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HomeMy WebLinkAbout05-3785 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3785 Permit Number: 3785 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 6,826.00 Date Issued: 1/24/2005 Total Fees: 65.00 Amount Paid: 65.00 Date Paid: 1/24/2005 Work Desc: RE-ROOF Address: 37400 DERBY HIRE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: WEDGEWOOD MANOR Parcel Number: Name: MR. KONYHA Address: 37400 DERBYSHIRE 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. ~ D -1Z,~_. ~. 1'Nv!-. ~ 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, Zephyrhi11s, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING JOB ADDRESS m R. . l(n ,0'1 <<-A 37400 DCQR'{ s.~ DR., PHONE (?513) ry,~- L./dd~ Z t ~H 'I, 6<- \~-:s:u.. S I \= L 3'3 :;Lj ( OWNER'S NAME SUBDIVISION vVEDl-..'S\.>.X:JU,,~ LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 10 # \ (') - d ~ ~ d \ - (') 1;:)(') ~ ()()('...JOC - I (I~O (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL R~ Q.Qb v: 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 $ ~I ~d<Q .6D VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ o GAS ~OFING 0 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 SIGNATURES- \..1. 'r~ COMPANY w. A I t-J {;u (V\ At->,..J C.Clt...;sTR.uc-IJ::.c.n.J STATE CERT OR REGIST # cBc.. ()5~ \ 55"" ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** 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 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 indication 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. Application 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, 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" wil1 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 ,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) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Dwho has produced (type and whoD did 0 did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped 'Roofing <Vivision LlC# CBC058155 LlC# CCC1326166 January 19,2005 Mr. Konya Wedgewood W.A. Neumann Roofing Division, Inc. proposes to furnish all the labor, material, supervision, equipment, fees and other costs to complete the project according to specifications listed below. The price includes: 1. Tear off existing shingles to the wood deck. 2. Replace any rotted wood at an additional cost of$65.00 per sheet of plywood, or $4.50 per foot for fascia, etc. 3. Install 30# UL felt underlayment. 4. Install new eave drip. 5. Install new galvanized roll valley metal. 6. Install all new led boots and vents. 7. Re-seal, and re-use all 4x6 wall flashing. 8. Install new 30 year Elk shingles. 9. Haul away all roof-related debris. 10. Our liability insurance coverage is based on completed operations. 11. Provide a 5-year workmanship warranty. 12. Payment due upon completion of roofing project. It is understood and agreed the W.A. Neumann Roofing Division, Inc. will be held harmless for alleged or actual damages/claims as a result of algae, fungus, or mold. It is understood the roofing contractor and the roofing contractor's insurance will exclude all coverage, including defense, damages, related to bodily injury, property damage and clean up directly or indirectly in whole or in part for any action brought by mold, including fungus and mildew regardless of the cost, event, product or workmanship that my have contributed concurrently or in any sequence to the injury or damage occurs. Total $ 6,826.00 Accepted By: W.A. Neumann Inc. Roofing Division -~~~ NOTICE OF COMMENCEMENT state of 'f LaR:c\)A. County of ~f>t"'SC.a THE IrnDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. ID-J.L.D-dl- ol'd-O - 00000 - \O~O (Legal description of the property and street address if available) 2. Gt::u<::Lal Desc1:'il-ition of ImprovG:Incnt R~ ~';: 3. Owner Information: Name \'fiR, \Z-l\~'1I-\-p.. Address '3'7l.\00 \)iR(?,,,\ $\-tt.Q~ ~~ City 2e\\l.~R\-\'3:L\..S Interest in Property: State ~L. Name of Fee Simple Titleholder: (If other th~n owner) Address City State 4. Contractor: Name l.u . A. t-J~\..LfV\A~y..j ~Cr--l-:::'TR.v..c:..\':rO...J Addre s s \).0. ~6)... \~ N1 City ~~ Ato:lT6r0IO State t=-L 5. Surety: Name Address City State Amount of Bond: $ 6. Lender: Name Address 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 of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. l~){pllI1Liou uttLe ot Notice of CuullllellcolllouL (Lhe exp ration uate is 1 year fr0m the date of recording unless a different d' . . .. ":"-'. AMANDA MCCULLOUGH I '.,; MY COMMISSION # DO 196694 D.."~PIRES: March 25, 2007 : ~ """ Thru Notary Public Underwrilers Signature of Owner: l~ c:0- \ -.( \r, Sworn to and subscribed before me this day of --=rr1I1,..... rc..L~ , ~OO5 Notary ~UbliC: [iU,l ~ ~1Ll2f,- My Commission Expires: q 7_007 ~{ cr0.l L c:AJ-,S L