HomeMy WebLinkAbout04-2657
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2657
Permit Number: 2657
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 3,990.00
Date Issued: 1/20/2004
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 1/20/2004
--- Work Desc: RE-ROOF---
Address: 38619 TRELLlE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ALPHA VILLAGE
Parcel Number:
JOSE PANTOJA
i 38619 TRELlI E
I ZEPHYRHILLS, FL. 33542
L~one:___________
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I REINSPECllON 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 Pians, Specifications arid Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
-7,r-----NCfocCUPANCYBE-FORE C.o:-------- ------- ---
-------" --'.'--.---'--.------.
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TRACTOR SIGNATURE PERMIT OFFI
fAll 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
1-.)-o.-OjL
/
OWNER'S NAME
.,:I~
JJ.;? ~ ~
Vr rVT67cf
r~
PHONE CONTACT FOR PERMITTING
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL ID # ]:-)-J.-S-:-::L.-( .~(JS;-C~ .-.C:OOOO~(2;'-QOBTAIN FROM PROPERTY TA~ NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
DADDITION DALTERATION D REPAIR D INSTALL
DMOVE 0 DEMOLISH
DMULTI-FAMILY 0# OF' UNITS o MCmILE HOME
o INDUSTRIAL 0 POOL o OTHER
SWIMMING
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
~ARE FOOTAGE
HEIGHT
DESCRIPTION OF WORK
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORt1S.
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.
./.._......--z._~--
.' ..' ? r '0
D BUILDING, . $ (/ (
D ELECTRI~ .._ __-~
"-..----.--.-.- ,,-,-,.-.- ,.-----
ALUATION OF TOTAL CONSTRUCTION
SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE AREAD YES D NO
I_____L_________.______
~Q:ti{~g~~~},',~lQ~:pJ:lf
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
STATE CERT OR REGIST #
SIGNATURE
~: :';7~;~~'~""""""""""""""""""""'".....
( ~1/(y:./-- . COMPANY
------ - STATE CERT OR REGIST #
OTHER
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictionsff whlcl!
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 Sectionsff 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 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 ~Florida's Construction
lien Law - Homeowner's Protection Guideff prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~ownerff, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~ownerff 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 "Iork 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 F'lood Zone ~Aff or ~A,etc.ff, it is
understood that a drainage plan addressing a ~compensating volumeff 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 reqlliring 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 vlithin
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 COMMENCEMENTff.
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 0 did [kiid not La ke an oa th
Dwho has produced
(type
and whoD did D did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stanved
A. iBartlett itnnfing (@f <!rentral 1Iilnriikat lInr.
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.
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President & ~Y"no/A{ - rtle~~~_?~entral FL, Inc.
Sign: f=-:-::--:--',~:t'''''\--.-/ / j I. I A.---L_
Richard C_ Bartlett
.J-'<'.. )./ItA-< THANK YOU L{j/ iC/l~C
ur Business is Appreciated.
Payment upon completion unless previous arrangement made.
Warranties pertain to original owner.
All affangements contingent upon strikes, accidents 0' delays beyond ou, cont,ol. Owner to carry fife. tomado and othe, necessary insu,ance.
Our workers are fully covered by Workmen's Compensation fnsu,ance_ Customer is liable fo, any charges incuffed in collecting this bill. ./ ,/
Rotten wood is an extra $30.00 per sheet (4-ply). Rotten lascia is $1.00 per linear loot. Total (
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2004009329
NOTICE OF COMMENCEMENT
State of
Florida
County of Pasco
TUB tmOERSIGNED hereby gives notice that improvement will be made to czrtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1.
Descr iption of Property: Parcel No.
35-25-21-005A-00000-1320
38619 Trellis Street, Alpha Village
(Legal description of the property and street address if available)
2 .
General Description of Improvement
Re-roof
Rept: 748S82
OS: 0.00
01/20/04
Ree: 6.00
IT: 0.00
Dpty Clerk
~~92;~~~MA~g : rt:;O fOUNT:,. CL"ERK
OR BK 5696 PG 1901
3. O\mcr Information: Name Julio Pantoj a
^ddress 38619 Trellis St.
City Zevhyrhill~
State FL 33541
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address City State
4 . Contractor: N.::lme A. Bartlett Roofing of Central Florida, Inc.
Address 38408 3rd St. City Zephyrhills State FL 33542
5. Surety: N.:lrne
Address City State
Amount of Bond: $
6. Lender: Name
Address City State
7 .
Persons wi thin the S ta te of Florida
notices or o:her documents may be
71.3.13(1)(a)(7), florida Statutes:
designated by Owner upon whcm
served as provided by Section
tJc":mc
Address
City
State
8. In addition to himself, Owner designates
of
Lienor's Notice as
to receive a copy of the
provided ~n Section 713.13(1) (b), Florida Statutes.
<J. r-xpirl'lt J.')n dftte ()f rlut.ice of Comm~ncement (the expIration date is 1 year
fr~m the date of recording unless a different date is specified.)
SignatureOfowner4~ ~,,~
Sworn to and subscr~ed be!fe~ lOt is
/';1 / ___
20 0 4 ' / , {// -
" ,; /
'1/
Not~ry' 0/
u. Publ1.c: y
day of
January
My C:):n,.,j ssion Expires:
RICHARD c. BARTlETT
EXPIRES: July 31, 2005
Bon<l8ci Thill Notary Public Unciarw.....
PC93053048/ A