HomeMy WebLinkAbout01-0504
BUILDING PERMIT~~
0504
.,,-
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
t;S
Date
g'..- ~~--V (
~ EL~L PL~..
- P,"perty Owne' :7 %;~ # t)~i.
Job Address: ~ ~_
Parcel I. D. #
ME~
Sewer Conn
Water Conn:
Water Meter:
T.LF.'s:
Zoning:
DescriPtion of Work
Radon Gas:
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or _ /j LL a, ;::-. .L.. a
Contract Price ~ -.,:... ~~
City License Registration # ,.;l.l P
State Certified License#
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
MEC
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25,00) shall be made for each trip for each trade:
a. Wrong Address
b, Condemned work resulting from faUlty construction.
c, Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PEmfIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
MCI 2768
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME JAMES E. WILLIS
JOB ADDRESS 39245 5TH AVENUE, ZEPHYRHILSS, FLORIDA
PHONE 352/567-5941
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: ONEW, CONSTRUCTION
{OBTAIN FROM PROPERTY TAX NOTICE}
o ADDITION
o ALTERAT I ON
~ REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
WI MOBILE HOME
1XI0THER-
DUPLEX
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
SHINGLE RE-RooF (20 Sqs)
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
0 BUILDING $ 2,495.00 VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.
0 PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS 6a ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDl!:R
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
**********~*******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTHER ROOFING
*****************************************************************
COMPANY MilBar Construction, Inc.
STATE CERT OR REGIST # DAVID R. ABLA/ COC051562
CITY PROCESSING # ~/~
SIGNATURE
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit n~y 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
$2,500 IN ~ UE OT NEEU TO RECORD AND POST A "N~~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged
Before me this _ day of AUGUST , ~01
by nAVTn R A'RT.A
(name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA
COUNTY OF PASm
The foregoing instrument was acknowledged
Before me this _day of _1\U(;U~T , ~2QQ1.
by nAVTn R ART.A
(name of person acknowledged)
~ho is personally known to me, or
Signature
o who has produced
( type
and whoO did 6a id net
of identification)
tak an_,oath.
DA:
OLIVIA A. LOVEn
, eOfFJorlda d' d
MYCommisslonEXPlre8JUIy28,~e type, prlnte
Commission No. CC954594
".
Name typed, printed or stt
4.:J lJ lJ.J
~UG-U2-zeel 02;27 PM
r'RO~~ SU~1reDro
HALl., DON
S"rRt"
I 14826 CO~.~EGE VIEW DRIVE
I erN. STA7F """ l,l> coo!:
I DADE CITY, rL 33020
, AACrl!TB;T
We hllreby slJbmltllCloclllelll1011ll .rId .111....1.. lor:
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Wil\i$
I O~TE OF PLM'<J
'L; 5th AVENUE
JOB PHO~jf:
_~~YRHILLS,
PLORIDA
352/523-5051
501\!:':'''
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P.ovfde' and install ri~y""'GAF':';'~'oY<.,;- ,; .
f1berglq8~ Bh1nglee: O.ner to ee~~~'
have "s" 2'5 '::'YQQi-' ''!fil'iI'te'dwl'Jri"an't'Y'':: i:,
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. Rej:ilace'iiH ~hliiliii;ied':t:18shinge (Ii.'.."
;.;ny"tian-lIQghing 5:
.. Provi<le' Bnd iOtitallrii?iil'e'aO'''h,)(,;:.
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'~rflllref6~--j"V1.Tl"'berap'i{i~c1 on Ii
"Provid'! and irishlr"ne':;:"pl"'e;'::'iinJ.t:i!,'.'
7.
Any rottl:-n or'chlmag~d' ',iggdfroo:f "
cOBt-phlo baa~.t:J..~,~~,':'.!... and bl?yono ;h
.1,. J.t;EJ.
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Kl1Bar Construction, Inc. to pr0~~'
'Bfo~in' ~emage''- work" don~'ol' .;i:;nitiri'?
tQ root d~ck.
cTl'1nty on vOJ'kmanahip; excluaionSI
'''';;;,,'- dom8ge~" 'and/or sfr uctiu"o 1 'dBlI'Iaga-
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9.
Owner to provide access to r,~r>f 1'".-
mat~r181B''- .
i,.':'\Ick :for n~oad1.~g/u~lo[Jd.ing :for r?ofi~!;.
:- :.:.
me UJrupOlll' heroby to furnish material and ;'"'. '
SEE PAGE: TWO.
"~Gordanc() with above specifications. ror the sum 01: i
doilor5 ($ .). I
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~s:rm.rn to b. mllde as ,ol/"....'t!:
DUE UPON COI1Pl.E:TIQN.
',WOiee. amoun18 nor pRld In ~danell WllM Ihe paymenllel7l18 81'la1l bq cr,co',i
lJuOnl ena oeer l~rest tit 1M" mt.. Of e/\G ,6t'ld ene-h." p.8teeint per ment},. 0...., J
~~i' o.LI c.o~ 'Jr'leutr-ed. !l.ch In u.t1orno)" f~~. OCllCle'ler fees. CQUrt C'Oet~, clc ;'
of d"II",~""",,. Jnvo/eu b1ch..:rllnl} jnt~-t. ()".,n.~ 'tit eei'ty fire. tomado end C:'~~"" .
'n:'5'urQnc:C' O\olr ....'orl'OnJ a1~ full}' t'0'/9r5Jd by WQrkmsn-:s COmPOl"lt4k,m 1I"l;(;';~.- q
-;crl
J~- M~
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.'1->;,,: ThiS p,opoeal may bo
, ~:.' 'J'. II not "r;eepted wllhln
30
(ACreptance of lJrtJposal _ The above t/rlct'", '"en
II "na COndmQns ,'l~ $3'l!:loctory ~nd are hen!by 8ccE'plmJ, ',e;" """ .,,:
, !o ao the ""-011< as sOQcilied, Payrt'\ent will be made 811 O~:,hi",d '~::",
I V ,.(J.<'f>, ,
~ OntC' of AcceplaflCS; ""-~ 0'/
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M I LBAR CO~;S-rF:-l,ir.
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Roofing end SMit MeW
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352/587-0047 ..,{!C.:
, PI10P06Al Sll9M/TTEO TO
HALL DON
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14626 COLLEGE VIEW DRIVE
0,."., S':"A~ a.n::l ZIP COOl'
Ir DADE C1TY, PL 33526
~ ARCH1TECT I o;'r; o~ PI..AN6
Wo !'lor, fly subrTllt opeclfico'lons an<llMtJrnalo& 10"
10.
HilBar Conotruct1on, Inc. to proutdc ;
Insu'i'~ilr;:;e (QZ, 000. 00-0 l1m1't) <ltad
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OPTIon.
a) Provide and cut-in ~ 1.1.. of
' . . to t hp."'c'~ ~ t;r'o';;t"pr'i'c~:
. d.".P:Qll()~\ NO
nS"'p :.: ':JQed aluminum ridgE> vent. ,AD,., ,.0 *1:50."
(>V\ (y\.,.. ,~" -~., '" .,..'.
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mJr'ropust horeby tQ lurnlllM material an.;! hl)(;.
TWO THOUSAND FOUR HUNDRED KINETY-FIVe M;r
Payrrwlnl to he made 8~ 10110\'111:
DUE UPON COnPLETIOn.
lI"Jl"OrooCl omOYI1a: noel Dilld ;,., 4.e1:::;CttfanC:Cl Wltl1 Il)o pOYl'1'1Ot"Il lerrr.e shall b.o; COt"",t;lcj,;r.....
~uont ;Jnrl boat Ihtefe131 at the ratp of ong and on......l!J' pel'cert per monrl"1, OVf'7H'H _'"
ve)' af! C;l;i)b, :"elJrl'ea, eu~ as <<t!Qrn'J'/ fv~;, ~oIfGctc' '..'. court ~,t:. ~io. I,." ..,c,;I...
01 deflnOVDnt lnvol'Co...1 IndL.:dJn~ lntGl~L o-...mor to carry lire, lomarlo ~r-d c;-iH"'"
i"::;u~ar'\ce. Our 'II'~rlo:~r:; tHO' fuily COHered' bv Workman's Co"'pen.a.&.!.}f! lnr,~,f~-:~,...
? Arttphrnce of t~rnpn5al_ The ab~ p'lce~ ~~:(~,
~nd condition.. .~'" "'tJslactoY'y ~nd ll~ ~reby eccop{~d. 'lbu Dr"
to do thl) '-"Or\< 0:;; ::peclf.eC/. p~y,"ent will be made ~& OlJtlln..,c ;:
r.~ ? /1/
O..re o!Acoeptance ~:;j - U
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3S2 567 4454
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. ~ ~~.:..'1 $1ltta I
Stale CtMtlitd
BuIlder fKiecoam 1
Billie Certll10d
AOQ1er #CCC051562
8l1!l18 Reg/ttered
Roofer fI1:lCOQ.SS21 a
ReI ROIJllIIered
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,<;;j': i\PARTl1ENTS
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<:L1H,h AVENuE
< HYRIIILLS, FLORIDA
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tea P~ONE ~
3S2 S2~-S051
" "B~tll,~Y and WOI'kl:'..fJ...~.'?mpen!3!'1t~on_
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fBf1 MilBar Construction, Inc.
15911 U.s. 301 · Dade City, Florida 33523 C>c
352/567-6047. 800 /562-2393. Fax: 352/567-4454
Date: 'DSIz..:~/o\
'lb: LEPlt'/((.l-hus '1Jld)G fu-r
Re: , License # e.t~-<!.. LJ~I~2
'lb Whan It May Cbncern:
Please accept this letter as authorization for m~YI (tlla <ikn'rfi'Z.
to act on behalf of myself,J);Jvi",J KAble.. , and MiIBrr Construction, Inc.
in the procurement of all legal pennits and/or licenses as required by the
state of Florida and/or the various city and/or county governments located
therein; authorization is also granted to sign in my stead as required in
the acquisition of the aforementioned pennits and/or licenses.
state of Florida
County of Pasco
The foregoing instrument was acknowledged before me this 23 day of IIv6jJ~,,-r-
2..01H ~ ,iN dJilYtJ. R_ f/-b I~ who is personally known to me and did not take an
oath.
Notary Public:
au ~#c(i/1Jl7tJj-
Conmission:
~"IOLlV/A A. LOVETT
..~ \ Notary Public, State Of Aorida
i c'i My Commission Expires July 28, 2004
Commission No, CC954594
State Certified
Builder IICBC023221
Slate Certified
Roofer IICCC051562
Slale Registered
Roofer IIRCOO55215
RCI Registered
Rool Consullanll10149