HomeMy WebLinkAbout04-3702
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3702
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:
3702
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 565412 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
2,450.00
12/21/2004
45.00
45.00
12/21/2004
RE-ROOF
Name: BETH STEVENS
Address: 5654 12TH 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
,I
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.
~~
GNATURE PERMITOFFI
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 NAME
~
.563,-/
/'1/ _~~~__
/:).. ~ 5f
BLOCK \~ SUBDIVISION
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
oSIGN
(OBTAIN FROM PROPERTY TAX NOTICEl
o ADDITION o ALTERATION 0 REPAIR 'bJ INSTALL
o MOVE 0 DEMOLISH
PARCEL ID #
WORK PROPSED: 0 NEW CONSTRUCTION
o COMMERCIAL
oMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
PROPOSED USE: oSGL FAMILY DWELLING
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
';;0 X
SQUARE FOOTAGE
l' c.' {}
HEIGHT
~!...f{/~j
L,
/ slo,^'t-
DESCRIPTION OF WORK
~' *:c.-
~ ~, 01/' /h7~.;tN/
/.7 t, b
13tpt-I<'
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
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECH~ICAL $
o GAS \n ROOFING 0 SPECIALTY 0
TYPE OF CONSTRUCTION: 0 BLOCK ~
AMP SERVICE
o Progress Energy 0
W.R.E.C.
VALUATION OF MECHANCIAL INSTALLATION
OTHER
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 #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER ~
SIGNATURR,,\ ~/ ~.
COMPANY
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 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, waterlWastewater 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 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 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
, 2 CL..-
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.
owho has produced
(type of identification)
and who odid Diid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
~-~.,'
Proposal/Contract
SCfJU ~~ 1i!~, 11eC.
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
~ie.eH-4eti,
'CtJ.H-tieti &
1H-4et.'r-eti
Date
PROPOSAL SUBMITTED TO
WORKED TO BE PERFORMED AT
I.
/
/
/
Street
Name
Street
Phone Number
Fax
City
State
Owner of Property
Phone Number
Zip
City
State
Zip
Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
o Remove existing shingle roof 0 Replace bad fascia boards at $ per foot
o Remove existing built-up roof 0 Install feet of ridge vents
Q Dry-in with 0 15 lb. 0 30 lb. 0 Install modified bitimen (granulated) torch down roofing
o Install new galvanized valley metal black, white or other color
o Install new lead boots 0 Install 25 yr. fungus resistant 3-tab shingles
o Install new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles
o Install new drip edge, color 0 Shingle manufacturer color
o Install new flashing as needed 0 Install TPO, white rubberized roofing membrane
o Replace plywood at $ per sheet 0 Other:
o Repair rotten trusses at $ 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 performed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ / 'I
;
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, addtionaI2.8% charge.
Any alteration or deviation from above specifications involving extra costs will
be executed only upon wrillen 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 accepted
within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. I have read the back of this Proposal/Contract, which contains Florida Stautes 713.001-713.37. Payment will be made
as outlined above.
Accepted
Date
Signature
Signature
...=----- ,.-.==..--'
ACCORDING TO FLORiDA'S CONSTRUCTION LIEN LAW
(SECTIONS 713.001-713.37, FLORIDA STATUES), THOSE WHO
WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE
NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR
PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM is KNOWN AS A
CONSTRUCTION liEN. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS,
SUB-SUBCONTRACTORS. OR MATERIAL SUPPLiERS OR
NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS, THE
PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAiD YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTORl YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON
YOUR PROPERTY. THIS MEANS IF A LIEN IS FilED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FA!LED TO PAY.
FLOR,IDA'S CONSTRUCTION LiEN LAW IS COMPLEX AND IT IS
RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES,
YOU CONSULT AN ATTORNEY.