HomeMy WebLinkAbout02-0901
BUILDING PERMITN~
0901
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date I~ 11- f) .;>...
BUILDING EL~AL PL~
Property Owner: ER..; 1<11 KIf! /<...4-r5-te./'v,
Job Address; ~ ~ 5 31 NOt Ol'k. " A-u~ .
MrCAL
Sewer Conn
Water Conn:
Water Meter:
Parcell.D. "
Zoning: Energy Code:
DescriPtion of Work l<e.- 12..D.cF
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
'" 8- - P ;J...
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City license Registration #
State Certified license#
~/~
Permit Fee _~~ p'ft)
~ignature ::JJ{NoJ_n 04- go~~ d;r'
Company
Address
Xrelephone# ~,.,_ f;;{" 7 tao47
Valuation or
Contract Price
;L7{;7~S1)
,
--fn,16M'" ~ sf.
BUILDING
Tp. Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
MECHANICAL
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
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 2871
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME Ankerstein, Erika PHONE 813/788-1663
JOB ADDRESS 38539 Naomi Avenue, Zephyrhills, FL 33540
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
{OBTAIN FRQM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEWCONSTRUCTION
[J ADDITION
[JALTERATION
[J REPAIR
[J INSTALL
[J SIGN
[J MOVE
[J DEMOLISH
PROPOSED USE: GaSGL FAMILY DWELLING
[J COMMERCIAL
[JMULTI - FAMILY
[J INDUSTRIAL
[J# OF UNITS
o SWIMMING POOL
[J MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
SHINGLE RE-ROOF
BUILDING SIZE
SQUARE FOOTAGE 21 00
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[J BUILDING
$ 2,767.50
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
[J PLUMBING
[J MECHANICAL
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
KI ROOFING
[J SPECIALTY
[J OTHER
'l'YPE OF CONSTRUCTION: [J BLOCK
[J FRAME
o STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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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
*****************************************************************
OTHER ~~
SIGNATURE J6 r::;;--It-
COMPANY MILBAR cu.J'STRUcrICN, INC.
STATE CERT OR REGIST # OOC 051562 / DAVID R. ABLA
CITY PROCESSING # 218
*****************************************************************
CON U 1 T 1 O!.~:3 U ~~. .~ !~.\.e.0._1. '.1.' ^.'~' .~.'~\_ .l.}j\ V _l~ ."':
. A..NO'rICE OF DEED RESTRICTIONS
The undersigned understands that this permi.t may be subject 'to "deed restrictions" which
may be more restrictive than City re9ulations. 'J'h,~ und'~rsi9ned assumes l:esponsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTR~CTOR RESPON~;IBILITIES
If the owner has hired a contractor or contractors to ul1dertake 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 conunencement.
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 conunenced pri~r 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 lnay 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.
I'
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, al~er, or set aside any provisions of the technical codes,
nor shall issuance of a permit 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 unles~ the work authorized by such permit is COlrumenced 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 conunenced. 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 COMMENCEMENT. JOBS UNDER
$2'~"'i;j2D TO RECORD AND P051' A "NOnCE OF C NCEMENT".
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged
Before me this -4- day of.l~ , ~2JJ,,-z....
by
(name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument waj acknowledq~p
Before me this .lL-day of ~^ , f'rJ'?cVZ--
by
(name of person acknowledged)
K1ho is personally known to me, or
o who has produced
(type of identificati?n)
and whoD did ~did not take an oath.
~~'
Signature 0 ef~~OO~in~ ~cknowledgement
$' Ac,.- Notary Public, State 01 ~~y 28,2004
0..: ;. commission ExpIres u
Name typed, !~fl~~ 8t stamped
Owho has produced
(type of identification)
and who Odid id not take an oath
Name typ
Signature of
".
J I Page No,
'=c'====---===-=-C~='cc:C=-,-,===-~c:::===--==-= roposa =,'=0=-:-==-,- _cc=:c===-____
c, Member of the Florida A
II RooR.. ... Sh91 Me..' Irrfl
rllll u.s~:::::::,.. tlt Mil ~,!J.!;. ~~~!!:~!!g!!I.,lnc.
Platinum Installer
i I #5204 15911 US Hwy. 301 North. Dade City, Florida 33523 <:>c
'I 352/567-6047 . 800/562-2393 . FAX:' 352/567-4454
I'
I PROPOSAL SUBMITTED TO PHONE DATE
1
i I STREET
I
I'
,
I CITY, STATE and ZIP CODE
I i ARCHITECT
I Lc -We he-r~bysubmit specill~alions and estimates jor:
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3.
4.
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7.
__-ZEPHYRHU'--4S----fLORII:!~__~~OBP~O_NE_ _______ ,._ !:
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JOB NAME
1 of 2
Pa~es
JOB LOCATION
DATE OF PLANS
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
01/04/02
Provide and install new GAF "Timberline 25" 25-year laminated fungus-resistant
dimensional fiberglass shingles; Owner to select color from GAF's standard colors.
Shingles have a 25-year limited warranty from GAF. DRlr7'"wtlo 0 'L. rC(
Replace all damaged flashings (valley, vent, or any wall flashing).
--~-_.__._-----------._-._--
SHINGLE RE-ROOF
(Does Not Include Aluminum Pan Roof)
1.
Tear off and haul away existing one-layer shingle roofing system.
Provide and install two-layers of new 15 lb. saturated felt paper.
Provide and install new pre-finished aluminum eavedrip
Provide and install new lead boots for the plumbing vents.
eor brown).
~ ,'t.-
The existing gutter system is to remain in place.
8. Any rotten or damaged wood (roof deck, fascia, trim, etc.) will be replaced on a
cost-plus basis above and beyond the contract price.
9. MilBar Construction, Inc. to provide 5-year warranty on workmanship; exclusions:
storm damage, work done or damage by others, tree damage, and/or structural damage
to roof deck.
1-- --)Iii; lIfrnpose hereby 10 furnish malerial and labor - comPlel~ in- aCCOrd;n~; ';'i;h-~IJ~';';;p~~;fic~lions, for Ihe sum of~-III
). ,
I dollars ($ i I
' i Payment to be made as follows: ! I
DUE UPON COMPLETION. ii
ir
,
I!
II
II
I!
days. IJ
/</
._~-----~-----_._---,--_.-._- - ------..--..--.--------..------
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-half 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
Note: This Proposal may be
withdrawn by us if not accepted within
--._- - '--"-------'---'---- --.--.---- ---------------.--
30
". -----------.--,..--.. ----~- ------ --.....------------------.-.. ---.------.---- '.----.-- .-. ---------- ---
J\rreptmtce of Jroposal - The above prices, specifications
and conditions are satisfactory and hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
~;Jn'
!ltr/A~C/J~1
Signature
Signature
----..---.--------- ------
-_.-._--~._---_._--.._---
---.- ---------,-~.- ----_._----~-~_._--_.~-------._-_._~.__._--------,---_.------- ---,---
-------------.---------
/;::c_==,'=,:~===c::=,==--c:====----=:==--=---= m rnnnsal =.=c~=,,=::=-:=:c~::~~~:~~~'
'r Member of the Florida t@ -W r
\ Roofing and Sheet Metal
, Association [S~
U.S. Intec Certified
Platinum Installer
#5204
MilBar Construction Inc.
Roofing' Concrete' Commercial . Residen~al
15911 US Hwy. 301 North' Dade City, Florida 33523 <:::>c
352/567-6047 . 800/562-2393 · FAX: 352/567-4454
PHONE
PROPOSAL SUBMITTED TO
8131788-1663
JOB NAME
8NKERSTEIN, ERIKA
I STREET
I
dNKERSTEIN RESIDENCE
JOB LOCATION
38539 NAOMI AVENUE
I CITY, STATE and ZIP CODE
38539 NAOMI AVENUE
ZEPHYRHILLS, FLORIDA 33540
! ARCHITECT DATE OF PLANS
Iii
ZEPHYRHILLE,FL()~:r.[)A
._-----_.----~----~._---- --
- ~-~ -- -_.__._~._-_. .--....--.------.--
I-:~.~::::~:::::~::..~::e.. to roof for
materials.
2
2
Pages
of
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
I,
i'
DATE
i'
I,
01/04/02
JOB PHONE
delivery truck for loading/unloading for roofing I
i!
11. MilBar Construction, Inc. to provide General Liability and Worker's Compensation
Insurance ($2,000,000 limit) and re-roofing permit.
a) Remove the existing turbine vents; plywood over opening; provide and cut-in
70 l.f. of new pre-finished aluminum ridge vent. Add $250.00 to the contract
price.
12. Option.
C9
5"'i~\~ Dvet""
A~J ct 300. 00
R\J~~ "fL()t (1 D \.~.
+1> c.ot\-tra.ct pri c.e .
L.obi-a. VUlt-)
I'
L.ct.
!
,
-----....-------..---- --
~----'-~ ~-----~- --' ~ I'
~e Jropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: !, \
TWO THOUSAND FOUR HUNDRED SIXTY-SEVEN AND 50/100 -----------------(IoUlus ($ 2.467.50 ). I
Payment to be made as follows: ' '
OUR IlpnN r.nMPIRTTnN
I
I,
II
\'
"
,
Invoiced amounts not 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 attorney fees, 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
----~-~-----~~-~-----
-------------~-- --- ------ -----
~----_.._._.------_.---_._-_.----'_._---
.--------------~
1f:n :4#
~utPtanct of Jroposal - The above prices, specificati?nS
and conditions are satisfactory and hereby accepted, You are authorized
to do the work as specified, Payment will be made as outlined above.
Signature
Signature
Date of Acceptance:
._.._~_.,_...-_..-----"_..-^._.._-_..-- ,
30
days,
!l1t~j!/Jk~~
NOTICE OF COMMENCEMENT
Me! # _ 11111111111I1111I1111111111 111111111111111111111111I11111111
2002006594
Permit No.
Parcel I.D/FOLIO # O:J- ~lo- a \ - oo~ 0 - 0050()- OD~
State of Florida
County of ~asco
Rept.: 557200
DS: 0.00
01/11/02
Ree: 6.00
IT: 0.00
Dpty Clerk
THE UNDERSIGNED hereby give notice that the improvement will
be made to certain real property in accordance with Chapter 713, Florida JED PITT"AN.. PASCO COUNTY CLERK
S h r II . . r " 'd d' h' . f 01/11/02 0.a.:4!.Pm 1 of 1
latues. I e .0 owmg In,onnalIon IS prav. e ID I IS notIce 0 OR BJ( 482:::/ PG 768
commencement.
38539 Naomi Avenue
Zephyrhills, FL 33540
3.0wner infonnation ~M
a)Name and address
b)Interest in property 100% / OWNER
c)Name and address of fee simple titleholder (if other then owner)
~ff~qq JY~' /1;/A' ~,N{~/~
4.Contractor (name and address) MILBAR CONSTRUCTION, INC. / DAVID R. ABLA
15911 US 301, DADE CITY, FL 33523
5.Surety
a)Name and address N / A
b )Amount of bond N / A '
6.Lender (name and address) N / A
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
8.10 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 expiration date is one year
from the date of recording unless a different date is specified).
STATE OF FLORIDA
COUNTY OF
mu:~~ Mcra N;1?~~
The following instrument was acknowledged before me thislO-tday ofJQ"u4"'(
who is personally known to me or who produced
, 2.002. , by &ikq At'\Ker".s1-(in
as identification.
After recording~ ~br~STRUCTION. I~
Name 1SQ11 U.S J01 . '=r
Address nod. Dllt:. FI 3.15?3 ~
Cuy
. ~. (. ,.:to-- ,.'
Notary Sienature
Name(print)
Title or rank
Serial number, if
i~~ut{~<1-
" (94
Commission No. CC954594