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Home My WebLink About05-4153 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4153 Permit Number: 4153 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 3,600.00 Date Issued: 4/27/2005 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 4/27/2005 Work Desc: RE-ROOF Address: 38415 12TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: D FLACK 38415 12TH 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. 4'''<>''- 'L ~\)~b- . t~ ~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OFZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMIT'rING OWNER'S NAME L \ f"\ d-.Vj F\ G-C ~ JOB ADDRESS S ~ L\ \ c:; ) ~ Ave, PHONE 'I [ 5- d S-d') ." ?-e~ LEGAL DESCRIPTION: 1.0'1'(8) BL.OCK SUBDIVISION PARCKI. ID # J 1- 'd-.6- ~ \ - L:::C'.)\("}/" 0 ~~oo .....OllS-.LOJ3J:lU.tl......E'E.0M-~C_EL-. WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERAT ION o REPAIR o INSTALL o SIGN PROPOSED USE:~SGL FAMILY DWELLING o COMt1ERCIAL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL ~e(c~ 3C'l ~ r>-A- . ~ fl\- I]) ~ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMl1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMI'l' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR AL.L NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ :-\660 .60 VALUATION OF TOTAL CONSTRUCTION o ELECTRICA.L AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUl'1BING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLArION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAD YES 0 NO FINISHED FLOOR ELEVA'rIONS c ~____ u_________________________. CO~C...-.~:<<f;;;rsmeT.!O. M . . .. .'- ..' . - .. . .. .--- -.--------.----' BUILDER COMPANY SIGNATURE STATE CERT OR REGIS! # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *******************************************************~********+* MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER~~~ SIGNAT1JRE ~ ~ .~ COMPAN~W:. EJa~ ~;;r:J .'.Ii ( STATE CERT OR REGIST # C. CCOS'17.s~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed resbrictionsU which may be more restrictive than City regulations. The undersigned assumes r~ponsibility 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 ma~ be required to be licensed in accordance with state and local regulations. If the contrac~ is not licensed as required by law, both the owner and contractor may be cited for a-~li~demeanor 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 tile 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 portions of the "Contractor Sections" of this application for whicll they will be responsible. If you, as the owner signs as the contractor, you are indicating Lhat 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 licerlsed 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 1, 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 "ownerU, 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 AFFI DAVIT I certify that all the information in this application is accurate and tllat 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 commenced 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 Ilealth 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 "AU 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 isslled shall be construed to be a license to proceed with the work and not as autllority 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 reqlliring 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 for a period of six months after the time the vJork 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 COMI'1ENCEMENT MAY RESULT TN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUI.T 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". ~Cn- ~ ~~ SIGNATURE: OWNER OR AGENT ~~_ L~ SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this __ day of by acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me Ud s _day of by acknm.,J edged 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) DIho 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 vlho Ddid []clid not take an oath Signature of person taking acknowledgement Si9nature of person taking dcknOl.,ledgmenL Name typed, printed or stamped Name typed, printed or stamped PROPOSAL SUBMITTED TO Name _C J /Loll Pcr!!Fi I=""L (\ c. k Street~fY /~=__j_?_t~-A V e 33010 SR 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aol.com ~ ! Street C.OLO .~ I City ~H'a~~ C01-.CJ~ S~____ :ity _~2~{"-*,,dJ:,_~ ~ ~ I State No.C. ~Zip~_ 5tateL:L__---:_____---: ZIp _ (C, _ ~ I Owner ot Property (' U~'" V] C Y V Phone Number __Z~:3_~_~~_22_____yax___n___________ I Phone Number .________________Fax __________ (E LL.~ 813- 4GG) OqQ..S Ne hereby propose to furnish all the materials and perform all the labor necessary for the completion of: ~~ve existing shingle rool 0 Replace bad fascia boards at $~b 0 per foot ] Remove existing built-up roof r::rrn;tall Yo feet of ridge vents :rt5";y-in with 0 15 lb. ~_ 0 Install modified bitimen (granulated) torch down roofing ::1 Install new galvanized valley metal bl~hite or other color ~all new lead boots ~~l~? yr. fungus r~~~t 3-tab shingles ::1 Install new exhaust vents (------Glnstall 30 yr. fungus resistan~nsional shingles -$ 3,bOo, ~ ::.rrnstall new drip edge. {"_":: L.)h, t<. color 0 Shingle m cturer oolor --- J Install new flashing as needed nstall TPO, white rubberized roofing membrane 1 t/ i It". () <.> 3"ffePlace plywood at$_1':C0<';> per sheet DOther: r:-I"\t Fi1" -;L .e'~ h'H k. 1\ (<ds ~pair rotten trusses at $_ J. DO ____ per foot f-t:, b e -ih y- noli Cd-, c./ h '1 v,,< A -(1\ I- )""\1' yo.-... j, .-.........( j I' . III /If'eI, .- -I 7/'6, 00 I .v. LJU^ IIUU ~iCeKd-ea., ~~Ka.ea. & 1Kd-et'f-ea. Date}lJ )' / Dr __ WORKED TO BE PERFORMED AT 'Woodwork is an additional charge, see pricing above ./ _~.;1'r / a.1I material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica- ions submitted for above work and completed in a substantial workmanlike manner for the sum of $ Y 'It), u 0 l) II t / Nith paym€mts to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You __..______________________________ Credit cards accepted, addtionaI2.8% charge '-~.~- ~ny alteration IJr deviahon from above specifications invoiving extra costs will ,e executed only upon written orders, and will become an extra charge over and lbove the estimate All agreements conllngent upon strikes, accidents or delays leyond our control. Owner to carry fire, tornado and other necessary insurance 'pon above work. Workers' Compensation and Public Liabitity insurance an above york to be taken out by Roofing Contractor Note: This within Officer/Agent Scott Blackman Roofing r posal may be withdrawn by us if not accepte! days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specifi~d._ I h. a ve read.. the back Ofth. is Pro posailContract, which contains Florida Stautes 713.0~1-713 .37. ~Yment will be made as outlim~d above. -L 1 }1 ... . J' \ . .'IA(1 . ! Accepted -.-~-4K--_,3, loDQ_~ DQ_______________ Signature _ (j V J!.C~ - -""?:IJ Z.. I ( Date __~~...::~__~_~~______________ Signature 1111111111111111111111111111111111111111111/111111111111/111 2005080639 . NOTICE OF COMMENCEMENT County of --pf1 SC 0 state of _F\OY\ctL THE lmOERSIGNED hereby gives notice that improvement will be made to c3rtain real property, and in accordance with Chapter 713, Florida Statutes, the follo~ing infor~ation is provided in this Notice of Commencement: 1. 2 . ;.~ . R.:~ , . ~ ~i Description of Property: Parcel No. Jl.~2to-2l-00\O-0:1loc.o-O \\5 3~4\5 \lE (Legal descr~pt~on of the property an street a General Description of Improvement RE fV\O\l E 0 L b 'ROOE.lli6 S\.-tl 1'-t6lES ,AND I NSTl\LL NtW lZQot:t t{u SIiINGLE$ 3 . Rec: 10.00 IT: 0.00 Dpty Clerk O\vncr Information: Name {lJNDV City State FL 'B'S4C Interest in Property: Rcpt: 878205 OS: 0. 00 04/27/05 Name of Fee Simple Titleholder: (If other than owner) Address City State 5 . Contractor: Name &n\\- h\ClC'~ '~C::O~(\~ I \nc 7D Pt-\i \lS~ . . Address '3'S6\o <\~ s? C1ty s-'f\'W 4\\-J\bN\ 0 State -F'l '3 ~:>l~ Surety: N<1rne Address City " l\mount of Bond: S State JEO PITTMAN PASCO COUNTY CLERK 04/27/05 09:10am 1 of 1 OR BK 6339 PG 1569 6 . Lender: Name Address City State 7 . Persons wi thin the S tate of Florida notices or o~her documents may be 713.13(1)(a)(7), rlorida Statutes: designated by Owner upon whcm served as provided by Section N,:.mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided 1n Section 713.13(1) (b), Florida Statutes. <J. fxpirnt J.'ln dl'lte of r1ut.ic,e of Commencem:nt. (the explratiun date is 1 yedr fr~m the ~ute of record1ng unless a d1fferent date is specified.) Signature of Owner: t u--J</ Sworn to and subscribed befJre lfuc} e this I~ day of Apri} 20 {} b Notury Publ ic:, My C:):i1,;li s s ion Expi PC930530481 A I'~~ TelisaMCross ,)I) My Commission OD37tM83 ~~ Expires November 09, 2008