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Home My WebLink About96-5952 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N · (813) 788-6611 ~ _ 5952 /3 Date t' '- rJ ,5--- 9 ~ ~.9 ELECTRICAL PLUMBING :::::,::~~-l13~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.f'.'s: Parcel I. D. # Zoning: Energy Code: Description of wor; i(. t7 _ ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. 7,... SO- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ,'-L Pe,mi. Feid0". ~ Signature. i'h\.Q.. \0.. C' J..!P<- Company Address Telephone# Valuation or Contract Price t:, ,7 0-0 ~ o-u , City License Registration # ~ ::2./ Y' State Certified License# }jfJ A .o"L- , BUILDING ELECTRICAL PLUMBING MECHANICAL - Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($15.001 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 ~~~~ ADDRESS ~ \J I OWNER JJ 0,/ f.\ \ ~ I ~~ 11m l~\'~ I ttl~r;~(~: ~~;2~ PHONF. h,~'fY\-e\..1 Jr. ~z.,~ r-)~H B\\lrl. Z-h,\\c, , 'Os z./ % 7 - !.r;04 ( JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUbDIVISION 'R~ -Q~ WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install PARCEL I.D.~~ ____Sign/Temp. ____S ign ____Move ~emolish PROPOSED USE: ____Single Family ~/F ____~~ of Units .--H/H ____Commercial ____Indust. _Swim. Pool Other ~estaurant & Health Department Approval BUILDING SIZE: x Square Feet, 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. ____BUILDING ( '3'l..~';) . PRRMTTS REOUESTED $ l~, 901). 00 Ru~~ 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 Sillnature Company State Cert. or Regist. # City License Registration # - ****************************************** ET.F:CTRTCIAN Company State Cert. or Regist, # City License Registration # ****************************************** PLlJMRER Signature Company State Cart. or Regist. # City License Registration ~F _ ****************************************** MECHAN'lCAI, Signature Signature Company ~S State Cert. or Regist. # City License Registration OTHER 'Ror,.\ex- ****************************************** APPLICATION APPROVED BY PERMIT OFFICER, < , A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~s that this perlit lay be subject to .deed restrictions. which lay be lore restrictive than Ciiy regulatIons. The underSIgned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cite~ for a lisdeleanor violati~n under state law. If the owner Dr intended contractor are uncertain as to what licensing requlrelents lay apply for the Intended work, they are advised to contact the City of 2ephyrhills Building Departlent 18131 788-6611. ' Furth.rlOre, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl sign portions of the .CoDtractor 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 that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protection &aide. prepared by the Florida Departlent of Agriculture and Consuler 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 prolise in good faith to deliver it to the .o.ner. prior to COUlnce.At. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation iA this application is accurate and that all work will be done in cOlpliance with all applicabl. la., regulating cODstruction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do ..rk aDd installation as indicated. [certify that no work Dr installation has coatenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws 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 work, and that it is ay responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environaental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treataent f Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Waste.ater Treatlent, Septic Tanks f US Environaental Protection Auency - Asbestos abatellnt I also certify that, if fill laterial is to be used in Flood Zone "A" Dr .Atetc.", it is understood that a drainage plan addressing a .coapensating volule. .ill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. STATE OF FLORIDA COUNTY Of 1>-<1 S L .:> The foregoing instrument was acknowledged before me this L() JIJ)'\E> , 19...lL by ~ (\ \M 'L LfVt \-6 Y\. who IS personally known to me or who has produced as identification and who did/did not take, ~hses.,e. ~ (Signature) STATE OF flORIDA COUIITY OF _"'Pit~Lo The foregoing instrument was acknowledged before me th i s ? U \..\0'\1'1 1 ~ by \Ia \V II Lnll~1) V1 who is personally known to me or who ha~ produced as identification and who did/did not take~~~ ~ (Signature) (Name Typed, Printed or 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 PUBLI C :)A VIO R. ABU Notary Publ!c, Stato of Florida My Comm. Expires Aug. 23, 199B (",amm. No. CC 402501 #' . .~. 'roposul Page No. 1 of 1 Pages . . ~ State Certified ~ I 'j 7& Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RCOO55215 Member of the Florida Roofing and Sheet Metal Association ~ 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 U.S. Intee Certified Platinum Installer #5204 PROPOSAL SUBMITTEO TO PHONE DATE 813/782-1141 JOB NAME OS/28/96 CITY, STATE and ZIP CODE Zephyhril1s, FL 33541 ARCHITECT !\bod Hardware JOB LOCATION 5213 Ga.ll Blvd. JOB PHONE DATE OF PLANS Zephyrhills We hereby submit specifications and estimates for: ~ROOF - Flat Ql1y (27'x110' Section Only) ......1..... ...wTear.off..andudispose..ofu..old..roofingi....clean...up..work..area...daily.u.. u..2.. uuuProvideanduuuroechanically. ...fastenua .GAFglas ... u#75fiberglassu.basesheet u.over uuthe WCXJd deck prior to the installation of the GAP Ruberoid roofing membrane. 3 . ProvideuuaIiduinstall a new GAP Ruberoid white granl.ile':':surfaceuuroofirig. membrane which is a torch-applied fully-adhered rocx:lified bitumen roof system that is heat- ....welded..iit..tlle....searnsw.fo....form....one....sheeEi....aIid...offers....a....i..2....year....warranty..frcm..OO~u.. uU4~. w..u..AllwrneEaI...arid.....concrefe...surfaces.....WiII......be.u.pririled....wifhu..ari..uaspJialf. ..oose....piiiilef.. piior to installation of the GAP Ruberoid membrane. 5. Provide and install new 26 gauge galvanized metal eavedrip around the perimeter . wwwbf.utheuuroofuuaswufieeded~.u . . . uuuuuuuwww..u.u. . .....6u.... wwAny...rotten..wor....damagedww\o.COd.......~roof....deck,.... ...fascia,.... ..orw...trim)......will......be .wreplacedwonw..aww.. cost-plus basis above and beyond the contract price. (Labor: $37.50 per manhour; wwuwMaterials:uuw MilBaruuO:mstructionr1nc.'s . cost plus 20%. ). Replace rotten or damaged wood deck (with either 3/4" plywood, 1 "x mp.terials,etcJ to match the existing wood ...wroofw.deckingj....Owneru's......representative......is.....to....be.....made.....aware....of.....damaged..or ..marginally... damaged areas to assist in decision-IDaking on repair/replacement. 7. OWner to provide access for delivery trucks for loading/unloading for entire .. ....roof...area.. . 8. MilBar Construction, Inc. to provide General Liability and Worker's Compensation --.....tris.urance......(..$1..;.()Olj.~.'()O(j.. .IiriU.E.l.....and.....re=roofirig....permit..~.................................... . . . ................................. me 'ropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: and 00 100 dollars ($ 6,900.00 ). 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. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within 30 dayS( 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. Signature 0<...~~ Date of Acceptance: Signature ~