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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>>,' -."