HomeMy WebLinkAbout05-4540
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4540
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:
4540
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 6141 ZEPHYR RIDGE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number:
2,200,00
6/23/2005
45,00
45.00
6/23/2005
RE-ROOF
EU 'KAN
6141 ZEPHYR RIDGE
ZEPHYRHILLS, FL. 33542
Phone:
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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. II
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.
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CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
New co...tr....ction, Re-roofing & Repairs
PROPOSAL
YORK ROOFING INC.
Repairs and Re-Roofing Specialist
5103 Vinson Dr. · Tampa, Florida
(813) 767-4133
Lic# CC057858
Insured & Bonded
SUBMITTED TO
To
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DATE
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STREET
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We h e subm' specification~ and estimates for:
1 .----..iL Tear off old roof 'L layers
2.-L Replace all rotten lumber at additional cost of $2.50 per sq. ft. $40.00 per full sheet
I of 7/16 inch plywood
3.~ Dry in roof with ~ply ~Ib. felt
4.-L Replace all lead boots: Size:~, _,_
5,~ Replace 4 in.vent(s) q. 10 in, vent(s)
6.~ Replace ~ Eave metal: Color 'v/,..7-L--
7. j Replace valley metal
8.~lnstall Type Class A fiberglass fungus resistant shingles by Color
9.~ Shingles will be 6 nailed to meet Florida Codes for wind & Rakes cemented
10,_Cut hole and install _ft. vent(s) ridge: 4-foot off ridge vent(s)
11._Built up roofing & flat roofing
12._Dry in with 43 Ib, base sheet
13._lnstall a modified Bitumen cap sheet using a modified adhesive
14, , Replace _ Eave metal: Color
15,--'- Coat deck with aluminum roof coating
16.~Clean up and haul away all trash
17.-#-PulI magnet around job to pick up any loose nails or staples
18.-LDump fee and permit included in price .
19. 1 year workmanship warranty from date of completion
~S cI'..~~M 00
. yr. 3-tab ~
FAX
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ONTACT PERSON
25 yr. DIM $
We PI'opoM hereby to furnish material and labor n complete in accordance with above specifications, for the sum of:
dOllarj ( $ , ) plus any lumber charges.
Payment to be made as follows: tI t? (' 'I^. r', 0 ?r. f ,.t.! , '"
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Du~ing the course of the roofing work. the customer agrees to hold harmles~oofing
for any costs or damages resulting from asbestos materials in the roof system Including
but not limited to all costs of Ittigation and attorney tees.
Customer agrees to provide adequate roof access for trucks. equipment, and perso~nel.
Customer also agrees to furnish electricity if needed to complete the job. ~ y, K
Roofing is not responsible for any cracked or damaged driveways or sidewalks.
Any final bill not paid upon completion of job will be subject to an , B% (eighteen percent)
APR on unpaid balance compounded dally. All materials guaranteed to as specnled.
All work to be completed in a workman like manner according to standard practices.
Any allerations or deviation from above specnlcatlons involving costs, will be executed only
upon written orders, and will become an extra charge over and above the proposal.
All agreements are contingent upon strikes, accidents or delays beyond our contract.
Owner to carry fire, tornado. and other necessary insurance's. Our workers are
fully covered by workman's compensation and liability insurance.
Attorney fee and costs; In connection with any litigation arising out of this contract. the
prevailing party shall be entitled to recover all costs. including reasonable attorney fees.
The proposal is subject to acceptance within
at the option of the ~ig~ed, j
Authorized Signature ~ ~
days and is void thereafter
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AcceptAttce ofProro-Al - The above prices, specifications and payment
are satisfactory and are hereby accepted. You are authorized to do the wDrk
as specified, Payment will be made as outlined above. By accepting this proposal
it becomes our contract.
Signature
Date of Acceptance
Signature
CITY OF ~J!iJ:'nx.t\n.J..LI.L1o r.l:l.EUY.&..&..&. ~...._..._u____.
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE GONTACT FOR PERMITTING
OWNER'S NAME
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PHONE
JOB ADDRESS
SUBDIVISION Lotfr
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(OBTAIN FROM PROPERTY
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TAX NOTICEl
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID :It
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOM
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
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/ :./ r - (' .F F d- r~ ~. " lO' eF
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SQUARE FOOTAGE 56 X V c I
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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
$
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A l.(j. ()
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PERMITS REQUESTED
o BUILDING
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E,C,
o PLUMBING
o MECHANICAL $
o GAS &lROOFING
VALUATION OF MECHANCIAL INSTALLATION
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
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BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST :It
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
f\ *.* ** ** * * ** ** * ** ** * * ** * * * * *** * *** ** * ******** *** ** * * * *** *. ** * *. *** ** *
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OTHER .0[' F' \ 'Yl" COMPANY J 0 f I< '" 00(. I ']"')
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SIGNATURE [~I-- ,r. IQ-4 STATE CERT OR REGIST it eel Q ~~q;s~
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 iocal 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 Sections" of this ~pplication for which they
will be responsible, It 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 indica4ion 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 a~ter the time the work is commenced, One 90 day extension of time
may be allowed for the permit with fee charge of $~5.00, ,The extension shall b7 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2CL-
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
Owho has produced
(type of identification)
and whoO did Odid not take an oath,
o who has produced
(type of identification)
and. who Odid []:l.id not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped