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Home My WebLink About05-4669 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4669 Permit Number: 4669 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: DUPLEX Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 2,883.00 7/12/2005 45.00 45.00 7/12/2005 RE-ROOF DUPLEX Address: 6101 & 61039 H ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 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. v:~ ~~ 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 RECEIVED 7-/2.... ()i) PHONE CONTACT FOR PERMITTING OWNER'S NAME tfl1 ct VI IA. (.. f -6 Lv.. / vI /J ~ elL JOB ADDRESS-1a./O J - In I O~ 9 +-~ ':S~ PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # D 2- - 2... to - 21 - 0 J (p C- oC> 100 - 0 ().&"o (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 FAMILY DWELLING o COMMERC IAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK IZ f.. v Cu ./ () $'~ l/f/ z.. s- /1.//~~ v 3f-t. bS 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 CONSTRUCTIO . TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o 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 rf<. u V~j 1---) SIGNATURE .:A-c~ V0 ~ COMPANY ">;0 ~Z1,,6,c ~4l. - Ie'..." -FI~ STATE CERT OR REGIST # ("c<:" 0<5-77>"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, 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 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 corrunencement. 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. Appli~ation 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". A~r SIGNATURE: owl edged _ , 2003 STATE OF FLORIDA COUNTY OF The foregoing in Before me his by \~ (name of person acknowledged) ) _hO is personally known to me, or Owho Signature of person Na ,~~ICOO26Al1~mlR!~ February 22, 2008 !l()ND[" 1'4Rl' TroV FAIN INSURANC~. IW -,-". Scott Blackman Rooflni. 33010 SR 52 P.O. Box 1188 San Antonio, Florida 33576 License # CCC057957 352-588-7663 or 813-782-1330 352-588-9763 (fax) PROPOSAL PROPOSAL SUBMITTED TO: ADDRESS: PHONE #: DA TE: BIll BACK 6041,6049, 6101 9th Street 715-0150 MAY 18, 2005 We hereby submit specifications and estimates for: y Remove Existing Shingles y Use #301b Felt Paper y Replace All Pipe Vent Flashings >> Replace All Roof Vents y Install New Drip Edge 'ji> Apply a 25 year GAF Fungus Resistant Shingle, 3-tab. y Clean Up and Haul Away All Debris y Woodwork is an additional cost. a $50.00 per sheet of plywood a $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 I time Payment is due in Full on Completion. Au. MATERIAL IS GUARAKrEED TO BE AS SPECIAED. Au. WORK TO BE COMPlETED IN A WORKMANUKE MANNER ACCORDING TO STANDARD PRACTICES. ANy ALTERATION OF DEVIATION FROM ABOVE SPECIACATIONS INVOlVING EXTRA COSTS WIli. BE EXECUTED ONLY UPON WRITTEN ORDERS, AND WIli. BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTlMATE. Au. AGREEMENTS CONTINGENT UPON STRIKES, ACCIDENTS OR DELAYS BEYOND OUR CONTROL. OWNER TO CARRY ARE, TORNADO, AND OTHER NECESSARY INSURANCE, OUR WORKERS ARE FUli.Y COVERED 8Y 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. signatu..d.....L ~~/ Date of Acceptance: 5-~~) S- Signature: Authorized Signature~1 /)~.. ~ ~~. 'h + _VJ ~.. 8'8' 3 -'" IlL~: P!J2d.-~ ,-.c~.j.2~ ~.d21L/ 62 7/5- C} (SD 42V~~ ~~- ~ 1:3 -, .. - :> I I:) J. .J ~., /2 . ; ....J A f_ . .-/;: "' 4 J .:J;. ,-1'/3"1 j,.J '0 State of ( /0 lr I ej c; NOTICE OF COMMENCEMENT County of Ya..,S (n 1111111111111111I11111111111111I111I11111111111111I11111111I 2005139837 THB trnoERSIGNED 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: iKl. 2 . Description of Property: Parcel No. t:5~ ~t;. d.../ () IbO 1')tf)}60 ~/{)I- b)tJ 3- ~ (Legal description of the property an street a General Description of Improvement V(.<: \--00 .( w I f 863C "W3. Owner Information: Name Z'5 '/-4!'1.-- ) Rcpt: 902141 OS: 0.00 07/12/05 3khr Rec: 10.00 IT: 0. 00 ---------- Dpty Clerk \ /1#.. . . '1-- !J /1 /7J' '/ l\ddres~7h3J e:z~y (-J,}d:Jln gity Interest in Property :~....d S Name of Fee Simple Titleholder: '~~ (If other th~n owner) ('/ <1 . J) . ( . ,..()cl~.-/ State,..l.L- 3-3s?-'~~ Address City State...!L_ R4. Contractor: N.J.me $(o--l-( OIGCk.iL-tq"" e^/J,4~ AJdress <30\D set;'t. .fo&.~IIWCity SC\.h {Ah......... 5 . Surety: N.J.rne ie( State f- 3157" Address City State Amount of Bond: $ JEO PITTMAN~ PASCO COUNTY CLERK 07/12/05 0D:34am 1 Df 1 OR BK 6468 PG 1323 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner .upon whom notices or o~her documents may be served as provided by Section 7IJ.IJ(1)(a)(7), Florida Statutes: N,;mc Address City State 8. In addition to himself, Owner designates !:"xp.irf'lt J.'Jn d~te (){ notice of Comm~ncement (the expIration datei:3 1 year fr~m the uwtc of recording unless a different date is specified.) )t:i9nature ~fowne~yf ,Da ",JJ Sworn to and sUGscribed before me this d. Lj day of 20 ~'4 , ','( ~,cJ..') -k;V\JL~ :::::~~; :~:~:~:XPires~PQ': ' j ~Po ^ ~'I'~~!EUi.eREm8ARroWrn ~ ~ L:~,_ _ r .:~:;;!:Ei;O~72:~J of to receive a copy of the Lienor's Notlce as provided 1n Section 713.13(1) (b), Florida Statutes. () . "\:)\..~ PC93053048/A