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HomeMy WebLinkAbout04-2962 'I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2962 Permit Number: 2962 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 7,200.00 Date Issued: 4/16/2004 Total Fees: 70.00 Amount Paid: 70.00 Date Paid: 4/16/2004 '----workDesc: RE~-ROOF Address: 6539 BRENTWO 0 DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: I Subdivision: CITY OF ZEPHYRHILLS 'I Name: ANNA WINTERS Address: 6539 BRENTWOOD DR I ZEPHYRHILLS, FL. 33542 Phone: I I I I , i ! ~ I -REINS-PECTION FEES: When extra inspectlcin trips are necessary due to anyone of the fciUowing 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'-111e p~ymentof ins~~ion fe~s shall be made before any fu~~~ per!!lits ~IL!>e 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. n '.- -------- Complete Plans, Specifications and Fee Must Accompany'Application.------- --- . ______ , .___ ~II wo~~ shaILbe performed in accordance with City Codes and ()!dina~c:es _______________ NO OCCUPANCY BEFORE C.O. --- --"--'-.,..-- ---_._--_.~ .._----._~-----_._.._.__...,- ~ TURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~ Scott Blaaman Roofimg ~a:~ ., p.o. Box 1188 SlIIAnDio, Florida 33578 Phone: 352-688-7883 Fax: 352-688-9783 PROPOSAL SUBMITTED TO: ;1 r.5, w; i h.... r 5 STREET: b 5;} '/~f -;?l . , . )""'.. J IJP< v"" ...-~v PHONE: 7 r:?' -5'-;;" 2 51 CITY, STATE and ZIP: I - L ,) I ' Z<;?",-/; . I? Fax#: DATE: "Y /25/Czt We hereby submit specifications and estimates for: Remove Existing Tile Roof Use #30lb Felt Paper Replace All Pipevent Flashings Install New Metal In Valleys Replace All Roof Vents Install New Drip edge Apply A 30 year fungus resistant Dimensional Shingle Clean Up and Haul A way All Debris. Wood Work Extra- $ 35.00 per sheet and $2.50 per Ix? And 2x? Covers Materials and Labor / .4..... .-, -r/" i" ,C;' t:: -el -.,..:. ,5';: W / ~~~? ;,.;7 '"1'_. i~ ~y~t:'/ /'< .~f, / .:/ We propose hereby to furnish material and labor-complete in accordance with above specifications, tor the sum of: ?2..c."{' , c.' (Payment due in full on completion, Thank You.) All material is guaranteed to be as specified, All work to be completed in a workmanlike manner according to standard practices, Any alteration of deviation from above specifications involving extta costs will be executed only upon written orders, and will become an extra charge over and above the estimate, All agreements contingent upon strikes, accidents or delays beyond our control. Owner to cany fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Com- pensation Insurance. I '"~",," ',",rnro k~~L Note: This proposal may be withdrawn by us if not accepted within lS days. Acceptance of ProPOsal-The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. !,; \ A --r-:; , ' I (.,;(j /:' r .Ln.U;l'-. " Date of accepta.nce: ,/ ~ -d-,3 ,-,0 { CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED t{-(b -0(1 PHONE CONTACT FOR PERMITTING OWNER'S NAME /?J1';-. 5 657C{ , <- CA./iff. o.{'/ r -' 11r<~1 ~(36c/ PHONE r;P$-- c; .2 .2 ?' - JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL In # WORK PROPSED: []NEW CONSTRUCTION [] SIGN PROPOSED USE: []SGL FAMILY DWELLING [] COMMERCIAL (ORTATN FROM PROPF.RTY TAX NOTICE \ [] ADDITION []ALTERATION [] DEMOLISH [] REPAIR [] INSTALL o MOVE []MULTI-FAMILY [] INDUSTRIAL []# OF UNITS [] SWIMMING POOL [] MOBILE HOME [] OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL /f-e /c?t?6~ - 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. [] BUILDING [] ELECTRICAL $--.!J I tJ<;o PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [] FLORIDA POWER [] W.R.E.C. [] PLUMBING [] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION []GAS [] ROOFING [] SPECIALTY [] OTHER TYPE OF CONSTRUCTION: [] BLOCK o FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO qO~WO~SECTIQN SIGNATURE COMPANY BUILDER STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ndeed 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 nContractor 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 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 nFlorida'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 nowner" 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 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 COMMENCEMENT". 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) C1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid Diid not take an oath o who has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped NOTICE OF COMMENCEMENT Stateo~ -~~~./ County of .p~--AJ , UNDERSIGNED hereby gives notice that improvement will be made to certain real property, m accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: Description of Property: Parcel No. 0 Lj.-.;<' -.,;;I. 1- oo~ 0 - C)O()6l> - 06 C( 1-- - ~(f)~~tf)dU~ fJfi d-fo ___ (Legal description of the property and street address if available) 2. General Description of Improvement ~/'''' /v~ lr , ,...--;.-- tf r--~, Q tei /-- I )"/'G /,P?f \- .-;:' . jt' / "~' " -"iI..... '-'". ,,' /)-"') -r., i>,) < / ,~/. 'II;L'~ .;.f),,~'4<1 v' v " 0_/' 11111111111111111111111111111111111I111111111111111111111111 2004066582 Owner Information: Name ~.J ~ >>~ Address 0$37 ~ ~ City ~-tJ StateV 3'3.1'4.), Interest III Property: Name of Fee Simple Titleholder: (If other than owner) Rept: 773558 Ree: 6.00 DS: 0.00 IT: 0.00 04/14/04 __ Dpty Clerk Address 4. Contractor:Name Lj/~c/(/J?7"'Lh- City c':(-^ ~, j. ,\ -", " /~ q ..... '.~ I __ .. - State , Address r iJ , f.J () }<, , / 1 ,Po? City _<'A."- /1 "OlD'~ /"1"0 J . . J ", ,) State p /~<- , :), Surety: Name Address City State ~\91~~~IM\~:r~s;o fOUNToYf C\ERk OR Bk 5807 PG 1862 A,mount of Bond: $ Lender: Name Address City State Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. E~xpiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) Sig~atur~.of O~~t':,. 4r/)-14 ~iJ~J ~kJJ7A~ Sw6~lJ.to andsubsc~ibed before me this ~3;i-L-day of 1Y)au~' NO(a~ PUblip,. ..;::zt1J7ijnCU ~""-_________ CommIssIon EXpI : ,20~' F'C93053048/ A ,'~~-l.~(~'" Jeffre~ T?dd Reutimann ~:~~.~) Com.mls~lon#DDI59234 :;..,:. \;J,!3": ExpIres. Nov 15,2006 "{~OFf~O~~-'- Bonded Thru "//1'" Atlantic Bonding Co., Inc.