HomeMy WebLinkAbout03-2591
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2591
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:
2591
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
2,950.00
12/23/2003
45.00
45.00
12/23/2003
RE-ROOF 18 SQUARES
Address: 39053 5TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0030-00200-0030
Name: CONNERY, MABEL
Address: 39053 - 5TH AVE
ZEPHYRHILLS, FL 33542
Phone:
--~---______L_________~. ______---"--_____~_____~_____
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 faTlureto-recont a notice of commencement may result In your paying twice for ---
improvements to your property. If you intend to obtain financ'ing, consult with your lender or an attorney
before recording your notice of commencement."
----------~'~~._-------'--Coniplete Plans~pecificationsand 'Fee Must Accompany Application. -' --.. ----, ----"------
__ _ __~I'--w~k s~c:l1I be eE!,!oll!'ed inaccor~ance~ith City Coc:tes a~_Ordina_'!~_________________
NO OCCUPANCY BEFORE C.O.
-----~._----~_._--~--_._--- -------.,---_..._--~
~
NTRACTOR 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 RECE IVED
/Il /9~/;J~
! I
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
~~~
PHONE
702---~
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OB1'AIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
D SIGN
D ADDITION
DALTERATION
D REPAIR
D INSTALL
D MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERC IAL
DMUI.TI-FA1-1ILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
BUILDING SIZE
D ~:'f/L~PARTMENT
SQUARE FOOTAGE
APPROVAL
DESCRIPTIQN OF WORK
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
d ?-ts-o
PERMITS REQUESTED
------
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o
FLORIDA POWER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
o W.R.E.C.
y-
D PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL
o GAS
D ROOFING
D SPECIALTY
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
.l~,,$.~'>>l~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
SIGNATURE
STATE CERT OR REGIST #
*******************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
A. NOTICE Of DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictionsU 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 v-Ihich 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 "ownerU, 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 regulating 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
*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 "A" or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeU 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 corrunenced 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 COMMENCEMENTu.
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)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid [}:lid not take an oath
Owho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
M~8. Leslie Easton
P. O. Box S
Granby', MA 01033
tufing (@f OL.entrallJiluribai ]Jnt.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
vne 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 O' Lakes and Surrounding Areas
We have reroofed or repaired over 10.000 Homes and Mobile Homes in the last 30 years.
Date Dec. 11, 2003
Name
Owner - Mabel Connery
Guardian - Leslie Easton
Address
39053 Fifth Avenue, Zephyrhills, FL 33542
Phone
R
roof com lete haul awa
15 lb felt
Install new 20" valle metal.
lass
shin Ie. Install new 6 white rid e vents new lead
boots. Com lete clean u
Work to start within 15 da s
$1,500.00 Deposit - Balance upon completion
7 YEAR TRANSFERABLE LEAK WARRANTY.
Balance Due
/J- // ~ "{: ,-S'
for Mabel Connery
of Central FL, Inc.
Richard C. Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.
Warranties pertain to original owner.
All arrangemen/s conlingent upon strikes, accidents or delays beyond our control. Owner to carry fire, 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.
2,950 00
1 450.00
Total 2,950 00
11111I111111 1111I1111111111 1111I 11111111I1111111111111111111
2003236660
NOTICE OF COMMENCEMENT
State of Florida
County of
Pasco
THE IrnOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes the
following inforI:1ation is provided in this Notice of Commencement: '
1. Oescr iption of Property: Parcel No. 12-26-21-0030-00200-0030)
39053 Fifth Avenue
(Legal description of the property and street address if available)
2 .
General Description of Improvement
Reroof
Rept: 742561
OS: 0.00
12/23/03
Rae: 6.00
IT: 0.00
Dpty Clerk
Mabel Connery
i~92~~~~f'IANg : &C:;O fOUNToY,. ClERK
OR BK 5668 PG 1278
3 .
Owner Information: Name
F\ddress 39053 Fifth Ave.
City Zephyrhills
State FL 33542
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
Stilte
4. Contractor: N~me A. Bartlett Roofing of Central Florida, Inc.
Jt,~~1~~>
Address 38408 Third Ave.
City Zephyrhills
State FL 33542
5. Surety: N~rne
Address
City
State
l\mount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or o~her documents may be served as provided by Section
71..3.13(1)(21)(7), rlorida Statutes:
tJ,;mc
l\ddress
City
Stilte
8. In addition to himself, Owner designates
of to receive a copy of t~e
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
(I. r-xp.irnt -1'Jn d~te of rlut.ice of Commencement. (the explratiun d.::.t.e is 1 yecu:-
:r~m the ~~te of recording unless a different date is specified.)
~~kS?L~ Leslie Easton, Guardian
Si<J~ature of Owner:
Sworn to and subscribed before me this 22nd
day of December
20
03
RICHARD C. BARTlETT
'~
,
Not.:lry Publ ic:
My C::J:iI,;li ssion Expi
EXPIPES Julv 31,2005
Bandeo ThfL Notary P~b!ic Undelwrit2rS
PC93053048/ A