HomeMy WebLinkAbout03-2322
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2322
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet~
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2322
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5253 6TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13200-0060
. 4,900.00
8/27/2003
55.00
55.00
8/27/2003 Phone:
RE-ROOF SINGLE PLY RUBBER MEMBRANE
Name: DORTON, MARLENE
Address: 5253 - 6TH ST
ZEPHYRHILLS, FL. 33542
. I
- I_J ..~__
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 commen"cement 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."
1------------ Complete Plan.s, SpecifiCations-and Fee Must Accompany Application:----- ------
_______ ""_.All wor~shall be_perforn:'~ in accordance with ~i!t Code~"and O..r:~inances~ _________
NO OCCUPANCY BEFORE C.O.
--..__._---.-_._._-------------._._--_._._-----_._-~------.--- -----.-.-..----.--
~J?cT~NATURE -- ~MIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER j
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED <7-;27- ()~
PLANS REVIEW FEE .-
OWNER'S NAMEjV) ftrtle,;e i)o~A-cJA..J
JOB ADDRESS 5 ~~~ U f(;, 7.-ejJ''1'':I!s F (
PHONE ~/3~ 78'8-/{fS S
335 t'(';
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # !,-"J.u-J-I-aoJo -l);;'oo-o(JI&O
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
tL. Loa +
S;^,/~ Illy It ""b~ rY1 ~Wf./'r"',.,;-c.
SQUARE FOOTAGE 111 '1
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.
\~
BUILDING
o ELECTRICAL
PERMITS REQUESTED
$
J,}'OO ~
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
FLORIDA POWER
o
W.R.E.C.
~
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
********************************************************.k*********
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 (j,i,4i) SftJt/11!-
SIGNATURE ~ WN-
COMPANY I~~~;61e Assoc I./uC.
STATE CERT OR REGIST # c..eeotr',3C, '7
CITY PROCESSING #
*****************************************************************
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, 813-780-0020.
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 ~egulating 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
*Depaitment 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 issllance, 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
{;!:u~ot!R{:!::'-
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of 20_
by
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
20
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Odid O::iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
LJtf;}O .. )~0;''d- ~7f~-0
t~!~~~~
Cooley! Building Products
(/~--~~ /)
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[I~VI~CIBLP] d" a'"""'
INVINCIBLE ASSOCIATES, INC. ' .' (j~ ~~NSE~GYSTAA
10931 75TH ST, · LARGO, FL 33777
. 727/545-1800 · 800/937-6635 · STATE CERTIFIED LICENSE #CCC049367
MAKING FLORIDA BETTER PLACE TO ~IVE SINCE/987., ONE HOME A~~A TIME ,_y?)5 ,
Owner(s)/Purchaser(s): 'l!tt ~ft..'t Ii {" }(I\./ Phone: (H~t)-18~ (W)Su3 J(IJ-Jyr;
Mailing Address:~f?/O tJl {~/e., " r, City.' e 1,. . '1.0 County (/t1J'C a _ State: _ Zip~
(If Applicable) MHP: .5)1-?2 ;k'j/T Lot #:
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Alternate Address: City: State: _ Zip: _ Phone:
IflNe, the Owner(s)/Purchaser(s) of the premises described below, hereinafter referred to as "Purchaser" offer to contract with INVINCIBLE ASSOCIATES, INC"
hereinafter referred to as "Contractor" to. fULnis,h, to deliver and arrange for installation of all materials necessary to Improve the premises located at:
JObslteAddress::;::J.)] ~,~ S, ~~.,......., ,City2f. A 14,I/fs Stat/:C ZiP:17SY,.;)..
according to the following wntten specifications: ~ ' ,
... : ..... .
~~ ~HITEE~" STEVENS TAN EP · STEVENS LIGHT GRAY EP · EREZ TAN · EREZ WHITE . EREZ GRAY
COOLEY TAN ILLUSI,ONS · COOLEY GREEN ILLUSIONS · COOLEY CHARCOAL ILLUSIONS
COOLEY TAN 3.TAB LOOK · CbOLEY GREEN 3.TAB LOOK · COOLEY CHARCOAL 3..TAB LOOK. COOLEY WHITE
1. PROVIDE ENERGY-SAVING INSULATED WATERPROOFING SYSTEM FOR THE FOLLOWING AREA(S):
Ai I 5;; /~'9 Ie)' /1-/'(.:> q ,5
2. INCLUDE ENERGY-SAVING DOUBL"E-FOIL FACED INSULATION AS INDICATED:
~ GOLD: DELUXE 1-1/4" INSULATION 0 SILVER: 3/4" INSULATION 0 BRONZE: ~
3, INCLUDE NEW SPUN ALUMINUM VENTS: -LSMALL ~LARGE
4. INCLUDE UP TO 100 SQ. FT. OF NECESSARY DECK REPLACEMENT ADDITIONAL DECK
REPLACEMENT TO BE INVOICED SEPARATELY AT $2.00 PER SQUARE FOOT
5. INCLUDE ALL REQUIRED PERMITS. ,
6. CLEAN UP AND REMOVE ALL JOBfRELATED DEBRIS FROM JOB SITE,
7. MAIL OUT LIFETIME, NO-LEAK, NON-PRORATED, TRANSFERABLE WARRANTY FULLY COVERING ALL LABOR ANO
MATERIAL, INCLUDING ALL STO~M DAMAGE TO ROOF MEMBRANE FROM RAIN, LIGHTNING, HAIL AND WINDS
UP TO 170 MPH. 'NOTE: BRONZE SYSTEM (NO INSULA TlON) RECEIVES A 1- YEAR. LEAKPROOF WARRANTY;
8#~ITIONAL INF~RMATI?N: '",;:'
,,7/11 LL(~17l/€- l~ql(5
9. IT IS UNDERSTOOD THAT THE FOLLOWING AREAS WILL NOT
BE INCLUDED IN THE COVERAGE PROVIDED BY THIS
AGREEMENT (Also See Drawing at Right):
11/14-
(
Q
~
o
)>
..........
c\\
~
CUSTOMER
INITIALS FOR
SYSTEM
~
......
-....
SHOW ALL AREAS OF HOME. DRAW ADDITIONS AS
NECESSARY. WmTE "YES" IN AREAS TO BE COVERED.
WRITE "OMIT" IN AREAS NOT TO BE COVERED.
OTHER NOTES:
f\\ lb j
CUSTOMER
INITIALS
NOTE: RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING:
I certify that I own the land on which the structure I am improving is ermanently affixed. Furthermore, I have filed a
declaration with the Property Appraiser re~ liQg t 11 struc ~~ _~essed as realty and it bears an "RP" decal.
SIGNATURE:X:; Clt;,,~, ')
,
The CASH CONTRACT PRICE for all Labor & Materials (including any applicable discounts) is $ _ Lj'<fc1d, 0 0
Terms: 0 Cash '. Credit (Subject to the approval of the Credit Sales Department) Sales Tax $ C. )(f.:-~,y T
If this is a cash transaction, the purchase price ~hall be paid as follows:. [./ a A,) d
Cash down Payment (Minimum 33%) $ ,-;-.... 0 -- Balance Payable $ 97(7C7"d' (/ Total Price $ 7 I (;f\,.' ( CI
If this is a credit transaction, the agreement for credit is contained in a separate document wllicn is incorporated herin by reference and made a part thereof.
IflNe the undersigned are hereby autharizing INVINCIBLE ASSOCIATES, INC, to verify and review my/our credit record with an independent credit reporting
agency and release them from all liability incurred from inadvertent amissions or errors, '
Verbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing in this
Contract. ADDITIONAL PROVISIONS ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRACT.
UNLESS OTHERWISE SPECIFIED, IT IS UNDERSTOOD THAT THE OWNER(S) IS/ARE READY FOR THIS WORK TO BEGIN, THE PURCHASE PRICE
QUOTED ABOVE WILL BE HONORED ONLY UNTIL , Purchaser(s) understands and agrees that If this agreement is cancelled after the
rescission period, the Purchaser is liable for twenty five percent (25%) of the total sales price as damages to the Contractor, In the event this offer to contract is
not accepted by Contractor, any payment made hereunder shall be refunded to the Purchaser(s) and this proposal shall be null and void and of no effect.
Contractor is not responsible for existing structural defects, dry rot or other factors beyond our control. No repairing, plastering, painting, carpentry, or decorat-
ing is included unless specifically charged for and specified in writing herein, Purchaser agrees to pay the Total Price In full upon installation unless otherwise
agreed to In writing. If Installation is started but not completed the same day and the parties agree that the installation is not campleted, Purchaser may withhold
10% of the Total Price until installation is completed, .-} '2 A , 1 _;>
IN WiTNESS WHEREOF Purchaser(s) have hereunto signed their name(s) this /-.J day of /7t. " Y 2ey:;r?
~n.!!.!~~eSl~ !!2!!E.t ~ aJ!.ue .E~ ~thls Contrac.!:... _ _ _ _ _ -;-/ _ _ _ _ ~_ -=- _ _ _ _ _ _ _, _ ..,
; -1J vi ~ -:if -f' :9 7J c17 ~1 (~) it.uJ r if-,Xs-()3 I
~ITTED BY: Rep entative Date ACCEP ED BY' Purchaser/Owner Date I
I I
LACCEPT~ BY:Aulhorized Signature fo~ontractar Date ACCEPTED BY: Purchaser/Owner Date J
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2003158344
Prepared by:
TO BE COMPLETED IF CONSTRUCTION
VALUE EXCEEDS $2,500.00
Rcpt: 710314 Rec: 6.00
DS: 0.00 IT: 0.00
08/27/03 _______ Dpt.y Clerk
Permit #
II
o COUNTY CLERK
i\~i7~~~I1Ari: E':; 1 i797
OR BK 5510 PG
Tax Folio 11- _1I-:~~-3-1~ool 0 - Z ~ ~O:>""'cX'(PO
OFFICIAL NOTICE
OF COMMENCEMENT
State of Florida
County of ?7-S~
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of
Commencement.
~L! /Jr ()
1. Description of property: 6"2 5'3 (f,/~ J/~
"ZcP-"/Y..e/.//~ LS; ~ 33 S""42
2. General description of improvement: ~ - R~
//p
3. Owner Information: "
A. Name and address: /~LE'/V.6: /' ..ocRro-v' 4?/c
B. Interest in property: CC-UA/E/Z
C. Name and address of fee simple titleholder (if other than owner):
0)/(//-"- /-J:z Zo.:/)47t:. Y":h"c"'-,<;;
4. Contractor name and address: -Z::YV/A/<! /..t5L.ef: 4-s~oc_ ~('!..
/09;"'3/ 767/-1 S-~-- LaiirP60 k. :53777
~ ~l- ~-.-':.
5. Surety (if required)
A. Name and address
B. Amount of bond $
"t-'::'~:>l~)
l.i. ~
.:,..,"..........." .
6. Lender name and address:
7. Persons within the State of Florida designated by Owner upon notices or other documents may be
served as provided by section 713.13 (1) (a) Florida Statutes.
Name and address:
8. In addition to himself, Owner designates Z:;':vl"A/":"'/liYL1'i_ A,>&'e-
Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes.
to receive a copy of the
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of
~~::~~: ~~:::~ili?:~:~::e~ ::e:::YY~*Q \If]) olk!
SWgJ;l1 and subscribed before me this ~ "'"
:.c.- 7 day of ~~~/- ,2003, by ~ 1'1/)/("c..-,C:"v.; ..Do/?;~.J
o Who is pers nally known to me.
o ho has pr duced / ' - as identification.
J 'J
I - rs License #O{, 3s-- ).')/->{'),c;~l-o
otary Publi
My commission expires: