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Home My WebLink About96-6123 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N. (813) 788-6611 6123-13 Date 9-:2!J--7b ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: :::::,~,:,n.'~ 6 ~~ Parcell.D. # Zoning: Energy Code: Description of wo;;- H...(2 ~ Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL /6-I- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# <37 , "' Permit Fe~..,5 , ell;; Signature~. ~ ^J-..fL Jet t~1) (j Company Address Telephone# kc) Alii Valuation or / / 'Z I..,. ,..1-'7, Contract Price !;-L _ L v u !JtJ/ L3~ _ 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 FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS I C)~i \\ rv1\ \ ~Y\ I M \ \ ~~ (ChI c:,tructi i) Y1 lVL( I U,S. ?lO\ . Urict-e. ("-\-\I \ H, 33S?:lHONE 352./ St.,']- ~lYr7 I APPLICANT ji\'I\ I e OWNER JOB LOCATION 4l~~ ?\I.AY\i\ s.-'rr~tlll-~\\~s LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # \4 - Zit} - 2..\ - DO) no 03G,oC) , (')03 U k~e. -\<?o"f WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install ____Sign/Temp. _Sign ____Move ~emo1ish PROPOSED USE: ____Single Family .--M/F ____~F of Uni ts ~/H ____Commercial ____Indust. ____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 FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ '11,',sD Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS x- ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ET.ECTRICTAN Company State Cert. or Regist. # City License Registration # ****************************************** SilZnature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company \'{t \ ~ ( If\.\~+n.l (-\-1 v V\ \ \A.. l State Cert. or Regist. # \~{l'\/)t;'~;>IC;- City License Registration 4t ~ { OTHER ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subiect to .deed restrictions. which lay be lore restrictive than City regulations. The undersigned aS5U1eS responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner 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 cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (BI3) 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the "Contractor 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 Guide. prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone 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 "owner" prior to cOllencelent. 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 laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do IOrk and installation as indicated. I certify that no work or installation has cOllenced 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 IY responsibility to identify what actions I aust take to be in cOlpliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses ., ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environlental Protection AQency - 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 plan addressing a "colpensating volule. will 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 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 thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is COllenced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is COllenced. One 90 day extension of tile, lay be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be lpgged during each six lonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CIlMENCEIIE)tT. JOBS U. NDER $2 '50~IN VALUE 0 NOT NEED TO RECORD AND PO.LZ. "NOT lIF COMMENCEMENT". / Bit / . . /J /47 / IJ/~ Y;1~~. . ~~/f/~Y-- SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA toolTY OF i>.3S,t..D The foregoing instrument was acknowledged before me this 1-~~ ~, 19~ by \J~(@~ L YV\\\~ who is personally known to me or who has produced ~\~ as identificat~,and who did/did not take an oath.~ (Signature) STATE OF FLORIDA COUNTY OF ~<:...O The foregoing instrument was acknowledged befc.re me this 71;;; ~ejP-t , 19~ by ~aMN L_ M\ )\-w, who is personally known to me or who has produced ,#0 P<:- as identificat' ~d who ~ot take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUB Tl"" ~.. OtNIA A. LOVETT . ...~ ~ Notary PUtolIC. 3tate of Florida ~ ~ My comm. expires July 28. 2000 Comm No. CC572916 (Name Typed, NOTARY PUB Printed or Stamped) .. OU1flA A. LOVETT ~ Notary Fu~ic. 3tate of FlorIda ~ My co~m, expires July 28~ 2000 C~mm. No. C.C572910 'roposal g, MilBar Construction, Inc. Roofing . Concrete. Commercial . Residential Page No 1 of 1 PflQO'. ~ c.._ €~~. Builder #CBC02322 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 PROPOSAl SUBMITTED TO wis Spencer STREET 5041 8th street 15911 US Hwy, 301 North. Dade City, Florida 33525 Oc 904/567-6047 8001562.2393 FAX: 9041567-4454 PHONE 813/782-7278 DATE 09/20/96 CITY. STATE and ZIP CODE Zephyrhills, FL 33540 JOB NAME Spencer Duplex JOB LOCATION ARCHITECT 4753 Plum Street DATE OF PlANS JOB PHONE Zephyrhills, FL We hereby submit specifications and estimates for: __....w.......... ...... ......................................... .......................m........................ ..............~~..=...~pgJ~..... ....1... .............~.....Qft ..ap,guhP,y,J,~~y...Q:J,g....:r;Q9.f..:i.,ngi.....9:J,~...l"lP..~:r::~.. .~E?a.....~:i:I,y.... .u2........u.PrQy.iQe....gn.g..in,s..t.,gll....~w....J..~......1P.!!.....~t..~~~..f.~lt...~~. ................................-.................................. ................ .......... ............................ ~.~-~~~~~~~ 4. Replace all damaged flashings (valley, vent, or any wall flashing). 5. .......h...........................hh............................................n....................... ..............................."'.... ....n.. ..................................................................h......................................... Provide and install new lead boots for the plumbing vents. 6.'P;;~i~ and i.~~ii"uoow..p~e:..finish€rl aluminum eavedrip (WhiteUor~~...~< ..................... ........................... .......................................... .......................................................... .................................................. 7. Any rotten or damaged wood (roof ch:;k:;",u''fascla:;uuuoru'Edm)'''win: ......beu.repiaced....ori.....a ....................~t..:::Q1W?.....~.;l~..._~~...~.....~y9D4...~.uu9.9.:f.l.t.:r::~.9t....P~!~! .........u......u.................. ................u..... ....uu...u....u....u.u................... ....e...f. u........mJ~....uQ;:>.~~9t!9.I.J".........::I:I:l,9!..........to stonn damage, work or damage ............_.............tQ....;rnQf.....~~.!............................................................u uPl.='9Y:i9~. .?uuYE:'.<:l:r: warranty on workmanship; exclusions: done by others," tree' aamage~and76rusEruct:iiiaih.Uaamage ....................................................... .............................................. h~U'- .u..<:Mn~.ut.9Pl.='9.y!~ u~9..9.~~~ for.~!:i,yEgyt~9.~utC?u allow roof loading / unload~~9.m~~E.!=he entire roof area. ..,..O.~..........MilBar .....a;nstruction;..........inc~.....to .......provlde.. uGeneral'" ..i.labiiIEy......and......W6ikei'Ts ......canpensa:tion Insurance 1 000 000 limit) and re-roofin . t. BIt 'ropOSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Payment to be made as follows: - dollars ($ 1,177.50 ). Due ltion. 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 ma)' 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 specifie , Payment will be made as outlined above, Signature ~~ -+~~~ Date of Acceptance: Signature -f " / ,::.' ...............:,......- ~'.. .. -O:','<l".J'