HomeMy WebLinkAbout05-4146
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4146
Permit Number: 4146
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 2,400.00
Date Issued: 4/25/2005
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 4/25/2005
Work Desc: RE-ROOF
Address: 38225 14TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: THEODORE BOMMER
Address: 38225 14TH AVE
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.
~/ac~ Jz./~ r~-~
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 RECE IVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME 7 he () cJ.;re 13 () IX I'IJ e r
JOB ADDRESS 3trl.iJ.-S /'1'# AIt U(J{y/'/k//r ;:/ '
LEGAL DESCRIPTION: LOT(S) /3,1'1 ;Sf/fr BLOCK fl./
,
//- e)(!' - rJ/- OrJ/(j- rJ/tfUrJ.' O/J()
PASCO PERMIT SERVICE
PHONE 1-866-824-7894
Toll Free
SUBDIVISION 21/ 1/1/3.
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION
OSIGN
PROPOSED USE: rpSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
DALTERATION
o REPAIR
o INSTALL
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
re - roo.p
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/J BUILDING $ .J, Lj OJ. (jl VALUATION OF TOTAL CONSTRUCTION
o 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 AREAD YES 0 NO
BUILDER
COMPANY
SIGNATURE
L~J({ 0"1-
~/L
(/
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
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 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 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" 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 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".
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SIGNATURE: OWNER AGENT
~'~e~ NC
SIGNATURE: CONT~OR
STATE OF FLORIDA 0
COUNTY OF rt::e:Srw
The foregoing instrument wa~cknowledged
Before me this ..<'571-day of '-+-IJ""Yi l , 200>
by
~. (name of person acknowledged)
~ho is personally known to me, or
Owho has produced
(type of identification)
Diid not t~~
son taking acknowledgment
STATE OF FLORIDA q
COUNTY OF r4..~(o
The foregoing instrument wa~ acknowledged
Before me this ~5"'~day of 1:!pri l , 2QQ2
by
(name of person acknowledged)
~ is personally known to me, or
o who has produced
(type
Odid not
taking acknowledgement
'')uzanu~ Bahl
"~~"b'. suzanne Baht
Name typad";p'M::rifumlllia:5i:M mDU6p~di
. t:\\mes Nay \5 .~OOb
f'~Q~~~)' Honded Thn:
\l:,:ntll Bonding Co., trK
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Name typed,.prj:t1t~4~~;~rresS. 'OlJIIpy,~006
, Honded Thru
\L:,:.;ii~H' BCJ:1ding, en lm~
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Contract Agreement
TInSAGR~~,ma~~ _
by and between '--~ ~
Owner, and
the Contractor.
For the consideration hereinafter named, the said Contractor covenants and agrees with said Owner, as follows:
FIRST. The Contractor agrees to furnish all material and perform all work necessary to complete the
Re- roof NU5HE:'R)I 1<001=.
'21~
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day of
APRI L
2005
A.D. lIJ"_,
hereinafter called the
hereinafter called
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for the above named structure, according to the plans and specifications (details thereof to be furnished as needed) of
Architect, and to the full satisfaction of said Architect or Owner.
SECOND. The Contrac agrees to promptly begin said work as soon as notified by said Architect or Owner, and to com-
plpte the work as follows: . JH '" fJ "-- . I o/.. ,(.0,,) /: , :.,.. ;/JI'1/tl.- IPA?,"' (c. J ~<: ..::: ~ I .
b4-tI LJ '" d d, "'t?// 'z' '-: /..J - t=c / f..t>>.....:-t. e.lt /; ~l .:... ..~'!, /,., fJ.-A. II ;-?, <.-tJ L GI4,g
bc:>d'/c dU':'Jl.. V~A ~ I'</~-S:' /iJ r/.4-ll .,,,..; ;z k,fv{",-'t t./Gnl. , nJJ,?2;f1 /'Ie...}
G ;' I't/:rl. d", :1' <. 4/ e-- 1;l}'j;7 f 'I n ~.J 2. 5- Y ,;:; -g. :s l, , '/ (c.,J, ,.-" f./.-n I; r1 e..";:;-
'-"dt e .JcA 1-.
C/e#-JII e(cP d~d h/J..",t 1I";jJ.~ ilL/I ).-Il.,tr(.,
THmD. The Cont~actor shall take out and pay fof Workmen's Compensation and Public Liability Insurance, also Prop-
erty Damage and all other necessary insurance, as required by the Owner, Architect or by the State in which this work
is performed.
FOURTH. The Contractor shall pay all Sales Taxes, Old Age Benefit and Unemployment Compensation Taxes upon the
material and labor furnished under this contract, as required by the United States Government and the State in which this
work is performed.
FIFTH. No extra work or changes under this contract will be recognized or paid for, unless agreed to in writing before
the work is done or the changes made.
SIXTH. This contract shall not be assigned by the Contractor without first obtaining permission in writing from the Archi-
tect or Owner. All Sub-contracts shall be subject to the approval of the Architect or Owner.
IN CONSIDERATION WHEREOF, the said Owner agrees that he will pay to the said Contractor, in
I payments, the sum ofjp' 24- SO . DO
for said materials and work, said amount to be paid as follows: per cent (
and material which has been placed in position by said Contractor, to be paid on or about the
of the following month, except the final payment, which the said Owner shall pay to the said Contractor within
days after the Contractor shall have completed his work to the full satisfaction
Dollars
%) of all labor
Architect or Owner.
The Contractor and the Owner for themselves, their successors, executors, administrators and assigns, hereby agree to the
full performance of the covenants of this agreement.
IN WITNESS WHEREOF, they have executed this agreement the day and date written above.
of the said
Witness:
~~~ )'iJ ~c"'~.
1-f~E-~~&;t1
MFD. IN U. s. A. FORM 158
Contractor.
FRANK R. WALKER co., PUBLISHERS, CHICAGO