' 10% Post-Consumer
'roposal
I-'age No.
2 of 2
Pages
~
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Member of the Florida
Rooting and Sheet Metal
Association
U.S. Intec Certified
Platinum Installer
#5204
@
MilBar Construction, Inc.
Roofing' Concrete' Commercial, Residential
15911 US Hwy. 301 North, Dade City, Florida 33525 <:::><
904/567-6047 800/562.2393 FAX: 904/567-4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
PROPOSAL SUBMITTED TO
PHONE
DATE
Ruth Reid
STREET
904 523-1871
JOB NAME
06/15/95
JOB LOCATION
3525
DATE OF PLANS
38642 - 10th Avenue
We hereby submit specifications and estimates for:
I JOB PHONE
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......?,! ..m?;J:::()~!~.~g,.J~~:L,:I, ,!l,E.!w.!~q."l::>.991::?,',.,:f,():r.:t:hE.!,"p!~!I'lg"yE:!I'l1::?w
""'J5.~'wm"'?:r.::()y:i,gE.!.G.lP~l.,!I'll?:f::..:iJ.J "fl~\\1""P:r.::E.!=:f,!fl!?h~'w~!1,1I!Li.,flt.Ifll",~yE:!9:r.:::i,P",.,(\Yh!1::~.w<?:r:-,"p:r:-()\\1I'l),."" .
7 .Hlyr)y.:r.:()1::1::E:!I'lg:r.:~g~w~j:r.:99:f, . ,<:l~~l ... :f,.:l,l?c:::i,~L or .1:::r:-~L will bem:r:-E:!p:L,!3.:9~m on c
cost-plus basis above and beyond the contract price.
.w...,...wu...".......w......................,.".....m...
8. MilBar Construction, Inc. to provide 5 year warranty on workmanship; exclusions:
.".."..".,."..,',.....".....?1::():pll"'~g~'mW9:r.:~w,,<?:r:-,.,.,..~g~ . <:l<?I'lE:!.",..l::ly ,g1::hE.!:r:-?I,. .,. g~..,..,~g~"...~(Jj()!".,?~c::1::l.1::I:".:l,J~gE
to roof deck.
..mu ......... ..... "'.. .................. .............w... ......... .............'....m.... ...............m........ ............... ................. ..... ..... ........ ........... .......................... ................ . .. ..... ..... ..... ...... ..... .......... .... ...................... .......... ...................... .... ......... ..... .................. ...................................................
GENERAL mNDITIONS
....... .f~...".....o;mer"'to' ..provide""accei:;s ,....for'.'2ieiivery..""trucks"."to"'ailow"'roof ..,..'!oading!Uriloadingfor.tl1<.
....,..uE:!I'lt~.~E.!,',.!<:lQ:f,C:l.:I:"~.~...,
?!uH.t1!J~Q:>I'll?1::J.::ll~1::~()I'l/:I:I'l9.uu1::0P:r:-C?y~<:lE:! Generalg!3.:1?~!~1::Y and Worker I s .~~!3.:1::~C?r
Insurance ($1,000,000 limit).
.r propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
TWo thousand four hundred thirt -four and 50/100---~-------_______
Payment to be made as follows:
Due u letion.
dollars ($ 1., 434.50 )
37 z.. 7C;J 2.S'1 rd 1\'loU
iJ.2.I'OD7.2U/~
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 Authorized
involving extra costs will be executed only upon written orders, and will become an extra Signature
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.
;: tI#d _
30
days. .
~,
~
Acceptance of 'roposal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signat
to do the work as specified. Payment will be made as outlined above.
/(
Date of Acceptance:
Signature
/
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