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Home My WebLink About04-3272 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3272 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 4,150.00 Date Issued: 8/03/2004 Total Fees: 55.00 Amount Paid: 55.00 Date Paid: 8/03/2004 --.Work Desc:RE-ROOF.--- 3272 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 38544 3RD AVE ZEPHYRHILLS, FL. Township: Range: . Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: NELL PETTY Address: 38544 3RD AVE ZEPHYRHILLS, FL. 33542 ._-~~....--<.-.-_.~.__._~._----~._~._---~-_._---- Phone: n_.' -'---- ---'-_.~'___.___._.___________ ._.1_,. _________._,.____ _L____,___,____, __._..___., 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 "\Viii-ling to own-er:- Your filliuretorecord a notice 0; commencementnlay result in- your paying twice for-- - improvements to your property. If you intend.to obtain financing, consult with your lender or an attorney !J~f()!t!~~orclin9 yOll....l1()tic:~__()f cO'!!!!I_en~~l11ent. "____ ____ __~_ . ___, _ _ ._ __ , Complete Plans, Specifications and Fee Must Accompany Application. - -- -- ------- .~.!I ~()rk~h~~b~p~rfo!I1!~~in acco!:~C!.r1ce ""ithCity Coc!e~and (:>rdil1ances___________.. __ NO OCCUPANCY BEFORE C.O. ~ J(~~{>-___~~ CONTRACTOR 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 RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME. N'C \ \ \\_~iv- JOB ADDRESS ~~ ~ L\ <..\ ~ 'f\t 1--{ LEGAL DESCRIPTION: LOT (S) I ~ - d 1-.{ BLOCK I q :=3> \ \ - d ~ ~ d \ ~ CYJlO -- 1Q!-,rD - O/1<POBTAIN iftX) - d(J~ ... ?--e ''P~(jY- "'-0,\ \ \ Ff SUBDIVISION PHONE PARCEL 10 # FROM PROPERTY TAX NOTICEl WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLI SH PROPOSED USE: I!JSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL erucF' pr)~ mcrf FOOTAGE I a Sot> \ HEIGHT BUILDING SIZE SQUARE 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 0 BUILDING $ LI, I SO ,GO VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R,E.C. 0 PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER COMPANY SIGNATURE 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~Od-(' "~ SIGNATURE ~ ~ .,-- 'F' "~C"-L..h r--.. - COMPANY ~c6\\ ~\cL'- ~~ ()C(~J STATE CERT OR REGIST # c...~(.,OS'\<;S'\ 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 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 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 conunencement. 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 conunenced 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 conunenced 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 conunenced. 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) [1ho is personally known to me, or Dwho has produced (type and wrioD did D did not of identification) take an oath. D who has produced (type of identification) and who Ddid [):iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped JUN 07,2004 11:11 Scott Blackman Roofing 3525889763 Pag~_ 1 Scott Hlackman Roofing, Inc. 33010 SR 52 P.O. Box 1188 San Antonio, Florida 33576 Licl".llsC tI CCC057957 352-588-7663 or 813-782-1330 352-588-9763 (fax) ~ ~ PROPOSAL 1'lIfl1'1J.W, SrBMITTEII rll: NdlPel1y MfIIlF.SS: ;'IK544 B'~ Ave. Zephyrhills, Fl. PHtI.\'E#:780-~()60 fu#:W 'l~l ~W~ C~1..i, - LV:-~~'L DA1li:.JUNE 7, 2001 \\'c I.ctcby submit spccilicatious ami cstimarcs for; -,.. Optioll 1- () Hnl1ovt' ~:xistin~ MdilJ OJl Pun:!. o IlIstall Nl.:w 2h Gallh'l.: ,r; V GWINl: Meta] ,(:al1 Jl and au ebl'is o Woodwork extra $2.50 per fool J()r );;. Ol"ttioll 2- o Remove Existing Meta] Roofing o r nSI:IJl I/~ IlIch Plywood o Install ao II Felt PaJX~r o Imtall New Drip E~e o Apply a ao year Dimemiol1aI Shingle o CleanUp and Haul Away All Dl~bris $3,57.5,( /lP~ · .'4i 150 ~ O() We pro po. > to lilmish malerial and lahoI'-t:oJl\pktc ill an'onliUll'l: :)(JcciJiGllloIl5, lor the StUll () ~ $ Option 1- $3,575.00 Option 2-=- $4,15(),OO PilYTIIl~1l1 is dlll~ in FilII on CllJlIpkliulI. AI.I. MA TfiRII\!. IS mrAR^NTlili/) TO Ilf. ^S SPF.l'IFIf.D, ALL. WORK. TO Illl COMfLtTJ;;I) fro A WIJK!i"M,>,/-I~If(r; l,lANNP.R ACCORDIN('; TO ~T^NOARD PRAC'llCES, ANY ALTr!RNnON m' DliVIATlON fROM AIlOVIi srF..CI~lC^rrONS ''''V'-'I.VI'''U f.)lT.A t:<.lSTS WILl. Br. mcr.C1rTl!D ONLY urON WRITT!:'N ORDERS, AND WILL 1lt;('OME AN EXTRA CHAKUt:: OVt::K,>,/-I1l AIlOVIi nu; .~';rI~M'''f', AI.I. AGRr.r.MI1NTS CONTINr.r.NT IlI"l)N Sl1UKJ1,~. AC.CIOI!NTS OR DEI.A YS DEYONO OUR C.ONllWL. OwNliK TO CARllY FIKJ::, TUKNAL>(J, ANI> UJ1'lEIl Nf(:l;SS"IIIY INWIVINC~;. ()IJII \AI"K~''''S ""I' ")'.I.Y (".I"~KRl>!lV WflRKMAN'S (:liMPl!NSATION INSIJRANC'lL Ac:c:eptanc:e of Propo The (lbovl~ vrin~s, spn'iJil'atiolls ;.nr! wllrlitions arc satisfactory anti arc hen_~by anT l~tI. Y u arc ,llltbunzed to elo thl~ work a~ ~T*('ilie(i. Paymenl will hl..~ math: as I) it net! ah( ve, Sih'llalllrt) I '___ ,_ . _ I )all: t II' At'Ct:I>\.lIIrt:: t _ fJ: .!j Sigllid m"L:: ~_______________ AuthMizl:tl Si,l,'llalurt:: ~. (Scott Blackman, Owner) Permit No. 11111111111111111111111111111111111111111I111111111111111111 2004144338 State Of ;:-\o~, c;:t " NOTICE OF COMMENCEMENT County of rp Ac:;.c n f THE UNDERSIGNED hereby gives nollce that improvement will be made to certain real property. and in acco,._nce with Chapter 711. Florida Statutes. the following 'nforNtlon Is provided In this Notlc;;e of Commenc-.nent: 1. Parcel No. //-c:J~ -c:;./- C)CJ /fL'-/) 30001 5'6 '/A/11s f2/3 rf L07S /9~:;}Y ,6//C/93 lega description t pl"Operty and street a ress I aval a I. 2. Gene...' Description of Improvement ~ <- (Q:J -P Rcpl : 804218 Rec: 10.00 DS: 0. 00 IT: 0. 00 08/02/04 Dpty Clerk " 3. Owner Information: Name /[/ z:../ / \ Add.... ..3t~ 3.eLJ ~e. Interest in Propert,,: /~ V Mame of Fee Simple Titleholder: ( I f other than o",ner) Add..... /11 ;ge 7/~ ~ City ?-rhyrtJlJ _~"'I. ,c1 JED PITTMAN, PASCO COUNTY CLERK 08/02/04 12: 30e: 1 of 1 OR BK 596 { PG 582 R Contractor : ~11 &ti..AGMM\H ~ Name P.O. .. G:la 33676 IAN.......... ... City Stete Add..... Clty,~, State s. Surety: Name '. AJ t.~ \-e...r,..... Add...., Amount of Bond: . ~.ao .. Lender: N..... ~~'J ,.Slty State Address City State 1. Persons within the Sole of Florida designated by Owner upon whom notlen or other documents ....y be served as provided by Section 7n. U(1 )(a)(7), Florida Statutes: . Name Add..... .. In addition to himself, Owner desfgnata of to receive a copy of the Lienor's Notice as provided in 5ectton 7U.1J(1)[bi, Florida Statutes. City State 9. Expiratton date of Notice of Commencement (the expiration date Is 1 yea,. from the date of recording unles, _ different date Is specifled.) rJ~ \"~c.... c....U J i I.. "'-I;< VV,,- I Signature of Owner: Sworn to and 5ubsc;;rlbed befo.... me this c:::f 5( ~tbl~' ~ MV Commission Expires: ~'I\ MenII 0 Lee . ~ . My CommisIIofl DD2mU \:.. ft.:; Expires June 27. 2007 I9 39l;;'d ,S! _' ~, 9HI~ ~ l~... ~~ ssy ,~2 _. _ ___,____ _____.'_ e9L68S9lge lP:9I P99l/9I/9B