HomeMy WebLinkAbout95-5327
BUILDING PERMIT --
CITY OF ZEPHYRHILLS Permit N!'
(813) 788-6611
j-5327 .&
- -
Date
10 -d.S-'l~-
~
Property Owner:
Job Address:
Parcel I. D. #
ELEC~ PL~--MECHANICAL-
~ .
-~
~-~W
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Acco
All work shall be performed in accordance with City
DATE
Inspector
00S0
eD
r-
Permit Fee ~.
Signature ~ l~
Company
Address
Telephone#
Oei>
Valuation or
Contract Price
,
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T
City License Registration # /IJ~
,
~~lf7J
tc,DI~ .f'IiC'ffnt;AL
-..-- ..
PLUMBING..--
MCCllAf<llCAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
PROPOSAL AND CONTRACT
,0' ;':),"!,
19 <1)'
Phone No. 7g;t .. 3~~ '3
~jf~~~\\S! VI. 33SLfO
Date
To Y"-'"\ Gc " , e.. B~ + h r :. '- ~
Job Location: '-t 15$ t <0 i-~ St .
Dear Sir:
We propose to furnish all materials and perform all labor
necessary to complete the following:
'To te",r o-F~ +-t-JL ~c.,..... ~ ("4""\ roo-f G#'\J j-Q ~"... 1 q I-'''~
g:L\ d. ~br"'.s .
10 .'''''.s+c. I \ tl'\e~ 4 ')""- b;~s~+ \ ec..~ d r:p I <1-'~ Q
f'\e.-,) S',",~la.. p\~ ~()cl ,+reel c3l-h...~ ~~f ~~~
---.A\\ of ~ qbo\l~ ~f" ~ 5t.t- ()(:. .J1JJ050.T-,~_
vo~"'"
I.. ,Qrl ,'s
-
ddJ ;-h'Ov\... \
Shingles
Ridge Vent
Eaves Drip
FH-ft W~ ,+€.
Payments to be made as the work progresses as follows: ~,J.... ~J
,~ cA v..L vpo ~ (0,.... P I e+tO/1 .
By fZ '0 '" "" , ~ }+, F.s..~p
IMPERIAL ROOFING CONTRACTOR, INC.
4117 Cox Driue
~~~~~:fOrida 34639
~ _2 7. (813) 846-0130
State License and Certification No. CC C029597
You are hereby authorized to furnish
required to complete the work according
on the back of this proposal, for which
item~ 9 &
Owner ,~
Owner
all materials and labor
to the terms and conditions
we agree to pay the amounts
Date 10/2) J9~
Contract Terms
The ContrllCtor agrees to commence work hereunder within ten (10)
dIIys after the 'est to occur of the lollowing, (1) the building site h.. ~
properly prepared lor const,uction by the Owner, and (2) the malerlall
,equ,i,ed are available to ContrllCtor. Contracto, agrees to prosecute WO,k
ther..lter to completion, and to complete the work within a r_nable
time, lubjllCt to luch delays .. are permissible under this cont,lICt.
ContrllCtor shall pay all valid bills and charges lor material and labor
arising out 01 the construction 01 the structure and will hold Owner 01 the
property I,ee and harmless against all liens and claims 01 lien lor labor and
material Iiled against the property.
No payment under this contract shall be construed as an acceptance
01 any work done up to the time 01 such payment, except as to such items as
are plainly evident to anyone not experienced in construction work.
In the event that any conflict exists between any estimate 01 costs 01
construction and the terms 01 this Contract, this Contract shall be
controlling. The Contractor may substitute materials that are equal in
quality to those specified if the Contractor deems it advisable to do so.
Owner agrees to pay Contractor its normal selling price lor all
additions, alterations 0' deviations. No additional work. shall be done
without the prior wrilten authorization 01 Owner. Any such authorization
shall be on a change-order lorm, approved by both parties, which shall
become a part 01 this Contract. Where such additional work is added to this
Contract, it is agreed that the total price under this Contract shall be
increased by the price 01 the additional work and that all terms and
conditions 01 this Contract shall apply equally to such additional work. Any
change in specifications or construction necessary to conlorm to existing or
luture building codes, zoning laws, or regulations 01 inspecting Public
Authorities shall be considered additional work to be paid lor by Owner as
additional work. II the quantity 01 materials required under this Contract
are so altered as to create a hardship on the Contractor, the Owner shall be
obligated 10 reimburse Contractor for additional expenses incurred. II the
Owner or agent 01 the Owner lurnishes material or perlorms labor on any
portion 01 the work in progress, any loss to Contractor that results thereol
shall be charged to the Owner. Any changes made under this Contact will
not allect the validity 01 this document.
The Contractor shall not be responsible lor any damage occasioned
by the Owner or Owner's agent, Acts 01 God, earthquake, or other causes
beyond the control 01 Contractor, unless otherwise herein provided or
unless he is obligated by the terms hereol to provide insurance against such
hazards. Contractor shall not be liable lor damages or delects resulting Irom
work done by subcontractors. In the event Owner authorizes access through
adjacent properties lor Contractor's use during construction, Owner is
required to obtain permission Irom the owner(s) 01 the adjacent properties
lor such. Owner agrees to be responsible and to hold Contractor ha,mless
and accept any risks resulting Irom access through adjacent properties,
The time during which the Contractor is delayed in his work by (a> the
acts 01 Owner or his agents or employees or those claiming under
agreement with or grant Irom Owner, or by (b) any Acts of God which
Contractor could not have reasonably foreseen and provided against, or by
(c) stormy or inclement weather which necessarily delays the work, or by (d)
any strikes, boycolts or like obstructive actions by employees or labor
organizations and which are beyond the control of Contractor and which he
cannot reasonably overcome, or by (e) edra work requested by the Owner,
or by (f) failure of Owner to promptfy paylOr any extra work as authorized,
shall be added to the time for completion by a fair and reasonable
allowance. Should work be stopped for more than 30 days by order 01 any
agency of government, the Contractor may terminate this Contract and
collect lor all work completed plus a reasonable profit.
Contractor shall at his own expense carryall workers' compensation
insurance and public liability insurance necessary for the full protection of
Contractor and Owner during the progress of the work. Certificates 01 such
insurance shall be filed with Owner if Owner so requires. Owner agrees to
procure at his own expense, prior to the commencement 01 any work, fire
Insurance with Course 01 Construction, All Physical Loss and Vandalism
and Malicious Mischief clauses altached in a sum equal to the total cost of
the improvements. Such insurance shali be written to protect the Owner and
Contractor, and Lien Holder, as their interests may appear. Should Owner
lail to do so, Contractor may procure such insurance, as agent for Owner,
but is not required to do so, and Owner agrees on demand to reimburse
Contractor in cash for the cost thereof.
Where colorl are to be matched, Contracto, shall make every
rNlOnable .ffort to do 10 uling Itandard colorl and materia's, but does not
guwant.. a perfect match.
Any controversy or claim ariling out 01 0' relating to thil contrllCt,
shall be settled by a,bitration in acco,dance with the Rul.. 01 the American
A,bitration Association, and judgment upon the award rende,ed by the
A,bitrator(s) may be ente,ed in any Court having jurisdiction. Should either
party hereto bring suit In court to enlorce the terms of this agreement, any
judgment awarded shall include court costs and reasonable altorney's lees
to the successlul party plus interest at the legal rate.
Unl..s otherwise noted in this agreement, the ;>rice quoted does not
include removing or replacing lascia, trim, sheathing, rafters, structural
members, siding, masonry, vents, roofing, caulking. metal' edging or
flashing of any type. II, du,ing the course 01 work, it should become
apparent that any such porfions 01 the structure should be repaired or
replaced, Owner may authorize Contractor to do such additional work and
charge Owner lor the additional labor and materials required plus a
reasonable profit.
The Owner is solely responsible lor providing Contractor prior to the
commencing 01 construction with such water, eleclricity and reI use
removal service at the job site as may be required by Contractor to ellect the
construction covered by this contract. Owner shall provide a toilet during
the course 01 construction when required by law.
The Contractor shall not be responsible lor damage to existing walks,
curbs, driveways, st,uctures, cesspools, septic tanks, sewer lines, water or
gas lin.., arches, shrubs, lawn, trees, clotheslines, telephone and electric
lines, etc., by the Contractor, sub-contractor, or supplier incurred in the
perlormance of work or in the delivery 01 materials for the job. Owner
hereby warrants and represents that he shall be solely responsible lor the
conditions 01 the building site over which the Contractor has no control and
subsequently results in damage to the building or injury to persons or
property.
Contractor agrees to complete the work in a substantial and
workmanlike manner but is not responsible for failures or delects that result
from work done by others prior, at the time 01 or subsequent to work done
under this agreement, failure to keep gulters, downspouts and valleys
reasonably clear of leaves or obstructions, lailure of the Owner to authorize
Contractor to undertake needed repairs or replacement 01 fascia, vents,
delective or deteriorated roofing or roofing felt, trim, sheathing, railers,
structural members, siding, masonry, caulking, metal edging, or flashing of
any type.
Contractor makes no warranty, express or implied (including
warranty of fitness for purpose and merchantability). Any warranty or
limited warranty shall be as provided by the manufacturer of the products
and materials used in construction.
Owner hereby grants to Contractor the right to display signs and
advertise at the building site.
Contractor shall have the right to stop work and keep the job idle if
payments are not made to him when due. II any payments are not made to
Contractor when due, Owner shall pay to Contractor an additional charge of
10% of the amount of such payment. lithe work shall be stopped by the
Owner for a period of sixty days, then the Contractor may, at Contractor's
option, upon five days wrilten notice, demand and receive payment lor all
work executed and materials ordered or supplied and any other loss
sustained, including a profit of 10% of the contract price. In the event of
work stoppage for any reason, Owner shall provide for protection of, and be
responsible for any damage or loss of material on the premises.
Within ten days aller execution of this Contract, Contractor shall
have the right to cancel this Contract should he determine that there is any
uncertainty that all payments due under this Contract will be made when
due.
This agreement constitutes the entire contract and the parties are not
bound by oral expression or representation by any party or agent of either
party.
The price quoted for completion 01 the structure is subject to change
to the extent of any difference in the cost of labor and materials as 01 this
date and the actual cost to Contractor at the time materials are purchaSed
and work is done.
. ,
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S ADDRESS
M~('6JL., r.?xt ~ r l ~l~
LJ -, L---S- J '- ~ S ~ z.. I J l
l J -..::> ~ 'T\ e....fv-...."{}t'v...;,..s
PHONE
PL.
72?2.. - 32 2. ~
"3 J ~y 0
OWNER'S NAME
JOB ADDRESS
SC-v~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.D.'
(OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign _Hove _Deaolish
PROPOSED USE: ,*Siogle Faaily _H/F _, of Units _M/H
,
_eo..ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: 1<0
re- \C,,:)c.* "-\
Sv <."'-
X 's ~. Q.2
~ ~ Co. ~ ole-c.. K.. -t<.l0~
Square Feet.
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDI-NG PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_KECllAlfICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
X' ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUIlJlER
Signature ~
CONTRACTOR SECTION
) COMPANY ~~ ~
f<h ~ State Cert. or Regist. . ...mm - . . .
City License Registration' } ~5
********* *******************************
ELECTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration ,
******************************************
SillmAture
PLUMBER
COMPANY
State Cert. or Regist. t
City License Registration .
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to 'deed restrictions" wbich lay be lOre restrictive tban City
regulations. !be 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 witb
state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor laY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections I of this application for wbich 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 wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
City of Zepbyrhills.
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 'Florida's Construction Lien Law - HOJeOWDer's Protection
Guidel prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If the applicant is sOleone otber than the
"owner", I certify that I bave obtained a copy of the above described docUJent 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 or
installation bas cOlleDced 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 developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDJental agencies laY apply to the intended work, and that it is
.y responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic tanks
t US EnvirODlental Protection Agency - Asbestos abatelent "
I also certify that, if fill laterial is to be used in Flood Zone IA" or "A,etc.", it is understood that a drainage plan
addressing a Rc~pensating volUleR will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued:sball 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 perJit prevent the Building Official frOJ 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 cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, laY be
allowed for the perlit with fee cbarge of $15.00. !be extension sball be requested in writing to tbe Building Official. An
approved" inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
NAMING TO OIINER: YOUR FAILURE TO RECORD A NO'l'ICE OF COMMENCEMENT MAY RESUL! IN YOUR PAYING 'fIIICE FOR IHPROVBHElft'S TO YOUR
PROPERTY. IF YOU INTEND TO OBtAIN FIIWICING, COKSUL! WItH YOUR LINDER OR All AnORHEY BEFORE RECORDING YOUR HOTICE OF
COMMENCEHEHT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHm".
S I GNJlTURE: OIfIfER OR AGENT
SIGHA!URE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC