HomeMy WebLinkAbout04-3057
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3057
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:
3057
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6152 10TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3,590.00
5/06/2004
50.00
50.00
5/06/2004
RE-ROOF
Name: JOHN GAFFNEY
Address: 6152 10TH ST
ZEPHYRHILLS, FL. 33542
Phone:
, I
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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 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--Plans, SpecifIcations and Fee MustAccompariy Application. .------.-.
__ ___ ~_work sh~-'I be _ perforrT!ed in accordance with City Codes and. Ordin~l1ces _ _ _________~___
OCCUPANCY BEFORE C.O.
-~-- ~-_.._"...__._------_..---~
~
IGNA TURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
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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 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 portions 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 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: Y~OgRU FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR I~~oVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB IN FINANCING, CONSULT
WITH YOUR LENDEJ?<'UI)., N ATTORN BEFORE RECORDIN~_.X?UR NOTICE 0 . CO NT. JOBS UNDER
$2,500 IN VA oeJ NOT NEED 0 RECORD -A "NOTICE OF M N '.
/
_./
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S T A ~$---<Jf./ FLO R I DA
LJNTY OF
The foregoing instrument was
Before me this _ day of
by
.....-
acknowledged
, 2~
-----..
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
D who has produced
(type
and whoD did D did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid OEd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
0,2-
. "'''!'~"'''~-IjP'''_ _~"'co-"j.{r~~''''''~"'F''f~:~rMlk~1oU'J':~~:r~'~~~-:'~~lI't-,..-,~;f'P."~~~::... \ ,;v~,{(,...., ,,__~_"'1'!',.,_ ,"~ir... "__. "".:1':',''''''-'"",; ".,~-::'\-">~_. ,- ~
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. A. 1Bartlett 1Rnnfing (@f C!tentra1ll1Jg ·
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c/o Richard Bartle
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 Cfr4MBER 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,
Date
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Address
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Phone
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DESCRIPTION
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President & Owner A. Bartlett Roofing of Central 'FL, Inc.
Sign: I
filfchard C. Bartlett
J l . THANK YOU
YCiutSusiness is Appreciated. .
Payment upon completion unless previous arrangement made.
.' Wa ties pertain to original owner.
ents ae s beyond our control. Owner to carry fire, tornado and other necessary insurance,
Camp on Insuran stamer is liabte for any charges incurred in coffecting this biff.
30.00 pe (4-ply). Rotten fascia is $1.00 per linear foot
AMOUNT
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Total
NOTICE OF COl\1MENCEMENT
State of
Florida
County of
Pasco
THE UNDERSIGNED hereby gives notice that improvement will ~e m.ade to certai~ real pr.opert,Y,
and in accordance with Chapter 713, Florida Statutes, the followmg mformatIOn IS provIded m
this Notice of Commencement:
1. Description of Property: Parcel No. 02-26-21-0080-00200-0260
6152 Tenth Street
(Legal description of the property and street address if available)
2. General Description of Improvement
Re-roof
1811 UI~ 11111 11111 I~ IIUIIIII\ 111\ 1111
Rcpl: 780046
os: 0.00
05/06/04
Rec: 6.00
IT: 0.00
Dpty Clerk
3. Owner Information: Name John Gaffney
Address 6152 Ten th Street
Chy Zephyrhills
State FL
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
~!90~~~xMAr2 : rcs;o fOUNT';f C1,ERK
OR BK 5840 PG 1660
__ City
State
4. Contractor: Name
A. Bartlett Roofing of Central Florida, Inc.
.~~ ,t"
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Address 38408 3rd Avenue
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
Chy Zephyrhills
State FL 33542
City
State
City
State
7. 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.
9.
ate of Notice of Commencement (the expiration date is 1 year from the date
unless a different date is specified.)
Sworn to and s
Cfl1 :rt
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,20$.
Signature of Owner:
Notary Public:
My Commission Expires:
PC93053048/ A