HomeMy WebLinkAbout05-3779
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
...
3779
Permit Number: 3779
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 5,595.00
Date Issued: 1/24/2005
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 1/24/2005
Work Desc: RE-ROOF
Address: 6124 SILVER OAKS DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number:
Name: BARBARA ROUSE
Address: 6124 SILVER OAKS 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.
/Q~ r~-.
-' CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED -
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8rK St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE: RECE IVED
\. I;}.\ \ ()S
PHONE CONTACT FOR PERMITTING
OWNER'S NAME ~~ ,hOJr'A~U-..~ ~
JOB ADDRESS . hi 'd-'-\ S~\ve..r Oo.JL" ~
PHONE ~ -----; 60 - d- &-<\,~
-Z<-~ ~
6'
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
Q ~-- 0\0 - d-\ ~ (') /-;+0 ~ 6000C>-oo<-\
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 'V .D .J\.J3l~ ~
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.
PERMITS REQUESTED
o BUILDING
$ ~ (CS-L?~ . ClCJ
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 1 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o OTHER
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 #
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OTHER /\(00 f, "- J
SIGNATURE ~ v.:x:>-- c; '~J.-P j ~-^--
-
COMPANY S::c~~~<- \c..y\.'-l:t~\J~C .
STATE CERT OR REGIST # CC CaS '1 'l'\:,. I
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions"'whic~
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 po~tions 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
213..00--- L ~~
SIGNATURE: OWNER OR AGENT
~ ~ d- S - 'I 0 ~ - 61 - &,01 -0
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 20_
by
(name of person acknowledged)
Owho is personally known to me, or
~o- L ~~
SIGNATURE: CONTRACTOR
~ L{'d--S -'\ ~S- --6-S~ g-al-()
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _day of , 20_
by
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who 0 did O:iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Proposal/Contract
S~~~ ;e~, 1~.
P.o. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
~ ieelt-d-eet,
'8 ~lt-eteet &
'llt-d-Ulf.eet
Date (/1 oj 05
PROPOSAL SUBMITTED TO
Name gr....... _&.._-c. f.c LA. frt-
Street C:, / Z'7 Sf J V'(!I () C\. r.- \ Or
.
City --Zg h.1vh.I' It ~
State FI Zip
Phone Number 7 ~o- Z f1S- Fax
WORKED TO BE PERFORMED AT
Street
City
State
Owner of Property
Phone Number
Zip
Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
~ove existing shingle roof ~cebadfasciaboardsat$ 3., 0";; per foot
o Remove existing built-up roof ~all rio feet of ridge vents
~in with 0 15 lb. ~. 0 Install modified bitimen (granulated) torch down roofing
~I new galvanized valley metal black, white or other color
~I new lead boots les
o Install new exhaust vents
~I new drip edge, ,...~ iAJ}" 'If color
o Install new flashing as needed
~ace plywood at $ l..f(:o 0 per sheet
~ir rotten trusses at $ 3, () u per foot
"Woodwork is an additional charge, see pricing above
shin les f f ~%..OO
color
o Install TPO, white rubberized roofing membrane
o Other:
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 $ ~ 0 L/ 0 . 0 0
,
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, addtionaI2.8% charge.
~/ .
-
Officer/Agent Scott Blackman Roofing
Note: This proposal may be withdrawn by us if not accepted
within 10 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 work. Workers' Compensation and Public Liability insurance an above
work 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 work as
:~':;'u~\~.;.: ~~e ~ack of this ProposaVContract. which contains F~ta:es ;'3.001-~payment will be made
Accepted ~~ LJ I d.-C CJ 0 Signature ~~ ~
Date Signature
Z h. r( 15
~It ~/~-II'I-rOOZj
NOTICE OF
COMMENCEMENT ~~~~~lm~!~1111I1I1II111I1111I1111111111II111I111I1
County of P CLS(Q
State of F\ nV-- \ do......
THE lrnOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
teil." \I ... O~\Cs. 'D\(".
(Legal descrlptlon of the property an
1. Description of Property: Parcel No.
able)
2. General Description of Improvement
Rcpt: 848689
OS: 0.00
01/21/05
Rec: 10.00
IT: 0.00
---- _H Dpty Clerk
l\J e. wi( C) (1 ,~.
3. O\mer Information: Name ~Ae..bA~A- ~O u <'.. p .
l\ddress Co \).4 <;\ ~ \ V~ DA:ICsDrtCity 2~_ ph Cst- h:1 /~ State =\- t -33slfL
Interest in Property: ~ Wt\JQ.V'
JEO PITTMAN~ PASCO COUNTY CLERK
Name of Fee Simple Titleholder: 01/21/05 0~:5km 1 of 1
( I f other th<?-n owner) OR BK 619~ PG 1331
Address
City
State
, It'~:.~,
'; I", 11 .
,~. 1
.....~.
Contractor: N.::lme lC:;C.r-')\-\
PD ~'i. \ \~~
Address ~~"\D ~ C
5.
Surety: N.::lme
'~\~~\~(\ '~l\~\f\~ ') \~
City <)'Al\J A~ThN\ C) State F'L
3:357~
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o~her documents may be served as provided by Section
713.lJ(1)(a)(7), ['lorida Statutes:
tJt:mc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
(). fxpirnt J.'Jn d~te of rlot.ice of Commencement. (the expIration d.::.te is 1 year
ir~m the ~.::ltc of recording unless a different date is specified.)
Sicp.ature of Owner: ~(t t Lel ^-<.A ~.!'l..ALJ2--
Sworn to and subscribed before me this \ ~ day of
~~.'"'
.
20 t'f:::::. .
Notc).rYPllbl ic:
My C::J:iI, 71i S s ion Ex p ire s :
PC93053048/A