HomeMy WebLinkAbout03-2146
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2146
Permit Number: 2146
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 2,200,00
Date Issued: 6/10/2003
Total Fees: 90,00
Amount Paid: 90.00
Date Paid: 6/10/2003
Work Desc: RE-ROOF 18 SQUARES
Address: 5807 12TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05300-0040
JARRELL, SANDRA
5807 12TH ST
ZEPHYRHILLS, FL. 33542
Phone:
i LcJ o}?J<.
I
I
i i .~.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: 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.
'}~t~jL_- . ~.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
8UILDING DEPAR~~NT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:B13-7BO-0021
OWNER'S NAME
~Q -&YO-..
SBO<"l
jtA.-r( ~ \ \
\~~ &\
DATE RECE IVED {:> - / O-..~
PLANS REVIEW FEE l'p /7~
PHONE II ~ - ~caen
,JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOC K ,
PARCEL ID # -& &'-0 - d \ ~ a~ \() .. ~ -:sc:o r()O~O (OBTAIN FROM PROPERTY TA.iL,NOTICE \
SUBDIVISION
WORK PROPSED: 0 NEW CONSTRUCT ION
OSI(;N
PROPOSED USE:~GL FAMILY DWELLING
OCm1MERCIAL
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o !'-10VE
o DEMOLISH
o BUILDING
.$
d~.~
OMULTI-FMHLY
o INDUSTRIAL
0# OF UNITS
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~ \~ ~ S-~
BUILDING SIZE SQUARE FOOTAGE
//
/
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
PERMITS REQUESTED
VALUATIOn OF TOTAL CaNST
o ELECTRICl\L.
AMP SERVICE
o FLORI DA POWER
o
,
,
/'
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOF'ING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRA!1E
o STEEL
o OTHER
FINISfl8D FLOOR ELEVAT rOt,ls
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
8UILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
......,.....,..................................................... f~f~
V
. ./
CO!'lPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIl\N
~**~*************************************~**********************
PLUM8ER
COMPANY
STATE CF,RT OR REGIST ,IV:
CITY PROCESSING # /
SIGNATURE
MECHANIC1\L
*~****~******~************************************. *************~*
C0!1PANY
STATE CERT OR REGIST #
CITY PROCES. NG #
SIGNATURE
OTIIER '\2",(')S~ c 0" -\y 0- "'\X COMP MIY SC c5'2\ ~ ~ ~ v-..o.~ :\kf;" J
o c-' {::} ~ 1\, ST, ATE CERT OR REGIST # ~C' C' ()~"? ~S'l
SIGNATURE ~lIl. .00-- L. ~~;! 1... . CITY PROCESSING # --7,
· H H.. H H H H H H.. H H H.. H'H' H. HH7&HH. ,'. H"H
*****~***k*****************************************************~*
CONDITIONS OF' PERJ-.lIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fhe under:signed understands that this per:mit may be suLject to "deed restrictions" which
may be mor:e r:estr:ictiv~ tllan City regulations. The undersigned assumes responsibility for
compliance ~Ji thany applicable deed restrictions.
B. UNLICENSED CONTRACTORS AIm CON'l'RACTOR RESPONSIBILITIES
If the owner has hired a contractor or contr:actors to llndertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by laH, both the ovmer and contractor may be cited for a misdemeanor
violation under state laH. 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
Hill be responsible, If you, as the OHner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor Hishes
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. 'l'RANSPORTA'rION H1PAC'1' FEES AI'iD U'rILITY CONNECTION FEES
D, CONSTRUC'l'UION LIEN LAv/ (CHAP'I'ER 713, FLORIDA STA'fU'fES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien LavJ - 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 "OWflE::r" prior to conunencement,
E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
I certify that all the information in this application is accurate and that all work will
be done in compliance VJi th all applicable laws regulating construction, zoning, and land
dE::velopment.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no Hork 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 rnay 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/WastevJater 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,
WasteHater Treatment, Septic Tanks
*U.5. 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 submit,ted Hhich
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 Hork and not as
autho.!:ity to violate, cancel, alte.!:, or set aside any provisions of thE:: technical codel;;,
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 il;; suspended or abandoned for a
period of six months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00.. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
PAYING TWICE FOR IHPROVEMEN'l'S '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN InNANCING, CONSUl,T
vHTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'I'".
SIGNATURE; OWNER OR AGENT
SIGNATURE: CONTRACTOR
ackncvdedged
2Q_
S'l'A'fE OF FLORIDA
COUNTY OF
'fhe foregoing instrument Has acknowle~ed
Before me this __day of , '" _
by
(name of person acknowledged)
Dlho is personally known to me, or
STATE OE' ~'LORIDA
COUNTY OF
The foregoing instrument Wd~
Before me this _ day of
by.
(name of person acknowledged)
o who is personally known to me, or
of identification)
take an oath.
D who has produced
(type of identification)
and who Ddid DUd not take an oath
o who has produced
(type
and whoD did Ddid not
Signature of person taking acknoHledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
~"r:!~w_~ "'._._._ ~.",__'''':
""
ScoIIJ8ckman. RooIng'
~II~
p.o... t.
..,..... All ill'"
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PROPOSAL. SlJ8Ml'TTED TO:
SUldra I arrell
S11t.EET:
SI07 12th Street
CITY, 51 A Thll/l ZIP:
Zephyrbills. FL
FIX II:
PHONE:
182-5889
J08 NAME
Reroof
Jab Location:
OA.T'
5/14/03
We hereby ~blltit I\*iftollicllllMlll ........ ftIr:
Remove existiDa shingles.
Apply ~30 Ib felt paper
Install new dripedge.
Install new pipevent tlashinas.
Install me1al in valleys,
Install ridgevents.
Apply fungus resistant shina1es.
. Woodwork extra: $30,00 pet 4x8xll2 sheet, (coven materials and labor).
. Facia boards or rafter work $2.50 per foot, (covers materials and labor).
. Clean up and haul away aU debris.
. Five year worlananahip warranty.
w. propoee hereby to furnish material 1Ddl8bor-c;omplctc in ~ with above speclficatk u, for the
sum of:
25 year 3-tab shigles. ($2.200.00).
(Payment due in full on comple1ion. Thank You.)
:J
AlllIIIWiII is ........Il4lCI. ~. ~ AU
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~ to lllIlIllIId pnttKlIt, Ally ..... <<
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__ wiI1llt ..... GIlly upon wrillIII ~ .-
wiII..............- MdIblM__
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llCOdIlIlI or ~ beyGlId _lXdOl, 0-.10
C8IIY ftlt, tomIdo IIId adlIr ~ iIII1IrIIIX.
Our -un.,. <y covnd by W~'. ColI\.
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Note: thiS proposal may be
wlthdrewn by uS if not eccepted within 11 days.
... tel."__ fill ~.......I--n. .....
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