HomeMy WebLinkAbout96-5775
BUILDING PERMIT-
CITY OF ZEPHYRHILLS permit]l!
(813) 788-6611
G~~ E~ p~
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Property owner:~1.a..a.1> I ~ G (~ fL-
Job Address: ~.,.:2 / I, - '7 "T::.:t!. ~:;;;, -;- .
Parcell.D. #
J-577~
Date
~-.tl'l-7-b
MECHANIC:- ^ I..
~
3e Y17er-€onn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
don Gas:
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or (17
Contract Pric;;fP
City License Registration #
State Certified, License#
Lmit--~ Q-',
~IN.c)
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
Inspector
Permit Fee
I
Signature
Company
Address
Telephone#
(Vv
(2i9n4~ ili[~(l..
,
r:E LECJ:Bl.GAt:-
PLUMBING
--::-"
ME(,,1-l41\IIC^1..
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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
mi //3Jr IlfYlcJrtld7()n" /;//
Iii')) / II,{. 301 . ,j)rJ;/ party, rL 3352<; PHONE
I /
-r;;JYI(f I/u},] of 7~1t1rJ?,/ls/ /Il(
52/L, - 7#1 - (fy/t+; 7../111/< LOT SIZE X
:?:f;~J 51/1 7 &!J47
ADDRESS
OWNER
JOB LOCATION
AREA SQ. FT.
(J(J / /)
LEGAL DESCRIPTION: LOT (S ) (JIB 0
BLOCK 167/)/) SUtiDIVISION
PARCEL 1. D. ~~
jj-ZfF;- Z) - ODIn. 1M?!)/) . /)/fJb
WORK PROPOSED:____New Construction ---Addition ---Alteration yRe - Rou.f _Install
~epair
_Sign/Temp. _Sign ____Move -Demolish
PROPOSED USE: _Single Family --->l/ F _~~ of Units .--M/H
~ommercial _Indust. _Swim. Pool Other
~estaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t ,
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.
,L,BUILDING
PF.RHTTS REOUESTED
$ 4, ~?S.OLl @/li-~) Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
-HECHANICAL
$
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
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
S i ll1la ture
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
MECHANICAl.
Signature
Company
State C~rt. or Regist. #
City License Registration #
******************************************
Signature
Comp.,ny MI\Jtir ftw<;trl1~ ~~
State Cert. ~r Regis t. # 'OI~ . ,-5
City License Registration 4~ J- I g'
, I
OTHER
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
A. NOTICE OF D_EED RESTRICTIQ1<.J
The undersigned understands that this perlit 'lay be subiect to -deed restrictions" which lay be lore res~rict~ve ~~~n :~~y
regulations. The undenigned assUllS responsibility for cOlpliante with any applicable deed restriction!;. .
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 ~ccord,lIlce ~ith
stite ilnd local regulations. If the contractor is not licensed as required by law, both the owner and contractor .,11' b!
cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as tOlChat lil:ensin,}
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departle,~t, !~13)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
.CoAtrilctor Sections. of this application for which they will be responsible. If you, as the owner sign as the c~ntra,ctor,
you are indicating thilt you, rather than the contractor, are responsible for the work. If the contractor wishes )'O~ to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privilt'ges 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 that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - HOleo.ner'!, Probction
6uide- prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than tbe
-owner", I certify that I have obtained a copy of the above described doculent and prOlise in good faith to delivl!r H t,~1 the
-owner- prior to cOllenteaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforution in this application is accurate and that all .ork lIill be done in cOlpliance IIHhall]
applicable liMS regulatiog cODltruction, zoning, ilnd land developaent.
Application is hereby lade to obtain a perlit to do IlOrk and installation as indicated. I certify that no work ,~r
installition has cOllenced prior to issuance of a perait ilnd that all 1I0rk IIi 11 be perforled to leet standards of ,tll lallls
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I itlso
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 ilctions I lUst take to be in cOlpliance. Such agencies include but are not liaited to:
f Departlent of Environaental Reaulation - Cypress Bayheids, Wetland Areas and Environlentally Sensitive Lands,
Witer/WisteWiater Treitlent
f Southwest Florida Water "anaa..e"t District - Wells, Cypress Bayheids, Wetland Areas, Altering Watercourses
t Aray Corps of EnQineers - Seilills, Docks, Navigable WaterliYs
f DeDirtaent of Health 1 Rebabilititive Services. Environaental Health Unit - Wells, lIastellater Treabent, Sept if: Tanks
f US Environlentil Protection Auency - Asbestos abate..nt
I ilso certify that, if fill lateriil is to be used in Flood Zone "A" or "A,etc,", it is understood that a drairlilge phil
addressing a -colpensating volule- ,ill be sublitted Ilhich is prepared by a professional engineer registered in j~he Stilte of
Floridil prior to perlit issUilnce.
A perlit issued shall be construed to be a license to proceed Ilith the 1I0rk and not as authority to violate, cal~cel al1;er, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fru thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perai t issued shall heeole invalid
unless the work authorized by such perlit is cOlaenced Ilithin six lonths of issuance, or if work authorized by~he pemit is
suspended or abandoned for a period of six lonths after the tile the work is COlaenced. One 90 day extension of tile, lay be
allowed for the perlit .ith fee charge of tI5.00. The extension shall be requested in IIriting to the Building I~ffici,;al, An
approved inspection lust be logged during eich six lonth period, or the project lIill be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKEMT KAY RESULT IN YOUR PAYING TIIICE FOR IKPROYEKENTS TI~ YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CDKIENC~T. JOBS UNDER t2,5OO 1M VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCEMENT".
.--
j' .
516MATURE: IllIIlER OR mT
SIGNATURE: CONTRACTOR
was acknowledged
, 19__ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF flORIDA
COUIITl OF
The foregoing instrument
before me this
was acknol"ledgled
, 19___ by
known to me or ...,lho helS
who is personally known to me or who ha~
produced
as identification and who did/did not
take an oath.
who is personally
produced
as identification
take an oath.
and who did/did not
(Signature)
(Signature)
----
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
..._--~<_.
" .JJ,lt crontan..: 40% P;;-C~;;;;a~ :'; 0'% Post-Consumer
.--y=
'roposal
Page No.
1 of 2
Pages
Member of the Florida
Roofing and Sheet Metal
Association
U.S. Intee Certified
Platinum Installer
#5204
J@
..1f l'5 7
MilBar Construction, Inc.
Rooting' Concrete' Commercial. Residential
15911 US Hwy. 301 North' Dade City, Florida 33525 ex
904/567.6047 800/562.2393 FAX: 904/567-4454
PHot-l13 782-9613 Club
813/788-4147
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
Slate Registered
Roofer #RC0055215
PROPOSAL SUBMITTED TO
Tburist Club of Zephyrhills
5\1'Eh: Dick Jewett
DATE
04/15/96
JOB NAME
CITY, STATE and ZIP CODE
JOBl A
5216 - 7th street
1/-
- /.00,0 -/1;70D -0/8....
JOB PHONE
DATE OF PLANS
Ze h hills FL
We hereby submit specifications and estimates for:
RE-ROOF - Flat Ql1y
'uu 'u 'U'Uu 'w ",.,." ",wuuuuuuu"uC30rx4S'arid19'x26'T
"'l"~"'U"'Tear""'off""'(doWh.",.to,.theu"eX:istihg"":toof".ooek}.....atid'...dispose..of....old".:toofihg"'atid...ihSulatiohf"
clean up work area daily.
2a. WOODEN DID< AREA: Provide and rrechanically fasten a GAFglas #75 fiberglass base
""." ',u"""."sheet.uOver '.the.."".~"'.deck'u.p:tior.' . t!5.'the..'..'ihStallatioh .'.of.'.uthe..".'GAF.,'.'.Rtil::.ie:toid.".:toofihg."
membrane .
b. IDBBY DID< AREA: Provide and mechanically fasten a GAFglas #75 fiberglass base
""u"'w.uusheet'overthe"roof.udeCk"using""speciaI..J;iailsuto'provioo'adequate'...anclio:tage~w."
U3~ WW.'Pr6videw'and..'ihStaIl'.""a "'neW""""GAF"..Rill::lerbid ".. White ,..",. gratitile;;:;surface" ""roofihg "'mertibrane"
which is a torch-applied fully-adhered m:xlified bitumen roof system that is heat-
welded at theseams'tOf6trtibne sheetrandbffersa.12yearwarrantyfranGAFlcopyu
attached as Exhibit A.)
4. MilBar Construction, Inc. to provide a two year warranty on workmanship; exclusions:
.,'w" uuw"stotrtidartiage.~roofutraffic/W6rk....dbne""by.'..bthers.;'.'"tree.'..darnage;'..'and!or....structural""'darttage...'
to roof deck.
5. '!he inside of the parapet walls will be flashed with GAP Ruberoid roofing membrane
'upthewalltbthetihdersideofthecohcretewallcapandfastenedwtthanalum:i.num
termination bar with masonry anchors and sealed with a polyurethane sealant.
mU-m'm"wu~~-r72:efj~u
6. Provide and install new 26 gauge gal vanized metaf1"' eavedrip around the perimeter
lit 'ropOSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
See page two.
Payment to be made as follows:
dollars ($
).
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 'ire, tornado and other necessary insurance,
Our workers are fully covered by Workman's Compensation Insurance,
)
Accrphtncr 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.
Authorized
Signature
2.c.
Note: This proposal may' be
withdrawn by us if not accepted Within
Date of Acceptance:
~
~/'-9t:,
SMJo'W~ ~ 7/c-~/,
S"M,", ~ :....-.. .,- ~
30
~ ~n18: 40% Pre-Conlurner' 10% POIl.Conlumer
'2f. .
Member of the Florida
Roofing and Sheet Metal
Association
'roposal
Page No.
2 of 2
Pages
U.S. Intee Certified
Platinum Installer
#5204
r@J
MilBar Construction, Inc.
Roofing' Concrete. Commercial, Residential
15911 US Hwy. 301 North, Dade City, Florida 33525 0<
904/567-6047 800/562.2393 FAX: 904/567-4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
PROPOSAL SUBMITTED TO
'Iburist Club of ze h hills
sMfu: Dick Jewett
5216 - 7th street
CITY. STATE and ZIP CODE
PHON'813/782_9613 Club DATE
813/788-4147 04/15/96
JOB NAME
'Iburist Club of Ze h hills
JOB lOCATION
FL 33540
DATE OF PLANS
5216 - 7th street
JOB PHONE
We hereby submit specifications and estimates for:
FL
u",Q!,""~,:r.:9Qf.?l.~p~!
7 . Tie the new GAP Ruberoid roofing membrane into the existing shingle roof to make
""""""""""'a'watertighf'joIrif'f)y"'.runnIrig'."".Ehe Riibero.:i..a......membrane.'.."';2.' up '.t:he.....shlrigle'."roof"""'and.'"
,-~,~,~!~~g.~~I~~~!:~~I~!~9:!~~~y~u~~~<:>.p.~~~~~J:"~~~
8. Raise the condensing unit as necessary, or nove, so that the roofing will be properly
UTriStaUeaiiIiderneath'UriIE;retiirnooi1.CieriSlrigUri.:i..FE6IEsupreSenFToca.fIOriTripropei-'
"',"'" .""",.,. ,,'uC?~ii~~:f.l9:,~~~!<:>.n.:~"
9. Any rotten or damaged wood (roof deck, faSCia, or trim) will be replaced on a
" "',.,"'oost::.::plus"baSIs'uaIi)ve"aridbeyorufthe'.C6iitracf'.pr.:i..ce.~"'.,
1 0 .,ubWnerEO'provICfe' accessforUaenveryU fiUckSf6r'Ioadirig/iiriloadirigforenfIre'
roof area.
11.
MilBar Construction, Inc. to provide General Liability
."'friSurance ."($1~()()()~OO()1Iiri.:i..tl.'.ana:re:rooflrig.."permrf.~'.'"
and Worker I s Compensation
u,:tt'u
)-4iJ&-
yr1/ \ ,I'. ~ 0
'.qJ?'2-@""."""""'...'"
..,...........W.......hhh..hhO...
OPl'IOO
~4
lie 'ropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Four thousand three hundred twenty-five and 00/100--________________ dollars ($ 4,325.00
Payment to be made as follows:
Due upon canpletion.
).
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 Authorized
involving extra costs will be executed only upon written orders. and will become an extra Signature
charge over and above the estimate, All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire. tomado and other necessary insurance. Note: This proposal may be 30
Our workers are fully covered by Workman's Compensation Inaurance, 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 Signature
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
~
Signature