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HomeMy WebLinkAbout04-2988 CITY OF ZEPHYRHlllS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2988 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 7,930.00 Date Issued: 4/22/2004 Name: NANCY KURLlN Total Fees: 70.00 Address: 5735 14TH ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 ~Qate Paid-=-_4/22/2004_.~_~_------1.____Phone: ...___.. _________ .... Work Desc: RE-ROOF 2988 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5735 14TH ST ZEPHYRHILLS, FL. Township: Range: Book: lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: -- -- ~. 1 ._ H____ ... _ .. REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 "Warning to owner:-Yourfailure torecord a notice of commencement may resultlnyourpaYlng 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. II - --------------CompletePlans;- Specifications ana-Fee Must Accorripariy-Appncation~- -- ---~---- - All "",<:>rks~11 be.performed in accorc!ancE! with Ci~_g>desan~.9-,"-djnan~~ NO OCCUPANCY BEFORE C.O. --- ...----- -...--- -----..'---...--,..-- -----._-----.-.__.._--- --------._-- ~ _ /" c.e~ ~ ~--~--. ~....._~..__..__.._--~_._._.._-~.~._. --. .__..._~.-. CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT MCI 3299 DATE RECEIVED ~ t2J.-o 1- PLANS REVIEW FEE OWNER'S NAME--.NOnCY K..u.r.J ,~ JOB ADDRESS 5735 ~ th Street PHONE g 13 783- aLl ao ZephyrbLJ1.s FL 335~2 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID It JJ~l~.~J-OOIIJ- 08,~()O -()% (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: (JNEW CONSTRUCTION o ADDITION o AL'l'ERA'l'I ON (J REPAIR (J INSTALL PROPOSED Os I GN USE:~GL FAMILY o COMHERCIAL DWELLING (J MOVE 0 DEMOLISH (1.. ROOFING") (JMUL'rI-FAMILY (J1t OF UNITS (J MOBILE HOME (J INDUSTRIAL o SWIMMING POOL o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE 22. SQS Shin~ Ie. z .<:;~S Flat' 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 $ l,c~ 30 . 00 VALUATION OF TOTAL CONSTRUCTION (J ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING (J MECHANICAL $ o GAS ~ROOFING (J SPECIALTY TYPE OF CONSTRUCTION: (J BLOCK VALUATION OF MECHANCIAL INSTALLATION (J OTHER (J FRAME (] STEEL (] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARI~D YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST It CITY PROCESSING It SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **********~******************************************************* MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** SIGNATURE KJf){//l COMPANY MILBAR <XJNSTRUcrION, INC. STATE CERT OR REGIST # acc 051562 CITY PROCESSING # 218 OTHER ***************************************************************** CONDITIONS 01" PERMIT AE'I"IDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject 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 ownec 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 l'aw, 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, 813-788-661l. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor SectionsH 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 pronuse in good faith to deliver it to the "owner" prior to conulIencement. 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 Ineet 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 "AH or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be subnlitted 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 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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER .2,500 VAL NOT NEED TO RECORD AND POST A "NO~' SIGNATURE: CONTRACTOR DAVID R. ABLA . STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged Before me this _ day of 19_ by DAVID R. ABLA (name of person acknowledged) ~ who is personally known to me, or STATE OF FLORIDA COUNTY OF 'l'he foregoing instrument was Before me this day of by DAVID R:-ABLA PASCO acknowledged 19 (name of person acknowledged) ~ho is personally known to me, or Name \Stamped Owho has produced (type of identification) and who Ddi~~oath Signature of PptiWRA ~~fA~9_ acknowledgment _.:\';~~ I' !\!ot:i\ If Pl!\JLc" :.~!kth) Ui r .;'. ;'; I i/I)/ c. "rnd;;;;'ur' L.xoin;s julv ",~ ". Name typed, pjr.::i!ntJed,rO-l;1 ~ftIF1~d Owho has produced (type of identification) and whoO did J21did not take an oath. . a4r:x:$44 Signature of per~on taking acknowledgement U.S. Intec Certified Platinum Installer #5204 ~ Jro-po-sa! 1 of 3 Pages ( Member of the Florida Roollng and Sheet Metal Association MilBar Construction Inc. Roofing. Concrete. Commercial. ResidenZal 15911 US Hwy. 301 North' Dade City, Florida 33523 c::>c 352/567-6047 · 800/562.2393 · FAX: 352/567-4454 State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RCOO55215 RCI Registered Roof Consultant #0149 PROPOSAL SUBMITTED TO PHONE DATE KURLIN, NANCY 813/783-2420 Joe NAME 03/16/04 STREET 5735 14TH STREET KURLIN RESIDENCE CITY. STATE and ZIP CODE ZEPHYRHILLS. FL 33542 ARCHITECT DATE OF PLANS JOe LOCATION 5735 14TH STREET Joe PHONE ZEPHYRHILLS, FL We hereby submit speciflC8tions and estimates for: SHINGLE AND FLAT RE-ROOF CUoesNoflocIurle '.losulaterl'.'riefaIRoof) A. SHINGLE ROOFING 1. Tear off and haul awaY~~l?e)Ci!3tillg thTee-IaY"l?TIIll?~Cil, !3~~llg~E" & wC1od. :r()()~~n~L systems; clean up work area daily. 2. ...... ...........--.......... .. . ~..~..:.~.i~:....... .:~..~............~.~.:~~:.~..~............::.:..........~...~............~...~..............::~~u~ :~:~.~:~~~:~::.ww. Prbvide a~d install new TANKO "Elit., ass-Seal AR" 25-year 3-tab algae-resistant fiberglass shingles; Owner to set shingle color from TANKa's standa;rd ...,.,.,...."................,....-...-.".........,..-----...-....-....".........,.,................'.".....-.--...-.....".......,..,--..._,.....,."...,.........---..."........ .........,.................".."......,...,...,..."..."......,.'''.,..-........,......."...-.-..--.-"......,........'.,...,..."...,..,.........,....-....,................,....-...,.........,..,.....".....-,-...-...."......., ....,--., COlOTS. Shingles have a 25-year limited warranty from TAMKO. ..... ,......._-,--'.......--,--. 3. 4. Replace all damaged (valley, vent, or any wall flashing). Provide and install new lead boots for the plumbing vents. 6. :3 ~ I rJP1 Provide and install new pre-finished aluminum ea~ed~.ipe~~~b~~~~). MilBar Construction, Inc. to provide 5-year warranty on workmanship; ex- c 1 u s ion s : l:l~()r:11l9~11l?9~!'!()Elt().l"t:l~11l~,9~9()De~Yw()~h~;rl:l! ...~!:~~t:l_~l1lc:lg~L!'lTlQ/g:r- structural damage to roof deck. 7. ~,t JropOfi,t hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: SEE PAGE THREE. dollars ($ ). Payment to be made as follows: 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 withdmwn by us if not accepted within 30 days. Date of Acceptanoe: , ~.c.ceptan.c.e of 'mroposal -The above prices, specifications and conditions are satisarctory and hereby accepted. You are authorized Signature to do the work as speci!" ed ayment ill be made as outlined above. Signature U.S. Intec Certified Platinum Installer #5204 ~ Jrllpnsa:l Page No. .::.. of :1 Pages ~. Member 'of the Florida Roofing and Sheet Metal AssociatIon MilBar Construction Inc. Roofing. Concrete. Commercial . Residen~al 15911 US Hwy. 301 North. Dade City, Florida 33523 c::>c 352/567-6047 · 800/562-2393 · FAX: 352/567-4454 State Certified Builder #CBC023221 State Certified Roofer .CCC051562 State Registered Roofer .RCOO55215 RCI Registered Roof Consultant 10149 PROPOSAL SUBMITTED TO PHONE DATE KURLIN, NANCY STREET 813/783-2420 03/16/04 5735 14TH STREET JOB NAME KURLIN RESIDENCE ZEPHYRHILLS, FL 33542 ARCHITECT DATE OF PLANS JOB LOCATION 5735 14TH STREET CITY. STATE and ZIP CODE JOB PHONE ZEPHYRHILLS, FL We heraby submit speciflC8tions and estimates for: B. FLAT ROOFING @ REAR Rear roof area current.iyhasmetal,shingIe;&voodroof:i.ng~ Bui.IdingCodes require flat roofinc:Jma~erialsonr()of!3rl?El13wi~hlessthan 2: 12 roof pitch. Therefore, to be in compliance with current Building Codes, we are quotingaflafroofing system. 1. 'Tear off and dispose oTt.he old t.hree::IayerroofingsysTem: 2. Provide and mechanic:aIiyfasten "a Firest.one.MB Hberglasshasesheefover 't.he ,p~y!()od deck pri.()I'~()t.hE?i.rls~!3llClt i()fI" of ttleFirl?l3t.()nero()~i.nQ membrane. 3. Pr,.Cly',i e!E'..,..". Cl fie! ,.",.i.,.J).~,t.,.Cl!!.."""NCl..""."'NJ)"':,!,.,.,,,Y,i.,I::,':13t.,.()"J),.E'..,..",."".~,.,~,,~. :.!..~,~.,.ww!.tl,i.t.E'.. '.'."w\1EClJ),~!E?,:13':lE~,.Cl,.'?,.E?,.,...".".,E() ()."~,.~,f1.~..,,.,., membrane which is a torch-applied fully-adhered modified bitumen roof system that is heat welded at t.hE?l3E?ClID13t.()f():rm()f1E?13hE?et.;Clflci()f~E?I'sCl.~irestone's12:year "Modified Bitumen Membrane Limited Product Warranty." ' '" ",'" " 4. All metal and concrete surfaces will be primed with an asphalt base primer prior , .",...t.(),i.J)13~!'l!!Clt.~9J),()!.t.~E'!:',!EE'13t.gflE',I',()9!!J)9w..'.'1,~'!'~!:Cl!~~~.. . .. .... .........w.... 5. Pr'ov il:lE'...Clrll:l.i:.ns;:t:.El~.1....f1E'~?~ga1l9E' . 9Cll.Yliifl~~el:lIDE't.CllE'El\'E'~Ei:P.. around the perimeter of the roof as needed. C. GENERAL CONDITIONS 1. Any rotten or damaged wood deck, fascia, trim, etc. replacement or re-nailing of t hee)(i.s;~Allg roof deck. ..!~g..b.E'.c:()'.'1P1E':t:E'd....()n....lii.c:()s :t::-plll13b.liis;~13Elb()\'E'....i3J)e! . .bE'y()n~... the contract price. ~e J1ropose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: SEE PAGE THREE. dollars ($ ). Payment to be made as follows: 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 interast. Owner to carry fire, tornado and other necessary insurance. Our workers ara fully covered by Workman's Compensation Insurance. Authorized Signature Note: This proposal may' be withdrawn by us if not accepted within 30 days. ~.c.c.epbtn.c.e .of 1ttrop.osnl -The above prices, specifications and conditions are satisf:rctory and hereby accepted. You are authorized Signature to do the work as specifl~r\~ment will be ~de as ~lIned above. Date of Acceptance: 'J-..UU./U' V\ L-<\- I "LCJfJ~ Signature U.S. Intec Certified Platinum Installer #5204 JroJiosal @ MilBar Construction Inc. Roofing. Concrete. Commercial . Reslden~al 15911 US Hwy. 301 North. Dade City, Florida 33523 <:::>c 352/567-6047 · 800/562-2393 · FAX: 352/567-4454 3 Pages 3 Page No. of Member of the Florida Roofing and Sheet Metal Association PROPOSAL SUBMITTED TO KURLIN, NANCY STREET State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RCOO55215 RCI Registered Roof Consultant #0149 PHONE DATE 813/783-2420 JOB NAME 03/16/04 5735 14TH STREET CITY. STATE and ZIP CODE KURLItt RESIDENCE JOB LOCATION ZEPHYRHILLS FL 33542 ARCHITECT 5735 14TH STREET DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: ZEPHYRHILLS, FL 4. .C1!~'l?r~9f':C(JV~~I?E1C1C1I?I::i3.!(J:C .1:f1?~~YI?~:Y,t:cucks to allow rooi~(JEI~i~lg/\l,:,loading for the entire roof area. ..........'..........,.....,....-..".."........--...." '.--....""......-.....,....--..."...,.........................".'...--..--.....".....-..........-.. Nil Bar Construction, Inc. to provide General Liability and Worker's Compensation Insurance (..!$?,fl!0flJJ.ifl!~:;~~;Nt;l..~.stt:14CJ!t:J;~...PI?~I11~~~N'3/~'ww"", ..... .......... OPTIONS .. ........................~...................................................~q..~~u3AL.......... ... ............. .......... ..1..~~rS:.g~<6f'!!~......................... ................................... 1. ShinQle Up-Grade. Provide and install new TANKO "Heritage 30 AR" 30-year 1.a l1linCited ... .di me(\l:liollCila~gCl(?__r(?sistCl~1:fibE?l'91ElselEl~~~g~(?el in lieu of T AMKO "Elite Glass-Seal AR" 25-year 3-tab fiberglass shingles. ADD $420.00 to!'!le con:tZ::Cl9!,p:rJ9E?~ .....So;(fit &. Fascia and GutterL. .' ...................w.w~.Ww.w'w.. -Provide and install 42 linear feet of pre-finished aluminum soffit & fascia and .. gutt~Ls . on....lo\f~~:-~nt..rcmc.~.....ro()f.ollly. -Owner to select color from standard colors. -ADD $860.00 to the contract rice. ~t Jropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: I ). dollars ($ :;. QOlfjl 0101 3. D. .....~ '-i ~. \\~ t'v~ .. .L 3. 15 ~~0 Attic Access -Provide and * P:rovicieClnd as possible. ...!I.hg......p!:i.c.~..........i.l:l...........!l..Cl.J?E?Q.....O(\w..Cl.w..~!-~m.Q.!=1.!:Q.....<!pp+.i.c.!=1t...i.QI"l.... Q!....c::.~...t..t.i.(\g .ClnQ...,EE?,~!EJ.yi(\g.elh.E?,E?t.!::og~... ceiling and wood blocking as needed. .. ... . - "Pi>~t.iIlElt""dC()I:Jt..()tl;lZ~~~~~.t.ot.tl(?c:()Jl:t:r-lilC.:tP:r-:ic::(? -If additional construction is required, the additional construction will be .c.QJl.lpl~:t~clClncl bJJ.,,l,E='qQ(\,:1C.9elJ::P,1,\Jel basis in addition to the Estimated Cost. Ladder ~..... install a pull-down attic access ladder. inelt.all t.ril1lmoldi(\9e:lilfH:ip13int to match .the......(?)(il:lti~9....ael...cJ.,0I3eJ.,y ------ -------- -- - --- Payment to be made as follows: Invoiced amounts not paid In accordance with the payment terms shall be considered delln. Authorized quenl and bear Interest at the rate of one and one-half percent per month. Owner agrees 10 Signature pay all costs Incurred. such as attorney fees, collector fees, court cosls, elc., for collection of delinquent Invoices Including Interest. Owner to carry fire, tornado and other necal8llry Note: This proposal may' be Insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us If not accepted within 30 days. j\.c.ctptan.ct of NroposaI -The above prices, specifications and conJltlons are satis?afctory and hereby accepted. You are authorized to do the work as spec I . Payment will be made as outlined above. \ L ' r Date of Acceptance: I Signature Signature . NOTICE OJ? COMMENCEMENT MCI # 3299 Pemtit No. Parcel I.D/FOLIO tUI- 1..(0 - ~ 1- DDI 0 - DR::jO{)- nOlo 11111111111111111111111111111111111I111111111111111111111111 2004071872 State of Florida County of PASCO Rcpt: 77!5815 DS: 0.00 04/22/04 Rec: 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 Statues, the following information is provided in this notice of commencement. JED PITTMAN~ PASCO COUNTY CLERK 04/22/04 110 : 02am 1 of 1 OR BK 5819 PG 728 I.Description of property (kgal description of property and address if available) 5735 14TH STREET Section II , Township 2h , Ranqe 21 ()/)/I) o/1EtJIJ 0010 ZEPHYRHILLS, FL 33542 2.General description of improvements SHINGLE AND FLAT RE-ROOF. 3.0wner information a)Name and address (1f\'N~y KUllL(1\) Sl'3::.S 1L{1} ~+. 'ZG?~r2.\"hLlr:. ,~L, ~~'SH0 . b)lnterest in property 100% c)Name and address of fee simple titleholder (if other then owner) 4.Contractor (name and address) MILBAR CONSTRUCTION, INC. / David R. Abla 15911 US 301, DADE CITY, FL 33523 5.Surety a)Name and address b)Amount of bond 6.Lcnder (name and address) 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( I )(a)(7), Florida Statues. Name and address 8.In addition to him or herself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 7 13.13(1 )(b), Florida Statues. 9.Expiration date of notice of conunencement from the date of recording unless a different date is specified). (the expiration date is one year STATE OF FLORIDA COUNTY OF PASCO OWNER I S SIGNA'IURE PRINTED NAME & 'fITLE -4~I~ ~~.'~l~~ TIle followin instrument was ack.nowledged before me thim.day of~Pb6~, by Nan~ ~hn who is rsonally:;lmown 0 me or who produced . as identification. After recording, retu[!! to: Name MILBAR CONS'rRUCTION, INC. Address 15911 US, 301 ,'j .;. City DADE CI'Tyi; --Pf:.. 3-3-5 ~ 3 "". ~ " I'll APR-22-2004 07:42 PM P.02 '.r . ~.,. ":.. I.~ ., "J.:' >>~LlCAT:tOJr I'Ol\ nNCIT C~TX or ...axMRILLa aUILDlwca D.~AI\'I.'MII:WT MCI 3299 DAB gal"" PIMa MVIn .... PARCEL ID .. SUBDIVISION OWNER'S NAME JOB ADDRESS WORK PROPSED= o ADDITION o ALTERA'f I ON o REPAIR o INSTALL I"KUI"USl!:U o MOVE 0 DEMOLISH (j. ~N0 DMuL'n-JrAMILY 0" Of' UNITS 0 MOBILE HOME o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF BUILDING SIZE SQUARE roOTAGE f\SSIDmNTIAL: COMMBRCIAL: , i 1;(21 PLOT PLAN~ & (2) ~ST~ OF DUILDING ~LANS & (11 SET ENERGY FORMS. .1 ! (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. .. SURVET 1\EQUIRI!:D FOR ALL NEW CONSTRUCTION. 'PERMITS REQUESTED o BUILDING VALUA'fION OF TOTAL CONSTRUCTION o ELECTRICAL . AMP SERVICE o FLORIDA POWER o W.R.E.~~ o FLUMBING o MI!lCHANlCAL o GAS )J{ ROOFING . TU'E OF $ .1 I , ! VALUATION OF MECHANCIAL INSTALLATION D OTHER o t..HAA.Ilt o ::rn;I!iL o U..l.I....E~ IS PROJECT IN FLOOD ZONE MEAD YES O. NO . i .UILDD , , .. COMPANY: .. - , .' , STATE CERT OR RBGIST It r , SlQNATURE I CITY PROCESSING It ***.******.....................*..*........*.*.*......."'. BLBCTlUCID .A<:":~!i~N~TU~~~.,._ . . '_"_M_._ ..".....~H .. COMPANY. , STATE CERT OR REGIST # . __.._...... .,...._ C.!~.!. P.~g~E~~~tI.~__.~_ .. " ~~-.ll~' H H ~_ " *..** : " ..,: . . :~..*.* "'. *,***..... .'...."'.. ...... ... tIl-*......* .**...". .'... *....".. i 'i~"':" . . ".. ' .' . \- ~LVM8IIR SIGNATURE i , , I . i ~ COMPANY STATE CERT OR REGIST ff CITY PROCESSING * ............. I . ! ; I , t: ..~.~.............................*...*.***..*..."........ _CIlARICAL : I COMPANY- STATE CERT OR REGIST * CITY PROCESSING "- SIGNATURE I . '.: i. ! : I. . . . ..... .' .....*......................*."..".........................* , . , SIGNATURE ,"'.;,' I ,. . ..*;".,,' '., ...".".".... .... ........... .... * ..." **..... ...."........". ... ...... , COMPANY MILBl\R ~crlOO, INC. STATE CERT OR REGIST # COC 051562 CITY PROCESSING" 218~ '. OTBJ\ APR-22-2004 07:44 PM '. I J I CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF nRR ~'t'RtC'J'tONS Th. under.iqned u standa that this pe~t may be subject to ~deed restrictions" which may be more restrve than City regulations. The undersigned as.ume. responsibility for eomplianc. with applicable deed restrictions. B. UNLICENSED CO CTORS AND CONTRACTOR RESPONSIBILITIES If the ownef has~ d a contractor or contractprs to u~dertake wo~k.theymay be required to be licensed. In. ardance with state and local regulations. If the contractor 1s not licensed as requi by 1,.,.." both the owner and contractor may be cited fOIr 'a misdemeanor violation under s .,\ 'law. If the owner or intended contractor are uncertain as to what licensing requir . may apply for the intended work, they are advised to contact the City of Zephyrhil : uilding Department, 813-788-6611. , Furthermore, if t I wner ha.'hired a cont~.ctor or contracto~.,he 1s advised to have the eontraetor(s) s1g : rtions of the ~Contract~r SectionsM of this application for which they will be responsib~i If you, asth. owner signs 8S the contractor, you are indicating that yuu, c.l.heu: LInin 1 .; l;UUl.LUl;!.;O.a:, Cl.a:e .r:elllpona1.bl.e fOI: the wOl:k. If the contJ:actoJ: wi_hilUS you to 81gn as .co '.' ~etor ,.tl}.at may be an indication that he 1s not properly licensed and is not entitled top . "tting privileges 1n the City of Zephyrhills.. . C. TRANSPORTATIO PACT FEES ~D UTILITY CONNECTION FEES D. CONSTRUCTUION IN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, :~ applicant, have been provided with a copy of -Florida's Construction lien Law - Homeew ' ':' s Protection GuideN prepared by the Florida Department of Agriculture and Consumer Afta k: .:. If the app1.1cant 1s 8omeone' other that the "owner", I cer1.ry that I have obtained a c i t of the above described document and promise in good faith to deliver it to the ~ownerN .j or to commencement. . E. CONTJUl..CTOR' 51 R' 9 AFrIPAVIT I .. I certify that a1 ! ~e infor~tiQn ~~ this application 1s accurate and that all work will be done in compli Pi' with all applicable laws regulating construction, zoning, and land developmen t. i i. Application i. he~' made to 9btain a permit to do work and installation a. indicated. I certify that no ~ ~ ' or installation has commenced prior, to issuance of a permit and that all work will be . ~ I .formed to meet standards of all law. regulating eon.truct1on, City codes, zoning reg ~.tions, and land development ~egulMtions in tho juri3diction. I alao certify that I un ~ :.stand that the regulations of other governmental agencies may apply to the intended work I nd that it i8 my responsibility to identify what actions I must take to be in compliance. j '\lch agencies include but are not limited to: .*Department of Environmental Reg ~'tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wast w:'ter Treatment "'Southwest Florid: . .atar Manaqement District-Wells, Cypress Bayheads, Wetland AJ:eas, A!.telo:J.l1g Wcltl1:J:COU :s \ III . , " *Army Corps of En ,i.::eers-Seawalls, Docks, Navigable Waterways *Department ot He :1 'h , Rehabilitative SerVices, Environmental Health Unit-Wells, Wastewater Treat' ., Septic Tank. *U.s. Environment ili:Protection Aqency-Asbestos abatement , ,. I also certify .th ,tiff fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a ~: ainage plan addressing a "compe~~atinq volume" will be submitted which 1S prepared by a :r;:fess1onal eng1neer registered ~h the State o~ Florida prior to permit issuance. , I . A permit is.ued . ia'l be cons~.rued to be a license to proceed with the work and not as Au~hority to ViOl~::, cancel, alter. or set aside any provisions o~ the technioal oodes, nor shall issuanc, 'f a permit prevent the Building Official from thereafter requiring a correction of err.:r in plans, construction, or violations of any code. Every pennit issued shall beco : i,invalid unle.. the work authorized by such permit 1s commenced within six months of i... '.,ee, or if work authorized by the permit is suspended or abandoned for a period of six mon . after the time the work is commenced. One 90 day extension of t~e may be allowed fo' :he permit with tee charge of $15.00. The extension shall be ~equest.d ilt wl:i.~!n9 to the' :8: :ild.ing O:ff.iciDl. An QPp.roved inspection D\Uat be logged du:a:1.ng each llI1.x month period, or :h' project will be considered abandoned. WARNING TO OWNER: i . OUR FAILU~E TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICI!: FOR H ROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDIR : :R:', ATTORNEY BEFORE RECORJ}ING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE '" T NEED TO RtCORD AND POST A "NOTICE MM_, ENTM. L.,;L.. ..,'....,....-....,,'. ., ......... .- .,',," .. ..~_. ...,. P.03 . \ .;0 ABLA . ; I STATE or FLORlnA. .~. :, COUNTY OF . . CO The foregoing in.. r" ent was acknowledged 8erore me this I . : :day ot ~r'" , ~~ by ". 'laf (name of per. '0: acknowledged) JA'- who i R (lfi'lr5l0hJl h". knnwn t-.n mA, nr [ '1 CJ who has produc 'd~ i .! ' type of 1d!Bntification) d Idi!not take an oath. - STATE OF FLORIDA COUNTY OF The:tore~oing instrument w~knowledged 8etore me thJ.1!J ...z....L..day of , n4lVr by DAVID R~ ~ (name of person acknowledqed) ~ho 18 p~r8onally known to me, or PASCO acknowledg_nt Owho has produced (type of identification) and who Dd~:., ~id ~~t.,.take an oath ~..."-. 3ignatu~e of peJ:~on taking acknowledgment Name :'.1;,. OLIVIA A. Lov\':n ! b~rSt't n My COmml&9lon eXplffll JU ze, :!OO-l Commission No. C0954594 . " Mtm..-d '. n EllplrQs July 28, 2604 n: 0.OCH4H4 .! :i Name tvp~'_ APR-22-2004 07:45 PM 'I r i "I Jt~~?''''':, \>"" !! P.04 ......~.,.... RooIIng - ...... .wa*," ! :1 U.L ...... [ : i PtaUnunt : I IU04 'i :: ,! Jr.ttpnsal " ~ Mil~_~!!~.2!!~lnc. . 15911 US Hwy.301 North. Dade CIty, FlorIda 33523 C>c 352/567-6047 · 8001582-2393 · FAX: 3521567-4454 1 3 P-oee ..~ " d ..... cet1IfIM ......... tcBCf.lUlI ..... CIrtlfted RoofwtcCCOl,. ..... ,...11'1_ JIoGIlIr IRCOOII21I RCI Rl....'1I1C1 Roof COneubnt 10141 lONE Mn!. KURLIN, NANCY 8TRI!ET 5735 14TH STRE crTY. 81\lII'E 8ftd D' CODe ZEPHYRHILLS, MCHlTE(;T FL i i ;! i 3542 813/1&3~242e .lO8 tWoI!! KURLIR RESIDENCE JOB I..OCRJON . 5733 14TH STREET 03/16/14 !l, !; DIVE (7 PLAN8 JOI~ 2EPHYRHILLS. FL We ~ III1IImII tw: :1 !.... .t" _SHINGLE AND FLAT RE-1tODF . '. . ... (Olll!.' lot. IDOIUCIeT....1.tect-IIR.1 li'O'fr--------- ". ".!...:..,;...,...,.,. ! !. "";.'".........................."...................................................."........."".,.".,."......................................-..................."..............'''"..''...,.,.....,.. '1 A. 1. .~_~...!!:~l .._!l._t_~e_!~i.~~~.....~.~!'..!!.:l.l.!:.....~~_!!! _.shingle.l.....~._!Qod t:'o~fi~ cl..n up work area daily. . i '. "... .... ....... .... .... '................_............................... .............. ...... ....... ........._.... ......" ".... ,.w', ...... ...... ........_.......... ......,.......................... ......... ..... ............... ..........._................. ....... ..,....." ".................... ........... :: Pr . ii, - 1_.11 new 15 Ib"! ..~t....t.ed :1t ..._" ______l~:1:~.~..:i~7" ;~=~~~~ _ ~1~~Ii.O~:;..~,,~to~.~~~~;l:.-::: 001; . Shingles have a 2S-y..r M1ted warr.nty frOM TAKKO. [ --i:-.-"......R.p.- --'-err-d...ged fl..hing.-..rv.1I;y;-y.nt~~.or'..ny..-w.n :flashing). , ~, 5. PrD :i~' .nd in.tall Mn;;;- le-adb'Oots for the- P1U.bing-v;ntS:-~ a' fJVC1 -- .....................,...........6':................~Q 'i;.....iind...ln.t:.Ii""..n;;.'...pr.=iini.il;(f...al"u.inu......av4!dr.ip...~.oi.....b;:o.;n.)..:.......,.................... ,I ---.',,,-...--. 7 . ---Mil .. Const.ruc:t.ion:-Inc:-'toprovide -S-=ynr-'nrranty.'on--;ork..nehi P J ex ':--..-.-..-'- ""_'M"'~_,____,_ c.l 'f nBS ~orM d...get..._.!'..2.f~.....QL9!!!Y. doft. b.l... oth!!,.!I.t. t.r.. da.ag.~ and/or &tr.. ,.ural d..age-to roof deck'; ..................-.... ............ ......,................................ . ..: r............-..,...... ..................... ._............ ....... ........ ......................... ....... ....... ......, ...................................\,.. ............." ".,,', "., .........,... ......."....,...... ............................................. ...................................., ....... ..... "................. "... i ~ .: ~ JrPpJJJe I:" SEE PAGE TNI . I ~1o"mllde. I to furnish material and labor - complete In accordance with above specIfiCatIons, for the sum of: dCII\aN ($ ). IrMIIoed .... naI p_Un .-nt Mod ~.,.,.. ...... ~ .. _1ncllI'NcI. IUCI'I . d """1rMIIc8I Ir---. 0......... will lie,.............. be~ d8IIn- .- - -..MII.--. per--*,. 0--.-.. ,.... coIIIaIDr..... ~ ~ &. fllr ooIIIclIIon Owner \0 CIIIWY'" klmlIdo lIl'ld .... '*-Ie/)' brWorlarwra CClI'''I*~ lnMnnoe. AuIhorlzltd ~ Noee: TNa IlRlDOIIlIllll\V be ~ byua. noi~ wIIhIn 30 AttflIbm..-nf .~d~;; ad to do the WIIIk _ DIlle of ~.. SIgnature , s~ 4",: ....~ .r ~' APR-22-2004 07:46 PM .1 i ;1 " ,\ P.05 .. .p ;; :i ,I . I i -I 'rapa.aI ~ MII'!!!.22t'~!~~lnc. 15911 US Hwy. 301 NOr1h. oaae CIty, FIorlCIa 33523 C> 3521567-6047 · 8001562-2393 · FAX: 352f587-4454 P.o- No.. 2 ~ 3 ~ U.$.1DI8O ......... -- ..... CIrtIIIecI 1uIIdIr~..fJ __ c:.rtIfIlId RooIIr 1CCCOI1. ..... ......lIIM IIIoofIII' .RCClGIII1. RCI ....11111 tel Roof eor.un.nt..... l5UIIMf1"Ta) TO , ,I ,i 813/783-2420 JOIIIUMI IURLIN RESIDENCE 0108 LOCATIClN ~73~ 14TH STREET 03/16/14 KURLIN, HANCY 8TAIE1' I . 5735 14TH STRf:1 . em: STA11! 8nd 'ZJff' CODE . ZEPHYRHILLS, FL i "3542 AACHrTECT DIlFE OF PI.AH8 JCl8 PHONI! ZEPHYRHILLS, F'L W6 hetoby oubrnIt ....-.- tor: _e. .1tBAIl. .. . '. ".'1" r.~ ,.. aU1"'t'..nUy h..-.;:t:.l. .hingl.;-&'wo-od roo~liftg:- LildinG Clli~!'Oq " flat roof l. ..terials on roo! ere.. with 1... than 2:12 roof pitch. Therefore, to be '.....-.......-........"'.In.....co.P!l !-'. ..........vIH1....c\..rr.nt...BuildIng.....COd"~-.....w...".i.""q\ioti"n'g"'8""fla't""'roof1"rigm"8y'.t..'~".........."...... I :1 I ' ff .ncf'di.pORof-thi" old-t.hrM-lay.r-roofing sYst.a:-'------------- ,l : --'---~-"---'P;:e:'1 .--...iid-...IeC.il.ii1"c.l'l'y.."i..."ieo........"F:Lre.to.n-.-lijr..t1bi'i-glais base ebMt. OV~ t. . "........,......-,-.,..,.'''..._......,.._...P.!, .. . ' .~L.~~,~.....p.!.!~!:._~~,...~.~,!.,.,~.~.!~.!!_~.~.~~..~.~.,..~.!.....!:.~!.....~.~~!~.!:~~_!._,:r._~_~~.~!!f.__.~_~~~.~~!~..._....._....._...._ i :' 3. PI" : If and inst.all 8 new Firestone APP~lee whit.e Rranule-8ur:fao~~:f1ni .... . n. which i. . torch-appliR fully-.dh.~ .odi:fied bi tu..n roof 1I)'.t... that I . _..,......_,.__..........--,......-..._,.~~- ".. 1;_!~~_c!~..~!_~~~_.~.~~....~9.....~9.r.1,!l....~~!._~llltet. J _~bd rl!.~;f~..!..J:~~ton!.:~. 12:lear .. : ied Bitu..n "..brane Li.ited Product Varranty.. I :1 I -~---Ail: ..1 .'nd C1DftClrttt.. .ur:f";;;;-';i"iTb;---p;'-:liOd-';ith"-an'uph.i~-b."i.;-.'pr[_r-pJ":lor'~ to . ~ t.llatioR 01 the Fire8tone r~.!!Q...!!t.bran... ~ .. l' I' . _..-....__...__...,...-.._..~!......_._....__.~!? .~~ -!..-!~~....~~!.!.!...~..!.._.~~.....g~~.g.!..._g.!.!!.~.~.!~~...~~.!.;'....~!.Y~~,~P...!!.~~~~...,,:.t:.~,!..,,_,....._."'....,.....,...,__.. per .1' of t~ roof as needed. ---------..--'.......-~...,.-.._.......,..--'''''''"_..._......'''".......'_...,..,_.........,,,Ww....,.......'"""_w........--.,_...........__......,'.........,.._...........__......___--......__~...."......__.....,...""..'M '.......---...................--..-- '. !. .. --oJ..... tten-br "da'MaCied wood deck, 1'aacs1a, trt., etc.. NPlace..nt or re-na;LUag ot. . ...._.-..-.--_............-....._....-...---....~-' :!..-. ~-~.~.~g....,r.~.~.='-._..g~~....!~.!..J.......~...~~.'!I.P~.~~.~....~~.....~......~,~!:!=:.::::p.,~.!:!!....,~!.!!!.....!.~.~!.!,....!.m~.....,!!y..9.~~..... the- ! ntraot prioe. r ' I IrMII8ecIII'IICU'llI flOt _ ... I C1UIflt IInd .... ~.... . PIlr .. CIOID 1ncuNcI. IUCItI . cI~ Inldoee ---. Our.,.... to furnish material and labor - complete In accordance with abOve 8peclf1catjona, for the sum or: dol.. (t ). ...........".."..... be ~ deIIn- Authortzed ' ON Md -.w D8lllInt... monIh. Owner __ to S!gnatuNo _. ____ ..... ............ out -. ... fDr GGIIIaIIon Owner to CllIny lh. tDrMCIo n other 1le(1" J ry Nal8: ThIs pmpaetII "'-Y be tJ,~ CoqIeJlIlolIMIlnuw1cI. wlIhdIawn by... not~ wIIhln 38 .l. ~r7n"n'J"e Df ~d~;;;;=.. to do ..... wortt as SIgnature Drdeof~ SIgnature . .' I.' APR-22-2004 07:48 PM P.06 .......'01 III . Aooftnt .. :1 I 'ropuBal ~ MII~.~.~L~L.lnC. 15911 US Hwy.301 North · Dade ~ Florida 33623 C> 3521587<<>47 · 8001582-2393 · FAX: 3521567-4454 Page No. :) t:A 3 "... .a,..)"'f :;-"" " ~. ' u.a. .... "-tInum fII04 ,t' ;, ,: .... CIrWIM BuIlder ICICMMa1 .... c.ratIed RoofwCCCOl1111 ..... .......... IIooW IRC8a&II1I ReI A'.'''.," Roof eon.an.nt..... ; ~ KURLIN NANCY. 8TI&'l' . . 5735 14TH STRE aTY. $WI! Ind Z1P~ ZEPHYRHILLS AACHmiCT . ~ :! PHONE ~ I 813/7sa-242e JOII NAME 83/16/84 KURLIN RESIDENCE .IOD LOORION 5735 14TH STREET .lO8~ We ""*' MrnII ZEPHYRHIl.LS FL .. ,. O!:i.~~_tQl' d.!!!!!.!!'y ~_UC"R. t.a ..Uo.. :r.?M 1!)ad1I\Clhanl~:l.ng... .__ Itntire roof 81:'&8. '1 " 3. Construct.ion. Inc. to provid. Bltner.l LiabUit,y .tIld Worker'sa Co.pen...t::L'o'n'" ..'-._-_..~...., :' ce (.2.1.~7 11~~,~~d f!:i!!-~!-~ftt.it:...,_._~__,_,__,._.__,_,__._ ..J). ... ...PPTIOIS ~~____ I : i_...____'____._.__...~~__.:..___q_.~'!:~ ~.k.L_~-~.......-._--~~-~~~5~ ______._.___ 1."" - rd. Provide and install n." 11&"KO ItH.ritagtt 38 Aft- 3t-ynr' ~,."_._".,,.,.,tii- 'c. !'~;~~=i;?f"~i~~"'2~~.:::;~j!t-:h~.~tb!r~i;.gs~'~i';;~~~~!~tm'!!\.--...!.~.~..._,~.!,w",!~~~9..._ . I . ~.. to t.b. contrac~ ~r1(le.t.__.. __'__._ ____ ~_'''''''''''''''''''''''''''''''''''''~'M''_-'''_''''''''-""""____"""""",_,___,,,,,,,,,,,,,,,,,,-,,,,,,,,,"""'^""._........._._.......__ .. .....,.,...-..,....._....--..............- and install a pull-down attic ac~s. l.dder. ~I.~~,l~.... tri,!._.!!.~:l:~in.5l!.....~~~.....P.!!.~~......t-~,.!8~9.~....!h!....!xil!.t~~_~~~~.~!!!,r.. sible. g~ ~. bll'ln QA...I .t'''~.Jrd._appl1cat.iB!L9.f cutting and r..ovinS sbeetrack 9 and wood 'blocking as n..aed. . ..t.ed.....Co8t-...Af....I1.'-tI.........tQ..,:U,.....~~.....K.~~~".,.....,""....,,..,....__....__.....___.............................__..........._........-..._," . itional construction 18 r.quiredt the additional construction "ill be ~-..J-ng--b..U.-J..!tcLmLL..Q.Ql.bl~@._..~.jti@.J,lL._adl!!lli.!t_'!;..~_....~~!'t_EIIt1_t.._l!.,f:~_~~_ '......-.....---................-.......,.....--...-.......-......... -and inatall 42 Hneer f..t of pre-fint.hed alu.inu. sof:fit & f.sciL.,....d ... ..... ........... ,.............--................... ......, ,..... ............., ,........... ..,......-................ ......... ............................ ,....., to furnish material and labor - complete In illCCOrdiInc;e wlth IIbov8 specIfIcaUone, tor the sum of: ------------------------- doIara($ ~J QDlDl la9 ). --- ~OlOtp8ld.... quent 8nd beM'rrw..t.... pay .. ClO8la Inourred. euatl_ 01 dllInquerIt .....1rIclIudInQ ~0ur---"1UIl! wIlh ... .............. ... be cOflIIJ... .... Ml-.... percent Perl'llGnt1. Owner ~ 10 ..... ClIIllce8r..... court ... .., _ ooIlealIon Owner 10 0My 1M, eam.dllllnd Oltler '*-8IY brW'l:lll~,_'" eon..lMIIcwllnllaMc8. Aulhoriqd SIgnature Note: ThIa PRlIlOMI nl8y b8 wIItlG...., bv..1 not ~ wIbn 30 ll'1"Md)ft1'.-.llf ~~=ntI. to do the WCIIk .. SIgnature S/gnatu,. ~. :: ~:'