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HomeMy WebLinkAbout95-5392 BUILDING PERMIT.. CITY OF ZEPHYRHILLS Permit If! (813) 788-6611 1-5392,t5 Date - l/-!~-~ ~ EL~' PLU~MECH~~rConn Water Conn: Property Owner: Job Address: Parcell.D. # '?2a~ €1tL4t~ ~ .- - - - DY, .. Water Meter: T.I.F.'s: Zoning: Description of Work Energy FINAL C.O. DATE DATE Valuation or .....4.. Contract Price T <<, t?CJo C;ty Ucense Registration' --< J ~ ~ State Certified License# - -LJ ~:~aA OM;~ Inspector ~ Pe . Fee . -- Signature.. . P<fll>~. Company Address Telephone# PLU~' MiCI~' - Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. '. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT _yY\1 \R~1f' lnl1"tyllrtiiw\ \ It\c , ADDRESS \S~\ \ II, ~, 30\ I ~~IWI\Al\ \ \-\-. 1>~rlL ( \ ~f k D~S7~ . PHONE ~1041 rdil' lnM-l OWNER LnnA) JOB LOCATION S&4EiJ t;LD41 LEGAL DESCRIPTION: LOT(S) L{),"^ S-\Yh~+ LOT SIZE x AREA SQ. FT. BLOCK SUL.lDIVISION PARCEL I.D.~t 1\'7(0" 2.\ .. OO\D~ \\()nf). iTI\\ ~CL'~ WORK PROPOSED:____New Construction ----Addition ----Alteration ~ ____Install _Sign/Temp. PROPOSED USE: ~~~ Family _Sign ____Move ---Demolish --'1/ F ____~, of Units .--H/H _Commercial ____Indust. _Swim. Pool Other ----Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t , 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 FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED -l:-BUILDING $ 'Z,IoOO,uD Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. -KECHANICAL $ 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 ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** SilZnature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Signature Comp~lny \\\1 \YRr Cl\IA.'>l11uhnv\ I \V\c.. State Cert. or Regist. # RL ~---- City License Registration # ~ .......................................... ;2) PERMIT OFFICER. OTHER APPLICATION APPROVED BY A. NOTICE OF DtED R~ICTIC, 'lhe undersigned undershnds thit this perlit lay be subject to "deed restrictions' ..hich IiY be lore restr ictivl ~hil" r.i ~y reguliltions. The undersiuned ilSSUIIS responsibility for coapliilnce lIith any applicable deed restrictipns. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner hilS hired iI I:ontrilctor or contractors to underhke IIOrk, they lay be required to be licensed in accordance I.ith stilte and local reguliltiol~. If the contractor is not licensed as required by laN, both the ONner and contractor lay be cited for a lisdeleanor v Lolation under stite IaN. If the ONner Dr intended contractor are uncertain as to !Chat licensi;lg requirelents lay apply for the intended .ork, they are advised to contact the City !:If Zephyrhills Building Deparhent, IIJl3) 788-6611. Furtherlore, if the ollner has bired a contractor or contractors, he is advised to have the contractor 15) sign portions of the 'Contrilctor Sections" of 1~his application for Nhich they lIill be responsible. If you, as the ollner sign as the contract3r, you are indicating that yuu, rather than the contractor, are responsible for the lIork. If the contractor IIi shes you to iign i1S contrilctor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City .f Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbilt I, the i1pplicant, t,ave been provided lIith a copy of 'Florida's Construction Lien Lall - HOleollner's Protection &vide" prepared by the Florida De~'irtaent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the "Ollner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deli~er it to the "owner" prior to cOlleneelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlitioll in this application is accurate and that all 1I0rk ..ill be done in COlpliance Nith all applicable laMS regulating constrl~tion, zoning, and land developaent. Application is bereby lade to obbin iI perlit to do IIOrk and instillation as indicated. I certify that no 1I0rk elr inshllation has couence'd prior -to issuance of a perait and that all 1I0rk IIi 11 be perfoned to leet standards of all lilllS regulating construction, City codl!s, zoning regulations, and land developlent regulations in the jurisdiction. II also certify that I understanl!, thilt thl! regulations of other governlental agencies lay apply to the intended 1I0rk, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited 1:0: I DeDartlent of Environlp.ntal ReQalation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/WasteMater Treatlent I Southllest Florida Water "anaQel~nt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY CorDS of EnQineer!l - SeaMalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQe~ - Asbestos abatelent I alSD certify that, if ~fil1 latl!rial is to be used in Flood Zone "A" or "A,etc,', it is understood that a drainage pblB addressing a 'colpensatil~g VOIUI." lIill be sublitted ..hich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait issued shall be construi!d to be a license to proceed lIith the 1I0rk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the 1I0rk authorized by sUI:h perlit is cOllenced IIi thin six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a perilod of six lonths after the tile the lIork is cOllenced. One 90 day extension of tile, lay be allolled for the perlit Mith fee l:harge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be 10ggl~d during each six lonth period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE 'ro RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF 7S;~~~T~roR~DAA2TI7;?A SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR - STATE OF FLORI~ COUIITY OF ~ J The fc,regoing iMtrument was acknowledged before me this~!LJ. Ib _' 194:) by l.LfAP~ L~) ItiA- - who isfpersonally knowT!)to me Dr who ha-; produced ------ as ide ific: ~,hO did/did not take oa _ ~ ~ STATE OF FLORIDA ~ COUNTY OF 'Oil r <:" 6 The foregoing l~~trument before me this IWv,; & . was ac:knowledgli!d , 19~ by who i ersonally produced as identif' take an 0 - ha's GAIL Y. GRINDLE Netary ~~t~ul FlulldCi - (Name Typed, PrinMyJcdHim. 'r. 25. 199f1 NOTARY PUBLIC Comm. No. CC 368560 ( ignature) Y GRINDLE GAIL. 9f flnrlrla (Name Typed, Pr i nteMomry ~~~~1:ar. 25. 1998 NOTARY PUBLIC My C~~mm. No, CC 368560 ~ Nt:.I".,TI".,L.t:.U t"At"t:.H W Contents: 40% Pre~Consumer . 10% Post-Consumer proposal Page No. of Pages '~ - ~mber of the Florida Roofing and Sheet Metal Association U.S. Intee Certified Platinum Installer #5204 1@ .jI;Bd1- MilBar Construction, Inc. Roofing. Concrete. Commercial. ReSidential 15911 US Hwy, 301 North. Dade City, Florida 33525 C>< 904/567-6047 800/562-2393 FAX: 904/567-4454 State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 PROPOSAL SU:MITTED TO Manual Luna STREET 5652 - 19th street PHONE DATE 813/782-6368 JOB NAME 10/18/95 CITY, STATE and ZIP CODE Zephyrhills, FL 33540 ARCHITECT Two (2) Duplexes JOBLO~2_44 - 9th Avenue I/-Z<..ZI.ODID.IIO 5645-47 - 20th street BATE OF PLANS .7 Zephyrhills, FL We hereby submit specifications and estimates for: ~ROOF - Shingles By €nJ. cl N,,;;tM1-h4r qf~HTeaioffan(fhaulaway6iCi.rooflrig;ciea.rl up ~rk area daily. 2: ProvldeiiridIiiSwliieW15 ib:Si.turated felt paper. .t1v1-t.. H:r:Hi?rovldeandlnstaiinewW"ROYaigcv_;QieijR"gq year ~iberglaSS shingles; owner to H .,"',.,"""""',~()C:)1:)~<::?l():r:-~ ,,<:iJ:\F:1:)l'1~I?:9.:~~1:)l"lci,,~ ""Ci",,?5iy~\\Tctr:r:-allty on laborall<1 InClt:eI"i,~l,s. 4. ,.~P~Ci~Ci:!~~9.:~~~Cl::;l'1~I?:9.:::;(Yc:l~~~y, ,,,~t:, "o:t"allyYlCll,l,:fl,Cl::;l1~I1gJ. 5. Provide and install new lead boots fort:l1~plUITll:>ing, vents. "',' ~"'" ,~".,"" 6. Provide alld "',' instclll ne\\TP:r:-~....~il1ishedalUIllintm1" eavecirip t.~l~~~l: o~owri)--:':J:>:1::"()vide and qTriStaII60r6friewpre~finished aluminum ridge vent."--:.= / H".7~Ariyr6ttenq6raamaged.W06d. "'(roof 'Ci.eck~'" "fascIa, or tr1ffi) WJ.ll be replaced on a ............... ...~.~:Pl\l5..I:as~s.aluve .aJXI..be}'C'ld..the ",ntract. price. ...'1i;"~.~>=P;;=f')=;.k~;.';.) 8. MilBar Construction, Inc. to provide 5 year warranty on ~rkmanship; exclusions: ""'..,.",,,., "storiridarlla.ge; "" \\Urk 'or" ", darlla.ge done by others, treedarlla.ge, CiTlCi./6rstruCt::irraId.:iI11age to roof deck. 9. OWner to provide ,CI.??~'!;;!3~()r ,deliv~r}' ,trucks to allow roof loading/unloa.<1~l1c;L~oI"mthe 'm "."'entlre' roofarea~ mlO~MilBai "'.COnstruCtion; '" :tnC~ to provide Gerieral Liability and Worker IS " ~atlon Insurance ($1,000,000 limit) and re-roofing permit. mt 'ropOSt hereby to furnish material and labor - complete in accordance with ~pe Two thousand eight hundred ninety-t~ and 50/100------------ dollars ($ Payment to be made as follows; letion Provide and ications, for the sum of: ~ uVD W p....... b)A. . 2~892:~o-per bldl~.. 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. shingles; contract price Authorized Signature ~ /Y'#~ Note: This proposal may be withdrawn by us if not accepted within Acceptance of 'roposal- 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. days. ( Signature ~ Date of Acceptance: 'i IIDhs , . Signature