HomeMy WebLinkAbout05-4887
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4887
Permit Number: 4887
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 5,330.00
Date Issued: 9/01/2005
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 9/01/2005
Work Desc: RE-ROOF
Address: 39512 MEADOWOOD LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: MEADOWOOD ESTATES
Parcel Number:
Phone:
REINSPECTlON 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 Jllerformed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
,~~ ---- t'~.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR nlSPECTlON - 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 NAM~4 i'\ f-WOYt Y S"i v",.e ,e
JOB ADDRESS 3'1 5 IL MeAdo u...Joo d Lp
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # 15 -2. b- 2/- 01 t..f 0- 00000 -l2, 0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
oSIGN
o ADDITION
o ALTERAT ION
o REPAIR
o INSTALL
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
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK R~v-<::>of 2% St 'Ail 30 Y" G~r Tt'N\brrl,'v\e<)
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.
PERMITS REQUESTED
o BUILDING
$
5330,00
7
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
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
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 #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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~ ~.
OTHER /1o/) ) 111 J
SIGNATURE _._~ ~
COMPANY- C:6 fll5lq (jJ,-z a h
~
STATE CERT OR REGIST #
~~,j 141
[("( ()S-79S-7
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility 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 iocal 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 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
I .
YOU to sign as contractor that may be an indica~ion that he is not properly licensed and lS
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 commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Appliqation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced 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 shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced 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 commenced. 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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 2~
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
owho has produced
(type
and whoo did 0 did not
of identification)
take an oath.
owho has produced
(type of identification)
and who odid Odid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
II11II1111111111111111111111111111111111111111111111111II111
2005181392
NOTICE OF COMMENCEMENT
State of FJov,cl4....
County of
pc<.sro
THE lmDERSIGNED hereby gives notice that improvement will be made to c3rtain
real property, and in accordance with Chapter 713, Florida Statutes, the.
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. ~ ~J;;Z /~~k-fC: QJ2._ -
- \ Yd-l ~.
ty and street address lf avallable)
2. General Description of Improvement i< e r 00 -f i.-/ / _~ D Y. eeLv" J;MIUjrJi:1 (
/
3.
Owner Inforrnation: Name
,5/;/I/TKE- )
/'
"3 3.j~2--- State":::7vf
l\ddress31!5~ hrM~:it. City Z~~
Interest in Property:
Name of Fee Simple Titleholder:
(If other thgn owner)
Rcpt: 918645
OS: 0.00
08/31/05
Rec: 10.00
IT : 0. 00
Dpty Clerk
Address
City
State
R4.
Contractor: Name Sf,) .tt I:> l~Lk. Wl tlY\
Address 33010 Sl<-S2 (P0&,.A IIKt.f.ity
f- ce..f-,' Yl c1 .' ~ "c
S"-V\ Ann
5 .
Surety: Name
State r;:::/
33 S-J II
Address
City
State
Amount of Bond: $
JEO PITTMAN PASCO COUNTY CLERK
08/31/05 0i: 33pm 1 of 1
OR BK 6561 PG 1169
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
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9.
~xp~ratio~ date of No~lce of Commencement (the expIration date is 1 year
rr0m the date of recdrding unless a different date is specified.)
Signature of Owner: /:d;7(:(1I~ g/Z~~
(i . . / ~
Sworn to and subscribed befjore me this J;-- /<J day of
19 ,2 tJO ff.
tz?/2'S-
Notary Public:
,
My Commission Exp
~~",P.......... '..
PC93053048
Ii 'I'Proposal/Contract
SCIJU ~~ ~~, 1He.
P.O. Box 1188
33010 SR 52
San Antonio, FL 33576
(3S2) iS88-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
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1ft. d- <<.If, e ti
Date
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PROPOSAL SUBMITTED TO
Name I
'j AJd,c:./ t'
Street
WORKED TO BE PERFORMED AT
j,/ /.'.'. (I (e c, - /..:;, . / i I
" ! .'.' -
Street
/
Phone Number
Fax
City
State
Owner of Property
Phone Number
Zip
."'-.
City
State
Zip
Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
~ Remove existing shingle roof ~Replace bad fascia boards at $ .?- per foot
o Remove existing built-up roof 0 Install feet of ridge vents
)! Dry-in with 0 15 Ib.J:l-8C]lb. 0 Install modified bitimen (granulated) torch down roofing
. -q:hlstall new galvanized valley metal black, white or other color
~tall new lead boots 0 Install 25 yr. fungus resistant 3-tab shingles
C-
D Install new exhaust vents .\iiJ1nstall 30 yr. fungus resistant dimensional shingles _ /' t'
ft'nstall new drip edge, ','I,. r:, color 0 Shingle manufacturer color
o Install new flashing as needed 0 Install TPO, white rubberized roofing membrane
./a Replace plywood at $ per sheet 0 Other:
/14 Repair rotten trusses at $ per foot
*Woodwork is an additional charge, see pricing above
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 $ ,~ -3 .30. /' :,'
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, addtionaJ 2.8% charge.
",/' . /:- /::::,/.~/
)(# ('. ,. 7 .C,_
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Officer/Agent Scott Blackman Roofing
Note: This proposal 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, tornado and other necessary insurance
upon above work. Workers' Compensation and Public Liability inslilrance an above
work to be taken out by Roofing Contractor.
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 Stautes 713.001-713.37. Payment will be made
as outlined above.
Accepted
Date
Signature
Signature
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ACCORDING TO FLORIDAlS CONSTRUCTION LIEN .LAW
(SECTIONS 713.001-713.37~ FLORIDA STATUES) 1 THOSE WHO
WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE
NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR
PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A
CONSTRUCTION LIEN, IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS1
SUB-SUBCONTRACTORS. OR MATERIAL SUPPLIERS OR
NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS1 THE
PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENTj EVEN IF YOU HAVE PAID YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTORj YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON
YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
LABOR~ MATERIALS. OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY.
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS
RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARlSES1
YOU CONSULT AN ATTORNEY.