HomeMy WebLinkAbout05-4668
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4668
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:
4668
RE-ROOF
ROOF REPLACEMENT
DUPLEX
Address: 6041- 6043 9TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
2,883.00
7/12/2005
45.00
45.00
7/12/2005
RE-ROOF
EMANU L & LULU BACK
6041 - 6043 9TH 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
nWarning 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. n
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~ ~.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE 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 RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME [ '^" &'( "^ It1 (. (
JOB ADDRESS bot/I - (,oL!3
--b LvtLi..1
9fh S f
f3 ~C h
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # 02 L/,p 2,/ olluc..> D%o
Ol?7o
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: 0 SGL FAMI L Y DWELLING
o COMMERC IAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
f2--e. v" 0 F/5S1 vJ,/ z. s y C'\ '" '5 kh
SQUARE FOOTAGE
HEIGHT
DESCRIPTION OF WORK
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.
PERMITS REQUESTED
o BUILDING
$ ~~3
VALUATION OF TOTAL CONSTRUCTION
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 AREAD YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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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 #
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OTHER ~~O /I--~/Ctr k-""''''h .Looh~
SIGNATURE~~~
COMPANY .5t:"61/ fJl<<.,~",,,, f2C)/.J fL,~
STATE CERT OR REGIST # ('CC oS 7't'S"'7
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, 8l3-780-0020~
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 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 ~one 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, Wetlapd 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 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".
~~
SIGNATURE: OWNER~ENT
STATE OF FLORID~ /~ J?~
COUNTY OF ...~ ~5~
The foregoing in7~ument was
Before me this ~ day of
by
~~ . (name of person acknowledged)
~o is personally known to me, or
~~hO has produced
(t
did
-~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA ~
COUNTY OF / ~ ~~~
The foregoing instJument wa
Before me this ,/ b2-day of
by
.~ (name of person acknowledged)
~ is personally known to me, or
Owho has produced
owledgedl\ ~
, 20~
identification)
e ,oath. /'
7) ( /
and
/
(
l
Signature of person taking acknowledgement
"';'w.~~ Bobbie Swetland
':~ MY COMMISSION (I 00268763
Name ~71 I I.,
-
Scott Blackman Roofin'[ \)<
33010 SR 52
P.O. Box 1188
San Antonio, Florida 33576
Ucense # CCC057957
352-588-7663 or 813-782-1330
352-588-9763 (fax)
PROPOSAL
PROPOSAL SUBMITTED TO:
ADDRESS:
PHONE #:
DATE:
BILL BACK
6041,6049, 6101 9th Street
715-0150
MAY 18, 2005
We hereby submit specifications and estimates for:
~ Remove Existing Shingles
~ Use #301b Felt Paper
~ Replace All Pipe Vent Flashings
>> Replace All Roof Vents
~ Install New Drip Edge
~ Apply a 25 year GAF Fungus Resistant Shingle, 3-tab.
~ Clean Up and Haul Away All Debris
>> Woodwork is an additional cost.
o $50.00 per sheet of plywood
o $3.50 per foot for Fascia and Rafter work
We propose hereby to furnish material and labor-complete in accordance with above
specifications, for the sum of:
$ 2,883.00 per building
$ 8,370,00 for all 3 buildings at 1 time
Payment is due in Full on Completion.
Au. MATERIAl IS GUARANTEED TO BE AS SPEOFlED. Au. WORK TO BE COMPlEfED IN A WORKMANUKE MANNER ACCORDING TO STANDARD
PRACTlCES. ANY ALTERATION OF DEVIATION fROM ABOVE SPEOFlCATIONS INVOlVING EXTRA COSTS WILL BE EXEClfTED ONLY UPON
WRIITEN ORDERS, AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. Au. AGREEMENTS CONTINGENT UPON STRIKES,
ACCIDENTS OR DELAYS BEYOND OUR CONTROL OWNER TO CARRY FIRE, TORNADO, AND OTHER NECESSARY INSURANCE. OUR WORKERS ARE
FULLY COVERED BY WORKMAN'S COMPENSATION INSURANCE.
Acceptance of Proposal- The above prices, specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above.
Signaturd~ ~ Date of Acceptance: 5-w.-..2,pps-'
Signature:
Authorized Signature~.J /) 11 ~ ~
't(~: P~~.tJQtL /5.dLfil 7/5-0IS6 ~~4./~-~J3-73<f-351.
/4 J;. ..J /' 11 A _ J LI ... f_, :+-"'A. ~;..) > J~)...IJ /.
State of J~'.A/1)
NOTICE OF COMMENCEMENT
County of ~~
1/1111111111111111111111111111111111111111111111111111II/III
2005139838
THR lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
follo~ing inforr.tation is provided in this Notice of Comrnenc('!mcnt:. ....
6tJ ~ 1- G.t)~:i -'lid.
1. Description of Property: Parcel No. ~a.. O<b.:l..J c./bo Ot......llJD of!, ?O $-1-;
to 2.(. ~ I (.c\/ D db'O &0 0
(Legal descr~pt~on of ' he property an street a ress ~ able)
Genecal Description of Improvement ~ -4 - ';[rd, d -.;;;{,~
2 .
3 .
O\mer Information: Nam~UL<L ,6, iUod ~L7CJ.., .4<^k'"
, /J.- /! ~ I), , (/ _L
l\ddress.31tJ5i'~~~Cit / !r.Jh/~)/.aJ State\-/L~/
Interest in Property: .4'x},--J-t-.e~ f' 33.5'L/.:1......
1/../. Rcpt: 902141 Rec: 10.00
Name of Fee Simple Titleholder: /Ii C1-:Yc...-X___ D0S7: 0.00 IT: 0.00
( I f other th~n owner)' 112/05 Dpty Clerk
Address
City
State
R 4.
Contractor: N.:lme ~~~.u-t../ ~
, (J f.~ &~-:a,>... liS 8 q
Address33/J /0 '>CJK5a, City f::!=E::::!-u
StategL.....
3'357"
5.
Surety: N.:llne
Address
City
State
Amount of Bond: S
JED PITTMANA PASCO COUNTY CLERK
07/12/05 00:34am 1 of 1
OR BK 6468 PG 1324
6 .
Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o:her documents may be served as provided by Section
713.13(1)(a)(7), florida Statutes:
tJc:me
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notlce as provided In Section 713.13(1) (b), Florida Statutes.
lJ.
r-xp.irnt .l'ln dnte ()t nut.ice of Commencement.. (the expiratiun date is 1 year
ir~m the dutc of recording unless a different date is specified.)
Sig41ature of owner~Y~ fl. A~
, (/
Sworn to and subscribed before me th is ') u. d Y f --.".
... ~ 4. a 0 I. }(,x V\ 9.....
20 05
Not::HYPubli2;::, .
My C:):T1',il.i ssion Expire's:
PC930530481 A
ELAINE RIEGLER BAR
",~,~ State O! Florida
o ~ My Comm. Exp. Oct. 8, 2007
z: n Comm. # OD246007