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Home My WebLink About04-3122 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3122 Permit Number: 3122 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 5,590.00 Date Issued: 6/01/2004 Total Fees: 60.00 Amount Paid: 60.00 Date Paid: 6/01/2004 Work Desc: RE-ROOF- Address: 5324 17TH ST .~ ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-17300-0170 ATKINS, CHARLES 5324 17TH ST ZEPHYRHILLS, FL. 33542 Phone: I - - In . 1_ '_m_ 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 I "WarnIng to owner: Your failure to record a notice of commencement may result in your paying tWice fci"..---- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording ur notice of commencement." ------- Complete Plans, Specifications and Fee Must "Accompany Applicatlon.- ----- ----- -- ,A.II wor~~h_~1 be perf'ormed in~ccord_an~E! with_<;:ity Codes~nd Ordin_Cl~ces __ NO CCUPANCY BEFORE C.O. ~ ~ R 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 IVED 0- 1- 0 i PHONE CONTACT FOR PERMITTING OWNER'S NAME " N'J PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) II -- :2- 4 -.::L(- BLOCK SUBDIVISION <-- (tB~cJ ~B PRo~RQ(TI ~OTICE) PARCEL ID # O()(o WORK PROPSED: ONEW CONSTRUCTION o ADDITION DALTERATION o REPAIR D INSTALL D SIGN o MOVE 0 DEMOLISH PROPOSED USE: 0 SGL FAMILY DWELLING DMULT I - FAMI L Y 0# OF UNITS o MOBILE HOME DCOMMERCIAL o INDUSTRIAL D SWIMMING POOL o OTHER BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~FOOTAGE HEIGHT DESCRIPTION OF WORK 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. PERMITS REQUESTED o BUILDING o ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D FLORIDA POWER .// o /" /' W.R.E~Z. / o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES D NO BUILDER COMPANY SIGNATURE C.ONTRAC'1'ORSi:CTION '" ," - -: ""-', - '" 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 "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 pOFtions 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 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 "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 work, and that it is Iny responsibility to identify what actions 1 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 "AU or "A,etc.u, it is understood that a drainage plan addressing a "compensating volumeU 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 v.JOrk 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 each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT PAYING TWICE FOR OVEMENTS TO YOUR ROPERTY. IF YOU INTEND T WITH YOUR LEN DE AN A' RNEY RE RECORDING YOUR NOTIC .0 $2,500 IN VALU NOT RECORD AND POST A "NOTICE 0 STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ 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 Owho has produced (type and whoO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who 0 did []did not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped "'''''';'~'''_',:~_.,'.....,~~r.... ~-""'-~;-"""":';''''-';''''~'~~~..-~:_.fd;JJ>~~~;,I1l~~'''J\ltl~:~>lll~~'~'.,;,~,..""".......~~~'''''~'''''''' A. 1Bartl.ett itnnfing (@f <trentralllilnribu, lInr. 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, Date 'clay 10, 2004 Name Charles (Chiu) Atkins Address 5324 17th Street Phone Zephyrhil!tls, FL --;- ... DESCRIPTION AMOUNT Remove complete shingle roof, complete haul away. Rotten ply\..ood $30!sheet. f~ew 30 lb. felt. New wide brown drip edge. New 30 year Class A Dimensional Elk hickory. Screw down brown ridge vent. ~f ew lead boots Reuse aluminum skylight, 5590. OJ ~ Upo9" 1tarting 2000. 00 10 YEAR LEAI :,JARRANTY / ).~Y' ) - - > / V , ~l , - .- -c:.' ~ lr) /~ President & .owner A. Ba~I~tt._~oofru ~ of Central FL, Inc. Sign: ._-" --if -. Richard C. Bartlett 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 delays beyond our control. Owner to carry lire, tornado and other necessary insurance, Our workers are fully covered by Workmen's Compensation Insurance, Customer is liable for any charges incurred in collecting this bill. 3590. 00 Rotten wood is an extra $30,00 per sheet (4-ply). Rotten fascia is $1,00 per linear foot Total NOTICE OF COMMENCEMENT State of Florida County of Pasco THF; UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property, and In accordance wIth Chapter 713, FlorIda Statutes, the following information is provided in this Notice of Commencement: (Legal description of the property and street address if available) L(-.2-G -;L(-IQ~(p - (730fJ \C) (7 0 1. Description of Property: Parcel No. 5324 17th Street 2. General Description of Improvement Reroof 1111111 IIIllllIl! 11111 IIII1 IIIII II111 IIIII II11I I11II IllllllI 2004100866 Rcpl: 787183 OS: 0. 00 06/01/04 Rec: 10.00 iT: 0.00 Dpty Clerk 3. Owner Information: Name Address 5324 17th S t Charle~ (Chip) Atkins City Zeph yrh i 11 R State F 1 Interest in Property: Name of Fee Simple Titleholder: (If other than owner) JEO PITTMAN~ PASCO COUNTY CLERK 06/01/04 0:1: 18am 1 of 1 OR BK 5879 PG 936 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be serv~d 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. Expiration date of Notice of.~ommencement (the expiration date is 1 year from the date of recording unless a dif e date is s cified.) My Commission Expires: PC93053048/ A ,200Y' ;'