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BUILDING PERMIT
Permit 09197
Date ]. /,1 0 0
I
CITY OF ZEPHYRHILLS
(813) 788-6611
3o.~
BUILDING ELEC~CAL PLU~NG
Property Owner: L.f.(OV R;"c:.>h,i.~
Job Address: 5'f'lu 1 ~n ~+ .
Parcell.D. # 11- 2~.. l (- Do Ie vOOe) () - Of l.{ J
ME~ANICAL
Zoning: Energy Code:
Description of Work IZ -e ,- roo'
Radon Gas:
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
DATE
FINAL 2 /3/ov
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Sf.
Inspector
Permit Fee
- Signature
Company
Address
- Telephone# 05:i- tSUI- LDDa.\1
Valuation o~ ~]? ~ CJX
Contract Price ). ---
J <.J,~
~ A\
3i~
City License Registration #
State Certified License#
:J I g
BUILDING
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM,
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
MEC
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 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 PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
C~~
OWNER'S NAKE b \ Ylcf'n WI \ \ t' y~
OWNER'S ADDRESS Ss 7 a 14 +Y\ ~tyfe.--r
JOB ADDRESS 5S71"\ '?4Vh S\'ret't l
PHONE 'i\'\ ~ ) 7 B 7 . as'5\) l,.
Ze~\i\~-rh\\\<;l PL 33Si1\:J
7-f'th'1 r'" \ \ \ (.,. ~L '~ '3b~ -V
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. . \l - 1.LD. 2\ - DG1\). I') u U LJ 0 - l) \ "+ ~ (OBTAIN FROK PROPERTY TAX NOTICE)
~j;~iuu,f
WORK PROPOSED:_New Construction _Addition -A1teration"':::::::::'- r _Install
.
_Sign
---"ove
_Deaolish
PROPOSED USE: ""'::::-"S ingle F_ily
_KIF
_' of Units _K/H
_ec-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Depar~ent Approval
Kp - Ru~~
Square Feet.
( '3 )/3 s~ <. )
Height
RESIDENTIAL:
COKKERCIAL
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.
PERKITS REOUESTED
~BUILDING
$ \ ?33. L)~
.
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
--1IECllAllICAL
$
Va1uation of Kecbanical Installation
--PLUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel
Other
FIliISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
BlrrlJlER
COKPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
ELECTRICIAN
SiQfUlture
COKPANY
State Cert. or Regist. .
City License Registration .
..........................................
PLUKBER
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
MECHANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
~~ COKPANY lY\i\\"w CI!ll~Wwthlil IlK.
~ /L. State Cert. or Regist.' ({'( l)~\C;~ (" L
City License Registration ,
.........................................
Signature
OTIIRR
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDI'l'IONS OF PERMI'l' AFFIDAVI'l'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assllles responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRAC'l'ORS AND CON'l'UAC'l'On HESPONSIBILI'l'IES
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both tbe owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents .ay apply (or the intended work, tbey are advised to contact the City of Zephyrbills Building Departlent, (BI3)
7BB-661J .
Furtherlore, if the owner has hired 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 the contractor wishes you to sign
as contractor that I~y be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. 'l'RANSPOU'l'A'l'ION IMPAC'l' FEES AND U'l'ILI'l'Y CONNECTION FEES ,.':
D. CONSTRUC'l'ION LIEN Lnw (CHAPTER '/13, FLOHIDA S'l'A'l'UTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law _ HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is 801eone other than the
.owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner" prior Lo co..enCelent.
E. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'l'
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, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to teet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand Lhat the regulations of other goverDlental agencies lay apply to tbe intended work, and that it is
.y r~Bponsibility to identify what actions I .usl lake to be in co.pliance. Such agencies include but are not li.ited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
· Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
· US EnviroDlental Protection Agency - Asbestos abat8lent
I also certif, that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
addressing a .co.pensating volllle. will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it, issuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set ,aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall becOl8 invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eJtension of tile, 181 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 ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKKKNT HAY RESULT IN YOUR PAYING fNICI FOR IHPROVKMlIrS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORB RECORDING YOUR NOTICI OF
COKHENCKHENT. 'JOBS U R $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMBNCKMlNT".
~J.# .1
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF t:>a"c.c..o
The foregOing instrument was aCknowledged
before me this 1lU~\ , ~~ by
who is:;:~gIia~lY~~~;n tO~or who has
produced
8S identification and who did/did not
take an oatl.3--/// -"~/;?(f" ~
. f.//41~ ~
(Slynature) ,
()~i\'I~ A. LOVETT
(Name Typed, Pro ~ ~ u~282~
NOTARY PUBLIC i n Y c:}mm, No, CC572916
STATE OF FLORIDA
CCHlNTY OF Pd ~ ( u
The foregoing instrument was acknowledged
before me this 01 J =3 ) ,:H} LUW by
I
~~~,Ab)~
who is 8 na knO~ me or who bas
produced
as identification and who did/did not
ta~e an oa~
(S~gnature) , ." - ovm \
0:,,\,1\ A.,. L t Florida
(Name Typed, Pro _ ~ t! 2916 I
NOTARY PUBLIC i n ~~"NO,... 5
..,.......~-=-~
'"
'roposal
~ MllBar Construction, Inc.
Roofing . Concrele . CommeIcial . ReeldenIiBI
15911 US Hwy. 301 North. Dade CIty, Florida 33523 C>c
352/567-8047 8001582-2313._ FAX:352/567-4454
Page No.
1 of 1
Pages
Member of1he FIorlda
Roofing 8I1d Sheet M8l8I
AIIocI8IIon
U.S. Intec Certllled
Plallnum Installer
15204
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RCOO55215
RCI Registered
Roof Consultant #0149
PROPOSAL SUBMITTED TO
PHON8131782-5506
813/783-2724 FAX
JOB NAME
DATE
CEHTURY 21 BILL HYE REALTY
STREET A TT~ : . STEVE SCHAEFER
4947 COATS ROAD
CITY, STATE and Z1P'COOE
01/27/00
ZEPHYRHILLS FL 33541
ARCHITECT
JOB LOCATION
5520 24TH Ir\LDWE ~~
DATE OF PlANS
JOB PHONE
.
We hereby submit specifications and estimates lor:
ZEPHYRHILLS FL
,.
SHINGLE HE-HOOF
m .....Lm..TearolfandhauIBwBy '..exfst.Intj"one'::;IByershIngIerooffngsyslem:...
%2; .m......mprovfdeand . InslBII new'I5 Ib:'sBfiirafed IeIf paper.
.........3~ ..m.. mprovlde .arid'IrislalInewGAF..iiRoyalSoverefgnii25:::yeariungus:::resIsfanfmiIbergIassm
shingles i Owner to select color from GAF' s~~~n.~~J:'.~l:::()lors'~~~~~:Ln.l:J~!Iil.have a 25-
...........m.year.warrBnW..on.Iabor.and...iBlerIaIs:...............m
.4~...Rei)lace.an .. daiilaged 'fIashIngsTvaiIey~ .venf;moranywaiIflashing):
"5;'ProvldearidTnsfalI newTeadbools"forlheplumbIngvenfs;
'6~ .........m PriivI"de . arid IrislBII new.. pre:::iInIshedaluminulleavedripTwh:l.feormbrown>:
"7~'AriyroUerior'dBiiiaged wood Troof .deck~iascfa~t.am; etc.) will be replaced on a
'm .c:.()liI~:~~\lIil~IlEl~.lilll~()"!~fl~m~!rClIld. .. ~.~.~..C:ClIl~I:Ilc::~PI::i4:lfi?~ . ...... ... ....w . ..... .....
8. "ilBar Construction, Inc. to provide 5-year warranty on workmanship; exclusions:
............................... slor.mdBiiiage~...work..doneordaRiage .byi:Jthers;.....t.~eedamage.;.andiorsfruc{ural.damage
to roof deck.
9 . Owner to pr ov i d e.Ilc::4:l!~I'......~CI.%~ClCI~..f..CI~.c1fi?~:i....fi?:l:'t:t.I:\Jc::~mf.ClI:...~ClCI~.~!l.9/.\J.f.I.~Cll!~1.:1l.9...!ClE.EClCI!.1.:1l.9.
... ...... .maferfaIs~
H10: . .... .KIIBartonsfiuction~j:nc.foprov:l.deGeneral Liability and Worker's Compensation
Insurance ($1,000,000 limit) and re-roofin ermit.
BIt 'ropOlit hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
ONE THOUSAND TWO HUNDRED THIRTY-THREE AND 03/100------------------ dollars($ 1,233.03 ).
Payment to be mede as follows:
DUE UPON CO"PLETION.
Invoiced amounts not paid In accordance with the paymanttenns shall be considered delin-
quent end bear Interest etlhe rate of one and one-haJl percent per month. Owner agrees to
pey all costs Incurred, such as a~ lees, collector fees, court costs, eic., lor collection
01 delinquent Invoices Including ~lerest. Owner to cany fire, tornado and other necesSBry
insurance. Our workers are fully covered by WOrkman'8'ComPltnsati~n Insurance
Does Not Include the Aluminum Pan/Corrugated Roof
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
30
Acceptance of 'roposal- The ablllle 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 ablllle.
s_..~
Signature _ .
-
Dale of Acceptance:
-~--~_.._-_...__.._-- -- -- --------------- - -