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HomeMy WebLinkAbout04-3437 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3437 Permit Number: 3437 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 4,870.00 Date Issued: 10/07/2004 Total Fees: 55.00 Amount Paid: 55.00 Date Paid: 10/07/2004 Work Desc: RE-ROOF Address: 604918TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: Address: 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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. .~-~. ~~ ONTRACTOR SIGNATURE PERM~ 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 JOB ADDRESS J)~, 6tl1J Ir~ . , 8: .(.1-) S-t LEGAL DESCRIPTION: LOT (S) e>Y t D BLOCK "0000 SUBDIVISION P~k PARCEL ID # 6::l -;:).~ -~) . or ~o ~OD~.Ol../(~R~TN FROM PROPF.RTY TAX NOTTr:F.1 I-ftlYt1 . & o<.l9 PHONE i Is' 7%';).' 100s OWNER'S NAME Hi \L WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL [J SIGN [J MOVE [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JCOMMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [J OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL Je.p oof' BUILDING SIZE SQUARE FOOTAGE a..gr:::J HEIGHT 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 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o Progress Energy 0 W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK 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 COMPANY SIGNATURE STATE CERT OR REGIST # CONDITIONS OF PERMIT AFFIDAVIT 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. 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 COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 2CL- 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 o who has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid O:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped f}12WOCf- 06 q I ACCESS. Customer agrees to allow access to the property and realizes that heavy equipment is being used. Contractor shall not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler systems, gardens, septic systems: and any other structures thereof, as a result of rooftop or jQb deliveries. DAMAGE, ETC. Should customer become aware of damage to property by Contractor, his agents, or employees during the course of installation of the roof said damage shall be broughllO the attention of the Contractor prior tot he time of payment for the roof in question. If fails to notify Contractor of said damage, within 5 working days of occurrence, thenshaJl waive all rights against Contractor concerning said damage. DELAYS, ETC. Hereby acknowledges that Contractor may be subject to delays occasioned by Inclement weather, labor disputes, and material supply shortages which are beyond the control of the Contractor and hereby accepts any delays occasioned by one or all of these circumstances in the installation of his roof. Further agrees to pay to Contractor an amount eQua/lo to'Jo of the total contract price should cancel. this contract for any reason prior to the initiation of work on roof. PAYMENT. Hereby agrees that if the amounts due and owing hereunder are not paid when due, also shall be liable to pay all.costs of cancellation, including, but not limited to, ~.' ......... attorney's fee and costs, which amounts, together with all sums due and owing hereunder, shall bare interest at 1 1/2.% per month. C J ,. C) I q ;"1 I S. ~ ..............i ACCEPTANCE PROPOSAL. The above prices, specifications and conditions are satisfactory and hereby accepted. <~ Q .... ...... . ALL CONTRACTS ARE SUB.p: MANAGEMENT AP~ROV~.7 ", . CUSTOMER SIGNATURE ~A1" 't'""d..P.-:J C . -Z-?< .' ,~;,~.<'i~:';" '-..1 o BBB --. HERNANDO: (352) 686-3330 Fax: (352) 754-8902 ~l!afi':fRJ/iJ97, . 329 WEST JEFFERSON. STREET BROOKSVILLE, F~ 34601' Licensed · Bonded ~ lfis,ur,et!' NAME DATE '-} UNIT ADDRESS . t I PHONE COLOtR ,3e('.. (Ii') w,';'ct KEY Ji"'(lrP PropOjat / Contract v .---..... PULL A CITY OEl<;:_~Ut~Iy.eERMIT LAY SQ. OF NEW FIBERGLASS SHINGLES OVER THE OLD SHINGLES 1. 2. 3. TEAR OFF..::> Y SQ. OF OLD SHINGLES '. DRY IN WIl(I"(15L1;~)FELT INSTALL GALV. VALLEY METAL IN ALL VALLEYS '2;(/1'1 INSTALL STANDARD OR F.H.A. GALV. METAL EDGING INSTALL EPLAC.E 100 '='RIDGE VEN7r OR '" TURBINES 10" GRV's / 2" 3" LEAD BOOTS 4" 10. TEAR OFF 11. INSTALL 12. INSTALL SQ. OF NEW FIBERGLASS SHINGLES SQ. OF OLD BUILD-UP ROOF SQ. OF FIBERGLASS AND HOT ASPHALT ROOF SQ. OF FIBERGLASS HOT ASPHALT ROOF AND RUBBEROID 13. COAT ENTIRE ROOF WITH ALUMINUM OR WHITE COATING 4. INSTALUREPLACE .5. HAUL OFFALL TRASH 16. ALL WOOD WORK WILL BE EXTRA 2x2 2x4SKYLlGHTS /. '" Vc'(::"{;..' / ' , I ....... '-j' /r,. '_ _:) ,.( (/' ,u:..,"() ("J (,'1' '<J (.....,..;., <' SPECIAL INSTRUCTIONS Jotat ::bue UPON COMPLETION SALESMAN SIGNATURE ~~''"'\-".~.......-....... CCC046942 CITRUS: (352) 341-1400 PASCO: (727) 816-9278 LOT BLOCK PERMIT <'-( >? -; c) ::> (C~ 1111I11111111111111I111111I11111111111111111I1111I1111I11111 2004182060 Rcpt: 819284 DS: 0. 00 09/29/04 Rec: 10.00 IT: 0.00 Dpty Clerk JED PITTMAN P 09/29/04 03: 1CS~O fOUNTYf CLERK OR BK 6044 PG 1595 NOTICE OF COMMENCEMENT State of Florida County of ;J~SCD The undersigned hereby gives notice that improvement "viII be m8de to ccrt:i111T?! pr(1)", ,,' i ; . ~1C C () fLL:l nc:.;. \ vi t 11 C~~h~'lp tel" 71 ?': Florida S 'u~ tu res) 1 h c. f<J 11 0 \.V1 (\ gin ;"l n: t':::' c; ! s r:; ~\--.l \; i (::~l_;j; r! ~ ~ : i~' (10 IT1 !rlC!lC('I.n':~n l r\ 1, Description oJ'Property: Parc~:l 'No. 0 d - :JCo - ~") t - 0 \ 't) 0 - C) 0 () () D - CJ~ \ () ,-- rn :rJ ^ J Genera! Description of Improvement. Reroof, Roof replacement. -. ,.- / R.(5EN.~~~ 3. OwncrIniormatlOn: N8me 1/l.'1-Ar-e, sK , c: 8,~ldrcss bO '1'i?7t, + e tt.J,) ~ CJ ,,; c~terest in property: Owner ~ ~ ~ ~.@1me of Fee Simple Titleholder (If other than owner) ~o_ UlOTI . ~ . d1.-nCbntractor Name: Alan's Roofing, Inc. 329 West Jefferson Street, Brooksville, FL 34601 =~g~i~~~~;, -- .' .- ~ ::~.~~SLjrety Name: }J/A :f?: ~ '::;.~ ~~ 0 j> ;' u;~~, Lender Name: N/A ;~ ~ ~ :i -- -Om , C (3 ,.! ~,r'l\,. \l I'fll, /., ,1" r'l rid2. dc:~iGn::).tcd hy ()'.\:rlC]' ~~P(\:-': ..j~~- 'H"~!:'-,'" ',_. ~.: ~'_)'....'.."..._:,D(~~'~"'l'~; ,,':'!.:,:~1 ~'~,~ :'~: >~!.-,:~ ~ ~ 1 J. ~I, : ic,!'~ r/}?, .13 ("1 ~~ (~:) (7): J~L;~_!J~ o~~~~ J> (f) - C(J ~ ~ ~ 00' In ncldilion to himself, O\vner designates Alan's Roofirlg., Inc., 329 West Jefferson Strcl,~L_L:I',2Qj~'i:.c'j " -< m ~H60L to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statures, R.~- " lJ. E:<pir~!tion d~~tc of Notice of Cornmenccment is 1 year from date of recording. --7 1,7 /' Signature of Owner 21:d"'7?el?-:::7 .J.(~ P/?td:.4):/ ;C / f- ~- ~ ~y-f - 30' - 75"2/- v / / " i' 'fhe foregoing Instrument was ackno~ledged before me this -11--., day of ~~ 2004 by.___.f..r.ltn.c~ l' 0ebU\~ who is ( ) personally knovv'n to me or ~who pr c1uced f.l:-~!"'__..___~__ for iclcnllilccltion and who () did or ~l not take an oath. : :.~: L; ! : . ,....:\1 I\NOA ROBERTS t'ublic - Slate of Florida '<I~Exphls.Aug3O,2007 ."i~slon # 00210912 .~d l:3y N(ltlona1No1cllyAaan. U\I1WJ~(2~~-t ,\ ~ ;' , '- :_l r \"