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HomeMy WebLinkAbout00-9791 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09791 10 / $ /00 . .. b~. ~ BUILDING Date 2 ,. ...() ::>.- ELECTRICAL PlU~ING ')s ~ , MECHANICAL Sewer Conn Water Conn: Property Owner: r d j G r- '0 r r l ..s Job Address: J7S" 0 ~~4 .\I',eLiy A lie . Parcell.D, # 1)- 2~. .1 t - 0'") go . 00000 - 0 '1'2-0 Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: (to('''''' od~- ( l.4. '0'" k Radon Gas: Jl r ~I' , ~ CP A(e FINAL / /-- (9--&> 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 52 City license Registration # State Certified license# ~-o Permit Fee ~ .- Signature ~e~ ~~ Company Address Telephone# 913 - 973 -89:1-;;" Valuation or Contract Price 8<1Qs. ~ , c... t7 ( t;( e (. j) ;c.""" o"J (0-1-1-1'. 0""1"'" 0...,(1 Co .,....1' . BUILDING 2? b lj ELECTRICAL o PLU BING MECHANICAL o 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 ($ 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, Permit No. 111111111111 111111111I111111111111111111111111111111111I111I 2000124808 Tax Folio No. NOTICE OF COMMENCEMENT Rcpt: 445543 DS: 0.00 10/03/00 Rec: 6 . 00 . IT: 0.00 Dpty Clerk State of Florida County of "PA S Co JED PITTMA~ PASCO COUNTY CLERK 10/03/00 0~:2!pm 1 of 1 OR BK 4450 PG 1364 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property (include street addr~ss, if available): 3q,soJ.f K~NAJZ'Z>'f AI/~ . ZEP.HI4;R Hlt..LS} ~L. 33S'1 /) '-/~~QUJ #61G-Hrf SG.t6 PG-13 PGSII,J f //'1 LOI'f'L o,eV<{Z-1 PG 37 3 ?A-~Ca-L Ib S" I Z. z." 21 0 Z.8 0 6 ()OO 0 I.j 2...a 2. General description of improvement: Pc MOoa-L., wo,e.r:::. 3. Owner information - name and address: EDG-A-Ia j;). j Q~~S 3q5::>~ t-<I!!:NNi!:'D""1 ~tJ€""" 7..t:P#~~t+.L LLs-} '1='-. 335'{o , Interest in property: Name and address of fee simple titleholder (if other than Owner): ~. , _\4. Contractor - name and address: DIAMoND CONTlZAC:ri~, rNC!... 1 :ZS85c RL.ulI' jPrL{ ?LACB"". vJe:s La"1 C/-ffrpa"t_ / 7=L. 33s-4Cf -< Phone number: 8/3 -~73 - S9~ Fax number: a /3 -q73 -l"382- 5. Surety - name and address: Phone number: 6. Lender - name and address: Fax number: Amount of bond: $ Phone number: Fax number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1 )(a)7., Florida Statutes (name and address): Phone number: Fax number: 8. In addition to .himself, Owner designates E-l A~U) YY1 c:L::bIl/A- u;) of D /,4;ru;wa C!.OAJ77ZAc-r/ 4) rNC. to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 8/3 -<=173-8Q:2.2- Fax number: 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified). ~~ p j~- Signature of Owner Sworn to and subscribed before me this 'I!! day of OCTO Bc:.Je o~r~~~~ , .. ZddO. My Commission Expires: ,,"~'.i\~:~ James K. McOain, Jr. f:'f'Ji.~ .~;~ MY COMMISSION II CC829088 EXPIRES ~.~.~j April 22. 2003 ""~op'o OJ ....<f.. BONDED Tl-H1U TROV fAIN IN5URANCE I~C 'ltlt'" ARTICLE 3. - TIME OF COMMENCEMENT: No work shall be commenced by the Contractor until he has received a written Notice to Proceed from the Pasco County Community Development Division. The Notice to Proceed will be issued within thirty (30) days from the date of the Contractor signing this Agreement, or if it is not, the Contractor has the option of withdrawing his bid and proposal. Work shall begin no later than seven (7) days after the Notice to Proceed is issued. If work is not completed within agreed upon time period, Contractor will be penalized Fifty and 00/100 Dollars ($50.00) per day liquidated damages for every normal working day until completion, unless approval for extension has been agreed upon in writing by Owner, Contractor, and the Community Development Division. This provision is contingent upon strikes, accidents, Acts of God, or other events beyond the control of Pasco County and the Contractor. ARTICLE 4. - PAYMENT: The Contractor will be paid according to the draw schedule after the Community Development Division conducts an inspection certifying that the work has been completed according to the contract. Final payment due the Contractor will be made after the Contractor has furnished the Owner, in care of the Community Development Division, satisfactory release of liens or claims for liens by subcontractors, laborers, and material suppliers for completed work or installed materials. All such releases must be notarized. Payments will be made within thirty (30) days of receipt of pay request by the Pasco County Finance Department. ARTICLE 5. - CONTRACTOR'S INSURANCE: The Contractor shall be responsible for all damages to person or property that occur on the job site or adjacent thereto as a result of his fault or negligence in connection with this contract. The Contractor shall, prior to commencing work, furnish evidence of required comprehensive liability insurance. The Contractor shall also furnish evidence of coverage in accordance with Florida Workers' Compensation Laws. ARTICLE 6. - SUBCONTRACTS: All subcontractors shall be bound by the terms and conditions of this contract insofar as it applies to their work, but this shall not relieve the General Contractor from the responsibility to the Owner for the proper completion of all work to be executed under this Agreement, and he shall not be released from this responsibility by any subcontractual agreement he may make with others. The Contractor shall be required to furnish to the Owner and Community Development Division in writing, a list of the names of the subcontractors proposed for the principal portions of the work within ten (10) days of the Notice to Proceed if requested. The Contractor shall not employ any subcontractor to whom the Owner or the Community Development Division may have a reasonable objection. ARTICLE 7. - GENERAL RESPONSIBILITIES OF THE CONTRACTOR: 7.1 7.2 7.3 7.4 7.5 molg100218/17 The Contractor shall be licensed and supervise and direct the work using his best skills and attention. The Contractor shall provide the Owner and Community Development Division with evidence that he has secured and paid for all licenses and permits necessary for the proper execution of the work; and, upon completion of the job, shall provide evidence that all work has been inspected and approved by the appropriate building inspectors. The Contractor shall not employ on the work any unfit person or anyone not skilled or licensed, if appropriate, in the task assigned to him. The Contractor shall be responsible for the acts and omissions of all his employees, and all subcontractors, their agent and employees, and all other persons performing any of the work. The Contractor shall not assign this contract without written consent of the Owner and the Community Development Division. Any request for assignment must be addressed to the Community Development Division. -2- 7.6 The Contractor at all times shall keep the premises free from accumulation of waste materials or rubbish caused by this work. 7.7 The Contractor shall permit the Community Development Division to examine and inspect the construction work under this contract at any reasonable time. 7.8 The Contractor shall furnish the Owner and the Community Development Division with the names, addresses, and telephone numbers of the firms to be contacted for service to the various appliances or other equipment that was installed or repaired under this contract. 7.9 The Contractor shall indemnify and save harmless the County, its agents and employees, and the Owner from liability for any injury or damages to persons or property resulting from the Contractor's prosecution of work pursuant to the provisions of this contract. ARTICLE 8. - GENERAL RESPONSIBILITIES OF THE OWNER: 8.1 The Owner shall permit the Contractor to use, at no extra cost, existing utilities such as light, heat, power, and water necessary for the proper execution and completion of the work. 8.2 The Owner and occupants shall cooperate with the Contractor to facilitate the perfor- mance of the work and are responsible for the removal or protection of rugs, furniture, and clothing, if necessary. 8.3 The Owner and occupants shall be responsible for the proper use and care of the property including all equipment and appliances. 8.4 The Owner shall provide the Contractor with access to the property during normal working hours on normal working days. ARTICLE 9. - GENERAL RESPONSIBILITIES OF THE COMMUNITY DEVELOPMENT DIVISION: 9.1 The Community Development Division shall provide general administration of the contract, but it is understood by all parties that the County is not a party to this Contract. 9.2 The Community Development Division shall make frequent inspections of the work while it is in progress to determine if it is proceeding in accordance with the contract docu- ments. 9.3 The Community Development Division shall have the authority to reject work which does not conform to the contract documents. ARTICLE 10. - CONTRACT DOCUMENTS: This contract consists of the Bid Proposal, the Work Write- Up, including any drawings or plans, the General Bid Specifications, and any insurance policies specified in Article 5 above. ARTICLE 11. - CHANGES IN THE WORK: Except in an emergency endangering life or property, no change in the work shall be made by the Contractor unless he has received a prior written order signed by the Owner and authorized representatives of the Community Development Division. The contract sum and the contract time may be changed only by Change Order. No extra costs will be paid to the Contractor when he has neglected to properly evaluate the extent of the construction work. molg100218/17 -3- ARTICLE 12. - GUARANTEES AND WARRANTIES: The Contractor shall guarantee to correct any work that fails to conform to the contract documents and shall correct such defects due to faulty materials, equipment, or workmanship which appear during the progress of the work or within a period of one year from the date of final inspection and acceptance or such longer periods of time as may be specified by law or by terms of any special guarantees required by the contract documents. The provisions of this Article apply to work done by subcontractors as well as work done by the Contractor. Furthermore, the Contractor shall furnish the Owner, in care of the Community Development Division, with all manufacturers' and suppliers' written guarantees and warranties covering materials and equipment furnished under the contract. ARTICLE 13. - TERMINATION OF CONTRACT BY THE OWNER: If the Contractor defaults or neglects to carry out the work in accordance with the contract documents or fails to perform any provisions of the contract, the Community Development Division or the Owner acting through the Community Development Division may, after seven (7) days' written notice, terminate this contract and finish the work by whatever method he deems expedient. If the unpaid balance of the contract sum exceeds the expense of finishing the work, such excess shall be paid to the Contractor; but if such expense exceeds such unpaid balance, the Contractor shall pay the difference to the Owner or the Community Development Division. ARTICLE 14. - TERMINATION OF CONTRACT BY THE CONTRACTOR: If the Owner fails to perform any applicable provisions of the contract, the Contractor may, upon seven (7) days' written notice to the Owner and the Community Development Division, terminate the contract, and recover from the Owner payment for all work satisfactorily completed and all other such remedies as are otherwise specified by law. ARTICLE 15. - GENERAL CONDITIONS: 15.1 15.2 15.3 15.4 15.5 15.6 15.7 molg100218/17 The Work Write-Up shall take precedence over the basic specification and, when in conflict, the material, equipment, or workmanship called for in the "Work Write-Up" will be required. The DrawinQs of floor plans are diagrammatic only, illustrating the general intention of the Owner; they do not show all the work required, exact dimensions, or construction details. Specifications and Standards are detailed in a separate booklet available to the Owner and the Contractor from the Community Development Division. Workmanship shall be done in accordance with the standards of the several trades known as a "workmanlike manner." Materials shall be new, in good condition, and of standard grade unless otherwise agreed in writing before their delivery to the job. Repairs shall be made by the Contractor to all surfaces damaged by the Contractor resulting from his or his subcontractor's work under this contract at no additional cost to the Owner. Where "repair of existing work" is called for by the contract, the feature is to be placed in "equal. to new condition" either by patching or replacement; all damaged, loose, or rotted parts shall be removed and replaced, and the finished work shall match adjacent work in design and dimension. Bids or Proposals will be submitted at Bidder's risk and the Owner or the Community Development Division reserves the right to reject any or all bids or proposals. -4- 15.8 Buildina Codes - All work to be done shall be subject to the regulations of local building codes as interpreted by the applicable City or County building department/division whether or not covered by the specifications and drawings for the work. 15.9 Cleanup and removal from the site of all debris and waste materials resulting from his work shall be the responsibility of the Contractor. Materials and equipment that have been removed and replaced as part of the work shall belong to the Contractor and shall be removed from the site. 15.10 Trade Names are used in the basic specification to establish quality and type of material required; exact material to be used on a specific property will be described in the 'Work Write-Up" for the particular property. 15.11 Adiacent Property - When adjacent property is affected or endangered by any work done under this contract, it shall be the responsibility of the Contractor to take whatever steps are necessary for the protection of the adjacent property and to notify the owner thereof of such hazards. 15.12 Pavroll Records of employee's hours worked and wages paid on construction jobs shall be made available to the Community Development Division if requested. 15.13 The Use of Lead-Based Paint on applicable surfaces of any residential structure undergoing Federally assisted construction or construction under any program with Federal assistance is prohibited. Any surface which contains lead-based paint shall be considered an immediate health hazard. ARTICLE 16. - ARBITRATION: The Contractor and Owner agree, that in cases of apparent irreconcilable differences arising in connection with contract performance or terms of the contract during the progress of the construction, to submit the matter to the Community Development Division for binding arbitration. ARTICLE 17. - LIEN WAIVERS: Contractor agrees to protect, defend, and indemnify the Community Development Division and the Owner from any claims for unpaid work, labor, or materials with respect to Contractor's performance. Final payment shall not be due until the Contractor has delivered to the Owner complete release of all liens for work completed arising out of Contractor's performance or a receipt in full covering all labor and materials for which a lien could be filed or a bond satisfactory to the Owner indemnifying him against any lien. ARTICLE 18. - PROHIBITION OF KICKBACKS: The Contractor nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest has in any way colluded, conspired, connived, or agreed, directly or indirectly with any other Bidder, firm, or person to submit a collusive or shall Bid in connection with the Contractor for which the attached Bid has been submitted or to refrain from bidding in connection with such contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm, or person to fix any overhead, profit, or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement, any advantage against the Pasco County Community Development Division, or any person interested in the proposed contract; and, The price or prices quoted are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. molg 1 00218/17 -5- ARTICLE 19. -INTEREST OF MEMBERS. OFFICERS. EMPLOYEES OF PUBLIC BODY MEMBERS OF LOCAL GOVERNING BODY. OR OTHER PUBLIC OFFICIALS: No member, officer, or employee of Pasco County, or its designees or agents, no member of the governing body of the locality in which the program is situated, and no other public official of such locality or localities who exercises any functions or responsibilities with respect to the program during his tenure or for one (1) year thereafter, shall have any interest, direct or indirect, in any contract or subcontract, or the proceeds thereof, for work to be performed in connection with the program assisted under the Agreement. ARTICLE 20. - PROHIBITION OF BONUS OR COMMISSION: The assistance provided under this Agreement shall not be used in payment of any bonus or commission for the purpose of obtaining County approval of the application for such assistance. ARTICLE 21. - LOCAL EMPLOYMENT: To the greatest extent possible, the Contractor agrees to hire, train, and subcontract to individuals and firms that live or are located in Pasco County and the Tampa Bay Area. ARTICLE 22. - MINORITY AND WOMEN BUSINESS ENTERPRISE: To the greatest extent possible, the Contractor agrees that he will, if it is necessary, subcontract work to minority- and women-owned businesses. ARTICLE 23. - USE OF DISBARRED CONTRACTORS: The Contractor agrees not to hire, employ, or award subcontracts to, or otherwise engage the services of, any subcontractor during any period of debarment, suspension, or placement in ineligibility status of 24 C.F.R., Part 24. Use of such subcontractors may require the Contractor to repay the County and funds paid to such persons. ARTICLE 24. - HOLD HARMLESS: The Contractor and Owner covenant and agree to indemnify Pasco County and all of its officers and agents from any and all liability, claims, actions, suits, or demands by any person, firm, or corporation for injuries, death, or property damage arising out of or in connection with the work to be performed by the Contractor. ARTICLE 25. - ADDITIONAL WORK: The Owner agrees not to have any other Contractor do any other work on the property during the period of this contract. This does not include the Owner doing work on their own behalf. mo/g1oo218/17 -6- !'-!>'!":- llm3'"iO !!!. Ii" ~ la ;l. 0 iii-g CJ> ,.. 5: Ii" :; ():TO )>.~!l!.S::T r-a.~~ !!I ;l. = 0 ~ UJ!t2~~ ~ Q -.,::; ~ =o~rE~ . 0 0 ,.. --:- 3 0 0 ~ 6"'!!.o.iO~ = ~ ~ I Ii"-:::l . Ii" ~ 3 ~ ... ~ g 8 Q )>. --i !!l tD ..... \)t ..... Q Q I~ ~I~ ~ =l ~iO Iii~ ~~ iOZ eiO g::t -{ tll P8)>. W ~ < 1l?;~ ~::t- --i Q ~ ~ ~ i o J!l -{ ~ 1 ~ I~ J. r!j!'-n -lei< .... ,r ~ Q :< rr~ ..: I ! I : , I Ii:. i'tf ill:... 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G\ m iO a -U III :; 0: ~ ./ --Cllll . / ,,-' - ----- ~'-6. 30'.'- PASCO COUNTY, FLORIDA COMMUNITY DEVELOPMENT DIVISION .' PROPERTY OWNER: EDGAR TORRES ADDRESS: 39504 KENNEDY A VENUE ZEPHRYHILLS, FLORIDA 33540 CASE NUMBER: 00-499 PHONE NUMBER: (727)847-8970 PROJECT COORDINATOR: ED PFLIEGER DATE: SEPTEMBER 5, 2000 REVISED: REHABILITA TION SPECIFICA nONS TYPE OF PERMITS REQUIRED: BUILDING X ROOFING PLUMBING ELECTRICAL MECHANICAL SEPTIC x CONTRACTOR TO FURNISH UTILITIES: YES NO X RESIDENCE TO BE OCCtfPlED DURING RENOVATIONS:YES-K-NO BID ON INDICATED ITEMS ONLY Specification description of any number in extreme left hand column will be found in the Gene~a...1 Specification Booklet supplied to all bidders. When indicated, these numbers and their corresponding descriptions are to be bid on and strictly adhered to. Contractor is cautioned to verify all site conditions. All bids shall cover material required to complete work description. All items such as mailboxes, plants, landscaping, and lamp posts removed during construction are to be reinstalled prior to completion unless otherwise specified. No Lead-Based Paint shall be used on rehabilitation work either on existing surfaces or on new construction. If plans or drawings are supplied as part of these Rehabilitation Specifications they are complementary. Whatever is shown or reasonably referred to in the specifications is required. Scaled dimensions govern size, and large scale drawings supersede those of smaller scale. If specifications require any clarifications which were not obtained prior to bidding, the designer's interpretation of the true intent shall govern. No additional cost will be paid above the contract amount when the Contractor has neglected to properly evaluate the extent of the rehabilitation work. PAGE 1/3 Name TORRES Date SEPTEMBER 5, 2000 . . SPEC. DESCRIPTION OF WORK 19 FLOOR COVERING / CARPET Install new carpet over new padding. Included are all closets opening into rooms to be carpeted. 20 FLOORING COVERING / VINYL TILE Remove the existing vinyl tile and install new Vinyl tile 12" X 12" after proper subfloor preparation. 33 WlNDOWREPAm Rework/repair to proper operating condition, the existing windows indicated. Repl~ce all broken or worn parts. 43 SOFFIT AND FASCIA Install a new section of aluminum fascia on the west side above the garage. 55 CEILING INSULATION Check existing ceiling insulation and add insulation as required to achieve R -22. 56 WALL FINISH - REP Am WORK Repair the drywall behind the door. 64/66 INTERIOR CEILING FINISH INTERIOR CEILING FINISH-DRYWALL Ceiling has been water stained and/or damaged. Approximate locations and extent of damage is as indicated. Repair ceiling to match adjacent sound ceiling finishes. Paint/re-finish to match adjacent ceiling areas.(See Spec. No. 91) 72 INTERIOR DOORS Furnish and install a new door slab and lockset. 74 SCREEN DOOR - ALUMINUM Install new aluminum screen door. PAGE TOTAL $ NAME: TORRES DATE: 09/12/00 LOCATION COST Bedroom #1, #2, & #3 Living Room Kitchen Dining Room Bath #1 & #2 Entire house Allow. $150.00 Exterior Entire house Allow $200.00 if; Bedroom #2 & #3 Living room Living room Bedroom #3 Rear Door PAGE: 2 SPEC. DESCRIPTION OF WORK 82 ELECTRICAL Install new hard wired smoke detectors to code. (4 ) Make all repairs necessary to bring up to code. 91 PAINTING-GENERAL SPECIFICATIONS Plug, patch and paint the entire interior of the building including all walls, ceilings, doors, trim, and baseboard in accordance with the requirements of this section. Stained ceilings are to be prepared properly to insure coverage offinal coat. All wallpaper to be removed, walls properly prepared and painted. ~ PERMITS AND FEES .::,- CLEAN-UP LOCATION COST See plan Entire house Allow. $750.00 Nd\1l~ A~,.,ICA., w; ~ \ A-L-s-O e;;;-~ w; ..c.,~ II v~ <: ~ Interior PAGE TOTAL PROJECT TOTAL NAME: TORRES DATE: 09/12/00 ." PAGE: 3 PASCO COUNTY COMMUNITY DEVELOPMENT ADDENDUM #1 TO BID SPECIFICATIONS NAME: EDJAR TORRES DATE: SEPTEMBER 21. 2000 ADDRESS: 39504 KENNEDY AVE.. ZEPHRYHlLLS. FL. 33540 BID DUEDA TE: SEPTEMBER 29. 2000 SPEC. NO. 'DESCRIPTION OF WORK -LOCATION . COST 36 EXTERIOR DOORS Install a new metal pre-hung door complete. (36-E) Kitchen/garage Do not install the peephole as spec. .',.. 83 R.V.A.C. Install a new 2 ton central heating and air conditioning System complete with all new ductwor~ all controls and Electrical. (maximum SEER required-l 0.0) 5 KW heat strip. Standard air cooled condensing unit set on ~ concrete pad. (Heat pump not required) A.H. unit may be installed in the atttic space with access to code. Entire house ADDENDUM TOTAL $' ADDENDUM S PAGE 1/1 TORRES ~%WG~~ DATE: SEPTEMBER 21, 2000 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME EDG-AR TC'fe'i2E:S JOB ADDRESS 3Q.sc 4- KeNAJErI>t.f AlJ~. PHONE 8/3 -q73 -Sq:2.~ ZePHl.ttt:.lhu..s . FL. 33Sc.fO . LEGAL DESCRIPTION: LOT(S) '-/:2 BLOCK SUBDIVISION ~/N~t:I~.AJ #tGI7GHrS PARCEL ID # 12. 2.b 2./ 02.80 00000 Oc...t '2..0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION ~TERATION o REPAIR o INSTALL Os I GN PROPOSED USE: ~L FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL 1?=M()~t... W()lek if 12cP(.,AQ,6 Ale €!4uj,IJMcA/T'. SQUARE FOOTAGE q8l3 HEIGHT BUILDING SIZE 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. PERMITS REQUESTED ~UILDING $ 899s.t!JO VALUATION OF TOTAL CONSTRUCTION , ~LECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. o PLUMBING ~ECHANICAL $ 2.,^Od.dO VALUATION OF MECHANCIAL INSTALLATION , o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER SIGNATURE A4d/'$'./H~~ COMPANyDI A.NCo#JD CoNT12Ac..Tluq) .TAlC. STATE CERT OR REGIST # Cl3co ~~~..> CITY PROCESSING # ? 7 c.. 9 ****************************************************************** ELECTRICIA! /7' ~ -' SIGNATURE ~/ ~ COMPANY e fe e-~~ic.~ INC-. STATE CERT OR REGIST # 6,f? -OC:>IOab3 CITY PROCESSING # ..../iiiiliiE" ~ 0 ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ****************************************************************** . COMPANY DI AMOND CONT"J2.Ae'TIN"j } r~ // ./""'/JJ,' UA,;o~ __~ STATE CERT OR REGIST # CAco Z/3.sS' ~~~,pr~ ~~ CITY PROCESSING # 2?70 MECHANICAL ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictionsH which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the ~Contractor SectionsH of this application for which they will be responsible. If you, as the owner signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerH prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is 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 permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies 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 limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~AH or "A,etc.H, it is understood that a drainage plan addressing a ~compensating volumeH will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~Y 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENTH. SIG~RE~ O~OR AGENT ~~/#.H/1'/~ SIGNATURE: CONTRACTOR STATE OF FLORIDA ~^ COUNTY OF r. ,...-:;c.o The foregoing i~r.t;"rument was acknowledged Before me this ~ day of CJC."TD8~ , .~ by E'DG-~ D. T<J2IJ'S ' (name of person acknowledged) Dwho is personally known to me, or ~ho has produced DJ2LVerzs l..L~S'" (type of identification) ~d not take an oath. STATE OF FLORIDA COUNTY OF 'PA-Sc..D The foregoing instrument was acknowledged Before me this ~tII day of OC;7Z:u~1D<. , , ZlJiJo by HA-~IJtO-"'t.,;?#"'P~""'412) (name of person acknowledged) C1ho is personally known to me, or ~o has produced 0 r:i!.1V6Y25 t.:tct/:Vstl"" (type of identification) and who rJf:id not take an oath owledgement Name ~ priIJ~~cOtfiV!>>ped :.i MY COMMISSION' CC829088 EXPIRES ..ill April 22, 2003 IL~ BONDED THIlU TROY FAIN 1NSIJRANCf. INC. . ,Ii' ".......~=~:s Name t y<<! I'CCIIJljMllPfRES ?-.: :"1 April 27, 2003 ~1'''~>> BONDEDTHRUTROYFAlNINSURANCf.1NC ',Rr..~""'"