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Home My WebLink About05-5012 I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5012 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 2,460.00 Date Issued: 10/13/2005 Total Fees: 45.00 Amount Paid: 45.00 Date Paid: 10/13/2005 Work Desc: RE-ROOF 5012 RE-ROOF ~ ROOF REPLACEM NT SINGLE FAMILY R, SIDENTIAL I Address: 5813 14TH ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: MR. TANNE 5813 14TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra in ction trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 .hall 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 ~ot at job site (g) Work not accessible The payment of inspection fees shall be m e before any further permits will be issued to the person owning same "Warning to owner: Your failure to c9rd a notice of commencement may result in your paying twice for improvements to your property. If y lintend to obtain financing, consult with your lender or an attorney before recording y ur notice of comm cement." Complete Plan I pecifications and Fee Must Accompany Application. All work shall be ormed in accordance with City Codes and Ordinances OCCUPANCY BEFORE C.O. . ~. PERMIT OFFI $PECTION - 8 HOUR NOTICE REQUIRED QTECT CARD FROM WEATHER CTOR 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 OWNER'S NAME PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION OSIGN PROPOSED USE: OSGL FAMILY o COMMERCIAL o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH CJ OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY FLANS & (2) SETS OF BUILDING PLANS OF BUILDING PLANS & (1) SET ENERGY !OF ENGINEERED PLANS REQUIRED. ~EQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. o BUILDING $ PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL 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 BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ******************~*********************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # *****************rt*********************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ***************** ************************************************ MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # I * * * * ** * ** * * * * * * * ~ *1* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** * ** * * * ** * 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 corrunencement. 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 corrunenced 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 corrunenced 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 corrunenced. 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 LEN DE R AN ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMM CEMENT JDBS UNDER $2,500 IN V 0 NOT NEED TO RECORD AND POST A E M OWNER OR AGENT CONTRACTOR SIG acknowledged ,20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this_____ day of by acknowledged , 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or D who has produced (type and whoD did D did not of identification) take an oath. D who has produced (type of identification) and who Ddid DHd 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 II A. iBartlett iltnnfing (@f otentral IJ11nriba, lint. c/o Richard Bartlett 38408 3rd Ave. Zephyrhills, FL 33542 One of~'he Largest, Oldest, Most Dependable Ro fing Companies in Central Florida Specializi g in Mobile Home JP Stevens White Rubber Roofs I & Insulated Aluminum Roof Overs RESIDE rrIAL. COMMERCIAL · MOBILE HOME LI ENSED - INSURED - BONDED · MEM R OF THE CHAMBER OF COMMERCE. OFFICE PHONE (813) 782-5585 (813) 973-7737 (352) 523-1944 Lic.#RC 0031769 Serving Zephyrhills, Dade itt(. 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. Name I I Date Address I,- 7- Phone " l' -., '..L_....... ;J >,\ ! ~ ,\ I: / ",,J.f F ." \...-,' ......( .) President & Owner Barpett-E~oofing of Central FL, Inc. Sign: Richard C. Bartlett . THANK YOU Vi u~Business is Appreciated. .... Payment upon completion unless pr vi us arrangement made. Warranties pertain to origlnalowner. All Cred . ards Accepted - Additional 4% All arrangements contingent upon strikes, accidents or delays b O~d our control. Owner to carry fire, tornado and other necessary insurance. Our workers are lullycovered by Workmen's Compensation Insu~ nc~. Customer is liable lor any charges incurred in collecting this bill. Rotten wood is an extra $35.00 per s et (4-ply). Rotten lascia is $2.00 per linear loot. Total