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Home My WebLink About04-3623 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3623 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: 3623 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5707 9TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,240.00 11/23/2004 50.00 50.00 11/23/2004 RE-ROOF Name: MARY WISE Address: 5707 9TH ST ZEPHYRHILLS, FL. 33542 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 nWarning 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. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. "/.~~ 't~~ f~~ 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 RECE IVED 1\ \d~ \0'1 PHONE CONTACT FOR PERMITTING S<()5~f\bh3 OWNER'S NAME \'<\OJ V\ U ) \ ~ C .J JOB ADDRESS 5fJOY\ ~-- ~+ PHONE 'l~)d - \ ') '50 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # \--::J- - )r ~ - d\ - (')O\()'OS ~O() 'c:o~O (OBTAIN FROM PROPERTY TAX NOTICE\ WORK PROPSED: o NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN o MOVE 0 DEMOLISH PROPOSED USE: ~GL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL '\2. CI({-d \yl s~. ;}c:; r' 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 $ 3d '-\0 ,UO 1 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ o GAS ~OOFING 0 SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK VALUATION OF MECHANCIAL INSTALLATION o OTHER 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/V oc~ "'-I: ') SIGNATURE"- ~~<y (~\J(U ~ ,rr---/J----- COMPANY ~c: r;\\ r~G-Q \.r'vr-<~1.OL~~ ]:1\ C. STATE CERT OR REGIST # C::'(.~OS'\~Sq 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. Appli~ation 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 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) [1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid O:iid not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped 11111111111111111111111111111111111111111111111111111111111I 2004217951 State of'/: /(; ~-I ~(c... Rcpt: 833261 Rec : 10 , 00 NOTICE OF COMMENCEMENT ~~/2~';~~ ____~~ 0 ri:~y Clerk County of {Jet-f {o THE ImDERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the fo!,1.owing information is provided in this Notice of Commencement: / \/{: Description of Property: Parcel No. / / -,1/: -~/ -to It' .- t~6olj.- {Yo Z t (Legal description of the property and street address if available) 2. General Description of Improvement t/2-e. tL~:;'o-F JED PITTMAN~ PASCO COUNTY CLERK 11/22/04 0",: 28pm 1 of 1 OR BK 6119 PG 1162 ,/ ,- /'3. O.mer Inforn,l,ation:, Name ~ )f u/Mv . ~" Address5'7tJ'1 9 " Sf; City Interest in Property: (rUl11..i!.A.J .~ State --ff Name of Fee Simple Titleholder: (If other th~n owner) Address City State 4. Contractor: Name 56;. H- I3I4-cl/;'Vl.c" '" e.. (j o-hAJ Address ~~ ~ 0 ~O S'if f'? City S{".. '" A'r\f'. 5. Surety: Name State \- \ 33J-?~ 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 other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name 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. '/9. E:xp.irI1Li.on d8t.e ot NotIce or Commencement (the expIration date is 1 year fr0m the date of recording unless a different date is specified.) Signature of Owner: ?(Jlj4lf 1J)M~/ . fltY swo~~ ;~~tnd S'!baC~b~~re me this q f-hday of ~:~::'~U~liC:.~- (~~ MyCommissionExpires: ~II\ Lon Turner . tf.:. . My~ \ ;; tieR 9ElOoe,vJ QOw Elltlrl8s M8fCII 04, 2COt PC93053048 Proposal/Contract SCtJtt ~~ ;e~, 1He. P.O. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aol.com ~r;eel City ..t1 c: C, el't 4- ed, 'B (J.Kded & 'lK4-et'f,ed 'Jli?-li-f ~t<ve eee 057957 Date/:Y2 ~o<j PROPOSAL SUBMITTED TO Name~t'7 ~ fA.//~ Street _5:1 0 7 .!l ri" j I- City 2aJkf J;' J., I /~ 'FI' ______ Zip_ WORKED TO BE PERFORMED AT State Zip Owner of Property Phone Number State Phone Number Fax Fax We ~by propose to furnish all the materials and perform all the labor necessary for the completion of: l3'1femove existing shingle roof ~e bad faSCia boards at $ ] t uO per foot o Remove existing bl,Jilt-up roof 0 Install feet of ridge vents r3'bry-in With~. 0 30 lb. 01... .....bI( I...'P/ 0 Install modified bitimen (granulated) torch down roofing o Install new galvanized valley metal blac ,white or other color ~~; new lead boots nstall 25 yr. fungus resistant 3-tab shingles 13;2..H/)" u () o Instal ,new exhaust vents ~II 30 yr. fungus resistant dimensional Shing~eS t .,'. nstall new drip edge, t,'.-t t.J1.,1-< color 0 Shingle manufacturer colo ~ o Instl;\1I new flashing as needed 0 Install TP<j; ~hite rubberized roofing ~embrane ~Iace plywood at $.__tj): Ov per sheet ~r: ~Mt/II--( cle b f' 7.1' ~air rotten trusses at $_.-:3, {) v per foot 'Woodwork is an additional charge, see pricing above All material is guaranteed to be as specified, and the above work is to be pertormed is accordance with the drawings and spedf tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ ...--------------- with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank' Credit cards accepted, addtional 2.8% ct /~~~ '-"'" Any alleration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance upon above work. Workers' Compensation and Public Liability insurance an above work to be taken out by Roofing Contractor Officer/Agent Scott Blackman Roofing Note: This proposal may be withdrawn by us if not aCCl within 10 days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the wort specified. t have read the back of this Proposal/Contract, which contains Florida Stautes 713.001-713.37. Payment will be m as outlined above. Accepted -~-==~-:;~_./; d ------- 0M .: /:/ 111' Signalur. ~L-J . " .{jUv C"':_........... ....-.. .