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Home My WebLink About05-4154 ~ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4154 Permit Number: 4154 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 4,070.00 Date Issued: 4/27/2005 Total Fees: 55.00 Amount Paid: 55.00 Date Paid: 4/27/2005 Work Desc: RE-ROOF Address: 513418TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: MRS. NTS 5134 18TH ST 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~L.---- r~. - CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER OWNER'S NAME (YI ('~, c..~ \1: ~ts JOB SITE ADDRESS S \ .~ L\ ) ~-S t CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT S33S 8th STREET ZEPHYRBILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE PHONE CONTACT LEGAL DESCRIPTION: LOT(S) 2-ef~.PL BLOCK SUBDIVISION PARCEL ID # ~ Fd(} (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE 0 DEMOLISH DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o INDUSTRIAL o SWIMMING POOL o OTHER WORK PROPSED: DNEW CONSTRUCTION DSIGN PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL 0<ero-rP ~ ~5 T' SQUARE FOOTAGE ad- SrJ HEIGHT BUII>DING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $-E()'] 6.cA VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS ~ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OTHER '~ifrf7 ^S SIGNATURE .~6 \1:::)('.>-.- <t~~ ***************************************************************** COMPANY ::)<Jl,+ ~ ~ STATE CERT OR REGIST # C [r I -'i '7 S-7 CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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, 813-788-6611. 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 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 per.mitting privileges in the City of Zephyrhi11s. 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 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. 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 Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-ABbestos 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 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 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: OWNER OR AGENT ~...ze~L siGNATURE: CONTRACTOR acknowledged 1!t- 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 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid DUd not take an oath o who has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Proposal/Contract Su<< ~~ ~~, 1He. P.O. Box 1188 33010 SA 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aoLcom .L ie.eH-d.et:i, ?]tJ.H-t:iee( & 1H-d.u-lf.ee( PROPOSAL SUBMITTED TO \lame //;1 r- J , (k l'Vi eh Is ,treet SJj~tJ / f /4. )"1- ;ity .--2.rt'lYt v Iv I (j..J r-.(..r ,tate -E Zip )hone Number _71f 2. - 6 7 W __Fax DateLI/30) 04 t j Street City State WORKED TO BE PERFORMED AT Zip Owner of Property Phone Number Ve h~reby propose to furnish all the materials and perform all the labor necessary for the completion of: ~move existing shingle root erl'i~piace bad tascia boards at $ "3, <l <J per toot I Remove existing built-up roof l31iiSiall 6' Gi feet of ridge vents rDrY-in with 0 15 lb. ~. 0 tnstail modified bitimen (granulated) torch down rooting ~Ii new galvanized valley metal bl~ white or other color ~i new lead boots ....rn;.tail25 yr. tungus resistant 3-tab shingies I Install new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles 1fiSt~1I new drip edge. hi" W ,,/ k color 0 Shingle manufacturer color Install new flashing as needed 0 Install TPO, white rubberized roofing membrane ~Place plywood at $ '-I r; f) IJ per sheet 0 Other: ___ ~pair rotten trusses at $ .l 0 0 per foot Voodwork is an additional charge, see pricing above Yt2epcur I X' c1-(ctlllj ('~ I--~J,O(] fer fevf I material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica- inS submitted for above work and completed in a substantial workmanlike manner for the sum of $ i../ D7 0,0 () th payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You. Credit cards accepted, addtionaI2.8% charge. <-_ ,f ~"1.Ui4/( '- Officer/Agent Scott Blackman Roofing Note: This posal may be withdrawn by us if not accepted within days. Fax ( alteration or deviation from above specifications involving extra costs will executed only upc.n written orders, and will become an extra charge over and lve the estimate. All agreements contingent upon strikes, accidents or delays 'and our control. Owner to carry fire. tornado and other necessary insurance .n above work. WOI1(ers' Compensation and Public liability insurance an above 11 to be taken out by Roofing Contractor. ACCEPTANCE OF PROPOSAL rhe above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as .pecified. I have read the back of this Proposal/Contract, which contains Florida Stautes 713.001-713.37. Payment will be made is outlined above. \ccepted ---__H. ~jnn~h Iro !;;.:';rf. r ;',,. - ----+..,-. " 111111111111111111111111111111111111111111111111111I11111111 2005080641 ' State of f\()\("\c\o... NOTICE OF COMMENCEMENT County of fa 6 ( () TUR tmoERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following inforr.tation is provided in this Notice of Commencement: 1. Descr iption of Property: Parcel No. ()-'d.o!O()-O" of the property an c5 street a able) 2. General Description of Improvement /1/ e. w Skl'Y1~/~d e66f Rcpt: 878205 OS: 0.00 04/27/05 _________ Rec: 10.00 IT : 0 . 00 Dpty Clerk 3. Owner Information: Name [) IX / F vII' (Ie YYJ C n '[5 :Z~phyrhiJ{S' State llddress 3~J S.l.; /1t h st, City ;:::L Interest in Property: o LzI Yt (0 r Name of Fee Simple Titleholder: (If other th~n owner) JEO PITTMAN PASCO COUNTY CLERK 04/27/05 09: 10am 1 1of571 1 OR BK 6339 PG Address City State R 4. Contractor: N.::lme ~\\" 'b \~'i'f'f'\(\(\ ~-f\f'C! \ r\<:"" PO~X ,\8~ I Address ~30\() S'\2- ~'?_ City Sl-\'lJ \\-~TlJRJ to State 5 . Surety: N.J.rne ~( g3S7~ Address City State Amount of Bond: S 6. Lender: Name Address City State 7 . Persons within the State of Florida notices or o~her documents may be 713.13(1)(a)(7), ['lorida Statutes: designated by Owner upon whem served as provided by Section tJ.:: me Address City State 8. In addition to himself, Owner designates of to receive a copy of t~e Lienor's Notice as provided Ln Section 713.13(1) (b), Florida Statutes. <). r-xpirnt ..l'Jn d~te of rlot.ice of Commencement. (t.he explrat10n date is 1 yedr ir~m the Jute of recording unless a different date is specified.) r ., Signature of Owner: I ,. r I :<.:./~ Lt/. (l /7 --.r-;-, .. /u/}/V' .';1j~-':;~/ Sworn to and subscr i:bed :bef ore me this ;) r; td.- day of t+ {J r} ( 2oJ1..5.~ . Not.J.ry Publ ic: ~ .'. (-1 cJ;t L~' ~/.. 3/:2-CfID6 I / -. G5;+1I f__ My Cxn;Oli ssion Expires:' PC93053048/ A +O'\"'~:*~~8(t. J. EASTON .. . * MY COMMISSION # 00 304880 * EXPIRES: MaIch 29, 2008 '\... ~<>~ Bonded Thru Budget Notary Services "OFf\."'~