HomeMy WebLinkAbout04-3652
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3652
Permit Number: 3652
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 96,900.00
Date Issued: 12/07/2004
Total Fees: 468.00
Amount Paid: 468.00
Date Paid: 12/07/2004
Work Desc: RE-ROOF
Address: 38220 HENRY DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: HCR MANOR CARE
Address: 38220 HENRY DR
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.
~~ ~-~
TOR 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, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME2...H-C'j:( ffiW'10 '{
JOB ADDRESS 08 LLO
~ elf e_ PHONE (il ~l) 53--\ - ~ 99l
Hen~ Dnvc: . 2e.ph'lrhtl \s
LEGAL DESCRIPTION: LOT(S)O\ LC BLOCKOOA-oO SUBDIVISION OO~D
PARCEL 10 # 07..- Z1.o - 2,,( - CiO?/:) - OOAD()(ORT?r~ ~ PROPERTY TAX NOTH-:F.l
WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL
DSIGN o MOVE 0 DEMOLISH Reroof
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
~MMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK KtfYIOVC e v:.l~~ 8h I ~ YDO r -\- I Y\S+ill I bit F"} - ~~~ v1:)kS
BUILDING SIZE SQUARE FOOTAGE ~DO 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.
o BUILDING
PERMITS REQUESTED ~
q, ~ q OD co K'exoOT'
$ lJ' I . VALUATION OF TOTAL 08tJ~TI1(lr;:TION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL $
o GAS ~OFING 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 #
OTHER :\n.I"Y't:S Housh
"GN"~
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COMPANY A~\) ~OOh' t~ S\lc..
STATE CERT OR REGIST # rQ.c.. C>o4Lclo Y ~
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ftdeed 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 ftContractor 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 ftFlorida'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 ftowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ftowner" 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 ftA" or ftA,etc.", it is
understood that a drainage plan addressing a ftcompensating 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 ftNOTICE OF COMMENCEMENT",
SIGNATURE: OWNER OR AGENT
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
o who has produced
(type
and whoO did Odid not
of identification)
take an oath.
Signature of person taking acknowledgement
Name typed, printed or stamped
~~~
ATURE: CONTRACTOR
STATE OF FLORIDA 0 . e.11 a<:.;
COUNTY OF \--'1 n ...:J
The foregoing ins
Befor e this
by
rument wa~cknowledged ,I
day of C. ,20 OfT
I
(name of person acknowledged)
is personally known to me, or
we
MY COMMISSION # 194232 EXPIRES
MaR:h 17, 2007
lIONllED 1HRIJ1l!OYFAIIIllIIlIlAIQ tIC
.~+ ~'?l\3.a\~lf
1~IV~I~~
12()()'lna ~e..."lees line.
770 NORTH GROSSE AVENUE · TARPON SPRINGS, FLORIDA 34689
(727) 938-9565 · FAX (727) 934-6793
ESTIMATE. CONTRACT
September 30, 2004 (revised)
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Heartland of Zephyrhills
C/o Manor Care, Inc,
Attn: Mark Green
38220 Henry Drive
Zephyrhills, FL
727 -534-8997
Job Location: Same
RE: Main roof, garage roof & shed roof
We propose labor and materials to:
1,) Remove existing shingle roof down to the decking.
2,) Dry in the roof with 1 layer(s) #30 asphalt saturated felt and mechanically fasten
with 1" simplex,
3.) Install all new drip edge. Available in galvanized, white or brown,
Color: (initial)
4,) Install all new valley liners with 26-gauge 16" valley metal.
5,) Replace any corroded flashing as necessary and seal all flashing with roof cement
6,) Remove and install all new lead shields and gooseneck exhaust vents,
7,) Install aluminum ridge vent for proper ventilation,
8,) Install 30-year Dimensional fungus resistant class A rated shingle,
Color: (initial)
9,) All installation to conform to State and local codes,
10,) Clean up and dispose of all roofing debris from rooftop and grounds,
11.) Permit, dump fees, workers compensation, general liability and taxes included in
total price,
12.) 5-years 100% workmanship guarantee within the scope of this contract The
written limited warranty in this proposal and contract is the only warranty given by
Arry's Roofing Service, Inc.
13,) All Manufactures written warranties, (GAF Timberline 30)
14,) The customer shall be responsible for any additional work, materials and/or
expenses for any work not specifically noted in this Contract The customer shall
provide the request for additional work by written order, which will be considered
for additional charge,
Subtotal price:
$ 96,900.00 (plus wood work, if any)
Arry's Roofing will inspect decking, fascia board, soffit and kick strip for any rotten or damaged wood, if any, it
will be replaced at an ADDITIONAL cost to the contract price above. Materials will be billed at our cost plus
labor at $42.00 per man, per hour. 20 sheets of plywood included in the above price. Anything over the
20 will be billed accordingly.
EXCLUSION FOR WOODWORK: Cost of woodwork does not include any damages discovered caused by
termites or structural damage. Examples: trusses, beams or bearing walls. Owner to be responsible for
painting any replaced wood,
Slale Lie.' RC0046643
ORIGINAL. To Be Returned To Arry'. Roofing Service., Ine, Tarpon Spring., Florida
DUPLICATE. To Be Retained By Cu.tomer
CD
yermit r\Jo, , . _' " _' '.'
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11111111111\ 111\\ 11\1\ 1111' \\111 II'" 11111 II'" 111\\ I'll 1II1
2004223130
NOTICE OF COMMENCEMENT
Rcpl:835346
os: 0. 00
12/02/04 --'
Rec: 10.00
IT: 0. 00
_. _ Dpty Clerk
State of Florida
County of Pasco
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.
JED PITTMRN, PRSCO COUNTY CSLERK
12/02/04 12:06~m 1 {fa 1
OR BK 6131 PG
3'8QB <0
S PL
2. General description of improvement. Reroof
3. Owner information:
a) Name and
Address:
Hl.R
0.33
met.nor Car~ I I nc
N . Su....mm I'f. Sf- .
'Ioledo J
01-+
43lo04
b) Interest in property Owner
c) Name and address of fee simple titleholder (if other than owner) N/A
Rcontractor (Name and address)
James Housh I Arrv's RoofinQ Services Inc.
770 N. Grosse Avenue Tarpon Sprinas. FL 34689
5. Surety - a) Name and address
N/A
b) Amount of Bond $
N/A
6. Lender (Name and address)
N/A
7. Persons within the State of Florida designated by Own r upon whom notices or other doc
713,13(1)(a)(7), Florida Statutes. (Name and address) n rn C I ""
8. In addition to himself, owner designates A I La 3h I e l~ D \ ('Cc. tOy' {)f P \ o...n-+ () per Ct.:h ons
of
Section 713,13 (1 )(b), Florida Statutes.
to receive a copy of Lienor's Notice as provided in
9. Expiration date of Notice of Commencement
date of recording unless otherwise specified).
() "
Owner signature:
(e~p;rati~n dati. 'nne year from the
~~ I C/~~
Name and Title (print): (), I 17 h e. JtI~~.
Notary Signatur~ ~ ~~ k-L~--.;
Name (print) 1'(((1 u\rC{(<" L..J,{~Ci'
Title or rank ,v l' \ (~,. oJ j) v. hI, L
Serial number, if any
After recordinQ. return to:
Arry's Roofing Services, Inc.
770 N Grosse Ave
Tarpon Springs, FL 34689
/