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Home My WebLink About05-4069 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4069 ermlt Number: 4069 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 4,950.00 Date Issued: 4/11/2005 Total Fees: 55.00 Amount Paid: 55.00 Date Paid: 4/11/2005 Work Desc: RE-ROOF Address: 39210 PARK DR ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: JARRETT LUKENS Address: 39210 PARK 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. ;L.,Or-C~ f~~. -- CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PE.KM.L..1" .RJ:"J:".LI.L'-'.n.&.~""'''' BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542 813-780-0020 FAX:S13-7S0-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME < '0 (\ ~ '\:" L~\L:f'':>. PHONE ~'b d ~ ~q'l:\ JOB ADDRESS ~~~\O ~","<.- D\ ~f~ ~l..'~? LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION (OBTAIN FROM PROPF.RTY TAX NOTTCE) PARCEL ID # \J.-- 0-6 a\ ()O~6 CO'-\D O\\a WORK PROPSED: 0 NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOM] o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL ~~ \) '- 'J S- ~\ <..~ BUILDING SIZE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. SQUARE FOOTAGE HEIGHT PERMITS REQUESTED o BUILDING $ L\ ~ 'E:>Q .00 VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. 0 PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO COMPANY BUILDER SIGNATURE STATE CERT OR REGIST # ****************************************************************** COMPANY ELECTRICIAN SIGNATURE STATE CERT OR REGIST # ****************************************************************** COMPANY PLUMBER SIGNATURE STATE CERT OR REGIST # ****************************************************************** COMPANY MECHANICAL SIGNATURE STATE CERT OR REGIST # ***************************************************************** COMPANY "'Scf>\\"b\c..~ \: ~~ nw \ l~ l.:'"'C STATE CERT OR REGIST #cccoSil'8l OTHER ~O(= \ "S SIGNATURE c ~n-- <L~~~ . A. NOTI~E OF DEED RESTRICTIONS Th~ 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:rtions 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. CONSTRUCTOION 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 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 commenced prior to issuahce 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 certity 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 proc7e~ with the work a~d not as authority to violate, cancel, alter, or set aside any prov1s1ons of the techn1cal.c~des, nor shall issuance of a permit prevent the Building Official from thereafter requ1r~ng a correction of errors in plans, construction, or violations of any code. Every perm1t 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,forla period of six months after the tirne,the work is commenced. One 90 day extension of t1me may be allowed for the permit with fee charge of $15.00. The extension shall b7 requeste~ in writing to 'the Building Official. An approved inspection must be logged dur1ng each s~x 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~o.-L~ SIGNATURE: OWNER OR AGENT '~c-L~ SIGNATURE: CONTRACTOR acknowledged , 20-- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ (name of person acknowledged) Owho is personally known to me,or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and wnoD did Ddid not take an oath. o who has produced (type of identification) and who Ddid []did not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped 11111111111111111111111111I111111111111111111I111111111I111I 2005068667 State of F\ [)v \ riD- NOTICE OF COMMENCEMENT County of tl)/15Co THB ImOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the follo~ing infor~ation is provided in this Notice of Commencc~. nt: f!pP~,y Co,.Jrl'w::t L ~ Descr iption of Pro~erty: Parcel No. I:J..;/';;{/ 0030 601(00 () 110 ~tPfl Y f( l.iE (q l(lJ (lt9 ~ t( 3'1uZfiJ/ /J/ltfl< IJtf. oLo, . '4(!C 6 3 .:e'Er', LLJ FL the property an street a ress ~ ava~ able)j(3~~2- 1. 2. General Description of Imp~ovement ~ Rcpt:872964 OS: 0. 00 04/11/05 Rec: 10.00 IT: 0.00 Dpty Clerk 3 . O\'.'ncr Information: Name ::::T1tf(f...t:7T I. iA.J1< flUJ' llddress '39 ~/o 111/<"'1. /).11. City -2t:fJ/IYI..H/cc.J Interest in Property: State FL , 31$~) Name of Fee Simple Titleholder: (If other th~n owner) JEO PITTMAN, PASCO COUNTY CLERK 04/11/05 12: 32~ 1 of 1 OR ,BK 631:) PG 908 Address City Stilte R Contractor: N.:lme ~. n\-\- ~D ~ \\8~ Address 3'3\::'\t\ s~ 5"2... Surety: N':lIne \2-L 3- B1GL'K.rr\o n 1<..rrJ\f\o \ \nC .J Ci ty ~\\J fl~JIi}l\J I 0 Sta te Pc. 3'~ S- 'l{, 5 . Address City State Amount of Bond: S ~C>cc.iO 6. Lender: Name Address City State 7 . Persons within the State of Florida notices or o~her documents may be 7l3.l3(1)(a)(7), Florida Statutes: designated by Owner upon whcm served as provided by Section Nt:.mc Address City State 8. In addition to himself, Owner designates of to receive a copy of t~e Lienor's Notice as provided Ln SectLon 713.13(1) (b), Florida Statutes. <). f"xp.irn1 .l'Jn d~te of flut.ice of Commencement. (t.he expiratiun d.:::.te is 1 yedr fr~m the d.:ltc of recording unless a different date is specified.) SlgnatureofOwnor: (~oM-dirT<(~~ Sworn to and SUb~d before me this l..o-t'vu day of /' 200\ . Q , ..H.................. RAce ""'^""eu':' :- 1/1'."""" DIANA L G '..nuor.' , i ,~~ Commission" 000151995 , : i' ;5 ExpI.... 1011912006 \ : ~~OFf\.~~ Bonded through 1 : "'2~2S4 Florida Notary Ann.. Inc. I . ). . ........................,4'1 Not<lry Public: My C::J:TI,Oli s s ion Expire s : PC 93053048/ A Apr-04-05 12:09P Fla. Transportation Sys. 813 9857874 Proposal/Contract Suet ~~ '7i:~, 11te. P.O. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) 58a-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aol.com ----- "uT------ ._._..-.._ PROPOSAL SUBMITTED TO I WORKED TO BE PERFORMED AT - I -.------.__ Name jYJr. 4.1f~i-!~________1 Street_____ ______._____ Street_39210 ?~__pr ._ ,___ i City City 2"f~ ___ State______ State ~ I Zip -:3;) ~ """ .__. Owner of Property 1.Jt'J. ~ t..ue((Ir....FoIX.JI I Phone Number _7x2. ""_~...r:__Fax.J)J- -- t'11 Phone Number ___.____Fax________ 9K- ?i'lY We ~by propose to furnish all the materials and perform ail the labor necessary for the completion of: ~mo\le existing shingle rcof ~e bad fascia boards at $___ 3,__0 Q ____ per foot U Remove existing built-up roof ~II 'fO feet of ridge vents 4ith 0 15 lb. ~.' 0 Install modified bitimen (granulated) torch down roofing ~~ew galvanized valley metal black, white or o!he~ color ld1'I1Stall new lead boots ~5yr. fungus resistant 3.tab shingles C3'1'n'S(~ew exhaust vents., ~ InS,!aIl30 yr. fungus resistant dImensional shingles .t,-" 9s 0,00 id'1'fi'Sta1l new drip edge, t,^' I..J it, k color u Shin e manufacturer _____m__ color o Install new flashing as needed . Install TPO, white rubberized roofing membrane ~Iace plywood al $.__ t/ r: ();:,. __ per sheet 0 Other: ________._..._________ ~ir roUen trusses at $__3. ~ 0 _______ per foot__._________._... ___________ 'Woodwork is an additional charge. see pricing above _____ ~r(.l'c"jr Ix Jak,'.t. ....-r,'3.oo ?e"r r.....,... _u -----.------------ All material is guaranteed to be a~soeCified, and the above work is to De performed is accordance with the drawings and spec,fica- lions submitted tor above work and compieted in a substantia! workmanlike manner for the sum of $ .!i...~ ~O, 90 with payments to be made as follows, Payment due in full on completion, unless otherwise noted. Thank You. _____~creditcatds acc,ed. . addtionaI2.8% crlarge. Any a~'.ration or dQviatlon l'om abova specifications In\lolving extra OOSls ...ill :: .. ~ - ~ / 4 be ell&Cuteo only upon wfl"en orders. and will become an ellra charge Oller itnd __' _~-. 'I:.~ . __~__ aboll.lhe esllmate. AI< agraaman's contingent upon strikes, accidents ~r delays beyond our conlrol. Owner to carry fire, tornado and other necessary k,SUJiIl'108 . Of/ieer/Agent Scott Blackman Roofing = ~~::: :;:;~<;:';t,::::::;',:",jp'bI' "",'" .""~:~~.... "_____" ~:~~n Th'j:posal d:~:" he wiltod,awn by "_S ,f r.ol accepled ACCEPTANCE OF PROPOSAL The above prices. speCifications and c0'1dition5 are satisfactory and are hereby accepted, You are authOrized to do the work as specified. I have read the back of this Proposal/Contract, wl,ich contains Fiorida S1autes 713.001-713.37. ~ay~will be made as outlined above. . , p ,/ ...--- X~ ' I Accepted_ ~~-:~t,J~_.__~ :~n.."'e~-/'~~_ . ~-__ Date ~ (J 5""' ~lgn~~U# / ~- ~.__ L_____ --- -------. --------.- __~-;::.;;;;? ___--.:.______,__/-1--___ P.Ol ~c.celue4, tftJ"efeti & 'l"d-f.t.'te.t ;e~ t!#,"",..~(n eee ()S79S7 Dale Lf/1/DS Zip