HomeMy WebLinkAbout04-3344
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3344
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:
3344
RE-ROOF
ROOF REPLACEMENT
COMMERCIAL
Address: 38453 5 H AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
7,805,00
9/01/2004
70.00
70.00
9/01/2004
RE-ROOF
Phone:
REINSPEcnON 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. n
Complete Plans, Specifications and Fee Must Accompany Application.
I work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~
OR 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 813 '117 -I 70.2..
OWNER'S NAME
~~ +\1g.'1's,
36453 5 Av-e..
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY
~COMMERCIAL oMte:.E:.. 0 INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
D RESTAURANT & HEALTH DEPARTMENT APPROVAL i r . TL.t.. SCA.e
\k r-' IV'\-,>'lA-lA. J2 i"lclA. f"R~/)~ i<l\~IA-"JIe-.-t ~/I. -eV-S
o IK.A \ . e)q<' ~ :r -\> 'I',ill 2 P 1y H.. Jd;" J ..........J.,......... ~ ~....,
SQUARE FOOTAGE ~100D 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.
o BUILDING
$ $; 8n.5
,
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
o GAS ;sr ROOFING
TYPE OF CONSTRUCTION: 0 BLOCK
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o 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 ~j;z ~
SIGNATURE fl..~ (J'P~
COM PAN
(6-4. ~,^1-~
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
0, 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 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 I 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 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 corrunenced 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 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 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Owho has produced
(type
and wtioO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who 0 did OEd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
07/10/2013 01:19 FAX
141001
G.A.. Porter Roofing Contractor, Ine
4702 W. Martin Luther King Blvd.
Tampa, FI. 33614
(813) 874 6757 Fax (813) 876 4125
CCC023543
Since 1921
July 9.2004
Drew Hu~
38453 Sib Ave.
ZepbYJbjlls, Florida 33542
RE: 38453 Slit Ave,
Pursuant to your request please accept the below scope of work on the abnvc rderenced project
BuiJt~Up Modirled Membrane:
Tnmll I layer of ll1in, insulation.
Dry in 1 ply Certianteed 43# base asphalt felt Wf'ill nails.
Install ] ply Certianteed GMS modified memlmme.
Install modified membrane system at pa.rapel walls,
Ins"tali new galvanized mt."tal eave drip
Install new galvanized metal pitch pan and flashing as needed.
Reuse the existing metal coping.
Wood work is extra jf required
Provide owner with a 5 yeilr workmanship warranty against leaks,
_ Provide owner with a 12 year manufacturer limited material warranty.
~se~id:$~
remare to upgrade to a 4 ply system $8.845,00
Than.l; you fur the opportunity to submit our pfOp~1. If we can be of fi.Jrmel as:ii~nce plea.;<e feel fr=...e to
calL
RespecrfuHY'iubmitted:
Edwin Huertas, Vice President
Note: This proposal may be withdrawn by uS if not accepted within 30 days,
AcceJttan~ of ProDosal
The above prices, specificatioos and conditions are satisfdClOT)' and are hereby accepted. You are
-authQrized to do the .."vork a~ ~pe.t:ifiE{J Payn1CTIt ~'i11 be made as t;j~k:~\\-'s' 50~-;~~ =..vhen rn2terw~ ar=ri\:BS .and
balance upon completion. PLEASE SIGN At"ID RETURN ONE COpy,
SIGNATURE, ~ OATE'#
1/111/111111 11I111111I111111111I1111111111111111111111111111
2004166588
Florida Statute 713 is the Construction Lien Law. The owner needs to be
familiar with all its passages. At a minimum, file a Notice of Commencement, protect
your rights by obtaining a partial or complete "Release of Lien" prior to any payments
and obtain releases from all providers before making a final payment.
Notice of Commencement
Permit No.:
T F 1. N .; I-J.6-:)/-oolo.. /~-lco"-
ax 0 10 0.. . CA
0000
The undersigned hereby gives notice 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.
(1)
(2)
. ":Z.H 1> e:, \ \?G S4 LO+~
Legal Description: S: II T:.:2(P R:c>2/ BL~ \'33 D6LiQca3 eG /93;.
General Description of improvement: Reroof
Job Site: 5i54~-3 5.~ ~..~.
2-..a...ptl'-lO\\\\S, 'Y \ \:l, .dQ
335<-1 ~
(3)
Owner Information:
(a) Name and address: \ \ I '
l)(~L-.:> DtL~ ~cl~I(\<;
~'%4~3 E"~~~..
'L.~h.4~h\ \ \s., \=-'L . 3 3 S-l.f ;)
(b) Interest in Property: Owner
(c) Name and address of fee simple titleholder: N/A
(4)
Contractor (Name and Address:
G.A. Porter Roofing Contractor Inc.
4702 W. Martin Luther King Jr, Blvd.
Tampa, FL 33614-7611
R
I\. c"
(5)
Surety
(a) Name and address: N/A
(b) Amount of Bond: N/ A
Rcpl:813121 Rec: 10.00
OS: 0. 00 IT: 0, 00
09/02/04 Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
09/02/04 03: 52~ 1 1(61.0
OR BK 601~ PG :')
(6)
Lender (Name and Address: N/A
(7) Persons within the State of Florida designated by Owner upon whom notices or
other documents may be serviced as provided by Section 713,13(1),
(a) 7., Florida Statutes: N/A
(8) In addition to himself, Owner designated N/ A ----- of
-------------to receive a copy of the Lienor's Notice as
provided in Section 713. 13(1)(b), Florida Statutes.
(9) Expiration date ofNoti0~ of Commencement (the expiration date is
one (1) year from the date of recording unless a different date is
specified) Nt A ~
Sworn ~:d SObS:ib~fore m?
by the above who is personallylaJ,own, this
date: d~Y 9 /1' ~~\ ~
~)2I1(j!JtJ y<-/.l( T)~
(Notary Public) U
My Commission Expires:
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTlFV THAT THE FOREGOING IS A
mUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. ~'TNESS MY
HAND NO OFFICIAL SEAL THIS ..::.L. DAY OF
- 2~7
JED PI. ERK OF ClfilCUITCOURT
BY DEPUTY CLERK