HomeMy WebLinkAbout05-4955
I I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4955
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:
4955 i
RE-ROOF '
ROOF REPLACEM~NT
SINGLE FAMILY RfslDENTIAL
Address: 38938 5TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
2,790.00
9/26/2005
45.00
45.00
9/26/2005
RE-ROOF
Phone:
REINSPEcnON FEES: When extra in pection 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 Drd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com ncement. n
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
sPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
~
CONTRACTOR SIGNATURE
CALL FOR I
p
I I
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE lVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME Robe v+- 1-/,,/ {( VLj~I-15
JOB ADDRESS '3 8' ~ 3f' f>{)' [, /t Je
LEGAL DESCRIPTION: LOT(S) I BLOCK
( J I 06)
PARCEL ID # i..... v
PHONE
SUBDIVISION
uo
0010
WORK PROPSED: o NEW CONSTRUCTION o ADDITION oALTERATION o REPAIR o INSTALL
!
DSIGN i o MOVE 0 DEMOLISH
I
PROPOSED USE: DSGL FAMILY DW~LLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME
!
o COMMERCIAL I o INDUSTRIAL o SWIMMING POOL o OTHER
c=J R STAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 'K <.. v (.,. v+- v-J
~'
s ~;vt.\ ,,5.
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
I
I
I
$ 27ju f
AMP
!
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
SERVICE
o Progress Energy 0
WOR.EO<<1 s S
o PLUMBING
o MECHANICAL
I
o ROOFING 0 SPECIALTt
TYPE OF CONSTRUCTION: 0 BLOCK I
I
FINISHED FLOOR ELEVATIONS
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o OTHER
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
****************l*************************************************
ELECTRICIAN I COMPANY
SIGNATURE STATE CERT OR REGIST #
****************~*************************************************
I
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
****************
************************************************
OTHER
-?
SIGNATURE _.,~
COMPANY
~~l~)
STATE CERT OR REGIST # Cc C 0j 7 1(-' 7
)( '" H 1314ckh4 ~
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 , 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
Owho has produced
(type
and whoo did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who odid 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 I
08/25/2005 02:27
3525889763
SBR RooFI NG
PAGE 01
Proposal/Contract
S~ B~ 'RtUJjtH9, 1He.
P.O. Box 1188
33010 SR 52
San Antonio. FL 33576
(352) $88-ROOF (7663) · (813) 782-1330
I Fax (352) 588-9763
em it: blackmanroofing@aol.com
WORKED TO BE PERFORMED AT
~te-e"".ett.
'B ...fIle-tt It
'J....."'e-J.
1i!~ ~_rp-"
~ ()S7951
PROPOSAL SUBMITTED 0
Name 0 ~r t-
- 3 o~ Co ~. 'f'.h
Street. D .~ CJ
City C ~ ~ J V .' { IJ
State . r:: I Zip ~
Phone Number 7 K' J" - 70 L. (p ~ax
I
I
We ~ propose to furnish all the m$terials and perform 9JUt'te labor necessary for the completion of:
~move existing shingle roof l2rReplace bad fascia boards at $ 1-, 7 r perfoot
Cl Re~e existing built-up roof , Cllnstall 'f 0 feet of ridge vents
ra-t::>rY-in with Cl15 lb. ~,' Q Install modified bitimen (granulated) torch down roofing
Q Insta.U new galvanized valley metal bla~e or other color
~II new lead boots I errn;tall 25 yr, fungus resistant 3-tab ShingleS~ 2)7 'jo ~ 00
i
Q Install new exhaust vents I..... ...... CJ Install 30 yr, fungus resistant dimensional Shingl~S!pOj f (.I""
o Install new d,jp edge. c~ror ~nufaclu"'r coror t~tA q e..-
O In~flaShing as needed I \JV~\\ ~O Install TPO, white rub~erized roofing memb~ne 1,~2..0", d
EI'1l~e plywood aU ,-/0. D J ~r shee '\~r: >0 r- rll-...b r;;St".,.4,. -lil"~ 1 J J...
IDepair rotten trusses at $ 2........ per foot
.Woodwork is an additional charge, see pri ing above
~f2-Cf'1/~ Jxd~ckl~, 12,7~p~.r. +-c~
All materlalrs 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 complete in a substantial workmanlike manner for the sum of $_
with payments to be made as follows. P n ue in full on C ion, unless otherwise ndted. Thank You
Credit cards accepted, additional 2,8% charge
-~ /#A/
.
. Officer/Agent Scott Blackman ~oofing
Note: ThiS proposal may be withdrawn by; us if not acceptel
within days.
Date ti'/:2bltls-.
.
A+
Street
City
State _
Zip
Owner of Property
Phone Number
Fax
Any deration or dtviallon ',om aDolle ,pecllloatlons inllolvi 9 ulra costs will
be luecu'ed (mly uPon wril1en o,oor,. ano Will become an axu charga OVlr ."d
abovs ths esllmate. An llgrt.menl, COl'llll'lgenllJpon Slrik.l. a eidanls or dalays
beyond our cont",l. O_r 10 carry fire. lomadO ano OI/1ar '1 .lllIry Insurance
upon abovs work. Wor~..r$' Compensation ond PUbll~ Llablllly' sure nee .n .bove
wo'~ 10 bs 'ekln QUI by ~OOllno (:ontraclor.
Client gives permission to drive on driveway t deliver materials,
., ACCEPTANCE OF PROPOSAL -; -.-
The above prrces speCifications and condi ions are t f t '
specified. I have read the back of this Propo ail/Contr:~ 1~~i~~~~1~1n~r~lh,,:~eb~ atccepted, You are authorized to do the work as
outlined abo.;'7 ,~~~~~a ues 713,001- 713.37 Payment will be made as
Accepted - t. ~ 8YY')J .<~:::- ~----.. ..
/ SIgnature . ":";7-~
Dale 56 D -- -
Signatu
I I'
111111111111111111111111111111111111111111111111111111111III
2005200165
State of
F {OVt~
NOTICE OF COMMENCEMENT
County of
PQ S ( c)
THE tmDERSIGNED hereby gi~es notice that improvement will be made to czrtain
real property, and in a)COrdance with ChaPte.r 713, Florida. Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Prope ty: Parcel No. 1/ 26 Qo/a /7::00 ()?/O
'5<6738 ::::; f-fL I u " 7-e" l, ",,-/1'/
(Legal descrlptlon f the prop rty and s reet address lf avallable)
2.
General Description of Irprovement
I
Rcpt: 926141
DS: 0.00
09/26/05
Rec: 10.00
IT: 0 . 00
___.______ Dpty Clerk
. . ( IJilterd '''''5)
,Z6~y-TM/f~(ilV)9
rL/ /1 . ~? J I . Ie
TTn rvv Clty t-~.DL--j)Jrt1//->
v /
State
r:L
. J ? .-( i -:?
-'/~ /)
3.
Owner Information:
Address 3f{CJs8'
Interest in Property: I
4.
Name of Fee Simple Ti~leholder:
(If other th~n owrer)
i
Address I
I
Con tractor: Name 5, 4 -It D k cki<< ~ L. /2.0 (, Ii ." J
Address 330(0 sa. <:::L l(f'-"~)':/I,f'c:f)City"<;c't""- YlVlVt
JED PITTMAN~ PASCO COUNTY CLERK
09/26/05 0:1 : 08am 1 of J
OR BI< 6602 PG 1649
City
State
State PI
.~ ?\-~i.
../ /;J /c
5.
Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7.
Persons within the ~tate of Florida designated by Owner upon whom
notices or other dqcuments may be served as provided by Section
713.13(1)(a)(7), Flo~ida Statutes:
i
I
I
In addition to himselfl, Owner designates
of l to receive a copy of the
Lienor's Notice as prpvided in Section 713.13(1)(b), Florida Statutes.
~xp.lrI1Li.o~ date or Not(lc.e of Commencement (the expIration date is 1 year
Ir0m the date of recordlng unless a different date is specified.)
Name
Address
City
State
8.
9.
~ 2CJG'6'. ~:~ ...
?(pk 1Yb/
Sworn to and
Notary Public:
~"\\\""''''''''I.
~"" ~~A M, C"q ~II~
~ <V\) ........ ~~/~
~ .... ~\SSION .... r ~
~ ..~ _~'9C '<a ~. ."
- :~~- ~~~:
=*: ..... :*E
-z. . -
~~.. #DD 194287 :iS~
~ -' -.4:. L'J ~ .-c;s. ~
~~ .~%"."Otlded\\l\\lA",'~.~
~ 7-,.0 ". "'r1blic Undel<';~' <(v ~
~ 1:16'/ ........ O~ ~
'/IIIII~!C, STA\~..\",~
PC93053048
. .. .,l' . ,
My Commi.ss'i6.n,Expir~s':"
-...li. ..__..___.....