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