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Home My WebLink About05-4821 " CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4821 Permit Number: 4821 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 5,200.00 Date Issued: 8/15/2005 Total Fees: 60.00 Amount Paid: 60.00 Date Paid: 8/15/2005 Work Desc: RE-ROOF 30 SQUARES Address: 39200 5TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0030-00600-0020 Name: STONE, JAMES Address: 39200 5TH 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 RECEIVED ~- ~t}r , PHONE CONTACT FOR PERMITTING OWNER'S NAME J C{ l/L1..l.5 592,00 JOB ADDRESS 5" -Tb "7 ~ r+" It V( PHONE .., , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION - 00 z. 0 PARCEL 10 # /2... -'LV; - L/ - (::) 030 - 00 <000 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL [J SIGN [J MOVE [J DEMOLISH PROPOSED USE: [J SGL FAMILY DWELLING [J COMMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [JOTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL ;t (. y"t)'F 3 0 Jf ~ ~. 30 yeq,y / / M!,"Y /, ~ r S 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. o ELECTRICAL AMP SERVICE & (1) SET ENERGY FORMS. FORM~/____-~~ o BUILDING PERMITS REQUESTED S2-00.00 VALUATION OF TOTAL CONSTRU :It ~/~~I f $ o o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER padwe~s ~o pa~uT~d 'pad^~ aweN padwE~s ~o pa~uT~d 'pad^~ aWEN ~uaw5pa1Mou~OE 5uT~E~ uos~ad JO ~~n~Eu5TS ~uawa5pa1Mou~oe 5uT~E~ uos~ad JO a~n~eu5TS 4~EO ue a~e~ ~ou PH:[] PTPD 04M PUE (uoT~eoHnuapT JO adkj.) paonpo~d se4 04M[J ~O 'aw o~ UMOU~ ^TTeuos~ad s1 04~ (pe6paTMou~oe uos~ed JO eweu) ^q 0(: , JO l\ep- sT4~ aw a~oJa8 '4~eo ue a~E~ ~ou PTP[J PTP [JOt.{M pue (UOT~EoTJT~uapT JO ad^~) paonpo~d se4 04M[J ~o 'aw o~ UMOU~ ^TTeUos~ad ST 04M[J (pe6peTMou~oe uosIed JO eweu) ^q -oz ' JO ^ep - sT4~ aw a~oJa8 A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be su~ject to udeed restrictions" which may be more restrictive than City regulations. The unde~signed assumes responsibili~y 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 po~tions of the uContractor 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 uowner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the uowner" 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. Applic.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 uAu 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 Shfll issuance of a permit prevent the Building Official from thereafter requiring a correc ion 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 uNOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The fore oin instrument was acknowled ed STATE OF FLORIDA COUNTY OF The fore oin instrument was acknowledged 11111111/11/111111111111111111111111//1111/11/1//1//111/1II/ 2005158927 County of Rcpl: 909625 os: 0.00 08/03/05 P4.-SLO Rec: 10.00 IT: 0.00 Dpty Clerk NOTICE OF COMMENCEMENT State of 5Io-r,J.l\ THE ImDERSIGNED hereby gives notice that improvement will ~e made to c2rtain real property, and in accordance with Chapter 713, Florlda Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. /"A. - ~ ~ -;C / '0060-0~t(?(/ _ OC'>-;{(!7 2. (Legal description of the property and street address if available) General Description of Improvement At. YOD ..,c JED PITTMAN P~SCO COUNTY~ CLERK 08/03/05 0~ : 0,lPm 1 OT 1 OR BK 651~ PG 91 3. Owner Information: Name ;f &NI} ~ [<..9. <;;/o/J11. Address rS7 dc1,J $~ IJ; IJ;)~ City 2IJi..,J/l/i"A (I. 4( v / State PL Interest in Property: O/{1 AJ ~ t" Name of Fee Simple Titleholder: (If other thgn owner) Address City State R4. Contractor: Name 5(b -If (Jlc.c);u,." I-oo.,t:/"J Address '330\.0 SI2.~ L(P080)(lWryity Sc::c:. h AY\V\ 5. Surety: Name State 8 "3 ""35 7 (, 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. ~xplratio~ date ot Notice ol Commencement (the expiration date is 1 year Lr0m the date of recording unless a different date is specified.) Signature of Owner: tv day of .,4ttGt/Jr Sworn to and c!. ' -t?- Ztx;s- ;:;, ~ '" . '"', me , Notary Public: My Commissio'n':E~pire~~~'. .ot....,.. . __ ::*: ~ 'roposal SCOTT BLACKMAN ROOFING P.O. Box 1188 SAN ANTONIO, FLORIDA 33576 (352) 588-7663 (813) 782-1330 Page No. of Pages 1~tkI~ q&u I r <;,ear PHONE 78'1- JOB NAME Vl JOB LOCATION I DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: .Af,I'1~~_';;}f,fi!z0J,sjll;'fJ)e.L__________________ h[}ryhJh~....U/"hh.i:?!.h~~h...I.6.'hh.,f(;..lt'h...C<khP...&l!h"~h~h.mUh1,I!?y...&..6.Uhh.........h.................hm...hh........h... ...4J.::1hs.b...f!...m./)e..hd.hmhk."J,.cL....Le..~...I.s..h....h.h............h....hh......................h..........h..hhhhh..........hh....h.....h.h If.::1..5:Ad.n (-.f.-! .. (2~A.~.~.,f f-: 1.Lr/J..6:. ...(;t?/~.... ~.~/.. h. ..... h... ... .... h .. .... .......h .........h.... h. h.4nwf. A:i..e. /7 ~.~ hh"~'~" ...j~~h~.~.. ....t<~J;".~h. -c...~. .<.....Le~.~~.... hh ood hh'h..W.Q..0:"~";h....l~.s"hhh.....~.ol.~..~6hbY.l.~.-'*........... .h..hh.h....h.......... ..h.......h......h.......h.........h.....h...hhh..........hhh....hh.............h.......h.....h....h... ~~:~!:~:t[~,':~:f::~f:~~~:@~t~:~;:;::;;:~-:::--_::_-::: "'h'c'e"'h' C[;r.hh..ztT/iU;tI1JT~...ytCbIJ.h... UIIr 'roposr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: ~ ~ dollars ($ Payment to be made as follows: ). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. 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. Our workers are fully covered by Workman's Compensation Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within !;7 /' Accrptancr of 'roposaI - 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. Date of Acceptance: