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HomeMy WebLinkAbout00-9197 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: -~--~_.._-_...__.._-- -- -- --------------- - -