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