HomeMy WebLinkAbout01-0694
BUILDING PERMITN~
0694
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CITY OF ZEPHYRHILLS
(813) 788.6611
Permit
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(E~ P€el~
Property Owner: ~ J- J a UL Y.
Job Address: ... ~ ~ $ J - 5 9-11 ~
Parcell.D. # 11-.:z.G,,--.;t/-OO/O- /:3 /00- 00/7)
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Date /~-$/-O I
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
FINAL
- Cj - tJ')..
NO OCCUPANCY BEFORE C.O.
BUILDING
ELECTRICAL3-0
P.~.~ ~~k~OJ~
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Address
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PLUMBING c2fl~1
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances,
Inspector
Valuation or
Contract Price
/3, 0 97J -
City License Registration #
~. S te. ce";f~ense.
~~ ~:Zi~
a 9- {I _
(~(tW~(!;;t.
MECHANICAL OZ 7'70
Ftr, /i- ~'-Of)... f!.. Lt{
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB ~/ /-? -0:1 (<'- 't
Tub Set
Water
Sewer
Final /1-"--t7::L !!L.-y
Tp, Servo
Rough In j l-q-O'2 I<L'f
Meter Can
Const, Pole
Pool
Pre-Meter
Final;/I-'1-0}- f2.Uf
Breakers
Ducts Ins!. ';/-')-0;],- Z(. ~
comzor
Final /-7-0.:2.. RL r
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 ($25,00) shall be made for each trip for each trade:
a, Wrong Address
b. Condemned work resulting from faulty construction.
c, Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site,
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
, I 9l./ CITY OF ZEPHYRHILLS" PE~IT APPLICATION
~. 0 ~ UILDING DBPARTMENT 53358~ STREBT ZBPHYRHILLS, FL 33540
, , Phone:813-780-0020 Fax:813-780-0021
DATB RBCBIVED
\J , h...L ~ l'a @ PLANS REVIEW FBB
OWNER'S NAME -~"-rltt '- '\'~ S PHONE CONTACT ;/113' 113Y
JOB SITE ADDRESS 526 \ h~' S\. 2+''\,(\\. \\$ \'"B, ~t..t \
LEGAL DESCRIPTION: LOT(S) \j2- .~ ~ BLOCK \~\ SUBDIVISION
PARCEL ID # -' \ _ 2.l.., _ Z' - bh\ (,) _ I ,3 \ \:(:> _ (--::t:.) \ 0 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERATION
~REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE:~SGL FAMILY-DWELLING
DMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~C' \~~'l_ \ll<' ~D.-~(,) C'~ ('121~- \D.v.). 'S~ r--C-A.A-._~
\ \
SQUARE FOOTAGE ~ HEIGHT S:~
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.
BUILDING SIZE
PERMITS REQUESTED
S\ ~R.R..
-lJCI- <aC6~2
LfSD - cP,.YL~
t2rBUILDING
g--ELECTRICAL
~~BING
c:J"O
$ \3 tho -
.
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
~MECHANICAL $
o GAS J~FING
U()
37~O-
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: ~ BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDBR ~ &:; COMPAN;R'..,. '3 G~ ~~ ~,
.-2 4 STATE CERT OR REGIST # Co, ~~~~2B ~
SIGNATURE ~ ~~ CITY PROCESSING
*************************~~***************
BLBCTRIC~. 1
SIGNATURE ~
************************************ *
PLUMBER
SIGNATURE~~~~~ \~~
\. \
************************************
MECHANICAL
SIGNATURE
**************************
OTHBR
f).,J\~
, \
SIGNATURE
COMPANY
STATE CERT OR EGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. N,OTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" wpich
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 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 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 ~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 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 writin~to the Building Official. An approved inspection must be logged during each six
month perr~~or the project will be considered abandoned.
WARNING T~: YOUlt FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR-IMPRO~ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDE~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 COMMENCEMENT".
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SIGNATURE: OWNER QP. AGENT
...:-
SIGNATURE: CONTRACTOR
STATE OF FL~IDA .
COUN"Y ~ ill ~(J, ,
The ~r.~g~ing inst~ument was,aCk~~i~tl. ged
Before"mE;'\this 2.5 day of ~ p- ; ,....'~
by I
_/' (name of person acknowledged)
LJwho is personally known to me, or
.
l ~"
o who has produced~ ~
(t~~~ Mentification)
and whoOdid Odid not ,take an oath.
\(ci~ :f! ~cl1 "
Signature of person taking acknowledgement
STATE OF FLORID~
COUNTY OF .0
The foregoing ins~~ent wa~~nOWledged
Before me this ~ day of ,~~
by
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and who Odid D:l.id not take an oath
\J~ I< ~DB-
Signature of person taking acknowledgment
Name
Name
:'. ~KJNI# OOI9a5af>
:~ EXPIRES: ~ 8, 2(X)3 ,
BondId Thru ~ UndelWdlllS
For Use by Clerk of Circuit Court
NOTICE OF COMMENCEMENT
11111111111111I111111111111111111111111111111111111111111111
2001142161
Rcpl: 535471
OS: 0.00
10/12/01
Rec: 6.00
IT: 0 . 00
Dpty Clerk
State of Florida
County of Pasco
The undersigned hereby informs all concerned that improvements will be made to
certain real property; and in accordance with Section 713.13 of the Florida Statutes, the following
information is stated in the NOTICE OF COMMENCEMENT. This notice shall be void and of no
force and effect if construction is not commenced within 30 days of recordation.
Description:
5251 5th Street
Zephyrhills
Florida
33541
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Legal Description:
The E 80 feet of Lots 1,2 and 3, Block 131, City of Zephyrhills,
as per plat of the Town of Zephyrhills, as recorded in Plat
Book 1, Page 54, of the Public Records of Pasco County,
Florida
General description of improvements:
GENERAL REHABILITATION
Owner(s):
Rita S, Vital
Address:
5251 5th Street
Zephyrhills
Florida
33541
Contractor:
Address:
~
R & J General Contracting
33252 Tammy Lane, Zephyrhills 33543
Expected Completion Date:
December 25, 2001
In addition to himself, owner designates the following person to receive a copy of Lienor's Notice
as provided in 713.06(2)(b) Florida Statutes: Pasco Community Development Division, Attn:
Michael Snyder , West Pasco Government Center, Suite 340, 7530 Little Road, New Port
Richey, FL 34654
~~-~-'D~~
(OWNER) Rita S. Vital
(OWNER)
I HEREBY CERTIFY that on this day before me, a Notary Public, duly authorized in
the State and County above-named, personally appeared
Rita S. Vital sworn to and subscribed before me 25th
day of September, 2001
I I Personally known to me, or
as identification and (did/did not) take an oath.
x
I Produced lh.A...L~Jr~ )Jl--rfL/l[,x!JQ./
\J,i~~/p~~/Pt ~ ~.~
M C " E . . ':J "':.~frf!:;;,.. BEVERLY G. BARTH
Y ommlsslon xprres. ~i.:~f" "', "~;~ MY COMMISSION # CC 948246
Seal ~!~?;"Jt,.~'1 EXPiRES: July 15, 2004
4.' I .....~$ :;~'..;:\u~~",- Bonded Thru Notary Public Underwriters
~L...::::~;'_"::
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Welcome: Record Search : Parcel Search
Searct:LAgain Show Map Generalized Building Schematic Calculate
Taxes
See Tax Collector Information - Current/Delinquent Taxes
ParcellD 11 2621 0010 131000010 (Card: 1 of 1)
Classification 01 - Single Family
Mailing Address Assessment (totals)
VITAL RITA S Ag Land
--
5251 5TH ST
ZEPHYRHILLS, FL 335414041 Land $9,720
Physical Address Building $21,992
5251 5 TH ST Extra Features $344
ZEPHYRHILLS, FL 33541
Legal Description (First 4 Lines) Total Assessment $32,056
CITY OF ZEPHYRHILLS PB 1 PG 54 Save Our Homes $26,834
EAST 80 FT OF LOTS 1 2 & 3 Homestead - $25,000
BLOCK 131
OR 4026 PG 273 Taxable Value $1,834
Land Detail (Card: 1 of 1)
Line Use Description Zoning Units Type Price Cond ~~
01 0100 SFR 00R3 4,200.00 SF 1.85 1.00
02 0100 SFR 00R3 3,000.00 SF .65 11.00 $1,950
Additional Land Information
Acres 0.17 Tax Area 30ZH Fema X Res Code ZHLHLP2
Code
Building Information - Year Built 1945 USE SINGLE FAMILY
(Card: 1 of 1)
Ext Wall 1 Asbestos Shingle Ext Wall 2 None
Roof Str Gable or Hip Roof COy Asphalt or Composition
Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring Pine or Soft Flooring None
1 Wood 2
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 1.00
Line Description Sq. Feet Repl. Cost New
1 BAS 792 $27,364
2 UEP 133 $2,315
3 UDG 280 $2,902
Extra Features (Card: 1 of 1)
Line Description Year Units Value
1 SWC 1986 261 $344
Sales History
Previous Owner VITAL GREGORY L &
Year Month Book I Page Type Amount
1998 07 4026 I 0273 QC --
1994 02 3261 I 0330 WD $39,500
Se_~Ich8-9ain Show Map Generalized Building Schematic Calculate
Taxes
See Tax Collector Information - Current/Delinquent Taxes
PASCO COUNTY, FLORIDA
COMMUNITY DEVELOPMENT DIVISION
PROPERTY OWNER:
Rita Vital
5251 5th Street
Zephryhills, FL.33541
CASE NUMBER: 00-160
PHONE NUMBER: (813) 783-1134
PROJECT COORDINATOR: Mike Snyder
DUE DATE: August 31,2001
REVISED:
REHABILiTATION SPECIFICATIONS
TYPE OF PERMITS REQUlRED:BUlLDING X
ROOFING
PLUMBING X
ELECTRICAL X
MECHANICAL X
GAS
CONTRACTOR TO FURNISH UTILITIES: YES
NO
X
RESIDENCE TO BE OCCUPIED DURING RENOVATIONS:
YES X NO
BID ON INDICATED ITEMS ONLY
Specification description of any number in extreme left hand column will be found in the General
-~Rectf1cati()n. B.QoJd~t.J)llpplie(L1Q~tJ~idders_._ --When~ndi~ted,-tllese__numbers and .their
--c-cc-'-~-'---'"--=-~o~espon-aing 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 towel bars, curtain rods, light fixtures or mirrors 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 win be paid above the contract amount when the Contractor has neglected
to properly evaluate the extent of the rehabilitation work.
Name: Vital
Date: 7/27/2001
Page
AU WORK SHAll COMPLY vmu All PRElJAJUNG
CODES, STANDARD BUlUJING, PLUMBING,
MECHANICAL, N.E.C. AND Cin' OF ZEPfn'RH1U.S
om!;" e
1
J - PUAt~s ~EVIEWED
DATE i L..> 1'7_1 pip C: I. --;;I ,'1 -,
BUrU'lING OEPT AP ROVED 10< !~~(.~"....
SPEC. DESCRIPTION OF WORK
83 H.V.A.C.
Replace the existing air condition with a new two a half
ton air condition. Replace the existing air handler,
controls, and proper wiring. Check all ducts for leaks
or damage areas. Install new units in the same locatio~
as the old one. Minimum SEER required 12.00. ()~'/
Heat strip is a 10KW. ,- V'-
LOCATION
COST
Entire house
84/85 PLUMBING-GENERAL SPECIFICATIONS
PLUMBING FIXTURES
Repair the leaking drain underhouse
At kitchen sink.
Kitchen
Furnish and install a new shower head.
Bath/main
- , -
Reinstall toilet.
Bath/main
Reinstall vanity lavatory with new fittings, trap
Bath/main
Caulk or regrout bottom of tub
Bath/main
Repair leak
Master bath
91 PAINTING-GENERAL SPECIFICATIONS
Pressure clean, scrape and prepare exterior for painting.
Paint the entire exterior of the house including all exposed 1 j 1(--
wood, concrete, stucco, masonry and ferrous metal. All I '-(I.-.
newly installed wood shall receive one coat of primer or
undercoat and two coats of semigloss paint. Color to be
selected by owner. Exterior
PERMITS AND FEES
CLEAN-UP
PAGE TOTAL
PROJECT TOTAL
N~:- Vital
DATE: 07/18/01
PAGE: 4
SPEC. DESCRIPTION OF WORK
19
20
33
35
14
FLOOR REPAIR j#M''- ' ~Y'y
After all removals of existing flooring, repair floor (Y'- ~'f-.:3
with new~" plywood sub-floor suitable for installation f- .,.;'......'15
of finished flooring: ~ I
/ \,u-
/\\
FLOOR COVERING / CARPET .f" v
Install new carpet over new pad~ing. Included are Rtf"o IJ '-f
all closets opening into rooms to be carpeted.
LOCATION
COST
'I /,0-
,,/;2 1"t>,(4) 1 a
7 104' ~ 7 ~
D~fi"'''' ~O
Bath 1 &2 LJ:. ~ J 3 z-
z5 6,2
/.,.</ :::>
rt/:~~~ ~
Livingroom "3 t7 &; /): t {, 3
Hall, Bedroom e /1 ...-
FLOORING COVERING / VINYL TILE ~
,17cJz.,)
Remove the existing vinyl and install new Vinyl '1
tile 12" X-i2" aft~rpTOperS@fln~ Bath 1&2
WINDOWS-GENERAL SPECIFICATIONS Z-i,?L- t,.." '-f L(o I ~ / J 0 F
Replace existing window with new . , white single r 13 "~ '1 -+ ~ '1 q C~l I -?-Z.:>
un com . s. e-frame existing opening 2.. (3 'l.- "7.,
as required to accommodate standard size window. p:; _ p......- Exterior/
Field verify openings. I Entire house
/~ €:.{t,t1./~' '1
it/if IIUU\i.
i~" t~
.(1 i";fl.Ij U :0,,' ~ il-h)~ ba+T
"-" vr"'- - !i! . .
" - -- (;" -, .~, .,'" ," . Ii \",f- \)f ii
It '# ';;o..~L-~,d 1/ Y.i0" /.-...... /
~\".-o"g., ff
WINDOW REPAIR
Rework/repair to proper operating condition, the existing
wind6wsjiidiCa1:ea: Replace iillbrokeri'or worn partS.(3)
SCREEN - RESCREEN
Remove existing screening and spline and replace with 10
new 20/20 fiberglass screen and proper spline.
/ 3~-
/7/iP ...-
2. 2 ~---
top -
36 EXTERIOR DOORS .
Plain bottom of door S Z. 1- l, \ Porch entry
~ Replace broken glass Kitchen
(I~ J. ,) '-\',JJ ' .-.. r~."A.l\" l,r\~ IhUL It -r LI2)\-r-r
r::.~.!U74 Db;Al~~1 "J '~ f. Jl '
l ' j'),r'., t ~ 'I ? -; ,) t:~:,./jl' ~~c'J\IU'L \\,.';"[..,)C i
CTI\ff1- [FJ a, J~ L'V\. ./' ~,.n..-}.: ~ ~'" " \ ,
7 r'- t{ t/Vt 1('\;1
NAME: . Vital .--...
DATE: 07/18/01
/"
Z 5. -
z'2..-
PAGE TOTAL
PAGE: 2
SPEC. DESCRIPTION OF WORK
55 CEILING INSULATION
Check existing ceiling insulation and add insulation as
required to achieve R -30.
LOCATION
Entire house
56
WALL FINISH - REPAIR WORK
Repla:e ~all after the removal of the Wall&-~~() ~
ceramIC tIle. /' ptr:.r
{)-r.....~- I ~o
1 LSBathroom
/6'>
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. replace ceiling
with drywall. Paint/re-fmish to ?-- i.ftk I~
match adjacent ceiling areas \ '- '(-I ~J r ~ ~
.3 '7 ::i
/'
Diningroom
72
INTERIOR DOORS
Furnish and install a new door slab and lockset.
Master bath/MB closet
.3 ~" -
:::,--0
78/80 CABINETS - KITCHEN/ COUNTER TOP , 5 ,',,)('-
Remove existing kitchen counter top. Install new I g f / L
kitchen counter tops with plastic laminate
backsplwshes. ---___.. Kitchen
82~~~~mredsm=::~~> --- -.:~de
1/ InStall a new ceiling fan with light. ,A~> i)f1f;'l;W)(..~U Bedroom
('/ Convert existing outlet to GFCI.(5) , i~ ~f4r.~::." ':.t'.'... tL~"r.. ~. 5i. ~~:<'\ To code
II--\;; 17 '- L >.l '7'>,+4 ;u").-V
Install a new wall outlet. h t.h",C {,~f1- i:!'1/ Front porch
~ Rewire water heater to meet code req~~. (~)l>- Exterior
fl\5lJ-tiJ6..- r>c' ~ll\.t.t '/~ f)h_TiiLTc-t"'L-
b\...'rr\ t D c (-;i fE,';..D fl\;(,;ll.-j U-x
,,4r'\{l fW..1i~f~ ftt,L V"J ~ (LIW d\i
PAGE TOTAL
COST
Allow $200.0C
'3 c:::- ...-
3t" -
1)f~ -
13<> -
Iso -
22)-
12S--
?,:,-
CUM TOTAL
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NAME: . Vital
DATE: 07/18/01
PAGE: 3
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CITY OF ZEPHYRHILLS BUILDING & LICENSING DEPARTMENT
5335 - 8TH STREET
ZEPHYRHILLS, FLORIDA 33540
PHONE (813) 788-6611
FAX (813) 788-5262
'~
THE FOLLOWING FORM SHALL BE FILLED OUT IN ITS ENTIRETY!
ANY OMISSIONS MAY RESULT IN THE DELAY OF ISSUANCE OF YOUR LICENSE OR
REGISTRATION.
BUSINESS NAME
BUSINESS ADDRESS
MAILING ADDRESS
BUSINESS PHONE #
OWNERS NAME
OWNERS ADDRESS
OWNERS PHONE #
SOCIAL SECURITY
EMERGENCY PHONE #
UALIFIER IF DIFFERENT THAN OWNER
CONTACT PERSON IF DIFFERENT THAN OWNER
. '. ........... ...,........ '.. '............. -,......................
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..... .......... .......... ........... ...... .................... ..... ....... ............... . ........ ......... ........ ...........................
:::::stAtlt:ticltN:slt::::: :CQVNIT::t(iM~ltttNtV::tQR:sr^t:t:~tGj$mt.QN :WQRl(lt~$:C.QMr.tN.$^nON.:iNsURANct:
..................................................................................................................................................................................................................................................................................................1...
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:::A@M~t~f.~:<;:O~~~~t.:bsi6~:AN.~::AN6.:Ait:~~~N::W"6:MAV.:S.CN:A~)):~(jiip.t~M.ts:iN:~6cii::A~&dt~::
SIGNATURE OF APPLICANT ~~ / ~ 9- ~
PRINT APPLICANTS NAME . / 1"(1..<'7 ~ 1JIt..c.. LJtJr1e;../d
DATE: /0 -Z-ttJl
FRO~ :R&J GENERAL CONTRACTING INC.
FAX NO. : 8137"('98832
Apr. 20 2e01 01:38PM Pi
TR.c'\CY l~iCDONALD IDBA MACDONALJJ PLUMBING
1503 LONOPOND DRIVE
V AtRICO,.f'L.33594
!in- 6S1=2!i26
813-643-1610 FAX
TO: cnv OF ZEPHYRHILLS BUILDiNG DEPARTMENT
I TRACY MACDONALD UCENSE NO# CFC#051643, HER6BY AUTHORIZE
STARR TI..TP.l.TER TO ACTIVATE MY i..1CENSE IN PASCO COL1\"TY.
FURTHERMORE" 1 Ai)'7HORlZE STARR. TU~I\1ER DRIVEk'S LICENSE NO#
T6S6-1 17..54..&24...0 TO SIGN AND RECm~'E PERMITS ON MY BEHALF.
RESPECFUJ,LY.
/t%it..!o~!:i}~~
STATE OF FLORIDA
COUNTY Of' HILLb\BOROUOH
SWORN 9E.Fo.P.E M:E TRJ.S Clt'~n" y PF~( tJ 2001.
PERSGl'~.A.LL'{ /J-JCWN 1'0 l\1E .
l.2R-BSENTEl).In EN':'IFL;;\,TIOS OOCVM::>TT - Fbr'-da.- "':Dr; vers b 'cen Se.
~ri''''' ""10 JUDITH A.IfAMBLIN
*; * Notary PUblia, Itlto of Florid.
~ "Comm. Expiree Oct. 22, 2003
""'" f~. Oomm. No. 00860146
;t;;J/f4 A. llambhn
I
t:
- ,'f.jfe,$hnslzine State -
, , LICENI5E ~
M235-817 ~Q-422..o,
TRACY SCOTT MACDONALD
1103 LONG POND DR
VAUUCO, FL 13'114 ~
1IlR'nt Dl'lE SEX HGT, REST, 'ENDORSE.
, 11~~ M 6-10
~~
, ISlIUED EXPIRES
10.06-88 '11~-04
DUl'I.ICAlE
o0-0o.oo
ORGAN DONOR . SN't: DIWEII
1CT.IlllI1l101lOl1M '
, Opendlon 01. mea 'lOIhic:Ie ~ can-.t m'an" aobriaty _ Atqulnld by law
" '
~~oo 2000-2001 HILLSBOROUGH COUNTY OCCUPATIONAL LICENSE EXPIRES 9-30-2001
FACILITIES OR MACHINES ROOMS SEATS EMPLOYEES
, RENEWAL
FOLIO NO,
OCC. CODe BUSINESS TYPE
090.020 CONTRACTOR - PLUMOING
15685.0000
H. WASTE TAX
SURCHARGE
4 O. 00 1 S. 00
'.
BUSINESS
LOCATION
. 1503 LO NG P ON 0 DR
VALRICO 33594
, \
)
:............',' '-"
~.
NAME
MAILING
ADDRESS
;);,<j.
MACDONAfD;t~'rTRACY SCOTT OIdIA MAC DONALD PLUMBING ,to
1503 LONG POND DR
'VALRICO FL'33594-4423
.'
..-~
LICENSE
IS HEREBY LICENSED TO ENGAGE IN BUSINESS,
PROFESSION. OR OCCUPATION SPECIFIED HEREON, .:'"
DOUG BELDEN, TAX COLLECTOR
813-307-6538
THIS BECOMES A TAX RECEIPT WHEN VALIDATED.
(SEE REVERSE SIDE)
PAID -0 00 14 1 77 -001- 5 '
08282000 It **** **58.00
-;C~:':S-9~f2;3j,i:~3~~';~G'-;,:- - - - - - - - -S~~~ -O~,~~O~iD~ -i-'~ - - - -,~ - - - - - - - - - -:~ - - - - -
, ' '. ,,' "', , ..:i,'~,,~~~E'.P..):R "{MENT.. of:. BUSl NESS' AND RROFESSI.ONAL REGULATION
' ; "':~..:~,(",' '...lI..',,,"'t..".' ,tn-1ST' INDUSTRY
"';"\!,.;":-ilJ"';';:',f~'li.~.':,"'!: . UP 'LIC~N.sING)'.l?OARO' ,
E B
, . '. '"".", ';-;-"'. ,..,;.~~~~..~.(~:_~..:.i~:~.o\- .," "'re..
08/30/200QiOQ!10g~6:\"f.t .CF -C0516't3,
S:~!~;~~flW~~,~. ~.
Expiration date: AU G 31 . ,:~~ 02
t . ';:,: ;";;;r';:,,::~,fB/' ,:/
MAC DONALO.." TRACY>~S COTT
MAC OONALO,PLBG COMPANY
1503 LONG PONO OR
VALRICO, .,. . '~~~;' Fl 335Q4-4't23
'-.~~'
~. ,.
JEB BUSH
GOVERNOR
DISPLAY AS REQUIRED BY LAW
CYNTHIA A. HENDERSON
SECRET ARY
S.nt., b~ =,
Ap~-29-91 92:23PM
f~OM 1234~~13779BB32
CERTIFICATE OF INSURANCE
pa9. 2/,2
THIS CERTIFICATE IS ISSUi:D AS A MATTIiA OF INFORMATION ONL V AND CONFEAS NO RIGHTS UPON THE CERTIFICATe HOLDER.
THIS CEATlRCAT! DOES NOT AMENO, EXTEND OR AL TEA THE COVERAGE AFFORDED BY THE pOl.ICIES LISTED BELOW.
.-'
COMPANIES AFFORDING COVERAGES:
FLORIDA FARM BUREAU INSURANCE COMPANieS
P.O. BOX 147030
GAINESVILLE, FLORIDA 32614-7030
ComPIUlY
L.etter ~
Florida Fam'l Bu....u General Ins. Co.
Company
\AttIIt II:
NAME AND ADDRESS OF INSURED;
TRACY AND JENNIFER. MACDONALD DBA
MA~ALD PLUMBING
1503 !Dng Pond Dr
Va1rico, F1 33594
~, --.
The I)OIldn of InsUrance Iiafttd below have bun i..ued to "e insured narMd above and are in fOrce at lhl$ time. N01WittIatAndlng any reQuirement term or
condition of any contraet or other docurMnt with re~ to which thia cettillca1lt may bel luu.d or may pel1Ain, the insurance afforded by the' policies
deSCtlMd herein is lublect to all the terms, exclusions and conditions of such poliel.L
Florida Farm Bureau Casuatty Ins. Co.
co.
L'm
TYPE r:JIf INS\.lfWolCl
PClLlOV NUMBl!J'\
PClUC'I EFI'1!d'I'M
DAni .~/Y'fJ
PCUOV EXPlAAlION
~TE ~M/DOf(Vl
AU. LIMITS IN THOUSANDS
B~~
I'ClAMI
O QWNl!!A'S a ooHTlW:TOFl'S
PFW:I1i!r:nM
OF~f'ERSONAL
uABIUlY
SGL 9517166
4/2/01
4/2/02
F
o Ntv AUfO
OAU.~M'08
o 9CH!tlUL!D AUT08
0..-0 AU'I'08
o t.oI.QWN!D AUTOe
Ii)lCUS UAlll./1"t:
O\JMM!UA FOAM
O=TtWl UMeAEUA
!M1'\.O'ISlS UA8ILITY:
O~
0".... PofI\Dvte'S Ml!DlCAL
I!COlL Y
=,.. $
IIOOILV
:=,.\1"<< $
DESCRIPTION OF OPERATIONS/LOCAT1ONS,NEHICLES:
~WTION:~~: "::.~. Il~ove d.wibed P()IIcI~s b4I cancelled ~ore the ellpltation date th.reof, the iuuing company will endeavor to
upon the cornpany.~ to t · below named oertIflcate holdet, bYt '~Iure to mail such notic8 shall impose no obligation or Ii.tlility of any kind
NAME AND ADDRESS OF CERTIFICATE HOLDER: County Code 29 Oat.lssued 4/20/01
CITY OF Z~HYRBILLS
.5335 8th St
Zephyrh111s, F1 33S40
u
93-7~92 (Rev. 5/93)
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PASCO COUNTY
COM~TYDEVELOPMENT
REHABILITATION PROGRAM
Rehabilitation Bid Proposal for:
Rita Vital
5251 5th Street.
Zephryhills, FL 33541
Case No.: 00.;.160
Date Due: August 31, 2001
L) .. /' .:z;'N c.
Contractor's Name:".- y.;:J G-eN-uA(" c...tJAJ-r~4fh:,-r/"'1) I
Address: :i.J~ $'.;1 7I9h1m7 AN. dt'e,tJ4r/'.'l/.J~ &:c. J.7r'V..7
PROPOSAL
I, the undersigned contractor, having inspected the above referenced property; and having
familiarized myself with the requirement set forth in the work write-up, rehabilitation standards, and
plans of the above-referenced; and I understand the extent and character of the Work to be
performed, propose to, furnish all labor, equipment, and material to accomplish all work as described
in the work write-up.
INITIAL PROJECT TOTAL $
ADDENDUM TOTAL $
-----....---.TOTAL. .., . _,,_,.._...... $,
--"'::..,. '-,~,;,.-;,.~-o:pTI eN #-1-,. _.-.,~:"::~.'.;':.~ "-$-
/)0
/3~ "~o.-
- " -
/ 3.t!J ~o, ~,
,-
~ .....-......... "^""._.._.n.~_...~_._..____~._. ',#_ ._ ..__
For the sum 0 -t V~.,-,) - dollars
($ / '3 j t7 4 '. t:1 i) ), with an itemized breakdown on e attached work write-up, to form
this proposal. If my bid is accepted, I will commence work within seven (7) calendar days after the
Notice to Proceed is issued and will complete the work within SIXTY (60) calendar days
after the Notice to Proceed is issued.
....- -~.....,.- .....~... ...... _.. '-"-' ._-_......~.......,,,.... -.". .,........-., .~. "......~-,..........~..,..-"....~~_P.- ~-_....._-__ _~,_.___~_ ..........~-..'-;'_ _.."_~,,.....'_"', _. J_ ._~,_ __~"
Indicate percentage amount that will be used for profit and overhead for allowance items only
~) %.
COMMENTS:
'~'i '
I"\A'I"E 'Ji! :i, JS, ~_~" IEWE~ I,~.;
;;;u\ING DePT'APPRoveo.~ ., ~L'-'
!/
~~~ ~~/5L
~~l;-j ~ v.-".
Title
NOTE: This sheet must be attached to work write-up with the itemized breakdowns written in
their appropriate spaces in order for us to consider your bid.
JJI{' AU WORK SHAll COMPLY WITH ~ll PREVAIWWti
DWM/GR/MS CODES, STAlDARD BUILDING, PLUMBING,
MECHANICAL, N.tC. AND crn OF ZEPHYRHIUS
ORDlNAr~r;ES.
"
SPEC. DESCRIPTION OF WORK
14
19
FLOOR REPAIR
After all removals of existing flooring, repair floor
with new %" plywood sub-floor suitable for installation
of finished flooring.
FLOOR COVERING I CARPET
Install new carpet over new pad~ing. Included are
all closets opening into rooms to be carpeted.
20 FLOORING COVERING I YINYL TILE
Remove the existing vinyl and install new Vinyl
~2" X 12" after proper SU~Pc.uC1t.iuU~~. "
/ --- \
32,/ WINDOWS-GENERAL SPECIFICATIONS
Replace existing window with ntun, white single
'? . reens. Re- frame existing opening
as required to accommodate standard size window.
,Field verify openings. q G..
33
3/
I
,
I
6
NAME:
WINDOW REPAIR
Rework/repair to proper operating condition, the existing
wind6wsiiidiciited: Rep1aceall broken or worn paits.(3)
SCREEN-RESCREEN
Remove existing screening and spline and replace with f 0
new 20/20 fiberglass screen and proper spline.
EXTERIOR DOORS
Plain bottom of door
Replace broken glass
err. lp.~ )"'1 c:> IJ t . tVuu))O-,-
/ 1\j~rT<=-tt
Si? ii--e)
--
ti:-~L
t~i~\5i1Y+~L i~;:
i5vtlj"i.~;+JG'"'J f--G~'S'S ~t"';l' ;.:.v..f-r
I J l.":; Jtrt- brlU\l I, 140- C , ·
'.l/~i l ;Vi 1 iV ' l./ ,-
DATE: 07118~~1 ,. . . { ,y(t.}
/ Ci.'ffL- c;.) '1'L;U ....~ ~ J
'-' 9
Vital
7 ; ( ,4" .
.('" V"tu~
j,.-
LOCATION
Bath 1 &2
Livingroom
Hall, Bedroom
Bath 1 &2
Exteriorl
Entire house
Porch entry
Kitchen
COST
, J
(JO
~SO.-
- ~t:J
7tJ 2.. -
$'"D
/ '5"0. -
23 r~.oo
.""
ZZ:;-7"
(Jt:J
IteI~ -
J.f 7. t:J (;)
P AGE TOTAL 3, if S"t!j . s-o
PAGE: 2
SPEC. DESCRIPTION OF WORK LOCATION COST
55 CEILING INSULATION
Check existing ceiling insulation and add insulation as Entire house
required to achieve R -30. Allow $200.00
56 WALL FINISH - REPAIR WORK I,
Replace drywall after the removal of the wall . Bathroom 3Z.,;".Ou
ceramic tile.
64/66 INTERIOR CEILING FINISH
INTERIOR CEILING FINISH-DRYWALL
Ceiling has been water stained and/or damaged. Approximate Diningroom 3{,D.DO
locations and extent of damage is as indicated. replace ceiling
with drywall. Paint/re-fInish to
match adjacent ceiling areas
72
INTERIOR DOORS
Furnish and install a new door slab and lockset.
Master bathJMB closet 3 S"o. d a,)
78/80 CABINETS - KITCHEN/ COUNTER TOP
Remove existing kitchen counter top. Install new
kitchen counter tops with plastic laminate
bac plashes.
".. --
. --~ ..-.-..-..
Kitchen
t3o.oo
82 ECl'RIWtt-~----~._~~---_
Q:. :: ::: mred smoke.d ::tors. (2 ~ --- . ~~ to code
. .-'" /}t;.{'St.:::rl. :.;
.' '1' J:'. '+J..ligh ---:' ~-..., r'l B dr
/ I1mg .Lan VIl..tr- . 1. - '. "". Ii\ "I ,:'Ie \:S, "';" e oom
,r' ,,_"" t,' - .~ l1"t.~va b' ~ ~ \~
/ ,ljli~'t v" ~U.. .'2;t'l-
/ Convert existing outlet to GFCI.(5) , of ~t., s 1 ~ t.i' To code
,,'f6.vj,L,i.; ;)
Install a new wall outlet. -:? i.J f} .;+'Jt':i. i'U v Front porch
1/&1 I
{,,_. 00
Rewire water heater to meet code requirements.
Exterior
tN LL0 i} 1i-. A
c:;-0'T '; t 6 I~:
-),;<.t.t i,vi... J)~ru{crD A-
1;; " p ~ ,c-." 1/ tl.'~"- lli1F-A
I!.: r CI...,!jf,-" .....'7 ( l'
PAGE TOTAL cJ,'11:t: .0
.
.~ :'~ IC."i',V\. .;' J, ~,. ,) ~ "." .~... ,
<<(\J f1'i""'..... r-'C'-'- i-A-J r n,.;,;;...-,j,./ ! I\J
CUM TOTAL 6,"3 C/. .s4)
~ ~i,:fl ~ ;:::~
:.,/ Jiy-: '-'"~ .) .t' ---"
NAME: Vital
DATE: 07/18/01
PAGE: 3
."
SPEC. DESCRIPTION OF WORK
83 R.V.A.C.
Replace the existing air condition with a new two a half
ton air condition. Replace the existing air handler~
controls, and proper wiring. Check all ducts for leaks
or damage areas. Install new units in the same location
as the old one. Minimum SEER required 12.00.
Heat strip is a 10KW.
84/85 PLUMBING-GENERAL SPECIFICATIONS.
PLUMBING FIXTURES
Repair the leaking drain underhouse
At kitchen sink.
Furnish and install a new shower head.
Reinstall toilet.
Reinstall vanity lavatory with new fittings, trap
Caulk or regrout bottom of tub
Repair leak
91
PAINTING-GENERAL SPECIFICATIONS
Pressure clean, scrape and prepare exterior for painting.
Paint the entire exterior of the house including all exposed
wood, concrete, stucco, masonry and ferrous metal. All
newly installed wood shall receive one coat of primer or
undercoat and two coats of semigloss paint. Color to be
selected by owner.
PERMITS AND FEES
CLEAN-UP
PAGE TOTAL
PROJECT TOTAL
NAME: Vital
DATE: 07/18/01
<<'
'.
LOCATION
COST
Entire house
3,JS"D.4,)
I
Kitchen
Bath/main
Bath/main
'ft:;$". 0 0
Bath/main
Bath/main
Master bath
.1"'0
~ ~ 6~..-
I
Exterior
.3 C; D. c) 0
~(,.o.o~
&, ~ S-s-: S-O
I//<:J
/3, t9'/O, -
,
PAGE: 4