HomeMy WebLinkAbout05-4757
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4757
Permit Number: 4757
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 5,040.00
Date Issued: 7/26/2005
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 7/26/2005
Work Desc: RE-ROOF
Address: 39113 12TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: CHARLES AUSBURN
Address: 39113 12TH AVE
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.
~ ~-.
./ 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
PHONE CONTACT FOR PERMITTING
OWNER'S NAME C ~'y- \ e S ~ LA '\ 6lA.V r
JOB ADDRESS ~ 4 I I ~ l'L i ~ fA V-f
PHONE
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
o S- ,fo
PARCEL ID # /2....- L~ - L( - 0 L l., (") -(JDlo(')o- (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: 0 SGL 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
I- ( voo r
/..J / z. s- V f' ct.,v-
I {
SQUARE FOOTAGE
;ZOIC{ / )tJ t/trjJ--.S
1--(5'1
[,
BUILDING SIZE
HEIGHT
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
$
s-/oy%o
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 AREAO 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
STATE CERT OR REGIST #
SIGNATURE
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OTHER Ao~ COMPANY )'dl/~<-'~ /<1<'I,,:}
SIGNATURE..........._~ STATE CERT OR REGIST # ('("c o{7/,r7
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state of F\oy,' dO-..
County of
1111111111111111111111111111111111111111111111111111111II11I
2005151167
jDAS C-O
NOTICE OF COMMENCEMENT
THB ImOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes the
following inforr:lation is provided in this Notice of Commencement: '
1. Descr iption of Property: Parcel No.
,'~~Jb-~ ,-
(Legal descr~pt~on
2.
General Description of Improvement
wj
!\/JUC; /, 'VeYI?^-r
/ (j :.I
3 .
Owner Information: Name QArh;-"'J"
llddress 3~in '3 IJ..."'" ~. City 2:. "-
Interest in Property: G. Ar-lF5 q.. ~h~r-
Name of Fee Simple Titleholder:
(If other th~n owner)
State
Rcpt:906644 Rec: 10.00
DS: 0.00 IT: 0.00
07/26/05 _____Dpty Clerk
Address
Fi
City
State
Contractor: Name 9-,('~
'PC ~~ \\tQ
Address 3'"$\0 <:\2.....'51
.~ \ ~~'Lrn(l~\) ~n:)~ ("\ "
, - ~ i
City S.A-.v A-IJTot\j 1 () State
Inc
PL
""33 ~7b
5. Surety: N.:lme
Address
City
State
Amount of Bond: $
JED PITTMAN, PASCO COUNTY CLERK
07/26/05 08: 33am 1 ,il J...
OR BK 6493 PG ~9~
6 .
Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or o~her documents may be
713.13 (1) (a) (7), Florida Statutes:
designated by Owner upon whcrn
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 Sect~on 713.13(1) (b), Florlda Statutes.
'). f"xpirn1 .L'Jn dt'lte of rIut.ice of Commencement. (the expiratiun date is 1 year
fr~m the ~.:lte of recording unless a different date is specified.)
Sig~a t ure of Owner:
C'~D~ ~
Sworn to and subscribed before me this ~,s-tl~day of
') \^ \...,/
20-\5
My CJ~'01.i ss ion Expire
U \~ "
~\Q\,,\"(" / ) It" ,~ ~:jJ
( ./
Not.:>.ry Publ ic:
..2) , Sc.. c \-t
PC93053048/A
J. SCOTT HEINRICH
NoIaly Public - State of Florida
'itkt Commission Expires Jul14, 2009
...ar... ..- Commission # DO 450523
Proposal/Contract
SC6tt ~~ ;e~, 11tC.
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
~tee.4-etJt.
~ "..tJtetJt &
'l.4-",,,,etJt
Date
7/7-0/0,)
PROPOSAL SUBMITTED TO
Name i!;1 AJiVlh-e1/ A fA. S I)/.( y "
Street 3'1 L l j 12 't-l-t A- V(
City L h ,'Ll5
State t=" I Zip
Phone Number, g / 3 - 8' .JK- - ) :1Li h Fax
WORKED TO BE PERFORMED AT
Street
City
State
Owner of Property
Phone Number
Zip
Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
~ove existing shingle roof ~ce bad fascia boards at $ "3,.<; (;) per foot
o Remove existing bUilt-up roof 0 Install 70 feet of ridge vents
~ith 0 15 lb. ~ 0 Install modified bitimen (granulated) torch down roofing
o Install new galvanized valley metal black, white or other color
~ new lead boots 0 Install 25 yr. fungus resistant 3-tab shinglef:;OLf;.O, 00 _
o Install new exhaust vents 0 Install. 30 yr. fungus resistant dimensional shingles'! .5; bOO, 00
~ new drip edge, b/;"" v4., 'k color ~Ie manufacturer color II. ~f-/<de;/
o In~new flashing as needed 0 Install TPO, white rubberized roofing membrane
6~ce plywood at $ t; {),. 0 c..) per sheet 0 Other:
E:J"R"epair rotten trusses at $ 350 per foot
*Woodwork is an additional charge, see pricing above
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 work. Workers' Compensation and Public Liability insurance an above
work to be taken out by Roofing Contractor.
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 $
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, additional 2.8% charge.
~~/
Officer/Agent Scott Blackman Roofing
Note: This proposal may be withdrawn by us if not accepted
within days.
Client gives permission to drive on driveway to deliver materials.
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 tues 713.001-713. 7. Payment will be made as
outlined above.
Date
Signature
Signature
Accepted