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HomeMy WebLinkAbout01-0733 BUILDING PERMITN~ 0733 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date //-9-t:J/ BUILDING ElEC~l P~ ~ICAL Sewer Conn Water Conn: P,operty Owne' ~()'I, [- ~ RlJ. - f} - !MwKsI, Job Address: ~/____ ;e~-e 4.1__ ----=. Parcel I. D, # Water Meter: T.I.F.'s: Zoning: DescriPtion of Work Energy Code: 12~ - 72t1O F Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O, All work shall be performed in accordance with City Codes and Ordinances, Permit Fee . ~ ~ )1gnature ,/{ t.MAJll4-- Company Address ,X1elephone# a 5..:1 .t;lR '7 IPol../7 Valuation or Contract Price ~fl{'15. ~o dl3- ~41~ City License Registration , State Certified license' -m II b"'Y Ccnst. BUilDING ELEC~ Tp. serv/ Rough In Meter Can Const. Pole Pool Pre-Meter Final PLUMBI~ ./' ~NICAL Ftr. Pre SlB lintel FRM. Insul. Cl WL SlB Tub Set Water Sewer Final Breakers Ducts Ins!. 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 BUIWING DEPARTMENT MCI 2838 DATE RECEIVED PLANS REVIEW FEE " OWNER'S NAME HAWKSLEY, LEROY E. & RUBY A. PHONE 813/782-0983 JOB ADDRESS 6148 RIDGEWAY DRIVE, ZEPHYRHILLS, FL 33541 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # 03 26 21 0130 00000 0360 (OBTAIN FRQM PROPERTY TAX NOTICE) WORK PROPSED: [JNEWCONSTRUCTION [J ADDITION [JALTERATION IX! REPAIR [J INSTALL [JSIGN [J MOVE [J DEMOLISH PROPOSED USE: ~SGL FAMILY DWELLING [J COMMERCIAL [JMUL'rr - FAMIL Y [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [JOTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK SHINGLE RE-ROOF (64' X 281) BUILDING SIZE SQUARE FOOTAGE 1900 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 D BUILDING $ 2,495.50 VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W,R.E.C. [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 D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUIWER 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 L: /?( ~R COMPANY MILBAR CONSTRUcrlOO, INC. STATE CERT OR REGIST # acc 051562 / DAVID R. ABLA CITY PROCESSING # 218 ***************************************************************** CUNlJl'1'lONS or' I:'1.!:Htv11'L' Ai"r'LlJl\V 1.'1' A. NOTICE OF DEED RESTRICTIONS The unde'rsigned understands that this permit may be sub:i ect 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 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 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 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 Of~icial. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILUR~ TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO XOUR 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. UE DO NOT NEED TO ~EGORD AND POST A '~~ENT" . SI SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF PASm The foregoing instrument was acknowledged Before me this ~ day of No ~ V ~_ by l>Pt.\no ~. ~l.A (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF PASm The foregoing instrument was acknowledq~p Before me this ~day of N I,)"j ,'N' ~ by ~'nl\. ~ R 'f\-CJ Ll't'" (name of person acknowledged) K1ho is personally known to me, or Dwho has produced (type of identificati~n) and WhoD~~~an oath_ Signature 0 person taking acknowledgement OLIVIA A, LOVETT 'da' ,\. AGo" Notary public, State ?' Fico 2004 n . ~amed Name commission Ref. oS_or o who has produced (type of identification) and who Ddid Qtlid not take an oath . ~~~ Slgnature of pe son taklng acknowledgmp Name Member of the Florida Roofing and Sheet Metal Association lProposal Page No. .i of ...:.. Payes .. U.S. Intee Certified Platinum Installer #5204 ~ Z~3B MilBar Construction, Inc. Roofing' Concrete. Commercial. Residential 15911 US Hwy, 301 North, Dade City, Florida 33523 ~ 352/567-6047 8001562-2393 FAX: 352/567-4454 State Certified . Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 RCI Registered Roof Consultant #0149 PROPOSAL SUBMITIED TO PHONE DATE H STREET 813/78 -0983 JOB NAME 10/30/01 614 E Y CITY, STATE and ZIP CODE HAWKS Y OUBLEWIDE JOB LOCATION ARCHITECT 8 Y DR VE DATE OF pLANS JOB PHONE We hereby submil specificalions and eslimales for: SHINGLE RE-ROOF . ... . ..... . ..... HW ... .... ...... H ..H ..... HHHHW(64'x28'T W ....L . ..HHTearwoff'aridhau!'awayWexisHrigorie:';;:Iayerwshirigleroofirig HsYstem~ HW2~ ....w HWHProvIde . aridfriEilaIlt.wo HIayerswofHriew15wlb;Hsat.urat .w "3, ........ .'PfovIde 'aridw friEilaTlrieyHCeflalriTeed Owner to select color from standard H '.'H HW. H ................yaffarity:lfoinHinariufacfufef~HH 2000 WAR colors. . L E ti 30:::Year. mensoriaTHfiberglassshiriglesT Shingles have a 30-year limited H4~ .. .... wHRepIaceaII damaged .xI8shfrigsHHlv8ITey~H venl;worwariy .waITflashirigr~ . . 'S. H...H..H PfovfdearidTrisfarr newTeadHboo{EixorlheHplumbirigverit.s; ...... .... 6~ . w....... .. PiovIdearid ... insfalT newpre::::f'friIShedwalumi.riUmHeaVedrf~o~Jt~11 r~' 1. .. .... wAriyHioffenwofdamaged Hyoodfioo:f' .. deck~wfascIa~wliim~ . 'etc;TYillbe .. replaced on a cost-plus basis above and Qeyond the contract price. 8. MilBar Construction, Inc. to provide 5-year warranty on workmanship; exclusions: ... .... ..............slofmwdainage~WyoikHdoneHordamageby ...others~treewdamage;Harid/or... structuraT"'damage to roof deck. 9. Owner to provide access to roof for delivery truck for loading/unloading for roofing H . ...w W inafeiI8rs~H me 'ropollt hereby to furnish ~aterial and labor - complete in accordance with above specifications, for the sum of: SEE PAGE TWO. Payment 10 be made as follows: DUE UPON COMPLETION. dollars ($ ), All malerial is guaranteed 10 be as specified. All work to be completed in a workmanlike manner according to standard practices, Any alleralion or devialion from above specificalions Authorized involving exlra cosls will be execuled only upon wrilten orders, and will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and'<lther necessary insurance, Note: This proposal may be Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if nol accepted wilhin 30 Acceptance 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 Qutlined above, Signature ',' . \, / j/ .1 ~~.~.~. JJ~~ I (;, ( - 0 f Dale of Acceplance: Signature - - . Member of the Florida State Certified . ~ / Roofing and Sheet Metal @ Builder #CBC023221 / Association MilBar Construction, Inc. State Certified Roofer #CCC051 562 U.S. Intec Certified Roofing' Concrele . Commercial. Residenlial State Retstered Platinum Installer 15911 US Hwy. 301 North, Dade City, Florida 33523 ex Roofer #R 0055215 #5204 RCI Registered 352/567-6047 . 800/562-2393 . FAX: 352/567-4454 Roof Consultant #0149 PROPOSAL SUBMITTED TO PHONE I DATE HAWKSLEY, LEROY 813/782-0983 10/30/01 STREET JOB NAME 6148 RIDGEWAY DRIVE .' HAWKSLEY DOUBLEWIDE CITY, STATE and ZIP CODE JOB LOCATION ZEPHYRHILLS, FLORIDA 33541 6148 RIDGEWAY DRIVE ARCHITECT I DATE OF PLANS I JOB PHONE ZEPHYRHILLS, FLORIDA We hereby submit specificalions and estimales for: 10. nilBar Construction, Inc. to provide General Liability and Worker's Compensation .. .. Insurance T$2~000~000IfmH.) "andre::;;roo:!fngpermIL ........ ......TL.. "'OptIon~ a) Remove the existing gutters in order to repair the fascia; re-install the existIng"gufters orTnst.8nnev"gut.lers~ ......Laborrafeof....$52~50 "'permanhour plus materials. .....uWJJLL)"'u.U,s~ .. .~hC.iv\ .... 9."'\..S~b ...u'~u~c,,~\~~ ." ..... uw uu "..w"........................ ..................,........................................... . . .......... ..................... ................... .........-...... ........... .............. ",__w. ......._.......... ..... ............. ......_.... me propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: TWO THOUSAND FOUR HUNDRED NINETY-FIVE AND 50/100 ------------------- 2,495.50 dollars ($ ), Paymenllo be made as follows: DUE UPON COMPLETION. All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized A/kn,'/I f d/ifA ...-' manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents Note: This proposal may be or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. 30 ~ Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if nol accepted within days, ~ ~ Acceptance of 'ropozal- The above prices, specifications ~ , ~ t tk4t'~' o/Lo0r 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: j( - ( .- () I Signature # 'roposal Page No. G of 2 Pages ",.