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Home My WebLink About05-4984 I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4984 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: 4984 RE-ROOF ROOF REPLACEM NOT APPLICABLE Address: 6618 N HLAKE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: SILVER OAKS Parcel Number: 8,650.00 10/06/2005 75.00 75.00 1 0/06/2005 RE-ROOF C Y, RON 6618 NORTHLAKE DR ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra in pect: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 COrd a notice of commencement may result in your paying twice for improvements to your property. If y Ui intend to obtain financing, consult with your lender or an attorney before recording your notice of com cement." 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 OFF I $PECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER SIGNATURE CALL FOR I P I I CITY or ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED OWNER'S NAME PHONE CONTACT FOR PERMITTING JOB ADDRESS LEGAL DESCRIPTION: LOT(S) PARCEL 10 # .J -.2- WORK PROPSED: ONEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL o SIGN PROPOSED USE: OSGL FAMILY o COMMERCIAL o MOVE o DEMOLISH BUILDING SIZE OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER EALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 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 $ PERMJ.TS 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 0 NO COMPANY 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 SIGNATURE STATE CERT OR REGIST # 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 TWIC FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE F COMMENCEMENT. J SUNDER $2,500 VA DO NOT NEED TO RECORD AND POST A "NOTI E F OMMENCEMENT" OR AGENT CONTRACTOR S STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of , 2~ by (name of person acknowledged) Dwho 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 Dwho has produced (type and wtioO did 0 did not of identification) take an oath. o who has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped I I NOTICE OF COMMENCEMENT 11111111111111111111111111111111111111111111111111111111 /111 2005208572 state of Florida County of Pasco TUR tmoERSIGNED hereby g~ves notice that improvement will be made to c~rtain real property, and in afcordance with Chapter 713, Florida Statutes the following inforr.1ation iSiprovided in this Notice of Commencement: I I 1. Description of Property: Parcel No. 03 2621 0150 00000 0230 6618 North Lak (Legal descrlptlon Drive, Silver Oaks the property an street a 2 . General Description of ~mprovement Reroof Rcpt:929751 DS: 0.00 10/05/05 ___ _d_ Rec: 10.00 IT: 0.00 ____ Dpty Clerk 3 . Owner Information: N me Ronnie T. Conroy ldd 6618 North ake Dr. , ress City Zephyrhills State FL 33541 Interest in Property:1 I Name of Fee Simple Ti leholder: (If other than owner) JED PITTMAN, PASCO COUNTY CLERK 10/05/05 01: 44~ 1 A,f 1 OR BK 662llC PG ~ 1 Address City State -'~ '.:.i: ~-~ 4. r Ii! 5 . Contractor: Name A. artlett Roofing of Central Florida, Inc. Address 38408 3rd Ci ty Zephyrhi lIs State FL 33542 Surety: Name = Address City State Amount of Bond: $_1 Lender: Name Address City State 6 . 7. Persons within the State of Florida designated by Owner upon whcm notices or o:her de cuments may be served as provided by Section 7l3.l3(l)(a)(7), [,lolida Statutes: tkmc Address City State 8. In addition to himseli I Owner designates of to receive a copy of t~e Lienor's Not~ce as prov~ded ~n Sectlon 713.13(1) (b), Florida Statutes. <). Sxp.irflt ..l'Jn d",te of tlCJ lee of Comm~ncement.. (t.he explrati0n date is 1 yedr ir-::>m the clate of r<.!ccr!ding unless a different date is specified.) --:rl~ ~~_' ~ ~. , Sicpature of Owner: / - -I-___~ _ --- . Sworn to and subscribod be~ore me thiS. - day of 20 05 October NotLlry Publ ic: My C::J:<1. 01 j S s i on Ex p ire s: PC93053048/ A II! A. 1Bnrtlett 14nnfing (@f otentrnllJilnribn, 11nr. I I , c/o Richard Bartlett 38408 3rd Ave. Zephyrhills, FL 33542 One of he Largest, Oldest, Most Dependable Ro fing Companies in Central Florida Specializi in Mobile Home JP Stevens White Rubber Roofs & Insulated Aluminum Roof Overs TIAL · COMMERCIAL · MOBILE HOME LI ,ENSED - INSURED - BONDED · MEMB R OF THE CHAMBER OF COMMERCE. OFFICE PHONE (813) 782-5585 (813) 973-7737 (352) 523-1944 Lic.#RC 0031769 Serving Zephyrhills, Dade ity, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas We have reroofed or epaired over 11,000 Homes and Mobile Homes in the last 31 years. Date Name ,r. 3,1..1 lr3. ,onni.~ Con roy Address Sol . f \) r t"1. L ~l, t.!lJ r 1 v (~ , ; i 1 v e r .J a '.( s. ,~e f) '1 Y r h i 11 13, q L Phone .. , l' ) \" U,..j 7.jj-J 19, 1)'3/)) ,(e.;.tOVt.~ co -!;)lett~ 3;lin'-!1,,_~ rooE i:1 :--3ectio!Js. :~ Oil pIe t ,~ . 1 :1 U 1 a 'd a y . .~ tJ t t 2 ;1 I'dl Y '." 0 ,) ,( ~ J:) ! Cj h 2 ,~t r l' p 1 Cl (: 01 . i.:li.l do\v11i 3,)-1: fr"lt ,}IlS" :3:1C..~t. Ins t J 11 n ,~ V" 2 iJ " v -111 e .iI e t d ~ . [ n s t u, 11 r e u 1 arb r 0 '4 Jl d r 1.,J -? J-~ e '] r 0 Clll :1 per i"l et (. c . ,) ,}.'1 1. per ill e t e r :F' f 0 l: (; $ '1 i '1; 1 t! n'~ . .: iLL !J.n 1. }) Y(~Tt: Jiil'.Jils'lonal ,ll:,lc;JOO t hl:H:': l'( s'lLl1-;l,~ I as t:lll n c: '..) .1 \:~ a j l) {) n t j 0 V f:' r v (~q t ;.7~ . ) c r "~',,:r i1 0 \v ;1. J :"t e~ '4 rid:~ { . v e n t.s :'~ t-I p {~ q :~ . '--1 C~ il ':! Cl t p ria 1 :3 3 r .r i \f e President & Owner t Bartlett Roofing of Central FL, Inc. Sign: 3:));) OJ --3J>}J .)() j A:-1 Al~-~ :.:: j Ii,)') 'U{J Richard C. Bartlett THANK YOU 'l. ~, ...'. Yo r:Business is Appreciated. \ ,/ Payrq\eht upor;f completion unless pr idlus arrangement made. Warranties pertain to original owner. ,. I, !.. . ! All Credi Cards Accepted - Additional 4% All arrarigem~hts contingent ,lion strikes, accidents or delays be and our control. Owner 10 carry fire, tornado and other necessary insurance. Our workers are fully covered l/Workmen's Compensation Insur ceo Customer is liable for any charges incurred in collecling this bill. Rotten wood is an extra $35.00 per sh et (4-ply). Rotten fascia is $2.00 per linear foot. Total du:~') J)