HomeMy WebLinkAbout05-3920
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3920
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:
3920
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 37442 LOGAN BERRY
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: WEDGEWOOD MANOR
Parcel Number:
4,768.00
3/01/2005
55.00
55.00
3/01/2005
RE-ROOF
Name: BUSH
Address: 37442 LOGAN BERRY CT.
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.
~_~~o _ ~.
CON RACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATIU~
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
~ <:.. t\
PHONE
JOB ADDRESS 3'7'4!:l;J. L{)L~f:\,J. ~'f...\.H>"t CT-
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL 10 # J{) -;:l(n-d.. 1- (')l'd{J- DOOo('\ -II 5 {\
SUBDIVISION l.D~{)fS: IA.Y"~ 0lAN::lt<...
(OBTAIN FROM PROPERTY.TAX NOTICE)
o SIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
WORK PROPSED: 0 NEW CONSTRUCTION
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE .Q~
RE-~~
O'S
.
SQUARE FOOTAGE
HEIGHT
DESCRIPTION OF WORK
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 MECHANICAL $
o GAS ~OFING 0 SPECIALTY
AMP SERVICE
o Progress Energy 0
W.R.E,C.
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
I' ~=-r;mrJ'."'''"'7'''7;'""7'7'";~'~'''''''T'""'I~--;-"''-'7'''''''''''''''---''''- ","~~ -.----.~ .-- --- -- ,,- - - ___eo'. ,- ____e_ .."" .. e-'--' -..-'. - .-' -,r..1--....-;~...T"f1!~1c1hi ~
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~F,lffi'iiim"I'P\IIV ,'o,",m I ,lOti!' 'I ",, h"" l' 'I ' , , I' ' . ' , , , ,.' I'~ I "' "" 1'\1'
~~~~;,t:dilii1E':l~~:JL:.,:,'b.:ik,,:,,.t~,,-J1::'!...21i~~- _._ __ ____ __ ___'_ ____ _____ -- --- _~_~~.J~2:.:i..~l;:
BUILDER
SIGNATURE ~- \ 0r-
COMPANY 1..J ,~ L)\="A1"'\~ G~I J
STATE CERT OR REGIST # c.Pl' oS ~ I f; ~
******************************************************************
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. NOTTCE OF DEED RESTRICTIONS
Th~ unde~signed 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 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, haye 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 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 instaliation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work wiil 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 permtt 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 for1a
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
, 2 n..-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this -----pay 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 of identification)
and whoO did Odid not take an oath.
o who has produced
(type of identification)
and who Odid [}:lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
State of FloRr~,)A
NOTICE OF COMMENCEMENT
County of ?l\SC6
THE IfflDERSIGNED hereby gives notice that improvement will be made to c~rtain
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. 10-;26 -2/ - azo - ()OOOo ,,-liS;;
(Legal description of the property and street address if available)
2. Gt::1H,;,.Lal Dasc:;:-i.i!tion of Improv~mcnt _RE RuuF
3.
~u:s. ~
Address ~d Loh~ BEJ2~Y c{:'City Zt?~~~ t-tTLL S
State fL
Owner Information: Name
Interest in Property:
Name of Fee Simple Ti tleholder:
(If other th~n owner)
Address
City
State
4.
Contractor: Name k), P... l )ELL{V\.A.o...J...,J
C () D $T ~ uCT..:LO ,J
Address Po \SU)( blo7
City -Sf\~ At0~~
Statef-<-
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. I~xpil t1t lUll uelle ot Nollce of CU!luueJlccmeuL (lhe expIratIon date is 1 year
fr0m the date of recording unless a different date is specified.)
----:,
Signature of Owner:
cf/U '??1
,
Sworn to and subscribed before me this ~ day
1.\\"'''''"''''''1.
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S :..\... ~~ "e .~.. ~
14 dO\) S .
Notary Public:
My Commission Expires:
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'Roofing <Vivision
LIC# CBC058155
LIC# CCC1326166.
February 24, 2005
Bush Residents
37442 Logan Berry
Zephyrhills, Fl
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 from wood deck.
2. Replace any rotted wood at an additional cost of $45.00 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 all new led boots.
6. Install new Cobra vents.
7. Re-seal, and re-use all4x6 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 $ 4,768.00
Accepted By:
W.A. Neumann Inc.
Roofing Division
P'Q, Box 1207 San Antonio, FL 33576,1207 (813) 782,9080 (352) 588-0910 Fax (352) 588,0911