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HomeMy WebLinkAbout05-4954 I [' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4954 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 4954 i RE-ROOF ' ROOF REPLACEMeNT SINGLE FAMILY RBSIDENTIAL I ! Address: 3832412TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 4,200.00 9/26/2005 55.00 55.00 9/26/2005 RE-ROOF Name: DAVID FLOOD Address: 38324 12TH AVE ZEPHYRHILLS, FL. 33542 Phone: REINSPECTlON FEES: When extra in ion 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 i spection when called (e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible The payment of inspection fees shall be m de before any further permits will be issued to the person owning same "Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. Ify u intend to obtain financing, consult with your lender or an attorney before recording your notice of com ncement." Complete Plan , Specifications and Fee Must Accompany Application. All work shall be rformed in accordance with City Codes and Ordinances o OCCUPANCY BEFORE C.O. ~~ PERMIT OFFI $PECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER ;r CONTRACTOR SIGNATURE CALL FOR I P I I · CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED PHONE CONTACT FOR PERMITTING Ir\ OWNER'S NAME Uq, IJ I C JOB ADDRESS It. I ("' PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # \? 'L\ ()ojO WORK PROPSED: oNEW CONSTRUCTION I o SIGN I PROPOSED USE: oSGL FAMILY DWkLLING o COMMERCIAL I o ADDITION DALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH oMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J R STAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 2 5- '- I c:''''- v ]~ )<;- Co BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY PLANS & (2) SETS OF BUILDING PLANS OF BUILDING PLANS & (1) SET ENERGY OF ENGINEERED PLANS REQUIRED. REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. o BUILDING ,OuPERMITS REQUESTED $ (/ 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 SPECIALT o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES o 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 # ***************************************************************** OTHER COMPANY 5~..11 {5!t.cl~ ,,~- I;;~". .J~v'I'7 ,/ STATE CERT OR REGIST # (' ('c (, ~ 7 '} r 7 SIGNATURE 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 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 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 "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. Appli~ation 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: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of , 2U-- 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 o who has produced (type and Wrloo did 0 did not of identification) take an oath. owho has produced (type of identification) and who Ddid Odid 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' 1. 5. I I 5c.-tt ?13- <lft,9-SS~y. /111111 11111 11111 1111/11111 11I11 11111 1111111111 IIIII /1/11111 NOTICE OF COMMENCEMENT 2005200163 County o'~( .'-PASCO state of }P-/ ~~ THB trnoERSIGNED hereby g~ves notice that improvement will be made to c~rtain real property, and in a~cordance with Chapter 713, Florida Statutes, the follQ~ing infor~ation is provided in this Notice of Commencement: Description of Propetty: Parcel No. II -:J..6 :J..,/ eJolo o,"~c)Q Gold 3 f' 3;)- IIJ-~ i e i:-I:/Is L 33 5- '- (Legal descr~pt1on the property and street a 2 . General Description of I~provement Rcpl: 926141 DS: 0. 00 09/26/05 Rec: 10.00 IT: 0.00 Dpty Clerk JED PITTMAN PASCO COUNTY CLERK 09/26/05 09: 08am 1 10f641 7 OR BK 6602 PG O\_'ncr Information: Nfrne I l\ddress 3i<~:+t 111~~v~ I Interest in property:1 '--:DtuicL KI FIDod. ci ty -;l:-r- pi '11" j;//5 State j-L '3 3)~:J.- <!)WN Name of Fee Simple Tikleholder: I (If other th~n o~ner) Address City State 4 . Stat~ FL 33)(0 AcJdress Surety: N.:lme Address City State Amount of Bond: S 6. Lender: Name 7 . 8 . AdcJress City State , Persons within the iState of Florida notices or o~her d~cuments may be 713.13(1)(a)(7), flotida Statutes: I ! N2mc I Address City In addition to hims:;~, Owner designates of 1 Lienor's Notice as p~ovlded 1n Section I designated by Owner upon whcrn served as provided by Section State to receive a copy of the 713.13(1) (b), Florida Statutes. <). f"xpi.rn1 J.'Jn dnte of r1ut.ice of Commencem~nt. (the explratiun date is 1 yedr fr~m the d.:ltc of recqrding unless a dLfferent date is specified.) I Sig~ature of Owner: Sworn to Not.:lry Pnbl ic: 20 05' ~ day of ~11~f v.da.- R'i\. clIOIyn lappuIta . . . . My C::J:il,:lj 5 S ion Expires: 0' '" Expires December 08, 2007 PC930530481 A I I Proposal/Contract SC6tt ~~ 1i!~, 1HC. P.O. Box 1188 33010 SR 52 i San Antonio, FL 33576 (352) ~88-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 em iI: blackmanroofing@aol.com PROPOSAL SUBMITTED 0 Zip Phone Number 7['3- '!2-b9 We ~y propose to furnish all the mat ~move existing shingle roof o R~existing built-up ro~ Bf)~ 151b. ~Ib. ~taJh1eW~;;vanized valley metal ~all new ~ead boots o Ins~exhaust vents ~all new drip edge, t, /~ M//' / k o In~ flashing as needed ~ep~lywood at $ V f: () 0 ~ir rotten trusses at $ 3. 0 l) *Woodwork is an additional charge, see prici F ~ te.e",4-elt. ~ .",ctelt & 1"'4-It.",elt Date Ylrjor WORKED TO BE PERFORMED AT Street City State Owner of Property Phone Number Zip Fax rials and perform aJ.!..!tle labor necessary for the completion of: B"I1eplace bad fascia boards at $ 3,. (J i) per foot 8"1ii'Sta.1I 7iJ feet of ridge vents o Install modified bitimen (granulated) torch down roofing , I cot, black, white or other color o Install 25 yr. fungus resistant 3-tab shingles ~ <1, 200/ oD o Install 30 yr. fungus resistant dimensional shingles f 41 tot% o Shingle manufacturer color o Install TPO, white rubberized roofing membrane C"' o Other: -'\It '\..S t-c. V' R.,. b 2 Co (. ^- Me.. ~ \ ~ t"- ~ '}, cr Cf ~. oC) Mll-. / - 1~4..Y (;)~ r#D~ dry I~ ~~,.. OLe-I- ~O()~ t,-JIH..' /~'I'J All material is guaranteed to be as specified, a d the above work is to be performed is accordance with the drawings and specifica- tions submitted for above work and completed n a substantial workmanlike manner for the sum of $ with payments to be made as follows. Pa m nt due in full on com letion, unless otherwise noted. Thank You. Credit cards accepted, additional 2.8% charge. ~~ Officer/Agent Scott Blackman Roofing Note: Thi:7osal may be withdrawn by us it 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 harge over and above the estimate. All agreements contingent upon strikes, acc dents or delays beyond our control. Owner to carry fire, tornado and other nece sary insurance upon above work, Workers' Compensation and Public Liability ins rance an above work to be taken out by Roofing Contractor. Client gives permission to drive on driveway to eliver materials. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditi ns are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back of this Propos I/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as outlined above. Accepted s