HomeMy WebLinkAbout04-2989
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2989
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 3,700.00
Date Issued: 4/22/2004 Name: DELBERT & JANET WATSON
Total Fees: 50.00 Address: 5101 5TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
___Rate Paid: 4/22/2_00~______..L_Phone: ___________ ______
Work Desc: RE-ROOF
2989
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5101 5TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
j
I
--~~---------~---_...__-----l-._____.___.____..~___,_____.__.____._._______________
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
.I~_ paY/'11~nt o(i.nsp~ct.l~~ee~hall be n:!.C!.~~ befor~C!.f!Y further permits will be. issued t~tI1e pers.Qn owning same .
"Warning to owner: Your failure to record a notice of commencement may result in your paYlngtWice-for--- -
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
-----------------tompletePlans, Specif'icati6-nsand FeeMust Accompany Application:----- --- -----
--- __~n.Y"~~k ~hCillE.e_.Perfq...me<!.!n acc~<:l~nce wit~..fityCodes~nd Ordina.r!.c_~__ _____ ____
NO OCCUPANCY BEFORE C.O. .
---- ---- ----.._---- --._--.._--------- --.--..------..... ----------.-.-.. '.-----.-------- ..--.--------- ---- --.-.__._~._"---~_._---,--_..__...._._-------------
. -"'~ ~CT'-S~--'" ~MIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRRILLS
BUILDING DEPARTMENT
MCI 3296
DATE RECEIVED f- c:23-() 'f
PLANS REVIEW FEE .
OWNER'S NAME~ nnwanpt Watson
JOB ADDRESS 5\D\ 5+h ~~t 1..ephyr~L
PHONE B I~ iln7 - 9Z70
33S~^
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # -1\-afn-:1I- DOIO- \RIDO-DOIO
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: []NEW CONSTRUCTION [] ADDITION DALTERATION [] REPAIR [] INSTALL
[] SIGN o MOVE [] DEMOLISH ex ROO~
PROPOSED USE:~GL FAMILY DWELLING []MULTI-FAMILY []# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
S~e
Re - (" on.f
SQUARE FOOTAGE 20 S Q.$.
HEIGHT
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
[] BUILDING
PERMITS REQUESTED
$ 3. (00' 00 VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
[] MECHANICAL
[] GAS ~OOFING
TYPE OF CONSTRUCTION: [] BLOCK
AMP SERVICE
[] FLORIDA POWER
[] W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
[] SPECIALTY
[] OTHER
[] FRAME
[] STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES [] NO
BUILDER
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 #
SIGNATURE
*****************************************************************
OTHER
l:X) tl~
COMPANY MILBAR CONSTRucrION, INC.
STATE CERT OR REGIST # CCC 051562
CITY PROCESSING # 218
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
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 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 "ownerH, 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 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 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 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 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 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 IN VALUE D T NEED TO RECORD AND POST A "NOTIC~MM~ENTH.
~a/L
SIGNATURE: CONTRACTOR DAVID R. ABLA
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this --Z..L- day of ~( , ~Wt
by DAVID R. ABLA
(name of person acknowledged)
~who is personally known to me, or
PASCO
STATE OF FLORIDA
COUNTY OF
The foregoing instrument w~knOWledged
Before me this 7 luday of , 1:'9~
by DAVID R:-L'ffiLA
(name of person acknowledged)
~ho is personally known to me, or
PASCO
Dwho has produced
(type of identification)
and WhOO~did not take an oath. .
~~
Signature of person taking acknowledgement
Dwho has produced
(type of identification)
and who O~ ~~t take an oath
. f ~ k' kId
Slgnature 0 person ta lng ac now e gment
Name t~
iitj."f t>!ll5lk, CSfiit&'Ul ~~d
My Commis~ion Expires July 28, 28Clt
CommiSlllOl"1 No, CC!1M!%14
'iC;\ IVIi-' /-.... ',-,.,j'/..: ,
Name typed~A~ ~Jt}br-;l~tgh\p-Wa,
_~~/~ n CCJniP11'":~)I(" I t 1.pIH':~~; LhJ'I '
:-~0mn',:'~) ):!~f). (,l/lly,t;)I_H
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JroposaI
Page No.
Member of the Florida
ROOfing and Sheet Metal
Association
~
MilBar Construction Inc.
Roofing. Concrete. Commercial . Reslden~al
15911 US Hwy. 301 North. Dade City. Florida 33523 c::>c
352/567-6047 · 800/562-2393 · FAX: 352/567-4454
U.S. Intec Certified
Platinum Installer
15204
PROPOSAL SUBMITTED TO
WATSUN, r~LR[~T & lAU[T
STREET l,il) f"'U"EnJI~1. rH~;\LIT't'
iiTTll: TAli! Hrrll
CITY,STATEandZIPCODE ::,', ,~vji^L. BL Ill" S I"E 2
7FPIIYl\1I U.U,. Ft J~i~:14~:
ARCHITECT DATE OF PLANS
JOB NAME
WA'I'S(l1! HESIDEfH:F
JOB LOCATION
~.l1l2Jl ~)Tfl STREET
~EPIl,{HlIILL[;, FLOHIDA
We hereby submit specifications and estimates for:
HI-IJIIIBLE nE-ROOF
(Does.. No t .. . Ificlude Lowel:':M..i.i:f no 0 5
1.t'"'Hi;('{(;~~lfl "l'l\Jir1w;,yexiatingH'(;(le~Ta}:erahi 1I91 e rooii ng oyot'?llI.
2. Pf()vid~' and in("'t.all new I5'Ib:soEuratedi(;ILpaper.
of ... Pages
State Certified
Builder ICBC023221
State Certified
Roofer ICCC051562
State Registered
Roofer IRC0055215
RCI Registered
Roof Consultant 10149
:)'.
793 .,'Z..:)~
JOB PHONE
-L . 1"11-' vIa", r.:t lid .i.ll~1l~ 11 n l? \fTl\ttt;oilEII{eGlasa~ ~':;eaTI\Rii2~"''::yeEl.l: 3 - ta b Lll Q <.;~, - t"f'E: i u bw t
f i bC-'fgl i-IG!'Elh.i li~! lE'E:ICl)f~I~'~~?E3~:~f;?(;lBlll"IV~~{;(ll()c f.J'~IllT~~1{9'fJ Htlllluard
colun::, Std.u9.1ee II<lV(! a 25-}'€ar lilll.i.led wUl-.l'anly from TAi1KO.
4.
lf~~lfa;.;~~flif dfJlll.;\gsl:f f lllE~t ;;'Ig 8 (v';;;l 1 ~ i' , 'I en t, Of R fl y;aIT"'iIaflhii^;;.i'"j":"'W'
5.
. .I)/I;,;T..I<? and 1,18l1iU
... ................ _....
mo'.,. le..u l.'Outs 11.1/' ltw plumbing Vt'lltC.
.-"...-,......-- .-.... ......
..:.. PlfJ'Iide 1-H.d i1l8l~11 np1f pn;>-iinieheu olurnillurR eBveul-ip (white ()1' brown).
1,')( j 11 t 1 ny
mflPY.
a. Anj' To~.tcn ur UtPflagf'd woud ul?c;lt, f&'lBCla, l.-.i.lfI, Jfmrl.i.n~I '?-Le. n?plaeE"tinenl N'
. .. ... .rl;'..:.rtil.'.li"!} y.~tlll?€''': i!;lt~rl~I??~..?~<.:~!il~I~~~~(JlllP~.€:,l~:'.~!rJ~.t.I.9.9.~~~.p!'.J~ L", B i~: ..ti~yye
<lod oeynnd I.hl:" IJOnlll-lel p:ri<..'e.
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...,.,...'......,..,.........'.._,.._.'.,.......-....,'.',.-.....-..,.--.-....-......,..'.'.,.....--....,'-.-,..'.-'..,._..._..,.........'.,._.-...,....-...,-....,..............'.......-...,....,...'..."-....,-.-..."'.
IV.l Bar C<..natru1..:tioll, .tne. to f'~'OViUH
st (I f'nrl;lmil~~t~, ... wo c I~ dOll"?t)J~,.I~mt\~l? Ioy
t (.( '.ur. d~>i_'h.
. ..'.,.,-..,..'.....'-,..,._..,.,.,'.'.......-...-........,-....-........-...'...,.'.',_.............,......'..'-'...',..'.,....,.. .'..,........-... '. ....., .-.............'.w "...'.w.'.....'.'.-....."....-............,'..... .....'.? '....'.'..._... ..............,.....,'.',...
5-yetil' l>'ar.rI'Ulty Oil liorr.fllOlIfJhip; t,:>xcluo1ona:
I) t heI U ~... .l~~e~ f-Jll1il.~.!f~,.~r'~/?!I3~.E\I~:~'IE~~~BIlI<J9t?
~t lIropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
::;E\-: APGE nltr. dOllars{$)'
Payment to be made as follows:
,
,
~ ~ ~
Authorized / " (/) /j /./
Signature 1/ " f' (. -' <...
Note: This proposal may be j~)
withdrawn by us if not accepted within
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 10
pay ell 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.
}
[ J\c.c.etttUlt.c.e of 1nroposuI -Theaboveprices,specifiealions /-') ,,.j/(. ./. //./ ~ L---.-_
and conditions are satlsafctory and hereby accepted. You are authorized Signature _ 11<,dt:e.~4:.7" ~~o/"-'!(' ~-: .
to do the work as specified. Payment will be made as outlined above. 2'~ ~ 'J'l1 ~
Date of Acceptance: Signature '~'!1. ...c.Vf , ~
____~__n _'_n_ __ ___~
"'
U.S. Intec Certified
Platinum Instal/er
#15204
~
Jrnpo5&I
Page No.
of
..,
...
Pages
r
Member of the Florida
Roollng and Sheet Metal
Association
MilBar Construction Inc.
Roonng . Concrete. Commercial . Reslden~al
15911 US Hwy. 301 North · Dade City, Florida 33523 c:::>c
352/567-6047 · 800/562-2393 · FAX: 352/567-4454
State Certified
Bul/der 'CBC023221
State Certified
Roofer #CCC051562
State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
STREET ',' .
,\7"1, TAln RICH
DATE
PROPOSAL SUBMITTED TO
WATSON, ~~LBERT & JANET
l'l5/22/11l3
W^TSfJU IIESlliEUCE
CITY, STATE and ZIP CODE
JOB LOCATION
::'.101 5TH STREET
ARCHITECT
~~EPIlYHHILLS, FL T3512
DATE OF PLANS
JOB PHONE
ZEPHYRHILLS, FLORIDA
We hereby submit specifications and estimates for:
.1.0. OwnPI' lo IlnJ'ddp !leetE'/"; to 1"00.[ for dt-11iv~)1'Y tnJi...'K fOJ" ioadiny/un.llla\HI1U 101" roofing
filatrnialE~.
11 . ...... ... till RarConst rue tiOh~ .. I nc~to provide G<?llej'alLla bilityatHJW otkei'.sCOIilIHUisilliOn
Insulancp (92,000,000 limit) And re-ruofing permit.
...... ...... ..-....................-.......................................H............... ...........H......... ..HH...... . ..H._..........h. .. .._.........H...... h..H..................H ..h...............'H...............hH
..'................,.-...,.,.."'. '.w.....,."..._.......""...w"..~...,w..w,....~._w_,._...............m.w.'.....w.'.""'....".,._'....,.......,.,....."",,....w,.,_.........
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H.........................................H................. ................................H..........". .............................. ............. .. ..........................." ............_.............,.
I ' . ~~ Jr~tJ05~ t:"h~rc:by to fu~ni~.h materiat and labor - complete in accordance with above specifications, for the sum of:
T ,W,U; THUlIh.'.HD .jF~ nN JIIJMI'REJ.I AII[; 013/100 .......- -- . . - -. - - -. --.. - -- - - -. II ($ 3. 700.00 ).
do ars
Parmentlo be made as follows:
flt_ E llF'OU COMPI. .ET lOll.
Invofced amounts not paid In accordance with the paymenllerms shall be considered delln.
quent and bear Interest at the rate 01 one and one-half percent per monlh. Owner agrees to
pay all costs Incurred, such as attorney fees, collector lees, court costs. etc., for collection
of dellnquenllnvolces Including Inleresl.. Owner to carry lire. tornado and other necessary
Insurance. Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature
Note: This proposal mar. be
withdrawn by us If not accepted within
,/
:-to
days.
J\.c.ceubttt.ce of 1ttroposul -The above prices, specifications
and conditions are satlsf:fctory and hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
--, f . //../ /'
Signature ~dt:.t!j4./ 1ft7~:~..
Slgnatur?~~ ~l/t~ JIti~
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NOTICE Oli' COMMENCEMENT
Me! , 3296
Peanut No.
Partell.O/roLlO" \i 2(c- 21 OOiO 18,700 OOI<?
11111111111111111111111111111111111I111111111111111111111111
20040~6032
State of Florida
County of Palco
Rcpl: 769211
DS: 0.00
03/30/04
Rec: 6.00
IT: 0.00
Dpty Clerk
niB UNDBRSIGNBD hereby give notice that the improvement will
be made to certain real propeny in accordance with Chapter 713. Florida
Statues, the following information is provided in this notice or
commencement.
~~93;~~1f1A~t : :"5;0 fOUNT:, CL"ERK
OR BK 5786 PG 328
l.Description of property (kgal tka-ripIioft <<f prtp!I'I)I and address jf available) 5' \0/ S T.-':! $T
section . 'l'ownshio . Ranae , '
2.0eneral description of improvements . Shingle Re-roof.
l.JlflLL$
:tOwner infomlalion 5k.:?/ _~r#::5.-:
a)Name and address.]b:-LI-sn-2T Il l{).'t;bt..#V ZGfJIIYRsftU$, FL < :3 /3St.i"L;
b)hIletest in property O(uAJIF./2.
c)Name and address of fee simple titleholder (if other then owner)
4,Contractor (name and address) foil I LBAR CONSTRuc'rION. INC. /
15911 US 301. DADE CITY. fw
David R. Abla
3~523
S.Surety
a)Name and address
b)Amoullt or bond
6.Lcndet (name and addre~s)
II t4'I f
?Person within the State o( Florida designated by owner lJpotl who notices Of other docmr.ents may be served as
provided by Section 713.1 J( 1 )(a)(7), Plorida Statues.
Name and address
8.1n addition to him or herself, owner designates
of. . to receive a copy of the Lienor's Nolicc IlS provided in Section
713.13(l)(l>), Plorida Statues.
9.Expiration date of nOlice of conunencernem
from the date of recording unless a different date is specified).
/7 -or ,/ )
ST Am OP FLORIDA . ctINER 's SIQlAWRF.Ydd"ilj",,;0,~ ~~'~ L~~~ 'zt<a~
COUNTY or Pasco PRIN'1'IiD NAME " TITLE j5J./~i~~ Rr it i12.A-r:s " OW!l~r ~
The following instrument was acknowledged before me this (tJ 1day oL//?I!J/<!./J . ,,'X'!2i bY..f21l::.t.\~tf'T II, ~fitfl'S:.)v/
who is personBHy known to me or who producedFL-DL vv!5:J.;-5 -I t.. g-.5'l-""1J1-,,),, as identification.
('..... '..
Notary Silmatute \dt'l~.' (j. ~4~~
Name(print) /"J f/lJ6/t-. /-/t.1 i.. Se;:
Title or rank: Ai'~1 ri~ t~ 'I fLt(.3 t.,I..?
Serial rwmbcr, ~""'~fE 0F'fibAIWl'~\! i;,
COUN~~~.~A,~Ct1..~i ",
T T~C6fITjFV THAT NaDING IS A
TRUE ~ RRECT COpy QFTl'IE.D T ON FILE
OR OF PM." RECORO IN TH~. F.. ~.' . ESS MY
HAND~~~ OFFICIAL SE~ T,Hi '. ...: AY OF
JED P , LERkOFClR "COURT
~. . ~ Ii1' ."
BY ." DEPUTY CLERK
(the expiration date is one year
After recording, return to:
Nl1me~Mlr..BAR CONSTRUCTION.
Address..__15911 US 301
City _ DADE ,9fT_~_ 33523
INC.
R
"\,"~I~,,,"
~~~..~. JANE A. HULSE
~*f "Ib.'; i~ MY COMMISSION # DD 064923
~~~t~ EXPIRES: February 13, 2006
',9"fft\'\"~Onded Thru Notary PublJo Underwriters
~PR-22-2004 07:49 PM
:'
P.07
i
UPL%CA.T%CM 1'01\ nNIl'l
Cln: or UPIIDBILL8
BUILDI.CJ D.PUTMaft
Mer 3296
WORK PROPSED:
DAD UCKI'YZD
PLUS un.. nz
OWNER'S NAME
PHONE
JOB ADDRESS
PARCEL ID . -1t:.l : ill:-001D~.JB"]O_O - 00 I 0,. .
SUJSDIVISION
IORTATH FROM PROPERTY TAX NOTrctj
o ADDITION
o ALTERATI ON
D REPAIR
o INSTALL
OS1
PROPOSED USE: ~G .
Dc
o MOVE 0 DEMOLISH C'J. ROOFING..-J
OMULTI-FAMILY 0" OF UNITS 0 MOBILE HOME
o INDV51'RLAL
o SWIMMING P"ooL
o OTHER
.. HEALTH DJtPARTMJ!:N"'1' APPROVAL
BUILDING SIZE
RESIDI!:NTIALt
COMMERCIAL:
,
,
ATTA H1;(2) PLOT PLANS & (2) SETS O~ BUILDING PLANS & ll) SET ENERGY FORMS.
ATT~, ,H: 1:( 3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PRO Y SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
I,
!:
SQUARE FOOTAGE 2.0 SQ.~
HEIGHT
o BUILDING
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
':AMP S ERVI CIS
o FLORIDA POWER
o W.R.E.C.
o MECHANICAL
o GAS ~OOrING
TYPE OF
,
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VALUATION or MECHANCIAL INSTALLATION
o OTHER
o PLUMBINC:
o FRAME
o STEEL
o OTHER
IS PROJECT IN 1'LOOD ZONE A.REA.O YES 0 NO
BUILDD
SIGNATURE
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COMPANY:
STATE CERT OR REGIST .
CITY PROCESSING #
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STATE CERT OR REGIST #
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SIGNATURE
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. i COMPANY.
:! I: STATE CERT OR REGIST #
t : i CITY PROCESSING #
COMPANYI
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
IIkIIMlCAL
O'I'IIBI\
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SIGNATURE
COMPANY MILBAR ~ST.RUCTIOO, INC.
STATE CERT OR REGIST Af CCC OS't~62
CITY PROCESSING It 21 a -
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~PR-22-2004 07:50 PM
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:! : CONDITIONS OF PERMIT AFFIDAVIT
A. ffOTICE or DIE I STRICTIONS'
The underaiqned u i~.t.nds that this p.~t may be subject to ~d..d r..triction.u which
~y be more reatr '~v. than City regulations. The undersigned assumes responsibility for
compliance with a i pplicable deed restrictions.
B. UNLICENSED C TORS AND CONTRACTOR RESPONSIBILITIES
T1' t:h",. 9"'".?~ li",~, ,d.. r.Qnt:r..r.t:nr nr r:nnt:rar:t:nn~ t:n unr:l.rt:..kA wnrkl th~y ~~ bl!! r.I.'l)u:l.rRr:I
to be licensed In 'ordanee with state and local regulations.' If the contractor is not
licensed as .tequi .l'Y .1~1I". .b,otl~ ~he owne.t: ;a~d. ,co.nt~a~tor IM:~ be 'ci ted fo.r a. nusdelneanor
violation under' 0 law. :lj'j=:. the owner or intended oontra.otor ~re uncertain :lCl t:o what:
licensing requi~e :~e IMY ~Iilpj,y for the intended work, they are advised to contact the
City of Zephyrhili ulldin9 ~~partment, 813-188-6611.
!'U.t.U~E:UIlt.>.l:~, .Lr.~.t.l ",,: ,.~mn. ha.a 11J..t.CY a CQl.lt&:4lctu!: ox.' contJ:..!H.:t;.c;i.r.:iI, h-= i,.... ct~i"',~y t;Q hClv. the
contcactor(s) sig : . rtions of the ~Contractor SectlonsH of this application tor which they
will be J:espon$ib:~, If you, a.s the owner signs as the contractor, you are indicating. that
you, rather: than ._, :~ L.contractor, are responslble tor t:he work. It t.he contractor wishes
you to sign as fO, . ;ctor:that mey be an indication that he is not properly licens~d and ia
not entitled to'" . 'tUng'privileges in the City of Zephyrhills..
C. TRANSPORTATIO I PACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION:' J:N LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, ". applicant, have been provided with a copy of ~!'lo.t:ida' s Construction
lien Law - Homeow IrS Protection Guide" prepared by the Florida Department of Agriculture
\ I
and Consumer Affa If the appliCant is someone other that the "owner", I eerily that I
hAve oht:.ainp.d a ~ 'of the above deacr.t.bed document and promise in good faith to deliver:
it to the ~ownerH ' '!Lor to commencement. '
E. CONTRACTOR' 91 . ~R' 9 AFFIDAVIT .
I certify that 1[1.1 'Jie' i~foi-mation .in this application is ace-Urate and that: all work will.
be done in compl!. with all applicable laws regulating construction, zoning, and land
development. I !.
Appl~oQtion 10 he .~ made to obt~in ~ permit to do work and inBtallatign a. indicated. I
certify that no w '. or installation has commenced prior. to issuance of a peomit and that
all work will be :~oomed to meet standards of all laW!II regulating construction, City
. coclea, zoniny .l:e~ '!;ione, ..~d l~nd development regul.l.ltions ih t.he jurisdiction. I alao
certify that I \in., :: tand tti~f the regulations ot other governmental agencies may apply to
the intended work,: i~d that 'i~ is my responsibility to identify what actions I must take to
be in compliance. ! .uch agenC1:ea l.nclud.e but: a1:. not. .1..1JnJ.ted t~: *Department ot
Environmental Re9" '/tion-Cypres.s Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wa.lft 'it.er Treatment
.Sauthwest Flori4 . tel' Management Di8tr1.ct-We~is, cypre.s Bayheads, Wetland Areas,
i
Altering Watercou .
*ALmy Corps of En ~ I. era-Sea."all:ll; Dock:s, Navigable Waterways
*Oepartment of He i' & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater TLeatm h', Septic Tanks
*u.s. Environment iLiil'rotect1on Agency-Asbeato:ll abatement.
I also certify th 'ti if fill material 1s to be used in Flood Zone "AN or "A, etc."', it is
understood .that a ~"ainage pl.an addressing a "compensatin9 volume'" will be submitted which
is pJ::epa.t:ed by a i,ri.f...ional engineer regil!lt.I!\TPci in the Stat. of Florida prior to permit
issuance. : 1; .. .
A permit issued s~: be con8tr~ed to be a license to proceed with the work and not as
autho.r1t.y to viol \", caul.;"l. t:ll.te.r, or Bet aside any provi8ionolll of t:.hc:: technioal Qode..
nor ah~ll issuanc ; :.f a permit prevent the Building Official from thereafter requiring a
correction of ecr.!r in plans, construction, or violations of any code. Every peLmit
issued ahall beeo ,. ;!lnval.id unless the work author1zecl by such permit is conmellcetl wl\.hlh
I , .
s!x months of 1,s._ ee, or it work authorized by the permit 1s suspended or abandoned for a
period of six ~n:h after the time the work is cOIMnenced. One 90 day extension of time
may be allowed fo: Ihe per~~ ;wi,t;h fee Charge of $l!>.OO. The extenaion shal.l be requestea'
in wd ting to the :B :ild.!ng Q(t;t~ial. An approved inspection mus t be logged during each six
month period, Or !h' project':.ill be considered abandoned.
WARNING TO OWNER:.1 OUR FAILUitjt TO RECORD A NOTICE OF COHKl!:NCEMI!:NT MAY RESULT IN YOUR
PAYING TWIC~ FOR 'M'ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO.UR LENDE 'i 'AN ATTORNEY BEFORE R.ECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UN.DI!:R
$2,5"" V 'N&&O TO ""CORa ~O POST A "N"W.d" ,
MVID R. ABLA SIGNA'lUREl CONTRACTOR DAVID R. ABIA
P.08
.\,;]uluwledgetl
.. '. , 1!L-
STATE OF FLORIDA
COUNTY OF PASCO
The ~Qregolng inet~ument waa
B_fore me this ~ay of
by DAVID R.
i:lcknowlcdged
, ~9-:...
ac.knowleclCjJed)
known to me, or
(name of per80n acknowledged)
~ho is personally known to me, or
".
o who has produced '.
(tyPe of identification)
and who i~ not an oath
. ...
Gf identificati~n)
take an oath.
"004
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APR-22-2004 07:51 PM
P.09
Member. the Flor
RoOfIng .net Sheet
A8&o01It1on
JrnpDsuI
I@I MII~.~.~!~lnc.
15911 US Hwy.301 NOI1h. Dade City. Rorlda 3S523 C>
3~21561-6047 · 8001662-2393 · FAX: 3521587-4454
Page No,
.,
of "- PlIgee
..... c.rufted
BUlla... ~BC023U1
State CertIfIed
Roofw ICCC051582
8,... .....1.......
Roofer 'ACGOS5215
RCI Regl.ltncI
noot Conaun.nt 101..
PAOf'08Al.
WA1'50fJ.
STREET ~. r J
tlTTU:
CITY. STATE.... ZIP CODE
2
FL 3:'i~;4;:
DATE OF PLANs
tH3t7e2-~A77
JOB NAME
WA'mOI! RllSlLll-:"n~
JOB LOCATION
~101 5TH STnf.~F.T
ZEPHYRU1LLS, FLORIDA
AACHlTECT
We tleIWby lIUbnii lIpeCllloallona
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.... Pr'.Jvio...~ and .l! l!!ltal nE'W 15 lb. saturatei'd felt paper.
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l'Ihlilll dn.-a,,' J 'H'r~ ~1('\lleo ae' dallllAge by ()lhe!'u]~ lr.e tlt-IllIa{I~, flnd/ot. btruc:tm'el Ilallage
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lc.' ., ...,O;}! d~o:..' .1,
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to furnish material and labor - complete In accordance with above specifications, ror the sum of;
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i . dollars ($ ).
;BIt Jlrop'lft h
:;F.E II 1~G1! """(1.
"erm.IlIIG be INldo .. IaIlowe:
IrMllced 8mounIa not paid In
qu.n 8nd bMr....... lit ...
pey all ClOItI 'Inaurred, llUCh ..
01 delnquent ~ 1ncI~
~ hsu-. Our wor-... tuRy . .'
J\cattbtttte af 11 : i aJ~d - The abcw8 prices, epeclftoaUon8
end conditione are ..tl,?'.;'.r iIInd hereby accepted. You are authorized
10 do the work II' lpeclfllKt. t will be made.. outlined above.
witt lite parment lImII.... be IllIIlIIdnd deIIn-
lIIld ane-hIIl*1lIIIlt 1* month. 0wnIr ....10
..... 00IIeetar -. ClOUIt ..... eto., tat cohaIIon
Owner 10. c:any R.... tGrnlIdo 8nd oCher I1tlC88Al')'
byWvrtcmen.. ~lRlkIn 1nNInot.
Authorlled
Signature
Note: ThII PI'OPOSIII may be
wfthdrawn by UI " not aCcepted wlIhln
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=~~:;~~u
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c.te of Acceptanoe;
APR-22-2004 07:53 PM
P. 10
U...1nteo
".....um InII
'5204
J:rnposal
~ MII~.~.~~!2tt..lnc.
15911 US Hwy. 301 North. Dade City, Florida 33523 C>c
352/567-6047 · 800/562-2393 . FAX: 352/567-4464
Page No.
:l
of
",
..
PIIget
... Cet1mecI
BulkJlI'teeC01U21
at.tec.r1tfled
ROOfw' ICCC081MZ
Stale .....~M
Aoofw "'C8OS5a1.
ReI Reg......
Root Canau...m 101.'
TO
WATSO". >>F.LDF.RT t J "ET
AT,." I
001!
Sl~"7a.2. 6677
JOB NME
W^ TSoti !lEST [lU,H(:t
JOB 1.OCRIOH
'5101 5TII STRFJ::T
0:'>122103
10. Ownpr to pr'~.d~ UC~~6B to rooI for dQliY~ry lruuk lor loadiny/unl~aJinQ Lor routing
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ZEPIIYRHILLS, FLORtDA
,j(,)8 PHONE
S1N:E't
CITY, STATE MIl ZIP CODe ...
NDfiECT
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InsuIance!' ( . J000~ 000 UMit) find n'-roofing per.it.
I.
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me DrDIW., he . to furnIsh material and labor - complete In accordance wIth above speclflcatlona, for tho $um of:
THRl::i"-TH~S.(HJ) SKV ~; HUNl)RU. Mlr. 00/100 ." -. . - -- . -- -.. - H - ..------- dollars (S :).700.00).
t:UEl,p()jttttm~~Hl .! ;' .'.
wIt!" ~ ~... be llon.deled cI8IIn-
Md onHlIIll8ftlInt... monIh. 0wrW'.....1O
. ...... cohcIOr ..... COWl COSla, .. b COIIlIcllon
Owner 10 o.rry lire, tohl8do Ind oIher MCe88lII)'
. bv WorIlmen'I ~_1Ivrl tnMnnce.
.,
AuthorIzed
SlgnllUre
Note: Thla propoeaI may be
withdrawn by uelf not 8CC8pted wIIhIn
lrMllcecI...... nat paIcJ In
qr- IInd b-.1nlInII.. .. ..
PlY .. CCl8IIIInIlun'Mf. IlICh _
04 cleIInqueftC IrMllcee InaIudIng
1nIInnoe. Our ---..UV
~ :
~ueutante Df !r
.~ct conditione Ire e.'" acto '
lo do th. WOfk .. epedfled.
Daleof~
~
:=tCl
day&.
: Jal-TheaboYeprices,tpeCIIcatIone I~ d~ . ~
: . hereby .~pt.d. You Ire authorlzeCl 5Ign8ture, ~~. ~..
.'''''''''''0__. _~'1( /~:~~
... -.....- .._;.... .... .._.__.._._.~ ._._.._~
APR-22-2004
137:54 PM
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