HomeMy WebLinkAbout04-3529
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3529
Permit Number: 3529
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est, Value:
Improv, Cost: 2,487.00
Date Issued: 10/29/2004
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 10/29/2004
Work Desc: RE-ROOF
Address: 5206 10TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19500-0110
Name: SMITH, MARGARET
Address: 5206 10TH ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTlON 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: 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."
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
FROM :MILBAR
FAX NO, :3525674454
Oct, 29 2004 .,~7: 57AM P5
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WORK PROPSED: DNEW:CONSTRUCTION: 0 ADDITION
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PI:\.LTEAATION
o REPAIR, '
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'0 DEMOLI SII '
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PROl'OSED
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" DINDUSTRIAL '
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, 0 RESTAURANT & HEI\L'fH'DEl'ARTHENT APPROVAL
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SQUARE rooTAGE'15()()
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DESCRIPTION OF WORK
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RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PL01' PLANs'Ii (2) SETS OF, BUILDING PLANS" & (1)
S~'I;,ENERGY FORMS,
ATTACH (3) SETS OF BUILDING PLANS, 11) SET ENERGY FORMS,
PROPER'rY SURVEY REQUIRED FOR.ALL NEW 'CONSTRUCTION.' ,,'
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o BUILDING
o ELECTRICAL
o PLUMBING
o MECIWUCAL $
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VALUATION OF TOTAL CONSTRUCTION
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VALUATION OF MECllANCIAL IN'~~ION i~/i!/; /'1,' " .
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o FLORIDA POWER
o GAS ,P(ROOFING
o SPECIALTY" ..O"O'rHER
TYPE OF CONSTRl1C'nON: 0 BLOCR;D FRAME
o s'rEEL"
o OTJiER
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FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD : ZONE 'AREAD YES . 0 NO ,t. ~.: .'
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SIGNATURE
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ELRCmICIAN
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COMPANY
STATE CERT OR REGIS'.l' If
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PLUMB_
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SIGNATURE
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STATE "CERT" OR ,REGIST:-'':
CITY PROCESSING, If' '. ,
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COM.PANyMILBAR~Sl'RUCl'I~ I INC.
STATE CER'l' OR REGIST# a::c 051562
CITY PROCESSING ~ 218
SIGNATURE
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FROM :MILBRR
FRX NO, :3525674454
Oct, 29 2004 08:03RM Pi
CONDITIONS OF PERMIT AFFIDAVIT
A,NOTICEOF'DEED RESTRICTIONS
The undexsigned understands that this pe~tD~y 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 ~sdemeanor
violation under state law, If the o~er or intended contractor are uncertain as to what
licensing requirements may apply for the in,tendedw:ork, they are advised to contact the
City of Zephyrhills, Building Department, 813-788-6611. "
FurtheDmore, if the owner has hired a contractor or contractors, he is advised to have the
contractor (s) sign portions o,f ~b. "Contractor Sections" of this application" for which they
w11l be responsible. If you,. as the owner signs as the contractor, you are indicating that
you, rather than ~he 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 STATUTE~, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Flo~l~a'$ Construction
lien Law -Homeowner's Protection Guide" p~epared by the Florida Department of Agricultu~e
and Consumer Affairs, If the applicant is someone other that the nowner", 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 informat10n in this application is accurate and that all work will
be done 1n compliance with all applicable laws regulating construction, zoning, and 'land
development "
Application is hereby made, to obtain' a peJ:mit to do work' and, installation, as ind1cate,d '. ,I
certify that no ~ork or installation has commenced prior to issuance of aper.mit and that
all work will be, perfor.med 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 o.ther governmental agencies may apply to
the intended work, and that it is my respons:tb1l1ty',~o identify what actions I must take to
be in compliance, Such agencies include but are ~pt'limited to: *Department of
Environmental Regu1ation-Cyp~ess, 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 use~ 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 priort~ 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 1nva~1d unless the work authorized by such per~t ls 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 ab~ndoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE:,OF CO~CEMENT MAY RESULT IN YOUR
PAYING TWICE tOft IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO CEMENT. JOB,S UNDER
$2,590 IN v. UE D N T NEEDT~: RECORD AND POST A "NOTICE CO C
.-....-_.
STATE OF FLORIDA~
COUNTY OF " ~
The foregoing instrument was
Before me this day of
by
acknowledged
, 19-:...-
"
(name of person acknowledged)
~h~ is personally known to me, Or
O'Who has produced
, (type of identification)
and wh::~k. an-oath
. S1:;:~j t'~=~~O"ledgment
Name~~~
.f' ....
Signature of
, g acknowledgement
N.me type
FROM :M}LBAR
lOJ1S/2a04 13:46
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FAX NO. :3525674454
Oct. 29 2004 08:00AM P2
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FAX NO. :3525674454
Oct. 29 2004 08:01AM P3
PAGE a:2
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
MCI 3Lj L/ S
DATE RECEIVED
PLANS REVIEK FEE
O~ER'S NAM~~om~q{1~ . P"ONERJ.t7~~O;}}'
JOB ADDRESS___ t;h__":b_Zq>h'fl.hJ.D~ F-'-. ~_y-'_
LEGAL DESCRIPTION: LOT(S) ~) flnd, l~ BLOCK lC1 S SUBDIVISION C-Ct, IJ
PARCEL ID f# U-alLh;<I-r:>lJlO-,qSO{) - C1/ {() (OBTAIN
WORK PROPSED: [JNEW CONSTRUCTION
[JADDITION
[JALTERATION
[J REPAIR
[J INSTALL
[J SIGN
[J MOVE
[J DEMOLISH
~oo~ "'
PROPOSED USE:)1fSGL FAMILY DWELLING, DMULTI-FAMILY
[J COMMERCIAL [J INDUSTRIAL
!
[Jf# OF UNITS
. D SWIMMING POOL
[J MOBILE HOME
DOTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT.APPROVAL
sruno/-J- Ifo -IZKJ&
SQUARE FOOTAGE.15fJD
HEIGHT
BUILDING SIZE
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
[J ELECTRICAL
[J PLUMBING
[J MECHANICAL
[J GAS P(ROOFING
TYPE OF CONSTRUCTION: [J BLOCK
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
$
VALUA'l'ION OF MECHANCIAL INSTALLATION
[J SPECIALTY
[J OTHER
D FRAME
D S'fEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [J NO
BUILDER
COMPANY
STATE CERT .OR REGIST ff
CITY PROCESSING 1#
SIGNATURE
******************************************************************
'COMPANY
STATE CERT OR REGIST II.
CITY PROCESSING 1#
ELECTRICIAN
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST 1#
CITY PROCESSING II
SIGNATURE
* ** ****** **.** * ******* ****.**** * *** * * * *** **** ***** * ******* ****** ***
MECHANICAL
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING 1#
SIGNATURE
.,
******************.**.*...........*.***.***..*.*.*~**************
OTHER
7J/hJt
COMPANY MILBAR ca.ISTRUcrION, INC.
STATE CERT OR REGIST 1# CCC 051562
CITY PROCESSING It 218
SIGNATURE
*****************************************************************
CONlJl'l'lONS 01:' l:'I:;HMl'!' Al:'I:'llJAV1'l'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that ';this permit nlClY be subject to "deed restrictions" which
may be more restrictive ,than City regulations. The undersigned assumes responsibility for
complian~e 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 requir~d
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, 613-766-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have,the
contractor(s) sign portions oftpe "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 ~icensed and is
not entitled to permitting privileges in the City of Zephyrhills..
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUC~IO~ LIEN LAW (CHAPT~R'713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant" have been provid~d 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 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 regul~ting 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 IRay apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencie~ 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 ~ealth Uni~-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 ~ddressing 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 constru~~ 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 ~nycode. Every per~t
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 fora
period of six months after the lltime 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' ~O YOUR PROPER1\Y. IF YOU INTEND TO OBTAIN FINANCING,.,CONSULT,
WITH YOUR LENDER OR AN ATTORNEY.BEFORE RECORDING YOUR NOTICE 0 OMMENCEMENT. JOBS UNDER
$2,500 IN~VALU 0 OT NEED TO RECORD AMP POST A "NOTI ~F MM CEMENT".
!
DAVID R. ABLA
'.','.
SIGN.Z\.TURE: OWNER OR AGENT DAVID R. ABLA
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by DAVID R. ~RT 04
(name of person acknowledged)
~who is personally known to me, or
.-
acknowledged
, ,1L
STATE OF FLORIDA
COUNTY OF
The toregoinginstrument was acknowledged
Before me this ---.-day of '. l~~,
by DAVID R~
(name of person acknowledged)
~ho is personally known to me, or
PASCD
PASCD
.
o who has produced
(type of ideritificati~n)
and Who~d ~did not. take ~n oath.
~~
Signature of person taking acknowledgement
....~-
Dwho has produced
(type of identificatiqn)
and who D~~ li!lIid not take an oath
.~. "
/ . "
{
Signature of person taking acknowledgment
Namel
Nam
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p.tEknlEe.~. __mp d
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NOTICE OI? COMMENCEMENT
MeI # l:t:J.!i:;
Permit No. ~
Parcel I.D/FOLIO # 1\ ,- ~ CD - on - bl,)\ L") ~- \~ Sb(J ~()\ \ D
State of Plorida
COWlty of ;PD-..~
THE UNDERSIGNED I~ereby,fgive' notice that the::lmprovement will
be made to certain real property "in~ a~~ord~hce with Chapter 713. ~1orida
Statues, the following information is provided in this notice of
commencemcnt. ':'
, '
1111111111111111111111111111111111111111111111I111I111111111
2004202267
Rcpl: 826970 Rec: 10.00
os: 0.00 IT: 0.00
10/29/04________ Dpt.y Clerk
..-'
.. ~ .. .
JEO PITTMAN~ PASCO COUNTY CLERK
10/29/04 00: 38am 1 of 1
OR BK 6087 PG 122
. '
I'
3.0wner information
a)Name and addrcss
b) Interest in property
c)Name and addres of ~ e sian 1
- ;L 1/
4.Contractor (name and address)
15911 U.S. 301, DADE CliY, FL 33523
5.Surety
a)Name and address
b)Amount of bond
5.Lendcr (name and address)
'i ~;. ..
j.... "
'o'~ " .
''I"
7.Person within the. State of Florida designated. by owner" upon who notices or other documents may be served as
~rovided by Section 713.13( 1 )(a)(7), Florida Statues. '
Name and address
Un addition t~ hinf or 'herself, owner de~ignates
)f to receive a copy of the Lienor's Notice as provided in Section.
713.l3(l)(b), Florida Statues.
1.Expiration date of notice of conuncncement
rom the datc of recording unlcss a diffcrent date is specified).
.-
(the expiration date is one year
,11
...
)T A TE OF FLORIDA CMNER 's SIGNA'lURE
COUNTY OF~'i6Q JC) P!UNTED NAME & 'rr'l'LE
"
fhe f~llowing instrument was ackJ1owl~dged before me this~ay of
who is personalll: known ~ho~rodUCCd
I\fter recording, return to: ';. .', . .' <,
~ame MILBAR C0I'~STRUCTION. INC. R' .
A.ddress 15911 U.S: 301
:ity Dade City, FL33523
Name(print)
Title or rank
Serial number, if any O:wv\rwr:S,:tt:o,u#. 'b'b OO~D YD'f