HomeMy WebLinkAbout98-7570
BUILDING PE.RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7570
13
Date
..3 -/o-?r
@ ELECTRICAL PLUMBING
Property Owner: t~.A.- W1~
Job Address: ....:1 g.- ~? ~ ~ .--5 ~ ~
-
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel 1.0. #
Zoning: En~ergy Code:
---../
DescriPtion of Work / \._ rJ
Radon Gas:
FINAL
DATE
NO OCCUPANCY BEFORE C.O,
Complete Plans, Specifications and Fee Must Accompany Application, C.O,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
of)
Valuation or
Contract Price
J~.
,/
cr"-L)
P~rmit Fee /~"
Signature '- _ --=-
Company
Address
Telephone#
~
City License Registration #
State Certified License#
7J>'
{;. ~ -,...: a -'d.....
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.
APPLICATIOH Foa PERKlT
CITY OF ZEPIIYlUlIu.5
BUlLDIJIG DEPAR'tlIBHT
f~;)').-'1g'
PRONE (8 13 ') '1<l~.. ~'1q4
owa's HAHE
EI L~J.J HI::..~A^,
OWIIEB. 'S ADDJlBSS
JOB ADDRESS 3<6531 5ib AveNUE"
-z..E'PH ~R HI u...,'S
LEGAL DESClU.PTIOH: I.OT(S)
BLOC1L.-SUBDIVISION
PARCEL I.D.' (OBTAII FROK PROPERTY TAX HOTICE)
~
won PROPOSIID:____ew CoDstructioD -.-Addition ---.A1teration -6epair _Install
f
---1Jian
--Hove
----Peaolish
PROPOSED USE: ~~le 'aaily
~/F _' of Units ~/B'
_ec-ercial
_Induat. ---1Jwia. Pool _Other
---,estaurant II Health Departaent Approval
-DESCRIPTIOII OF WOH: 'RE"- ROO~ EX: I&T,,\I~ J.Jb",e:"
BUlLDIIIG SIZE:
x
Square Feet,
Height
RESIDEllTI.AL: AnACII (2) PLOT PLAIIS II (2) SETS OF BUlLDIIIG PLAIIS II (1) SET BllBIlGY FORMS.
COItKBIlCIAL: "nACII (3) SETS OF BUlLDIIIG PLAIIS 1& (1) SET EIIERGY FORMS.
PROPEB.TY SURVEY IlBQUIJtBD fOil ALL IIEW COIISTIlUCTIOH.
~\S~~~ .
~UlLDDlG .. ')()(:)-") Valuation of Total Construction
RI.RCl'IlICAL AIIP Service Florida Power Corp.
. PERKI.TS REQUESTED
W.R.E.C.
----llBCIIA1IJ.CAL
..
ValuatiOll of IIecbanical Installation
~DIG GAs IlOOfUG
SPECIALTY
TYPE 9F OOIlSTIlUcnOIl: ____.Block --"r_e ~teel
Other
FUlSBBD FI.OOIl ELEVAfiOIlS:
PT.
IS PIlO.JBCT III FLOOD ZOIlB AJlEA'I
YES 110
................................,.........
Sipature
COIlTRA.CTOH. SECTIOH
mHPAIIY ~UNN II\J 6 J4.11tn c.oNS"~U.c.. -n 0;../
State Cert. or Re8ist. .
City License Registration . ? '7
................*.**....................
BUILDER.
PLUNBBR '
COHPAIIY
State Cert. or Ilegist. .
City License Re8istration .
~....................................
\€ J
~ 1) COHPAHY
Vi State Cert. or Ileaist. .
City Liceoae Ilegistration .
.........................
RI.RCTRTCIAIII
stAft.ture
Sianature
..~
r . ~<
fI,.,"1\f(:.. ,- c"\ " '
HECRARICALt>r (" ""'~
~~"
o.~\\..Q
Signature v
COKPAIIY
State Cert. or Regist. .
City License Re8istration .
..........................................
OTRR1l cotIPAHY
State Cert. or Realst. .
Sianature City License Ileaistration .
..........................................
APPLICATIOII APPROVED BY PERHlT OffICER.
CUI.ill'fIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTR1CTIONS
Ibe underslgaec1 uaderstaads that this peralt lal be subject to -deed restrlctloaa- wbleb lal be IOte t8ltrlctlve than tltl
regulatloal. !be UD4erslgaec1 uaU181 reaponalbllltr for cmpliance with anI applicable deed reatdctlODl.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS~BILITIES
If the owner bablred a contractor or contractors to uncJertul! worl, ther liar be required to be lIceD8eel In accordance with
state and local regulations. If the contractor Is not HCeD8ell a required br law, both the 0Imef and contractor 1Ia, be
cited for a lisd_lDOr violation under state law. If the ~r or Intended contractor are uncertain as to what Hcenaing
reC)UlreaentJ la' applr for the Intended wort, the, are advised' to contact the tilJ of lepIIJrhlUa BuilcUng .Deparl:lent, (813)
788-6611. ' . , ,. .
FurtherlOre, If the owner bas birec1 a contractor or contractor" be II advised to have the contractor(s) aiga portions of the
-Contractor SecUODI- of thia appUcaUoo for which tIIeJ will ~ responsible. If JOU, as the owner lign a the contractor,
IOU Ire iadicating that rou, rather than the contractor, are r..ponsible for the worl. If the contractor liahea JOU to aign
U CCIIltrictor that la' be an lD41caUoo tbat he lalOt properlJ llC8Dled ana 18 not enUtled to peWtUng privUeges in the
titl oflepb,rbills. '
C. TRAHSPORTATION IMPACT FBBS AND UTILITY CONNBCTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certif, that I, the applicant, bave been provided with a copy of -Florida's Conatructloa Lien Law _ BoIeoMner's Protectioa
Guide- prepared by the Florida Departlent of Igriculture and Consuser Iffaira. If the applicant Is SOl8ODl other tbaa the
-OIIJler-, I certify that I have obtained a copr of the above _dbed cJocUl8Dt and prcalae In good faith to deliver It to the
-OIIJler- pdor to COMeDCl!ll!J1t.
B. CONTRACTOR' S/OWNER' S AFFIDAVIT , "',
I certifr that all the InfOIlltlon In this application I, accurate and that all worl;.ill be done In COIpliance with all
appUcable lawa regulating construction, IOIl.lng, anc1 land developl8llt.
IpplicatiOn is herebJ aac1e to obtain a perlit to do wort and installation a iadlcated. I certify that DO worl or
iDltallation has ~cecI prior to 188uPce of a penn and that all wort wHl be perfoned to Jeet standards of aU laws
regulating construction, Citl codes, loning regulationa, and land developllDt regulatlODl in the jurlldictlon. I also
certifr that I unc1erstand that the regulatiODl of other gov~tal agencla IIJ applr to the intended wort, and that it is
If rUpoIUIibHitr to ldentifr what actiona I IUIt tab to be II. COIpUance. Such agencies Include but are not Iilitecl to:
· Deparl:.leDt of IDvlrOlll8lltallegulaUon - Cypreai Barlleada, lIetland Area and IDvirODllDtallr SenaiUve Lands,
later /lfastewater rreal:lent
'Southwest Florida later Nanag8l8Dt Diatrict - lIells, Cypress "rbeads, lIetland Area., Ilterlng lfatercours8I
, Irl' Corp. of IDglneera - Seawall., Doda, lavigable Ifatentar~
· ~rtlent of Health i Rehabilitative Services, IDvirODlBDtal Health Unit - lIell., llaate.ater rreataent, Septic lanla
· US IDvirODleDtal Protection &g8DCJ - labeatoa abatl!l8Dt
I alao cartifr that, if fill ..terlal la to be used In Flood lope -.- or -I,etc.-, It la under.tood tbat a drainage plan
addressing a -COIpeD8ating '01_- Ifll1 be aublilied wbieb is Pl'epared br a professional engineer registered in the State of
Florida prior to perlit issuance.
I peJ'lit iSlued aball be CODltrued to be a I1ceD8e to proceed wjth the wort and not as autbority to violate, cancel alter, or
set aside anI provisioDl of the technical codes, nor &ball 18SUfDce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errora in plana, COD8truction, or ,iolatlona of any code. Ivery peraft isaued &ball beCOle invalid
unless the IIOrt autborhed br such perait .. co.enceel lithin Stl IODtha of lsauance, .or If worl autborilec1 by the peoit Is
suspended or abandoned for a period of ail IODtha after the till. the worl ia couenced. Ckle 90 dar ateD8iOll of tile, lar be
al101led for the perlit with fee charge of '15.00. rbe ut8Dsloa. allall be requested in wdting to the Bulldiog Official. In
approved iDlpection lUat be logged duriog each aillODth period,: or the project wll1 be conaidered abancJoDeel.
1I1R1lllG ro CMIIR: YOUR FIILURI 10 IlC01D .I,IOII.~ P, ~ III DSULr II YOUR PIIIIIG !IIICK POI IHPROVIIIIIII8 ro lOUI
PIOPERIY. IF YOO InDO' 10 OJlrlll FIIUCIIG, dJISOLr IfIIB fOUl ,LIIDa 0I111nOJlDY IIIfOIII IICOIDIIG fOUllOllCl OF
OJIIDCINBII. JOBS DlDD '2,500 II VlLUI 00 IOIIDO 10 IICOID'IID POSI I -IOfICl OF aJIIIDCIIIIIII-.
SIGUrllll: MIl OIlGIII
SIGllruu: CORYRICfCI
SlIII OF FLORIDA
coonl OF
Tbe foregoing instrument was acknowledged
before me this , 19____ by
srln OF FLORIDA
COOllY OF
The foregoing instruaent was aC~ledged
before me this, 19_ by
who is personally known to .e or who has
prOduced
8S identification and who did/did not
tate an oath.
who is personally known to me or whabas
produced
a8 identification and who did/did nbt
t~te an oiJth.
(Signature)
(If..e Typed, Printed or StUPed)
NOTARY PUBLIC
(Signature)
(Maae Typed, Printed or Stamped)
~OTARY PUBLIC
I I
~, '.10,"." ......... .' 'I.'............... ,
.". '., ..JrtI'l.,..,..... _
,f., .
CUNNINGHAM CONSTRUCTION CO.
Residential & Commercial
Certified Building Contractor # CB-C043633
Certified Roofing Contractor # CC-C048479
12152 Fort King Road, Dade City, Florida 33525
Phone # (352) 521-0955
(813) 780-1540
Fax-(352) 521-0596
PROPOSAL-CONTRACT
Name; Eileen Herman
38537 5th Avenue
Zephyrhills, Florida 33540
813/788-9994
Job Name; Re-Roof
Date ;
January 20, 1998
We at Cunningham Construction are pleased to offer for your consideration the following Proposal for the construction
of your project located at the above listed address, All Contractor furnished Items listed on the Bid Item Report will
include all necessary fasteners and adhesives as needed.
SCOPE OF WORK; "Replace Tin Roofing"
SPECIFlCA TIONS; 8. Permits (35.00 Allowance)
b. Tear-Out Metal Tin Roofing
c. Install Tin Galvanized Roofing (30 Ea.)
d. Clean up of all construction debris by contractor.
CONTRACT (START & COMPLETE)
Contractor will start this job on or about I / /1998, and will complete this job on or about 2 / /1998, Owner (s)
understand (s) the start / completion dates specified are subject to revision in the event that this agreement is not accepted
and signed upon presentation,
COST;
The Proposal Cost for all listed items from the Bid Item Report............,.........,......,................................,.$ 3,001.03
PAYMENT,
Payments will be paid to Cunningham Construction as listed as listed below,
Payment # 1. Upon acceptance of this Proposal Contract a Payment draw of35 % will be due...................$ 1,050.36
Payment # 2. Upon the Installation of, Tin Roofmg Items as Listed on the Bid Item Report,
a Payment draw of 45% will be due.",..... ........ ,.,., ,..",....", ,." ................., .....,'.. ,..""",,'..... ,$ 1 ,350.46
Payment # 3, Upon the Installation of All Items listed on the Bid Item Report a Final Payment
draw of 20% will be due.. ...............,. ..... ................... ............ ............... ..................... .........$ 600.21
1/ WE, the undersigned, understand that acceptance of the above Proposal Contract and authorize Cunningham
Construction to supply all construction contract items included with this Pro{>osal Contract Bid Item Report. and
Specifications as needed for the above project, All materials, labor and items will be furnished by Contractor.
~-.,~~_L~_~~:
~--~--~----------------
Accepted .
....owners signature.....
Date:
R
---------------------------------------------
". . owners signature..,.,."