HomeMy WebLinkAbout05-4863
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4863
Permit Number: 4863
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 2,435.00
Date Issued: 8/24/2005
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 8/24/2005
Work Desc: RE-ROOF
Address: 5042 8 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
G J NES
5042 8TH 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 ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~ ~~
' CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
/
OWNER'S NAME G eO V""l-(
--
JOB ADDRESS 5'0 4 L
,Jb f/l. C S
?if h 5 f-
PHONE
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 10 # J! - L .\e - L I -(0) 0-;$..0000 -b 1?o~TAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
[JADDITION
[JALTERATION
[J REPAIR
[J INSTALL
[J MOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[JOTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
IL e /rOc:.> r
f/J/
50 yr-
oI'~
I ~ .52..
BUILDING SIZE
SQUARE FOOTAGE
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.
[J BUILDING
$
LL/3(OD
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
o Progress Energy [J
W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************************,~*********
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
.
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER ;(. (;:) tJ -I { 1\ ?
.-/
SIGNATURE _ Jh~L--:;;;r
COMPANY .5-('0 f/ ~ d~~ j2 CXl hAy
STATE CERT OR REGIST #_ ((C 0(""' 7 9S-.?
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be su~ject to "deed restrictipnsU which
may be more restrictive than City regulations. The unde~signed assumes responsibil.ity for
compliance with any applicable deed re~trictions.
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 "Contractor SectionsU of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, +ather 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 Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerU, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owneru 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 ~one 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 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 corrumenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for la
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 COMMENCEMENTu.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
, 20
(name of person acknowledged)
[1ho is personally known to me, or
of identification}
take an oath.
Dwho has produced
(type of identification)
and who Ddid [}jid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
______Q5/J..7/20Vj or;: 13 FA.X
07/26/2085 84:17 3525889753
SBR ROOFING
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proposal/contract
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St!6tt P.O. Box 1188
33010 SR 52 .
San Antonio. FL3357~3) 782-1330
88-ROOF (7663) · (8 .-; /? J J ---
(352) 5 Fax (352) 588:9763 Date~4-PL==
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---PROPOSAlSUBMtTTED~_ - -\ $1_ S~<f:;' /i'tb__.:,*d.._-.-~_._.-
Name~c;e.~:)~ ~",-, --- -- C'ty Zephy("j.; I (-'> _ . -.--
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Street ~!:i.7- 15'._--~~--- \ t":' , Zip _ .~ ~ 7 .._.____
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City _~~hLII; . - ~Ownercl Property (}.-t:.pr7~ YOh 1t'J _~--
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Siatr;..L. ~. ,',/"1 (J'?L-Zt'"3' h N"mber !t.:) '3- (5 v_~_Fax_____--
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. ,Phone Number _ .L.SL..,;!~ -
II labor necessary for the completion of:
We hereby propose to furnish all the materials and perform a " t . b d' t $ 3 ,,0 () per foot
. eplace ~d aSCI8 oar S a "
~ove existing shingle root ~ ::?CJ feet of ridge vents
CJ Remove existing built-up root....-. d f g
...,-. 0 Install modified bitilnen (granulated) torch own roO in
e-ory:in with 0 15 lb. ~o lb. '~
black whita or other color _ . ......... .
Cllnstal w galvanized valley metal ' , ....$.2. Ov
~ yr. fungus resistant 3-tab shingles . _,
f"lstall new iead bOots.j Z Y:3)
In5tal130 yr. fungus resistant dimensional shIngles 'jI ~ _
o In~ew exhaust vents . J. _
/.'" / . ,/- '- t:I Sl'llngle manufacturer_---___ color_.___
eJ Install new drip edge, ,~..... t.J~ IT color
Cl Install TPO. white rubberized roofing membrane
o I ;'Ista w flashing as needed
I!I Me~ plywood at $ '-/..f;pu per sheet
~ir rottan trusses at $ """t:~~__ per foot
~WoOdwork is an additional charge. see prlcing above
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Q Other:
All material Is guaranteed to be as specified, and the above work is to be performed is accordancEl with the drawngs and specifll
tions submitted for above work and completed in a substantial workmanlike rnaMerfor the sum 01 $
with payments to be made as follows. Payment du.e In full on compl~fum, unless otherwise noted. Thank V
---- - _ ~~.. Creditcardsaccepted,additionai2.8%chc
Any .ileran.,n or d.~il!l'ion !rcm above SDeClllc8!iona Invollling UVll 1ll'l.1lI will -7~ -:;.~-~ -.
tle a~ee,)t.d only upon wrmen orders, and will bltQDm.. an ."1I~ charge oyer Md "'7 ....~ ~. ~ __
above tne e$llm;atll. Allll.!iref!f~8/'lt3 conl/rlgan! upon I5lrik..". .coldenl!> Of celaya
beyond QU' CO"l"ol, Owner to carry 'Ire, tornado.no:: oltMr necessary 1t1~urant;1lI Officer/Agent Scott Blackman Rcorlng
uPQr;8bov~w()rk.Work.r;;'Co"'~"llIll1tlOn..ndF'...l>"Cllabllityifl.uranceanabo." Note: Th;s~oposai m..y be vvithdrawo by uS if not aces/
work to be l"~en eul by R<:lol'r'lg Cmlractor. i
'. .. . . within __' ____ days.
Che~ g~S P8~~lsslon to drive on driveway to ~~Ii\ler materIals. _ / . ~___. __.___.____
r ACCEPTANCE OF PAop6sAL
I The above prices. specifications and conditions are sa~ISfactory and are herGOY accepted. You are auttlc-ized to do the WOfK
I specified, I have read the back of this Proposal/Contract. which conta,ns Florlda~atue 713.001-713.37. Payment will be ma:1e
outlined above. '11 tf2. 'I s-: cIb O...(J..
I AcoeP"",~'1~'" di"."""8h41 '::~'_....I'J 's'n.;u;;;:: _ r-.--4-- __
[Date_,,!!,/S;/aJ t&/"tz Cd1qr"CcaL_ Sig"atlJre_____~m.._______