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Home My WebLink About05-4156 ~ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4156 ermit Number: 4156 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 7,130.00 Date Issued: 4/27/2005 Total Fees: 70.00 Amount Paid: 70.00 Date Paid: 4/27/2005 Work Desc: RE-ROOF Address: 610916 H ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: FRED BEACH Address: 6109 16TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When ema 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-- ~. ..- CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF z~!:'t1~~n.J..LI.L.IU ... ...----- BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11S, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME h( j JOB ADDRESS ~JOq . leach / l+h Sr t LEGAL DESCRIPTION' LOT IS) ~ L BLOCK 7_1; PARCEL ID * 07-- 7 to - L 0 I io -OOOOO-OP' 0 PHONE SUBDIVISION IOATATN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOl:' o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL iRe rocrF 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 FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. SQUARE FOOTAGE HEIGHT o BUILDING PERMITS REQUESTED 7, /30, u (.) , VALUATION OF TOTAL CONSTRUCTION $ o ELECTRICAL o PLUMBING o ]'-1ECHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO COMPANY BUILDER EiIGNATURE 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 # aL- ................................................................. OTHER 001 c , COMPAHYC;C^ if S~Jj}10/1 /3,,, fr~ SIGNATURE~ ~ #..u/ ______ STATE CERT OR REGIST jI ere oD 'l\7 A. NOTIGE 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 appiicable 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 Zephyrhi11s Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign pOftions 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, 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. Appliqation 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 psrformed 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 bf Engineers-S~awalls, 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 i~ understood that a drainage plan addressing a "compensating volume" will be submitted wh1ch 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 techni~al 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 pe~i~th' issued shall become invalid unless the work authorized by such permit is commence w~ f1n \ six months of issuance, or if work authorized by the permit is suspended or a~andO~et' or.a h ft th time the work is commenced. One 90 day extens10n 0 1me perib= ~il~~:dm~:; ~h: p:~itewith fee charge of $15.00. The extension shall be requested ~~Ywriting to 'the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abando~~~ENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF INTEND TO OBTAIN FINANCING, CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR P~~~~~~~NG ~~U~O~OTICE OF COMMENCEMENT. JOgS UNDER ~~~~0&0~: ~~g~RDgRN~ ~~~~~~Y~~~~~EAND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2CL- 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) Chho is personally known to me, or o who has produced (type of identification) and wlioO did Odid not take an oath. o who has produced (type of identification) and who Odid Diid not take an oath Signature of p~rson taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped Proposal/Contract S~~~ ;e~, 1~. P,O>Box 1188 33010 SR 52 San Antonio, FL 33576 (352) 5S8-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aol.com ...1 i~elt.d.ut, ~ tJ.lt.dut & 11t.d.et'l-ea. Date L/j l- J/ os- PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name Fr~d Street B.<,4 C ~ Street-'.' 0 '1 / ~ f'J.. ,)1- City Ze-! h1 rh, '{Is State FI Phone Number Fax City State Owner of Property Phone Number Zip Zip Fax We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: ~e existing shingle roof ~ce bad fascia boards at $ :f ~O 0 per foot o Re~existing built-up roof ~-in with 0 15 lb. 0'30 lb. ~new galvanized valley metal ~~I new lead boots ~S~I new exhaust vents ~all new drip edge, 6 / ~ browl1 color o Install new flashing as needed ~ce plywood at $ 'f).aO per sheet ~epair rotten trusses at $ 3 ,t:> {) per foot *Woodwork is an additional charge, see pricing above ~tall gD feet of ridge vents o Install modifiedbitimen (granulated) torch down roofing black, white or other color ~25 yr. fungus resistant 3-tab shingles o Install 30 yr. fungus resistant dimensional shingles o Shingle manufacturer color o Install TPO, white rubberized roofing membrane ~r: 7?~x ()f-f b-...cL kcfzJ~ ::,L .Ld /"~ ,,-,.f-.flcL r--f-< I e(I'I-r~ -- ~)2 7. }"O All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica- tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ I. /3 Or 0 () . with payments to be made as follows. Payment due in full on completion, unless'otherwise noted. Thank You. Credit cards a epted, addtionaI2.8% charge. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workers' Compensation and Public Liability insurance an above work to be taken out by Roofing Contractor. Officer/Agent Scott Blackman Roofing Note: This proposal may be withdrawn by us if not accepted within 7 days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back of this Proposal/Contract, which contains Florida Stautes 713.001-713.37. Payment will be made as outlined above. Date Signature Signature ~~/3~ State of-F\oY\aa.. NOTICE OF COMMENCEMENT County of Ascv THB trnoERSIGNED 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 Commencement: 1. Description of Property: Parcel No. 0 2...-lfp- L l - 01 ~O - 000<:) 0 ~ 005c) (Legal description of the property and street address 1f available) General Description of Improvement A e r()tJ f s h.l~le5 . w/ 2c;- -3 h/; , 1111111111111111I1111111111111111111111111111111111111111111 2005081263 2 . O\vncr Information: Name fr-eJ llddress b 10'1 It, f-/,.., Sf- City Interest in Property: O\.0n ev . Bf'GL~ 2 efj,1r~/!/; 3 . State FI 335'1'L Name of Fee Simple Titleholder: (If other th~n owner) Rcpt:878470 os: 0.00 04/f7/05 _ Rec: 10.00 IT: 0.00 Dpty Clerk Address City Stilte R' Contractor: N.:\me S ~O \-\ +>0 (3C,)'l,. Il Sea Address ~b\D -s.e._ ~ Surety: N.:lme JL T ~\o.-c.~~'f\ ~~1\~, C i t Y ~~~ Pt 0ThiU \() \f\C State PL 33S7IG 5 . Address City State Amount of Bond: S 5[1)0. ['f) JEO PITTMAN, PASCO COUNTY CLERK 04/27/05 01: 47pm 1 of' 1 OR BK 6341 PG 233 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whcm notices or o~her documents may be served as provided by Section 7l3.lJ(1)(a)(7), rlorida Statutes: tJ,;mc Address City Stilte 8. In addition to himself, Owner designates of to receive a copy of t~e Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. <) . ~xpirt:l1 .l'Jn d,.,te of f1ut.lc.e of COlTlmencem;nt. (the explratlun date is 1 yedr rr~m the ~.:\te of record~ng unless a d~fferent date is specified.) Sig:1ature of Owner: V P~L.J I ':,,;( c;r 8~ Sworn to and subscribed before me this !ll day of Cl'P~] ~ ::~y ~llbJA"~:;t~Q Q .0~^JY\G:D~~=-nD "'::0,,..,_...<......:.., ",. ~~nMICHACl My C::J~,;li s~,;:i~~~~~~~~.):~~D ( 10 NOTARY PUBLIC, STATE OF FLORIDA ~c:,):e\-.,~ _ ; ~ .."....JI.. .t>-..()~ . ..- PC93053048/A\ ~\ J-'fj U\"\vJ.. } COM~OMMISS'ON # 240140 \,i>.......~ra~i:-~;#' ISSION EXPIRES 10/10/07 ''''''1. "'112 Of ~\.. ,.,.' "'1"111I1 nuu II'~\''\