HomeMy WebLinkAbout05-4641
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4641
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:
4641
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5152 21 ST ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
9,500.00
7/07/2005
80.00
80.00
7/07/2005
RE-ROOF
ED & J AN ARNOT
515221 ST ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEcnON 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.
~/k'~ ~-.
CONTRA TOR SIGNATURE PERMIT OFF I
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
7-?-oS;-
PHONE CONTACT FOR PERMITTING 780 -.2. 22..1
OWNER'S NAME
L: D )9r/?o T ~I'
JOB ADDRESS
s-/s 2-
./ I
s-t-
c,f-
'f- ~\ oc.. V'- A rVlot PHONE
::2"f!'QJU'"7)'l:JJS, J I":' Ie....
BLOCK SUBDIVISION
78'"2.... - /173
LEGAL DESCRIPTION: LOT(S)
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
PROPOSED USE: ~ FAMILY DWELLING
o MOVE
o DEMOLISH
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~,..OC/~~/
BUILDING SIZE
/~J / ,,)4.
~~
~ar Sh..J-,O~J
o
SO~
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.
SQUARE FOOTAGE
HEIGHT
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL $ ~S-OO, oe VALUATION OF MECHANCIAL INSTALLATION
o GAS ~OFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER ~
' . /'
S~Cm'.TtJt\t;K-~~"'~
STATE CERT OR REGI
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*******************************************************:*****j7**
OTHER ~ COMPAN~r.17''{...--S ~c1;;' C7 4 c
/" ' /~ C7
SIGNATUREA-/~~ ___ STATE CERT OR REGIST # 7Ca:Y2c1119
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 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 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 STA~UTES, 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 corrunenced 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 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
, 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)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid DUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
NOTICE OF COMMENCEMENT
State of
J=k1"'/~......
County of
~~co
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:
",( Description of Property: Parcel No. ) d .:1ft .:!I 0/)./0 /)O<;z()() tJ i! r J
tfJ/l1.t2 0 /' .fS T .s it b F df,5- P6' s~- '- t7 75 4 do b - ,6 /tJt:- K -? /...e 55 1:= c4 5 T !;/ j=r
TJtJrJ7 of I%~ /") f LoT ,~- 7Jl.' L.-a T.R c6 t&r r).f .,.;70 7 p~' L/7..P
(Legal description of the property and street address if available)
2. General Description of Improvement "J?.... #'''' '" dZ, 'V
1111111111111111111111111111111I1111111111111111111I11111111
2005136443
3. Owner Information: Name E D ~ ~.. r-JaoYl J9rnor-
Address .s1S-~ .2/4- 4 City *.L~ State "'1.../.
Interest in Property:
/t'-C?t) ~
R 4.
Name of Fee Simple Titleholder:
(If other than owner)
Address City
Contractor: Name 73ro t.),..K.<: 'UT h" .
Address SSc2~ LY,U/J,'t"I"J-\v,,'r-w P- City 2'rA'7A.'//~
NIp,-.
I
Rcpl: 900779
os: 0.00
07/07/05
Rec: 10.00
IT: 0.00
Dpty Clerk
State
State ~
City
State
JEO PITTMAN PASCO COUNTY CLERK
07/07/05 1 i : 30am 1 10f821 0
OR BK 6460 PG
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 /1/( It
Address
City
State
8. In addition to himself, Owner designates
!1/ / 14
of to rec'eive 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.)
SignatureofOwner:~ ~~
Sworn to and subscribed 'ore me this
7~7
~ day OC.g , ,J d
~D3:JL/7S-~
, 20.6.S:::'
Notary Public:
My Commission Expires:' ~.q.' Q,l3,'. < I . f d~<:Q$(
..~ _A
PC93053048/A . ' , { : ~CemiJ' I r1____
'...,1 ~~...~
i~1/f ~ a.tty A ~
. ~ . My Comflli88ion Di.~~~,!
'\;' ",,../ txpl/'llj Augr~.t 26, 2OOll,
--
I h
PROPOSAL
BROTHERS ROOFING, INC.
SPECIALIZING IN REROOFING & REPAIRS
P.O. Box 290032. Tampa, Florida 33687
(813) 985-6592
License #
RC0024779
Owner's Name: .E ]) (1,~ .l"
Owner's Address: S J S-.;l.. ~ I - p.
Job Address: ~~- :/L, / 91. "$ r S-</ I
Date: /]- (p - os-
Salesperson:
Home Phone: '13;J - / /73
Work Phone:
~ We propose to furnish labor and materials to:
ove .,a-o ~ I roof down to the decking or smooth workable surface.
CY1~pect sheathing,~SCia board, Soffit, and kick strip and replace at an additional cost for material and labor.
bVRJl8fwith # .,31'[) asphalt saturated felt and fasten such felt with simplex nails or tin tabs. Dry in for shingle.
~stall .3 t) yr. fiberglass class A fungus resistant shingles. Brand: )j,lf-P: Color:
o Reshingle over existing roof. yr. Brand: Color: S/A.+~ Ble.nd..
o tpgtall aluminum eave drip. ft. -nm~er/l;'~
~n~1I WI h,'fe.... painted steel eave drip..gO 0 ft.
~tall galvanized valley metal ~;J.. ft.
9'11),Stall and seal galvanized flashing where necessary and seal any remaining flashing.
~eplace lead Boots. Quantity:.s- Size: .:1- 3" :1- I p.;,' - J - ;)- I'
o Ipgfall ridge vent. ft.
llYtustom 6 nail shingle installation.
o Dry in for flat roof# asphalt base sheet.
o Install 1 ply mop on system modified. Color
o Install 1 ply Polyglas Elastoflex SA V Base
o Install 1 ply Polygtlas Polyflex SAP. Color
o Install ply Built up flat deck system.
o Aluminum coat within 30 days.
o Install off ridge vent ft.:
o ~all skylight(s). Size:
~In all / /) {J f' Cobra Vents.
an up and aul away all roofing debns.
C1VP~ and dump fee included in price.
~riveway condition: Not responsible for backing on driveways or in yard. Customer will have to give right to get close
to home.
Color:
o Single Dome 0 Double Dome 0 Tinted 0 Clear
1a::n~~;:2~ a~~~~ (}b~ W-t:tz
The manufacturer will give a ~ year warranty on materials. Brothers Roofing, Inc. will stand behind workmanship for~ years from
date of completion. We propose hereby to furnish material and labor-complete in accordance with above specifications, for the sum of
dollars ($
Total Price $ S- tn'J, u-<> . To be paid as follows: Deposit of $ ~ . Balance due upon completion $ ~5'"'" ~ I ~.
Any Final Bill not aid upon completion of job will be subject to 18% (eighteen) percent APR on unpaid balance compounde dally. All material IS
guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from
above specifications 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 insurances. Our
workers are fully covered by Workmen's Compensation and liability insurance.
Brothers Roofing will not be responsible for nails penetrating through sheeting and hitting water pipes, air units pipes, electric wires or anything elsE
Brothers Roofing will not be responsible for sawing out wood and hitting electric lines, water pipes, air unit lines or anything else.
This proposal subject to acceptance within_days and is void thereafter at the option of the undersigned. Payment for this contract will be due
upon completion. - . ~
Authorized Signature b...J~ .
During the course of the roofing work, the customer agrees to hold harmless Brothers Roofing, Inc. for any costs or damages resulting from any
asbestos materials in the roof system including but not limited to all costs of litigation and attorney's fees.
Customer agrees to provide adequate roof access for trucks, equipment, and personnel. Customer also agrees to furnish electricity if needed to
complete the job.
Attorney's Fees and Cost: In connection with any litigation arising our of this contract, the prevailin
including reasonable attorney and lien fees.
Date of Acceptance: ----& - ~ - d cJ ,c)~
Signature:
Signature: