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Home My WebLink About05-4201 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4201 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 4201 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 38217 5TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15600-010Q 8,307.00 5/12/2005 75.00 75.00 5/12/2005 Phone: RE-ROOF W/25 YR TAMKO ELITE 3 TABS Name: TENNEY, JIM Address: 38217 5TH AVE ZEPHYRHILLS, FL. 33542 REINSPEC110N 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. /~ 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, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 ~ DATE RECEIVED .....:.J - / t2 - O~- PHONE CONTACT FOR PERMITTING OWNER'S NAME Ji M leV\V\E:-Y JOB ADDRESS ~)( 'L \ "1 S-~l-1 Ave. PHONE 7 to - f(; I (, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # J I - 2. ~ - L 1 - 00 10 - I ') loo u - 0 100 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER PROPOSED USE: 0 SGL FAMILY DWELLING DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL 12 ~ rooJf ~! 2'5 'I € C1L1I' T CLvvdto ~ L k SQUARE FOOTAGE ~ (00 0kbs BUILDING SIZE 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 BUILDING $ <6301,00 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER W.R.E",.C~ //~ ) if :J.O I o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER 'no -l/IILJ SIGNATURE_~ COMPANY S (()~ \<Aclvvtc.v ~~~/~l O~71 ')7 - STATE CERT OR REGIST # ~c C 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 Zephyrhil1s 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 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 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 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 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 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: CONTRACTOR SIGNATURE: OWNER OR AGENT 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 (tyee and whoD did 0 did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid Oiid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped Proposal/Contract SC/JU ~~ '7i:~, 1~. P.O. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aol.com LieeH-4.eet, ~ ~H-tt.eet & 'l1t.4.<<''l.ett. Date_7-/J/O& PROPOSAL SUBMITTED TO Name J f 1 ^" ~ t\Y\t.-1 Street '3 ~21'" s~ Ave City 2Pf/h~)-J" /15 ./ State F f Zip Phone Number 7 ro .- fv / ~ Fax WORKED TO BE PERFORMED AT Street City State Owner of Property Phone Number Zip Fax Any aheration 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, tomado and other necessary insurance upon above work, Workers' Compensation and Public Liability insurance an above work to be taken out by Roofing Contractor, We h~y propose to furnish all the materials and perform all the labor n~cessary for the completion of: ~ove existing shingle roof ~ace bad faSCia boards at $ 3.. 0 D per foot o Remove existing built-up roof 0 Install feet of ridge vents ~h 0 15 lb. ~. 0 Install mO.dified bitimen (granulated) torch down roofing ~~ew galvanized valley metal black, white or other color ~tall new lead boots ~ 25 yr. fungus resistant 3-tab shingles ~ 7,3k"O o In~ew exhaust vents ~all 30 yr. fungus resistant dimensional shingles ~tall new drip edge, /,; I ~ L..JI-t, 'I< color 0 Shingle manufacturer color o In~new flashing as needed 0 Install TPO, white rubberized roofing membrane ~Placeplywoodat$ 'IS":()() per sheet crtJther: ~.rk/I r- Jj" f-<. rl.AbkY/ZA!_d ~r rotten trusses at $ $.00 per foot -?( '- -f- ~O+ Ie:. ~V~ 'j~, "W~~rk is an additional charge, see pricing above +:- l "L + {""'-t. ."J- \r'" . ',:!\ 'I '2- 7.0<:> f3' ~cv'r Ix dc-elf'" ~ f 3. 00 ~f-hot: 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 $ with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You. Credit cards accepted, addtionaI2.8% charge. ~~- Officer/Agent Scott Blackman Roofj;;g Note: Thi~posal may be withdrawn by us if not accepted within -..,L 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. ACcepted +<~1111\ ~" 1\ ~ Y Date , 5 -~-DS Signature Signature R 5. NOTICE OF COMMENCEMENT ~~~~~~~~J~IIIIIIIIIIIIIIIIIIIIIIIIIIIII"IIIIIIIII ?RS.~ State of NO, \ da..... County of THB ImOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following infor~ation is provided in this Notice of Commencement: Property: Parcel No. JJ -.JLa -:).) - 0010-1 SloW-OIQ) ~ Rue- - 2-e k rhilt :3 3 9-( ~ of the property an street a aVa~ able) 1. Description of 3g;;lt 7 (Legal descrlptlon 2. .~ e ~$1r)F - -;),,5 '<) r Rcpl: 883537 DS: 0.00 05/12/05 Rec: 10.00 IT : 0 . 00 Dpty Clerk General Description of Improvement ~ --\tili S$'t\r~e.~ s \cctc 3. D\mcr Information: Namc ~ Lt<ili y r.ddress s:&11 'IlrcJu.lO'lD City Zcph.1~~~U Interest in Property: Iei\ V\ --e 7 State -R- Name of Fee Simple Titleholder: (If other th~n owner) TTMAN PASCO COUNTYf CL1ERK ~!~1~~05 0i:4~m 1 252 OR BK 636 I PG Address City State 4 . Contractor: Name SC.D\\ b\o.-<:...\. ffiQf\ ~\Yi11 l(\C ~7 0 Bov.. 1\<0<0 " Address ~~ ':\0\ D S,Q c:; L Ci ty <;(-\ w ti~.trtY\\.)) 0 State J:- L Surety: Nume 'RL1. SU(-e.~ ~.l'S'l\o Address City State Amount of Bond: $ ~.OJ 6. Lender: Name 7 . Address City State Persons within the State of Florida notices or o~her documents may be 71J.1J(1)(a)(7), [,lorida Statutes: designated by Owner upon whcm served as provided by Section Nc'";mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provlded In Sectlon 713.13(1) (b), Florida Statutes. <). fxpirn1 J.'>n d~te o{ Hotice of Comm~ncement (the expIration date is 1 year ir~m the dute of recording unless a different date is specified.) SignatureofOwner: ~)thr ~~/ Sworn to and subscribed before me this ~;rf..Dday of 20 05 ::.:: a: w -J c.:> I-i?= ~::l . 0' a.. --'Q W i::.....o ;qp~ I L- Not.:lry Publ ic: 7 My C::J:i1,Ol,i ss ion Expires: PC93053048/ A ~ ~ mBlE A. RO't\QL '. ~i :). MY COMMISSION # DO 150878 ~~. . EXPIRES: September 18, 2006 ''1.Rf, Bonded Thru Nolllry NlIic Undetwriters