HomeMy WebLinkAbout04-3476
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3476
ermlt Number: 3476
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 4,590.00
Date Issued: 10/25/2004
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 10/18/2004
Work Desc: RE-ROOF
Address: 5345 23RD ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR HEIGHTS
Parcel Number:
Name: VERLON CLAYBORN
Address: 5345 23RD ST
ZEPHYRHILLS, FL. 33542
Phone:
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 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.
~-~
OR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, E'L 33542 ~
813-780-0020 FAX: 813-780-0021 { ( \9
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
V;;:; -~
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL ID # (:J-- ~..... ~(-o03'O -00 Goo --orIO/OBTAIN FROM PROPERTYTAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o ALTERAT ION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE He
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RES I DENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET El'lERGY~.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 / jl i41n /
o BUILDING $ VALUATION OF TOTAL CONSTR~I~N / ~
o ELECTRICAL AMP SERVICE 0 Progress Energy~.E.C.
o PLUMBING
o MECHANICAL
$
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 0 NO
SIGNATURE
~
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COMPANY
BUILDER
STATE CERT OR REGIST #
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTI~E 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 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.
Appli~ation 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 Protectiori 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 d~y extension of time
may be allowed for the permit with fee charge of $~5.00. ,The extens10n shall b~ requeste~
in writing to 'the Building Official. An approved 1nspect10n must be logged durlng each S1X
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 LEN R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF MMENCEMENT. JOBS UNDER
$2,500 I E OT NEED TO RECORD AND POST A "NOTICE OF NCE NT".
OR AGENT
SIGN
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)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who 0 did Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
'"'-).:.....- ~:~,,1.~~, '~.~" ~~~;;.~N.._.).~;:J.. ",-"-"\'tJo..i~,.'..,;;.n. ..t~..."., ~ '\..4 ..:.~;..~~~>'1f.~,. .t~..~ . J Lt..J1 . ____ ~ ,c,\J,JAF. ',::. _-m~---"~\~1;:.,' 'C~":;..f"" -'~:~~ r, >"J.,,~,~~\ _~-rw..".\ ,
1\. 1Bartlctt itnnfiug (@f Qtcutralllilnriila, 11Ut.
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
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President & Own~f j::Bart!ett Roofing of Central FL, Inc.
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Sign: / / ....",:../ ' // , ' '
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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 detays beyond our controt, Owner to carry fire, tornado and other necessary insurance,
Our workers are lully covered by Workmen's Compensation Insurance, Customer is liable lor any charges incurred in collecling this bill,
Rotten wood is a~,extra $30,00 per sheet (4-ply), Rotten fascia is $1,00 per linear foot.
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2004192852
NOTICE OF COMMENCEMENT
State of
Florida
County of PaRr.o
THE lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 12-26-21-0030-00600-0180
5345 23rd Street
(Legal description of the property and street address if available)
2.
General Description of Improvement
Reroof
Rcpl:823344
os: 0. 00
10/15/04 ..
Rec: 10.00
IT: 0. 00
._ Dpty Clerk
Verlon Clayborn
JEO PITTMAN, PASCO COUNTY CLERK
10/15/04 09: 55am 1 /Jr.f 1...
OR BK 6067 PG o4~
3 .
O\vncr Information: Name
nddress 5345 23rd Street
City Zephyrhills
State Fl
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
R
Contractor: Name A Bartlett Roofing of Central Fl., Inc
Address 38403 3rd Ave
City Zephyrhills
StateFl
33542
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or o~her documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
N~me
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.
<J. r:xpirnt,.l'>n d~t..e ot rlot.lce of Cornm~ncement. '(the expIratiun date is 1 year
fr~m the date of recording unless a different date is specified.)
Signature of Owner: /~~~. (1(-&?'L~:'
Sworn to and subscribed before me this / y/ ' day of
,
,
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19
Notary Public:
RICHARD C, BAR1lEiT
MY COMMISSION II DO 014216
EXPIRES: July 31,2005
My c.::lm,01.i ss ion Expires;
PC93053048