HomeMy WebLinkAbout05-4879
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4879
Permit Number: 4879
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
4,230.00
8/29/2005
55.00
55.00
8/29/2005
RE-ROOF
Address: 39752 M ADOW OD LO P
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MEADOWOOD ESTATES
Parcel Number:
MAY, MA
39752 MEADOWOOD LOOP
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.
&~
OR 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
~-~9,.0:5
PHONE CONTACT FOR PERMITTING
OWNER'S NAME~
JOB ADDRESS 3 r 7 J 2-
PHONE
7? .l-:r-:sr:r---
'U,I' "'f'
,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN 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
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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.
f ;;-3 () PERMITS REQUESTED
[J BUILDING VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
o PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
..
BUlIDER ~
SIGNATURE STATE CERT OR REGIST #
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COMPANY
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
,
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ME CJlAN I CAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
h th' t be sub.]'ect to "deed restrictionsb whioh
The undersigned understands t at ~s permi may
may be more restrictive than City regulations. The unde~signed assumes responsibility 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 requ~red
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 uncerta~n 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 1S advlsed to have the
contractor(~) sign portions of the "Contractor Sections" of this application,fo~ wh~ch they
will be responsible. If you, as the owner signs as the contractor, you are ~nd~cat~ng that
you, rather than the contractor, are responsible for the work. If the contra?tor w~shes ,
you to sign as contractor that may be an indica~ion that he is not properly 11censed and ~s
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 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 NOTIC F COMMENCEMENT. JOBS UNDER
$2,500.IN V E DO NOT NEED TO RECORD AND POST "OTICE ENCEMENT".
RE: CONTRACTOR
SIG
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 2CL-
by
(name of person acknowledged)
Owho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid DUd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
I II
A. lBnrtlett itnnfing (@f <!rentrnllJilnribn, 11nr.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE .
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 11,000 Homes and Mobile Homes in the last 31 years.
Date
Name
Address
Phone
~
President & Own
Sign:
ofing of Central FL,-1nc.
Rich r . Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All Credit Cards Accepted - Additional 4%
All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra $35.00 per sheet (4-ply). Rotten fascia is $2.00 per linear foot.
(
NOTICE OF COMMENCEMENT
1111111111111111111111111111111111111111111111111111111II111
2005179944
State of
Florida
County of
Pasco
TUB ImOERSIGNED 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:
Description of Property: Parcel No. / j - 2-" -;2( -- 0 ( 'f O-fJ()()O cJ
(JrJt?)
1.
39752 Meadowood Loop
(Legal descr~pt~on 0 the property an
street a
able)
2 .
General Description of Improvement
Reroof
Rcpl: 918194 Rec: 10.00
D0S8/:30.00 IT: 0.00
0/05 ___ Opty Clerk
JED PITTMAN PASCO COUNTY CLERK
08/30/05 0t:44pm 1 of 1
OR BK 6558 PG 1690
3 .
Owner Information: Name
Madge May
^ddress 39752 Meadowood Loop City Zephyrhills
State FL 33540
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
R 4.
A. Bartlett Roofing of Central Florida, Inc.
Contractor: N.:lme
Address 38408 3rd Ave.
City ZEphyrhills
State FL 33542
5.
Surety: N.:lIne
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7 .
Persons within the State of Florida
notices or o:her documents may be
713.13(1)(<1)(7), Florida Statutes:
designated by Owner upon whcm
served as provided by Section
tJt~mc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Not1ce as provided 1n Section 713.13(1) (b), Florida Statutes.
lJ.
f"xpi.rnt .I.'Jn d..,te of tlut.l.ce of Commencement. (the explratiun d.::.te is 1 yedr
ir~m the d.:lte of recording unless a different date is specified.)
Sig~ature of Owner:
Sworn to~ subscri
20~
Notury Publ ic:
My C::l:T1.ni ssion Expires:
PC93053048/A
.,