HomeMy WebLinkAbout04-2751
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I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2751
2751
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
3,940.00
2/16/2004
50.00
50.00
Address: 38517 CAMDEN AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
JAMES BURROWS
38517 CAMDEN AVE
ZEPHYRHILLS, FL. 33542
Phone:
I
I. .. .. . i I I.. .
REINSPaCnON 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) wront 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) Perm; not posted on job site (f) Plans not at job site (g) Work not accessible
The paY~nt Of. inspect ion fees shall be made before any further permits. will be issued to the person owning same
"Warnin to owner: Your failure to record a notice of commencement may result in your paying twice for
improve ents to your property. If you intend to obtain financing, consult with your lender or an attorney
before r ording your notice of commencement."
--- Complete Plans, Specifications and Fee Must Accompany Application. -
----~ ____~_~lJVork shall..E..e performed in accordance with City Codes and Ordinances_________
NO OCCUPANCY BEFORE C.O.
~
._._~_.~_.
TRACTOR 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 lVEO
PHONE CONTACT FOR PERMITTING
PHONE
JOB ~DRESS
LEGAL DESCRIPTION: LOT(S) BLOCK
~ S-- .-.u-- - 2{ ----C>O S- -.L~ t)
PARCJl:L ID # CTf
SUBDIVISION
<--d} ?~OBTAIN FROM PROPF.RTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
PROPOSED USE: []SGL FAMILY DWELLING
[J COMMERCIAL
[J ADDITION
[J MOVE
[JALTERATION
[J DEMOLISH
[J REPAIR
[J INSTALL
[]MULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
BUILQING SIZE
~~& HEALTH DEPARTMENT APPROVAL
- SQUARE FOOTAGE
HEIGHT
OESC~IPTION OF WORK
RESI~NTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
CO~RCIAL: 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.
[J BUILDING
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
[] ELECtRICAL
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
[J PL~ING
[J MEC~ICAL $
[J GAS I [J ROOFING [J SPECIALTY
TYPE ~F CONSTRUCTION: [] BLOCK
FINISJED FLOOR ELEVATIONS
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
[J FRAME
[J STEEL
[J OTHER
IS PROJECT IN FLOOD ZONE AREA[J YES
[J NO
BUILD~R
SIGNA~URE
c. ONTRACTOR/SEC'I'ION
',',', ',. .....-., ,'-.....,.'.-..-.... :.,...._....-.-.... ',',.. ,
:i -'. .. ", '''',.. .. _.,'
COMPANY
STATE CERT OR REGIST #
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ELECTItICIAN
COMPANY
SIGNA':DURE
STATE CERT OR REGIST #
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PLUMBEIR
COMPANY
SIGNATbRE
STATE CERT OR REGIST #
MECHANtrCAL
!
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COMPANY
SIGNAT RE
STATE CERT OR REGIST #
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OTHER
COMPANY
/
SIGNAT RE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands 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 po~tions 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 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 "owner", 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.
Appli~ation 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.", it is
understood that a drainage plan addressing a "compensating volume" 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 fora
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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 2CL-
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.
o who has produced
(type of identification)
and who 0 did [}:lid not take an oath
Owho has produced
(type
and whoO did [J did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
NOTICE OF COHHBNCEHENT
111111111111111111111I111111111111111111I1111111111111111111
2004026688
State of
Florida
County of p", COr "
THR ~mnERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713 I Florida Statutes the
follo,^'ing inforr.-tation is provided in this Notice of Commencement: '
1. Description of Property: Parcel No. 35-25-21-005A-00000-1080
38517 Camden Ave.
(Legal descr~pt~on 0 the property an street a
2 .
General Description of Improvement Reroof
Rcpl: 756474
DS: 0.00
02/16/04
Rec: 6.00
IT: 0.00
Dpty Clerk
3 .
O\'mer Information: Name James Burroughs
~}91;~nI'lA'tJ"S;O fOUNT:, C1ERt<
OR Bt< 5729 PG 649
nddress 38517 Camden Ave.
City Zephyrhills
State Fl
33540
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
l:t 4.
Contractor: NameA Bartlett Roofing of Central Fl., rne
"""
Address 38408 3rd Ave
City ZeDhvrhills
State Fl
33542
5. Surety: N.:lrne
iAddress
City
State!
~mount of Bond: S
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
7lJ.IJ(1)(a)(7), rlorida Statutes:
tJ,;mc
^ddress
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Not~ce as provided in Section 713.13(1) (b), Florida Statutes.
(). fxpirn1 J.'Jn d~te of nut.i.ce of Commencement. (t.he
fr~m the Gate of recording unless a different
tz - ~
.--, .. "\/~--- ". - AI _
SignatureofOwne~~\ / .' . . v
expIrati.on date is 1 year
date is specified.)
-
Sworn to and
this / (Pf{, day of ~
204.
Notar~ Publ ic:
My C :.l:il.~i 5 S ion Expires: L
PC93053~8/A
RlCHARDC.8ARTLErT i~
MY COMMISSION # DO 014216
80M0d ThIU ~ PubliC Undefwrillls
1M' ';""lof ~"'''~.:\'.\7W~t~~.~;;jIk~,.;ot~;...~''_{~~,~i.]~.i~~''l)~~~.I~r~~~~',.~~.;~,'1!0",,~- ,.~--'9lJIJt1ll:'el~~"}~~"'~'I~._',,,,,,. __._',.. "_"._"
1\. lBartlett 1Rnnfing (@f <!rcntraIll1Inriba, 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 11,000 Homes and Mobile Homes in the last 31 years.
~
~-
u:- ( r:
Date /-30 -O;,L.
I
AMOUNT
:J.{)
Richard C. Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrang ment made.
Warranties pertain to original owner.
e ts c mgent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
7y 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
Total 3 rrv