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Home My WebLink About97-6761 BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 - 676113 Date /,-3 -77 ~':D~ ELECTRICAL PLUMBING ~operty Own.' II ~ 1rI-k JObAddress:d.J:- ~ ~ _ Parcel I. D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: ~:::~~oon of wo;;7f.e E;9 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 Pe,mit F.. ~-!,-:,?-ZJ iz SignaMe .it.. -.J'lj ~A _~#1 q<U- compan-tZ _ Address Telephone# Valuation or Contract Price p3 J"? ~ dV City License Registration # ,;1 / Y State Certified License# Jnd'J3,iA- BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE ~Y\~\ \\~rl) 691<:lD\ 32>~D \ N \lYrZ-\ \.,) OWNER'S ADDRESS /0#\ {D~ ~f nlA.(/ I\,~.N"\ I A €. J PHONE g \~17'O'?J~ S410 I L..e t> >>v ( n\ \ \ c.., I FL 33~4-L) ~pV\,/r~H\s. PL 2> 'j!f\.-U JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. f \ \ . 2..&. - 7 , . \"')0\ \). 14- LOO' b \ 7 0 (OBTAIN FROM PROPERTY TAX NOTICE) i<e-~ ____Alteration ~Repair ____Install WORK PROPOSED:____New Construction ____Addition ____Sign _Hove _Deaolish PROPOSED USE: ~Single Faaily ____eo..ercial ____H/F ____, of Units _M/H ____Indust. ____Swtm. Pool ___Other ____Restaurant & Health DeparbRent Approval DESCRIPTION OF WORK: ~'l\~- ~o~ <:. ~\ ~,-t- Ro)f ~~~ \' 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. PERKITS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ~CHAIUCAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frale _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEcr IN FLOOD ZONE AREA? ****************************************** . YES NO CONTRAcrOR SECTION BIJII.DER COMPANY State Cert. or Regist. , City License Registration f ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration # ****************************************** SillnSllture PLUMBER COMPANY State Cert. or Regist. f City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. , City License Registration , *************~**************************** Signature Signature K~ ~' GOIlPANY lY\, lBar Coft~rflj(t\o~ ~ . ~ State Cert. or Regist. # R<... h ~2..\S" City License Registration , ? I , *** *********************************~*** OTRRR APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. rhe undersigned assOles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 lilY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent (813) 788-6611. ' FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the .Contractor Sections" of this application for 1Ihich 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 1Iishes you to sign as contractor that lilY 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 1Iith a copy of "Florida's Construction Lien Law - HOJe01mer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If tbe applicant is sOJeOne other than the "owner", I certify that I have obtained a copy of the above described docUleDt and prolise in good faith to deliver it to the "owner" prior to coaenceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all tbe inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developllent. Application is hereby lade to obtain a perJit to do 1Iork and installation as indicated. I certify that no work or installation has couenced prior to issuance of a perJit and that a1l1l0rk 1Iill be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental agenCies laY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic ranks t 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 .cOlpensating VOlUleR 1Iill be sublitted 1Ihich is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A perlit issued sball be construed to be a license to proceed 1Iith 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 perJit issued shall beCOJe invalid unless tbe 1Iork authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tiae the work is c~ced. One 90 day extension of tile, lily be allowed for the perJit with fee charge of $15.00. Tbe extension shall be requested in 1Iriting to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project 1Iill be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHEIft'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIKAlICING, CONSULT WITH YOUR LENDER OR All AnORKEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". i:i~:dOR&~ g-~~- SIGNATURE: CONTRA TOR STATE OF FLORIDA coum OF ~~ The foregoing inst~~ was acknowledged before me this:7 , 19.:rL by ~~ l~~JYulhV\ who is personally known to me or who has produced as identification and who jjd/did not takean7!MV~ (Signature) ~ STATE OF FLORIDA coum OF \'It ~l i:> The foregoing instrument was acknowledged before me this .3rrl ...JUYl<-' , 19~ by V O+UL J 121ili-DY\ who is personally known to me or who has produced as identific tion and who ""'did not take an Oa ~ (Signature (Name Typed, P . NOTARY PUBLIC o'~~"~- Nota~~~~iC, S~te of Florida - < My comm. expires July 28)..2000 :z: n Comm. No. CC5729111 (Name Typed, Prin NOTARY PUBLIC U.S. Intec Certified Platinum Installer #5204 @ ~J State Certlfted ~ B""dee #CBCO"221 MilBar Construction, Inc. Roo~~~t:C?Cg~~:j562 Roofing. Concrete. Commercial. Resident.al State Registered Roofer #RC0055215 15911 US Hwy. 301 North. Dade City, Florida 33523 c:::x RCI Registered 352/567-6047 800/562-2393 FAX 352/567-4454 Roof Consultant #0149 'roposal Page No, of 'Pages )~ Member of the Florida Hoofing and Sheet Metal Association PROPOSAL SUBMITTED TO PHONE DATE I'll' [',,:mfiliq STREET U13 7nO-5tl70 0:) ~H' ~n JOB NAME 313901 - 6th venne> CITY. STATE and ZIP CODE ~;r~nh -hi lIs rTf, 31')40 ARCHITECT DATE OF PLANS 3(\(1(;1 - '.iti} ,'1\'0\11.1'"' JOB PHONE 7.0 )Iwrhills l;'f, We hereby submit specifications and estimates for: Illi-R(XJF - ShiI1CJlen. 1. 'rear off and haul altlny old nx)finqi cloan up ~'Iork arc'l<l daily. ') ,- . Provide and install neH 15 lb. saturiltcd felt paper. J. Provide .color. C'-j flr~>>T ~ and install nC'!\l GA;;> "Sentinel" 20 year :Li.'x'PJlass r,Jd.Jl<Jler,; O'nl'r C;.7\.1" shinyles ivwe a 20 Yf'...ar Harri1nty on lafnr .~nd 1l1'lteriil.V;. i".,., l::; lC)()r;(~ 'J. 1?,0pl:lcG <1U <.h!1Flqf~("1 fl~d)inJs (valley, vent, or any \'Til11 fl;"}shinq). 5. Provide and install n<c}~-J l<,:,.tld hoots for tho. plumbiosr VGIl/::-;. G. l'rovic1G and instnll ne\! pro.--finishu<.1 altllflinu:l 8i1Vf~lt.-ip' (\lhib'~ o~~ 7. Provide rmd infltall 50 1.f. of ne\l pre-finished ahuninuin ridge vent. u. Any rotten or th.rnaged \<JO(x] (roof (Jed';., far;l;ia, trbt, c~tc.) \lill (.e rou];)(::o.([ 0,1 ,-1 cost-plus h.:-:\sis arnvo and beyond the contract price. 9. ~tilJJ..'ll" Cbnstrucl:ion, rne. to storm datrJ.:.'lge, \vork or r].::una,ge to n')()f deck. provi/le 5 Yf~ar (bue by others, icnrranty on tree rlr'llfla'1c, \vC1rLlllFm;jhi 0 i ':.xcl1 t'.~ ,i_nns: and/or ~:;i-J:11Chlral (-l'1m;:1.'I'.~ 10. CMner to providn access for delivery trucks to al10\/ roof lOtlt1inq/ullloadiiKJ fc'r Lk~ (>ntirer:nof ar0..-:\. IDt propOSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Geo. na (~ boD. Payment to be made as follows: dollars ($ ). 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 . ~ ... f days. Acceptance of proposal- 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 abm'e. " Signature /~ A -L'1.....u;. 1..i) ; . /' ./..i tA.;, ,,' t~' I ;' .. ....."._f " Date of Acceptance: Signature Member of the Florida J100frng and Sheet Metal Association 'ropozal Page No, (=;~'J ) Mil Bar Construction, Inc.------' Roofing, Concrete. Commercial. Residential 15911 US Hwy. 301 North. Dade City, Florida 33523 C>< 3521567 -6047 8001562-2393 FAX: 3521567-4454 u.S. 'n'ec Certified Platinum Installer #5204 @ PROPOSAL SUBMITTED TO fir. ['",,,nEi lipno STREET 3B901 - 6tll i\venu~ CITY, STATE and ZIP CODE :~('~;)hyrhills, T'''r. 3J540 ARCHITECT DATE OF PLANS We hereby submit specifications and estimates for: '11. PHONE fl13/7[JfJ-5470 JOB NAME (~n.tl.5~ili j.), Y') .t){~f~; if'k~llC;(:; JOB LOCATION ~~qr)(j1 - iltil\V0I1UC' i~~nh'{r:hi 118, PL f!ilr~',r <..bn,ITuction, Clle:. to pJ:ovi(1r~ O"~nclr;11 f,L1'JillL>, ;CliVi Instu-nnc(~ (%1,000,000 limit) and re-roofinq I~Dnit. 17.. of ) ~;ta'e Certified BUIlder #CBC02322I State CertIfied nuufar #CCC051562 State Registered Roofer #RCOO55215 RCI RegIstered Rool Consultant #0 f 49 DATE I)r; / :?~),I 'l7 JOB PHONE .Page.; :c_~l~j:'-~l..1 r; j~'C:\ r'~~I~nd.f J::)n OPTIOJ: FL1L 11(yl[ rZr~;""'lir (12':d3' "1rr~") - 'Jnil(l 'lp La", .Ie''};, "li.tf} L1C ,ql:1ii-.r~ insulation; imitall 2Gt/ base shoet ,nechClni '1st~~n~:,d to t:1v' 1!C){)l' I '1<)':',; \l>~\.T \"-\F' T:Il!)(:'roid cap sheet over that arOn.i the; cn"iX'l.ct ;)]:'i.c". M$. ('ck.f-; J I ffJO I:SZJfV'\rt.l L" J(~ IT'''] in;; 1::':111 tIlr proposr tJereby to furnish material and labor - complete in accordance with above specifications, for the sum of: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according 10 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 lire. tornado and other necessary insurance, Our workers are fully covered by Workman's Compensation Insurance, 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. ~ Date 01 Acceptance: -dollars ($ ;.: j"'" 1)0 i5\) flJ\J_ A~i Authorized Signature Note: This proposal may be withdrawn by us if not accepted within Signature /-; ... ,I! 'r'I/~ t--: - .' Signature ., ..: .......-.,r- i ~ / I , . .. . ., , I . ~ J Lnu~ POD. or ~'-=-= Oto~:r7 DATE I hereby name and appoint ....I. ~r'V\l \.~V\ r\ ~.Q..r of ...-"1\'\ \ ~l)r (r))\S'\YHCn l~lY\. \YlC. to be my lawful attorney . . in fact to act for m8 and apply to Z~'f)h\{ftl.l\\~ \~)~ J)e.r-r- for A f P... \' tllii. V)j at a location described as: perml( for work to be performed Section 1\ Township 2- ~ Range 2.\ Lot Block Subdivision 391';)0\ (j~tVlI~~d'dru~f~~~tl'I\(~J ~ 3~s4-u <;in.. C-- \; WD \\\lWfZ\ Q ,'SSI qD\ (0% I\ve VI IA~ l ZIp n~{hl \\6, FL 3"381-0 I (Owner of Property and Address) and to sign my name and do all things necessary to chis appointment. \1a..V\Le. L. m\ \\1)\,,\ I ~C OOSS2..lS Type Or Print na~e of Certified Contractor, License # ~A4~ Signature of Certified Contractor Acknowledged: ?H60,(\()'\.\.y K.Y\OWI'\ to YYl e.. O~ I03)9f Sworn to and .ubsc~1b.d bofor. me chis 3 Da y 0 f " \ u YI 'L A.D. 1 9 ~ Notary Public, State of Florida pJit (Seal) My Commission Expires: ~.. OUV1A A. LOVETT ...~ " Notary Pll~ic, State of FlOrida ~ ~ My c9.mn1:_~xp'ires July 28, 2000 ".,11:", ~,o CC572916