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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 , .L )l.. r.., ~~ 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