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Home My WebLink About05-4988 II' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4988 Permit Number: 4988 . Permit Type: RE-ROOF ! Class of Work: ROOF REPLACEMEENT Proposed Use: SINGLE FAMILY ReSIDENTIAL Square Feet: I Est. Value: I Improv. Cost: 3,200.00 I Date Issued: 10/10/2005 i Total Fees: 50.00 I Amount Paid: 50.00 ! Date Paid: 10/10/2005 Work Desc: RE-ROOF Address: 5604 18TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: SARAH BELMONTE Address: 5604 18TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra in paction 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. If y u intend to obtain financing, consult with your lender or an attorney before recording your notice of com encement." Complete Plan I 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 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 RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME \ Cl.v-~ ~ ./ ,6f/P7O^ A- I J1~t-. 5;,L PHONE JOB ADDRESS ~t..oo LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 10 # I Z-& z I 0 1/200 WORK PROPSED: ONEW CONSTRUCT ON o ADDITION OALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: (JSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D A TAU RANT & HEALTH DEPARTMENT APPROVAL BUILDING SIZE { [;J/ 30 'U1.-1/ d, 'vvv, ~ J' / ~ P1 CL ;; /7Sr SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS F BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY EQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING PERMITS REQUESTED jL GO 00 .~ VALUATION OF TOTAL CONSTRUCTION $ o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ o GAS ~FING VALUATION OF MECHANCIAL INSTALLATION 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 # ***************** ************************************************ ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # . ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL i *****************t************************************************ , COMPANY SIGNATURE STATE CERT OR REGIST # _ ***************************************************************** OTHER COMPANY ~.r;.:>/f lJdC/~4~"" ,R"..(! //~f / STATE CERT OR REGIST # (( C. {)J- llr" 7 SIGNATURE A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" ~hich 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 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: OWNER OR AGENT SIGNATURE: CONTRACTOR 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 wtioO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who Odid [}:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped II. Proposal/Contract SC6tt 'C~ ~(J(JIUuJ, IHe. P.O. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) ~88-:RGOF (7663) · (813) 782-1330 Fax (352) 588-9763 blackmanroofi n9 @aol.com ~ te-efl,tJelt. ~ tJ.fI,ltelt " ")fI,tJfI,,,,e-1t em Date ~/61/ Or PROPOSAL SUBMITTED 0 Name 5~.... '^' 13d ~OYl *1' Street 5{oo'-+ I ~ t''"' ;S 4- . City ~pl-1 '1 rh'lJ S i State ~ I Zip i Phone Number 7 ~ L -2 70Cj FaX / WORKED TO BE PERFORMED AT Street City State Owner of Property Phone Number Zip Fax We ~eby propose to furnish all the matF. rials and perform aJ!..ihe labor n~cessary for the completion of: 61femove existing shingle roof i ~place bad faSCia boards at $ ]... (.) 2> per foot o Remove existing built-up roof I c:rrr;stall Y D feet of ridge vents ~With 0 15 lb. ~ i 0 Install modified bitimen (granulated) torch down roofing o Install new galvanized valley metal I black, white or other color ~ new lead boots : ~25 yr. fungus resistant 3-tab shinglesi31 Ol&>O.-1lSO o Install new exhaust venls ~I 30 yr. fungus resistant dimensiOnal shi I~S" ~ (/~~ ~w drip edge, 5; h '-1 f4 I kojor 0 Shingle manufacturer \ Q", -+ rfl3;2.. 0 _!-_ o Install new flashing as needed 0 Install TPO, white rubberized roofing membrane ~e plywood at $ '1(: 0 c...) pe~ sheet ercfther: I{ () C:.;:-- 6 ue ~ ""' h,' VtJ (6 '-<..J / ' ~ir rotten trusses at $ .J. 0 C) per foot J!:j ~ ( k. v .r I j, L (, 6 i4 ~ ~ '1) II :#,/ ~ *Woodwork is an additional charge, see prici g above I 'n,~ ~ 1/ h L t-/ oIrl /., ~ Y-' ~ 0 4. ' V -or ({<-ftOil'r J)(.. d~c..JU'''1 el3.00.p~r-h.Dt-: !t'q" cn,c~aJ.t,/.~~~/Ii-Pt( ~c;7cJ,Oc) All material is guaranteed to be as specified, nd 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 $ with payments to be made as follows. Pa nt due in full on com letion, unless otherwise noted. Thank You. Credit cards accepted, additional 2.8% charge. ~/ ~L'/ Officer/Agent Scott Blackman Roofing Note: ~I may be withdrawn by us if not accepted within CP-- days. Any alteration or deviation from above specifications involvin be executed only upon written orders. and will become an exjra . rge over and above the estimate. All agreements contingent upon strikes. ac idbnts or delays beyond our control. Owner to carry fire, tornado and other nee ssary insurance upon above work, Workers' Compensation and Public Liability ins rance an above worlt to be taken out by Roofing Contractor. Client gives permission to drive on driveway to deliver materials. ACCEPTANCE OF PROPOSAL The ':l-~ove prices, specifications and condit ons are satisfactory and are hereby accepted. You are authorized to do the work as speCified. I have read the back of this Propos 11Co~act, which contains Florida Statues 713.001-713.37. Payment will be made as outlined above. cp, r? 7 Accepted j'J 20U"[)~ignature $ ~ [ ~ '-/ Date Signature I r 1111111111111111111111111111111111111111111111\ II1I11I111111 NOTICE OF COMMENCEMENT 2005211916 State of -----Dank I County at)( y ~S{ (2 THE trnoERSIGNED hereby 9i~' es notice that improvement will be made to c~rtain real property, and in a cordance with Chapter 713, Florida Statutes I the follo~ing information is provided in this Notice of Commencement: 1. Descr iption of prope~ty: Parcel No. JJ t~b .-) J (Y,) I () (' ! ~(' ,~, j I <..' J 2. General Description of I provement 11(.4"6/ f-J/' ;1 Q !:I,z<t.I--< Rcpt:930957 DS: 0. 00 10/10/05 c#,c ?;-.<A4(~Jne J Interest in Property: /k'/e/ Srl,,{{Lh Sf. City Rec: 10. 00 IT: 0.00 Dpty Clerk \ui~ 3 . ~ llddress '& Im(Jn~ ZrpJv;rh,1l S State ...,,- r Owner Information: 1- / ! ' 335-',0 Name of Fee Simple Ti (If other th~n ow JED PITTMAN. PASCO COUNTY CLERK 10/10/05 08: 30am 1 of 1 OR BK 6629 PG 384 Address City State R4. <:..- ci ty ~4rV cnv-rONID Sta tel="L j~S-16 5 . Surct N Addr y: .:lIne ess City State nt of Bond: $ er: Name css City State ons within the State of Florida designated by Owner upon whcrn ces or o~her d< cuments may be served as provided by Section 13(1)(a)(7), Flo! ida Statutes: ess City State - ddition to himself, Owner designates to receive a copy of the or's Notlce as pI: oVlded In Sectlon 713.13(1)(b), Florida Statutes. Amou 6. Lend Addr 7. Pers noti 71.3. tJt:mc Addr 8. In a of Lien (). r-xpirn1 J.')n d..,te of rICJilce of COlllm~ncement. (the explratiun d.3.te is 1 year fr~m the d.:ltc of recording unless a different date is specified.) PC930530481 A BErnE c. JOHNSO (Q) MY COMMISSION # 0033261 EXPIRES: September 16.200 Ft Notary Discount Assoc, Co. 1-8{)(}.3-NOTARY <Cw~ u.. (J)::!:i 0 ~~~ ~ ZOw C Ol-Z c:lzl- , w f:::::t::ea:: o:::Sr~ribOd'~:ore me this .1: / t ::t:r~ ~llbliC: ~ ~~ .~ Cc i./ [/" day of '(11 ';,1~ /. I 0. .:.: t!..~C1> My C:);';1',Oli ssion Expires: