The URL can be used to link to this page

Home My WebLink About03-2589 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2589 Permit Number: 2589 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 3,000,00 Date Issued: 12/22/2003 Total Fees: 45,00 Amount Paid: 45.00 Date Paid: 12/22/2003 --Work Desc: RE-ROOF 20 SQUARES Address: 5610 21TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s):> Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0020-00700-0400 Name: BROU H ON, JOHN DONALD Address: 5610 21TH ST ZEPHYRHILLS, FL. 33542 i ~_ Phone: _____________ I . i ! ~ REINSPECn:ON FEES-: When extra hlspection trips are necessary due to anyone of the following reasons, a-----I 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 I--"Warningto owner:' Your faliureto reconfa notice of commencement may result in your paying' twIce for---. I ~~r:~:~::~~n: ::~: ~~::~'c~~:~~~~:'":n~~' obtain financing, consult with your lender oran attorney 1- -------.-------Complete Pi'ans, Specifications and Fee Must Accorrlpany-Appllcation:--- --.---.. --__ __ AI'vv.qI'~ ~_,!I! b~p~rfor.rne~il1~~co~cl~ncewith City .c:odes.:l~()rdi,n~l1ces___ __________ NO OCCUPANCY BEFORE C.O. - ---_...~-_._--------_._-----~-------------_._----_.._---- ------..-----..-------.-.---------- ~ ---,._~--. IG ATURE 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 RECE IVED OWNER'S NAME PERMITTING PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # ("'J- ~t.--CO -?-(-OO?--O --e:>t)1 Db ...--1!) ~Cfl{OB'l'AIN FROM PROPER'l'Y TAX NOTICE~l WORK PROPSED: ONEW CONSTRUCTION o ADDI'l'ION OALTERATION D REPAIR o INS'fALL Os I GN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE 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. IF SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. D BUILDING ;; Javv - ( $- AMP PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL SERVICE D nORIDA POWER D W.R.E.C. D PLUMBING o MECHANICAL $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL - ._~, ') , "- INSTALLATION /,/ . q 9 , ~y/ ,-_._-~ VALUATION OF MECHANCIAL o GAS o ROOFING o SPECIALTY o OTHER D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO I Q~~E("J'.C'I':t()1S _,' 0",; .'..', ';1 <,-,' ,.d .....,. -,'-'h"_"-,'",,' ....... . ',' ',' ""'_', ...... _ ',. _,. l BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE OTHER STATE CERT OR REGIST # ********************************************** COMPANY SIGNA STATE CERT OR REGIST # A, NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsn 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 Sectionsn 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 Guiden prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other that the "ownern, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownern 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 inst~llation 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 "An or "A,etc.n, it is understood that a drainage plan addressing a "compensating volumen 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 COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTn, SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) Qho is personally known to me, or Owho has produced (type and whoO did 0 did not of identification) take an oath, Owho has produced (type of identification) and \~ho 0 did O:lid not ta ke an oa th Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped 1\. 1Bartlett itoofing (@f QtentrallJiloriila, lint. c/o Richard Bartlett 38408 3rd Ave, Zephyrhills, FL 33542 One of the Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home JP Stevens White Rubber Roofs & Insulated Aluminum Roof Overs RESIDENTIAL · COMMERCIAL · MOBILE HOME LICENSED - INSURED - BONDED · MEMBER OF THE CHAMBER OF COMMERCE · OFFICE PHONE (813) 782-5585 (813) 973-7737 (352) 523-1944 Lic,#RC 0031769 Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas We have reroofed or repaired over 10,000 Homes and Mobile Homes in the last 30 years. Name Address Phone -4 ~ Sign: Richard C. Bartlett THANK YOU Your Business is Appre ' ted, Payment upon completion unless previo s arrange Warranties pertain to origina nero All arranbemenls conJingent upon strikes, accidents or delays beyond our control. Owner to carry lire, tornado and other necessary insurance, Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill. Rotten wood is an extra $30.00 per sheet (4.ply). Rotten fascia is $1.00 per linear foot. I d-.--- ~ O-()J qv(J State of Florida County of ~~~~~~~~J~II 1111I 11111 111I1 I111I 111111111111111111 Rept: 742120 DS: 0.00 12/22/03 Pasco Ree: 6.00 IT: 0.00 Dpty CJe,.k NOTICE OF COMMENCEMENT THE tmOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes the following inforr.1ation is provided in this Notice of Commencement: ' 1. Description of Property: Parcel No. 12- 26-21-0020-00700-0400 5610 21st St, (Legal description of the property and street address ~f available) 2 . General Description of Improvement Reroof iS92~~~~M\~: Gr:~o fOUN~Yf' CL,.ERK OR BK 5666 PG 1605 3. Owner Information: Name John DonFllci Rroll~hron llddress 5610 21st St CitYZephyrhills StateFl Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) Address City State 4; Contractor: Name A Bartlett Roofing of Central Fl" rnc Address 38408 3rd Ave CitYZephyrhills StateFl 33542 5, Surety: Name Address City Stat~ Amount of Bond: S 6. Lender: Name Address City State 7, Persons within the State of Florida designated by Owner upon whcm notices or o~her documents may be served as provided by Section 713,1 J ( 1) (a) (7) I rlor ida Statutes: tJc:mc Address City State 8. In addition to himself I Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. <J. f'xp.irf'lt J.'ln dl"lte of riot ce of Commencement. (the expiration date is 1 year fr~m the date uf reco ding unless a different date is specified.) 20 ( , Si<J;-!ature of ownef<: ,.---- Sworn to and this day of ( , / . " .,' IJ -; ,/" j i . ... ,,,.,,;,,,,. ,-~JL.:/'l' 'L,' :__' C, --' Not'-lry Publ ic: I ,r RlCHA,RD c, BARTLE1T EXPIRES: July 31, 2005 Ilonded Thru NocaIy PUblIc Undo!wrIlers My C::J:T1,7li s s ion Expires: PC93053048/A