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HomeMy WebLinkAbout01-0566 BUILDING PERMIT N~ 0566 CITY OF ZEPHYRHILLS (813) 788.6611 Permit Date f::2l- n / ~ Property Owner: Job Address: Parcell.D. # E~L ~G ~.~~00fz9-JJ - ~ q.--,-~ '7' M~CllA"l">rrCA(--' Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. Inspector Permit Fee gnature Company Address Telephone# - ! 7 7..5"" 0 V City Ucense Reg;s"..;on' ,;2J ~ State Certified License# Valuation or Contract Price --I!J1~b~ "--7Y!t>>~)(]~fr ~(l-. - -- BUILDING ~. MECHANICAL 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 PERMIT CITY OF ZEPHYRHILLS BUXLDXNG DEPARTMENT MCI 2793 DATE RECEXVED PLANS REVIEW FEE Nelson, Clarence / Ibrothy PHONE OWNER'S NAME JOB ADDRESS 4824 16th street, Zephvrhills. FL 33541 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # {OBTAIN FRQM PROPERTY TAX NOTICEl WORK PROPSED: [JNEWCONSTRUCTION [JADDITION [JALTERATION t9 REPAIR [J INSTALL [J SIGN [J MOVE [J DEMOLISH PROPOSED USE:fJSGL FAMILY DWELLING [J COMMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [JOTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK SHINGLE RE-RooF (18 sqs) BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAJ~: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [J BUILDING $ 1,975.00 VALUATION OF TOTAL CONSTRUCT I [J ELECTRICAL AMP SERVICE [J FLORIDA POWER [J PLUMBING [J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS KI ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE * ******* ***.*** * ************ *** *** * * * **** * * ** *** ** * **** ******* *** * * MECHANICAL COMPANY: STATE CERT OR REGIST # CITY PROCESSING # 218 SIGNATURE *********************~******************************************* OTHER ROOFING SIGNATURE COMPANY MILBAR (.'(NSTRUcrIOO, INC. STATE CERT OR REGIST # acc 051562 / DAVID R. ABLA CITY PROCESSING # 218 ***************************************************************** CONUITIONS OF ~El~IT AFFIUAVIT A. NOTICE 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 lneet 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 agenciE;!s 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 perrrit 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 cormnenced 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 Of~icial. 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 V DO NOT NEED TO RECORD AND POST A "~~ SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF PASm The foregoing instrument was acknowledged Before me this ~ day of ~I-pfemb~r, Xli 2001 by DAVID R. ABLA (name of person acknowledged) OOwho is personally known to me, or STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was ~cknpwledged Before me this p.H. da-y of Y"':z:LN)~n", ~ 2001 by DAVID~LA (name of person acknowledged) DLho is personally known to me, or o who has produced (type of identification) and whoOdid 0<lid not take an oath. -aA~'~ t. 8~ ~ Signature of person tak~Wledgement Owho has produced (type of identification) and who Ddid 0fid not take an oath f(/r[I2l~tJa ~ 8htA~ Signa~ure of person taking ack ledgment Name typ Nam d .--- '"):, ---.-> ~ ~ .~. . t!,~.;:~';::UUl H:JJ r.U olJIIl;:~t.l7'i .P.k.L'J)E:, flAL .g, I).. u.a..,. QriIm PIdun InMIIet IS204 proposal ~ Ctj3 rr1l MiI~.~~~~~lnc. 15911 us Hwr. SOl NarIh. DId8 ~ FD1d13lI523 C:.c ~-aG41 · __.1* ' F1U:35215187ooto154 1 0' 2 PIll18S ...... or.. PIaIUI Aooang " 8neet M8tIII ~!lIIIIIIan lIIIII8 CertIfIed BulIcIet~0!)1 SIlIl8 CertIIiId F1oaf8r ICCCOSl SfI2 St8f8~ RaofIr tIflCOOIi6215 ACI~ Roell Oa~ 10149 1IfIClIII08AL....,-no TO CEHTURY 21 lSTl'RT 4 .947 COAT5 ROAD QIl'V.lrI'o1lTE:_ ZIP 0Cl0I ZEPHYRHILLS, FLORIDA 33541 NICHITICT DATi OF PlNI8 PI<<JNI! DUI! a13/78B-2724 PAX Ift/l?l.l JOe NAMe "cLEOD RESIDENCE JOe LOCA T10III 4824 liTH STRSn JOB PNCIIE ZEPHYRHILLS, FLORIDA 11IM Mllbylllllnlll ~ 1Uld.......1lIr: ---...--.-.'.--_____.._...... .... , If' .....__,____....~......."...., "......._.._.__,~.._,.....~... SHZRGl.E: liE-ROOF .......-...'--.-------....--.,.....-.-.... 1, Te.r o!f".~~~_~8~.~_~!~y ~~_~I!ting one:!~~~~_'!.~1ngle roofing,.!.t!'~~____.___,_,.."......._ 2~_ Pra~.~d.!'.. ~nd in.tl1.:':..~ev.!.~ ...1 b. . B.~!.~!:~..1el ~._PilP!~..~_..__.....________..~_.....~.__ 3, Provide and in.tall ne. GAF -Roy.l 5overeign. 25-y.ar J-tab fungus-resistant filiii'glajasD1JigIiiif-'OVili'rtoBiPTiCt. calor fro. IfAr-'. staiadard c:olclrB:--sRingJ:es ~.V!--.!.~_7.1t~ _,~~\li_~ed~~.~r.a.!.lt.L frc:IIl GA~:_~_. ____,ft"._____..........,....._. .. Rep~~~~_~.ll da1ll8ge.~._:f~~h1ngs_.(.!I!~.1~~.. ..!'!nt~.~an~....!!ll tl.&hi~~.__ 5, Provide and install n.w I_ad boots for the plu.bing vents, '--' ...---- --.-..-.--. .. '" ...----.-...... ...-....---.--.---'. -..-.----------...-- I G. ,-..... J 1. Provid':..~nd, ~:l:'.Btal~~!!. ..p~~:!~!1~Sh~ ~.1.~~1nurn _ ea"~!.':i:.e_,.~!h1 te or .~r~.!~!.~____...~_ Repl8ce the existing r1dge vent vith it l,f. o~ nev pre-!inish.d alu.inum ridge ' '" ..y.4in""\:"7--..... ..... -.--.----.... .......--....-........---.--...-.... .....----_...._.w. .-.-.... .._....._. - -a~--TKe "eX.1at-lng'-gu{'fitr ".y8t.em-1s to' -r...ili "iii"" iifacs';--'''-' ....--.---.-..... '---9':- -.. .,,, ".liiy"rot.{en h or 'daiag.itaj"vaod' "croo'f". aiCk'~-iiiiCi.:-- 't.ri.~- ""itc:.-. iiTff'he-rep'lllci!-ifoii--'----'"'' _ __._c.!,,~:t::.~~~_~ ba~~.~_ ~!'_~~.!~~~. ber~n~ tb~_~~!l~~~~uric:e~_~, ...._...____.__, ..___._.._.____.... .~,.'_.~.._ 18. KilB8r Con8truc~1on, Inc, to prov1d. ~-year warranty an _ark.anship; exelU8ians: rtor.. -diirag.:' work --dorie"-o"i-' d..irsge""iY.othere;--tree-da.age-;--a-n-d/ar..'.t:i-uc.tural-'daila-g-e- tea :roof deck. .t 'ral/OSf hereby to furnish mate"~.1 and labor - complete In accordance with above speclflcationa. for the sum of: SE8 PAGE TWO, I .. P.,.,..", lI:I .. lIIIIGII .. /oIIIIws, , DUE AS PER APPROVED DRAW SCHEDULE. doIIrmI ($ ). ImIcIMd ___ 110\ pMI " __ "".. !he p6yoN1l11l_ s"*' M COfIIIIdIrR cIIIn- Aulllodzecl QlIId 1IlCI..... _'WI at \lie :.11. allIIMI an4 ~ ~n1 per _. 0Wr1lII'.- lit SIgnaIU" ~ II COllI....... sudllS llIIom.y... COIlIalIr1-. GllUI'\ __ ..o~ Iur ~ r:4 ....... IrMIIIlK ~ IMMnl 0...... 10 I:MY In, lDInlClO - Ohl" .-y Note: TIl.!:l:::: maybe 30 llltu-. Our ....,. are1Ul1y __NlIllr Womm.n'. ~.I\"IIClll 1.........- wdhdl1lWll ~ US " 8llCIIIPted wItNn .' .Atttpmntr of 'rDpOlsl- Thl above prk;n, ~peciflCaliool .I'd Cl:WIItionl; aIV Ati$&Clllry 8Ild ... h.,.b)' accepted. 'lbu an! lII.Itt1ortzec1 SllIll!lMe to do !he work as spetifi.Cl. Payment wi. be madlt IS outIinecl abolle. Dole elf AGc>>ptance: Signature v8/29/2001 21;33 FAX 8137828677 PRUDENTIAL u.s. ~ 0ertIIId ~I"" ft204 proposal ~ Mil~.~~on..lnc. 15811 us ...... 301 NDnh . D8de ~ FIondI33523 ex 3l52I987~1 _ IIll RUe:: 3521S81.0M64 Page No. 2 or 2 ~03 PIIglIlI - \. __ at_..... ,... rd m...... ".H Ill' = 'I .... c.tlIIId IIuIdIr MalCD!3221 s.. CenIfIed RooIIr tICCC051512 511II8 ......19d AaafIr 1ACOIli55tl5 ACt A~ Root ~ *0149 PAOPOM&. -.....rTIDTO KATHY IIcLEOD AD 1'tIONIS13/997 -~2a Do\ll! 813/183-2724 FAX 08/17/~1 JC8 MAIllE ~cLEOD ~iSlDENCE JOe LOCATIOIlI 4824 1 TN STREiT ILLS F RIDA ~3S41 UIQfll!I';r DATe Of' l'UHG JClll ~ w. twrIIlJ MImI ~ -' eIIImeII$ fOr: 11. Qwn~~___~~. J1,:r:,~.~ide !E.~. tQ_r.~Q.!. .~~Z' delivery truak ~~_!~~dingJunlo_ild1ng jQ~ l'_~~!.~~,i_...... ..ter1ala. 12. JfilBar"'C'on8tructiQn~--inc:- ...t.~-.prClvide Generer-Li"abili'lY and IIIorke;';"s-'C'o mpRngation _...!~~~..~c~___~~~,!aI~lD..!~.._~~.!I[I.~~} and r.-ro~.!!.!!g pftmi t. ._,~ '__"""""""'" ZEPHYRHILLS FLORIDA .- ...,...'.._--_.._---_.~_. .............-...-..-..---..----........-.,...-...... -.-.............---- --......'...--..-.----.--............. ...--.--.--....--,.......... .-------.,....,-..... -...-........ ..-------.--.-.-.----...... . ''''-' -..---.... .. ,., .-..----.-----. -......... --- ..--. . .... .--.----..---.--.-. .. ..,..... _..---~._-_._. . ~..........-...__..._-_._--_....,...__..~_.__....~--_..... ........_---_..._-_.~- ................- '........... .--.. ......... ......-...--.....-..---.-...-..... ...-.-----.-,-."..........-----.............-....-.-. '---..-. .-.-.-.-------............- -- -----.... ....... ....,.....__._-_.._.~_.._.. .........-.-...----------..........-...,-. -..--'-.....-....-.--...-.-.- " - ..----.-- .. ...-.--.-...,.....-,.....-----.......... _._- ...........~.---------._. --.-..................-..--..-----.-.......-.--............-........ ....~---_.__.__.... ,"" ~...__.._..._".._._---_._........... ....----............ ..."....----...--...--..........-.....- .........---.-.---..-. ...'. ------,..-.-........ .-.......-......---..-.. .-.., . . . . ..._---_.-'"_'.I-___~_........,..---_.__.,_..._.....,......-,___ ..-......~.,....,---.-.. .......... ....-..--..--..-..,--..... ... I .....~_...__. .._ ....._.._..____.._..... "..' ..._.__.._............__...__....__._._..........,...._....._...__ .e JrDpDJt hereby to fUfni8h m.terial and labor - complete in accordance with above speCifications, fOr the sum of; ONE THOUSAND NINE HUNDRED SEVENTY-FIVE AND :5Gt/l0IJ -----------------c:iOr..re(S 1,975, S0 ). PayIn8ftllO I)e 11IIIII .. foIlIwE DUE AS PER APPROVED DRAW BCKEDULE. . .t IrMlillM --- naI pM! .. ---- ..... ... paflNlll 1_ All e.. -*Mnd ...". AuUIoI1ncI Q\IIIlIIrlIl .. ...... 1hI1aIII III _ -.f -.hair ~ 11'I'" I'I'1(lftft. OWner... 10 Slgnatllre PlIV .. ... hlumId, .." U lIIIom.y r... ~ ..... c:aur\ COllI. 1IlIl.. I;r ~ d ....... invDilM ~ in....... Owtw III mIny". \aIftado MIl cxn.r ~ NQfe, 1'11" plqlOlllll may tie 30 in~. Our wartc.... ... 1\lIIY OOYer.cl by WQrla.,rl Ciompe_liQn Inhlrance withdrawn blf .... II not MXlIII*lCl wIINn Acceptante of propoJal_ The iI~ prices. iDeI;i1intiOns , IIIId c;oncltioft:l lie sltislKtol'y .and are l1ervby ilCC8Ptad. ltJu ilre ~/Irl2ed Signature to do !he wcrk h ~jf.ed. Pil'flT1~t will be made .. ololtlined ilbeNe_ 0aIie of Acc8ptInge: SI"[ure , .