HomeMy WebLinkAbout95-5256
BUILDING PERMIT -
CITY OF ZEPHYRHILLS Permit IV!
(813) 788-6611
j~525Q !3
Date
,9-~--9~
~ ELECTRICAL PLUMBING
:::::~,:~.=sf~~ /:9 ~~.
Parcel 1.0. #
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of Work'-- K~ .A.LJ7>/"'
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
'--
Perm;' Fee ~.~
Signatur~ ..~ z::u. ~
Company
Address
Telephone#
Valuation or
Contract Price 1,:5 96. tJ1)
City license Registration # /9 ~
State Certified License#
a4J~:~ /~'W"'A
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Ftr. Tp. Servo
Pre SlB Rough In
lintel ~ ([is Meter Can
FRM. ~~ ._ Cons,. Pole
Insul. Cl_ ___" Pool
WL Pre-Meter
13 (L~ 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.
I,
. I, l
ArTT.xCATtnw Fn1l I.'1mtfIT
C'lTY OF ZEl'IID:IIJ..LI
B1Jt:I.D111C DEI'AlttHmrT
0IfIIEIt '8 IIAtII
Gt..O&I.p CH I PoNt'"-
ftIOItB
~04 -5& .1- ~!'+ ~
onJDl'S MDt_it.. ,37.3~o. Q~fWCH: I JA/ LF V LA:t"4 i:.
.f01 ADDUSS
. "">."-.L ~ 1::1 -r H ~;R-'
UGAJ. DacRIftIOI~ urreS) . . ~uaDlnSl0.
PAIlCRL t. n.' II - c1 " -;;( l - (1) 1(;) - I c> ~ 19 0 - 00 ~ 0
WOK PItOPOSBD.---.Jev OOIlAtructiOll --.Addith"'l ----..Altere.tion I I ~epair
TftataU
PRDPOI'W ...
-1it&n
; ~lft&le ....UY
~e
~lUh
..
If/F
_' 0.1 Units
-.JC/R
_~reW
Tndr.st. _S,d.ll. Pool
other
....tew:nt . RMlth Deperbleo.t Approval
IUILDIlIG SI.ZJ:. I
x
.
$quare ref!:t.
lff!:t8ht
.RP..SIDEIf'tIAL. At'lAaI (2) PLOt' FtAJIS Ie (2) Sag OF 8UllJJIHC PlANS' (1) SKI' bERCY PORtIS...
COItItItRCIAL. ArrACII (3) SB'I'S OF "DlJ..Dl" P1..MS I: (1) SET EIIERCI f'OlttfS.....
..00", OF ~cr RIqUJJUID.
!
-'U1lJ)I10
.. 1 ~~q~. tJ7iI
PDIIlTS ~RfU1It~rtm
VAluatiOll of Total C"..on9t.rdrtion
Rl.I!:Cl'I.lCAL
.
.
MIP 5ervle:e
Florida Power Corp.
If.R.II:.C.
~CAJ.
~DfG
..
Valuation of Heebaniea1 Installation
CAS
/" JIOOFtIIG
SPECIALty
. nn or OOJSUtUCtIOW. _____lock -JrM4!! _Suel
Other
PI1IlSIID FLOOJl ItLItVAUo.s:
Ft.
lS PRD.JEcr IJf noon ZOME AREA t
..............................................
. YES NO
JWl'RACfOIl &ECTlQ.
CQfPANt: _
State Cert. or Reei9t. .
City License Regtstratioa ,
.....~....................................
rr
\" X
\'1)
. IJTII.DER
Slgnat:u:r.e
IWtCI'RtCI.AII
aNPAItt,
StAte cect. or Regist.l ,
City License Re81otrotion ,
..............................................
Sill'RAture
PLtIIBER
S ignatnre
aJ!Il'AJIY
" StAte! C".4!Tt. or R...~h;t:. .
city Licen~~ RCAlotretion ,
............................................ .
1lltaWlICA\
CUlIFAft
Sbkte cert. or Re~5t. f.
. . City Li~~e Reci8tr~tlnn ,
..........................................
~
S iRlUl ture
-
fJI1fP.R - l<OO1"~N I~/~;." C(JftPAlly (}L.A~5IC ~om~~ f ~/J. ~'''I c..A2Xuv.
. /II State C@rt. or Reg15t. , ~ c..c;. co o.J ~ B loCo
Sipatt...J:f: . .. ~.. / '"'7 City Lic~~e RegIBU:ttUOn. , ,q .Q.
, ............................................
APPLlCADO. UfIlO~ZiU BY
I,
PEItIUt OFFICBIt.
~. -. CONbITJONS OF ~ERMri A~~IOAVIT
A. ~~I1C~ pF DEED ~~TRICTION~
Th' u"de~sl,nfd undtr,tandl thlt lhl~ ,er.11 ..., b~ ,uhl.ct to 'de.d r!llrlrtlftn,' Whlth I'Y bl IGr' re.trletlve than Clly
t,tul,tl'nl, Thl un'.'II,n.' "'0'1' "'ponslblllt, for tOlpll_net "lth Iny .pplltlbl' d.ed reltrlctlDns,
e. UNLlCEN~~Q ~QNTRACTORS AND. CQMl~ACTOR REs.PONSIaILITl~
I' 'hI Own.r h.. hlrl' I cenl,.tt&r Or contrlctor. to und'rl.te work, th.y ,.y bl '@qulr@d to be ltce"l.d In Iccatd,nt. .'th
st.t. and Ile.1 "lu1.'ionl, If Ihl COftt"tt.r II, not llcenled .. required hy I'M, both thl o.n.r Ind contr.ctor ',y be
elt.d for I ,lld"'llOr ,lll.tlon Inder It.tl 11M, I' th. own.r Dr intended cont~lctor Ir. uncl,tlln II to 'hit IIC,n""9
requlr..ents "y .pply fot th. lnt'nd'd work. they Ire Idvls,d to rontact the City or 2,phyrhllll 8u'ldlng DIPlrt.ent, r813J
78B-66Il.
,
Furthtr..rl, if thr oln., ha. hlrld I contractor Dr contractor., hi I. Idvlsld tb h.vi the contr.clDrelJ Ilgn ,ortlonl ., tht
'CGntr.c'., leetlonl' If 'hit .ppllcatlon for which they will bt re,ponslbl., If you, 11th. ONn.r .IO~ .. the tontrlctor,
you Ir. lftdlr.tl", thl' you, rather thin the tO~'tlt'ot, If. responslbl. for thl wori, I' the tontrlttor .ishe. you to IIVn
II con'rlctor thlt a.y .. II Illlt"ltn thlt ~I I. not proplrly licensed Ind Is not @~tl'lld to ptr.lttlno ~'l,lltg.s In 'h.
Clt, .t Z.ph,rhllll.
c. JRAMSPORTATION IMPACT .J:I;!iS AND UTILITY CONNECTION FEES
o. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I cfrtif, th., I, thl .,plltllt, haYI '"n ~rD,ld,d .lth . copy of 'Flor'da'l ton.truetlon Lli" La. - MOlle,n'rll Pr6tlctleft
Suld.' prlpat.. " Ihl florlda Dlp.rtllnt"f A9,lcultur~ Ind CO~luI.r Aff.lr'. If thl .ppl'tlnt II 101'on. ,thtt th,ft th.
'Gwne,', . c.rllfy lhl' I hlv. ....lntd I tDP, Df the above dtscrlb.d dotu.ant .nd prolll' In IDOd filth tl .,ll~'t I' to 'hi
'o.ntr' ,rlor t. cOlllnc..tnt.
, E. CONTRACTO~'QlQW~~~S AFF,IQAVIT
r ctrtlf, 'h.t all thl Infor..t'en In lh't ."IIc.tlob I' _tCUrlt, Ind thlt III M&r' _111 bt don. In tD.plllne. with III
Ippllclbll 1... ",oletlnt construction, lonlng, Ind Ilnd dIV.lop.lftt. .
Appllcltleft it htr.hy .,d, to ohl.ln I plr.lt to dD Mork and Inltaltltlon at Indlrltpd. I ttrtlfy th.t nD work Dr
Inltlll.tlDn hit CDallnCld prior to Ilsuanct of a per.lt Ind th.t .11 Mort .111 b@ pprrnr.'d t6 ...t 'tlftdlrdl of all II.'
rlvulltln, conltru~tlon, tlt, CDdl', lon'n9 rlgul.tlonl, Ind llnd dt'IlopI,nt rfgulatlonl 'n 'hI Jurlldlctlon. I 1150
certify thlt I understand thlt 'he re9ull"onl of ether govern.tntal .4pnrll~ I.y apply to the Intend.d .ort, Ind thlt It Is
IY fl.pon.lb'I", to Idlntif, whit .tllDnl t lust tlke to b. In cOlpllant', 9"th Iqt"cl.. Include but It. not 1lllt,d tot
, O'tlr'l,nt of ~lron..nl.1 ~llull'l.n . typr,s, IlyheldB, Metland Artll Ind Envlron.,nt.II, g,nslttv. llnds,
U.tlr/M,steNlt,r lrelt~'nt
, SouthWllt FI,rlda Uettr ~"OIJt.eftt.'lstrlc' - M.lls, Cyp,ess layhl.dl, N,'l.nd Ar'II, Att.rlng uatercout...
t ArlY CorDI or EftDlnllr. - SIIMlll.. 'Otll, "avlQlblt Nater"IYI .
. Or~lrtl'nt Df "1.lth , Rlh.blllt.lIYI l,r,lell. (nYlron.lntal "lIl~UD}t - Willi, WIst'"ltlr l"ltl.nt, 'Iptlt tlnks
. US En,lr.n..nt.. Pr.tl~'lon Alency - ~,bl'tol 'b.t..,nt
I 1110 t.rtlfy that, If fill I,t."., II ,. b. used 1ft FI.od Zont 'A' or 'A,ett,', It II und,r.tDod thlt I dra'nl" pllft
Iddrlsslnv I 'fD.,lnll'ln, yolu.,' .111 b, IUbllt',d which 't prepared by I prof'lslonel .",Inl" rIV'I'ere. In the Stlt. of
Florida prlor t. p.ralt "Iu.ne..
A p,rllt l'sued Ih.11 bt conltrut' to ., a llt'n,. to 'tOtted with th. "Drk Ind not .& luthDrlty tD vlolatl, tanttl alt,r, or
Itt IIlde Iny provision' of th. t,thnlcII cod't, nor Ih,ll llsulnr. of . p,r." pr,vent the Bulldl"O Offlc'll frol th.ttafter
r'qulrlnv I forrlctlo" of Irror. in planll (bn'ttuct,o~, Or vlolltlDns I' Iny tod" Evtry plrllt lleu.d Ihlll b't", Invllld
unlll. tht I.r' .uthorll.d by .urh p!rllt 11 [oll,nc,d .Ithln II. .onthl of Issuant., ~r if ,Ot. .uthorl!.d by tht p.rllt ,.
lusptnd.d ot .b.ndDn.d for I p.rlDd If Iii lonth. aft.t thl tll. lhl ~or' I' [~.I.nc,dl On. 90 day t.t,n,lon ., tl.., I.Y b.
allowed 'or 'h. plr.lt 11th fl. ch.r,1 ., '15,00, Thl ,.ttns'on Ihlll .. r,qutst'd ln .,Itlnt to the Building ortlclll. Aft
approvld InlplctlDn Iblt bl 109V" 'urln9 tlch ... 'b~th p.rlbd, ~r lh. ptoj~tt will be conslde,.d .blndo",d. .
VARNING to ONNER. YOUR tAILORE to ArCORD A NOtlte ot eOKftENtrftENT ftA' R€tUlT IN YOUR PAYING TNICE FOR I"PROVE"ENTS lO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN tIMANCING, tONSUlT WItH YOUR L~NDER OR AN ATTORNE~/tEroR INO YOUR NOTICE or
tD""~~E T. JO.9 UNDER.2 00 1M vAtur DO NOT NEtD to RECORD AHG POST A 'Nblle ;ot CO""ENtE"ENT',
" I.'~
v/~~
AT.Tt or rlOJlLDA
eMlY" '<~ l
The 1or.901n9 in.t~~ryl w.. .~knowl.dg.d
bwfDr. m. thl_ ~,19~ by
~na~.. or who h..
producl'd N Pr . _
a. ld.ntlfle.~lon And who did/did not
ta~k" an ath. I? A'..J-J- .
--~\'k
( gn,tur.J
STATt OF FlO~
COUIITY O~ ~. 0
The forego ng lnctrum.nt wa. .cknowledged
before me thlc ..;2..s~ 19~ by
21~~-.K: ~..
~ho lis Pltr-.r.;.i"lY'C11own 0 me or who ha.
pl"&dUeRd _ ~....
.. ld"ntiflcatl~n and who dld/~d n~t
t~~,~
(SlgnAtur@)
"".....
(Name Typed, Pr
NOrARY PUBL.IC
or t.ma~ ARmON
Notary PuNic. State of Rood'
My Comm. Exp. Sept. 28. 1998
Comm. No. CC 409908
(N.me Typttd,pd
NOT AftY PUDL Ie'
etampe".)BRmON
N~'~ry PutJlic. State of FIoItdI
My Comm. Exp. Sept. 28, 1998
('omm. No. CC 409908
~ .-r.-......:'.....,.'l"'":-t
L~
~~A~~!~By~2 ~ES-'--POiio~-1474 ; Dod~Cit;.FL335-26-;(904) 567.5143
PROPQ$llk__SUBMIT~ED TO:
Contractor License No. cn co 36549
Roofing License No. CC CO 42866
Gloria Chiang
5619 12th Street
Zephyrhills, Fl. 33540
Phone: 567-1367
313d.,O l2f\{I,~'\ \<
V QLU1) L. ~--:-r\
~(./ V~?~\
DATE Septembe~ 25, 1~~~
PROPOSAL No. P-95077
We hereby propose to furnisll the materials and perform the labor necessary
for the completion of re-roofing house.
1. 15# felt, aluminum eaves drip, 20 year GAF fungus resistant fiberglass
shingles, galvanized flashing, and lead boots.
2. Classic Homes to provide General Liability and Worker's Compensation
Insurance.
3. Contract to include all material, labor, and permit as stated.
The above work will be for the sum of: $1,396.00
All material to be as specified. All work to be completed in a workman like
manner according to standard practices. Any deviation or alteration from
above specifications involving extra costs will be executed only upon written
orders and will become an extra charge of $100.00 per each change order plus
the cost of doing the work. All agreements contingent upon strikes,
accidents, or delays beyond our control. Owner to carry fire, tornado and
other necessary insurance.
PAYMENT to be made as follows:
To be discussed at time of signing of contract. A monthly 1.5% will be
charged to any unpaid balance aft~r te~ms, then every 30 days thereafter.
I .-
, ., /'
Respectf u 11 y S ubmi t ted --L__,-t~~{' to:' > ,,/ ./" :._~--:;':__.._' ~~ 't:' :'.
Authorized Signature
NOTE: This proposal may be withdrawn by us if not accepted within Thirty (30)
days.
***************************************************************************
ACCEPT ANCI; OF PROPOSAL
The above prices, specifications, and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified. Payment
will be made as outlined above. (J{ I
Date q -;< S. -9S Signature KJJ (/'v { ,~ C.V~i 0-1-0 ~/
I ~\
Date
Signature
11825 Old Lakeland IIWY · Dade City. FL 33525