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HomeMy WebLinkAbout01-0568 BUILDING PERMITN~ 0568 CITY OF ZEPHYRHILLS (813) 788.-6611 Permit Date 1- 2/-0 I ~. ~I PL~. M~' :::::~.:~"J1ir:fr:; ,~. ~A<~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel i. D, # Zoning: DescriPtion of Work NO OCCUPANCY BEFORE C.O. FINAL ~ O?- DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Valuation or ,/ A h ,) - Contract Price ff ,.;< ~. ~ 00 City Ucen.e Regi~".tjOn. ~ ~ State Certified License# Lft!-li) {k,cr ~ d4C ,~ &~ BUILDING ELEC~~L .,/ P!...lJMBTNG ~ Ftr. Pre SLB Lintel FRM. InsuJ. CL WL Tp. Servo Rough In Meter Can Canst. 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 Twenty Five and 00/100 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT MCI 2801 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME VILLAGE INN ~ \lith ris . \ n~ . PHONE 813/782-9556 JOB ADDRESS 5214 GALL BOULEVARD, ZEPHYRHILLS, FL 33541 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1D # --L1 dJ, :1.\ 0010 llt;lb DO ()2.~O (OBTAIN FRQM PROPERTY TAX NOTICEI WORK PROPSED: []NEWCONSTRUCTION [] ADDITION []ALTERATION m REPAIR [] INSTALL [] SIGN [] MOVE [] DEMOLISH PROPOSED USE: []SGL FAMILY DWELLING [] COMMERCIAL []MULTI-FAMILY [] INDUSTRIAL []# OF UNITS [] SWIMMING POOL [] MOBILE HOME [] OTHER 5[J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ROOF OVERLAY OF THE EXISTING FLAT BUILT-UP ROOFING SYSTEM BUILDING SIZE (85' X 80') SQUARE FOOTAGE HEIGHT RESIDENTIAJ~: 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 0 BUILDING $ 23,800.00 VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. [] PLUMBING [] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [] GAS KI ROOFING [] SPECIALTY [] OTHER 'l'YPE OF CONSTRUCTION: [] BLOCK i [] FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY. STATE CERT OR REGIST It CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING It SIGNATURE MECHANICAL **********~******************************************************* COMPANY. STATE CERT OR REGIST # CITY PROCESSING # 218 SIGNATURE ********************~******************************************** OTHER ROOFING SIGNATURE COMPANY MILBl\R ~STRUcrIOO, INC. STATE CERT OR REGIST # OCC 051562 / DAVID R. ABLA CITY PROCESSING # 218 ***************************************************************** CONI.H'1'lONS or' i:'EHl"11'l' iWr'llJi\V 1'1' ~', NQ'rrCE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" 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 luay 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 hited 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 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 Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" 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 Ineet 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 "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" 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 cOlmnenced 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 wil~ be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEME~TS 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 NOT NEED TO RECORD AND POST A "~ SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF p:.J <..~o The foregoing instrument was acknowledged Before me this 2...\ day of ~1" 1- , l,.92J,)U\ by ~~ {L_ A1:>\L., (name of person acknowledged) )'J who is personally known to me, or o who has produced (type of identificati~n) and whoD did id not take an oath. STATE OF FLORIDA COUNTY OF The foregoing instrument was~cknowledged Before me this ~day of ~ J) , ~~I by '1 " L 'fV~ ,"','rei ' -LdW\<1 \l.. ~"- (name of person acknowledged) ~ is personally known to me, or ~-u Dwho has produced (type of identification) and who Ddid ()f.i:d not take an oath 18~-- Signature 0 person taking acknowledgment -\ .. OLIVIA A. LOVETT ~.;J' ~ Notary Public, State Of Florida Name t yp d C ~ N~. Signature -\ .. Name typed,:; z OLIVIA A. LOVETT ownim'~~JUIy 28, 2004 commission No. CC954594 ~9/14:~J~i 1~:4d -4"~. dU itl~Ub 73 VICHRIS INC }-i-\I.:lC:. Ul 1 of 2 ... e.rttII<<I liIu1C1er .c8C023a21 .... c.1l1ed ~ 1CCCOS1582 Slate Reatstettd AoafIIr MCOO5lI215 RCIA~ Aoat ConIultant 101..11 , I Page No. co roposa .~., ~ 280\ lD~r MIISar Construction, In . 1IIDaIIng. CcIIVeIe' CommIn;i&I- ~ 1Ii811 us ,...301 NIlf1t1 . DD ~ FIoftd8 33523 <::> 35M1e7~ ~ FAX: 3S2I587'oo4454 P..- <<# MMIbIr of.. FIIrIda AooIng and........ AIellIlllllon U.8.lnleC C8nIIIlId PlalJrun I..... t6204 ,.MONS 8131782-9S56 DATI! 813/782-1673 FAX JOIINAME VILLAGE INN .1011 LClCAT1QN 5214 GALL BOULEVARD 0&/28/01 Qr.. ,!IT'''1! .noz,~ CODE ZEPHYRHILLS, FLORIDA 33541 AACHlT@OT DATI! ~ "v.N& IJOBPWON!! i ZEPHYRHILLS. FLORIDA we IIlrlby SUbm~ lIl8<llfo;eliorl. and "'II males lor: ROOF OVERLAY OF THE EXISTING FLAT BUlL T-lJP ROOFINB SYSTEM .... .... ......... ...... ........... . .........C85........) ....., J ....... .......... ................... .. .................. ....................... Th. ft18t"1l'lg"ll"l2" 'piUlihi'.i1ijulUlon"'iiiid' btiiIt ""\.Ip'roo!"ing 'ire t.o reilia:i.i1 lri"pl'acjilnd"tMj:.. '" ov.rla1d with th~ ne. Duro-La.t 40 ail wh1t. roofing ..Mbrane 1n accordance with the 1I.nu1.ctij~.f'""'. 'lIp.eu~cat. ~ons ana tone /II))tI(:':l::t !'t:'a't.io'rili" u..lu .:';" ... ........ ........ ..,.......... ............... 1..Pr-tiOld. and 'lnaUllll"nll.. Dufo.;.r;a.l'Duio';"F61i:l'undeil'iiyiii4tn{'''I:i"oai-d; . Ilu!chanici.Uy;...... .ttach throu;h tbe Dura-Fold, the existing rooling, the existing induIation and lnto.'th......tU...diiodk. ...................... ...... ......... ....... . ........... ............ I 2. II .. II I I 1 r. I Ii 'I r' 5. I , . ProUd.'i1Yl"d""ir'1.talla"'n&,vDurO';'Last 40_il' vhHi' rocffl rig' iiieJlibrahe'-.f:iicl'i'"ij'. ..chanlcally"attached roof .yst@_. tbe ..a.. ar~ heat-welded to form one .h.-t. Provide .....Duro'" t...t;"lS''''yirHir:'' WHO" 'DoUar' Lilllit... "v'ifrarity,'.- ......... ... 3..'" AnA~C;.ctll'bli~'''''iiieChiniclUcui-b8~ "v~nt.8tac:k8t and' all pjri.t'i'a'tion,...to . De'i.;.;;nilli'hed'.' with Duro-Last pre-fo~.~ fla.hLng.. Run the Duro-La.t roof~nQ meMbrane up the parap.t v.1It co.pletely covering the ..1n.ld..of....th... 'pir'ip.r'wan' \lP' tij"..nd....i.trider.. th~...ex18ti:rig.. ..t".l.co-un{er-fla.hlng;...... "eoh8n1c.lly-ta.t~n th~Qugb the metal fl..hing8 and the Ouro-Laat n.w roofing _litifiriit'aod 'into..th'. pahpeot wall.' .. . ..' ......... . .. . ...... 4. Tbe '.xli1tinu' . .i,,'jar 1p' Is' to' re.a"inin . phc". . "R\in'-'Ui.ne. "DUro:';:L.lit.roo:U ng _bran. over ~he top and down the tee. 01 th. existing e.vedrip, F..tRn the n.. D~ro-L..t roofiiig nieiilbr'iln."using' at 'Oi.lro';'La.t 't.ftrriinatfon "b.r.' ...... ... -.....,.............. .r prapDIf hereby to furni.h material and labor - compiete In accordance with above .~.ciflo8t1ons, for lhe sum 01: SEE PAGE TWO. dollar. ($ . ). Pali"*'f to bo! mAtle a. rOlIOWS. Stx OF CONTRACT VALUE DUE UPON DELIVERY Of "ATERIALSI BALANCE DUE UPON COftPLETION. inv~ ~.. "01 lNIid in aocordMoe with 1t\e pa}'lT'otnll.."a llIaJ1 be cans-.cldllin. -' aM IIMr 1Il\..... M the r.,. of _ and ~1IIf ~........I per m,,"",. ~ agrMS Ul llIl~ II" =- IlICUrred. suo;h ll_ llllOm., 1_. coIllIClOr 1_. c:oun caste, lIle., lor ""I_Ion I '" ct.lin....nt If\VOiCft in_no 11\"". Own.,.O Ca'll/ ... lDm.ao and other _....~ ~ ,n...I1lIlCI Ot;r ....orkin. WI lullY o:;oventd by Worll"",n'$ Comp.naation In....r.~oe ~l ~ fir Atttptantt of proposal - 'rhe .b:M ."lces, sp.c:ifi(ation$ '.1 30d t:mlJtlocs are satisTactory and are hereby ,tc;I!PhKI. 'lbu ~re .ul~DriZ<.)d : to 110 the 'IVOttC ll$ 5P'~"~ Payment wi. ~ ",,,de as oullineo llbove. L Darl 01 Acceplilllc, r - I ~/- 0- /. ' ~ ~. Aulholized S9Mli.l<e Note, ThiS pr<lPONl may tie wlthdrewn by us Ir ooc al;\;.pt.o within 38 da.... ~:.~~~~ - ~ i II ) Slgnol.lule ~ " lJ'!!l/ loJ;:..!0i!.J~ 1J: 'I": "l....i~JI!.I~i.!l v'1e.:...1-i~.. HIe.: 1.,1 !,l._.!!.. 1~1....._ '- U8.lnteo 0Il1JIed PIIIInum IIleIIMt 8(M proposal ~ MII'!!!:.~~!~!'.1.lnc. '., 1 us HwJ.IO' NOr1h . DIdt CI10 FIortdlI33ID <:> 35211!117""" ..... __ FAX: 31M117..0M54 PIGl'No. 2 a 2 ....~ I!IuIdIr fCIC02U2, ... c.rthd RaoIIr tlCCC0616<<l ...~ Ao* '5 ~~ed ftoof~Wl" ..... 01... ,....... ..... ena_ M.- MIa llIIIIon VI IlTIlI;n BRIAR KA""OND V 111 PROPOSAl &lJlUlmD TO VILUGE INN ,j(lIII.OClATlON ZEP i ARCHITECT RIDA 33:)41 GALL aaULEVARD JOt J>Io4(IM OlIn ()I: PLANS ZEPHT w. '-by aub<nit .".dbllane end MtI...... for. G. Ptovld. and 1n.tall on.-Y..y.,~~~~.!f."':::~!.!~!!.. .!.~_':':!:.!,..!~.. !I.....~,~_..CI!.. ~.~_:P"!.....~..~~:..::,:~.'"... .... ,... ...........-~.f~...of'.rciiif...ie..~..... 1. "..-'th....x'1.Hn.g....guttiPr..'iij..'t....r...t ore..1n''in'''pl _e.;-....... '..,.....-._......~.,_. ... ............, ,..,'.. ...... 'a~' ..... 'Aii)"d.t.aoi.t.ed'-or'd...g~"'H'taI""TaDf 'd.ck~' 'eny.del4id.Dr.t.'fKj'or' d...q'g.d..YElt....., ,.".............-.. ~:.~~~~~i~~I":i~':~i=!~b.~'t.:-~:ld~biiQ.~d~:~~c.~i~a~t~~icie.~~~~~..!!:.~~ ...!~+~ ....~.~..E!-'!!.~~~......... "...9~'.... 'OYD~r"i." t.oprov!d.'iiiCGHB"to-th..8n"Hi." 'ro o!".i@ii 'i"or"d.UveTy'tiuck.' 'f'or." ....... .............. ...,. ".,.~;:;d.~i~~t~::~tl~.c:fl::~;~M:t:jrir~~;. '::~ c:~ti~~~!.~~~:~~'{:;~.;i.ija~s:d:i:[~~:tr:.:;.._...._.~" I .~.I'lC::~ "J!.. ..~~~.". :r!!'.P.~.~~,;"~.~.! for da~~Q!_. ~.o..:t_t:a....._~.C1I:1~~.!~~~".~Jf:)~~!~!';........... ._._..... ,. ... ..... ...~~...... . ..It.g!'!r~~.,,,ull~_~~C:~!.~~t... .;.~&;:~..t.~. ..P:r:~y.~~.G.n.ral Liability .~~,~l?r..~!~'.II..~~!p.!~III.~H~~............... lnauranc. ('2, eM, M0 Ua1t) and roofing ~i.i't~"'" , ,..... ..... .f 'roplI' hereby to furnish material and labor - compl.,te in accordance with above Ipeclfloatlona, for the sum of: TWENTY-THREE THOUSAND EIDHT HUNDRED AND 00/110 ------------------- da~ $ 23,811,00 paYf'*l1 ro be made .. fo/Iowf: (). 51X OF CO.TRACT VALUE DUE U~OR DELIVERY OF KATERIALS; BALANCE DUE UPON COKPLETIOH. 1tI~ IITIOUnta nOI P8Id In 1ClCOr1hl~ WIllI .... pa~ t1II1m ahall be oonaldenld deli... queM llId _ IIIr.!Nl al .... r... vi one _ __ pelC8nl ,.. 1I1OII'I\h, 0wMr.- '" 1><<, .wi a_ mun"'. '""'" .. atI01"M)' ...., ~...., -.. _., ..... 'ot ............. 01 ~ lnvolcM iJ1lllucling rn.,.Id. OwMr '" _ry .11I, 10m_ ...d ....... _ry ~'\: 1"..r8flo.. Our WOl'k.'5 .,. '"'~ oaV".d ttv Workman'. Comp..nutiCltllriaut8Me ~ l Atctptance of 'roposal - Th. aboIoe prIces, spel;if'''''bons I and conditions are satisfactory and are hereby i1tcepl$d. "'tllu are autf1orrze~ to do the Io\lOO'k as specified ~ent will be mClde 115 outtintd abO\llll. ~ ~.. of ACClIptance: " - / ~ C> / Aulhorlrecs Sigrla1l.lrlll Not., Tl'lil PlllpouJ mtIy. be Viithdrawn by .. If r\Ot OllOoptcId within 30 I AP~ . 1 Slgn.lur SIgnature I ~ "p NOTICE Olr COMMENCEMENT lCI fI~1 1111111 II'" 1111/ 11111/111111111 IIIIIIII~ 11111 IlIInlllllll 2001131467 !'emut No, Parcel I.O/roL.40" II l~ !J. I ()j\O "dl"nn en ~n Rcpt: 530413 OS: 0.00 09/21/01 Rec: 6.00 IT: 0.00 Dpty Clerk Slate of Plori". Cowlty of PASCD THH UNDl!ltSJONI30 hereby glVD Jlotice Ihat the bnpruvClIICIl( wiU be made to certllin real propcl1y in accordance with Olal>ter 713. Plarida Statues, the followill8 Information is J'rov'dcd in this notice of commencement. ~i92~~nl'l\~: ffS~O fOUN~Yf CL"ERt< OR BK 4726 PG 1370 I.Description. ~( property </.es"l~. ripliottuf prvpuI~ atld address if available) 5214 ~ ED.JLE.vARD Sm:l:1~s~ '!b'.IIhF>hiu ~ (r .. 11l1n9~ ZEPHYRHI~, FLC1UDA 2.Gcncral description uf illlprovemcnls ~ OVERLAy OF ~ ~ISTING FLAT BUILT-uP ROOFING SYSTEM ( 85 X 80 T) -.. ).Owner Information " / -.L: ...... a)N3lJlc ~d addrc.o I!t{/ C2h-f 1'i.LL'iJ, 3 7S C7" S,;(s,:A'.~b/.;1ar:/... r:::;;:~ff b)lnlcrt'SC UI propcrty . OC-/~-e. ~ . _ _ _ c)Nantc ami address of fee ~illlplc tilleholder (If olllcr Ihcn owner) 4.COlllractor (namc and uddress) b,ui...,( e. Ab\.2. - j.Surcty a)Namc and address b)Anloulll of boud 6.I.cndcr (name and address) IM'TT.AAR CYl\I~J~TC"1\1_ TN~' 15911 US. 301. OI\DE f::rT:l. Fr. 33523 f~' " E,' - ~.. '~".-\ ::~,~._~ .~ ARcr recording, reCum (0: Name HILRAI) O~rrT("N Address 15911 Us 301 City DADE ern', FL 33523 7.I'ersoJl with.in the Slalc or Florida designated by owncr upon who uotic~ or olhcr dOCUlllCUI~ may be served as provided by Section 1 J 3.13( J )(a)(J). f4Joridj...St~ucs. /' \" ~ . A Name nnd address /5/ // ~r~~ '3 7St7~ ...)/ry /f'.gfrGrc--/f.. ~h6cfO 8.ln additiol1 to him or herself,' owner u~lguales' c;.',~ of lo receive a copy of Ole Licuor's Noticc as ))roviueu iJI SI..'tlion ~ 7 1 3.13( 1 )(b). J-o'orida Sfalu~. 9.ExpiraHon dale of notice of COIlUllCnCCIUClI1 _(the expiration dale is one year from the dalc of recording unlcSs a difrcrcnt date i~ specified), . ~~. STATE OF FJ,.QIUDA . l>>lER's SlQlA~URll ~ _~ COUNTY O)1'tA-sc.o PlmrmD Nl\MG & 'trl'LE " (! '"a-h... ~ TIle following instrUJJlelg wus acknowledged before me tbisl~.y ~! by~~ who is pe"onally known to me Of whu J1roducc"d 4r.S ideulifi,..I;vh: -& TNr Numc(priut) Title or rlluk Seriallluulbcr, if au)' ...",.... BnIndI L ~ !-\.6~ My CommIsIlon CC9980S0 "\1;.,1 Erplres January 31 2005