HomeMy WebLinkAbout98-8195
BUILDING PE,RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8195
I'J/t 7f q!
to {
Date
3fj.Ou
BUILDING
ELEC0CAL
PLUM~G
MEC~ICAL
Sewer Conn
Water Conn:
Pmperty Own.,. ~~ ~ ~1;rl(b
Job Address: 5 ct__ _ ~~
Parcell.D. #
Water Meter:
T,I.F:s:
Zoning:
DescriPtion of Work
Energy Ct:
(lQ- rtliJ
,
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
, . t
City License Registration # d.530
State Certified License#
Permit Fee
~'
Company
~
~(7.l1) o/37-7t:,~s
Valuation or
Contract Price
\ CfXf) . (X)
,Sc.h/\ Qj'{"\
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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 00/1 00 Dollars ($ 25.00) 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.
PROPOSAL/CONTRACT
WE ACCEPT: . l'1SA I leD:
(813) 937-ROOF
(7663)
4544 Bartelt Road. Holiday, FL 34690
Fax: (813) 942.7577
Licen~pd. Insured & IncOIprJrated
State Cer1died CBC038005 & CCCO.15921
833
PROPOSAL SUBMITTED TO:
November 18. 1998
DATE
Jail N^ME
rMME
PLA
Geraldine Barton
STnEE1:
5510 River Rd Suite 200B
Slnrrl
5230 2nd Street
(If Y Z;'~~ills --- - - -- --- -~ - r T~{orida
SUBDIVISION -------- ----~LPcoo~___ ~__ ___
PilONE--
715-6018
CITY:
New Port Richey
--------~ ZIP CODE - --- -----.~--
34652
---- ----~- ----~~- ---- ----- ----
SIAIE:
Florida
PHONE
992-8181
We hereby submit specifications and estimates for:
MAtERIAL REMOVAL
o Complete Reroof
o Squares of Shingles
__.0 Squares of Tar & Gravel
__..__Q Squares of _________.__
o Layers
o
5
_ _ ___._. Squares of Rolled Roofing
o
___ Squares of Hot Mop Fiberglass
Squares of Tile
I=lEPlACEMENt
Material Manufacturer_._Eire!!tQ.fle____
Shingle Color ____
__0 Appro(imale Squares of upgrade three tab shingles fungu!> glJard
_ 5 Year warranty on workmanship against leaks
. ..___.0 Approximate Squares of dimensional shingles fungus guard
.. ..__ Q Year manufacturers warranty on shingles
_____9 ' of Colm'
___~____. 6" Drip Edge (Main Roof)
._.12 Year manufacturers warranty on APP torch clown
Lead Boots __I 1 1/2" 0 2,,__13" .04"
_~ Approximate Feet of valley metal1G" wide
o
. .._ Feet of Ridge vent _
o
4" hook vents
color
____5 Approximate Squares of APP modified bitumen torch down
. nnu_5 Approximate Squares of 75 Ib, base under torch down
_ _ __.__1~ Ib felt dry in under shingles and Flat Deck
_______8.0' of cOlor___Whit~_____ 6" Drip Edge (Flat Roof)
12~t-llf..~l'ERfv!!!fEES INCLUDED (6) ~~11!..Nai~ ,=-e.!_~~i!!.gle
o
10" hook vents
'Other
We hereby propose to furnish labor and all necessary material!?> to complete the above projAcl for the stirn 01: $ _
One Thousand Dollars and No Cents
$
[J TOTAL DU~~-P~N COMPLETION UNLESS NOTED.
$1.000.00
dollars with pilyment 10 be mad8 as follows'
Cost of Rotten Wood to be replaced is based on time at
-.-- .,---
$22. O~ dollars per hour labor plus material (See Reverse Side)
All malerial is guaranteed to be as specified. All work to be completed In a workmanlike manner according to standard practices. Any alteration or deviation from above specilic<llion$ involving 8Ylra cns!s, will
be executed only upon written orders. and will become an extra charge over and above the estimate. All agreements canting I upon slril<es. accidents or delays bey ur canlml This prrJPosal <;uhjl1r:! tn
30 \
days and Is void thereafter at the option of Ihe underSlg:~hOriZed Signature . ~.._.... ._.
acceptance within
ACCEPTANCE OF CONTRACT
The above prices. specifications and conditions are hereby accepted. YOll are authorized to do the work as specified, Payment will be made as oullined above:
ACCEPTED:
Signature of Owner
Date
Signature of Owner .
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I do '19tehr nuUwLh:o IlluJ l:e'IUOn~ I'.JJ.^. JJtllhllfl9
fleEl lor nl: 1 on So rv.t CO" , nl1l1 tho It"" \JlIllo l:" I \Jl1cd tntJr mJOn t () t; I VlHl
to t!lltor IllY (ll~l1llrJ(H1 loentull at: . ._.h _
S23D_s.1I\JJ)~v/ Z~-f?11Y{<t((id,'j) /:L___
I fUrlh~r nullt~HJ7.f) 1',1.,1\., \:0 Iflults l:h~ fI{->ce!:lHOt.y
ctoanlfl9 ntHl/ ot~ ):~pnh,9 to II'\' f1Qlt1~ 8ml to st:nrt; oaJ.d
ol(=!nflttlC, nlld/ or r~pnh'" ll11n10dlflloly.
] ogrt-e to puy 1'.1..1\. rlullfHllg nc!:~t;or:otlo" 8fHVJ!:f'Q ,[Ul
all f:deol1Jnu U1Hl lot- J:{'p~fn] {lIHI fJervlcou r{'tHlol0d. J'Ilp"811\;
tlftolllo tluo (1I1(J I,~,\.t,ld() In r.I,.1\., ut -'1 jot u. J((',"'~(ly fllvd.
" 210, 'l'Ol1ll'l1, Flor"ln, :JJ(,09, J"lll1edlot:~ty oftpt: tlte \-H_llle in
c001p18l:~tl. 1\11 OC!OO1Httn lhJrlty (30) ,fuYFJ "oat: duo \<1UJ 1)0
f.HILJ.JOC\; to 8 ong t:1IIc1 tllle--IH11 f (1 1/2) l'e{'cmll: EHH:V !c~ clnH {JH
Ilor'Ilonl:". If paYlHtln\; IN IlOt: ItllJde uhcll duu, the" 1'.1..1\.
Ihl11dlllg Hgotontt:lon Sot'v.lcoo, hllal J. bo tml:itled \;0 HICOV{~r
\;110 cost: of col1eo~lon pluf1 a rennonnhlo ot:tOIlIOY ft'A,
If 1 tH~ve honm()t"IH:n~, hn~ard, or other in9\1ttHlcO Hldeh
H11l tover all OJ:" pat't: of lIm CORt; of hueh clnnnlllg, repaIra
bud sot"vlcoiJ, t ht:!reby au that' h:e my IIlt1tJl: eHce Company to lJUY
dlttml:l}' for service" pgrfon,,~d by r.L,A. and/ 01' luolUtle
J'. J.I'^' llama on tho face ot: the IJraft:: of I)atlll~nt;. 1 further
underfJt:end thl:1t: if 81lY iflgUrOllC9 l"<Ij'Il1()I)l: made 011 "'Y behalf
fall~ to satisfy tho ohlJuotJoll 0\-10<.1 J'.L.1\. IJIJildlllg
neatoralioll Selvlegff ill fuJ 1, I Hill he r.espolloible for allY
haltulce, Hhothel' t:he 001"0 rA(luH~t:!ntfJ Illy dm)uct;lblo undgr: gel.d
tJoJley, 81lY d~precla HOIl, upgrade or: otlmrwlse.
1\\j llloc 1 zed by t
.-~J_~-~-eot.-~IU!./ __!a~~~:::tft.;;~,.~ _ _,__
_i!~~f._ 1-3~~___ ________________
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-------- -..._~--_._.._- -----.--------- - ._-~.~._.,-_.--
C) t:f~ A L D I ^-)(: "~B Ill'7()J
i5 ;)--:SO ;;2./Ji) S"C
Z-.c.::I'tI y 1211 (Lc. ~
)5($--7/)"- (.,oft?
Pasco (813) 846-1813
5510 River l1oad. 8-2008. New Port n
u__ .u_____ tD.I--20--' Q:3 FP I 14: 4';:l I [i:
TEL. r 10:
tfOL~' F'OJ
AgPLICATION 1'01\ FBPHlT
CITY or ZBPHYRHILL8
BUILDING DBP~~
~.
DAn NCl:IVZI)
PLAlII'S IlWIInf I'BB
OmlER'S NAME Geraldine Barton
-..- ...
PHONF. 715-6018
5230 2nd street
_~~hY!:&!J.J.~.____p_, _u.___......m ____.~m_.
J08 ADOMsS
L~GAL P~SCRIPTION! LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # __JL~26-21-0n10-12hoO-0150
(OeTAIN FROM PROPERTY AAX_Hur~C~)
WORK PROFSED: (JNEW CONSTRUCTION
Os 1 GN
PROPOSED USE: CJSGL FAMILY DWELLING
o COMM!:RC IAL
o ADDITION
o MOV!:
DALTERATIOU
o DEMOLISH
o REPAIR
D INSTALL
*
Re-roof
DMULTI-FAMUY
D INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH O~PARTM~NT APPROVAL
DESCRIPTION OF WORK
re-roof flat deck
BUILOING SIZE
SQUARE FOOTAGF. ____~
H!:IGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING p~~s & (1) SET ENERGY FORMS.
COMMERCIAL: ATT~CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQuEsTED
o BUILDING
$
1000 00
VALUATION OF TOTAl, CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
DGi\S
UROOFING
CJ SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION! 0 BLOCK
o FRAME
o STEF,L
o OTHER
FINISHED ~LOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE MEAD YES
CI NO
., ..--;"....' '1. ~'~ .....,..--
~ . . ,I I ,'" i
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f;:!,:,;: :i:i:!i:!:: :1:):'::;1, :::: ~,:l:;;jiiilii!';! i!:i~i ~ii~iti!ii,[l~lii,!;i;:::::'j '[1E:::::::: :,
BUILD"
SIGNATURE
COMPANY_
STATE CERt' OR REGIS'f #-
CITY PROCE~SING #
..........***.*.*******.*************.***.*.....*...****..**.....*
ax..C'DUCIAM
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
..***..***..**...*.***.***.**......*...****.**~....*.*...,**.....*
FLu.D
SIGNATURE
COMPl\NY----
STATE CERT OR REGIST *__
CITy PROCESSING #
...****.,.~.*.....**.*********..***.**...**.***....**.*...........
IlI8CIWIICAL
COMPJ\NY---~
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
.**,~.~*..***......***..*.**,.*..**..****.*~*...~**.......**.**.**
omu ~~
SIGNATURE\'/ ~
COMPANY T1rlryl ~l"hr;:lm 'Rmti~ IJ:lC
STATE CERT OR REGIST # CCC-O 5921
CITY PROCESSING n
,..**********.......****.......*..............*.....**...........
'1
CONDITION9 or PERMIT An'lDAvrT .3
A. NOTIC~ or DEED RESTRIcTIONS
The underaiqned understands that this permit may be subject to "deed reatrictiorl6" which
may be more restrictive than City regulations. The undersigned assumes responsibility fo~
compU.ance with any applicable deed re:strictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RE5FON3IBILITIES
If the owner has hired D contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor i~ not
l1cen3ed 88 required by lau, both the owner and contractor may be cited for a misdemeanor
v1olat1on under Itate law. It the owner or intended contractor are uncertain 18 to what
licenaing requirements may apply for the intended work, they are advised to contact the
City ot Zephyrhille Building Department, 813-788-6611.
FurtheDmore, if the owner has hired a contractor or contractor&, he is advised to have the
contractor(a) Bign portions of the "Contractor Sectionsh of thi$ application for which they
will be responsible. If you, a5 the owner signs as the contractor, you are indicating that
you, rather than the contractor, a~e responSible for the work. If the contractor wishes
you to sign au contractor that may be an indication that he is not properly licensed and i8
not entitled to pe~tting privilege$ in the City of Zephyrhills.
C. TRANSPORTATION rMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. It the applicant is someone other that the "owneru, I cerify that I
have obtained a copy ot the above described document and promise in good faith to delive~
it to the ~ownerN prior to commencement.
E. CONTRACTOR'S/OWNER'S AFfIDAVIT
I certify that all the information 1n this application is accurate and that all work will
be done in compliance with all applicable laws r~gul"ting conllltructlon, zoning, and land
development.
Application i. hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a p@rmit and that
all work will be performed to meet standards of all laws L'equlatinq constt'uction, City
eodeM, zoning rogulations, and land development regulations in the juriadiction. I alao
certify th.t I understand that the regulations of other governmental a~encies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not llnuted to: *Department of
EnVironmental Requlation-Cypre~~ Bayheads, Wetland Areas and Environm~ntally Sensitive
Lands, Water/Wastewater Treatment
.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering W~teccour8e8
*Army Corp. of Enqineers-Seawalls, Docks, NaVigable Wat~rways
*Oepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastew.ter Treatment, SeptJc Tanks
*U.S. EnVironmental Protection Agency-Asbestos abatement
I also certify that, if till material is to be used in Flood Zone "AU or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumQu will be Bubmitted which
iu prepared by a professional englneer reglstered in the State ot Flo~id. prior to permit
laBuance.
A permit i~5ued shall be construed to be a license to proceed with the work and not a$
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a perrtit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Ev~ry perndt
issued shall become invalid unless the work authorized by such permit is commenced within
six month8 of i88uance, or if work authorized by the permit iQ suspended oc abandoned for a
period of six months after the time the work is commencea. One 90 aay extension of time
may be allowed for the permit with fee oharge of $15.00. The exten~ion ~h<<ll be requested
in writ1nq to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER; YOUR FAlLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
rD..:;;;::ll NOT NEED TO RECORD AJ<D POST A "NOTICE OF C MMENCEKENT",
SIGNA RE: OWNER OR AGENT
STATE OF FLORIDA
cotmT't or
Th. fo..going i~.nt W~Wl.d9~
Bef~th1s~daf: of , l~:jL)
by \ "--\ ' c ,( .
~ (name of person acknowledged)
~who is personally known to me, or
tttsc 0
~;~~~YO~FFLORrD1\ Pn..SCD
The foregoing i s
Betor this
by
~o
Owho hae produced
~ (type of identification)
tJ whoOd1d e:Jd'@Qtake an oath.
nDiJLJ'{ OC-5-E-
Signature o~~~rson taking acknowledgement
. .~ 'lo Colleen PIllCll8
,',~..: * My Commluian CC625349
Name typed,~'r~~;;fnt~J'~"i-dl~2t~Jriped
o who has pr::oduced .
(type of identification)
an~.Who did Bfi~ OAth
( . '. "i-- ~~{?--
Signature of'~s8ien~g acknowledgment
*W * My Commllslon cce2a40
~ ~ ExoIIes MlwdI 02. 2001
Name typed/''P'trnted or atamped