HomeMy WebLinkAbout02-1321
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1321
/fJ,50
BUilDING
:J5' ~
ELECTRICAL
(813) 780-0020
J. 5' tYO
PLUMBING MEC~~Al
Date
(~ ~ ::< gz- - tJcR.
Sewer Conn
Water Conn:
PmpertvOwne, ~~~:~{J:g 2fjNt!Z
Job Address: ...=i__~_t!_~ _ _-!.-
Parcel I. D. "
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Co~:
~~lI.Jl
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
- /S-{J;2
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O. -
All work shall be performed in accordance with City Codes and Ordinances.
BUILDING
ELECTRICAL
.>aSignatu~
Company
Address
)ifelephone# 35J-J~"1?- /93t(r;!i
35'1-7'17-5"5'50, ~
('h.a.r/;.(:J PlvI11Aj.
PLUMBING
Valuation or 1 ~ ~
Contract Price 0 \ '5 <..e I .
City License Registration # 2 '11{
State Certified License#
llel t.o CA/J/$
{j SA G/ e (2. 5ef'v.
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Met"
Final i/ n -/5 -V .2...
SLB
Tub Set
Water
Sewer
Final t/ J' - / S - tJ ;)
Breakers
Ducts lnsl.
Compress
Final
(3q
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
{~0
Driveway
R~~ 7-..:;z-~:J- RC-y
REINSPECTlON 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) shaH 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.
OWNER'S NAME '~eN -=5~\(VII'''-' ~ f',15JA RtX'lij-t3 ,--no" ~7
JOB SITE ADDRESS 3 C) ~ Y.5 fY\pf+tb,,vcvrl ~~f .2p~.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 8~ STREET ZEPHYRRILLS, PL 33540
Phone:813-780-0020 Fax:813-780-0021
DATE RECEIVED
PLANS REVIEW PEE
3 5:2 ~
PHONE CONTACT /9""7- 5..550
LEGAL DESCRIPTION: LOT (S) (!T3 SO
BLOCK C~
SUBDIVISION
c>; 1:/0' rrrJ
Irr4~"I , . _ t-<:{.h:rI6
PARCEL ID # _<) i ~ T:2" fZ.21
WORK PROPSED: ONEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
~PAIR
o INSTALL
OSIGN
PROPOSED USE: ~L FAMILY DWELLING
o MOVE
o DEMOLISH
OMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
rzeY'<'\~ -e.-l
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
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.
PERMITS REQUESTED
o BUILDING
[ff'ELECTRICAL
$
I C\ '5 ~ I . 00
,
VALUATION OF TOTAL CONSTRUCTION
o MECHANICAL $
AMP SERVICE 0 FLORIDA POWER o W.R.E.C.
~_2/?-/9;gt;
VALUATION OF MECHANCIAL INSTALLATI~
0 OTHER
0 FRAME 0 STEEL o OTHER /
/
/
o PLUMBING
o GAS
ID'ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT
YES 0 NO
SIGNATURE
~~~.,
COMPANY A d('tl (l(IA1S4~7Il..JC /
STATE CERT OR REGIST 1 cr;. --Co
CITY PROCESSING # OJ...q 71
') I)<~ c; <.
BUILDER
.~~
******************************************************************
SIGNATURE
COMPANY t.1....:sA ~\~c.~~ ~p-,..R-\ ~y..(
STATE CERT OR REGIST #
CITY PROCESSING # :l q r'fJ
ELECTRICIAN
~
*****************************************************************
COMPANY U'\~ J \ ~ 1 \0 :'f\D ;ng
STATE CERT OR REGIST # C.J::'C_ S'f)tI(...8'
CITY PROCESSING # l'inco 61/"'t).2~.J'
*************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
MECHANICAL
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********************************+*****************************
CONDITIONS OF PERMIT AFFIDAVIT
.A. NpTICE 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 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 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 MAY 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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
19
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoO did Odid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid Diid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
'.
I _ /J IJ -'1--..- -..---_
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ID'1 '-/r
NOTICE OF COMMENCEMENT
1111111111111111I1111111111111111111111111111111111111111111
2002087784 .
state of
flA,
County of ?~O
TUB lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 113, Florida Statutes, the
following information is provided in this Notice of Commcncr.mcnt:
8
Oeser iption of Property: Parcel No. ~ l1Il ~& \ s ~G \ 6 " loT 32 o~ Yl'14 PG'1~
=PAe eJ .I~ I 3 J 0 I t.l
(Legal descr~pt~on 0 t e property an street a ress ~ ava~ ale)
General Description of Improvement ~e.u) R~ 4- QlocfZl~~'Q.. ~<)iY\t!) \(p JFI
2 .
3 .
O"ner Information: Name m~ \:::eN'3A<'1\:N \Z.QM1\'6-Ll!;i:Z
r\ddress3'1('4S-1U'&alb~~~ 2~~\U~ State
Interest in Property: 'yMoM.l
t= I ·
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpt: 594260
DS: 0.00
06/06/02
Rec: 6.00
IT: 0.00
Dpty Clerk
Address
City
State
R
Contractor: Name
Address
State ~L.
3Y bO \
5.
Surety: Name
Address
City
Stat02
JED PITTnANi PASCO COUNTY CLERk
06/06/02 0 : 2)fm 1 of 1
OR Bk 497l'J PG 769
Amount of Bond: S
6.
Lender: llame
Address
City
State
7. Fersons within the State of Florida designated by Owner upon whc:n
notices or o~her documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
tl(~mc
Address
City
State
8. In addition to hims('lf, Owner dp-signates
of to receive a copy of t~e
Lienor's Not~ce as provided ~n Sect~on 713.13(1)(b), Florida Statutes.
II. r-xp.irn1 .1"rl dnte or UCJt.lce of Commencement. (t.he explratic,n d.::t.e i:3 1 yed::-
fr~m the date of recording unless a different date is specified.)
Signature of OWhe;:', :1:?. r '\~~...- ~
Sworn to and subscribed before me this ~ day of
~
20()6L . ~
Notary Public' '4~ ~ t::!:-
My C:):!1,OIi ssian Expires: /0 1 ()
PC9305304BI A
......~V',:If'" Kerrie A. Crawford
li1:~ Commission # DD 055729
~0J )~E Expires Sep. 10, 2005
~~.............~ Borded TIau
",f,9.~,t~~" Atlantic Bonding Co., Inc.
~\\\\I/,//~
~~~
CONSTRUCTION, INC.
State Certified CGC 022943
329 WEST JEFFERSON STREET
BROOKSVILLE, FL 34601
Phone (352) 797-5550
Fax (352) 797-9285
Pasco County Building Dept.
13852 17th Street
Dade City, Fl. 33526
To Whom It May Concern:
"WE'RE BUILDING YOUR DREAMS"
P.ESTOMTION · P.EMODELlNG · P.OOM ADDITIONS
I, Terry Charboneau, give permission to Alan Field and Shannon Waller to sign
for and pick up permits in Pasco County.
Thank You,
~ ~~'-'2-~
Terry Charboneau
Adco Construction, Inc.
"""""" Kem'e A. Crawford
,." ~y Pll '"
f1JT~\ CCIllInission # DD 055729
s.;.LgJ~= BIpIres Sep. 10, 2005
~~~'-.:7~$ Bonded Thru
",,"DFf~,," Atlantic B-AlM Co. In::.
~~iJ~r
5'/~I/()d
FRSA-SIF 'Above the Rest'
..
P.O. BOX 4907- WINTER PARK. Fl.32793- (407) 671-FRSA
1-800-767-3772- FAX (407) 671-2520
CERTIFICATE OF INSURANCE
ISSUED TO:
COPY PROVIDED TO:
Pasco County Bldg. Dept.
13852 17th St.
Dade City FL 33526
Alan's Roofing, Inc. & Adco
Construction, Inc.
329 W. Jefferson Street
Brooksville FL ;S4601
ATTN:To whom it may concern
Date: 05/30/2002
This is to certify that
Alan's Roofing, Inc. & Adco Construction, Inc.
329 W. Jefferson Street
Brooksville FL 34601
being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of
compensation by Insuring their risk with the FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING
CONTRACTORS ASSOCIATION SELF INSURERS FUND.
COVERAGE NUMBER:
870-033049
L1MlTIi .
Workers' Compensation Statutory - State of Florida
01/01/2002
EFFECTIVE DATE:
Employers' liability
$100,000 - Each Acddent
$100,000 - Disease, Each Employee
$500,000 . Disease, Policy Limit
EXPIRATION DATE:
01/01/2003
REMARKS: Non-cancelable without 30 days prior written notice.
This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this c:ertificate shall be
constructed as extending coverage not afforded by the policy(ies) shown above or as affording insurance to any
insured not named above. This provides coverage for Florida policyholders and Florida domicile employees only.
~~
Tom Drake, Administrator
FRSA-SIF
By:
~~
Debbie Kemmerer - SIF Accounts Repres.mtatlve
FRSA-SlF
Ma~ 30 02 12:41p
ECONOMY INS MART
3526886050
p. 1
l.-,-".~
CERTIFICATE OF LIABILITY INSURANCE
(352)688-0109
=r' O^TtlMMlOOM1
05/30/02
THIS CERTlFICATE IS ISSUE'o AS A MA''TER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPOII THE CERrlf'ICATE
HOLDER. THIS CERTIFICATE DOES NO r AMEND. EXTEND OR
ALTER THE Cqy'~RAGE AFFOROEO BY THE POLICIES BELOW
INSURERS AFFORDING C(IVERAGE
BURLINc'ioN INSURANCE COMPANY
nu --'-1
~
_n_.. ., ... ......___..._,
ACORD
_._--::;--- 1M
PIlQllUCER
Economv In,.urance Mart. Inc.
1429 Kass Circle
SprinQ Hill. FL 34606
~Na~EO
INIUI'tE" A:
ADCO CONSTRUC1'lON
~2\1 J",~r-tRSON STREI:T
INiURE~ 8:
lNaUR." C
1N3U~l!.H. 0:
BROOKSVILlE. Fl.
34601
INSURER E:
COVERAGe:S .-. . --.. ..
r-"THI: PQLlCIE:; Of INSUI\,\"NCE; LISTED HAVE BEeN IsciTico TO TIIC INflunCD NAM[!D AGOV€ POA-THE POLICY PERIOD INDICATe D l\lo"TwITH'sTANoiNC" .
ANY REQUlf~eME.NT. TERM OR CONOI"ION OF ANY CONTRACT OR O'1'HER DOCUMENT WITH RESPECT TO wHICH THIS CERTIFI,:A TE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY TliE POliCIES DESCRIBED HEREIN IS SUBJ~Cl' TO ALL THE TERMS. ENCLUSIOl\S AND CONDITIONS OF SUCfO
POLICIES. AGGHEGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPe, 0": INS
l
SCHF,OUl..fO AU fO
.'~~ltCV Nlll.lBm rouc;v t.Ht.Cllyt .~ 4 _ PQ~1f,
URANCE
..-.,. --., - OATr.I~l'J._ I)A.t!
RAL LIABILITY B0167Q512523.RI 11/13/01 11/1
OCCUR
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, AUTQMQ8lLE LIAUlll1 Y
I ANY A.V"-O
3/02
oo10ccvnnfto.CF $J.I~tQ.o...oOO.
FIRE DAMAGE W, 0""""1 $ 50,000
'-lED EXP IAn, "'" ""...."1 $EXCLUDED
l>fn$ONAll. AQ\j INJURY $1 ,000 I 000
ENEAAL AGGRE ~.._. $1,000:000--' ..
.;..;QO;;C~PIOP ..GO $1,000.000
GC~eR"1. LIABILITY
cout;tINEO S~'C.E l..lMlT
IE;) ilCNlclc-ml
$
All OWNED AUTO
BOOll Y INJURY
1l'1)IIA;I:l,Q.11
$
HIRED AUTOS
OOOIL y INJUll '(
IPN,'\"r:ld~'ll
$
NON OWI'a!O ^I.J 1 (.,
flO:(.)PF,RTY DAM ,-CE
1"'~1 ~l,,;I;.Illt_,"I) $
CXCC$$ llAAILITY
i OCCUR
..... .
1I1,IT("',~1 V. -=-., ('('nI=NT $
~~"o:..~--"-':c:C..~._ ~-I
.~~nrr.'I~~"C" $ ~
-l GARAGE LIAUILlI .,.
I I ANY AUTO
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GREGA 1 L
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$
we STATU. i: OTl1- $
'r '( I ITS _~_~
EL EACH A(;CIOI NT Is
EL. ol:i"-'Sf :e:; E""'lOY~E
$
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L"L',' OISEASE . C"( I ICY LlM1T
"')II~lJ.
ut.: $(;I~IPr\ON OF Of'ERA TIONSIlOCA T10NSlVEHICLliSILXCUJ:'.IIQNti ADOEO BY !NOOR&eMeNT/S~Cl~ Pi{OVL':';I()N~
CARPENTRY
CERTIFICATE HOLDE~
, i ADDitiONAL INSURED: INSURER LETTER
CANCELLATION
-'-'1
SHOULD ANY OF THE ~OVE oeSCMIu(O vOllet!::!'. ftF. CANCeL..EO BEFORE T lit.: c)tPIAATION ~
OA r" f"EOEOF. THE ISSUINe INSURER WILL ENl)(,AVOOllO... Il 30 o..YS ""11' e"
NOTICE TO THE CERTIFICATE HOlDER ~~o 1'0 THE l.EFT. 81 JT FAI.UFti TO DO ~o $t1All
IMJI'O&E NO OIJlIGAnON O'~ liABiliTY OF ANY KINO UPON lKE .NtiU~tA IT~ "~ENrR OR
::~U:~Nm ~. I
._1
II';! ACORD CORPORATION 1988
PASCO COUNTY BUILDING DEP1'
13852 17TH STREET
DADE CITY. FL 33526
1-
ACORD 25-$ (7197)-'
PASCO COUNTY BUILDING PERMIT APPLICATION
CENTRAL PERIVIiTTING OFFICES: SHADED AREAS FOR OFFICE USE ONLY
. Dade City: (352) 521-51~ FP\X (352) 521-5149 SEQ#' . //'1o,IJ~
13852 17th St., Dade City . ,tf-r7 d
. New Port Richey: (727) 847-8126 'FP\X IJ27'J 847-8901
7530 Uttle Rd., Rm. 210 New Port Richey
. Land O'Lakes: (813) 929-1266 Fp\x (813) 929-1307
4111 Land O'Lakes Blvd. (US 41), Land O;Lakes
THIS APPLICATION MUST BE TYPED OR PRINTED IN INK
AND IS VOID IF NOT PERMITfED WITHIN 6 MONlHS
---------------------------------------------------------------------------------------------------------.
IS THIS APPLICATION THE RESULT OF A STOP WORK ORDER OR NOTICE OF VIOLATION? Y - N_
G OWNER'S NAME:"'B od r \~e -z. ~ ~'o rV-\\ ~ '\- 0 \ 3~ PHONE - (-)
g JOB LOCATION: 391,L\5. ~O~() () Loo - Ie plclir IISUBDIVISION:
CD PARCEL ID#: S ~ T.-a6... R ~ SUB Q1!iQ BLK OO<:'C c LO ~ PROJECT' TAl - LOT SIZE _X_
~ OWNER'S PRESENT ADDRESS: 3'1LPYS \'Yl{"cH:\oL0ood Lnop CITY: Lef~r-h\I\S STATE: ~\ ZIP:
~ FEE SIMPLE TITLEHOLDER'S NAME (if other than owner):
address (if applicable): . CITY: STATE: ZIP:
-~E~~~~;;;~-~;~~;~:-~-~;~~~------------------------------------------------------------------------.
o LIVING AREA: PATIO: GARAGE: ENTRY: TOTAl UNDER ROOF:
g # BEDROOMS _ # BATHROOMS _- _ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER:
CD FILL Y _N_ I
5 Jr MOBILE HOME OR RV: MAKE D I A YEAR U A SIZE kJ I A
f=
a.
a: WORK CODE /, "'\ c> PLANS ON FILE? 0 NO 0 YES
~ ~ r~ \\ MODEL NAME
o ~~~~~'~~_ ~_ _ _-'-~~~!nm _ _m___ n_ __m m _m__~~C_E~~!nm__ mn nm_ m__~. $; B 0 . <9 iJ
BONDING COMPANY:
x: ADDRESS:
u
o
a:l ARCHITECT/ENGINEER:
ex: ADDRESS:
u.J
:x:
.....
o MORTGAGE LENDER:
ADDRESS:
PRE-PAID PLANS FEES: $
CITY:
STATE: _ ZIP:
CITY:
STATE: _ ZIP:
----------------.-----------------------------------------------------------------
CITY:
STATE: _ ZIP:
CONTRACTOR: l=ic:\co Cons -\-(1 H' ~nrl . lllc,
SIGNATURE: . . PHONE. ( 35 a) 'I q '7 - 5 5S 0
y- ADDRESS: 3;;2q 1..1.). .jE'~Rrson St CITY: br-ooKSl(llk: STATE:.EL ZIP: 3'-1 GO I
g STATE L1C # (if applicable) CG - co;J ;J ,} '-/ 3 PASCO CO COMPUTER 10_: IOLi33
..J
CD
~ ELECTRICAL CONTRACTOR: U oR E J.-;':; C TR Ie R L -5 E f( V Ie E) } A-IC
U SIGNATURE: PHONe. (:JZL) ?& 3- oooS
g ADDRESS: /;).'"-/I'-J CI-/lCfIGD AVE CITY: 14uDSOIJ STATE: E- ZIP: 31/;LP9
~ STATE L1C # (if applicable) E C 00 0 ? 8" &>:5 PASCO CO COMPUTER 10': I <l "6'1
U POWER CO: SAWPOLE: AMPS:
'..". :.~.:.::~
ELECTRICAL
FEE: '$
MECHANICAL CONTRACTOR: R c }J ~
SIGNATURE:
ADDRESS: PO. Bo x 5 ~ '-/::;
STATE L1C # (if applicable) ell C 0 :1"7 "3 s:
o NEW 0 ALTERATION ATION: $
MECHANICAL
3"11.P II
PJ..urn{3j1.JG
PHONE_ (35.:2 ) 75'1- 8'-(06
CITY: ?1rooksvdk STATE: ..E1:... ZIP: 3'-/(pol
PASCO CO COMPUTER 10': 0' 1'1 Lj ,
S8NER: WATER: WEll:
PLUMBING -
FEE: $
PL NG CONTRACTOR: C. 1-1 A R. I- I ES
SIGN.AJURE:
ADDRESS: ~lQ I LJ. Jeffirson St
STATE L1C # (if applicable) C p- CO 5'7 '-I/,; 8
# FIXTURES: SEPllC PER -
OTHER CONTRACTOR: Pllan's Koo~/;JG. \r..Jc.
SIGNATURE: PHONE' (~) 507-5550
ADDRESS: :~.QCj Lv. ,Jeffirson -Sf: . CITY: J2,r()okSVII Je STATE: ..EL ZIP: 3t-/t;(j1
STATE L1C # (if applicable) Cc c 0'1 u qA/,Q PASCO CO COMPUTER 10_:
TYPE CONTRACTOR: !<. 0 0 (- E R VAlUATION: $
FEE:
$ c32. 06
---------------------------------------------------------------------------------
OTHER FEE TYPE:
AMOUNT: $
RECEIPU:
RADON
FEE:
$
$~()
---------------------------------------------------------------------------------
JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO
RECORD AND POST A "NOTICE OF COMMENCEMENT'
TOTAL BUILDING PERMIT FEE:
. . · · NOTICE · · · ·
BOTH THE OWNER AND CONTRACTOR OF RECORD (Ucense Holder) MUST READ AND
SIGN THE REVERSE SIDE OF THIS APPLICATION
(peonit lorm 10/91)
EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLm AND WILL NOT BE ACCEPTED BY CENTRAL PERMITTING STAFF
PC930430321G (OVER)
A. NOTICE OF DEED RESTRICTIONS
, .
The undersigned understand that this permit may be subject to "deed restrictions" which may be more restrictive than County regulations. The
undersigned assumes responsibility for compliance with any applicable deed restrictiOJ1S.
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 accorclance with state and local regu-
lations. 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 Pasco County Building Division - Licensing Section at (727) 847-8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of
this application for which they will be responsible. If you, as ttltt owner sign as the contractor, you are indicating that you, rather than the contrac-
tor, 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 Pasco County.
C. TRANSPORTATION IMPACTIUTILlTIES IMPACT AND RESOURCE RECOVERY FEES
The undersigned understand that Transportation impact Fees and Resource Recovery Fees may apply to the construction of new buildings,
change of use in existing buildings. or expansion of existing buildings, as specified in Pasco County Ordinance numbers 89-07 and 90-07, as
amended. The undersigned also understands, that such fees, as rpay be due, will be identified at the time of permitting. It is further understood
that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release.
If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthennore, if
Pasco County WaterlSewer Impact fees are due, they must be paid prior to permit issuance. In accordance with applicable Pasco County ordi-
nances.
D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)
If valuation of work is $2500.00 or more, I certify that I, the applicant, have been provided with a copy of "Florida Construction Lien Law -
Homeowner's Protection guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than
the .owner," I certify 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'SIOWNER'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 con-
struction, 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 commended
prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating constriction. County codes, zoning reg-
ulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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:
. DeDartment of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands. WaterlWastewater Treatment.
. Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercources.
. Armv Coros of Enaineers - Seawalls, Docks, Navigable Waterways,
. DeDartment of Health & Rehabilitative Services Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks.
. US Environmental Protection Aaency - Asbestos abatement.
. Federal Aviation Authoritv - Runways.
I understand that the following restrictions apply to the use of fill:
. Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
. If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at
time of permitting which is prepared by a professional engineer licensed by the State of Florida.
. If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used
only to fill the area within the stem wall.
. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to ·
adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit
application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction.
I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas. or other installations
not specifically included in the application.
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 provi-
sions 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced
within six months of permit 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. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and
will demonstrate justifiable cause for the extension. If work ceases for ninety (90) conseGutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAilURE TO RECORD A NOTICE cr COMMENCEMENT ".~AY 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.
SIGNATURE
SIGNATURE
CONTRACTOR
OWNER OR AGENT
DATE
DATE
NOTARY AS TO
OWNER OR AGENT
NOTARY AS TO
CONTRACTOR
MY COMMISSION
EXPIRES
MY COMMISSION
EXPIRES
.' PASCO COUNTY BUILDING PERMIT APPLICATION
CENTRAL PERMITTING OFFICES: SHADED AREAS FOR OFFICE USE ONLY
· Dade City: (352) 521-5144 fl\l.. (352) 521-5149
13852 17th St., Dade City
· New Port Richey: (727) 847-8126 FI\I.. (727) 847-8901
7530 Uttle Rd., Rm. 210 New Port Richey
· Land O'Lakes: (813) 929-1266 FI\I.. (813) 929-1307
4111 Land O'Lakes Blvd. (US 41), Land O'Lakes
THIS APPLICATION MUST BE TYPED OR PRINTED IN INK
AND IS VOID IF NOT PERMITTED WITHIN 6 MONTHS
----------------------------------------------------------------------------------------------------------
IS THIS APPLICATION THE RESULT OF A STOP WORK ORDER OR NOTICE OF VIOLATION? Y _ N_
~ OWNER'S NAME: "6e'ljcxrviln -t 0'30. Kodr"3utz- PHONE# (_)
9 JOB LOCATION: 3QLY5 rYleClc\owood Loop Zeph~,..h,jls SUBDIVISION: lYl("rl(\ol,)()()c! C:sta-\-e'S.
~ PARCEL 10#: S ~ T ~ R -1L. SUB ~ BLK ~ LOT 038V PROJECT' .' TAl _ LOT SIZE _X_
~ OWNER'S PRESENT ADDRESS: 3o,&,-/r:; meodowood Loo'p CITY: -Zeph~r h, II S STATE: F I ZIP::;; 35'-1 0
3:
o FEE SIMPLE TITLEHOLDER'S NAME Qf other than owner):
address Qf applicable): CITY: STATE: ZIP:
----------------------------------------------------------------------------------------------------------
DESCRIPTION OF WORK: KErn 0 j) E L
~ UVING AREA: PATIO: GARAGE: ENTRY: TOTAL UNDER ROOF:
9 # BEDROOMS - # BATHROOMS -- _ lYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER:
m FILL Y _N_
~ IF MOBILE HOME OR RV: MAKE 10 1 A YEAR tJ I A SIZE -J I A
1=
Q.
~ WORK CODE ti\.rz.R
o .
VALUATION $ J 0 . 5" ~ (
.
---------------------------------------------------------------------------------
BONDING COMPANY:
~ ADDRESS:
o
o
ar ARCHITECTIENGINEER:
ffi ADDRESS:
~
o MORTGAGE LENDER:
ADDRESS:
PLANS ON FILE? 0 NO 0 YES
MODEL NAME
PRE-PAID PLANS FEES: $
RECEIPT It: ~S e.- ~ C
CITY:
STATE: _ ZIP:
CITY:
STATE: _ ZIP:
CITY:
STATE: _ ZIP:
---------------------------------------------------------------------------------
CONTRACT . tt on c- .
SIGNATURE: 2"'PHONE It ( :3::;:;),,) '/ q '7 - S 5 SL>
~ ADDRESS: son St CITY: 6rool-<sv,lle STATE: EL ZIP: 3<1&01
g STATE UC # Qf applicable) C G - co;)!;J 9 '-13 PASCO CO COMPUTER 10It:
...J
m
a:
~ ELECTRICALC ELECTf<.ICiJL SERVICE }JC.
o SIGNATURE: PHONE' (.:::J21) '1? u 3- 0605
~ ADDRESS' '-/ fl 0 AVE CITY: HUJ)soAJ STATE: F"'L ..lIP: 3'-1&;1/1
~ STATE U # (if applicable) ~ C 000 ;;J ~ & 5' PASCO CO COMPUTER 101: / ;J 'f 6....'/
o POWER CO: SAWPOLE: AMPS:
/~,
'8 'i :J
# (if applicable) (-Ij c.. 0 ~;r/3 5 '7
o ALTERATION VALUATION: $
E # (1~1) '6"4 I -1150
CITY: Sf R IN {; 1-11 L L STATE:....E..!::.... ZIP: .31& II
PASCO CO COMPUTER 10M: 3 '6 ~ "3
(Required)
PLUMBING C TOR: C- J.../ (-l RLI ES
SIGNATUR .
ADDRESS: Q J LV, JO"Ef<SoJJ ST
STATE UC # Qf applicable) CF-C aS? '-/ IPB
# FIXTURES: SEPTIC PER #
PLurnl3l1JG
PHONE' ( 35 ~ ) 75 '1- ?tJoo
CITY: ?'RoIJKS y 11.-1-- ESTATE: L.!::... ZIP: ..34&0 I
PASCO CO COMPUTER 101:
SEWER: WATER: WELL:
OTHERCONTRACJeJl:. ~IlJ~ .Il...lc.
SIGNATURE: ~-, ..' PHONE# (35J ) 75'-1- 'jf8"f?O
ADDRESS: 3.;1 q -uJ Je mr50 n Sf. CITY: "?'r-o{Jk<.v 1 lie STATE:....E:L ZI~: 3</u1JJ
STATE UC # Qf applicable) (' C C 0 '-Il.J 1'1:) PASCO CO COMPUTER 10It: -:) ;; Of:;
TYPE CONTRACTOR: VALUATION: $
---------------------------------------------------------------------------------
OTHER FEE lYPE:
AMOUNT: $
RECEIPT#:
---------------------------------------------------------------------------------
JOBS UNDER $2,500 IN VALUE DO NOT NEED TO
RECORD AND POST A "NOTICE OF COMMENCEMENl"
TOTAL BUILDING
....NOTICE....
BOTH THE OWNER AND CONTRACTOR OF RECORD (Ucense Holder) MUST READ AND
SIGN THE REVERSE SIDE OF THIS APPUCATION
(peImit l0Il1110191)
EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOlffi AND W1U NOT BE ACCEPTED BY CENTRAL PERMITTING STAFF
PC930430321G (OVER)
A. NOTICE OF DEED RESTRICTIONS
The undersigned understand that this permit may be subject to "deed restrictions" which may be mor~ 'estr~ctive than County 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 regu-
lations. 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 Pasco County Building Division - Licensing Section at (727) 847-8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of
this application for which they will be responsible. If you, as ttltl owner sign as the contractor, you are indicating that you, rather than the contrac-
tor, are responsible for the work. If the contractor wishes you to sign as contractor, that may be an indication that he is not property licensed and
is not entitled to permitting privileges in Pasco County.
C. TRANSPORTATION IMPACT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES
The undersigned understand that Transportation impact Fees and Resource Recovery Fees may apply to the construction (If new buildings,
change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numbers 89-07 and 90-07, as
amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood
that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release.
If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if
Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance. In accordance with applicable Pasco County ordi-
nances.
D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)
If valuation of work is $2500.00 or more, I certify that I, the applicant, have been provided with a copy of "Florida Construction Lien Law -
Homeowner's Protection guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than
the "owner," I certify 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 con-
struction, 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 commended
prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating constriction. County codes, zoning reg-
ulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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:
. Deoartment of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment.
. Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercources.
· Armv COrDS of En<)ineers - Seawalls, Docks, Navigable Waterways.
. Deoartment of Health & Rehabilitative Services Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks.
· US Environmental Protection Aaency - Asbestos abatement.
. Federal Aviation Authority - Runways.
I understand that the following restrictions apply to the use of fill:
· Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
. If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at
time of permitting which is prepared by a profeSSional engineer licensed by the State of Florida.
. If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used
only to fill the area within the stem wall.
. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to
adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit
application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction.
I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations
not specifically included in the application.
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 provi-
sions 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced
within six months of permit 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. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and
will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consec:;utiv9 days, the job is considered abandoned.
~ ~ lB v4RNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 1WICE FOR
~ lB ~ tftfPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ATTOR
S ~ ~ ~rORE RECORDING YOUR NOTICE OF COMMENCEMENT. ~ / ('
~ :IB ~lrfNATUREr-- ~ ~~ SIGNATURE " //
~ !t dWAER OR AGENT
:"::U
\,\111111" , ~ A (
:~t~E 5" L..2!..l (:) i)...
~~~l~2
-:'~ON':6'i~';:- ~ ~ ~
1I''''''1iI0TARY AS TO - NOTARY AS TO
OWNERORAGENT _AU, _ '_ CONTRACTOR
,
MYCOMMISSION_C -"J. r f\ ~I\u~
EXPIRES ~,u t ~
DATE
30 ~62.
MY COMMISSION
EXPIRES
&-r
Y pd", Kerrie A. Crawford
.....-:....f(:. ~ COmmissiOIl # DD 055729
=~; I~= Expires Sep. 10, 2005
~l'1:.....7&:'...;:- !3onlhi Thru
"',P.~,~~\\" Atlantic Bonding Co., Inc.
/0 &-60S-
CONSTRUCTION WORK CONTRACT
NAME OF PROPERTY OWNER:
JOB ADDRESS:
Beniamin and Oloa Rodriouez
39645 Meadowood Looo
-2 .,--, i /-
Zeohvrhills. FL <c. J ) L, l_
CASE NUMBER: 01-478
1ST
THIS AGREEMENT, made this --day of f\10..!:i
Beniamin and Oloa Rodriquez, and the Contractor, ADCO Cotllstructlon. Inc.
THIS AGREEMENT becomes effective and binding upon the Contractor and the Owner(s) when the
Notice to Proceed is issued.
, .;;. C)O,.;z, between the Owner,
ADCO CONSTRUCTION. INC.
Name of contract~
' '7
~.
Signature of Cant, etor ~
BENJAMIN AND OLGA RODRIGUEZ
Name of Owner(s)
President
Title (if Officer of Corporation)
13390 Cortez Boulevard
Signa ure 0
IEWED FOR COMPLIANCE WITH
THE FLORIDA BUILDING CODE.
The permitted drawings shall be kept
at the .it~ or work .a~d shall be open to inspection
"" the B..1.... Olf4i~j6~u~PN"".tiVe,
5-1- 0;).
Date
Brooksville. FL 34613
Address of Contractor
t;/;p~
Date
The Owner and Contractor Agree as Set Forth Below:
OFFICE COpy
ARTICLE 1. - CONTRACT SUM: The Owner shall authorize payment to the Contractor for the
performance of the construction work, subject to additions and deductions by approved Change Order, the
Contract Sum of Ten Thousand Five Hundred Sixty-One and 00/100 Dollars ($10,561.00).
ARTICLE 2. - THE WORK AND COMPLETION TIME: The Contractor agrees to furnish all labor,
materials, equipment, permits, licenses, and services for the proper completion of the above-identified property
in accordance with the Bid Documents and Specifications. The Contractor agrees that materials supplied are
guaranteed to be as specified. All work shall be satisfactorily completed within sixty (60) calendar days after the
Notice to Proceed is issued. All work shall be completed in a workmanlike manner according to standard
practices. The premises will be occupied during the course of construction.
mo/I042301/17(1)
-1-
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:
7.2
7.3
7.4
7.5
mo/I042301/17(2)
7.1
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 pajd 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.
mo/I042301/17(3)
-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.
15.1
ARTICLE 15. - GENERAL CONDITIONS:
15.2
15.3
15.4
15.5
15.6
15.7
mo/I042301/17(4)
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 Drawinas 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.
moIl042301/17(5)
-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/J042301/17 (6)
-6-
PASCO COUNTY
COMMUNITY DEVELOPMENT
REHABILITATION PROGRAM
Rehabilitation Bid Proposal for:
Benjamin & Olga Rodriguez
39645 Meadowood Loop
ZephryhilIs, FL 33540
Case No.: 01-478
Date Due: April 19 ,2002
Contractor's Name: ----Abl!.o C~~. :t~.
Address: ~ w. 3~<<1 -:)~.c~:.t.SCN ~. ~RooKsvl Jl~ FL.3'l6tJl
PROPOSAL
L 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 $ 10 ,S fD I . 00
ADDENDUM TOTAL $
TOTAL $ 10 ,S~ I. 00
OPTION #1 $
For the sum of
($ '0 ,.~G.l.OO ), with an itemized breakdown on the 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 Sixtv (60) calendar days after
the Notice to Proceed is issued.
Indicate percentage amount that will be used for profit and overhead for allowance items only
:20 %.
OFFICE COpy
COMMENTS:
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.
, ' ..t)'
;:1 ~t,;"
DWM/GRlR1\l1/MS
I
SPEC.
DESCRIPTION ~F WORK
19
FLOOR COVERING / CARPET
Install new carpet over new padding. Included are
all closets opening into rooms to be carpeted.
22
FLOOR COVERING / CERAMIC
Install new ceramic tile floor. Assume cost of tile to
be installed at $2.00 per sq. foot of area.
24 BASE & SHOE MOLDING
Install new pre-painted wood shoe molding on
all walls in newly floored areas.
28 ROOF SHEATHING
Replace any rotted sheathing and/or sheathing inadequate
for nailing roof covering materials.
30 ATTIC VENTILATION
Furnish and install ridge vents at all peaks(~ ~
49/50 ROOFING-GENERAL SPECIFICATIONS
ROOFING-FIBERGLASS SHINGLES
Remove the existing roofing material, and old felts.
Replace any deteriorated wood framing and sheathing.
(See Spec. No. 28). Install a new Class "A" fiberglass
shingle roof per all requirements of the specifications
and applicable codesMetal drip edge is required
on all eaves and gables. Sheet metal must be
crimped tight over lip of metal drip edge on all rakes.
55 CEILING INSULATION
Check existing ceiling insulation and add insulation as
required to achieve R -30 in pitched roof areas.
62 INTERIOR WALL FINISH-CERAMIC TILE (THIN SET)
Remove all the existing ceramic tile on the walls and
floor in bathroom Install over wonderboard
backing a 5' - 0" high ceramic
OFFICE COpy
NAME: Rodriguez
DATE: 03/13/02
LOCATION
COST
Bed # 1,#2,#3
.ft 75,2 .--
Kitchen,Li ving,Dinli;g
Hall& Baths ""- 3;2 4 0 .-
,
Newly
Tiled areas
./$ 375.--
Exterior
Albw $300.00
Exterior
$la.-
Entire House
1/~g 7.ct
Entire house
Allow $400.0
Main Bath
.f$ 1000. -
PAGE TOTAL 419,03'. tJC
.
PAGE: 2
SPEC. DESCRIPTION OF WORK LOCA TION COST
76 CABINET -VANITY
Remove existing vanity. Install a new vanity with 'J! ,200.
cultured marble top with integral lavatory. Main Bath
82 ELECTRICAL 0$/375". -
Install new hardwired smoke detectors (3). To Code
Convert existing outlets to GFCI (3). Kitchen (2) $).75. --
Laundry ~/~'--
Install a new GFCI outlet. Kitchen
Install a new exhaust fan with switch. mA"~ Bath dt ;25'0. --
84/85 PLUMBING-GENERAL SPECIFICATIONS
PLUMBING FIXTURES
Connect new vanity lavatory with new fittings, 11 ~oa:-
trap, & faucets. Main Bath
89 PEST EXTERMINATION
Inspect house for termite and/or other insect infestation.
If active infestation is found, treatment will be completed #750-
by change order. Entire house
PERMITS AND FEES
CLEAN-UP
PAGE TOTAL
$ 1,5~tl)
PROJECT TOT A! J t> ,5"" J . 0 0
OFFICE COpy
NAME: Rodriguez
DATE: 03/13/02
PAGE: 3