HomeMy WebLinkAbout04-2675
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2675
Permit Number: 2675
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,550.00
Date Issued: 1/26/2004
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 1/26/2004
Wor Desc: RE-ROOF
Address: 37940 MLK JR AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: GERALD BOCKHAHN
Address: 37940 MLK JR AVE
ZEPHYRHILLS, FL. 33542
Phone:
:
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I
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REINSPECTlON 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
1------
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
-'IIWarning 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 you otice of commencement. II
-.--. Complete Plans, Specifications'and Fee Must Accompany Application.
AI V\'ork shall be rformed in accordance with City Codes and Ordinances ___n__ ______
NO OCCUPANCY BEFORE C.O.
~
SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DATE RECE IVED
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
PHONE CONTACT
~ !3o cllJ)
JOB AbDRESS '3 7 crC(-1J - t/t1 L- (c
FOR PERMITTING
OWNER'S NAME
PHONE
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 10 # (cO- 2- ~ --:;....(--0\:>(0 -r';)..?OO - ~of9 POBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
OSIGN
[J ADDITION
[JMOVE
[JALTERATION
[J DEMOLISH
[J REPAIR
[J INSTALL
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERC IAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
'~UARE FOOTAGE
HEIGHT
BUILD!NG SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
[J BUILDING
o ELECTRICAL
PERMITS REQUESTED
---
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
[J FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[] GAS
o ROOFING
[] SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: [] BLOCK
o FRAME
o STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
~..
BUILDER
COMPANY
STATE CERT OR REGIST #
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
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 SectionsU 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 Guideu 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 "ownerU prior to corrunencement.
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 corrunenced 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 ~ork, and that it is my responsibility to identify what actions J must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sellsitive
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 "AU or "A,etc.u, it is
understood that a drainage plan addressing a "compensating vo1umeu will be submitted whic!l
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 corrunenced. 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 eac!l 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
, 2ll
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
Qho is personally knovm to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and \'-Iho Odid []did not take an oath
Owho has produced
(type
and wrioD did D did not
Signature of person taking acknowledgement
Signature of person taking ackno\'-Iledgment
Name typed, printed or stamped
Name typed, printed or stamped
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A.. martlett 1Rnnfing (@f QrentrallJilnribai lint.. 0-
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c/o Richard Bartlett'~ I" 6 0 I 00 ~D
38408 3rd Ave. r~ . to")..
Zephyrhills, FL 33542 / rJ r J-
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 Ar as
We have reroofed or repaired over 11,000 Homes and Mobile Homes in the last 31 years,
~ iJ ()~ jd~ Date 1//1vf
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3~Lfi] ~ ~+-.~ N\ 1.\L u YLJ\v L
~~1f{/
Name
Address
Phone
Sign:
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made,
Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or detays beyond our control. Owner to carry fire. tornado and other necessary insurance,
Our workers are fully covered by Workmen's Compensation Insurance, Cuslomer is liable for any charges incurred in collecting Ihis bill,
Rotten wood is an extra $30,00 per sheet (4-ply), Rotten fascia is $1.00 per linear foot.
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NOTICE OF COMMENCEMENT
111'"' "'" 1111I1111I11'" '"" 1111' "'" 1111I11'" 11111111
2004012747
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 infor~ation is provided in this Notice of Commencement:
1.
Oeser iption of Property: Parcel No. I ("~: y
~1 /
/'; (\ i I"
1/)' <. t L..'
, ",:>:'"-,,,,
{ /'( "J, .~lo\
c:d ~' tJ
37940 6til-irve. ~
(Legal descr1pt1on
street a
able)
2.
General Description of Improvement
Reroof
Rcpt: 7!50164
DS: 0.00
01/26/04
Rec: 6.00
IT: 0.00
Dpty Cl.rk
3. Ovmcr Informa tion: Name Gerald Bockhahn
nddress 37940 6th Ave.
City Zephyrhills
State Fl
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
33541
~'92~~~T4"A0N.... P0ASCO COUNTY CLERk
~.2t am 1 of 1
OR Bk 5703 PG 297
Address
City
State
R4.
Contractor: Name A R~rt'prr
Roofin~ of Central Fl.. Inc
Address 38408 3rd Ave
cityZephyrhills State Fl
33542
5 .
Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or o~her documents may, be
7.!.J.lJ(1)(a)(7), rlorida Statutes:
designated by Owner upon whcm
served as provided by Section
tkmc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of t~e
Lienor's Not1ce as provided 1n Section 713.13(1) (b), Florida Statutes.
(J. f'xp..i..rni J.'Jn d~te ot tlot..ice of Commencement. (the expIration d.::lte is 1 year
fr~m the ~ate of recording unless a different date is specified.)
S i CJ ~ a t u reo f Ow n e r: /~/:/ I~ /l.....a>~,.rl' rJ? c/?::-f1~t-z:c /:---..
( ~:t- '-.-T
day
o~
RICHAROC.BARTLElT
: : : : 014216
~t.~:f,<~1 . eXPIRES:JulY31,2005
'Rr..\iI'l"" yond.d Th!\l Nottry Public
Sworn to and subscribed
206 y.
I
Not.J.ry Publ ic:
,
My C :J;'il,;li 5 S ion Expires:
PC93053048/ A