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
",.