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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