HomeMy WebLinkAbout05-4303
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4303
Permit Number: 4303
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 13,000.00
Date Issued: 6/01/2005
Total Fees: 95.00
Amount Paid: 95.00
Date Paid: 6/01/2005
Work Desc: RE-ROOF
Address: 38415 EVER RE N VILLAGE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: Z-HILLS LTD.
Address: 38415 EVERGREEN VILLAGE DR
ZEPHYRHILLS, FL. 33542
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
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.
~ ~-.
.-' 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 RECE IVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME 2-1-l,'/ Is L+d,
JOB ADDRESS ~ '6Lf (<:; EOf Vt) v~eY\. IJ ,'ll~fC VV'
LEGAL DESCRIPTION: LOT(S) BLOCK
PHONE
SUBDIVISION
PARCEL ID # 02- L~ - 2- 1- 00 { 0 -- or- .S00- (OBTAIN
002.0
WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATION
FROM PROPERTY TAX NOTICE)
o REPAIR
o INSTALL
Os I GN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
D MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# m" UNITS
o SWIMMING POOL
D MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK fl ~ VOO/ 7f ~ ~ 2 ~Ycll r-- 7:.. /ItA kc:J 6'!- k..r
BUILDING SIZE
SQUARE FOOTAGE
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 PERMI'l' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
PERMITS REQUESTED
$ ;3;000, lJ()
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
D FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VAI,UATION 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 AREAD YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*******************************k*********~************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
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COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER ;/Jooh"ny
SI(:1NATURE ..$..r~
'-""
COMPANY, )ul! IJ~{' ~1iJ1 L O'~'}
S'rATE CERT OR REGIST # CcdJS79(~ 1
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restriction"s" 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 trle 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 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 corrunencement.
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 Environmerltally 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 corrunenced 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 corrunenced. 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
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)
Owho is personally known to me, or
(name of person acknowledged)
[Lho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid [)did not take an oath
Owho has produced
(type
and whoOdid 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
AP~
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'-' 'r-iuj,Juisdl/Contract (Lbt)~/,'-1'2 t' J ~(.t:.k
Sedtt'B~~~, 'lite, fo ~r Sk'01(1.
P.O. Box 1188
33010 S~52
San Antonio, FL 33576
(352) SSe-ROOF (7663) · (813) 782-1330
FIx (352) 588-9763 d II It) r-
email: blackmanroofing@aol.com ~ale ~ fI/- {
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WORKE~..!.O eE P~FOAMEO AT
1Il..;u, ~-
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PROPOSAL. SUBMITTED TO
. -
Name - /::; V~"'jl"t'( {'-.tit 11"'/<. AA~~ '^ .t:t
Street 3"''/ IS: Ej.;~.....J I1"~H v'/!7 /Jr. Apf:.!-
C;ly~~~~,11J 5~ - ~
Stale _ _ Zip _: 3'3 S 'i~~
Phone Number _1t Z. - 2: 7 i-/rJ ~Fa~
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We hereby propose to furnish all the materials and perform all the labOr necessary for the CcfT1pletien of:
~ve eXlsling $hing!e rOQf ~lae. !:lad fascia boards at $_~ {J iO ' pel fo01
1:1 Remove existing builhlP roof etlnstall -.1'-1 () _ teet 01 /Idge venrs 1
~"With 0'5 lb. ~, i..J Ins1a!1 modified tlltimen (granulaled) t~reh down rOO!lrlg
Q Install new galvanized valley metal b1ir;k. white or other color ..-. !
~ew lead boot' ~2S yr. '!,Angus reSI$tant S-laD 8~ngles
~II new E!xtlal,l$t vents U Install 30 yr. 11,1r.gus reSIstant dlmensi.l'ial shingles
~".w dr:p edge, ~/;" f..)h, k eol(lr 0 ShIngle manufacturer ; ~ co1or_
Cllnstal! new f1aSMin~ 8$ I'II.oed
~aC:(j plywOQ(j Ii! $_.50. 'JV_ per sh..!
nGpair rotten rrussei at s~ per loot
'Woodwork i5 an additIonal charge. set piil:ing above
All meterial is guaranteed tg be as spe<:j!ied, and the abovt work fS to be performed is accOrdance Wlfh the drawings and specifica-
tions submil'!ed for above work and completed In Illiubstanlial workmanlike m'Mgrfor~he sum of $ /"J; 00 () , (,1 () !:J' 14t,
with \jsymel'1l$ to be made as fo/Il:l'NS, Payment due in full on cO""2Jeti~1 unle.. otherwfse noted. Thank You.
I
Credit cllIrds accapted. add1ionaI2.8% Charge.
"'? "~~"'llon /;>1 <.Ie,I.tlol1 '''em a~o"e ~lti'a'I""~ i~YOIYI~ ,1IIr. OlII\J will
be OllllCJ'lKlDnly uoon .,ilt,,, ore&/t, and .._I _1100mB .'" 81t116 =~arvt 0'11" Ind
;llCI\/e T~. Ulima" '-11 'Ilrumlll'lu (onhn;enl u~n SI"~'S, ",ei'tln!a 01 ~.~1S
DCyl:lt'it :t~t eo~Ir91 Owner 10 C!/fy f,re, '\:Imide a~d ell'tor ntcllliWIry ,,.UI8nce
UIIICIPl !lbQvO "'0 It We"!.r.' CO'"~""tlCI/'l '''lei P~bi!C LI'Il~lIy ,n.'J/Mft In 81lO~e
iV~rIll0 bt la~on O~lI:lV AoolI"V ~.i'llreClCI
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2005107762
state of F\Ov \ cb-
JIOTICB OF COIUIEHCBMBHT
County of
'U
TUB lmnERSIGNBD hereby gives notice that improve~ent will be ~ade to c~rtain
real property, and in accordance with Chapter 713, Florid Statutes, the
following infor~ation is provided in this Notice of Commenc cut:
1. Descr.iption of Property: Parcel No. O'L - 2..lo - 1_
Tc.'AA ko
E {, kS
Rcpl:889124
DS: 0. 00
06/01/05
Rec: 10.00
IT: 0.00
Dpty Clerk
(Leg~l descr~pt~on 0 t e property an
2. General Description of Improvement
3 .
O\\'ncr Information: Name
^ddres~. '2)~
City
State IfG
Interest in Property:
NLltne of Fee Simple Titleholder: S::t~
(If other th~n owner)
Address City
JED PITTMAN, PASCO COUNTY CLERK
06/01/05 09: 22am 1 of 1
OR BK 6395 PG 1465
StClte
<1 .
Contractor: Name '
-;:0 ~ \ \CO~
Address . ~~O\() ~12- ~7
I nC"
City
State PL
<'?'~7h
~...., ,.
5.
Surety: Nurne
Address
City
Stat.:!
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons wi thin the State of Florida designated by 0 ner upon whcm
notices or other documents may be served as provi ed by Section
713.1J(1)(a) (7), Florida Statutes:
rJ..~ me
Addres5
City
State
8. In addit:ion to himself, Owner designates
of to receive copy of tbe
Lienor's Not4ce as prov~ded ~n Sect~on 713.13(1)(b), FI rlda Statutes.
<). f:l<.p..i.l"t'lt .I.',n dl'lt~ nt t10t.lce oC Conlmencement (t.he explratic.n d~t.e is 1 year
tr?m the dota olrucording unless a different date is s ecified.)
20f:fL .
before me this J#) day of
Signature of Owner:
Sworn to and subsc
Notury Publ ic:
My C '):\1~:l.i 55 ion Ex.pires:
PC93053048/A
/~,~h~:'f~.;;-__ Deranda R. Stevens
f.~" .Ji ..~;~ MY COMMISSION # DD074750 EXPIRES
\c~'~.~":l November 27, 2005
-.':1:,9r;,(~~~" gONDED THRlJ TROY FAIN INSURANCE, l!>Ie
i