HomeMy WebLinkAbout95-5394
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit Ii!
(813) 788-6611
i-S39tA
Date /1-/6-?~-
@ ELECTRICAL PLUMBING
Property Owner: JJ/ ~J ~ ~
Job Address: '.36'"9 j/Q -$I $I' - 9 ~ ~,
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel I. D. #
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
Radon Gas:
Complete Plans, Specifications and Fee M
All work shall be performed in accordance
FINAL
C.O.
DATE
DATE
City License Registration #
State Certified License#
Inspector
ermit Fee ~ UVA-
ignature ~1 A.;.. t:.6)o ~'.Qllf
Company
Address
Telephone#
Valuation or
Contract Price
/JZ,il !j6^~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
.Pre-Meter
Final
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 POR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ____JYy\ LR~(" ~DIiI"tyll(t--j'DY\ j \ V\(
ADDRESS 1591\ lJ.t.,./iDI. 1>10( (:~J J ~L
, I
OWNER LJ~()(\. ~V\\A -a\ \t
I
JOB LOCATION ~5\942.. 44- ~ AV€II1IJ.>L
3q5z.~ PHONE ~fl41C:;(p7-IJlJ)4(
LOT SIZE X AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUbDIVISION
PARCEL I.D.~~
11-7(, _ 2J . bDID' II ODD. VOID
e.~ -~*
WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install
_Sign/Temp. ____Sign
T~" . Fc""':'\~ ~\.."..
PROPOSED USE: ~SiRgl~ family ----H/F
____Move
~emolish
____~~ of Units
----.HI H
_Commercial
____Indus t .
_Swim. Pool
Other
----Restaurant & Health Department Approval
BUILDING SIZE:
X
Square Feet.
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~BUILDING
$7 ~OO 110
.
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
F.T .F.CTRl ClAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Silltlature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Signature
Company tvt\.fu, rrrM,\'(I,(,'hC\Y\ \v\<_.
State Cert. or Regist. # R'c nDSS2.\S;
City License Registration # 3-;
OTHER
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
A. NOTICE OF D~~D RESTRICTIONS
The undersigned understands that this perlitlay be sub;ect to .deed restrictlons" which lay be lore restrictive than Ci~y
regulations. The undersi!lned .S5U1tS responsibility for co.pliance .ith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ollner has hired a c:ontractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance ,.ith
state .nd local regulations. If the contractor is not licensed .s required by law, both the owner and contractor lay be
cited for il lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensi;~g
requirelents lay apply for the intended lIork, they are advised to contact the City Clf Zephyrhills Building Deparhent, (U31
788-6611.
Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
"CoAtractor Sections. of this application for which they lIill be responsible. If you, as the owner sign as the contract~r,
you are indicating that you, rather th.n the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - HOleollner's Protection
6uide. prepared by the Florida Depart..nt of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
"o.ner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
.0Mner. prior to cOlllnee..nt.
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 laMS regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do MOrk and installation as indicated. I certify that no work Dr
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lillS
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the 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 co.pliance. Such agencies include but are not lilited to:
I Departlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastellilter Treatlent
I Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Enaineers - Seallalls, Docks, Navigable Waterways
I DeDartlent of Health 1 Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environaental Protection Aaency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plall
addressing a .colpensating volu... Mill be sublitted IIhich is prepared by a professional engineer registered in the Stat.e of
Flarida prior to perlit issuance.
A perlit issued shall 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 perlit prevent the Building Official frol therl!after
requiring a correction of errors in plans, construction, or violations of any CClde. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced IIi thin six .onths of issuance, Of if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is COI.enced. One 90 day extension of tile, Ilay be
allPMed for the perlit lIith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO 'YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CDftKENCEK~T. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHENT".
,fZ~j/lJ- ~III-/
SIGNATURE: OIIIIER OR AGEtiT. SIGNATURE: CONTRACTOR
STATE OF FLOR~
COUMTY OF r-~~
The foregoing i~trument
before me this v./&
was acknowledged
, 191'-f- by
STATE Of FL~A
COUNTY OF <L c)
The foregoing in~trumeDj,
before me this 1!iJ,1 I~~
was acknowledged
, 19.zf:- by
to me or who haoi
-
or whc, ha~;
did not
GAil Y. GRINDLE
(Name Typed, Pr i nteNPt@,~ ~p~ OT tlorl~~8
NOTARY PUBLIC My comm, exprrss ar. 25, 1
Ce,rr,1:1 ',\,} CC 368560
-
(Name Typed, Pr i ntmtity PiiNl~. of Florida
NOTARY PUBLIC 'Mv comm. expires Mar. 25. 19951
, comm ~):J CC 368560
~ Ht:.liYl,.;Lt:.U ....A....t:.H
r.:':J6r Contents: 40% Pre.Consumer. 10% Post.Consumer
p
~ember of the Florida
Roofing and Sheet Metal
Association
'roposal
Page No,
1 of 1
< Pages.
, .~
~
:jF;BB+
MilBar Construction, Inc.
Roofing. Concrete. Commercial. Residential
15911 US Hwy. 301 North. Dade City, Florida 33525 ex
904/567-6047 800/562.2393 FAX: 904/567-4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
U.S. Intec Certified
Platinum Installer
#5204
PROPOSAL SU:MITTED TO
Manual Luna
STREET
5652 - 19th street
PHONE
DATE
813/782-6368
JOB NAME
10/18/95
BATE OF PLANS
Two (2) Duplexes
JOBL~2-44 _ 9th Avenue 1/'24 '2/' 06/lJ ./10
5645-47 - 20th street
?
CITY, STATE and ZIP CODE
Zephyrhills, FL 33540
ARCHITECT
Zephyrhills, FL
We hereby submit specifications and estimates for;
RE-RaF - Shingles
By En'- 01 NJ;/~4r'
'r~TearoffaridhaurawayoId 'roofIng; 'clean up \\Urkarea daily.
:;::::I:~~l~5;.,,::a~::~. year~~lasS shingles;
choose color. CiAF ,,:s11~I'l9~~:s ,l1a,,~a 25, YE:Cir\tlc3.r'ran.ty on labor and materials.
owner to
4. , , , . ~P~~<::~c:l:~~~9~~~~:s11~I'l9:sJ"Cl~~~Y' y~t:,():ran.YWCi!!~:lClE>l1:i:I'lgJ.
5.
Provide
and install new lead boots for the plumbing vents. """ ,J./' 'v/':uJ\ .
If; ~, y,.,;j)
(,J~!~ 9~C>Wl10?:r()vide
and
6. Provide and install new pre-finished aluminum eavedrip
, '" ., "'" 'TriStaII60l" of riewpre.....firiishedal1.lmiriUIll' ridge vent. '" "" ,,'
U7~U . "Any'i6tteii or "'darna.goo"., WOOd '(roofdec:::k;' "'fasc:::icl,ort:r:Ul1fw:i.lIbereplacedon a
cost-plus basis above and beyond the ~n1::r~<::1:p:r~<::~.:~~"'~~~~~"P(-t.:+-f'\)'v.j~\~~t~l~)
8. MilBar Construction, Inc. to provide 5 year warranty on \\Urkrnanshipi exclusions:
. 'Ust6:riridairiage; 'woik6idcirciage done by others, tree "dari1cige, arid/orst:.iUC1::.uraraamage
to roof deck.
9. Ckmer to provide access, f():r, ,?eli"e:ry1::t:1l<::)(:st() allow roof loadiI'l9/~e>a~I'l9~<:>:rt:l1~
, w "". 'entire "roofarea~
rO~MiI:aarC6riStri.ictI6ri; W!ric~ to' 'pr6videGeneraI "'f.iClbiliEyClridWorkerTs "'~aE:i.6ri
Insurance ($1,000,000 limit) and re-roofing pennit.
Jilt 'rOpOlit hereby to furnish material and labor - complete in accordance with ~pe
Two thousand eight hundred ninety-two and 50/100------------ dollars ($
ications, for the sum of:
) (,()D j).) f....... b \,.k .
2 ~ 8 n : :;(T per bldl~..
Payment to be made as follows;
."..-
shinglesi contract price
All material Is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any afleratlon 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.
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;
Ii I/D/'3s
, ,
Signature