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HomeMy WebLinkAbout96-5849 MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Description of Work Energy Code: ??e~ Radon Gas: (fd./\ r.. f 0 NO OCCUPANCY BEFORE C.O. FINAL ~ (, Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector IAJ P~rmit Fee rfJ-D ~... ~ ,~ /lrY-I)' rY.0 Slgnature~~ Company Address Telephone# Valuation or Contract Price 6 9' d.. - tTV City License Registration # ~ g-- State Certified License# )JL~ t~aA 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 Ins!. 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 PI:; f.' 2-- APPLICANT \/?Iwe, I (\1\ ~ \!J'))I Us 3D\ ~LAYY\/\ \~ I ~\Ad,~ 5 24~ ~ S ~ ~+reeJ- J)oJe ( .~ 33S2:~ . . .,: I QpHONE "SLcrl Lot14 7 ADDRESS OWNER JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUbDIVISION PARCEL I.D.4~ I~l!..- K"D\:" WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install _Sign/Temp. _Sign ____Move ..-Demolish PROPOSED USE: _Single Family ---.JI/ F ____ft of Uni ts .-M/H ____Commercial ____Indus t . ____Swim. Pool ~ Other ----Restaurant & 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 FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ...b-BUlLDING $ (n 32. . 00 Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. --"ECHANICAL $ 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 ET.ECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** Sillnature Company State Cert. or Regist. # City License Registration # ****************************************** PI.UMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Signature Comp,ny ('i"\~d( (IYYI&t'rurh,)V) \V\C- State Cert. or Regist.# Rc.. li)c,S21';- City License Registration # OTHER Kt")l) FIMo ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. A. NOTICE OF ~EED RESTRICTIONS The undersigned underitana~ \hat this perlitlay be subject tD .deed restrictions" which lay be lore restrictive than City regulations. The undersigned aS5utes responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance Mitb state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor .ay be cited for a lisdeaeanor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing require.ents lay apply for tbe intended work, they are advised to contact the City of Zephyrhills Building Departlent, (9131 788-6611. Furtb.raore, if tbe owner has bired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "CoAtractor Sections. of this application for which 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 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 tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the .owner., I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the .owner. prior to COllencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop..nt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOlllnced prior to issuance of a per.it and that all work .ill be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departlent of Environaental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Waste..ter Treatlent t Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - SeaNalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environaental Protection Aaency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone .A" or "A,elc.", it is understood that a drainage plan addressing a .colpensating voluae. Nill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the Mork 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 froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becoae invalid unless the Mork authorized by such perait is cOlaenced Nithin six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tiae the work is co..ented. One 90 day extension of tiae, .ay be alloNed for the perait .ith 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. WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ~' 1885 UNDER $2,500 JI 'OlUE DO lOT IEED TO RECORD AND PO~ A 'NDTI~ OF CDKKEACE.ENT', .v ~~.M% .Y~ --t t11~ SI6NATURE: OWNER OR AGENT SI6NATURE: CONTRACTOR STATE OF flORIDA COUIITY OF "PAbLv The fc.regoing instrument was ao:nowledged before me this Oshs , 19~ by , ~~/Q... L~ ~Jvl who is personally known to me or who ha~ produced N f\ as identific and who did/did not take at STATE OF FLOR~A COUNTY OF f a oS u::' The foregoing instrument was acknowledged before me this OSII'5" ,19~ by I ~ MY to I lY1l4-DV\ who is personally known to me or who has produced ~ as ~d~~~~ and who did/did not tak~ a.fi: (Signature) (Name Typed, Printed Dr stamped) NOTARY PUBLIC DAVID R. ABLA Notary Public, State of Florida My Comm. Expires Aug. 23. 1998 Comm. No. CC 402501 (Name Typed, Printed or Stamped) NOTARY PUBLIC DAVID R. ABLA Notary Public. State of Florida My Comm. Expires Aug. 23, 1998 Gomm. No. CO 402501 ~ H~l'Yl#LI:.U ....At"'t:H _ _ '6~ontents: 4-0% Pre-Consumer. 10% Post-Consumer c=~ 'roposul Page No. 1 of 1 Pages ~ /DI:7~ ~ Melnber of the Aorida Roofing and Sheet Metal Association J@J MilBar Construction, Inc. Roofing. Concrete' Commercial' Residential 15911 US Hwy. 301 North. Dade City, Florida 33525 C>c 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 SUBMITTED TO Andy SUmile STREET 5243 - 5th street PHONE DATE 813/788-6817 JOB NAME Sumile Garage JOB LOCATION 5243 - 5th street DATE OF PLANS f' Zephyrhills, FL 04/22/96 CITY, STATE and ZIP CODE Zephyrhills, FL 33541 ARCHITECT We hereby submit specifications and estimates for: JOB PHONE WW ..............w '_'_.w .................. ...... W ....ww.. Ww .......... ..... ..:RfClUP."".Slingles.. ::=:f:::~::::=~::::T:::~~:::~~= color. GAP shingles have a 20 year warranty on labor and materials. wi."wwRepiaceaii'damaged flashings (valley, vent, or w5~ -"PrOvldearidliiStall new lead boots for the plumbing vents. 6 . PiovldEia.rid to choose 7 . Ariyrotten or,wdaItlaged wood (roof deck, fascia, or trim) will be replaced on a w..~~=p!~....~.:i.:;;;..~y.~...~~Y9I?4....th.~...9.9J,}:t::.~~Gtp;r;;i.,q~..... . 8. ........~!~.9?~~qt:::i,9.~/w.....:J::!:l:9!..w.t9.P:r9Y,i.,g~ .......~......yl?{l,r ...war.rantY.......on .....workmanship;......exclusions.:. stonn damage, work or damage done by others, tree damage, and/or structural damage to roof deck. . 9. .w~~J;t:.l:>PJ:."c:>y:i,~~c:~!?;;;~9.:r~J,JY~J:"Y. tl:"\lGJ(I?.:t::.9 ..Cill9Wr09floadinglunloading for the ... entire roof area. 1 0 . MiIBirwcoriStriiction, Inc. to provideGEmeraiLiaI;ili ty and Worker's Compensation Insurance ($1,000 000 limit) and re-roofin rmit. lit 'rOpOBt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Six hundred ninet - Payment to be made as follows: Due u letion. ---- ----------- dollars ($ 692 _ 00 ). B 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, tomado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. Authorized Signature Note: This proposal may' be withdrawn by us if not accepted WIthin 30 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. 4'1~- ofl9 - 9''' Signature ~Jf?~ . days. ~ Date of Acceptance: Signature