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Home My WebLink About05-4667 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4667 Permit Number: 4667 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 5,560.00 Date Issued: 7/12/2005 Total Fees: 60.00 Amount Paid: 60.00 Date Paid: 7/12/2005 Work Desc: RE-ROOF 30 SO Address: 6013 16TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: E ZING 6013 16TH 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. ./~~~.. r~. 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 7- /}1-iJ:>- PHONE CONTACT FOR PERMITTING OWNER'S NAME Po..+VI'(I~ 8~hltV\j JOB ADDRESS r;, 0 13 / (# f J... S r PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 02. - 2f.1 - 2....1 - 0 I ~O- OOC:X::>c.? - ncaJ.gIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL ~e r()o)f 50 S"t wi GP1r ~ ' /I~J.. y 1,1-'1< ~L 5l- BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. VALUATION OF ENERGY FORMS. o BUILDING $ r;;5 ~ 0 PERMITS REQUESTED ~0&1 o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION 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 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 A {J /Jh 0; SIGNATURE~J COMPANY ~c If /?/qC'/M.qy- ~Odh'; STATE CERT OR REGIST # CCc 057 q ~ 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 pOftions 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 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 aone 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 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 co~nenced 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 $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". ~ - .~ gfGNATURE: CONTRACTOR STATE OF FLORIDA //~ COUNTY OF (______/ r2 <n;J The foregoing instrument wa Before me this .~ y of by -'r /l I ~ (name of person acknowledged) ~ho is personally known to me, or SIGNATURE: OWNER OR AGENT STATE OF FLORIr/~ COUNTY OF ~ -) c!J~ The foregoing instrument was acknowledged _ Before~e this~ iaY,Lf ?1:.fr ,2Qi2j by '- ('O"T/ If)", t1. 4- ( _J. (name of person acknowledged) ~o is personally known to me, or ....\~~~~"", Dwho has produced (type of identification) a~~id . ~~ ta~e ~ orn ~u~~ Signature of person taking acknowledgment W~~'~ ~~. , 16\ Bobbie ~ : .:.: MY COf.t Sw..tkMtd Name typ _, .".., inte ~4!3~1XPIRES ,,,flI, ilOHotD TH rtJOry 24 2008 RU TIIOv FAIN INSURANcE, INC Signature of person taking acknowledgement Name ~ ~~{MIr offl ~g2687~PE~~ES ''!;t,?f.,f~~?l 8 February 22, 2008 ONDED THRU TJ/OY FAIN INSURANCE. INC Proposal/Contract f2}~G~JI SCD-tt'~~ ;e~"9, '71te':d lJI3-,fD'1-SSS,-/ P.o. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782~1330 Fax (352) 588-9763 email: blackmanroofing@aol.com L it:.eltd-eet, ~tJ.lteteet & '/ltd-et-1z.eet Date 5/'L7/or I I PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name Street fl." Street ~o I 3 / G, -n.. 51- city~h1.r L,.'ll ~ State ~I Zip Phone Number 7 ~ - / <;'(PI Fax City State Owner of Property Phone Number Zip Fax We he Y propose to furnish all the materials and perform all the labor necessary for the completion of: Remove existing shingle roof 0 Replace bad fascia boards at $ "3" 00 per foot o Re~. existing built"up ~ ~all . t., D feet of ridge vents l3'15""'".vWlthD 15 lb. -e::f'3o lb. 0 Install modified bitimen (granulated) torch down roofing ~~w galvanize{j valley metal bla~ or other color ~~w lead boots ~all 25 yr. fungus resistant 3-tab Shingle~ 81ristall-f16W exhaust vents 0 Install 30 yr. tungus resistant dimensional shin;J~ cJ nstall new drip edge, ~,~ ,LJ4, 'k. color 0 SJlM'@e manufacturer color On~f-w".a( o Ins~ew flashing as needed ~stall TPO, white rubberized roofing membrane- .$ (,OO. Ot) B1f""'~ce plywood at $ ~CIJU per sheet ~ r 11 C lud~ 5 J rn efL f ~pair rotten trusses at $ 3,00 per foot o-f f J J W Od 0/ 17J .J ~ uJ t... e.rc.. .Woodwork is an additional charge, see pricing above k tr b /.., ~ c; (" 0 ~ ~...........,-t- . 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 $ ~ '-I r- CJ ,,() () - ;),,$ 3{ e.,..(,,-", 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 INork. Workers' Compensation and Public Liability insurance an above work to be taken out by Roofing Contractor. Officer/Agent Scott Blackman Roofing Note: This roposal 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 the back of this Proposal/Contract, which contains Florida Stautes 713.001-713.37. Payment will be made as outlined ibove. Accepted .:p StS toO 30/" + +-10....7- Signature Date~ - 3 I -~ ()OS Signatur //111/111111111/11111111111111111111111111111111111111111111 2005124658 o State of F k ^ ~ NOTICE OF COMMENCEMENT County of ~WCJ THE IrnOERSIGNED 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. Description of Property: Parcel No.02-2"'-~/-OIa:--o-{)o"OO_ DolO 2 . (Legal descrlptlon of the property an street a General Description of Improvement .A t "0 of- 5 A / ~ /~ f of, M ,11.. r/'o ~ '- J , IA.J/ J () jff'Q.V f 3 . O\mer Information: Name P/fTI'i' C e.zo/9 ~_ BE /~ L r /l/t: llddress B il 604.1 /~77f-5rcity ~$PJ.l'l'R~.r.lL~C; Interest in Property: State Ff 11- 33 ~ f../ Z. Name of Fee Simple Titleholder: (If other th9n owner) Rcpl : 895833 Rec: 10.00 DS: 0. 00 IT: 0. 00 06/22/05 __ Dpty Clerk Address City State 4Rcontractor: Name Jcefh ~ ~~O I(\~ rF. O. &'i: JIB <a vI: l Address ~J)DjD:512- $'L City GIrlA'\... ~~'1") State-~~ - 33rl~ 5. Surety: N.:lrne Address City State JED PITTMAN, PASCO COUNTY CLERK 06/22/05 08: 32am 1 of 1 OR BK 6434 PG 157 Amount of Bond: $ 6 . Lender: Name Address City State 7. Persons within the State of Florida notices or o~her documents may be 713.l3(1)(a)(7), i-lorida Statutes: designated by Owner upon whcm served as provided by Section tJ,;mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided In Sectlon 713.13(1) (b), Florida Statutes. 'I. fxpirnt .l',n d~te of rlutlce of Comm~ncement (the explratiun d;:-.te is 1 yectr fr~m the date of recording unless a different date is specified.) signatu-reOfowner: ~4 ?f!!. ~ Sworn to and subscribed before me this 3{ day of M~ . 20<X"' ~lIbliC: ~~~ ~~,TIi OF Fb.O~ "X)UNTY OF Cu ...... r"'<'!-!";":-J ;",-",,,,.I":II[ <va;:, ,,,.:,,,,,,..'It.d\J''dtlilloll "ltl I ;," 2 \ MQ.,.JO)..- by S'\ \ -, ~. _ ~I\ l \ ELISA P. SAVAGE "~M"'''-r-''..I-. -ltU:C~d- ..~" . "f&. Notary Public, State of Florida ,; u if; pel SOfli,lIj Imown io be or has produced fl tt-. i If; My comm. expires Mar. 10, as identification & who did (did not) take an oalll, No. DO 405833 Noto.ry My C:):i1,;1j S 5 ion Expires: PC93053048/ A