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HomeMy WebLinkAbout97-6698 BUILDING PERMIT N8 CITY OF ZEPHYRHILLS Permit. (813) 788-6611 669SA Date ,:. / - 3 CJ- c::; 7 B ELECTRICAL PLUMBING ",operty Owne' ~ ~ ~ Jj! ~ Job Address: /- ---'-2. ------4 Parcell.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: C' "'..ti... Energy Code: Description of Work <2 ~~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector (So Permit Fee ~~ cJ-u Signature ~c.1A...-~ Cl~J~ Company Address Telephone# Valuation or Contract Price /~--. 9'1- c/D /' City License Registration # J ~ State Certified License# !l!-(/ (joJL 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 ($15.001 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 OWNER'S N~fY)()Y\YD't I L:i1(1)Y<"'VLCu OWNER'S ADDRESS fon\l . Sri Yn~ \4% S'tre-d- PHONE A \?-.)-rts. D4/1 2~6ll1~) r-:-L ~354-0 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. # /)2. "'2-1., -7_\. DD2A - DDbDn.. 1)08'0 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ~- Repair ____Install ____Sign ____Kove ____Deaolish PROPOSED USE: -L,Single FaBtily ____KIF ____, of Units _K/H ____~ercial ____Indust. ____Swill. Pool _Other ____Restaurant Ii Health Department Approval DESCRIPTION OF WORK: 8n\ ~ l~ Kit" - PJ BUILDING SIZE: x Square Feet, \ ~ IlL <~ ~ 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 FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ II ':S ~ It. 2> l6 Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ____MECllANIGAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____FrOle ____Steel Other FIIUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , City License Registration # ****************************************** Signature RT.RCTRICIAN COMPANY State Cert. or Regist. # City License Registration # ****************************************** SiRnllture PLUMBER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. , City License Registration # *************~**************************** Signature omRR Signature COMPANy_M'1 \]dV" Cm,~1tUd\ o~ ' I ~ ~ State Cert. or Regist. , (r I b S 7 " I City License Registration" 31 *****-**************************111'*'******_** APPLICATION APPROVED BY PERMIT OFFICER. , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peoit lay be subject to "deed restrictions" which JaY be lOre restrictive than City regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they JaY 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherJOre, if the owner has bired a contractor or 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'tbe 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 Zepbyrhills. 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 - HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is s_one 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 cOllencl!l8nt. E. CONTRACTOR'SjOWNER'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 work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a peoit and that all work will be perforaed to Ieet 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 goverDIental agencies aay 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, Water/Wastewater Treatlent * Southwest Florida Water Manag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abat8lent 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 "cOlpeDsating volllle" 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 frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peoit issued shall becOJe invalid unless the work authorized by such peoit is COIIeDced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day extension of tiR, aay be allowed for the peoit 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 TO RECORD A NOTICE OF COMMENCEMBIlT MAY RESULT IN YOUR PAYING TWICE FOR IMPJIOVEMEIlTS TO YOUR PROPERTY. IF YOU IIlTEIID TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AM AftORJlEY BEFORE RECORDING YOUR MOTICE OF C1HIEIIC T. Jill UIDER 12',500 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO~iCEMB/. a;t. U Jl(vr SIGMATURE: COIlTRACTOR (Signature) STATE OF FLORIDA COUIlTY OF Va J l v The foregoing instrument was acknowledged before me this ,,/J4;/!iJ , 19~ by ~~' t fi);lrr1A) who is persona ly known to'me or who has produced AJIt as identification d wbo did/did nul take an oath. STATE OF FLORIDA COUllTY OF ~ ClS l u The foregoing instrument was acknowledged before me, 7his ~, 19~ by V 13M ('(. /. y'yl; J to YJ who is personally-known to me or who has produced N Ar as identificatio ;and-who did/did flol take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC OUV1A A. LOVEtT ... I~Go Notary PuQlic State of FlOrida :; , ~ My comm, expIres July 28).2000 z g"" C:;mm. No. CC5129111 (Name Typed, Printed or Stamped) NOTARY PUBLIC ~.. OUV1A A. Loven ...~ Go", Notary Pll~lic. State of Flonda ~ ~ My comm. expires July 28, 2000 Comm, No. CC572916 U.S. Intec Certified Platinum Installer #5204 'roposal A 2127 1f5I1 MilBar Construction, Inc. Roofing' Concrete. Commercial. Residential 15911 US Hwy. 301 North. Dade City, Florida 33523 C>c 352/567-6047 800/562-2393 FAX: 352/567-4454 1 of 1 f"ag8:;' Member of the Florida Roofing and Sheet Metal Association State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 RCI Registered Roof Consultant #0149 PHONE DATE JOB NAME 813/715-0477 03/27/97 FL 33540 Monroe Residence JOB LOCATION DATE OF PLANS 6017 14th street We hereby submit specifications and estimates for: Ze h rhills FL '1 I [ RE-ROOF - Shingles Olly .. ".. ,,' '" ."",... "'," .. ..".... "'," ..", ,.", "",." ...,.. ,,(}J'~?"?C5~'~O"J.. Entire Duplex 1 . ..., ,~~()1::f..ClI'l<:1...h.<:il,lJ" ..~~Y()J"Cl..:r:<:x:>:fi.,I:1g;...~J,,~l,lP..~:r:~ ,,~~(lc:\i.,:LY. 3. 2 . Provide ClI'lCl""i.,~~t:~J"J"",t:~."J?t,.,J~y~:r:~""9:f",,I:1~\o,T.,,.,1,5"',:Ll:>."."f>~t:l,lJ:c:lt::~"',:f~:Lt::,',Pc:lpE:!l:",., Provide and install new GAP "Sentinel" 20 PA;t-eL6'1;~esf-.g a20 year warranty Replace all dama~ed flashings (valley, vent, year fiberglass shingles; owner to choose onIabOran(rmaEeriaIs~"""'" ,," 4. ...... . _"._n..__...... ...m....._...__.......__.....'""__..._...__..........__................__.............._.....__.............._.. 6. Re-use the existing eavedrip. 5. Provide and install new lead bOOts for tlle piUil1bing vents ~'" or anywaliflashing). 7. ",." 'Any.rotten...or......darnage(r...w6ocr(roof..deck~ ... "'fascia; trim, '..eEc~)win.berepiaceaori..a... ,~9~t::::P:Ll,l~""~~i.,~"',Cll::Jc::>y~, "ClI'lq.""~yc:>I:1q.",.th~"',<?9I:1t::rc:l~t:,",P:r~~~. 8. MilBar Construction, Inc. to ,,'... '" ,'.,... storm"aamage;"work"'or"daITiage to roof deck. provide.....~,..XE:!~ warranty on workmanship; exclusions: '... dOne"hy others," Eree....aamage, "'andlor"strucEuraraarnage 9. <Mner to provide"c"""~_fo,, del~"eJ:ytruckS _toallowr<:x:>f __loadin9/unloadinlj for the entire roof area. 1 o. MiIBai "COnstruction;H Inc. UHE6H% provide" General" E:Lab:i.Tityu aridHUworker' s " 'COmpensation Insurance ($1,000,000 limit) and re-roofing permit. mr 'roposr I!ereby to furnish material and labor - complete in accordance with above specifications, for the sum of: One thousand five hundred ninety four and Payment to be made as follows: Due upon 9=>ffipletion. dollars ($ 1,594.38 ). ~ 'l<JI'E: Contract rice does not include the standin seam 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 wriUen 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. ::3 Acceptance of 'roposal_ The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as spe:iJj; Pa m will be made as outlined above, Date of Acceptance: q, '/ r ~ Authorized Signature Nole: This proposal may be withdrawn by us if not accepted within 30 Signatur