HomeMy WebLinkAbout05-3725
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3725
Permit umber: 3725
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,500.00
Date Issued: 1/03/2005
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 1/03/2005
Work Desc: RE-ROOF
Address: 6352 HUNTINGTON DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number:
Name: DALE REMINGTON
Address: 6352 HUNTINGTON DR
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
"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.
~h ~-.
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 1 FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
~4~s-
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
PQ40 ?"-A?"'.n~~/?
&3 S-2_ >>"~~ h~ h.-, 2)-
BLOCK SUBDIVISION
PHONE(8/.1j ?tfrF -"":>0 i>'9'"
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: oNEW CONSTRUCTION
o ADDITION
oALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE:~FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
oMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
7?.---=zJ'jP
SQUARE FOOTAGE
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COHMERCIAL: 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
0 BUILDING $
0 ELECTRICAL
0 PLUMBING
o MECHANICAL $
o GAS ~FING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
.ij...5-o0 .
CO'
o 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 AREAo 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 #
******************************************
SIGNATURE
~L~~
COMPANY
MECHANICAL
STATE CERT
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OTHER
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 fB'r
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 aone 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 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: CONTRACTOR
SIGNATURE: OWNER OR AGENT
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
of identification)
take an oath.
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type of identification)
and who Odid Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
" L
PROPOSAL
--
~
BROTHERS ROOFING, INC.
SPECIALIZING IN REROOFING & REPAIRS
Lie. #RC0024779
PO. Box 290032
Tampa, Florida 33687
(813) 985-6592
OWner's Name /);t} It. ~'/'If''''
OWner'sMJress Y-.7./Z ;"'/V/lft/J ,f~;'J D/.
Date 1/- /tJ -tJ'I
Salesperson M'///~ O'JhfJS ,po
Home Phone \ YY-it71'1
Job Al*iress
Work Phone
We propose to furnish labor and materials to:
a'Remove ?- r roof down to the decking or smooth workable surface.
nrTnspect sheathing, Fascia board, Soffit, and kick strip and replace at an additional cost for material and labor.
URoof with # .7CJ asphalt saturated felt and fasten such felt with simplex nails or tin tabs. Dry in for shingle.
Iia'1nstall :J(') yr. fiberglass class A fungus resistant shingles. Brand: 64r Color:Ov/1I1 C,'t1lll4
o Reshingle over existing roof. yr. Brand Color:
o Install FHA galvanized eave drip ft.
o Install copper eave drip. ft.
o jDstall aluminum eave drip. ft.
glnstall o,(lJJA painted steel eave drip. 2ZtJ ft.
g1nstall galvanized valley metal IIJO ft.
o Install aluminum valley metal ft.
o Install copper valley metal ft.
o jRstall and seal galvanized flashing where necessary and seal any remaining flashing.
s;(" Replace lead Boots. Quantity: I Size: 2 II
Ia'Install (iOWA aluminum ridge vent. (L:JO ft.
ia"Custom 6 nail shingle installation.
o Dry in for flat roof# asphalt base sheet.
o Install 1 ply torch on system.
o Install 1 ply mop on system.
o Install ply Built up flat deck system.
o Aluminum coat within 30 days.
o Imbed river gravel in hot-mopped flood coat.
o Install off ridge vent ft.: Color:
o Install tile nailed on. Color:
o Install skylight(s). Size: 0 Single Dome 0 Double Dome 0 Tinted 0 Clear
o Install turbines.
o Install power fans.
~Clean up and haul away all roofing debris.
~ermit and dump fee included in price.
/ia"""Driveway condition: () k'
AddHional: p/v(A/aM qlllfJ(} /)Ir.f'),~tl- IXlf -I(~ 7. '11-- ,t.J,. Z'l:J.f -?)r~..? 7r: ~I- R-CL /f ~/b d/~I9;'~
.1. F / h '
IYJIy /Jf').) #1t. h<<k." tJl/.(~-
The manufacturer wm giYn ,.7", year wal11l'lty on materials. Brothers Roofing, Inc. wilsland behind V<<Il1anensh~ for.r years from data of
completion. We propose hereby to furnish material and labor. complete in accordance with above specifications, for !he sum of
dolars ($ .1./ rtJd dfl ),
ToIaIPrk:e$ ~.rOIJ,'rJ , To be pald as follows: DeposltofS &- Balanoedue~compIIlIonot$ .LfrCJtJlv..
Any FInal Bill not paid upon completion of Job will be sWjecI to 18% (eighteen) percent APR on unpaid balance compunded daily. All malel1af Is guaranleed to be .1p8Clfied.
AI woltt to be completed k1 a workmanlike manner according to standard practices. My a1teraMon or deviaMon from above spec:IflcaMons InwMng cosIs wi be 8xICUIId only
upon written orders, and will become an extra charge over and above the proposal. All agreements are conMngent ~ sdces, acddenls or delays beyond our contrIct. Owner
to carry fire, tornado and other necessary insurances. Our worlters are fully covered by Workmen's Compensation and IabIII1y Insurance.
This proposal subjeel to acceptance within_days and is void thereafter allhe opMon of the undersigned. Payment lor flis contract will be due upon colJ1)letmn.
Authorized Signature t:t. ~ ~ ~
,&/
During lhe course of the roofing work, the custOmer agrees to hold hannless Brothers Roofing, Inc. for any costs or damages resulting from any asbeskls materials In
the roof system including but not ~mited to all costs of ~1iga1ion and attorney's fees.
Customer agrees to provide adequale roof access lor trucks. equ~ment. and personnel. Customer also agrees 10 furnish eledricity if needed to comptetelle ~.
Attorney's Fees & Cost: In connection with any IiligaUon arising out of this contracl, \he prevailing party shall be entitled \0 recover al costs, Including reasonable attorney and
lien fees,
Acceptanc. of Propo..I: The above prices, specifications and conditions are satisfaclory and are
will be made as oudined above.
Date of Acceplance:
1//;0/0 f
I I
Signature:
are authoriZed to)lo the worlt as speclled. paymenl
- .;. -?:- ~-
Signature:
BROTHES ROOFING
8139856592
p.e1
:37x5
111111111111 1111I '"'' 111I111/11 1111111111 1111111111 11111111
""_2j0~.0J~~32
:.
;;ta\:.e of
NOTICE OF COMMENCEMENT
.--- / ,~
/- /() Y' , ~~ e..._
County of
Rcpl: 848502
OS: 0.00
01/21/05
'?q,S c. d
Ree:: 10.00
IT: 0.00
Dp~y Clerk
"..'HB ONOERSIGNBD hereby gives notice that improvement will be made to c3rtai'
~oal property, and in accordance with Chapter 713, Florida statutes, th
following inforI:'\ation is provided in this Notice of Commencctncmt:
}.~" Descrip1:-ion of Property: Parcel No. 6:J~,2I!U4I;tf----j;---:)y r::,(=f 76,
, '':J."<-t:.(.A.t.1,..CJ.~~-:J:. 0 ~/ ..'_
" "',.{ :}Jo.:'~.;.'~;lA:)IJ.D ,'000(19'1D ft..-tP.>C"Jk:11" 0 to; -4 ,. s L.. 3 S J 2."
'(Legal escr1pt1on 0 the roperty an s reet address 1f ava~lable) .
~ (),
General Description of lmprovement ~x'~l)r~~I1~
cJ
~'~2~~~~Ard: rg:;o fOUH1~ C'i;j,
. .O"~.B~ a198 . .~G_ .1_71,::.;.
"
".. ..
;\ .",,"'" Ownor Information: Name e.
Address t,5~2 /-k/lt:.;:t~- City
Interest in Property: 0 Obm@T
Name of Fee Simple Titleholder:
(If other th~n owner)
State f" L
Address .
City
State
4.
Contractor: Name 13.ro -Il~/'.s P+w g '.. w ) rl c..
::;~_::~~=,,-__~.t+_~~":~~~_..____~~"t~:!~~_ _ State r~~;,
r) .
Address
city
State
Amount of Bond: $
" Lender: Name
Address
City
State
Persons within the State of Florida designated by Owner upon whG;
notices or other documents may be served as provided by SectiG,.
713.13(1)(a)(7), Florida statutes:
Name
Address
City
state
:~. In addition to himself, Owner designates
of to receive a copy of th"
Lienor's Notice as provided in Section 713.13(1)(b), Florida statutes
f.xpll"l'1t. .ion dl'Jt.e ot N()tlce ot. CODltnencement (t.he expiration date is 1 ye~
fr?m the date of recording unless a different date is specified.)
;} Commission Expires:
---_,ow...
. ignature of Owner:
,worn to and subscribed before me this
day of ~.M-<-{",,<,V ___
__ A......
. ~ CoIII.. .~,
bf*It~.._
.~ l!J2 Si:. .
:'i:.:JtcJ.ry Public: