HomeMy WebLinkAbout15-16205 CITY OF ZEPHYRHILLS
5335-8TH STREET /
(sis)�so-oo20 1 265
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Per�:►�it Number: 16205 Address: 4614 WISTERIA DR
.� ' Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WHISPERING OAKS
Est. Value: Parcel Number: 15-26-21-0160-00000-0410
Improv. Cost: 6,550.00 OWNER INFORMATION
Date Issued: 4/27/2015 Name: WOLFE, TIMOTHY
Total Fees: 70.00 Address: 4614 WISTERIA DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 4/27/2015 Phone: 813-322-5166
Work Desc: REROOF SHINGLE
CONTRACTOR S � APPLICATION FEES
TRIPLE CR WN ROOFING I REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOI TS ROOF IN�
FINAL � - �� -��
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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 Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRA TO SIGNATURE PERMIT OFFI R �
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
d,�-,n�-„v<v t;ity o�ZephyrhiNs Permit Application Fax-813-784-0021
� Building Department
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Date Racelved !�i �'? —/� PhonA Contact for Permittin !J/.3 V✓�� — �7'�"p
Owner's Name j J L t,.f Uwner Phane Number / ""'�o�� ".3 l LL
Owner's Address / W�S�F�4� ��"�!/ 3 Owner Phone Number _,,_„_,_.
Fee Sirttpie Titlehoider Name Owner Phone Number
Fee Sfmple 7itieholder Address
JOB AGDI2ESS !�a j w�J`�r� 1/� LOT# ��
SUBdiVIS10N �r1�.5 ��'i!7 G�A'Ks PARCEL ib# 1.�'� "°C7f� ���va'"QO��� '���/�
(OBTAINED FROM PROPERTY TAX NQTICE)
WORK PRQPOSED e NEw CONSTR 8 ADD/ALT �� S1GN � [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q CQMM � OTNER
TYPE OF CONSTRUCTtOH Q BLOCK Q FRAME � STEEL Q
DESCRIPTIQN OF WORK �G-^�o0< LJ�7"j, �¢ �ry1B"R/S/O�t/ L S' / LLT.� o��
BUILdING SIZE �— � SQ FOaTAGE .�OC� HEIGHT �_�
QBUILQlNG � /�� �� VALUATtON OF TO7AL CONSTRUCTION
(O
QELEC7RICAL ($— ,� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�
OPLUMBING �>�
QMECHANICAL (36 �] VAWATION OF MECHANlCAL INSTALLATIQN ��
L J � (�
QGAS � ROOFING Q SPECIALTY � QTHER
FlNISHED F�OOR EIEVRTtONS ��� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE ,_,_, REGISTERED Y I N FEE CURRE� Y/N
Address License# � �
ELECTRICIAN COMPANY
SIGNATURE „ _,_, REGISTERED Y/ M1I FEE CURRE� Y I N
Address �Icense# � �
PLUMBER � i � COMPANY
SIGtdA7URE � RE�tSTERED Y J {V FEE CURRE� Y J N
Address License# r' '��
MECHANICAL CQMPANY
SIGNATURE _„_ � REGISTERED Y/ h! FEE CURREh Y J N
Addross Licen&e# �� �
_BTii�R - �M,'�l , COMPANY 1'� t 04!» D ri /✓;
SIGNATU1tE � REGISTERED Y/ Ri FEE CUR ti Y/N
Address l�l� Q�,t�"' t /Z / �.icense# �C�Lp tf'3 3�G3 �i �
RESiDENTiAL Attach(2)Plot Plans;(2)sets of 8uilding Ptans;(1)set of Energy Forrns;R-O-W Permtt for new c�nstruction,
� Minimum ten(10}working days after submlttal date. Ftequired ansite,Construction Plans,Stormwater Plans w!Sfit Fence instailed,
Sanitary Facilides&i dumpster;Site Work Permit for subdivisionsAarge proJects
COMMERCIAL Attach(3)comptete sets of Building Plans plus a Life Safety Page;(1)se!of Energy Fomts.R-Q-W PermEt fior new consUvction.
Minimum ten(10)working days after submittal date. Required ons(te,Construction Pfans,Stormwafer Plans w/Sitt Fence fnstalled,
Santtary Faoliities&1 dumpster.Site Work Permit for aU new proJeots.All commercfal requlrements must meetcomptiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW consttuction.
birections:
Fill out appiicaBon completely.
Owner&Contractor sign back of appitcatlon,notadzed
If over�2500,a Notice of Commencement is requlred. {AtC upgradas over$7500j
" Agent{for the cantractor)or Pawer of Attomey(for the owner)would be someone with notarized letter from owner autho�izing same
OVER THE COUNTER PERMlTTING (Front of ApplEcaUon Only)
Reroofs if shingles Sewers Servlce Upgrades AIC Fences{PfotlSunreyJFaotage}
Driveways-Nat over Counter If on publfc roadways..needs ROW
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� TRIPLE CROWN ROOFING, INC.
7140 ANDRE DR. � ZEPHYRHILLS, FL 33541
, 813-833-7720 �
STATE LICENSE CCC049370 •
WWW.TRIPLE-CROWN-ROOFING.COM � LNAULT1963@AOL.COM
SPECIALIZING IN ALL T YPES OF METAL ROOF SYSTEMS
� NAME PHONE DATE
�� e� G�c�n L�'='C..`` �''/.�– �� --..�/�� , j�–//—���.--,
STREET C�Ty STATE ZIP
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SALESMAN � ���
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We hereby submit specification and work description: �: �_ ��
��,°i�6� � 7 G A 2 a�,� C x�s T,,�/<, s���v�c�s� �C -,r/� r� �� ��,r;.vr c-;v�.2 Y 6�
�irrs rfr« ,�c c.� � .s'T�c�< ��.�o����r y�✓1��/T /�1�T�CL f1/��/r/�F �}����t/s�o x/.��_
�f/��ilc��E;;�S, /�S�//�--C C iU�u/�r�i���C��� GG=�9-���a iS ����r� �/��n�T.
C'UGo� ; _ �2�r''1 i,s/D�� � � � -5�.�� -._.�--� ,
Q�/0�tl Z� �i✓�'%��L /�jc � G���c�/J ��1 Ti��s d�/�� _5.','`li,�{/r L�:�� ,/.,�J/S�A �t
,a.�� C,����' �t.!G�=- j�i� .�?��f�'� �d/�/� /X � � , i,�/;���c_ �✓��-f
��/�l�' �::�.�-� y'�t c c.t j �����" t/c�v'i, ; �
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THE ABOVE DESCRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF
($ •�i 5 5 � ). PAYMENT TO BE MADE AS FOLLOWS:$ �:���%a' AS DOWN PAYMENT
BALANCE OF$ °��`��,� DUE UPON COMPLETION. -
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� ***ANY ROT'TED WOOD DISCOVERED WILL BE AN EXTRA CHARGE AT A COST OF$ �-� PER 1/2"SHEET OF
f PLYWOOD$ �i"..�(� Lin. Ft. Lumber. �,-: r, �
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NO ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED. THIS WRITTEN CONTRACT IS T E
ENTIRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO BE
FURNISHED. THE WRITTEN PORTION ABOVE IS THE ENTIRE CONSIDERATION FOR THE AMOUNT
i OF THE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY TIME PRIOR TO MIDNIGHT
OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT.
IT IS AGREED: �A'�� �jwn �u�,�Gw`� �'�3'I.� ��✓�75� ✓� (D`{I
Contractor will d'o all said work in a good and workmanlike manner and in strict accortlance with the ordinances, rules and requirements
of the city, Town or Village, wherein the above mentioned property is located. If purchaser should cancel this contact after.time stated
above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to erimploy an attorney to
collect any sums due the Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees incurred by
the contractor.This contract shall not be bin8ing upon Contractor until accepted by them. Upon such acceptance by said company, this
contract shall be binding on melus without any further notification to me/us. The undersigned property owner agrees that this contract
may be assigned for the performance of the work and labor required by the description of the work to be performed. Upon assigned the
parties hereto corisent to the performance of the work by and payment to such assignee of the amount of this contract.Any Alteration or
deviation irom above specifications involving extra costs will be executed only upon written ortlers and will become an extra charge over
and above the stated contract amount.
NOTICE TO THE BUYER : (1) Do not sign this contract before you read it or if it contains any blank spaces. (2)You
� are entitled to an exact copy of the contract you sign. (3) Under the law you have the-right to pay off in advance
the full amount due and under certain circumstances to obtain`a partial-refund�jthe time�harge. Owner acknowl-
edges receipt of a true copy of this CONTRACT. c-"—�"Gr„- r ������
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/' PURCHASER DATE
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/ .1��' O ' - ' ,�' / `�/ /�S
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BY: Triple Crown Roofi�ig, Inc. DATE PURCHASER DATE
' This contract is enforceable only when accepted by management of Triple Crown.
\
;Rcp�:1677746 Rec: 10.00
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NOTICE OF GOMMENCEMENT � �c
� � SYrte of ��J��7g Caunty of ��:�i..D � ��j a
y � �.l��
TH E UNDERSIGHED hereby gives notice that imgrovement wil{ba made to certaln rea)prapetty,and ia ac�rdanae with Chapter 71:1,Flor{da Slatutes, �N o
thu fo8owing infnrmation Ss provided in this Notice af Commencs anC �) p � �Z
1, Dascripbon of Proparry• parcel Identlfication Nn.' �/ /I�► p �7 � �r J e7.�r/l����� f��m
SfceetAddtess; � � IQ e�t�l �'L .r7 '� i��/�s�
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2. GeneralDesarlptionoflmprovement �L" ���� , i�W o
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3. Owner Infamtiatlan or Lessee i�qrmatian if the Lessee contracted fiorthe improvement , i .9
�f'tO�t Jtl17 t�J�'G Q12. �GOl�Jl4 j✓t?C,7� ��''�
m
y�_i amTL'efA 1.� 2�►�HI� +���5 �L' ,���f� � Vv'� �
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Ad&reYss �Q �ity� Sbte I f�-�f tP
Interest in Praperty: ��'J�"' � ���I�-o
Name of Fee 3imple Titlehalder.,,, � ��� , , I � s
{If diiFecent frcm Owner Iistsd abave} � o
` .�._ r
Address �' , I t� �c�ty State m
�4. Contradnr. ��✓ Q!"/ N� �
�r�o$"����Q E D� 2 �ti j fi3 �z. ..��y�
Address �j3�'33'��"� C' State
Cantrackois Tetephcne Nn_. .
s. surety: . _
Name
Rdd�ess CitY ^ `State ,
Amourrt of Bond: S Telephone Na..
6, Lender. 1 I
Name �
Address � Cily � State
Lende�s Talaphvne No.:
7, Parsans within tha State of Florida designated by the owner upon vArom notices or other documeMs may be sen�ed as provided by
Sedion 753.13(i}{a}(lj,FSodda Sffitutes:
Name
�- �1�.��s�
Address City � ' �� �'' I
Telephone Num6er of Designated Persan: �' �,� �
E�. In radditian to himsalf,the owner designates � �
to race'nre a copy oT the Llenor's�lotica as provided in Sedion 713.13(1}b),F ' tutes �'t`?S °"' � � I
a� '
TeCaphana Number of Person ar Enrity�esfgnaTed by�+irter. , �,`°
. C4�' �� �
£1. E�riration date of Notice af CamtnencemeM{the expiration date may not be betore the completian of construction and flnal p the 1"' �,, �
oosSttactcr,trut vuili 6e ons year from ihe date of rseordFng unless a ditferant date ts cpecifiacn: �,� •�yQ
Vt1ARNING TO OWNEft: ANY PAYMENTS MADE 6Y THE OWNER A�fER 5HE EXPlRATION QF TNE NO't10E OF COMME i `S-
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 773, PAR71, SECTION 713.13, FLORIpA Sl'P,TUTES, A C ��C
RESULT IN YOUR pAYING 'f1MCE fOR IMPROVEMENTS TO YOUR PROpERTY. A NOTICE OF CQMMENGEMENT MU
ftEGORDED AND POS7Ed ON THE JOH StTE BEFORE T#iE PIRST lNSPECTION. tF YOU fNTENCI TO OBTAtN F1N,�IdCING,CONS * �'���
WtTH YOUR IENDER OR At�S ATTOF2NEY BEFdRE COMtNENClNG WOS2K OR RECORDINQ Y4UR NQTtCE{aF COt�3MENCEMENT.
Under penalty of perjury,I dedare that I have read the foregoing notice oF wmrrrencement and that the fads stated therein are true to the hest,� �--- � `i'
oE my knavAedge and belie4. � !Z� �. �
taTATE oF F40RI�A � /�� � C�3 � u- �� ..�.1 t�.�
COUNTY dF PA5C0 � , �n : = Q F—Q ^-� }-
�„�,� Ignature of Ovmer ar lessae,a� er's or Lessae's Authurixed Q ('� V � .J � f—
, ceriDirectorlPartnsclManag n � �� � rv � �
S nato Titlelflffice = "� �
� � � .—, } t! �" O 'Q �?
The fore cin mshumeM was acknowled ed 6efore ma thi day uf 2a h �,nn � �,��� � � �' �
e �' 9 �� �il�.__� 1'� y-�-(�-1 ���-6-"-��t.�---.-�-x O O �' �")
, as (typa of authotity, .,o�cet,ttuste�e,aHomey in fa�� a �� � �
jna o patfy o ha8 ot flm instfumemwas s3tewrtert}() Q Q a � �
G� �
Pereonally Knovm.[]O�Produced IdentHkation� Nntary Signa e c ` �� Q I-�- ��,.Z� J I
7ype af Ide�ca#ion Ptoduced�� � 1a'?.� � Name{Ptitrt} ~ elY1�j1( �,3,�YlM1�'�ini ��it+ �� � Q �
� � � 4- X Q W
--� wi O �
JENELL SMITH �" v��} n�}
NOTARY PUBUG O a z� cn� �j
STATE aF FLORIDA � �� � u�,t��
. . t�amm#Ffi14S272 a�- � �z ���
� Eupires$110/2018 =� f-- �-- o � .� m
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