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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