HomeMy WebLinkAbout04-3082
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3082
Permit Number: 3082
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost: 2,200.00
Date Issued: 5/17/2004
Total Fees: 45.00
Amount Paid: 45.00 ,
Date Paid: _ 5/17/2004_ ---L
-- Work Desc: RE-ROOF STORAGE BUILDING
Address: 39345 6TH AVE
ZEPHYRHILLS, FL.
Township: Range: -' Book:
Lot(s): BIQt:k: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
SIXTH AVENUE LLC
39345 6TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
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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 inyour 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 -FeeMust Accompany Application.----- ---------
-- -- ---- --- --- ____AJLwor~~all be_perforrnE::!~!!!.c:I~c.~dc~nce with City Cod~~nd O~dinances __H____ ________
NO OCCUPANCY BEFORE C.O.
-- __'____. n____.___ _____..____ ____~_________._____..__'______.______,_..____._._...____.__.____..___._,______.__~__
-y---------- ~
R IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REViEW FEE
OWNER'S NAME -;;;:;JL'1
JOB ADDRESS, "31 '3 '-I~
L€ V\J ( S:.
~ Ave
PHONE ~T 3 I~ -;)../ 17 '-f
LEGAL DESCRIPTION: LOT(S)
PARCEL 10 # l~ ;;l. ~~ I OOd.-B aDS Do 000 D
SUBDIVISION S; y ~ ~ :~i1: M t1-P
(OBTAIN FRO~ P:OP T TCEl
BLOCK
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
[JADDITION
LdALTERATION
[J REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
L(~MMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
0# OF UNITS
D SWIMMING POOL
D MOBILE HOME
~HER
S''''b:-.U, "7
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF' WORK r e l"" GE)~
, ,
BUILDING SIZE 2--<;( X 2- J
.g I n.4' ~
fly
Nt e IIVj h MNU
5)(y
HEIGHT
SQUARE FOOTAGE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
D BUILDING
$ ~;).O tJ.?!-
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
D PLUMBING
D MECHANICAL $
D GAS ~ROOFING D SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
VALUATION OF MECHANCIAL INSTALLATION
D OTHER
D FRAME
D S'l'EEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
BUILDER ~ .~.~. "'.. L__;;.e;::f
<,:/ ,~ ./~-.-J
SIGNATURE, /p ..~
COMPANY -rrop,cc...-I 00, fl'1 III L
STATE CERT OR REGIST # C-LL 0 ''I ~s:;)...
CITY PROCESSING #
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ELECTRICIAN
SIGNATURE
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
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PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
**********~*******************************************************
~
.
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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COND1'l'lONS OF PEHMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
T?e 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. ~NLICENSED 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, 813-788-6611.
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 r~sponsible. 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.
Application 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 ENCEM NT'/":/~;?
&;'.........../...,/~~y-:;~~
. "'c.C~--
SIGNATURE: OWNER OR AGENT CONTRACTOR
STATE OF FLO~DA {I
COUNTY OF , .-..e.. ti.-<;'
The foregoing instrument w~~ acknowledged ,/
Before me this& day OfIV/c....,y , ~'r
by ':tJ a.-.. ""R CA rc. e:,-
~. (name of person acknowledged)
~ho is personally known to me, or
D who has produced
(type of identification)
and whoOdid Odid not take anffth.
0LuJ>"- ~ ~~
Signature of person taking acknowledgement
STATE OF FLORIDA PIV\.e II(L~ I'
COUNTY OF
The foregoing instrument wa~cknowledged {/
Befo-1i~ mehthis _J_::Z_day of (V Q Y , ilft-O ('
by l!(ll L _fL~ I &ci~
~'. (name of person acknowledged)
~ is personally known to me, or
Dwho has produced
(type of identification)
and who Odid Oiid not take an oath
~m~~
Signature of person taking acknowledgment
TREVOR M. MEADE,
~tary PybliS, State of Florida
Name typed, printed or stamp~y comm. expo Oct. 5, 2001
Comm. No. DO 255550
Name typed, printed or stampeffiEVOR M. MtAUE .
Notary Public, State of Flonda
TREVOR M. MEADE. My comm. expo Oct. 5, 2007
Notary Public, Stale of Flonda Comm. No. DO 255550
My comm. expo Oct. 5, 2007
Comm. No. 00 255550
Contract
State Certified
Roofing Contractor
License # CC 057552
Member:
Natl, Roofing Contractors Assoc,
Better Business Bureau
FMO Associate Member
c--
~'Jtt<iPical
( RoofingR
Your Florida Roofing Specialist
5985 - 49th St. North
St. Petersburg, FL 33709
Toll Free: 888-372-0488
Office: 727-572-5545
Fax: 727-533-8835
/?) )-/ C
STREET
39sqS""
PROPOSAL SUBMITTED TO
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!€t.,J).J 813- 78,-1 n
PHONE
UP NORTH PHONE
CONTRACT DATE
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SENTATlVE
.. Wt:- LC \-\
MHP NAME
6 Y".(fl vE-
MHP LOCATION
f\ eiL )~
/J? /---1 ?
0,/
CITY, STATE, AND ZIP
33s4-o
APPROX. JOB START DATE
J4 ~ e(",~ '\.~
P OX. JOB COMPLETION DATE
Cl-<:i-
We hereby submit the following specifications and estimates:
G1NSTALL CUSTOM SINGLE PLY MEMBRANE ROOF SYSTEM FOR THE FOLLOWING
~~REAS ONLY: ~"ToQ ~€. >,<oo+-
0YSTEM TO BE INSTALLED:
~HITE -X I SHINGLE STYLE WHITE _ TAN _ GREY _
~NCLUDE DOUBLE-FOIL-FACED INSULATION AS INDICATED:
~ ~ 1 1/4" _ 314" _ NONE
0. 4,. CLUDE NEW SPUN ALUMINUM VENTS (ELIMINATE DEAD AIR SPACE VENTS)
QNCLUDE ALL REQUIRED PERMITS.
Q:LEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE,
;t:::-- II ~ SKYLlTES TO BE INSTALLED, NO INSIDE FINISH INCLUDED.
~ROVIDE LIFETIME WITH 15 YR, MANUFACTURER'S BACKED NO LEAK, NON-
~RORATED, TRANSFERABLE WARRANTY
FULLY COVERING ALL LABOR AND ALL MATERIALS,
ADDITIONAL INFORMATION:
MAKE ALL CHECKS PAYABLE TO TROPICAL ROOFING
CASH PRICE AND PAYMENT SCHEDULE: (Reference to a phase of construction means all work, materials and equipment
necessary to complete that phase), Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the follow-
ing payment schedule:
1. Price
2. Tax
3. Down Payment $ - 0
4. Balance $ &1 ~ 00 '
ON COMPLETION OF All WORK
$ d,d-OO
$2(J
-
I have the authority to order the above work and do so orders as outlined herein,
it is agreed that the seller will retain title to any equipment or material furnished
until final & complete payment is made. An express mechanic lien is hereby
acknowledged for security of this debt and the total amount will be paid within
terms show. Customer agrees to pay any or all attorney fees that are related to
collection of money that is due.
I, (we) herewith expressly agree to pay not as a penalty but as liquidated dam-
ages, 25% of the principal amount of this contract to Tropical Roofing in the event
of a breach of this agreement prior to work beginning
Authorized
Signature
All materials guarantee 0 be specified, All work to be completed in workmanlike man-
ner according to standard p Ices. Any additional work needed to complete this job, with
customer approval, will be billed as an extra and customer agrees to pay for such cost.
All agreements contingent upon strikes, accidents or delays beyond our control. Owner to
carry fire, tornado and other necessary insurance.
NOTICE TO OWNER
Do not sign this home improvement contract
in blank, or before you read it. You are entitled
to a copy of this contract at the time you sign.
Keep it to protect your legal rights, Buyer's
right to cancel on reverse side.
Acceptance of Contract - 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,
ae-,
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