HomeMy WebLinkAbout05-4293
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4293
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:
4293
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5238 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3,000.00
5/31/2005
45.00
45.00
5/31/2005
RE-ROOF
Name:
Address:
Phone:
REINSPECTlON 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
fore recording your notice of commencement. n
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.
G? ~.
NTRACTOR 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 RECE IVED
OWN ER' S NAME ~ \111 E' l <>... C ct "vi e ,., 0
JOB ADDRESS S-Z-. S g (b ~~ ~.
PHONE CONTACT FOR PERMITTING
PHONE ~g(g- tgo C(C(S (;
~L
LEGAL DESCRIPTION: LOT(S) ILl '\ IY BLOCK
PARCEL ID # .-Jl.~1 00 (0 t l q vo 0 l L 0
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION ~RE:PAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE: -e!SGL FAMILY DWELLING DMtJLTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERC IAL o INDUSTRIAL DSWIMMING POOL o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~Qc- '" ~ / ct '7 i, / r"S 1.,..... 91 .f:.
SQUARE FOOTAGE 16 ~ ~
HEIGHT
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.
VALUATION OF TOTAL CONSTRUCTION
Lf:213
!2(BUILDING
$
3oCJO ~..:::-
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL $
o GAS ~OFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
InNISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YES 0 NO
BUILDER
COMPANY
,~ ~(~ eo~;,~f7sk..,~2
OR REGIST # (C'C r 3 2Sg8,
SIGNATURE
STATE CERT
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST # _
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
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COMPANY
SIGNATURE
STATE CERT OR REGIST # _
*********************************************************,'*******
OTHER
COMPANY
SIGNATURE _
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsU 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 portions of the "Contractor SectionsU 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 Guideu 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 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-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AU or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeu 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 COMMENCEMENTu.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
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)
Dwho is personally known to me, or
(name of person acknowledged)
o,ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and \",ho Ddid O:lid not take an oath
Dwho 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
VL1t(;L~ ~ IIZfs,JJOolo 17Jt1b
State of .r.- I...-;Vl cA~
11II11I11I11 II111 II1I1 I11I111I11 II11I 1111111I11 I1I1I 11111111
2005106042
NOTICE OF COMMENCEMENT
County of YClOCo
Rcpt: 888389
DS: 0. 00
OS/27/05
Rec: 10.00
IT: 0.00
- - _ __ Dpty Clerk
THE UNDERSJG~ED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Flonda Statutes, the following informatjon is provided in tD,is NoticE;! Qf Commencement
4J:: i/2(p~1 0010 /7ioD 0/010 . ,'. .
1. Description of Property: Parcel No,toWN v(Z 'ZEPt+Y~ H-/ L~ PI3, PG54 j;.Vl"~ h, Pf
OV"lOT.5 iz 1-3 DeL 17 of< C;'7oS A qz. c;Z3g llt,'fkst ,'ffYlHIW f-f 53S1..j2-
(Legal description of the property and street address if available)
General Description of Improvement~ e rOC.\-t 8hl~ k-
2.
JEDPITTMAN PASCO COUNTY CLERK
OS/27/05 02: 05pm 1 of,i".
OR BK 6391 PG 18~~
5J.3f{ , (p~ Sf-
VCHne\o.. (k m.eV"IO
~yh.ttls
City
P1 33S1J~
State
3.
Owner Information: Name
Address
Interest in Property: Y~()'\.Ui2..i ~_s ,oe,nC.6-
Name of Fee Simple Titleholder: ~f\-
(If other than oWrler)
Address City State
Contractor: Name t\ Au5 lErY\~
BD3 V AN QtE..'J'o ~ 11-\) Lvrz" A .~~
Address City State
5 Surety: Name N Ul\-
Address
City
STATE OF FLORIDA
COUr~TY OF P A3CO
THIS IS TO CERTIFY THAT THE FOREGOING I~lfte
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS Op:iCr;, WITNESS MY
HAN N OFFICIAL SEAL TH! _ DAY OF
6.
Amount of Bond: $
Lender: Name rJ r A
JE
Address
City
7. Persons within the State of Florida designated by Owner UpOI1 whom notices or other documents may be served as
provided by Section 713.13(1 )(a)(7), Florida Statutes:
Name ~ I~
City
Address
8. In addition to himself, Owner designates J-If\
State
of
Notice as provided in Section 713.13(1 )(b), Florida Statutes.
to receive a copy of the Lienor's
9. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is
specified.
~
6/
SIGNATURE OF OWNER
f/Ju.:vn..' ';. ~I \
"Uc;L ).
.loLJ(...
DATE
STATE OF FLORIDAf./?4-4"' ~
COUNTY OF:";;;! A. (....-
'" . .. '-0;;- . '. ./
ThMregoing instrument w;s acknowle~ged before me this J- fvc..-- day of .A--P.k2-1 L 00 j by
ft')n""1 p. L. ..4-- CJ1;n t;2-~/ [,/ , who is personally known to me or who has produced
Name of Person Acknowledging . r (_
,;--- .:P1 . D-bb7--,'J3'- 15/
Seal
~p~
R~,.
. .
.." ...
~ .~.~
'> Of".</'
Notary PlJblic State of Florida
Aile' <"..1'111
'.1, . ...".1I,5IOn D0387155
bpI!;::, (i118/2OO9
1?fL--!
q / j
! / '
as identification.
dv/PC053048
~ll~ eeL( (7L/~-5 0 y- ? /c->b
Contract and Agreement
Affordable Roofing Systems, Inc. CONTRACT A"'OUN~Ce,
1903 Vandervort Rd. (888) DEPOSIT AMOUNT 0 C?0J
Lutz, FL 33549 BALANCE AMOUNT .;Lmo ~ATE ~
License No. CCC1325886 Fax (813) Bt?A"C)E UE ULL ~
l!We the Owner(s) of the premises mentioned below, hereby engage and hire you as Contractor, to furnish and install all necessary mat.erials
and labor, to install, construct and place the improvements according to the following specifications, ter,ms and conditions, on and In the
premises below descri which we warran d ~~e~t~}fe. h~ood record title as to own~~own name. Qc)
I lJt1/J~ C--/ . l ~HO~ .?cfO- ./ ;7 a
STATE,Je- zIPYJS-~~
M~
V.J - ".....
CITY
ADDRESS
Contractor agrees to or and materials according to the fo owi
1. Furnish Co nty r City permits quired for reroofing.
2. Tear off existing roo 0 a usable surface and haul away debris.
3. Inspect de . necessary repairs at an extra charge as outlined in wood work sheet enclosed.
4. In 0# ASTM felt paper 0 optional underlayment.
5. Install new eave inforcement, lead pipe flashing, goose neck exhaust vents, and aluminum ridge vent system.
6. Install twenty twenty-five year fungus resistant shingle oof with six nails per shingle.
7. Affordable Roofing Systems, Inc. will warrorkmanship for five years.
Sum for the above
UPGRADES:
A) Thirty year dimensional shingle
B.) Forty year dimensional shingle
C.) Optional Upgrade
D.) Shingle over ridge vent
E.) Peel and stick underlayment
F.)
G)
c~
Dollars $ 3cJOD-
Area
$
$
$
$
$
$
Modified Bi:;] sin~le !'{1! system for residential ro~ng . . !u
Roof Color ~eY.! Drip Color W I-r, I V Ridge Color fA) f .e--
~ 17 /l& C; /Ir tJ:;L ~ /1:0 p----- 9c~' Ie.} f,<h.. 2 ':.
The undersigned Contractor agrees to sell and the undersigned Buyer(s) Uointly and severally, if more than one) agrees to purchase the
above described goods and services which are to be furnished or used in the modernization. rehabilitation, repair, alteration or improvement
of real property located at Buyer's address given above.
APPROXIMATE START DATE ~--R- tJ/:::..S APPROXIMATE COMPLETE DATE _ ,3~ 7)1 S
(From finance approval)
LOAN PROPOSAL
Buyer(s) may request Seller to arrange a loan in the amount necessary to cover the price under this agreement. If Seller is unable to arrange
such a loan, this Contract is automatically terminated.
Because of the large number of sources where Seller may arrange such a loan and because each of them has various methods of computing
the loan cost, it is impossible to furnish a full disclosure statement as required by law, until such time as Seller is able to obtain an
"Agreement to Loan" from one or another financial source. If the Buyer(s) should request the Seller to obtain such a loan, a full disclosure
statement will be furnished immediately upon obtaining an "Agreement to Loan". An "Agreement to Loan" from another financial source is
customarily secured by mortgage of real estate. J I
Based on the terms of this contract, the repayment term of the loan may not exceed iJJ I ~ months and the monthly
payments may not exceed per month, (excluding insurance, points, appraisals, property reports, etc., which
mayor not be part of your loan, but inc uding finance charges/interest based on the terms of this contract).
Agent
NOTICE OF RIGHT TO RESCIND CONTRACT
Either party of this Contract may cancel the Contract by giving written notice to the other party by certified mail or registered mail on or before
midnight of the third business day following the execution of the Contract. Buyer's notice to Seller must be mailed to: AFFORDABLE
ROOFING SYSTEMS, INC. 1903 Vandervort Road, Lutz, Florida 33549 and state that Buyer does not want the goods or services.
NOTICE TO TH!: OWNER
A. Do not sign this home improvement contract in blank.
B. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights.
C. This home improvement contract may contain a mortgage or .otherwise create a lien on your property that could be foreclosed on if you
do not pay. Be sure you understand all provisions of the contract before you sign.
ACCEPTANCE
The prices, specifications and conditions are satisfactory and are hereby accE' AFFORDABLE ROOFING SYSTEMS, INC is aur,orize9
to do the work as specified. Payment will be made as specified above. . ~ ~ /
(\ f\ I I A On ./' _. ) / Bu er )(' Date ~ 1- (, 0:;
l)JL ~ Date ~ Co-Buyer I Date
BUYER ACKNOWLEDGES RECEIPT OF THIS CONTRACT IMMEDIATEl.Y UPON EXECUTION HEREOF.
NO VERBAL AGREEMENTS WILl. BE HONORED. ITEMS ORDERED MUST BE ON CONTRACT.
This is a legally binding contract. If not fully understood, seek competent advice.
RRC704