HomeMy WebLinkAbout04-3661
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3661
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:
3661
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 39048 1 0 AVE
ZEPHYRHILLS, FL
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
2,815.00
12/08/2004
45.00
45.00
12/08/2004
RE-ROOF
JANE ER
39048 1 OTH AVE
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.
- \ ~~
L~WJ~NATURE ~;M~
C CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
PHONE CONTACT FOR PERMITTING ] 5.)- </,;t./. 0.)-'70
OWNER'S NAME~.}l' n..e -I L,~/c..-Ier
JOB ADDRESS . 390<(g /OtA.~
I
PHONE
7Jd-- 3 Cj;tl
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # IcJ -.}--(p .0/ I ~ 0090 - OCOeD ~ (.00.3[)
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERATION
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
DESCRIPTION OF WORK
D RESTAURANT
/0 (] p .s J,~ ",Lp
o
& HEALTH DEPARTMENT
~'/f~
SQUARE FOOTA'E
APPROVAL
BUILDING SIZE
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
~~
$ d ,8/5'.
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.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
I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
BUILDER
SIGNA;URE ~/;~,/.
v
COMPANyf:Ja.vJ S r J1f1f1-t 7 our:!; 11 J'
STATE CERT OR REGIST # ((. CO 5 R 13t/
/
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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 #
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OTHER
'.';":.';,
';JU
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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 b~ requeste~
in writing to the Building Official. An approved inspection must be logged durlng each SlX
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 T NEED TO RECORD AND POST A "NOTICE OF COMM ~CEMENT".
'--
SIGNATU
c./
STATE OF FLORIDA~,~~ 0
COUNTY OF .' Ta. l
The foregoing instrument w'i) aCkn1ledged c./
Before me his 7{;t:.. d Y of 1P.//lAv'l "--, 2~
by --~
(name of erson ac nowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wa2)vac~Wledged v/
Before me t~iSj 7iJ...Ld'; of; /.1 ....., 20 L
by , (}r;'t~r rf
(name 0 person ~cknowledged)
Dkno' is personally known to me, or
'Ya./.X ()
of identification)
e an oath.
o who has produced
(type of identification)
~ not take an oath
o who has
,..
,9 :~~1Iil~ ~cknowledgment
c '~J<:,{o'f comr*lDn # 00243970 !
",;~,:,\."", ~IVNaIIOnal Notary AA:~ :
t~e-t:yped7" p"rrntecf or stamped
and whoD did
Signature of
Name typed,
J
. u)t:7
4-LP W~
1
S CJ{)4 (}fE(j{ (j{OOP INC}) INC.
8949 Gall Blvd Zephyrhills, F133541
PH: (352) 567-8580 & (813) 782-0920 Fax: (813) 715-4875
STATE CERTIFIED BUILDING AND ROOFING CONTRACTOR #CB-C059817 and #CC-C058134
. Serving Florida's Finest Homes & Businesses since 1976
Name fl}R. ". M R5. tV c:ss
Address ::?cr CJ4C6 J Ofh !t-Vb,
2...EPRrR H1'-L:S FL 33541
,
Date /0 /~!OO/
Phone I?)r;~) ~ <. 3 LJ, 1
Parcel #
City/County
I'
We hereby propose to furnish materials and labor neces~r the completion of:
~G:4(( fz of ;<0/~g1e~~oof
I, F or the shingled portions of the home, remove old roofing materials to dry-in, taking precautions to protect the
building and the landscaping. Groom the deck and reset existing decking nails.
2. Replace bad wood other than herein agreed for at -5 b per man-hour plus materials marked up a
2St'~ contractor's fee,
3. Install q Pc..~ tJ HI
z..
eaves drip with all edges sealed with plastic cement.
6. Install new lead boots over vent pipes and replace metal vents with new.
1. Chalk lines shall be struck to assure proper shingle exposure.
8. Install '30 year x-r 3TAR Class a self-sealing fungus resistant fiberglass shingles.
Manufacturer: c.iR:(ITIJ1J-r~t:f) Color: S'ILuE.R LJNJl11tfr
9. Si.x I W' corrosion resistant nails shall be installed per manufacturers instructions.
ODtions
(~
Hurricane nails the deck to the rafters to meet current SBCCI-code. '"
Install If iJ feet of JJ H r aluminum ridge vent. '"
:8Al) CAll(J /) hl4E /1') <i!J/,./f4 PAA/ItJEJ, . D/fi1/! fl..r~e:
"'See Pricing Section
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SchaDer Roofin2. Commitment to Oualitv
-All work shall be carefully supervised and completed by workmen skilled and knowledgeable in methods needed to
produce high quality work
- The job site shall be kept clean daily for the duration of the job and the grounds shall be left clean of all roof related
debris after completion.
-The yard shall be swept with a magnet
-The contractor shall provide permit, workman compensation, and genera1liability insurance.
-Carpentry, authorized change orders and work, which are not covered under the scope of work outlined herein, shall be
performed on a time and material basis unless otherwise agreed upon.
MANUFACTURER & CONTRACTOR WARRANTY (8)
Upon completion of the work and payment of all monies owed, Contractor shall issue:
1. A S year warranty for workmanship limited to leaks caused by any component install by the contractor.
.?'>. l'
2. Shingle manufacturer shall provide a ) u year limited warranty.
1IlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIIIlIContract PriciniJlIlIlIlIlIlIlIlIlIlI* * 1IlI1IlI1IlI1IlI* IIlIIIlI
Visible T & M Allowance
Shingle Reroof as described herein
Modifications
I
I
I
I
I
,
Total agreed upon price, labor and material
~3 'f) ~~.~. 3CJ! d ~~o
\3=J () ?C>
CONTRACT TOTAL:
$
2.815
/
I
i
Price valid for thirty (30) days.
Collection costs if any, together with interest shall be added to the contract price if payment default occurs. Cancellation
of the contract after the 72;hour grace period shall 'incur a nominal fee.
0..) 117. J!J~J
Schaper Roofing, Inc. Representative
I accept the above price and terms~ you are authorized to begin wOJk.
Date
c'
Signed
~,;L '7'?~1.,)
Date
J/-';;"C;-OY (
Signed
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/111111111111111111111111111111111111111111111111111111III1I
2004227194
Rcpt: 836680
DS: 0.00
12/07/04
Rec: 10.00
IT: 0.00
-------.-- Opty Clerk
JED PITTMAN~ PASCO COUNTY CLERK
12/07/04 0.: : 28pm 1 of 1
OR BK 6139 PG 961
State of Florida
Pennit No.
f"( 1/1
County of
Key No.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida State Statutes, the following information is
provided in this Notice of Commencement:
1. Description of Property: Parcel No.
I). -), (j) -), f - Of.) '7 t) -. 0 ()()()() - c.'V j ()
2. General Description of Improvement '/2.() -/\.006
3. OwnerInformation:Name " ;2,d-erl f-4?rl./'ViLS '---;;'u')-
Address 390'fti' IOU, A~ City 2~::?t'y'rl~J~ //( State L
Phone No. ,'r( Irr Fax No. ....1 1,/-1- Zip 3 :JJj'f /
R 4. Contractor: Paul Schaper Roofiog & COOstruction, 8949 Gall Blvd., ZephyrhiUs, Fl33541
5. Surety: Bauer & Associates, 12210 HWY 301, Dade City, F1 33525
6, Lender: Name/Address: I'\( ';1-
7. Persons within the State of Florida designated by Owner upon who notices or other
documents may be served as provided by Section 713. 13(1)(a)(7), Florida Statutes.
8. In addition to himself, Owner designates the following person to receive a copy of the
Lienor's Notice as provided in Section 713. 13 (1)(b), Florida Statutes:
C ,;n,...... -f/Y.:t ( h)/~
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the
date of recording unless a different date is specified.)
Signature of Owner: ~;ri~!I" L ;J: Y~Lt..iLG
/ L'~ 1
Owner Printed Name:} A-N ~f . J\. ,'c)f eR...
""1 'J" /1'('') . \...'Ai:'lc C.
ill: r.- ;-)1 fC) ~~ L\..) --f-j'- ~) I). - )
Personally Known
Sworn to and subscribed before me this;YI tl'day of
, J I
- " _.~ '-OJ J
Notary Public: ,I, {l rll.,/ <;
(Type, Print, or StaInp Name of Notary) I.,
" l!u l(.ih L-
2o~1
~~-------------~
,j""Y"fI~~ JUDITH L SCHAPER
~ ~ '" MY COMMISSION # DO 010092
"'-'l-OF !\-If EXPIRES, June 6, 2005
1..eoo.3-NOTARY FL, r\lo1ary ~=:~~~~~~, Inc.