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Home My WebLink About05-4527 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4527 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: 4527 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 5738 13TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-07200-0130 3,600.00 6/29/2005 50.00 50.00 6/22/2005 RE-ROOF C E H,CHUCK 5738 13TH 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. v' .g:; ~'kL_ e~. ~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI TY OF ~.l!iJ:'t1 :u~nJ..l.I.LJi:I r .I:I.EUY.l.A.... ~.... -- ---- - --. BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 813-780-0020 FAX:S13-780-0021 /-- DATE RECEIVED (~-:2:2 - 0 ~ PHONE CONTACT FOR PERMITTING OWNER I S NAME C. h. LA. ~ LYe. ec. h JOB ADDRESSt; 7 3 f Is f I-., J I- PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # /)-2&-2-) -0010-072.00-01 ~o (OBTAIN FROM PROPERTY.TAX NOTICEI WORK PROPSED: DNEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOM o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL (2e YOc+ wI .~O '1eC\..V /l'''':1-verf,(J-('S. II ~ t 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION, $ 3000,00 PERMITS REQUESTED o BUILDING VALUATION OF TOTAL CONSTRUCTION o GAS o ROOFING AMP SERVICE 0 Progress Energy 0 W. R,E, C, __-.. //. ......,. / " r1 $ VALUATION OF MECHANCIAL INSTALLATION/ 4(1- o SPECIALTY 0 OTHER o ELECTRICAL o PLUMBING o MECHANICAL TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER \ FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO _t~;-:-~~-~~f-l~j""~4_-t 't~ ,:lr i--~~ --~~---~-- - -~-~ - - -- 1M -- _M1"~f'l-- -;-I~ ---;;--.,.-:-1'.... t~ j":{: ?~!~Il;rp,TJTB~:;,~iTiSf,~'f;i I t I ~, 111;;: ' : jl ~ I !,'lr: I ,I - ',I Ii I ~ ,lj~lJ1~,~)~'~'f, 1>~~~ljlP!-~lf';~~'Jl:p1 ~~~.li.i.;;._~...cl;.;.;.~....l-.-_____~___________~~...~_..J.:.._~~_ ~- 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 /<. OO.{ 1'111 j SIGNATUR~~' ~ COMPANY S ((J ff- 131 ~ r k IU. ~ fA too I'r ~ . CC( STATE CERT OR REGIST # C) S 7 c; ~7 A, NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" wh'ich 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 po~tions of the "Contractor Sections" of this ~pplication for which they will be responsible, If you, as the owner signs as the contractor, you are indi~ating 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 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 conunenced, One 90 day extension of time may be allowed for the permit with fee charge of $15,00, The extension shall b7 requeste~ in writing to'the Building Official, An approved inspection must be logged dur1ng each S1X 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 (type of identification) and whoD did Ddid not take an oath. o who has produced (type of identification) and who Odid [):iid 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 SetIU ~~ ~~, 1~. P.O. Box 1188 33010 SR 52 San Antonio, FL 33576 ~ 9- S""s-.s-1 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aol.com ..1 ic.elt.d-eet. 'CtJ.lt.eteet & 11t.d-eelf-eet Date 5/1~/D) PROPOSAL SUBMITTED TO Name C h\A..c...k. C v--e e L~ Street ~ 7 3 Y I ~ -H,.. S 1- City 7 fLf'^JYI~.., '{l~ State -8 Zip Phone Number 7gz. - 79'7 , Fax WORKED TO BE PERFORMED AT Street City State Owner of Property Phone Number Zip Fax ,-:'J We ~by propose to furnish all the materials and perform all the labor necessary for the completion of: la"Remove existing shingle roof [l Ro>,1!lbe f?,d taseia boards at $ 3,,, u per toot o Re~e existing built-up roof ~ U feet of rrdge vents ld1:frY-in with 0 15 lb. ~ 0 Install modified bitimen (granulated) torch down r o Install new galvanized valley metal black, white or other color ~-. ~I new lead boots 61iiSlaii2s yr. fungus resistant 3-tab shing s .J, o Install new exhaust vents 0 Install 30 yr. fungus resistant dimensio al shingleU> 3~o-o, 00 ~w drip edge, t, ~ /.....Jtu it color 0 Shingle manufacturer color J o Install new flashing as needed 0 Install TPO, white rubberized roofing me ~IYWOOd at $ '/ a (J U per sheet 0 Other: ~otten trusses at $ 3.00 per foot -=,~work is an additional charge, see pricing above MR cp kL~ I X oI~ t.k~J G> ~.OD pe;r~ol- 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 $ 3~ 2 YO.. V 0 . with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You. Credit cards accepted, 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 ro osal may be withdrawn by us if not accepted within 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 Oythis osal/Con ct, which contains Florida Stautes 713.001-713.37. Payment will be made as outlined a ~ - Signature Date Signature 2, 3 . R 5 . 6. 1111111111111111111111111111111111111111111111111111111I1111 2005124657 NOTICE OF COMMENCEMENT State of -r-; A ..;- Lo It ( tJ , PIt5 C-O County of THE lrnOERSIGNED 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: ' 1. able) (Legal General Description of Improvement ])1//J6?/lJ:vc>d#L. ~/ 3o.V~H.: Rcpt:895833 os: 0.00 06/22/05 Rec: 10.00 IT: 0.00 Dpty Clerk O\'mer Inforntation: Name ~/?1&' O~/ llddress b13? 13+'" Sf. city<2e/A'l;r..e-h~ /~ , / Interest in Property: (?~VE~ Name of Fee Simple Titleholder: (If other th~n owner) State ?(, Address City State Contractor: Name ~CJff PO, tBo,X. if 0- fr Address 33'O/C))~ Surety: N.:lrne R L I &Af!eA'J#~ J'd"f1/f/cr J.;i./(! , C i t y S4/l/ 4~ /C:vl.J/ 0 State re: 33S-7~ Address -5'./ .5 tJ/LeJ( City State Amount of Bond: S co. 57t1a?- JEO PITTMAN, PASCO COUNTY CLERK 06/22/05 08: 32am 1 of 1 OR BK 6434 PG 156 Lender: Name Address City State 7, Persons within the State of Florida designated by Owner upon whom notices or o~her documents may be served as provided by Section 71J,lJ(1)(a)(7), ["lorida Statutes: tJ,;mc Address City State 8. In addi tion to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes, <). f"xp.irnt .i'in dftte of Ilot.Lce of Commencement (t.he expiration date is 1 year ir~m the date of recording unless a different date is specified.) Sig~ature of Owne~ / ____------ --r0;Vl I Sworn to and ~ibed bore 20 0 c) . Not.:lry Public: ~ r~~~ My C :):11,011 ss ion Expires: :5/ d... '1/ d.O at 1 ( +Q"''':';,~~8fio J. EASTON .. . MY COMMISSION I DO 304880 * * EXPIRES: March 29, 2008 "'~"'OFf\.r#'" BondedThlv Budget Notary SeMces ri( fte_ day of PC93053048/ A