HomeMy WebLinkAbout97-7221
BUILDING PE.RMIT
7221
13
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date _ J I - I 8' - 7 7
C::IL:~ ELECTRICAL PLUMBING MECHANICAL
PmpertyOwne,. 7Il~ \~~. ~
Job Address: I {, 3D d,-~ ~~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel J. D. #
Zoning: ~ Energy Code:
Description of Wor[ .~ ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
J~,
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector ~
Permit Fe~~ c.J7;/ .
Signature-J.-4,9 ~~O 1\ Ai. :06Y---
Company
Address
Telephone#
Valuation or
Contract Price ~~.3 0 ~, o"-zJ
City License Registration # d/ e-
State Certified License#
)l!l.~r ! !3 81 J)-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Canst. 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 ($ ~ shall be made for each trip for each trade:
~-tTO
a.
b.
c.
d.
e.
f.
g.
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
2-- ?... 2.. c;s
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
~40.\JU
OWNER'S NAKK----1Y)arOV)', ~21 VVl \ \'-1 I ('lit,,1-
OWNER'S ADDRESS Io(D,~\) m)<'Vv1[)a('~ J:x\~.t.
JOB ADDRESS ~VV\ 'L..
PHONE I 713 ~ - 7:3 D '(
7qJrh'),\1I\\~1 fL ~~~.,.,
LEGAL DESCRIPTION: LOT(S)
BWCK
SUBDIVISION
PARCEL 1.0.'
o ~ ... L~- '2-\ - \J \L...Q ~ l')I~)OD . oS~Q
(OBTAIN FROK PROP~ TAX NOTICE)
R~-JZ
WORK PROPOSED:____New Construction ____Addition ~teration ~Repair ____Install
_Sign
-----",ove
_Demolish
PROPOSED USE: ~ingle Family
_KIF
_' of Units ____K/H
____ec:-ercial
_Indust.
____Swt.. Pool ___Other
~Restaurant & Health Department Approval
DESCRIPTION OF WORK: S:h \ ~\ 'L R -e. - YCouk-
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMKERClAL :
,
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
~BUILDING
$,~)~j)g LU
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
~GHANICAL
$
Valuation of Kechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FDlISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUIIJ)ER
Signature
COKPANY
State Cert. or Regist. .
City License Registration I
*****************~************************
ELECTRICIAN
COKPANY
State Cert. or Regist. #
City License Registration ,
******************************************
SillnlAture
PLUKBER
COKPANY
State Cert. or Regist. t
City License Registration f
******************************************
Signature
KEGHANICAL
COKPANY
State Cert. or Regist. #
City License Registration ,
******************************************
Signature
~
Signature
COKPANyJ) \~ (tJ\1st.n.H~ ~C
State Cert. or Regist. # du L')-U-<:;
City License Registration t ?J~
******************************************
OTHER
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PEI~IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands tllat this perl it lay be subject to "deed restrictions" whicll lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CON'l'HAC'l'On HESPONSIBILI'l'IES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If tile contractor is not licensed as required by law, bolll the ONner and contractor lay be
cited for a lisdeleanor violation under state IaN. If Llle ONner or intended contractor are uncertain as to what licensing
requirl!lents lay apply for lhe inlended Nork, lhey are advised to contact tile City of ZepllyrhiUs Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a cuntractor or cuntractors, 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 tbe owner sign as the contractor,
you are indicating that you, rat/ler than tile contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES "
D. ~ONSTRUC'l'ION LIJ;:N L1\W (CHAPTER 713, FLOIUDA S'l'A'fUTES, AS AMENDED)
I certify t1lat I, the applicant, have been provided Nith a copy of "Florida's Construction Lien Law _ HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If tile applicant is so.eone other than the
"owner", I certify tllat I have obtained a copy of tile above described doculent and prolise in good faith to deliver it to the
"owner" prior to couencl!lent.
E. CONTRAC1'OR' S/OWNER' S AFFIDAVI'l'
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating constructiun, zuning, and land develuplent.
I
Application is hereby lade Lo obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas cOIIenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations. and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlental agencies lay apply to tbe intended worl, and that it is
If responsibility to idenUfy what acUOlls I lust take to be in cOlpIiance. Such agencies include but are not Iilited to:
· Deparllent of EnviroDlental Regulatioll - Cypress Bayheads. Vet land Areas and EnviroDlentally Sensitive Lands.
· Vater/Vastewater Treatlent
· Southwest Florida Nater Hanagelent &istrict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health' Rebabilitative Services, EnviroDlental Health Unit - Wells, Wastewater freatlent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatl!lent
I also certify that, jf fIll .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "COIPensaUng volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate. cancel alter, or
set aside any provisions of the teclmical codes, nor shall is~u~nce of a perlit prevent the Building Official fru. thereafter
requiring a correction of errors in plans, construction. or violations of any code. Every perlit issued shall becu.e invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IaJ be
allowed for tbe perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKKRNTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NRRD TO RRCORD AND POST A "NOTICE OF COKHENCKHENT".
SIGNATURE: OVNER OR AGENT
---
SIGNATURE: CONTRACTOR
(Signature)
YilJ.tn\1\
to me or who has
o did/did not
(Name Typed, Print
NOTARY PUBLIC
(Name Typed, Printe
NOTARY PUBLIC
r'i 'iA A. LOVETT .
l ~\. M~~t~ri;' :t:::,!jJ~O:~%~o \
~~., -
OU\f;A A. LOVf!'L. '
Notary Pu..!ic, Stat2 01 honda
My vrnm. expires JulY.,28~2000
C;>mm No. CC57..910 J
~~"Go
a.; .,.
o ;;
I"
lPropozal
Page No.
1 01
Pages .
Member of the Florida
Roofing and Sheet Metal
Association
1@]
Mil Bar Construction, Inc.
Roofing. Concrete. Commercial, Residential
15911 US Hwy. 301 North' Dade City, Florida 33523 C><
352/567-6047 800/562-2393 FAX: 352/567-4454
State Certified
Builder #CBC0232
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
U.S. Intec Certified
Platinum Installer
#5204
PROPOSAL SUBMITTEO TO
~.W'\\I C!'\'V>
PHONE
I DATE
~lL' 7
STREET
JOB LOCATION
ARCHITECT
DATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for:
RE ...~()()F' .... ...!;il1in~l~f3
1. Tear off and haulaviiyold r:oofiIlQicl€?anupwork area daily.
2. Provide and install new 30 lb. saturCit.ecIfeltpap€?r:'
3.
Provide ano
dimensional
warranty on
install new GAF "Timberline 25" 25-year laminated fungus resistant
fiberglass shingles i.....O..w. .n..e.r...t..o. ...C.h. 0.. o...s......ee......... ~.......l..()r<.13A. F. shingles have a:25-year
labor and materials.c... QAIQ..v dl.~ . J- W~
4.
Replac:e alldiimii9€?ct :fliishingf3(valley, vent,or any wall flashinQ)'
5.
Provide and install new lead boots forttlep~utnbingvents.
Provide and install new finished aluminum eavedr~p (white orC!f.ji.J!!:ovide and
install 30 l.f. of pre-finished aluminum ridge vent. ~.~
G.
7.
The existing solar panels are to be removed by others prior to re-roofingi the
existin9mf3()lClEpaIl~ls are to be re-installed by ottleEs.. after re-roofing is complete.
8.
... .AIlYE()tteIl()I"ctCllll()g~ct wood (roofct€?cj{,.:t:iif3c:iii,.. .t.rim, .. €?t.c:') ..will be replaced ()na
cost-plus basis above and beyond the contract price.
9.
MilBar Construction, Inc. to provide 5-year warranty on workmanship; exclusions:
.. .st.()I'mciCltnClg€?ct()Il~~Y ..Clt.tt€?Ef3r .t.r€?~mciCltnCJ:9E"CJ:llcfl()I'mst.I"uctural... datnClge to roof deck.
lit 'ropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
P woo
Payment to be made as follows:
dollars ($
).
Due
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 ins'Jrance.
Our workers are fully covered by Workman's Compensation Insura"ce.
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within.
30
days.
/
Date of Acceptance:
Signature
J
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.
Signature ..:A~ I1Idi,ul'ho Il# tf/rv-u;,A-,.
Ji
Page No.
2 of 2
Pages
'~
/
U.S. Intec Certified
Platinum Installer
#5204
MilBar Construction, Inc.
Roofing' Concrete. Commercial' Residential
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
Member of the Florida
Roofing and Sheet Metal
Association
15911 US Hwy. 301 North. Dade City, Florida 33523 ex
352/567-6047 800/562-2393 FAX: 352/567-4454
PROPOSAL SU6MITTED TO
[:' . Ul i \10 aW\
~ Maroni
STREET
PHONE
DATE
JOB NAME
'7
0n1/97
6630 Fo
CITY. STATE and ZIP CODE
DATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for:
10. Owner to provide access for delivery trucks to allow roof loading/unloading for the
. entire r66fHarea~U
. '11. .Ut11 IBarHC6nslructi6ri; UIri6;UUt6 uprovideHGeneraT LiabiTity uaridW6 dtman's(;6rnpensat'i6n .
Insurance ($1,000,000 limit) and re-roofing permit.
tilt propOSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Three thousand three hundred ei ht and 00/100
Payment to be made as follows:
Due upon completion.
dollars ($ ~308. 00
).
All material is guaranteed to be as specified. All work to be completed in a workmanlike
I manner according to standard practices. Any alteration or deviation from above specifica. lions
involving extra costs will be executed only upon written orders. and will become an extra
i charge over and above the estimate. All agreements contingent upon strikes, accidents
I or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
) Our workers are fully covere-J by Workman's Compensation Insurance.
~y Acceptance of proponal- The above pnces. specifications
I and conditions are satisfactory alld are hereby accepted. You are authorized
II to do the work as specified. Payment will be made as outlined above.
~ Date of Acceptance:
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
30
..------. J
daysj/
J
Signature
$ w-'Ctl(,~1~ J!!i tL~-1./. ~ \
Signature
STATE OF FLORIDA
COUNTY OF PASCO
THIS is TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAND AND OffiCIAL SEAL THIS .J:i1:ti DAY OF
AjO V 19 ::a
JED 21MAN. ClERK Of QRCU;! COURT I
BY 'iA ().. rO;.lf ",.d ' D.C.
.>"1
~
..it 2.22..B
1111"11111I11111111111111I111111"" 11111111I1111
97130645
Rcpt: 196272 Rec:
DS: 0.00 IT:
11/18/97
6.00
0.00
Dpty Clerk
Permit No.
Tax Folio No.0?>-2.(,I. 2\. ()\'Z.o
ODD!)\) - oS')C>
NOTICE OF COMMENCEMENT
State of Florida
County of ?(l("L.D
JED PITTMAN, PASCO COUNTY CLERK
11/18/97 03:24p. 1 of 1
OR BK 3838 PG 820
The undersigned hereby gives notice that improvement will be made to certain real property, and
in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of
Commencement.
1. Legal description of property (include street address, if available): O~ -2-<0' 'Z...l. D\ze.. l)lJDLlI) - Ni?0
~\\vt.c C"::>ri.~. ~{.~O \=o~vy\l.)0'e.. :\)n~e. 1 "Z-e~\\'1YV\\\\S.1 ~("I.t>(o.lV\T'1. R ?>3Sto
2. General description of improvement: ~\i\ \ 'lY'1~} ~ ~~ -1<0&
3. Owner information - name and address: ffiaYDV\' V-a\lV\ \ ''I T 'f\A.!-.1"'" I \=. \1\1 \ \ \ \ t\.1IV1 N'B,rOv"; ,
~Y\ l.. A' \ I i' f'fuv~\Jo..'::W\ MM"oY\; C .1>:-TC\A<..;te.,. c....
Interest in property:
Name and address of fee simple titleholder (if other than Owner):
~ 4. Cont:-a~tor - na~e and address:
Phone number:
5. Surety - name and address: "'-i ~
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).
-'
...>>: IA,IA~ 11n~~ .Atr.
r:: VV/L.LlftM Signature of Owner mAtzON/ I SIC,
~eJ(s.:- (\o.\.l~ K\'\~,,'~ iM~
Sworn to and subscribed before me this \4 day of NC\JQ. VY\ b~
~~~.~veTr
I My Commission Expires:
I 19~7 .
OU\llA A. LOVETT .,.
Notary Pu~ic, Slate of R6nifa
, .' 28~2000
Comm No. CC5 2910