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Home My WebLink About03-2560 , r I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2560 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: 2560 RE-ROOF ROOF REPLACEMENT COMMERCIAL Address: 5801 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 1,960.00 12/10/2003 40.00 40.00 12/10/2003 RE-ROOF 14 SQUARES Name: BREWER, KATHERINE Address: 5801 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: I I I-REINSPEctION FEES: w~en extra inspection trips arenecessary due to anyone of the foflowing reasons,iI- 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 I. . 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 I' i. mprovements, to your property. If you intend to obtain .fin.ancing, consult with your lend. er or an att,orney .' _llefcne recording your notice of commencement." .__ ___. _ _ Complete Plans, Specifications and Fee Must Accompany Application. - -- 1_._______ ---~I workshall be performed in accordance with City Codes and Ordinance~___ ____,_.__ NO OCCUPANCY BEFORE C.O. ----.-----.---------..---- --._- ----.----------.------.---------- --...----.- /~_ u__ ~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ---.---...----- ------....----- CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED /-1- /@ -0 '?> PHONE CONTACT FOR PERMIT'rING OWNER'S NAME 1C.1"t-1- h-< r-r A.I-<- '6 r-<. we.. r JOB ADDRESS 5QO J ~1't-l \ 7?/,} j PHONE 7~'- 7tc;;Y LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # ( Q1l11.\..JJL..E1illr:L.P..lli212.E.RTL...'.l'.8lCNQ'LlCEJ__ WORK PROPSED: ONEW CONSTRUCTION OSIGN o ADDITION OALTERATION o RE PAIR D INSTALL o MOVE o DEMOLISH PROPOSED USE: 0 SGL FAMILY DWELL ING ~:()MMERC IAL DMULTI-FAMUY o it OF UNITS [J SWH1MING POOL r.J MOBILE HOME o OTHER D INDUSTRIAL DESCRIPTION OF WORK CJ RESTAURANT & H8ALTH DEPARTMENT APPROVAL /(yrnof- 5f1-~f/~~ Nfl ,_ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY-F FORMS. /9i,(J. ~ // /1 V . 5 w PE:::T:O::~::::NSTRT)CTI( 11 ~ ~ o BUILDING $ " cJ o ELECTRICAL AMP SERVICE o FLORIDA POIvEB. [] W.R.E.C. o PLUMBING o MECHANICAL D GAS ~OOFING $ VALUATION OF MECHANCIAL INSTALLATION o SPECIALTY o OTHEB. TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO l_ -----...-~_..__._--~--_..--,-..~--.------.--.~,-~--.------....-.--.-.---.---____. __..__.._n__.._____~____ ____.._ CONTRACfOkSEC1':tON -......- -,...-...-~..,......_'..~",.,.., -....-.---~_.._....__~_...__J BUILDER COMPANY___ SIGNATURE ~ STATE CEB.T OR REGIST ff ********************************************************it********* ELECTRICIAN COMPANY SIGNATURE ST~TE CERT OR REGIST it ********************************************************~,********* PLUMBER COMPANY SIGNATUB.E STATE CERT OB. REGIST # MECHANICAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST it ***************************************************************** OTHER /(~(~)'f :~ SIGNATURE ~L COMPANY )c ;T!i)/rlC ~rl,v /Z19ot.'/C.J?, STATE CEB.T OR P,EGIST #_,c..CC~_1,O_.._____ A. NOTICE OF DEED RESTRICTIONS The undersigned llnderstands 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 tllat you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion 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 "Flori,da'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 1 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 tllat 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 illdicated. 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 reg\llations, 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, arid 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 Environmental.ly 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 Ilealth 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.u, it is understood that a drainage plan addressing a "compensating volumeu will be submitted ,~hich 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 witll Lhe 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 t%rk 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, CONSUI,T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) Qho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who D did Qiid not ta ke an oa th Dwho has produced (type and whoD di d D did not Signature of person taking acknowledgement Si9nature of person taking acknO\~ledgment Name typed, printed or stamped Name typed, printed or stamped 'roposal Page No. of Pages SCOTT BLACKMAN ROariNG po, Bey 1] 8:,:. S/\N ,ClJ-;TO;\Ji(" :Tm~iD!, , r352~ 588 7€F,3 {~)'f .'i~ 7~; ~~..1C PROPOSAL SUBMITTED TO r ....- ~..: - lit: / '7 / .. PHONE '-.., r I "".t' STREET JOB NAME i y.- cc -;: {, C V" j CITY, STATE and ZIP CODE JOB LOCATION i1 ,( , 1./ " JOB PHONE ARCHITECT DATE OF PLANS /' We hereby submit specifications and estimates for: f. \. BIt 'ropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars ($ ). l 7 I All material is guaranteed to be as specified, All work to be completed, in a workmanlike manner according to standard practices, Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate, All agreements contingent upon strikes, accidents or delays beyond our control. 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 Acceptance of ~roposal- The above prices, specifications j and conditions are satisfactory and are hereby accepted, You are authorized Signature ,( to do the work as specified, Payment wi/I be made as outlined above, Date of Acceptance: >:":_~_.,_ /f rCr' -q Signature