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BUILDING PERMIT 7125
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
l3
Date
/0-;;)...3-7'
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmperty own:J$" /n~!! ~ & ~
Job Address: J .y % --..S
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
DescriPtion of Work '--;=? J2-. ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee 3...5- - iri)
Signature~e~~
./'
Company
Address
Telephone#
Valuation or
Contract Price
~}b3o-c-o
City License Registration # c:L / ?
State Certified License#
JI1tL=f ~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1-5':'00') shall be made for each trip for each trade:
.:l...!J'-;()"V
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Mer JOB NO. 2.'2 z.. ,
LUll.,,, lOWll or ~
IOll1..)~'
DATE
1 hereby name and appoint
\..h,YY\~.s l\\by~-t..tnY"l
of
~~es Al bn~
to be my lawful attorney
in fact to act for me and apply to
a ("P-CUOhVLc-"
j
It a locacion described aSI
Zt~b~.rVlI\\~ ~\A~ D~-t-
for
permit for work to be performed
Section
\\
Township ~
Range 2. \ Lot ~ Block Subdivision
38 :3 4 'b 1:). +1A. I'w ~.v\1.-L "'-
n. 7v ,,2...1. \,)0\0 ~ L-:l5U1> ~ 00\1 Z.--i\>"h~1h{\lc::. \ K
(Addreuof Job
Arne w
J-Q a Y\ If\ -L t\--<-
(Owner of Property and Address)
and to sign my name and do all things necessary co this appointment.
License If
Acknowledged:
Personally known to me
Sworn to and .ublcrtbed before me chiS
27-
Day 0 f tX.:t"b b.u-- A. D. 19 fj -:7
Notary Public, State of Florida-
(Se a 1 )
--..' .
IJ~~
My Commission Expires:
OU\jl~ .b.;.LOVETI\oi\da
$~(, Notarj PU~~~lr~~~~,*-O 28,.2000
~ .,. Mv I.-:mm. '.~IO CC5 910
~ ~'c~mm.~ .
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
:p- ZZ,b \
~~3'; .to
ADDRESS
\l.lW\U-
\ c::: (,"\ .
~ ,) ,\
f{l ,\ \uYl \ fv'\\ Wr-Y (rYVI~\(\ J (1). bY\ " \ 1"( ~
~ "\ ~ C \ ,-- U<>'>\.
~)\ I <- 1J(\ . ~)\t 'I \....-1..'" J .'J&}lHONE
'~y;~-./ ::=lpl "/,0047
.
APPLICANT
OWNER
f\r\r'~1 .)
,
J"f'N Vi {' f' ~;1 ~ _
JOB LOCATION ~8 ~4 Y} S,\)I'. !\J{M\.,H I L -(\ \ \\~
LOT SIZE
x
AREA SQ,FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~~ \ \ 2..{~ - 7 \ . /}\J \ (') . II q,,;\) - \')C)\ \
~~.. ~vu-{
~Repair ____Install
WORK PROPOSED:____New Construction ----Addition ----Alteration
_Sign/Temp.
_Sign
_Move
____Demolish
PROPOSED USE: _Single Family
-.-..M / F
_~; of Uni ts
.-M/H
____Commercial
_Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
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.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~UILDING
_ELECTRICAL
$2 \. b u ~ SO
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block _Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist, #
City License Registration #
******************************************
BUILDER
Signature
Sillnature
Company
State Cert. or Regist. #
City License Registration ~;
******************************************
El.ECTRICTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHAN1CAl.
Signature
Signature
Company M\\Dcs.{ (N<;,ffiUfI,H'1
State Cert. or Regist. # Rc
City License Registration #
\ ~'\r
,
ill) '-:::.r":; Ll S
Zlq,
OTHER
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~s that this perait.ay be subject to "deed restrictions' wllich uy be .ore restrictive than City
regulations. The underSigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law', both the owner and contractor .ay be
cited for i .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, (913)
7BB-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION 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 - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner" prior to co..encetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work Dr
installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
regulating construction, City codes, zoning regulations. and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
. Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
. Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health' Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
. US Environ.ental Protection Aqency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A per.it 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 per.it prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
unless the work authorized by such per.it is cOI.enced within six .onths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six .onth period. or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~.M T. 'OBS ~ $2,500 '0 VALUE DO ODT IBED TO REeDRD "0 PD.ST . "'~E OF CDOIE'CEME'T",
l~ j( MAi/r . !!'t,,'-'t> L ;/fe/I;
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF ? (l f, CQ
The foregoing instrument was acknowledged
before me this L.I. Ocr , 192..1.- by
r;;}J{{;" L )))11 Wf\J
who is personally known to me or who has
produced
as identification anfl who did/did not
take an oath. d:;./'4(~
(Signature) i
STATE OF FLORIDA
COUNTY OF "PA.s t.-V
The foregoing instrument was acknowledged
before me this 2."1... Ddr, 19B- by
/))/ / !crn
known to me or who has
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
~.. OLJIllA A, LOVETT
..~ ~ Notary Public, Stale of Florida
~ :;; My ,".:nm. expires JulY 28~ 2000
. (' .:nm No. CC512910
OUI/IA A. LOVETT,
..~~"Go.,. Notary Public, State of Flonda
o .. My l~:nm, expires July 28~20oo
% " Cornm. No. CC572910
Member of the Florida
Roofing and Sheet Metal
Association
'roposal
Page No.
1
of
Pages'
~
MilBar Construction, Inc.
Roofing' Concrete. Commercial, Residential
15911 US Hwy. 301 North, Dade City, Florida 33523 c:::x
352/567-6047 800/562-2393 FAX: 352/567-4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
2-ZLt
U,S. Intec Certified
Platinum Installer
#5204
PROPOSAL SUBMITTED TO
PHONE
DATE
Jeannette Arnew
STREET
8131782-7622
10/03/97
JOB NAME
38948 - 5th Avenue
CITY. STATE and ZIP CODE
Arnew Residence and Garage
JOB LOCATION
, ~
Ze h rhills FL 33541
ARCHITECT
38948 - 5th Avenue
DATE OF PLANS
JOB PHONE
Ze h rhills, FL
We hereby submit specifications and estimates for:
RE-ROOF - Shingles and Flat
A. SHINGLE ROOFING - House (34'-6"x42'-0")
1. Tear off and haul dii"ii)'()l~.I'()()~~ll!;J; clean up work area daily.
2.
Provide and install new 15 lb. saturated felt paper.
Provide and install new GAF "Sentinel" 20-year fibergla~~~~hiU;gie~~~r
choose color ~""dGAFshingief3dhaveau20::'year"warrantyUon"laborand "mater:i.. a Is.
to
3.
4.dReplace all damaged flashings ( valley, vent, or any wa.l.lfl.ashing).
5.
,- . .--.... ..........._---.-...-.............----.-...-.. .. ....._----,
Provide and install new lead boots for the plumbing vents. .~.
. jM/t
Provide andinstailnewpre::'flnisheda.l.l.lmlnumeavedd pd~or . brown);
allddills~ii~~uZI.~.ofll~" pr~~~inif3~e~aluminuDlridg~ ven ; the existing
are to remain in place.
provide
gutters
6.
... . .du1.
Ui1iTBar Construction,tnc. to
elusions: storm damage, work
.. .. struct.uraidddamagePtoroo{deck.
. ..--..---.-.........
provide 5 year warranty on workmanship; ex-
()r~ClDlCl!;JE'u~()llE'P~)'()~~~.I's, .tr~~damage, and/or
'S: PPduuFLATROOFtNtf::: ... Garageddn:4id::'j"x26i::'j;,f
1. '. PdUtearuo:H 'anddIsposeo:cuolduroon:ng; "cleanl.lpworkarea daily.
mt 'rOp05t hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
See page two.
Payment to be made as follows:
dollars ($
).
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
30
days.
Acceptance of 'roposal - The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
,7
;.' /l.riZ /)/ L. /). /(-,~"o.:- .
)
Date of Acceptance:
Signature \ "Je::{ ,.
/r
1/
Signature
Member of the Florida
Roofing and Sheet Metal
Association
'ropo5al -
Page No.
... of
" Pages'
~
U,S. Intec Certified
Platinum Installer
#5204
r@
MilBar Construction, Inc.
Roofing' Concrete. Commercial, Residential
15911 US Hwy. 301 North, Dade City, Florida 33523 0<
352/567-6047 800/562-2393 FAX: 352/567-4454
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
PROPOSAL SUBMITTED TO
PHONE
DATE
Jeannette Arnew
STREET
813/782-7622
10/03/97
JOB NAME
38948 - 5th Avenue
CITY. STATE and ZIP CODE
Arnew Residence and Gara e
JOB LOCATION
Zephyrhills, FL 33541
ARCHITECT
DATE OF PLANS
38948 - 5th Avenue
JOB PHONE
Ze h rhills FL
We hereby submit specifications and estimates for:
2. Provide andmechanically!asten a GAFglas /#75 fiberglass base sheet over the
plywood deck prior to the installation of the GAF Ruberoid roofing
membrane.
3. Provide and illf:ltCi~lall~"n(3~J:'~\l~E?r:()~~,,~i~E?gr:anulE?~surface.roofing membr~ne
which is a torch-applied fully-adhered modified. bi tumen.. roof system that is
heat-welded at the seams to form one sheet; and offers GAF's "Ruberoid Twelve"
12 year limited warranty.
4. .Aiil1letaiandconcret.esudaces wliT bepiIllledwIth. ariBsphalt base primer
prior to installation of the GAF Ruberoid membrane.
5. ProvideCin~ ins~allnew 26J;Jauge gCil...allized metal eavedrip around the
perimeter of the roof as needed.
C. GENERAL CONDIDITIONS
1. Any rotten or damaged wood (roof deck, Iascla,trim, etc.) will be re~Iacjd on
.CiC:C>f:l1::-: pl\1El~af:lif:lCi~()"'E?CincfbE?r()Il~~hE?l::()n~r ac ~ p rice.
2. .u()"llE?r't;()PE()V~cfE? access forcfE?~~ve:rr trucks to allow roof loading/unloading
for the entire roof area.
3. I'IilBar Construction, Inc.toprovIcieGeneraiIlability arid Worker's Compensation
. . ... .~llEl\1I"CillC:E?nu(u~~LQ}Q}Q}~Q}Q}Q}~~III~~).Clll~EE?:-:I::()()~~Il!LPE?rllli~.
IIr Jlroposr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Two thousand six hundred thirt
Payment to be made as follows:
Due upon completion.
EXCLUSIONS: Aluminum pan roof on the house and
not included in the contract price.
l All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
""
and 50/100-------------------____
dollars ($
2,6:30.50
).
is
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
Acceptance of 'roposal- The above prices. specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
30
days.
Date of Acceptance:
Signature L 1/",;; f.'_ ;-...>cZ /)/
. ,
/
/
1/
Signature
,(
, ."\
L/ r:...-)' Z_L c.L
)
t--c.-.- '--,', \
~ .
NOTICE OF COMMENCEMENT
111111111111111I111111111I1111I1111111111I1111111I
97117725
Rcpt: 189273 Rec: &.00
DS: 0.00 IT: 0.00
10/17/97 _________ Dpty Clet'~:
JED PITTMAN, PASCO COUNTY CLER"
10/17/27 03:3Bpll 1 of 1 "
OR 81< ~a21 PG 1435
Tax Folia No.n. l!b-z.l. 00\0
17500- DOn
Permit No.
State of Florida
County of Th~lu
The undersigned hereby gives notice that improvement will be made to certain real property, and
in accordance with Chapter 713, Florida Statutes, the following info~mation is provided in this Notice of
Commencement.
1. Legal description of property (include street address, if available): ~g'41(; 5-"" f\'t~VlU ~ i
up\1'{r ~~ 115, A...- ?'?I~\
Y7I "fLt.\ \\. ~.1-'. 11m no \ i9:lD - DO \ J
2. General description of improvement: Sh\~ii F\,\-t R~ - RlJtrt
3. Owner information - name and address: 1\'("\,\.. I.... \\((1 VlY\9-H-e
3~~4~ . ~'"" l\.\lfV\u'-l L~~Vl'1r'\1I\\\ Ft 3?l5'\\
Interest in property:
Name and address of fee simple titleholder (if other than Owner):
Phone number: 3S) J Sin 7 - liJ04-,
I
5. Surety - name and address: ...... Jp.
,
4. Contractor - name and address:
Phone number:
6. Lender - name and address:
Fax number:
Amount of bond: $
Phone number: Fax number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)7., Florida Statutes (name and address):
Phone number: Fax number:
8. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1 )(b), Florida Statutes.
Phone number: Fax number:
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording
unless a different date Is specified). /1
.. ~/y/.~
~t.f'(';'I\,,6...\.l'1 \<.I\c;",,,,,' -w """~ '-V Signatureo Owner
\, day of Odu b~ ,19 ~7 .
u mllllA A, LOVliT1
Notary Pu~l:c. Slats 01 E(jrda
My comm expires Julv ,8. 20Cll
r , ~ j ~ ,.....:.;" r. . ".
My Commission Expires: