HomeMy WebLinkAbout01-0567
BUILDING PERMITN~
0567
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
9- cQ/-0/
c~
Property Owner:
Job Address:
Parcel i.D. #
.........-'.".
MEC~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
Radon Gas:
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.
FINAL
DATE
Inspector
City License Registration #
State Certified License#
L;1k~(]'t!Hi7J ,w.~
Permit Fee
~~~
Company
AddreSS-
C~~~~~~~.~~)
.~
J~~~
Valuation or
Contract Price
f i 1/ 9;' "",
~/~
35~ S'G:, --, ~iJ47
BUILDING
ELECTJUeA[
----
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
PLU~'
----
~_...
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
BUILDING DEPARTMENT
MCI 2794
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME RICHARD CAMEROO
38022 LA WANDA IroP, ZEPHYRHILLS, FL 33541
PHONE 813/782-1050
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: [JNEWCONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICEl
[J ADDITION
[JALTERATION
1!9 REPAIR
[J INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
SHNINGLE RE-RooF ( 1 3 sqS)
BUILDING SIZE
SQUARE FOOTAGE
HEI GH'l'
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
$ 1,495.00
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
KJ ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o 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 CONS'IRUCI'IOO, INC.
STATE CERT OR REGIST # OCC 051562 / DAVID R. ABLA
CITY PROCESSING # 218
*****************************************************************
CON1H'l'10N:i 01" l:'~lUvJ.l'1' Ajo'jo'lJJ1\V 1'1'
A. NOTICE OF DEED RESTRICTIONS
'l'He 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 informati9n 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 rnay 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 ~anks
*U.S. Environmental Protectior, Agency-Asbestos abatement
I also certify that, if fill mi;lterial 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 eogineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be Fonstru~d to be a license to proceed with the work and not as
authority to violate, canq~l, al~er, or set aside any provisions of the technical codes,
nor shall issuance of a permit p~~vent the Building Official from thereafter requiring a
correction of errors in plans, cohstruction, 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 LENDE OR AN ATTORNEY, BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN u 0 NOT EED TO RECORD AND POST A ~~~T"'
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument was acknowledged
Before me this _ day of . , ~ 2001
by David R. Abla , .
(name of person ackn9wledged)
~hO is personally known to me,: or
'.-
STATE OF FLORIDA
COUNTY OF Pasm
The foregoing instrument was acknowledged
Before me this _day of , ~2001
by David R. Abla
~~(name of person acknowledged)
~o is personally known to me, or
of identificati?nl
take an oath.
Dwho has produced
(type of identification)
and WhO~~~ ~id not take an oath
Signature of per~~nOWledgment
~5tIc~~a
.t; My Commission Expires July 28 2004
Commission No. cC954594 .
.. .
Name typed,~
z
Name
~
?'
u.s. Intec Certified
Platinum InsI8Iler
#5204
mroposaI
F 8 State Certified
2. -, ~ <t Builder #CBC023221
· . State Certified
l61J MilBar Construction, Inc. -OCCCD51562
Rooflflg , Concrete. Commercial. AeaidenUaI State Registered
Roofer #RCOO55215
15911 US Hwy.301 North. Dade City, FIO~ 33523 Oc Rei Registered
352/567-6047 . 8001582-2313 ' FAX.352/567-4454 Roof Consultant #0149
Page No.
1
of
2
Page,
Member or the Florida
Roofing and Sheet Metal
Assoclallon
PROPOSAL SUBMITTED TO
RICHARD CAMERON
PHONE
DATE
STREET
813/782-1050
JOB NAME
08/30/01
38022 LA WANDA LOOP
CITY, STATE and ZIP CODE
ZEPHYRHILLS. FL 33541
ARCHITECT
OA TE OF PLANS
CAMERON RESIDENCE
JOB LOCATION WAYWARD WINDS
38022 LA WANDA LOOP
We hereby submit specifications and estimates lor:
ZEPHYRHILLS, FL
-r 11
J,t(",!.l./'c.' 11:1" 2 '/t,lIs,
I)""" Ikt ....e,f .'
.... ......w .... ........... ............. .........7I:JO:~L;61
SHINGLE RE-ROOF 37'-9wx29'-0w
.......... ............... ............... .... ..-..........-.. ... .h........................._...
(Does Not Include the Aluminum Pan Roof)
0/
1.
T ea r()i!..~'1.~..hlill~...<l!a.y..E?)(.~.l:l~.:i.~9l:).~E?:::~Clyer..~tl~f.l9~.E?.r.l:l()f~~9....~)'.~~E?Ill~
2.
Provide and install two w~li)'E?:r.~().;f..'1.E?W~S..~l:l~..f3<l~.uX:<:1~E?~J"E?g.. P.a.P.E?E.'.
...h........................................... ...............................
3 . Provide and ins t a llwf.lE?W...g~f......~.~l:lYli~HS()"E?Ee~gfl"~::i:-:Y.E?~EH:3:::~al:l:t:1l~91l~::::t::.E?E:l~E:l~Elfl~. .. .
fiberglass shingles; color to be wFOREST GREENw. Shingles have a 25-year limited
war r an:tyf;r()lnG,Ar.
4.
Rep 1 ac::e.. all ~.aRlc:lgE?~.:q<lE:lhi.flgE:l ... (v;a.l,ll:?Y, ... VE?f.l:t,gZ:.ClllY .. .~~U,f,l.ClE:lt.tJ.Clg).
......... ........ ....w........................................
5.
Provide and install newlE?adbo()tsHforthE?P~\..lIll.~:ingllellts....
Provide and.. :ir.1I3:tCil,l. new ..PTE?-:-f:i.ni:E:lhl:?cfHaluRli.flllmE?CiYE?dl~i.P~irdf....f;p.'rID..L..b.
7. A nyr ott ell . (lrHcfClIllCi9l:?cf wO(3cf( rO()fclec::I<,t; Cl13c::ia,t~r:illlL .l:?tc. )lfi),)pl:?l"'E?P l.c:lC::E?tf. on a
cost-plus basis above and beyond the contract price.
6.
....... .-...................................
8. MilBar Construction, Inc. to provide 5-year warranty on workmanship; exclusions:
stor m.. damCigl:?,.. . W(l:rl<cf9n!:O'():rcfCiIllClgeby othl:?r:13,H:t:r!:O'!:O'cfCllllage,aTl~/.()J:'HE:l~l"'lA.c:tllTal.c.lClIllClg!:o,.
to roof decJ<.
9.
Owner to provide access to roof for delivery truck for loading/unloading for roofing
mater ials.
mr proposr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
SEE PAGE TWO.
Paymenl to be made as follows:
DUE UPON COMPLETION.
dollars ($
).
Invoiced amounts not paid in accordance with the payment terms shell be considered delin- Authorized
quent and bear interest at the rate of one and one-hall percent per month. Owner agrees to Signature
pay all costs incurred, such as attorney lees. collector fees. court costs, etc., for collection
of delinquent invoices Including interest. Owner to carry fire, tornado and other necessary Note: This proposal may be
insurance. Our workers are fully covered by Workman's Compensation Insurance 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 Signature
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
Signature
)
u.s. Intec Certified
Platinum Installer
#5204
'roposal
Jf1J MIIBar Construction, Inc.
Roofing, Concrete. Comf118lClal . Residential
15911 US Hwy. 301 North. Dade City, Florida 33523 Oc
352/567-6047 8001~-2393 FAX: 352/567-4454
Page No.
2
of
.-,
"-
Pages .
.. Member of the Florida
Roofing and Sheet Metal
Association
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RCOO5521 5
RCI Registered
Roof Consultant #0149
PROPOSAL SUBMITTED TO
PHONE
DATE
RICHARD CAMERON
STREET
38022 LA WANDA LOOP
CITY, STATE and ZIP CODE
813/782-1050
JOB NAME
08/30/01
ZEPHYRHILLS, FL 33541
ARCHITECT
DATE OF PLANS
CAMERON RESIDENCE
JOB LOCATION WAYWARD WINDS
38022 LA WANDA LOOP
JOB PHONE
We hereby submit specifications and estimates for:
ZEPHYRHILLS FL
10. l1il Bar Conl:itI"llc;~iQIl' Inc, to. p.r:()...ic1~(3eoneor.ii~~iii.bA!i.ty Ha.Ilc1!ieJI"k.""E' sHC;gI11P\:'IlEla.~i.()11
nsurance ($2,000,000 limit) and re-roofing permit.
.., .......... ....w............_.. ..._.h...... ..._..... .... ...oo............................ .......... .................... .........._..................... ..............
... G\JY\.e .. ... .... .... .. Q)JJO~ .D5/1::.1
J)CL .... he.h.>re. ..... . Qc:-... ~h~oc.
.. ..... j?\~Lu41J J
lit 'ropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
ONE THOUSAND FOUR HUNDRED NINETY-FIVE AND 00/100 -----------------dOllars($ 1,495.00 ).
Payment to be made as follows:
DUE UPON COMPLETION.
Invoiced amounts not paid in accordance with the payment terms shall be considered delin.
quent and bear interest at the rate of one and one.hall percent per month. Owner agrees to
pay all costs incurred, such as attorney fees, collector fees, court costs, etc., for collection
of delinquent invoices including interest. Owner to carry fire, tornado and other necessary
insurance. Our workers are fully covered by Workman's Compensation Insurance
Authorized
Signature
30
days.
Acceptance of 'roposal- The above prices, specifications /J.....4 /J,0 &t:?/h~d.i ~ _
and conditions are satisfactory and are hereby accepted. You are authorized Signature /.~~ k ~ . :.... /~ y "-
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
)
Signature