HomeMy WebLinkAbout05-4529
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4529
Permit Number: 4529 Issued: 6/22/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 9,880.00 Total Fees: 80.00
Amount Paid: 80.00 Date Paid: 6/22/2005
Address: 5640 17TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-10800-0140
Name: GAVIN ROOFING
Addr: P.O. BOX 1363
DADE CITY, FL 33526
Phone: 352 567-5034 Lie: RC 0046241
Work Desc: RE-ROOF WITH 26 GA. METAL
Name: JOANNE ERRIGO
Address: 5640 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
F
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
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."
NO OCCUPANCY BEFORE C.O.
~ ~
CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OB' l(j.l!i.l:'tU:.t\n~l.IJ.li:) r.l:l.nL9.&.&..&. ~......_.......u____.
BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
fo/z In
PHONE GONTACT FOR PERMITTING
~
OWNER'S NAME of (J f) /l//V6-- 6-1::121 (;2 1)
JOB ADDRESS . ~<::, [-I () it ~Lfl: s;
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # ll-l~ -1.(~oo/& -ltY101) "-()I'ltJ-~1,~
(OBTAIN FROM PROPERTY.TAX NOTICE\
WORK PROPSED: DNEW CONSTRUCTION
OSIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERAT ION
ILJ./DEMOLISH
@-'REPAIR
~TALL
o MOVE
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOM
o OTHER
DESCRIPTION OF WORK
D RESTAURANT
[{(: Il()O~/~?-
& HEALTH DEPARTMENT APPROVAL
:L 'J r; v/2J, a- A-
/ .
~~ i/fL
,
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 1:0 S.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, '~U .,::;D
o BUILDING
j) """ PERMITS REQUESTED
I jQ\J tJv
$ D ~ 0 ~ ~ VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W,R.E,C,
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL
INSTALLATION . :2 I~
521-~ '7
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 0 NO
_~--'_'W'~'__~'~'~'~~"_'__,~_"__"~"_' ------~------ - --. - - -'-~-T"C-"'-------------'---' ---'--""~--"""'TI~
, I J I I 'h, I I , ,I 1,1' I ' 't" 'cll~~' ;lr'f"f;tJY"lt,l~'l~!~/~~t~~JfJ~'Hf]'ffil~~~~J
~~~~~________~__~__.____~~~~ ~ 'Ji I 1,[1" ,Jftl~I"f,," 1~1_~~\."~''1''~:l;t~
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 p) L If e--It 11/ P/ COMPANY Cr'- A J / \J j( 0 7J ;, / "J CJ
SIGNATURE ~I L- L/ STATE CERT OR REGIST # ReD 0 Lj j, 2. t..j I
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 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:r:tions of the "Contractor Sections" of this application for which they
will be responsible, If you, as the owner signs as the contractor, you are indi9ating 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 certity 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 $~5,OO. ,The extension shall b~ requeste~
in writing to'the Building Official. An approved lnspectlon must be logged durlng each SlX
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':;YZ N;;; TO RECORD AND POST A ~ z;;;".
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
acknowledged
, 2~
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)
[1ho is personally known to me, or
Owho has produced
(type of identification)
and whoO did Odid not take an oath.
o who has produced
(type of identification)
and who Odid [}:lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
NOTICE OF COMMENCEMENT
State of ~ll{} /2 ! 0 It
,
County of P if j' L [
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel N o.@"") II J- t.; :A, OOi C j L" q 11 [1 C I 't () ('Co I
. .... / ... _ " () /l.. _ ~ ~ t. LfO' I I-It.! :J f .. ..
z.. ~., PC-- L~ ".5 1'- I; () Z ~ . 111: h (1./ f; ;) s: 'I ).
(Legal description of the property and street address i av Ilable) ,
2. General Description of Improvement
'?
I ~-
ICC'
;;.~ .,
. (D !c:: /-:.: /i~ '{.:
1111II111111111111111111111111111111111111111111111111III111
2005106545
r' .
Interest in Property: ,) ,"It: C U-)li,f',2
~ ,4t1n t.' r;(Z{L-/6- 0
...,
City 'jjfh t;!-rLh, 1(<,
, ()
State F I 53 :)1 J._
3. Owner Information: Name 1I:.J
Address S (0 '-I 0 I 7 f'f,.. S' f-.
Name of Fee Simple Titleholder:
(If other than owner)
Rcpl: 888578
os: 0.00
05/31/05
Rec: 10.00
IT: 0.00
opty Clerk
Address
City
/20 c // /.....) 1,-
State
R4.
Contractor: Name ,,{.:;:;. (/'/ ;Vi
Address P c I3 C K ) J b. ?
City [) 17 J) (::.
:.: I ''y tl
/
S tate .It'L.
-> .'''' ,-' i ..-
,). \ ).:z.i:.
5. Surety: Name
Address ..--.
Amount of Bond: $ --..
6. Lender: Name
Address
City
State
JED PITTMAN PASCO COUNTY CLERK
05/31/05 09:19am 1 of 1
OR BK 6393 PG 503
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
,"--.
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of oW.~r?;:~J" d4lt'rllo t~~
Swor~ tp an;~.;~.,~~;iti, bt;re/me 4.thiS~. day of o/h/
NotaryPu'bhc,': . .'~: ~.-t#~~ C'.. ir~j:v.Lc/'- ~
. r. .
,r.'""'':'
,206~
j
My Com~f~$i0n Expir~s:,-
~,.;'~ ,
PC93053048/ A' "- - . .. _. '.
BETTIE C. JOHNSON
MY COMMISSION # D0332616
~ EXPIRES: September 16,2008
)-800-3-NOTARY FI. Notary Disoounl Assoc. Co.
.-
"'iU'JUl; I ::::lll
--. "---~._--------.---------------_._-
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GA VIN ROOFING
P.O. Box 1363
DADE CITY, FLA. 33526
Lie #RCOO46241 - Bonded - Insured
PROPOSAL
1-\l,e;e No.
or
Pages
(352) 567-5034
2 YEAR LEAK WARRANTY
,JOB NAME! NO
LOCATION
To:
,/ A)
"
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We hereby submit specifications and estimates for:
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~ ~R~POSE h:reby to furnish mat;r~al a~d l~bor - c~::::mp!ete i~ accord~n)ce with these specifications. for the sum 9t --, "7
,t.. ..,{ /,,... f V ... i, ;-! ( f- i( ,v',1 J /i. ~ ,/ -+ ,_.,. ff ' !/ '7 dollars ($ V! ,>) ,X 0
Payable as follows: .' ./
. '/I , /; 1,1 ._./ (.1""';:'- --r" ;[_j
C. l~.' !'~ I " __I.. ... . r ... .w
/)
All t11<tlcrial is guaranked !o be as specified. All work 10 b(' completed in a v..'orkmalllikc
JIl,lIl1HT according (0 slandard practiccs. Any alterations or deviation from above spccific<!
lions iIlV()]\'ill,~ exlra cost will Iw exccuted only UPOIl written orders, and will lwcoHw all
extra charge ovcr and abovc the cs!imate. All agre('menls cnntillgenlupoll strikes. accidents
or dt'lays Iwyolld our conlrol. OWllcr to carry" fire. tornado, and other IH'Cl'ssary inSllrancc.
Our workers ,ln' fully ('overed by \Vorkmen's Compensation Insurance.
I ' /
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.l.~
ij ,1
{. f//"/
Authorized
Signature
NOTE: This proposal may be withdrawn
by us if nol c.!('cept-ed within
days.
ACCEPTANCE OF PROPOSAL - The prices. specifications and conditions are satisfactory and are hereby accepted. '-'ou are authorized
to do the work as specified. Paymen~ will be made as outlined above.
Signature
Date
Signature
Date
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DIlII;oj'lll MCIi~" (tlllmpDlRCnllh ftmda IIIdr Code lGOlD.
ASTM ~ClllO Jlolrc o.Mot,",^-," Nc2l!' ~ 0aWI~ _ A..~ Patna:d G.Muh:d OJ' ~
Ill, 1II1J1lmfllllT nru...rr nm ..111. 'I'IA Jltrr HrlhtJmrr ram ^
~ Pllcement Fastener 120m 1 h
To Size Zone Zone Zone 1.OIIlI
1 213 1 2&$
1iI8"1'h/ck PIywoo;I 19 Ie 1.1J2" 80 18 za II
518" nick 0S8 Hie 1.1/2" so 19 110 IS i4 12
Wood
Screw 112" lNdt PIywaacI ,Ox 1.1,Q' 24 " 19 10 10 a
'liB Tb/ak 08& ti x "113' ,t 10 i5 /I 1Z II
12 Sa. to 18 Sa.. 112-14 x 1" 30 t9 29 15 201 12
Mel 18 Ga. 10 20 Sa. 1114-14 x 18' 30 20 l) 18 25 13
TCP1
Screw 22 ea. 10 24 GI. 1114-14 x 'lB' 30 20 3) 18 !S 13
26Ga. *114'14 x "" 28 12 18 10 16 8
1181'I: 1118 ,.,..., 8ll&C1nt11n 11II trim 111I \or ~ Z111l1ll11 baIf 01 1M ..... -no sIrawn In IlIIIte or 2.r wNllllMr II 8lllIIIm:
B
.
....1 Oimonalon fa) III c1af1ned IIa 10% Or 1IW minimum wkItIJ or tile bUDding
or 40% Qf the mean twlght of the roof. whlchMr Is smaller, hDWMr. (.a
I:llnnnt 1Il1~ 1hAn IIIIhilr 4'lCo af tho m/ft."",,", width of ilia Il&Mtllns or 0 feat.
Sill
...... ..~--
1. 'nwlll:l!tian pI'Op(-rtbor~ "".nnt1tl:r'l:at.!I:lJbIl'Cd bucdon A1'S119l16
~ ~ llUawabIe IIpIIn allculatlon III:1a::d on pltIll!llItmlg\tIlDd r........1lI'II CIfIIId'F in dlftercat .........Q11Qr three
or tnon!' IIpIII1llD11dlli_ 1'hc dlltetmt ..bilna1l':l .'hoIild be dafaned by aihcni to CIll'\'y IOIICIa il1lpOlled un cbe
plIftlllsanillllbaraln.
" TIlOI s......". PUn.c...hncl F.~I_I'" ...... hMrof... ,...."11 _._1 ........... {MJ-1 (I) Ulld {'/1m 1:1)1"1..... (W 10.16)
IInd tIl12-'4)i Lap\l'luo (tf1('t:r 14) duuhcc/&
4. UAI' 0I'l SIcIcIRpi 'J4 x '1/S'" ~ $O~o.c.
G. Die panel nUllchnum IipID1ll hlftle been ~ In !IO",
. ........._ u....
rJiAXlPtlUI/J AlTER~4j\.H F/ISHNING SGli[[lULE O/j (;UH[H ';1'Ar;HH; f1IlIA.,lE1H:I~ HlH'J ilr~\
WInd SDIed
1yPe PE:ement Fastener 120 man 135 Ml)h 150 muh
To Size Zone 2cnt ZLtne Zollo Zone Zofte
1 263 1 2&3 1 2&$
liJ8" ThIck PIywOtXI 1'9 x 1.1J2" so 2'1 so 18 2& 111
518" Thick 0S8 III x 1-1,Q' so 19 1IO 1$ ~ 12
Wood
screw 112" ThIdt PIywarxI Ih 1.1,Q" 24 13 19 10 18 8
'III" Th/ak OB8 tax "113" Ii 10 15 II 1Z D
12 Ga. to 18 Ell.. '12iJ~lC'P 3D t9 29 15 2.f 12
Metal 18 Ill. 1020 Ell.. 11/11-14 x .,." 30 20 m 1& 25 13
reP1
Screw 2291. to 2461. '1~ .,." ag 20 3J 18 2S 13
26Ga. #f/oITl3.~ Ja" 2S 12 18 10 15 8
wIIh .c;H'1I1WI1'IIIf11IIIdu,.1I/ta1>>laf11 nNI i1" 1aII, 1m. IIl1hrdl YInit........
DllMw,\JClj~,. ~~~Itdrt _ Calle 1M),
ASTM A-6!i.Sc:m Ildl'(l o.MmbQf,~ AaS!l8ln .md ^"7U PIdnlx:d OaMnir.l:d or ~
III. 1II1ft hrqwr RrUlenrr 0lI'II4. 1(1, '7'Ilt,...,.1Irlhbmrr I'iM ^
lOTI: '1118 r.rer.r $P8OIntlln 11II tIIm Ifill II'lr ~ Z11111181111l11f 01 1M __ aaing slrown In IIIlf18 or 2<1" wI1iGllMr " BmIDer.
B
.
Mala. Oimenalon fa) la dofIned Ila 10% or lrr. minimum lVlcnn or tile bURdinII'
or~. of the mean height at the roof. wh/cI'Ieu8r Is smaller, howMr. ..
r.llnnnt hR_ 1hAn __r 4'lC. af tha mltti"""", wldth ~f lha bAlW... or lJ fGot.
8Ive
......1IUIIr__....
" 'nwllllelion !"'t'f)('rticBaftbe j.Jn"n.llII:I'I:calaIbnd bucdon A1S11996
~. 'IM R1~e lIpIIn adcuIalion II bial:d on pal\f!llItI'l!rIRd1l111d r.....,ClnI ClIpIdIV in ~t lIJhI&ntto./Qr three:
or tftute IIfM eandlliolUl. 1'hc: 41l'retmt 1II1idn11n1 sl10uld be def8ned by otbm to C/ll'\'Y 101m impcllled WI cbe
pIIM" ana 1IIbml.
" "............. pun.c....taml ~l}I_I_cIo 11ft: '-d.., ...."11........,........... (llV-llJ) Ulld C1t1O 1::1>1 "110'" (W1D-16)
and (1112-14); Lap\l'b (4'1{1% 1~ datltaba:l&
4. {Jll('Ql'ISI~II!J41'l; '1/8"~$O"o.c.
n. nil: plU1l:I nllnd1l'lUUl1p8J1a hne 00cn ~ IrI lOP,