HomeMy WebLinkAbout05-3737
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3737
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:
3737
RE-ROOF
ROOF REPLACEMENT
COMMERCIAL
Address: 38122 NORTH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
6,897.00
1/06/2005
65.00
65.00
1/06/2005
RE-ROOF
BERNARD LDST IN
38122 NORTH AVE
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.
~c-- 'L 'YL.."1<~- &.
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
PHONE CONTACT FOR PERMITTING
OWNER'S NAME ~e \ \ \.CA. ,,- c\ C2:o \&s -\e"\ ~
JOB ADDRESS '3%\2L N~ ~K- L-~~O~
PHONE '\ ~ L - \ ~ S("J
LEGAL DESCRIPTION: LOT (S) IA-~ I :}\~1- ,-) BLOCK 3
PARCEL ID # 1\ - 'd-l.o - 2\ - c:)(:.)\a -OOSCiC'l - Olf\o
SUBDIVISION
WORK PROPSED: [)NEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICEI
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o MOVE
o DEMOLISH
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 1<_~ g-; 'r'- ">-~ J'-\. 51
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.
o BUILDING
$ b ~pt;P
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
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 #
MECHANICAL
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COMPANY
SIGNATURE
STATE CERT OR REGIST #
OTHER '1(C:lO ~"'J
~- ~ Lr~ ^
SIGNATURE ~~_ ~
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COMPANY L~C-t\- --:B I ~~..... E'arhYlr Lr
,j -
STATE CERT OR REGIST # ~ c:.coS-'l'l s '7
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 conunencement.
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 conunenced 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 conunenced 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 conunenced. 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
(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.
o who has produced
(type of identification)
and who 0 did [}:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
1111111111111111111111111111111111I111111111111111I11111111I
2005001571
NOTICE OF COMMENCEMENT
State of ~ ~i;d" County of Afr.
THE ImDERSIGNED hereby gives notice that improvement will be made to c8rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
~lowing information is provided in this Notice of Commencemcnt:
/1. D,. sq~ipt~n of Prope~t : .Rarcel .~?
,.j \V cJ\2~h rlt( j ,..vS Lf
: I l . VA 6
(Legal descrlp lon of the property lf
2.
General Description of Improvement ~
Repl: 843662
OS: 0. 00
01/04/05
Rec: 10.00
IT : 0 . 00
Dpty Clerk
$'i (",.~
,-,..t) VI.
~
Owncr Information:
Name~(r1lir~ '" Lana.. G::b \c\~ J N
Address
City
State
Interest in Property:
Name of Fee Simple Titleholder:
(If other thgn owner)
J0E10 PITTMAN~ PASCO COUNTY CLERK
/04/05 1\rJ: 09am 1 of 1
OR BK 6177 PG 955
Address
City
State
-
~.
Contractor: Name ~ if tJ/aJ/Z-1.c.11 /O(.r-r:;~~i
Address fOgo/. I/XY Ci ty J:h. Ahl1 fO
State Fr J'5Fl~
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
.l\ddress
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
------
9.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Explrl'1t...lon d8te ot Notice of Commencement (the expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
Signature of Owner: /P'L___.---
,~..., .11~'.r',J=.t ~> .-~.
Sworn to and subscr':1beq before me this
-
A/2Q!{ .
Notary Pl;~-C:'
'. .,_" ,~'V_
.j
/g
day of ))~~efl7h.er
,
My Commi.ssid:p:~iipj..I::~~':
JIl..._.;...._. ~"IOo.,,"'A.I-
""U"'r,
~~'\tf,.Y.r~~
B. Thiel
-: . : :
;~i-.....~
"',Rf.,~~\"
June 13, 2007
BONDED TH"U TROY FAIN INSUI!ANa, INC.
PC93053048
Proposal/Contract
s~~~;e~, 9HC.
p.o. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aoLcom
J1 ie.elt-d-eat ,
'E~lt-ateat &
11t-d-<<.tr.eat
Date! Jj~2/ atJ
PROPOSAL SUBMITTED TO
Name {Jr. 6'o/~+v/J
Street '5 rr / l.- Z. No ,.,. It.. A.tI<
City Z'fl~ yo- (,/ & ,
State F I Zip
Phone Number fir ~ x ~ h - / / fA? Fax
WORKED TO BE PERFORMED AT
Street
City
State
Owner of Property
Phone Number
_Zip
We~eby propose to furnish all the materials and perform all the labor necessary for the completion of:
EI1iemove ex,stlng sh,ngle roof -t> -P k f- y~. l' ~Iace bad fasc,a boards at $ 3, v 0 per foot
Fax
o Remove existing built-up roof
B1frY=in with 0 15 lb. ~/b.
o Install new galvanized valley metal
~ new lead boots
o Install new exhaust vents
~I new drip edge, ,,~ 1-414. Ie. color
o Install new flashing as needed
~Iace plywood at $~ 0 () per sheet
~air rotten trusses at $ 3, ()D per foot
.Woodwork is an additional charge, see pricing above
o Install feet of ridge vents
o Install modified bitimen ~~~~':l.l~te~tt?r?h down roofing
-- ',...,.,.--..-...
~whireor other color _..--:--____~
~t<!!L25 yr. fun us resistant 3-tab shingles i L/. 5" /i{).nQ ~
nstall 30 yr. fungus resistant dimensional shingles f 5, 0 Yo, 00
o Shin Ie m
nstall TPO, white rubberized roofing membrane wi,' ^jLl.lct \,~
o Other: (tb 2,3:?7, 00 t
I
All material Is guaranteed to be as specffled, and the above work is to be performed Is aCcordance w~he drlb.l, 'y. "oJ 'Peo~
tions submitted for above work and completed In a substantial workmanlike manner forthe sum of ~t 7, 0 0 t.~~ "" . -Cl..j)
wffh payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, addtionaI2.8% charge.
t~~_
Officer/Agent Scott Blackman Roofing
Note: This oposal may be withdrawn by us if not accepted
within days.
Any alteration 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 woll<. Woll<ers' Compensation and Public liability insurance an above
woll< to be taken out by Roofing Contractor.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the !Nork as
specified. J have read the back of this Proposal/Contract, which contains Florida Stautes 713.001-713.37. Payment will be made
as outlined above.
Accepted fIe........,~
Date ./ Z/,?"q M f
/ /
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
CONTRACTOR, 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 FAILED TO PAY.
FLORIDA'S CONSTRUCTION LIEN lAW IS COMPLEX AND IT IS
RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES,
YOU CONSULT AN ATTORNEY.