HomeMy WebLinkAbout05-4786
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4786
Permit Number: 4786
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,860.00
Date Issued: 8/05/2005
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 8/05/2005
Work Desc: RE-ROOF
Address: 38228 4TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0011-18700-0195
Name:
Address:
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.
~~ ~.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERM~ '1' A.I:'.I:'.LI.LL.H..',LLVL't
BUILDING DEPARTMENT 5335 8TH St, Zephyrhillsl FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
~' -S--()s-
PHONE CONTACT FOR PERMITTING
OWNER'S NAME 'PC\. t V I '(
JOB ADDRESS 38" 2- L ~
,--:-
I .~ ( \' 11\ J e y
Lj I-t-. A U(
PHONE
LEGAL DESCRIPTION: LOT(S)
/(- 'L1c- 2/ -00
BLOCK
SUBDIVISION
PARCEL ID #
- I <ir 10 0 - e I q&BTAIN FROM PROPERTY TAX NOTICE I
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
o ADDITION
OALTERATION
o REPAIR
o INSTALL
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
BUILDING SIZE
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
At YOUr 1"3 5'( l-// 3D Vetll,r CAr=- T('A,"dx'r-!tMJ
( /
SQUARE FOOTAGE HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY
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 / -{ 11q&
VALUATION OF TOTAL CONSTRUC~
FORMS.
o BUILDING
$
2tbo,ou
.'
o ELECTRICAL
AMP SERVICE
o Progress Energy [J
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 #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST .~
*******************************~**********************************
MECHANICAL
, COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
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SIGNATURE__ ~ STATE CERT OR REGIST # ('('(" Or 7;7) 1
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. SNOIiliJIHiliS3~ 0330 ~o 3JI~ON 'V
Proposal/Contract
S~B~ 1i:~, 11tC.
P.O. Box 1188
33010 SA 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blaekmanroofi ng @aol.eom
~ te.e"4-ettt.
~ tJ...tttettt "
'J"4-",,,,ettt
Date
7//2/0!)
. ..
PROPOSAL SUBMITTED TO
Name 'ffC (.
Street 3 zz.. i""
City :z A"I/I
State F /
WORKED TO BE PERFORMED AT
1f4 rqlt..t r
~n( ffl/t'
Street
City
State
Owner of Property
Phone Number
Zip
Zip
Phone Number 5/ r -.s ~ Of)
ex.. +- b Lt' 3
-FM
Fax
o Ins~ exhaust vents
B1ilStall new drip edge, 1/." wh, 'k
o Install new flashing as needed
~e plywood at $ ~~ &)2> per sheet
~pair rotten trusses at $ .$, 0 0 per foot
*Woodwork is an additional charge, see pricing above
r;r' Yt I' 1. I ;,- / x.. ~ (; '- I i:J@..<$,3 , () i) pr. r (DO f
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 $ 2/1' 00 '" 0 (;)
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
We ~y propose to furnish all the materials and perform ~e labor n~cessary for the completion of:
~move existing shingle roof c> VI. (. (~~ r ~eplace bad fascia boards at $ oS, Q 0 per foot
o R~e existing built-up roof 0 Install feet of ridge vents
l21"6'}0o-with 0 15 lb. ~ 0 Install mO.dified bitimen (granulated) torch down roofing
~~new galvanized valley metal black, white or other color
~tall new lead boots 0 Install 25 yr. fungus resistant 3-tab shingles
~I 30 yr. fungus resistant dimensional shingles
o Shingle manufacturer (~A- r color ~ <;"Vi h.
o Install TPO, white rubberized roofing membrane
o Other:
color
Br ,~4
Credit cards accepted, additional 2.8% charge.
c--~pM//
Officer/Agent Scott Blackman Roofing
Note: This 7posal may be withdrawn by us if not accepted
within days.
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, tomado and other necessary insurance
upon above work. Workers' Compensation and Public liability insurance an above
work to be taken out by Roofing Contractor.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby acce ted. You are authorized to do the work as
specified. I have read the back of this Proposal/Contract, which contains Florida Stat 13.001- .37. Payment will be made as
outlined above.
Date
Accepted
Signature
111111111111 "'" 1111111111 11111 1111111111111111111111111111
2005158926
NOTICE OF COMMENCEMENT
State of \=\O.r\OC\..
County of
~
THE tmDERSIGNED hereby gives notice that improvement will be made to c8rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
f 011 ow ing inf orrna tion is provided in thi s N tice of Commenccmcll t :/1 _ L (" -2 1- "0 I'
tJ"c2tJofls-o i 700-0 i'15'
(Legal descr~pt~on
1.
Description of Property: Parcel No.
f ava~lable)
2.
General Description of Improvement
Rcpt: 909625
DS: 0.00
08/03/05 _________
Rec: 10.00
IT : 0 . 00
Dpty Clerk
Name of Fee Simple Titleholder:
(If other th~n owner)
Address ~
/~u
Owner Information: Name "'-' AI e- 0
Address 3f>>R fig due. City;?" y;kf'~~ - State FL
Interest in Property: ~.M~
JED PITTMAN PASCO COUNTY CLERK .
08/03/05 03:0~m 1 of 1
OR BK 651~ PG 90
3.
City'
State
R4.
Contractor: Name S~t\
RJ &:JX\\
Address '<;~Oib ~-.e. ~<
~ \c>-.<::-~ Y\ Lex:{, \('\ ~ \ \ ~(_
City $ AN A"-.JT~'iV ,0 State
-r-~
33 ~ 7 6'
5.
Surety: Name
Address
City
State
Amount of Bond: $
6 . Lender: Name
Address
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
Address
City
State
8. In addition to himself, Owner designates
9.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
~}{pl.rl1t_io~ date ot. Notlc,e or Commencement (the expiration date is 1 year
!r0m the date of record~ng unless a different date is specified.)
Signature of Owner:
e.-t:: A...--
6~ D ~ --
~
"
Sworn to and subscribed before me this 0\Q1t+ day of
~ooS .
MyCommissionExpires:
~ --
PC93053048