HomeMy WebLinkAbout02-1390
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
1390
(813) 780-0020
Date
8:- 8-- 0:(
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
P'opertv Ow..., ~'1 s 4 S S"-~
Job Address: 7.:2SI IJro>";1 !J.A17 ~ .
Parcel 1.0. /I
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Ener~
"Re -
Radon Gas:
FINAL
- 0 "2-
DATE
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.
Inspector
t;2/f)
Perm;' F.~"
)os;.n.tur. _ CULt1!o
Company
Address
~
Valuation or /} U9 t;'
Contract Price ,.( I I. I
" i9"'O
City license Registration #
State Certified license#
eoo '?fop ;,~?~
sS-; '"''0 7 ~ () L/ 7
...,.;JJelephone #
;ni I ~NV' t ~.
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Com pre
Final
BUilDING
ELECTRICAL
PLUMBING
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 2961
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME MARY SASSAMAN PHONE 813/782-6457
JOB ADDRESS 7251 APPLEGATE DRIVE, ZEPHYRHILLS, PI. (ALPHA VILLAGE)
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID n 35'" d5-aI- l)(6D - (.;0000 - ()/ DO (OBTAIN FRQM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEWCONSTRUCTION [JADDITION [JALTERATION [J REPAIR [J INSTALL
DSIGN o MOVE 0 DEMOLISH eRE-ROOF -=>
PROPOSED USE:t9SGL FAMILY DWELLING DMULTI-FAMILY On OF UNI'rS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
SHINGLE RE-RooF
(22 SQS)
BUILDING SIZE
SQUARE FOOTAGE 2200
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
o BUILDING
$ 2,499.99
VALUATION OF TOTAL CONSTRUCTION
[J 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
o OTHER
'l'YPE OF CONSTRuc'nON: [] BLOCK
[] FRAME
[] STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST n
CITY PROCESSING ff
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING n
SIGNATURE
******************************************************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
***********.*******************************************************
MECHANICAL
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING # 218
SIGNATURE
*****************************************************************
OTHER ROOFING ~
SIGNATURE ~ )~
COMPANY MILBAR CXl\fSTRUcrIOO. INC.
STATE CERT OR REGIST # acc 051562 / DAVID R. ABLA
CITY PROCESSING # 218
*****************************************************************
(..';.1...),'.\1 .1) .I~ '.\.\}~ U\!:3 (J .I~' ;"! J~.~~~~,_I_ '.f: A.~',~'L ,'.)/\ V ~'~ ',':
A." NOT1CE OF DEED RESTRICTIONS
The undersigned understands that this permit n~y be subject to "deed restrictions" which
may be more restrictive than City r.~qulations. The undersiqned assumes responsibility for
compliance with any applicable deed :c.~stricti'::Hls.
B. UNLICENSED CONTRACTORS AND CONTHi\CTOR R~SE'ON:::UHLI'l'IES
I f the owner has hired a contractor o;c cont ra:::t'ors to undertake work, they may be required
to be licensed in accordance with state and local regulatiolls. If the contractor is not
licensed as .required by law, both the owne.r and contractor may be cited for a misdemeanor
violation under state law. If thE! OHneI: or intended contractor are uncertain as to what
licensing requirements may apply for the in'tended work, they are advised to contact the
City of Zephy.rhills Building Department, 813-788-6611.
Furthermore, if the owner has hired "I contracto.r or cont.ractors, 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 STATU'fES, 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 conunencemE~nt.
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 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 addrl~ssing 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 peD~t 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 perI~t is conunenced 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 COMMENCEMENT. JOBS UNDER
$2, 500 I=OT NEED TO ~ECORD AND POST A "NOTICE OF /COMMENCEMEN'l'''.
~~ !/~~.
SIGNATURE: OWNER OR"AG NT SIGNATURE: CONTRACTO
STATE OF FLORIDA
COUNTY OF PASm
The foregoing instrument was acknowledged
Before me this ---8- day O~"'L , ~ b}.JL
by \J~~<...~ 'L VV\\- ~
(name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA
COUNTY OF PASm
The foregoing instrument was acknowled~~~
Before me tPis ~day of At...) , -N'- z.u~t...
by ~~t-Jll": I ~lL.nr.J
(name of person acknowledged)
K1ho is personally known to me, or
o who has produced
(type of identificati?n)
and whoD did GQdid not take an oath.
{)~dth~:zr
Signature of person taking acknowledgement
Owho has produced
(type of identification)
and. who Ddid /~id not take an oath
(j/ -1h.4 d4'JZlT"
Signature of person taking acknowledgment
OLIVIA A. LOVETT
M:; eW~n'i!~I""I1Ii~OO4
Commission No. CC954594
Name
Name
-- JrllPllSal c==
@ 1 m 2
-=:---=::-===:,~:~.--".- -.=--~-~:~
2, 9<.. State Certified
Pages
~.
Member of the Florida
~
I Roofing and Sheet Metal \ Builder #CBC023221
Association [si MilBar Construction Inc. State Certified
Roofer #CCC051562
U.S. Intec Certified Roofing. Concrete. Commercial . Residen~al State Registered
Platinum Installer 15911 US Hwy. 301 North. Dade City, Florida 33523 <> Roofer #RC0055215
#5204 RCI Registered
352/567-6047 . 800/562-2393 . FAX: 352/567-4454 Roof Consultant #0149
PROPOSAL SUBMITTED TO PHONE I DATE
SASSAMAN. MARY 813/782-6457 07/01/02
STREET JOB NAME
I P.O. BOX 1972 SASSAMAN RESIDENCE
CITY, STATE and ZIP CODE JOB LOCATION ALPHA VILLAGE
I
ZEPHYRHILLS. FL 33539 7251 APPLEGATE DRIVE
ARCHITECT I DATE OF PLANS _J: PHONE
ZEPHYRHILLS, FLORIDA
submit specifications and estimates for: -=-----==-- --=
We hereb
II
11
y
SHINGLE RE-ROOF
1. Tear off and haul away existing one-layer shingle roofing system.
2. Provide and install new 15 lb. saturated felt paper.
3. Provide and install new GAF "Royal Sovereign" 25-year 3-tab fungus-resistant
fiberglass shingles; Owner to select shingle color from GAF's standard colors.
Shingles have a 25-year 11mited warranty from GAF.
4. Replace all damaged flashirigs (valley, vent, or any wall flashing).
5. Provide and install new lead boots for the plumbing vents.
6. Provide and install new pre-finished aluminum eavedrip (white or brown).
7. The existing gutter system is to remain in place
8.
Any rotten or damaged wood deck,
re-nailing of the existing roof
and beyond the contract price.
and material. )
fascia, trim, framing, etc. replacement or
deck will be completed on a cost-plus basis above
($50.00 per 1/2"x4'x8' sheet of plywood used, labor
9. MilBar Construction, Inc. to provide 5-year warranty on workmanship; exclusions:
storm damage, work done or damage by others, tree damage, and/or structural damage
to roof deck.
I______------~ ___
r~------ - --=-~_==,=::=:c-:=_=-----
i ~t Jropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
I SEE PAGE TWO. dollars ($ ).
Payment to be made as follows:
II 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
Ii of delinquent invoices including interest. Owner to carry fire, tornado and other necessary
~ insurance. Our workers are fully covered by Workman's Compensation Insurance.
-r--
[I' / J\.c.c.ephtn.c.e of Jtoposal - The above prices, specifications
I and conditions are satisfactory and hereby accepted. You are authorized
I[ to do the work as specified. Payme~t rill bl made as outlined above.
~> Date of Acceptance: 1/L Ei. /O,J........
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
30
days.
Signature
_J
1JU~~ :r~~=~l
.//
Signature
U.S. Intec Certified
Platinum Installer
#5204
~
MilBar Construction Inc.
Roofing. Concrete. Commercial. Residen3al
15911 US Hwy. 301 North · Dade City, Florida 33523 <::>c
352/567-6047 · 800/562-2393 · FAX: 352/567-4454
2 2
, 1 Page No. of
r rtp rt1'2: "" =-~~~~-~~- --------~---
4.J 4J.""" ~------~-_..-------~----~--
State Certified
Builder #CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
Pages
,//
Member of the Florida
Roofing and Sheet Metal
Association
I PROPOSAL SUBMITTED TO
SASSAMAN, MARY
STREET
PHON~ - -. '," . ~ '
8131782;"6457
DATE
07/01/02
JOB NAME
P.O. BOX 1972
CITY, STATE and ZIP CODE
SASSAMAN RESIDENCE
JOB LOCATION ALPHA VILLAGE
7251 APPLEGATE DRIVE
ZEPHYRHILLS FL 33539
ARCHITECT DATE OF PLANS
JOB PHONE
I
I
I
I
-----c-=-_c====:.~c:cc I
ZEPHYRHILLS, FLORIDA
We hereby submit specifications and estimates for:
10. Owner to provide access to roof for delivery truck for loading/unloading for roofing
materials.
11. MilBar Construction, Inc. to provide General Liability and Worker's Compensation
Insurance ($2,000,000 limit) and re-roofing permit.
12. OPTION.
~ RidQe Vent. Provide and cut-in 40 l.f. of new pre-finished aluminum ridge
(~ vent. ADD 9120.00 to the contract price.
/~ \,/, ~I
0fl~1fh
_____~J
_ ~ .______n_____~
~e JIrnpnse hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
TWO THOUSAND THREE HUNDRED EIGHTY-NINE AND 50/100 ------------- dollars ($ 2 ).
Payment to be made as follows:
P N COMPLETION.
I
I
.~
~
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
r
j\cceptan.ce .of Jr.op.o5aI - The above prices, specifications
and conditions are satisfactory and hereby accepted. You are authorized
to do the work as specified. Payment will b~7 ~Utlined above.
Date of Acceptance: ~ '..5' - .
I
Signature
'7JUur l.
( (/
II
30 days. II
z-:-c~-~\
.4huJ JJ
/'
Note: This proposal may be
withdrawn by us if not accepted within
Signature