HomeMy WebLinkAbout01-0680
BUILDING PERMIT ~
0680
BUilDING
CITY OF ZEPHYRHILLS
(813) 188-6611 .
..., 8 () ~ 00 to
PLU~NG M~ANICAL
Property Owner: I ,,~o dor of /'1. iI ~""" ~r
Job Address: ? 8 5" i ~ N Co. 0 "'" I Ave .
ParceII.D.# 02-1b-'2I- oo2A - OotJt!UJ. nO"O
Permit
~S-tfJ)
Date 10.. 2') .... 0 ,
ElEC~CAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
Energy Code:
e'~l'ooJ
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
City license Registration #
State Certified License#
Perm;, Fee ~ ~ . -iit
Slgna'",e ---2.1{n/lLU In. 1504_ -5-
Company
Address
Telephone# 35:2 5(;, '7 &{>t/-l
Valuation or
Contract Price
2j7o. ~
~~.
BUilDING J rl
Ftr,
Pre SlB
Lintel
FRM.
Insul. Cl
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLUM ING
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 001100 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 2823
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
BCM1ER, THEODORE M.
PHONE
813/715-0669
38548 NAOMI AVENUE, ZEPHYRHILLS, FL 33540
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # -00 - a~- ;21- DO? 13. -DDOOO-DOfoD
SUBDIVISION
{OBTAIN FRQM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW. CONSTRUCTION o ADDITION DALTERATION rn REPAIR o INSTALL
o SIGN o MOVE 0 DEMOLISH
PROPOSED USE: ~SGL FAMILY DWELLING DMUL'f! - FAMIL Y 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
BUILDING SIZE
SHINGLE RE-RooF (RESIDENCE & SHED)
2100
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
o BUILDING
$ 2,870.00
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
KJ ROOFING
o SPECIALTY
o OTHER
'l'YPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
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 # 218
SIGNATURE
*****************************************************************
m;:;JJ1
SIGNATURE , .
OTHER
COMPANY MILBAR a:r.rSTRUCI'IOO, INC.
STATE CERT OR REGIST # OOC 051562 / DAVID R. ABLA
CITY PROCESSING # 218
*****************************************************************
C()[Wl'l'lOHS or' l'J~1<J11'l' At'}!'J.j)jWJ.'J.'
A., No'rr,CE OF DEED RESTRIC'l'IONS
The undersigned understands that this permit nlay 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 perm~it 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 perm~it is cOlmnenced 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 OMMENCEMENT. JOBS UNDER
$2,500 IN U D NOT NEED TO RECORD AND POST A "NOTICE OF CO ~~
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged
Before me this...2..5:.- day of D,--~ , ~~\
by ,\)~..a:. (l. f\.lC:i\.t-
(name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was ~nowledq~p
Before me").t~~s ~day of / , frJ'-7JJI:J\
by ~,~ ~\L
(name of person acknowledged)
K1ho is personally known to me, or
o who
o who has
identification)
_an oath
Signature
acknowledgment
Name
Name t
NOTICE OF COMMENCEMENT
MCI # 2823
Permit No.
Parcel to/FOLIO #
02 - ~la- ~l - on2A - onnnn -OOlnO
State of Florida
County of Pasco
11111111111111111 11111 11111 11111 1111I1111I1111111I1111111111
2001148788
THE UNDERSIGNED hereby give notice that the improvement will
be made to certain real property in accordance with Chapter 713, Florida
Statues, the following information is provided in this notice of
commencement.
Rcpt: 538803
DS: 0.00
10/25/01
Rec: 6.00
IT: 0.00
Dpty Clerk
JED PITTMAN PASCO fOUNTJr CLfRK
10/25/01 03: l!rm 172
OR BK 475t) PG
I.Description of property (legal description of PfDP..e!1Y and address if available)
Section n ~ . 'Ibwnshio!l {" . Ranqe "0 1
2.General description of improvements SHINGLE RE-ROOF
o
38548 NAa.1I AVENUE
ZEPHYRHILLS, FLORIDA 33540
3.0wner information
a)Name and address
b )Interest in property
c)Name and address of fee simple titleholder (if other then owner)
4.Contractor (name and address) VANCE L. MIL'IW MILBAR ~STR
1 5911 US 301, DADE CITY FL 33523
5.Surety
a)Name and address
b) Amount of bond
6.Lender (name and address)
7.Person within the State of Florida designated by owner upon who notices or other documents may be served as
provided by Section 713.13(1 )(a)(7), Florida Statues.
Name and address .
8.In addition to him or herself, owner designates
of to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statues.
9.Expiration date of notice of commencement (the exp1'Jn date is one year
from the date of recording unless a different date is specified). U D
~~t-r;~FO~O~~~ PRll<~~I':':"-4h~Odcr~t\ J3~
The ~011g::~~.rUmetl! w~owledged before me this~day of Ocr
who IS .--_ _known 10-me or who produced
~, by ~)(:hv<.... M JhMM.....
as identification.
After recording, return to:
Name MIb:8A~ c-~ ;':',THI :r.TION INC
Address 1S~U1 U S 301
City Dade Clty, FL 33523
Notary Si~nature
Name(print)
Title or rank
Serial number, if any
11194
Member of the Florida
Roofing and Sheet Metal
AssociatIon
'roposal
Jffr MIIBar constructlon.ln:,ojj~3
Roaling . Concrete. Commercial. Reaidenlial
15911 US Hwy.301 North . Dade City, Aorlda 33523 Oc
3521587-6047 8001582-2313 FAX: 352/567-4454
1
Pagfts
.,
...
Page No.
01
U.S. Intec Certified
Platinum InSl8ller
#5204
State CertifIed
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RCOO55215
RCI Registered
Roof Consultant #0149
PROPOSAL SUBMITTED TO
BOHMER, ( TED') -\ l, ".r\, (,_
PHONE
813/715-0669
DATE
10/15/01
STREET JOB NAME
38548 NAOMI AVENUE BOMMER RESIDENCE
CITY. STATE and ZIP CODE JOB LOCATION
ZEPHYRHILLS, FLORIDA 33540 38548 NAOMI AVENUE
ARCHITECT DATE OF PLANS
ZEPHYRHILLS, FLORIDA
We hereby submit specifications and estimates for:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
SHINGLE RE-ROOF
(Residence..Onlyf
. Tear of!aridhaulavaYexisting .one':"layershirigle mfOofirigsYslem.
Provide and. irislaIlholayefs."ofriew 15 Ib~. ..saluraledfel...%aper...... .........m.... .....
.. Pro'lideand inslalTriev GAF?12;c.~~~iv..1TJ~,"'19~4Te' T@ ungus':"resisliinr
fiberglass shingles; Owner to select color from GAF's standard colors. Shingles
have a 25-year liniHedvarrarilyffomGAF.
Replace all damaged flashings Tvalley, vent, or any walI:llashingr;
Provide and instalI new lead bocitslor the plumbing'lents.
hovide aod ioston oe. pre-Holshed aluoious eovedilp.~ro'rif'
Remove the existing turbine vent, and plywood over the opening.
Replace the existing ridge vent wHh60 1. f. of new pre-finIshed aluminum ridge
veot. .~ f: flD .7
The existing gutter system is to remain in place. IS 10 BQ.. ..eM f)JJiV'(!.]) 4~f?T~
Any rotten or damaged wood (roof deck, fascia, trim, etc.) will be replaced on a
cost-plus basis above and beyond the contract price.
lit 'roposr hereby to furnish material and labor - complete in accordance with above specifications. for the sum of:
SEE PAGE TWO.
Payment to be made as follows:
DUE UPON COMPLETION.
Invoiced amounts nol paid in accordance with the payment terms shall be considered delin- Authorized
quent and bear interest at the rate of one and one-half percent per month. Owner agrees to Signature
pay all costs incurred. such as a"omey fees, collector fees, court costs, etc., for collection
of delinquent invoices including inlerest. Owner to carry lire, 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
)
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.
dollars ($
).
30
days.
Dale of Acceptance:
~
Signature
U.S. Intee Certified
Platinum Installer
#5204
~
proposal
Page No.
2
of
2
Pages
Member of the Florida
Roofing and Sheet Metal
Association
MIISar Construction, Inc.
Roofing, Concrete. Comm8fCial . Residential
15911 US Hwy. 301 North. Dade City, Florida 33523 Oc
352/567-6047 800f582.2313 FAX: 352/567-4454
State CertifIed
BuUderICBC023221
State Certified
Roofer ICCC051562
State Registered
Roofer #RCOO55215
RCI Registered
Roof Consultant '0149
PROPOSAL SUBMITTED TO
BOMMER, TED
PHONE
DATE
STREET
38548 NAOMI AVENUE
813/715-0669
10/15/01
JOB NAME
CITY. STATE and ZIP CODE
ZEPHYRHILLS, FLORIDA 33540
BOMMER RESIDENCE
JOB LOCATION
ARCHITECT
38548 NAOMI AVENUE
DATE OF PLANS
JOB PHONE
ZEPHYRHILLS, FLORIDA
We hereby submit specifications and estimates for:
11. MilBar Construc~, Inc. to provide
storm damage, . work. dClIleordamageby
to roof deck.
5-year warranty on workmanship; exclusions:
others,treedalnage~and/ Orstructl..lraT.. damage ...
12. Owner to provide access to roof for delivery truck for loading/unloading for roofing
materials.
.13. MilBarConstruction~ Inc~tO. prOvide General Liability and Worker'sC6inpensati6ri
Insurance ($2,000,000 limit) and re-roofing permit.
14. Options:
a) GaraQe <30'-0" x 27'-6").
Shingle te...toof as per the specifications for the ReSidence,d6esnot inClude
ridge vent. ADD $1,049.63 to the contract price.
b) Shed <18'-2" x 15'-0").
Shingle te...tOof as per the specifications.for the Residerice~doe8 rial include
ridge vent. ADD $374.63 to the contract price.
. It 33'7. So
lilt prop05t hereby to furnish material and labor - complete in accordance with a
TWO THOUSAND FOUR HUNDRED EIGHTY-TWO AND 50/100 __________________
Invoiced amounts nol paid in accordance with the payment terms shall be considered delin-
quent and bear interest at the rate 01 one and one-hall percent per month. Owner agrees to
pay all costs incurred, such as attorney lees, collector leeS, court costs, etc., lor collection
01 delinquent invoices including interest Owner to carry lire, tornado and other necessary
insurance. Our workers are lully covered by Workman's Compensation Insurance
Authorized
Signature
).
Payment to be made as follows:
DUE UPON COMPLETION.
)
Note: This proposal may be
withdrawn by us if not accepted within
30
Accrptancr 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.
~ Dale of Acceptance: I () / J ~ /(j /
Signature