HomeMy WebLinkAbout04-3533
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3533
Permit Number: 3533
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 3,625.00
Date Issued: 10/29/2004
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 10/29/2004
Work Desc: RE-ROOF
Address: 4735 9 ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: MIKE BUCKLEN
Address: 4735 9TH 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.
~ ~.
NTRACTOR SIG ATURE PERMIT OFFI
CAL 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
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
0/x'L
Y73F
8UC-I<,L W
9~'Sr, -Z~j:JI,//Z.*L0
PHONE
JOB ADDRESS
rc ~ :S:?JYI
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT
DESCRIPTION OF WORK R o.c.;::- - .
D PARTMENT APPROVAL
r
S <Q. ~ ~j /l... S r:/f1;3 JH7 rl C-( E J
BUILDING SIZE
SQUARE FOOTAGE
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
o BUILDING
$
J C:,~s: 0 ~
..'
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL /$
o GAS ~FING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
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
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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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 #
SIGNATURE
*************************************** (~
COMPANY ~.M 2 ':;:y(Z...t> vi: /Z1..EdT J'C!ZI//CES
STATE CERT OR REGIST # CC C-o reF J..-;) 7
/
OTHER
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 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 LEN~R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE COMMENCEMENT".
~
~
SIGNATUR
SIGNAT
\
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 2~
STATE F 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
D who has produced
(type
and whoD did D did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who D did DUd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
.-
HOWJ(MPROVEMENT SEOIcES
ROOFING DIVISION
143n u.s. Hwy.19N, SUIT~ 101 · Clearwater, FL 33764
Phone: 727-530-D412. Toll Free 1-8n-845-6660. Fax: 727-539-6912
CCC058227
SALES CONTRACT
Home Improvement Services, Inc. agrees to furnish and provide all materials and labor necessary to do moderniza-
tion work at the following address: Phone ('fi){J 13 )3s.s":.- 7 J](j; - c.~ I (
Name m,'Ju / ('''f"\J~ Bl-tl kJll ~ PhO~!13J7l? 2 - t.JtQ3l{.
Address Y,-;s- 'rt.!::L ~+. Date lo/l7/0'f
City 2(" P h ~ yo hrt' Il So FL- 335- 4!- state' . Zip
In accordance with the specifications given below:
1. REROOF:
SHINGLE ROOF
1. Remove old roof to smooth workable surface.
2. Repair any rotted wood with standardjheathing @ $5,30 per foot and $75,00 per sheet of plywood,
3. Install FHA/VA eaves drip, Color: ~rn...JV\
4, Install dry in felt over roof.
5, Install new valley metal, and flashing as necessary.
6, Install new lead boots over vent pipes and reseal vents. r
7, Install 2S year ~ '- rt:. b fiberglass shingles, Color: '-00 let ,-"
B. Clean up job site of all work ebris upon completion and haul away amlleave job clean,
9, Install ~D feet of ridge vent all .. ._.:.1, .color: f(jr (J W r1.
10, Contractor will coordinate removal and reinstallation of roof related peripherals such as (but not limited to)
solar units. skylights and air conditioners.
The cosl for such work will be in addition to contract price and approved by homeowner.
Ur/..tJ..'/"
2. REROOF:
Y ROOF SYSTEM
1. Remove old r smooth workable surface,
2, Repair any rotted woo . standard sheathing @
3, Install 43 lb. base felt. '
4. Install new lead boots,
5. Install FHAIVA e p. Color:
liis'-" . y ruuf sysiern, Coior:
ean up all work debris and haul away upon completion of job,
1, Contrac1 Documents, This contract consists of this document, extra worklwood authorizations. If any, and, if payments
hereunder are to be financed, all financing documenfs, No promises other than those specifically set forth in the contract
documents shall be recognized by either party, The entire understanding and agreement of the parties is contained in the
contract documents
.
2, It is understood and agreed that this contract shall not become binding upon Home Improvemenl SelVices, Inc, until it
Is duly approved, accepted, signed and witnessed by an officer or officers of the Seller,
3. Work on the job described In the contract dcicuments will commence on approximately 4 5 A--f
and be completed on approximately . The recited dates are approximations and are
subject to scheduling difficulties of Seller, labor and/or material shortages, acts of God and other events not foreseen by
Seller. Seller reselVes the right to employ any sub.contractor for the completion of the work described in the contrnc1
documents.
6, Parties agree that this agreement shall be construed according to the laws 01 the State of Florida and any action brought
thereon may be brought in the State ot Florida, Venue is hereby agreed 10 be in Plnellas County, 'Florida,
7. BUYERS RIGHT TO CANCEL. If you do not wanl the goods or services, you may cancel this agreement by providing written
notice to the seller in person, by telegram, or by mail, This notice must indicate that you do not want the goods or selVices
and must be delivered or postmarked before midnight of the third business day atter you sign this agreement.
Contract Price $ ~ -Of)
Permit $ 125.00
Sub-Total $ 3t.Q 25
One-Third Down Payment $
Balance Due (C/F) $
(Plus Total for Wood
from Item #2 Above) <'
upon completion
4, Home Improvement SalVices, 1m:, reselVes the right to substitute materials of equal or grealer value and kind, Any
required material such as fire retardant ptywood, fongue and groove board, etc. will be billed on a lime and material basis.
All other changes required by New Jurisdictional Code Enforcement Laws may result in additional charges,
5. Interest at the rate of eighteen (18%) per cent per annum wi!! be charged on all balances not paid as per the tenns specified
above, Reasonable allomey's fees will be charged to the Purchaser if it Is necessary 10 place this contract in the hands
of an attomey lor collection, and this charge becomes a part of this contract and obligation of the Purchaser to pay,
8. Both worke~s compensation and public Iiabimy insurance are carried by the Seller end they are appticable to the work to
be performed,
9. It is understood and agreed that the buyer hold hannless, Home Improvement SelVices, Inc" tor any damages that maY
occur to the buyer's driveway(s) during the delivery of materials and/or the removal of work related debris lhat may be
required to perfonn this home improvement contrac1. Funhennore, the buyer herein gives permission lor typical delivery
vehicles and typical waste removal vehicles to enter said drfveway(s) for the purpose of expediting this sales contract.
to,Construc1ion Industries Recovery Fund peyment may be available from the CRIF If you lose money on a project perfonned
under contract, where the loss results from spacified violations of Florida law by a state. licensed contractor. For infonnation
about the recovery fund and IIlIng a claim, confacf fhe Florida Construc1lon Industry licensing Board at the fOllowing tele
phone number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211.7467 or call (904) 727.6530.
Executed In Irlpllcate, one copy of which was delivered to, and receipt Is hereby acknowledged by Buyer, this
day of [) e ..J-.~ b~ t"" t 7 ,20 01{ .
Approved and Accepted:
NOTICE TO OWNER
a. Do not sign this home Improvement contract in ~!ank.
b. You are entitled to a copy of the contract at the time you sign.
(Dealer-Seller)
_ (Seal)
:~~X-~
(Purchaser SI n Here)
(Se81)
BY ~ ~
o;~m~
S AN
(Seal)
LICENSE NUMBER
HIS 3. RIY, 3/30/04