HomeMy WebLinkAbout97-6523
BUILDING PERMIT
N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
652313
Date -3 -i:;..... -Y I
~~ ELECTRICAL PLUMBING
::~::.~,:~~~ -~./ ~-:J
Parcell.D. #
Zoning: Energy Code:
Description of Workr R /? AA7
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration # "'-.? ;>
State Certified license#
p..mit F"~ ~ ~
Signature'" ~ E9 ~ QAl!-
Company
Address
Telephone#
Valuation or
Contract Price ~ & 0-0. cr-D
7f;.I'.6~
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 ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER t S NAME
Tn. u".c.:t- {}u.lr. o~
7J1.~ V1"l t' lA. \\~
7'1 P ~'1V" In'\ \ \~ I
7~'P'^'t '(' h\ ll!. I
PHONE Sl3/ jSZ. ~u r~
FL 3~5"4-0
PL
c:..2..\ L. - ., ~ ~tru+.
~L\ It . 1 \-\J\ ~trtL--t I
LEGAL DESCRIPTION: LOT(S)
OWNER t S ADDRESS
JOB ADDRESS
BLOCK
SUBDIVISION
PARCEL I. D.'
\ \'7lD.. 2.l- DblD - Ilp100. O\Ri1
(OBTAIN FROM PROPERTY TAX NOTICE)
Q-~
_Alteration ~Repair _Install
WORK PROPOSED:_New Construction _Addition
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Family
_M/F
_, of Units _M/H
_C~ercial
_Indust.
_Swim. Pool ___Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~BUlLDING
$ 4. ItJOD,OD
Valuation of Total Construction
_ELECTRICAL
AMP Service
F10rida Power Corp.
W.R.E.C.
_MECllAMICAL
$
Valuation of Mechanical Instal1ation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _B1ock _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTIO~
BUILDER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
ELECTRICIAN COMPANY
State Cert. or Regist. #
SiQn~ture City License Registration #
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
t1ECHANI~ COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
*************~****************************
OTHRR COMPANY M'~ \ Bat" UHfc.JrUl t\ ~ "'1 1 V\ e-
State Cert. or J~egi,st,.' ?li
Signature City License Registration #
***************************************.**
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than City
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 or 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to .wbat licensing'
requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent~ (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for wbich 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 - HOIeOWDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other than the
"owner", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the
"owner" prior to cOlleJ1ceJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infortation 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 work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a pertit and that all work will be perforJed to Jeet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDJental agencies JaY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
WaterfWastewater TreatJent
* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
* US EnviroDlental Protection Agency - Asbestos abateJent
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 uCOlpensating volute" 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 per.it prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, JaY 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 logged during each six IOnth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE 'f0 RECORD A NOTICE OF COMMENCEMENI MAY RESULT IN YOUR PAYING nICE FOR IMPROVEMENIS 'fa YOUR
PROPERTY. IF YOU INlIND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN AnORm BIFORE RECORDING YOUR NOTICE OF
caNlCW . JOBS flJALOEOO IOUiID 10 RECORD AND ZW _
SIGNATURE: OWIIER OR AGENT SIGNATURE: COHTRACTOR
STATE OF FLORIDA
COUNTY OF ?~5>('l:>
The foregoing instrument was acknowledged
before me this ~, 19~ by
N~Y\lt. L. M', 1 tD",
who is personally known to me or who has
produced
as identification and who ~id not
take an ~~
(Signature
(Name Typed, Printed or Stamped)
NOTARY PUBLIC OUV1A A, LOVETT .
lA:.~ Notary Pu~lic, State of Flonda
~ 0i ~ My c~~~inewg,e~~g~2~~6 2000
STATE OF FLORIDA
COUNTY OF 1> A!>L.. b
The foregoing instrument was acknowledged
before me this ~, 19~ by
~ a 'f\.(''t.. L. MJju",
who is personally known to me or who has
produced
as identification..and who jMl/did not
take an o~t~~
(Signature)
(Name Typed, Printed or Stamped),
NOTARY PUBLIC OLJ\jlA A, LOVETT .
~*~ Notary Putllic, :;tat€ 01 FlOrida
2 ~~ My c~~~ineY~~e~~~~2~~52000
State of Florida
County of pasc~if' that the foregoing is a
This is to cer Y f the document on
true and correct copy 0 hand and
file in my office. ~i~nes:/ma.(''-r" 1997.
offiC~;f se~l this ~ ay
By: {Ul 1\.(, Nota~~;~~t,;r~~~~~ori~to "; '. ID'"U'""lllllIUlUlIlIUUIII"mIlU"U
..",,~~ My eomm, eYfJirP.e;:g~2{116 96045130
.' , O. n 'C~~,~. 0.. v '.. ,NO'J'ICaOfC~"c;BlUUfT. .. ....... . .,'_
~ ~J' .
,.:'-' .Q"~r\~"~~~.'.:'f " , 'C,o,Unt)rr,Of ~~ll'~
, ,f'l'UJ'f"VND2RStGNBD hereby gives notice thAtimprovoment will be made to c3rtair
real property, and in accordance with Chapter 713, l"lorida Statute9, the
following information is provided in thip Notico of ConunoncolRcnt:
,,^c.~ . ,~~.,
;~t:-'Vj:~:;T.
rrt.:.- ,.' . .-....( :U'i..
({:t.j.:
.' 1. . Description of Property: Parcel No', H.lla. 2.\. N"M:~. IID'I)(). Q\~{)
~.,.., '", ,",,<
e)
~'h~' ,f,GeneTal Description of Improvement. 't:\~ ~.~
t"
. -
1 ~\ V\6 \c... =Ke.-l2urt
J
"'MlllI1 Q"t\~\'\w) mll.(:\~\ '\Y\~"tt\\\'. ~\\vr~\Ac.c:.. \Y\V 'ht.It, (..tJ..~ ~rm'A ~f~hllll"
s:.llf'~Ar. ~i{,;.LJ>\-\uVlll'M I 2.lD ~urt ~;1\\/'Q\,h_\ (>^".c.A~'J ett.....
Ownar Information: Name ~.Hi~t e\u.~ o.{ z.~'~(.
3.
..
..
Address b~\l.. i~,<tt City
Interest in Property: Oll\V\U"
Na~e of Fee Simple Titleholder: ~
. (If other than owner) . .
State _R-
Rept: 73792 Ree: 6.00
05: 0.00 ITa 0.00
05/03/96 Dptv Clerk
JED PITTMAN, PASCO COLMY CLERK_
05/03/96 11:02.. 1 of 1
OR BK 3567 P6 1492
State
H\1i'"'''' ~:Addresa City
( ,
~ N"me~rurtio-o\
1, . ,.' }
~l:b"d;"";f)\dqress \5'3\\ I. _<., ?lD\ City
..
State l=-l
--~--
~roposal
Page No.
of
u:s. Intec CertIfied
Platinum Installer
#5204
rM1
MilBar Construction, Inc.
Roofing . (',on crete . Commercial . Residential
P1!lges
~:~
. State Sertified
.""de' "'BC023",
State Certified
~ooier #CCC051562
rv;",mher oi the FloridA
Roofing "1M SheElt Metal
Assnciation
PROPOSAL SUBMITTED TO
J.1ourist elm) 0: Zeohvrhills
STREET Attn: Dick Je'ilett
521 (j 7th E;tre3t
CITY, STATE and ZIP CODE
15911 US Hwv. 301 North' Dade City, Florida 33525 C)(
904/567,6047 8001562-2393 FAX: 904/567,4454
PHONE d13i738-4147
<31 '7'-c.?_ "
State Aeqistered
Roofer #RC005521'i
Fl(}t"id~l
DATE
In'
JOB NAME
n? / r< fry'"
DATE OF PLANS
5216
JOB PHONE
'~8"')}1\ r;.lil1fi
ARCHITECT
,~~L 33L~40
JOB LOCA nON
We hereby submit specifications and estimates for:
~~eph rhills
RE-lUlF Shingles
(4<1'-3"x100'_O")
2. provide:tnc1 install ne\7 15 lb. sa.turated felt ;Bl~r.
1. 'l'car off Llnd haul avmy old rcx)finc:!i <:::10.:'1n up \yorJ~ arlXt chily.
.,
,) .
Provide and install >'leI; Gf\.?
'{p.~1r funcfLls- res istance; OVll:1(~r
on l.~bor anJik"Otterials.
""l.oval ,::,;overeign"
t,) Ci loose col(~~:."
~/
25 year fi::.-x~rglass shingles 'i-lith 15
GAF' s!1tng les have il 25 ye-:rr \JaXTanty
4.
}>rovide arK; in~;;tall n(~'.1 ')re-finished ~Jl1ite alu::ninum etlVcdrip.
end ('BvorJrL) ,lib'1 new pre-finis;icc1 ilhite altliaimF:1 eavedrip.
.J"~place.Jortb dnd r:'3,st
:> .~e-,usc the exi::3tinq le"ad~x")otf;.
,) .
Provicle 2m: install nc~\v 2(j gaU;jF~ (fal v"'(1.Jliz~~i
fLishing on t!l(~ front r.J..'lr.apetik111.
1fT"
~f
flashinq and s:urfnce-'-noLmt nx:;'1(~t
"/
, .
!{eHnvc~ and dispos:c> of tl(:' four (,1,) pxistinq turbine vents; )D:)vide all':: cut-in 90 l.f.
Dr i1(~;1 ,.Jre-Linif:;nf.:lI'] al;.uU;lum ri:~ll'~ w:!nt.
'. ;{OilOve tno. t\;.ro (2) "~xistin9 CnLnl"lC'{', and tne two (2) uxL,tinq q0.::; V:;;llb::;;)lY\'ltxxl over
()l.XJJ:lillg-;; .
Ci. :\.ny n:)tten or -C"LrlliHgEY) woa<:1 (n)of dec;~, fElscia, trim, Gte.) "Till be n~placr~d on a
cost-plus tJ<:'l.si::> above and ()cvond t.he contract price.
: -
IliIr Jilropost h"eby to fum"h mat"'al and labo, - complete in aeoo,danee wilh above specifications. fm the sum oj
<. (~ bilO.
paymeni'to be made as follows:
dollars ($
).
All material is >Iuaranteed 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.
{/' Acceptance of 'roposaI - The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the worl< as specified, Payment will be made as outlined above.
Authorized
Signature
,~
" !
Note: This proposal may be
withdrawn by us if not accepted within
30
days,
Signature
.-t?:t?"'<--l!4,--t.pr/ (::;:.- :;.c~
,- 'l
j/
"..~; .
,t"~.-. .
Date of Acceptance:
\ =
Signature
,...
I' " . />~~~~ :/ ...,/
--
/
C~'...
~"
.~
Memher ,f the Florida
Roofing ar o.i Sheel MAla'
ASSi?eiation
'roposal
Page No,
=
J
'i)f
;+0
.. '. P~ges
U.S !ntec Certified
Platinum Installer
#',204
~
MilBar Construction, Inc.
Roofing' Concrete. Commercial. Residential
.... ~te 'tertifiert
Builder #CBC02.1221
... >/
PROPOSAL SUBMITTED TO
15911 US Hw'l 301 North. Dade City, Florida 33525 C>c
904/567-6047 8001562-2393 FAX: 904/567-4454
r-I 813/788-4147
Club 813'782-9613
JOB NAME
3iate Ce't'fie(~
Roofer IfCCC051 '}62
State Registered
Roofer #RCOO5521 5
'lourist ClUD OJ: Zephyrhills
STREET 'It:tn: Oick LJ(~\olett
':>216 - 7th street
CITY, STATE and ZIP CODE
PHONE
DATE
F'lorida
Inc.
02/18/97
F'J, 3354,)
'Iburist Club of Zeph
JOB LOCATION
hills Florida
We hereby submit specifications and estimates for:
5216 - 701 Street
DATE OF PLANS JOB PHONE
Ze'JJ1' rhills E'I,
1 ().
'U.lJ':.:'lr Construction, Inc. to
3t:on~1 damage, \Jork or da:n."l.qe
to roof clt'.!Ck.
provide
done by
J..,
~-"._-_.-....,
~:i year
ot.l-ters,
t'larranty 011
tree (l,lAIEKJ'~,
workmc"l..l1Shipi c!xclusions:
and/or structural ch,lkJ.'J8
11. Q.mcr to provide access for deliveD.! trucks to aIle)'", roar loa.ding/W11oadin<j J~or ble
entire rooi' aro.'1.
12. ;\'lilBar (:bnstruction, Inc. to provide G:~neral .fJiability and ~Jorker loS Comr:lEmsatfon
Insurance (:';;1,000,000 li;:lit) and re-roofing pel./rut, dnd [X1.y for all sales C:'lx.
t-';;
-,
"
lilt IilrOllo" h.,eby to t"mlsh mat.,'al and laboe - complete In aeeoedanee with above 'pee;t;eation" fo, the som oL
64 ~ 6 00. C>O(~jZ
;n'1~ and Pi~ 100- dollars ($ 4~~;;t. ).
t.
Payment to be made as follows:
l)UC \lOOn COlHDletion.
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 Gosts 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 othe' necessary insurance.
)- Our workers are f~"y covered by Workman's Compensation Insurance.
-:7' 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,
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
30
~
,..('
......:
\./
/
" .~/
Signature
Date of Acceptance:
~
:J-/--?-7
,
Signature
. ;'~:;/f' . ''::'A~-r~Y;e-t:c..,
.
~M>>,'
-."