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Home My WebLink About04-3530 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3530 Permit Number: 3530 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 3,954.00 Date Issued: 10/29/2004 Total Fees: 50,00 Amount Paid: 50,00 Date Paid: 10/29/2004 Work Desc: RE-ROOF Address: 38620 SOUTH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: HOMSITE DEV. & REAL ESTATE INC Address: 38620 SOUTH AVE ZEPHYRHILLS, FL. 33542 Phone: 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 nWarning 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. n 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. /' ~~ CTOR SIGNATURE PER~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , 'FROt1 :MILEAR FAX NO. :3525674454 Oct. 29 2004 08:02AM P4 APPLICA'rIOlI I'Oa PBRHI'r CITY oJ' DPHYIUI1:LL9 , BUILDDJU D.BPAR'rIIBNT rn e , it 3~Llq DAD UCBIVBD PLUlS. lQIVIn I'BZ OWNER~S NAME \1C(Y\e.5\.\-~ 1L\Jelb~n+e 'Bea..\ ~ .. PHONE.8B}~ -l~34 'f\."l~U'r\s ) \ no. .. . Z V\bw~ ~. \''''' <r:: I ~ .., ~1 I ,..... JOB ADDRESS 3gG:,~O ~~ A.Ne..n\1.~ ~ rt:~., ~) ~'-' D.".::;l'--t'\J LEGAL DESCRIPTION: LOT(S) \5 ~ \ LQ BLOCK ~ SUBDIVISION m~()v-es Md\+;b() PARCEL ID # \4"'~~.d\-00\{)...lJCY~~- t)\S \ (OBTAIN FROM PROPF.RTY TAX NOTrCE) WORK l'ROPSED: ONEW: CONSTRUCTION o SIGN o ADDITION DJ,U,TERATION If REPAIR o INSTALL , ' o MOVE D DEMOLI SH PROPOSED USE: OSGL FAMILY DWELLING. DMULTI-rAMILY t:J COMMERCIAL 0 INDUSTRIAL Oft OF UNITS. o SWIMMING POOL o MOBILE HOME .iI OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTHDEPAkTMENT APPROVAL 5h\(\~l,?' Be - Rt)b4l BUILDING SIZE SQUARE rOOTAGE OJ \ DO I 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. o BUILDING PEmfITS REQUESTED $3) l164.. 4~ VALUATION or TOTAL CONSTRUCTION AMP . SERVICE 0 FL<)RIDA POWER 0 :::.... ,,/ w. R.~: o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER ." ~~O ' '2')/~- .,' ~ o ELECTRICAL o PLUMBING o MECHANICAL. o GAS _ROOFING $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEE-L o OTHER FINISHED FLOOR EL~TIONS I S PROJECT IN FLOOD ZONE AREAO YES D NO ~~r~~~!!;:;::~lj:l~~"""="4F1jllii~~lr~~~ -- - -~~- - --- K'''''~;m;;;::~E~ -;'.::-::--;: _~,l,lf!'..~!',e.:"~ :::''':'::f'.J,.~5',." ~ffi)~' . . , '" ' ~ffif;ii,.!b",'~;l;l:!;l;!;;;,,~il~;;; "'i=";mEh,,.r'l;n 'i .". ...... .....~_._ I ~IY.!'~~.~" .~:-" ...;"" ~..._..........; ~.._... -::... .;,..;.,J",,~~t .. 'm....c.::... """"___.,u......~-1;. ~1:O;lC';~ ~___t::~_............,.,..,"""".).W~..~,J),:..t H ~",^l t I- ~ ...............'"~..".....~.Y!,.......;,.}J~;.(j~~ _ _~~ "" _....._.rn.,iS1...,,~,;u~ -, ...."-h....~-..._.......~........,,~ '.' ..........~._................ BUILDEll SIGNATURE COMPANY. STAT~ CERT OR REGIST # CITY 'PROCESSING # ****************************************************************** J:L1il~CIAR S I'GRATU'Rl!: ' . - ,.. - "" COMPANY STATE,CERT OR REGIST # C.ITx/p)\OceSSING # ' . ."~.'R . .--.-.... .::""1_._....... .* **.. *******.*.*.,; *** * ...:******** ** *.*.. ** *." ***** ****** ***:".,~.*'',.** **.it..* PLUMUR COMPANY STATE CERT OR REGIST # CITyrROCE5SING # SIGNATURE . .. .:.., . * '" '" * * ***** *.***** **. .** .,******** * **. ** *.*.;a.,.." ********** * * ** ***.**"**.. * MBCBUlI:CAL ..~ "": COMPANY: STATE CERT OR REGIST# CITY PROCESSING # SIGNATURE *************,.**.,,***~*********************.********************** O'rIIKR J~~\ ~' . _ COMPANY{Y\\ \ B1r (DrtS-in. 1'J1 ()() SIGN'.1"'UU"-'-'- ~. "~" ~. .-~4 STATE ClOT 00 ""GIST '~G-rify=;\~ ~ --...,.,~ - CITY"PROCE5SING #~'cg .' *~ *** **~~',* ~.~": *.* *~~,tI:~~~,** ~ ** ***.,.. *** ** * *** * *** ** **1ft*,... * .~~""..* *'t* * ***." ;:::-}X >':~~~\i~~V".~;"" ~;~:J~f~ :~ j".(" ~,)~,,7~,...~~;;/.n-.~ . '.,. :< :,,:',:.;1'- - ; ,;..'. . : . . ~~~\} -, .~.: ~ ~> .".", :.1'.'..'~" !'.\ ~ .~~: -. . . . '"''''~.;'~.<::-: I,:. ;,...:.. ~';,,~,.,...,...~,..~. ';.t'.. ~':'.,;,~:~~-::: FROM:MILEAR FAX NO. :3525674454 Oct. 29 2004 0?:5~A~ P1 'H ~<CO~Dl'l'lONS..Ol:' i:>>~HMl'J:AFI!'IDAVl'l' A,. N01'.ZCI!i OF DEED RESTRICTIONS ;':';:";,H:,i.",; ...' ',. . .,. ' The unc;Jers1gned UhdeJ:Bt~nCl~.,~~at ~thb,;p".r;n4t >~,y ,bl!.,~"bject to "deed ~e8tdcti0118", which llUly be ~re res~~ictive:thiai1City ~egulat10n~. The undersigned a..umes responsibility for compliance with any applicable,. deed restrictions. . B. UNLICUSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES I f the owner has hired a cQntractor' OJ:' contractors to undertake work, they may be. requir,~~:... to be licensed in accordancewltb state and local regulations.":' ,If.the contractor is not licensed as required by. law~~ both the owner and contractor may be cited for a Jl\isd",ano~, ,; violat:ionunder state law. ' "If the owner or intended contractor are uncertain as to wba:t licensing requiremellts lIlay apply, fo~the intended work, they are ad"ist!.ct to co~t~c~,~,*e.; i\', ,~! City of Zephyrhills BUilding Departblent, 813-780-6611. Furthermqre, if the owner has ~J':e~ a contractor or contractors,. 'he is advised to ,ha:ve,the/;~ contractor (s) 'sign' p~J:'t1ons of. '~~e '''Contractor- Sections" of this application for which they will be responsible" If you, a~hthe ~ o~n,er. s1gn,s (as the' ~ontra9~~r,< YQU are, indicati..nq"-:hat;;" you, rather than the contractor,:. are responsible for the Work. If the contractor wishes ' you to sign as contractor that ~y,l;Je..an indication, that be is not properly 'licensed and is not entitled to permitting pd"iieges':ln the ,City of Zephyrhills.. c. TRANSPORTA,TION IMPACT FEES J\ND"UTILITY CON~EC;:TION FEES:,. , '.. D. CONSTRUC'.llUIO~ LIEN LAW. (CHAPT~R '713, FLORIDAdSTATUTES, AS AMENDED) i certify that I, the appllb~nt~'~~ave been prov~dFd,with a copy of .~Florida's Construction lien Law - HOMeowner's Piotectio~ GuideN prepared by the Florida Department of AgricultUre and ConSUMer Affairs. If, th~: ~pp.ticant,1s .s~~o~,e,: :o~h,er ... ~at: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':: coilllil.eneement. '.. ,L ',": :-;::' ""~: E. CONTRACTOR' S/OWNER' S AFFIDAVIT. I certify that all the infonnat.{on in thi. applicatiqn is 'accurat.e and that all ,",ork 'will, "',; be done in Compliance withalt' ,appl1cablelaws regulating const'ruction~ zoning, and land ' devel~p1nent. .. . ,..: . ',. ,... ......, .. .'" '; i.,:.' , , , ...;';' ':...: Application is hereby made '.':~.9.btain a pe.r:mJ.t to do wock, anc:i in..t~1Iat10n as 1nd1cated.';~I .' certify that no ~ork Or inst:.al~atio~.~as.commenced priorjto iS8U~C'l';of a permit and that al~ wock will be perfoJ:'Med to meet standards of all laws regulating construction, City codes, zoning regUlations, and la~d development regulations in the jurisdiction. I also certify that I understand that the ~eg~ations of.other.goveJ:'nmental agencies may apply to the intended work, and that it ~. Illy responsibility to identify what actions I !QUst take to be in compliance. Such agenci~". inclUde but are not limited to: *Departnlent of ,.. Environhlental Regulation-Cypr88~~::B.yheads,. :Wetland'Areas and EnVironmentally Sensitiv8 ,;" Lands, Water/Wastewatex Treatmebt *Southwest Florida Water !Manag_nt Distcict-wells. 'Cypress Bayheads, Wetland Areas;" :;::;:;.. AlteribgWatercourses *AtMy Corps of ~ngineers-Seawalls, Docks, Navigable Waterways. *DepartMent of Health & Rehabilitative SerVices, Environmental flrealth Uni~-W811s, Wa3tewater TreatJllent, Septic Tanks >~! . , ',I' .U.8. EnviJ:'orunental PJ:'otecticm,Agency-Asbestos' abate1llent " .. , :,j.." L I also certify that, if.,~pf'~t~'rial is to be used in Flood Zone '''ADar: "A, etc. ...., it i.s un4erstood that a drainage,P'!an'i~ddreS$1ng a"comp8nsati~g volumeH will bes~mit:t~c!.wh,i~.)~.'J . is p.r:epared by a profess1:p'~~a~en,~;Lneer registered :1n the State of Florida prior to peaait issu.nce..,..':.".;::; , .. .'...~,.. A permit issued'shall be ~~.s~i\i~~' to bea license to proceed with the' work and not)as-;) ,'." authority to viol'ate, cabc'~i, :'aiter, or set aside any provisions of the technical codes, nor shall issuance ofa peiQd~.).r~v~n~. t~e .15~~~~~g;p;qJ?i~.l ~J:~.Ift i tl1e.r~after req\li.r~~g'::.~iT :C::~~~( correction of er.t'or~ in plalls" ~~on,8.t~~t:lon,::pr'~'V:~.~lilt+cms:::~~ "~nY':co~e. . ~very pe~t :.; ~\.; ::::,;: issued shall beCOMe invalid,unles~ the'work authorizedbysuch~permit Is cOhmenced within six months of issuance, oC,!f ~~rk. authO.r1ze~by the penni~ Is suspended- 'or' ctbandonedfo~,l~~.!!: period of six IaOnths after .tl1e.:;UIIJ.~. th., , )fo.r::k :;is c011llaenced. One 90 .day extension of time -:--- IllaY be allowed for the p-:rl1l.itwi~ll_f,ee'charg~'ot $15.00. The exteneionshall be r~quested.>,; in w~itin9' to the Building Official'. An approved"inspection"must-be109ged during each six 1l\onth period, oc the project will, b,e consi.deredabandoned. , ' .\ ~ ~. .. "'. WARNING TO OWNER: YOUR FAILURE :,1'0 RECORD A NOTICE OF COMMENCEMENT MAY' JtESUL'1' IN YOUR PAYING TWICE FOR IMPROvr:HENTS' ~9 YOUR '~QPER~Y. IF YOU INTEND TO OBTAIN FIHAHCING';'i'lCONSU~II;~ WITH YOUR LENDER OR AN ATTORNJ!:Y;),~EroR~' RESq~ING YOUR NOTICE 0 CEMENT. JOBS-UNDER..'...., $2,500 IN VAW OT ~~ED TO '~CO~ ~p ~O~T A "NOTI F CEMENT"'. :> '. '\,' ;'~ \, ; :.:1 ;'!...r~ (;,": ..~ . : ~:' '''o'.;:' ~ ...~.~.,,;r:~:..,... r. OWNER OR AG~T DAVID R. ,~\..... ,,~t.~~tl&~.~~.. . ....".......~~~....-: ~IGNATURE: STATE OF, FLORIDA . PAS(X),<;:';\:~)!;\~~:,.;..>t. ':::"::)." " COUNTY OF . 'l: "... ,: The foregoing instrument ':was.~acJm'Qwledge~ Before 1l\e th.1s_ day of' !' .".'. " 19...:.... by MVID R. ART4 ..... ':';"'~, kif (name of petson acknci~ie~gedf' .' ":',',:, . JDI who is: 'personally known >to':Jil~;tOr ".. : o ,who has produced ". ;. . (type;of-iid.m~t:tic~.tion).. , and Wh?jODd"d }!did not: >):a~~'~A't?~~h::,<:":'. ' ()/~ ..t. . . ~.. ",j' .:!.,.'.~::~ ~'::.. .... Signature of person taking a~~~~l~~g~~nt . ~'.. .,... - OLIVIA A LOVE ,'.: Nah\e~ pr e ",';: _I!!J:P" .-::..____,__.. . ",.1 . ~ I . . . STATE O,F FLORIDA PASCD .r:'rl-;-j;~;;)! ~\ . COUNTY, OF "The,fq~egoinq .instZ:\UDent .was:ackno\o11edged > B~fore me this ~<<!ay of r,,,;~;~;,,,~:,,'~j;,\ by DAVID R~ IUlL.t\ ...~,_..._~_ '_' (name of person aCknowledged): :".~. ',',ill :"';;: ~ho is personally known' to Me, 'or' : o who ha~' produced , . I.type of;'idel\tificati~~h'(: and who D~di .,;'.-'Jltid\:Ilot . ta~e' an- oatli- .~... . , - i;:A/:;iIb~ .' ...,..fT.". ,. . ~~~\....,..,.:..i:.;'.:,..J.,. ,Sig..ature of ,pecsqn ,taking. acknowledgment: . ~L'~c;~~;-t:l~Vi~:us ~*!-II.~mpPd . . "FROM, :MILBAR FAX NO. :3525674454 Oct. 29 2004 08:04AM P2 \":...: ...... _-==--=-_' --=-...=:-- ~ ...:=-:....=-:---==-:': Jrnp.osal =::- . Member of the Florida ~ Roofing and Sheet Metal Assooilltlon [S! Mil Bar Construction Inc. Rooflnv. COncrete. COmmercial. AesidenLt 15911 US Hwy. 301 North. Dade City, Florida 33523 Oc 3521567.6047 . 800/562-2393 - FAX: 3521567-4454 1 of 2 Pages ~~.--=~'" state Certified .l.l ,Builder .CBC023221 . State Certified i Roofer #CCC051562 II! State Registered ' Roofer ,RC0055215 RCIReglstered Roof Consultant .0149 U.S. Intee Certifled Plallnum Installer #5204 PHONE &13/846-1634 DATE 10/20/04 JOe NAME ROAD JOB lOC.mON rnQQ~~ fIU)\h'f\~ 38620 SOUTH A VENUE , i 1 CITY. STATE end ZIP CODE DADE CITY, FL.33523 ZEPHYRHILLS, FL ! ; .1 ,--- I AACI,uTECT DATE OF plA/IIS We he~ submi\specl1iCBilo~ 'al'lCl eBtl~;ics ~r:" u=:.- SHXNGLE RE-ROOF I; 1. 2. 3. , . , . ' Tear off and ha.i ~'.y'e~i~ingOne-l.yer ""in.~e ~.,~f~n'B;.t~.:" ~ Provide and install two la~e,~~ ~.f,ne,1f 15 lb. sat.ur~_~~~.f~~(;~e~\~. . Provide and install nevTAKKO -Elite Glass-Seal AR- 25-year 3-tab algae-resistant fiberglass shingles. Ownel""'~o-sittect..sh1tiglecol'ot--frOii. TAKKO's standard colon. Shingles have a2S-year limited warranty frolD TA"K9. 4. Replace all damaged .flashings (valley, vent, or any wall flashing). 6. ie~d ,b.,ote, ,for the. PIU.hin.ven~'I:> ~ pre.-fin~s.~ed ,~lu,!inu~,~~~~~~h1~_ "..,1' brown) 7. Any'rotten or damaged wood. deck, fascia, trim, framing, etc. replacement or r@- nailing of the existing Hroof'deck"will-b@coiipleie'CS""o'n a"cost~plus'-bas1B above and beyond the contraet price. , Provide and install new 5. Provide and install new 8. MilBa1' Construction, Inc. to provide 5-year warranty on workmanship; exclusions: storm damage, work doneHor""da-mage--Hby 'others';"'tr~e-d8.age~""anciloi-' structuraiHdamage ,. to roof deck. 9. Owner to provide aCGesj;jtoro~f ,f~:r_~elivery tr'1.~,~_ ~_~r ,l~,a~,~~~.Iun~oading for :r~ofing mat.erials. - _.._~._-_._~.. ...----..-.. IlWOieecl amounts not paid in accordance wllh the payment tirms shall be con8ldered de"n. quent and bear inleml al.tho ,rale alone an<! one-half ~nt per. monlh. awn8l' agrees to pay all costs incurred, such all attorney lees, ccillector"fees. court costs, etc., lor collection of delinQllentlnvolces including interest. Owner to carry fire. tornado and other necessary insurance. Our workers are fully, covered by Workmen's CompenaB1ion Insurance. Authorized Signature Note; This proposal may be withdrawn by US if not accepted within 30 days. N k.cr2ntanc.e of 'mrm:!osal - The abO~~'P(ices, specifications h~.c:-..c:=.'~~:~:e:_~':.?-ee~~~~~~~.,An~ n~~r~oy acceOl80. YOU ere autnoflZSCf . . _'f __ ...t,; rnede as ourhneCl abn",.. . ~'- ." ^'uua~ . . sIgnature' "U" 6--.11.-" / /,.. .c;=::;\ .~ ___.._'_~'M_ ... ~.. . .-.-.-. "10............_ FRBM :MILEAR FAX NO. :3525674454 Oct. 29 2004 08:05AM P3 .,:::=.~~~~~--:;,.;=-=-~._----- '1a"ran.o1l'!l! 1 Page No. of 2 Pages Member of the Florida 1P ~r :;;;In ,:=...-,;----=."'=--=::-.~ .-....:...-~~-=:..:.~ "~, Roofing and SheetMetal ~. State Certified ", Association ~r' . ... . Builder tCBC023221 I L.i MI"IB C t t- I State Certified ' U.S.lntecCertified ' ar ons rue lon, nc" Roofer'CCC051562 i Platinum Installer Roofing. COtlC;:rele · Comme~jBI . Residenrial St8te Registered I #5204 .. 15911 US Hwy, 301 North. Dade City. Rorida 33523 Oc Roofer .RCO055215 I 3521567-6047 · 800/562-2393'.. FAX: 3521567-4454 ROO~~::~~:~"48 F'H.ONe DATE c 0 14848 RAnSEY ROAD 813/846-1634 Joe NAMe 10120/04 CITY, STATE lInd ZIP CODE DADE CITY. Fl 33523 ARCliITECT DATE OF PLANS Joe l.OCATIDN 38620 SOUTH AVENUE II I ..... '___0.- __._... ___0_ .__.. .__ "'_"'__.'.__ . -we hereby sUbml1 Spet:iflCB1ions and'eSiimales for=-~-'" ZEPHYRHILLS, FL JOB PHONe ...~~--=-=-~.--=-=.=..:.....-=4_::_~~.-==..:.......:.~. .. 10. MilBar Construction. Inc. to provide General Liability and Worker's Compensation Insurance ($2.000.000 limit) and re-roof1ng perllit. !J . -~---_..-- .-"'"-",., ""_.. .. ..--....-. .--- '. ;1 " .,'-' ._ - '.0" ._... ".. _ .... ___._..,........ . --)IIl,,~~, h~f9b;;.:;urn~~~~..;"al and 1aI>~; - com~;"; in aceo~~~ce w;U;i- sPedflca."';; fur the ..;." of I THREE THOUSAND NINE HUNDRED, FIFTY FOUR ANI) 44 ( I /iIl/ill --- -- h - Uu -- - - -lI011ers ($ 3. 954. 44 ), ~lIY.lllen'l2bf:.madb~: . . , .. . . , DUE UPON CION. ': '... ' " . . I, Invoiced amounts nOl paid In accordance wilhlhe paymenllermG fihal; be coneidered deli,.. . quenl and bear inlirul althe rale of one and ono-/\aJI percenl per month. Owner aQ.rees to pay all COSlS Incurred. such as allorney fees, collector 'lllIS, court costs, lIlC,. for coIlecllon of delinquenllnvolces including in'.er~. Owner 10 C8.rry lire, tornado and olher necessary insurance, Our workers are fully COI/Ilred by Workman's CompensaUon Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within -",: 30 days, Ii .,'} ,.)tttta~i!~~~~~~~e~:::~-=d and COn~iOI'\S are sa~l~ actory m~nt will be made as outlined above, to dO the work as speCified. Pay . ' , ---Jk --'-?~ Signature ..;" '- '--=--..,<~~~ I I ,) 1."'- n...o ",I Ar:eeotance: SignClture APPLICATION FOR PElUfIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT fY) C, l it 3L-J L1 q DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME \-\-ome..5\ \-e.. lx\J e\b~Y\t e Bet.L\ Esh-k. PHONE 8l:s)8-U.o -) <.034- \C'\\les-\-m~ J \ no. . '. JOB ADDRESS 38toOi>D ~DL.l=\-tI A01e.nu.e> 2-t:.pbft.hd\s) t=L 3.:SSLJ..Q LEGAL DESCRIPTION: LOT(S) \6' ~ \ lc BLOCK Co SUBDIVISION m()l)'les Md.\+\~() PARCEL ID # \4 ~~()' ~\- oo\(}..- ()rY t"Jl't:.'J~ ()\5 \ (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW.CONSTRUCTION [J ADDITION [JALTERATION gr REPAIR [J INSTALL [J SIGN [J MOVE [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL ~ OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL 5\tk\~\p Be - R()D-\2 BUILDING SIZE SQUARE FOOTAGE ;), DO I HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. [J BUILDING PERMITS REQUESTED $3) C)S4. YU_ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [J FLORIDA POWER [J W.R.E.C. [J ELECTRICAL [J PLUMBING [J MECHANICAL [J GAS 'fi(ROOFING $ VALUATION OF MECHANCIAL INSTALLATION [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J NO BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # **********~******************************************************* MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR R~i~ SIGNATURE ... - ,.,. . . ff.4 COMPANY rf\ \ \ my- C DrtS-tru (,;-\1 ()() STATE CERT OR REGIST #CCCLCb \~ CITY PROCESSING # cv \ ~ *******..~*.***************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit nlay 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 "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 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 CO CEMENT. JOBS UNDER $2,500 IN VALUE D N T NEED TO RECORD AND POST A "NOTICE CO CENT". STATE OF FLORIDA~ COUNTY OF h~ The foregoing instrument was Before me this _____day of by STATE OF FllORIDA COUNTY OF ~ClSr~ The foregoing instrument was acknowledged Before me this _____ day of 19_ by (name of person acknowledged) )&who is personally known to me, or acknowledged 19 (name of person acknowledged) ~ho is personally known to me, or acknowledgement Dwho has produced (type of identification) and who ~:ke an oath Signature of person taking acknowledgment Dwho has produced (type and whoD did Ddid not of identificati~n) take an oath. Name typed d tOlMMtLQYETT COMMISSION j 00337951 EXPIRfS .lUl.Y 28. 2008 IIOIaD "HOUGH IIIl~CONNHf Name U.S. Intec Certified Platinum Installer #5204 rMJ Jroposal - of 2 Pages Member of the Florida Roofing and Sheet Metal Association MilBar Construction, Inc. Roofing' Concrete' Commercial' Residential State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 RCI Registered Roof Consultant #0149 ;1 15911 US Hwy, 301 North. Dade City, Florida 33523 c::>c 352/567-6047 · 800/562-2393 · FAX: 352/567-4454 PROPOSAL SUBMITTED TO PHONE DATE 813/846-1634 10/20/04 JOB NAME 14848 RAMSEY ROAD CITY. STATE and ZIP CODE DADE CITY, FL 33523 JOB LOCATION (Y\~()(l~ f\oO,'f\~ 38620 SOUTH AVENUE ARCHITECT JOB PHONE ZEPHYRHILLS, FL ----------.--.---- ---- --._----- ~--._----_.~-- .- We hereby submit specifications and estimates for: SHINGLE RE-ROOF 1. Tear off and haul away existing one-layer shingle roofing system. 2> Provide and instaU tvo layera of new 15 lb. aaturated fOlt paper. V\, &~'1 ~\-t..~ Provide and install new TAMKO "Elite Glass-Seal AR" 25-year 3-tab algae-resistant fiberglass shingles. Owner to select shingle color from TAMKO's standard colors. Shingles have a 25-year limited warranty from TAMKO. 2. 3. 4. Replace all damaged flashings (valley, vent, or any wall flashing). Provide and install new lead boots for the plumbing vents. ~\b Provide and install new pre-finished aluminum eaved~'r brown) 7. Any rotten or damaged wood deck, fascia, trim, framing, etc. replacement or re- nailing of the existing roof deck will be completed on a cost-plus basis above and beyond the contract price. 5. 6. i i. 8. 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. 9. Owner to provide access to roof for delivery truck for loading/unloading for roofing materials. ~e Jrnpnse hereby to furnish material and labor - complete in accordance with~above specifications, for the sum of: SEE PAGE TWO. 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 withdrawn by us if not accepted within 30 days. j\rc.e13tnn.c.e of Jlroposnl - The above prices, specifications and conditions are satisfactory and hereby accepted, You are authorized to do the work as specified, Payment will be made as outlined above, Signature 22: 74-1 Date of Acceptance: Signature '1f1 1 Page No. 1Prnpnsa ~-====--==::c- '". ... of 2 Pages -- ------------ .-- ------------ U.S, Intec Certified Platinum Installer #5204 ~ MilBar Construction, Inc. Roofing. Concrete. Commercial. Residential 15911 US Hwy. 301 North. Dade City, Florida 33523 c::>c 352/567 -604 7 · 800/562-2393 · FAX: 352/567-4454 State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 RCI Registered Roof Consultant #0149 Member of the Florida Roofing and Sheet Metal Association PHONE DATE L 813/846-1634 JOB NAME 10/20/04 14848 RAMSEY ROAD CITY. STATE and ZIP CODE JOB LOCATION DADE CITY, FL 33523 38620 SOUTH AVENUE ARCHITECT DATE OF PLANS JOB PHONE ZEPHYRHILLS, FL - We hereby submilspeCifications and estimates for: 10. MilBar Construction, Inc. to provide General Liability and Worker's Compensation Insurance ($2,000,000 limit) and re-roofing permit. ~c Jroposc hereby to furnish material and labor - complete in accordance with €ibove specifications, for the sum of: THREE THOUSAND NINE HUNDRED FIFTY FOUR AND 44/100 -----------------tlollars($ 3.954.44 ), P1\Y.lJlent tQ.!2,e made ~~ follws: Du~ U~oN COnPL~TION. 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 withdrawn by us if not accepted within 30 days, J\r.c~13htnc~ of Jropo5al - The above prices, specifications --- 0 - ; 00' ,0,Jlbo", ace ,ab,la'lm, 00' h"eb, a"eple'. Yo, ace "lho,I,., Slg"","", .4~ to do the work as specified. Payment will be made as outlined above. /~2L- Date of Acceptance. Signature NOTICE O}i' COMMENCEMENT MeI n3uL/0 Permit No. Parcel I.D/FOLIO n It(- a lR -;;(>\ r DO \0" DD(ot:J.:::,.- D\6 I State of Florida COWlty of p~SCO ~~~~~~~~lWIIIIIIIIIIIIIIIIIIIIf 1/1111111111111111 . ",. THE UNDERSIGNED I~ereby.lgive' notice that the'lmprovement wilJ be made to certain real property ,'ili a~~ord~hce with Chapter 713, Florida Statues, the following information is provided in this notice of conullcncemcnt. ~:. , . Rcpt: 826970 Rec: 10.00 OS: 0,00 IT: 0.00 10/29/04 ____ Dpty Clerk .' . ' i~92~~~~MA~8 : rc:;O fOUNTJf C1,ERK OR BK 6087 PG 123 , . ..;-' ... ~ ~ . /' . . I.Description of property (kgal 3.0wner information '.. a)Name and address Y1€; .5..::k~& DG!-v...... ) b) Interest in property <!)c....:Jf'\I-e.e c)Name and address of fee simple titleholder (if other then owner) 4.Contractor (name and address) MIl.BAR CONSTRUCTION~ 'INC. 15911 U.S. 301, DADE CITY, FL 33523 5.Surety a)Name and address b)Amount of bond 6.Lender (name and address) . I ~,' . . '.~I ; _' i, ", ''I" 1.. 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( 1 )(a)(7), Florida Statues. ., Name and address B.In addition t~ hinf or 'herself, owner de~ignates of to receive a copy of the Lienor's Notice as provided in Section. 713.l3(1)(b), Florida Statues. ~.Expiration datc of noticc of cOlluncncemcnt (the expiration date is one year .P rom the date of recording unless a ~iffercnt date is specified). STATE OF FLORIDA a-/NER'S SIOOIiURE ,M /." .-d~ COUNTY OF i;,\'.>~ PlUNTED NAME & 'rI'l'LE --S-rcEv~=:'fj''''''-: 5c:HRe:7:'~ . V.:z:..GG /J. C"'....:::;. , ' .'1 : :., (.~ After recording, return to: ' Name MILBAf\ CCJI~STRUCTiON.lNC. Address 15911 U.S~ 301 City Dade CUy, FL 335 , I-W"\"f by S\-~ "'~ "I. ~I h~,,~ r- as identification. ) I -. ~/ The following instruI~lent was acknowledged before me this..k.J...day of ().-- who is personally known to me or,who,produced fL,l)L SJU,U" TJl.~7, Z.ql-~ I Name(print) Title or rank Serial number, if any