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Home My WebLink About97-6699 BUILDING PERMIT !1! CITY OF ZEPHYRHILLS (813) 788-6611 Permit 669911 Date I/-do -77 c;;l ELECTRICAL PLUMBING MECHANICAL Sewer Conn ::::,~:,:~dJ1-~~~r Parcell.D. # Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Cod~,: Description of wor;-j( J2 ,./LtJ~ 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 Valuation or Contract Price 4 ($ YO. (/'-U City License Registration # J ~ State Certified License# Permit Fee~ - criJ Signature ~~-fe ~t... ~ Company Address Telephone# J1! - pi -Act ,. (. /l 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 OWNER'S NAHE--KUG'v1(1,~i'K, \N.iJ \'\ ~ VVj / KotJ,u ~ OWNER'S ADDRESS 5~b~. J~lUJ (jrr'f-r ) Z~~); )J~) ja VYl € PHONE BI3hB~. 44-5~ I P1~ 33S-4u JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # }J.zt;. 7,J. aUlD. b7/o0D./)lsD (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration ..2:::-Repair _Install _Sign _Move _Deaolish PROPOSED USE: ~ngle Family _H/F _, of Units _H/H _CoI8ercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: 8~'t ~ c\ 8 ~1' &:..f2uF- (J~ <;1 <) BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COHHERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ 2.,"6 BD. ~ , Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _HECBMlICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. , SiQnAture City License Registration t ****************************************** PLUMBER COMPANY State Cert. or Regist, , Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration , *************~**************************** OTRRR COMPANY lY\', \ t)nr(U'M~uctlU\1.1 ~~c_ State Cert. or Regist.' R( l)/)t;h"'2.-\'~ Signature City License Registration , '~-, ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT ~A: NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to ndeed restrictions" which laY be lOre restrictive than City regulations. The undersigned assUles responsibility for coapliance 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 tbe contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas 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 perJitting 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 - Hoaeowner's Protection Guiden prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to cOllellceaent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developaent. 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 perlit and that all work will be perforaed to teet 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 governaental agenCies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departaent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treataent . t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departaent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks t US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan addressing a .coapensating volute" will be subtitted 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 wort 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 froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becoae invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the tite the work is cOllenced. One 90 day l!Itension of tile, aay be allowed for the perlit 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IIfTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC 1fT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 1'~OTICE OF COMMENCEMENT". 1 YtIt JJ/!~ SIGNATURE: CONTRACTOR STATE OF FLORIDA 7'\ COUN'l'Y OF t"3~ ( l;> The foregoing instrument was acknowledged before me this ~, 19~ by V'3V\U.. t. YV)~l h Y) who is personally known to me or who has produced rJ t.pe- as identificatio ) and w o..8id:/did not take an oath. STATE OF FLORIDA COUNTY OF PM to The foregoing instrument was acknowledged before me this !J4 J?Jl) , 19.1:1- by l' I VIj J1('e.. l fY),/ fu V) who is personally kn~ to me or who has produced ' ~ as identification ,and w~ did/d' d not take an oath. /, (Signature) (Signature) (Name Typed, Pri NOTARY PUBLIC OU A A. [Ovm " Notary Pu~lic, State 01 Flonda My comm. expires July 28).2000 Ccmm. No. CC57291\J (Name Typed, Prin NOTARY PUBLIC ~~AG. '" ~ o - % n .LOVf:Tl. Notary Pll~ic, :;tate ct Flori~~ Mv comm expiros Ju!y' 23, 2uuO , ~:mm No CC512916 U.S, Intec Certified Platinum Installer #5204 'roposal A 2..1Z.<e. fDlI MilBar Construction, Inc. Roofing' Concrete. Commercial. Residential p of 2 Pages - ,.,- 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 15911 US Hwy, 301 North, Dade City. Florida 33523 <:::x 352/567-6047 800/562-2393 FAX: 352/567-4454 PROPOSAL SUBMIITED TO PHONE DATE William Kucherick STREET 813 788-4458 04 11 97 JOB NAME 5806 - 18th street CITY. STATE and ZIP CODE ~ , ) Kucherick Residence JOB LOCATION Ze h hills FL 33540 ARCHITECT DATE OF PLANS 5806 - 18th street )1') - - ,I)' i') We hereby submit specifications and estimates for: Ze h rhills FL ,.. ,~~.f::::~.l~~..:f.lcd: A. SHINGLE ROOFING 1 . ~Cll::():E:E" C311Cll"1Cl1J:L..ClVJClYm():LCll:'()<?:E~n.:g;~:L eC311l1p VJ():r:J<Cll::~Cl<:1:i~:LY. 2. '" J?J:::()"icl~C311cl, ~n.:~t:Cl]} tVJ()J ?J:LCly~r~():ErJ.~VJ~l}:).~~~W~tM~~~U\ t.. ~\C\'!'L.. 3. ,.., .m6h66~~~coi6~.~~Cl~ti~res~v~'e:r1JJn;~"i~:ai1~ ,g~~Zi~~ds~E~ti~is:1:r~g> RepiacealfClcl11iagecftlashirig( valley; vent ;or any walffiashing). 5. Provide and install new lead boots for the plumbing vents. 6. Provide and install new pre-finishedaiUrIiinum eavedrip; color ~Whiteo~~ ".." """'1~ ......................u.........u..............._................-....................-........-.. .---.-.....-.........._...........................................__.. ....'....-...'.._.....,...__...u.._._..,............__. Remove the existing chimney; plywood over the opening. 8. ....w.._____......___......__.._.... Replace aluminum 30 I~L U of theexistingUiidge veriEwfth 30 vent. 1. f. "of new pre--flnished 9... ....~~~';i.:;u~fk)J~r~getoJ';~~o~&~~gi;;';.i,d~Wi~E:~t~~~.. to roof deck. B. FLAT ROOFING mr proposr /:1ereby to furnish material and labor - complete in accordance with above specifications, for the sum of: See e two. Payment to be made as follows: ---~._--._~---~----._----_._-----_._.~.--- dollar~; ($ ). 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 may 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 specified, Payment will be made as uullined above, :?- ! /, . Signature ' ,( _ ~-t.L.:...4.-,:YK._ /~,-,,-,.tk"';/) ~A Date of Acceptance: Signature / U,S. Intec Certified Platinum Installer #5204 J6fJ Mi/Bar Construction, Inc. Roofing. Concrele . Commercial. Residential 15911 US Hwy. 301 North 0 Dade City, Florida 33523 C>< 352/567-6047 8001562-2393 FAX: 3521567-4454 'roposal Page No. 2 of 2 Pages. . Member of the Florida Roofing and Sheet Metal Association State Certified BUilder #CBC023221 Stale Certified Roofer #CCC051562 Stale Registered Roofer #RC0055215 RCI Registered Roof Consultant #0149 PROPOSAL SUBMITTED TO PHONE DATE William Kucherick STREET 813/788-4458 04/11/97 JOB NAME 5806 - 18th street CITY. STATE and ZIP CODE Kucherick Residence JOB LOCATION Zephyrhills FL 33540 ARCHITECT 5806 - 18th street DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: FL 1 0"" "~",,()~~,~<:1,9.:i.~PC:>::;~,,()~,,,,()~c:l:E?<?~~J:1(~P,~~~J:1,~p,~rk area daily. 2. Provide and mechanically fasten a GAFglas #75 fiberglass base sheet over the "" """"'.',, ,.""""'......""pl~'deck..pri(ii"'E6'.Ehe'TriSEarlaElon'''6i''Ehe ,.GAF..Rlil::)er6Id""rooflrig'''membrarie.~'''' ,." """ ""..'3.~ """ "'ProvIde' ".arid'.'InsbilI"'.a."'riew''''GAF''''''Riiliei6id..''.Whife''''''granule::surface."'"roofirig ",., riieiribrane"" which is a torch-applied fully-adhered modified bitumen roof system that is .""""",."'.',, """""..'..""heiit:::.::welded"'...'a.f'.."the"'...seams'E6"..f6riii'..6rie....sheeEf'...and.."offers...'.'GAF"s""ttRl:i15eroId""'TWelvett"'. 1 2 year lind ted warranty. ."...- . wo...u .........h.....u...............mm............m...................m.................m........w................ .... . . 4. All metal and concrete surfaces will be primed with an asphalt base primer prior ,,,. . '" '.", .t6'IriStaIla.fi6ri'6ftheGAF'Rlibeioid'meiribrarie; "'" 5~"" Provideand"iristaIT'riew'26'''gauge''galvanizecfmefaleavedfip''ar61.ihdthepeririiefer' of the roof as needed. c. GENERAL CX>NDITICNS .......................................... ......., ............ .................,..... ......................... .,....... ....,..... ...........,..... ............ 1. Any rotten or damaged \'XXXi (roof deck, fascia, trim, etco) will be replaced """" ".', '" "'" ,."""""""'..'on"uaucost:::;plus"'.oosIs"aooveu"andUooyorid""the...'ooritract'.'.prIce'~"'. u, "u2~ "OWrieruuuf6provideuaccessfor'deIIveryUtrucks' fOaIlowroofI6adirig/tihloadihg"f6r the entire roof area. 3. MilBar Construction, Inc. to provide General Liability and Workerts Compensation ,.""", ,'.,.,., """""" ',.,"""'urrisurance "($ r;ooo;OOOu"IIiiiit)"".and'..re::iOOfirig'pe.ffuit:'" IIr proposr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Two thousand three hundred Payment to be made as follows: 2,320.00 t.~.~ o ). Authorized Signature ~ 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 10 carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insuran.ce. #~ Note: This proposal may be withdrawn by us if not accepted within 30 Acceptance of Jlroposal- The above prices, speCifications and conditions are satisfactory and are he.-eby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above, f;"~~.lLUc-'YK: ~(" /4 ^L~.~ Date of Acceptance: Signature