HomeMy WebLinkAbout05-5032
I II
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5032
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:
5032
RE-ROOF
ROOF REPLACEM
MOBILE HOME P
Address: 4915 LAKE IDE DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: WINTERS
Parcel Number:
Book:
Section:
2,400.00
10/19/2005
45.00
45.00
10/19/2005
RE-ROOF
Phone:
REINSPECTION FEES: When extra in
charge of Thirty-Five Dollars ($35.00
ion trips are necessary due to anyone of the following reasons, a
hall be made for each trip for each trade:
(a) Wrong address (b) Condemned work r~sulting 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 . e 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 cement. n
Complete Plan, pecifications and Fee Must Accompany Application.
II work shall be ormed in accordance with City Codes and Ordinances
OCCUPANCY BEFORE C.O.
I ~.
. PERMIT OFF I
JPECTION - 8 HOUR NOTICE REQUIRED
qTECT CARD FROM WEATHER
SIGNATURE
CALL FOR I
P
II!
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
JOB ADDRESS, ~9/5"
PHONE 113- 7~3;"~~jJ
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION ~htr~~J
.#1J,e,'l ~-e
~~.
PROPOSED USE: DSGL FAMILY
D COMMERCIAL
BLOCK
~PCJ, (!JCJOO
WORK PROPSED: [JNEW CONSTRUCTIO
D SIGN
[JADDITION
[JALTERATION
~ REPAIR
[J INSTALL
D MOVE
D DEMOLI SH
DMULTI-FAMILY
[J INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
~MOBILE
D OTHER
HOME
DESCRIPTION OF' WORK
c:J REST URANT & HEALTH DEPARTMENT APPROVAL
~/~
~/r/6(~~ /l
~~4,r'A/L
4&O~#
HEIGHT
13~
BUILDING SIZE
SQUARE FOOTAGE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
S & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
aUILDING PLANS & (1) SET ENERGY FORMS.
VIRED FOR ALL NEW CONSTRUCTION.
TYPE OF CONSTRUCTION: D BLOCK
~ FRAME
D S'l'EEL
D OTHER
FINISHED FLOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE AREAD YES
D NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*********************~********************************************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
~
SIGNATURE
MECHANICAL COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
**********~********* .********************************************
OTHER
*********************************************
SIGNATURE
~~H"c ,R~~ ~~ k/?"u;? ~
STATE CERT OR REGIST # t"'e"t'.4?S75~
CITY PROCESSING #
********************
*******************************************
I I'
CONDITIONS OF PEI~IT AFFIDAVIT
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
compiiance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contra9tor or contractors to undertake work, they ~ay be required
to be licensed in accordance wit~ state and local regulations. If the contractor is not
licensed as required by law, bot~ the owner and contractor may be cited for a misdemeanor
violation under state law. If t~E~ 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, 813-788-661l.
Furthermore, if the owner has hi~ed a contractor or contractors, he is advised to have the
contractor(s) sign portions of t~e "Contractor Sections" of this application for which they
will be r~sponsible. If you, aSlthe 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 uy be an indication that he is not properly licensed and is
not entitled to permitting privi eges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES D UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAP ER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, Ihave been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protectio Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the ap licant is someone other that the "owner", I cerify that I
have obtained a copy of the abov described document and promise in good faith to deliver
it to the "owner" prior to comme cement.
E. CONTRACTOR' S/OWNER' S AFFIDAVI
I certify that all the informatio in this application is accurate and that all work will
be done in compliance with all ap~licable laws regulating construction, zoning, and land
development.
Application is hereby made to obt~in a permit to do work and installation as indicated. I
certify that no work or installat~on has commenced prior to issuance of a permit and that
all work will be performed to mee standards of all laws regulating construction, City
codes, zoning regulations, and la d development regulations in the jurisdiction. I also
certify that I understand that th regulations of other governmental agencies may apply to
the intended work, and that it is UIY responsibility to identify what actions I must take to
be in compliance. Such agencies nclude but are not limited to: *Department of
Environmental RegUlation-Cypress ayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment:
*Southwest Florida Water Manageme~t 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 Tank~
*U.S. Environmental Protection Ag ncy-Asbestos abatement .
I also certify that, if fill mate ial is to be used in Flood Zone "A" or "A, etc.", it is :
understood that a drainage plan a dressing a "compensating volume" will be submitted which
is prepared by a professional eng~neer registered in the State of Florida prior to'permit
. ,
l.ssuance.
A permit issued shall be construe 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 pre ent the Building Official from thereafter requiring a
correction of errors in plans, con truction, 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 tim 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 Officia An approved inspection must be logged during each six
month period, or the project will e considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO Y UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BE ORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO REC RD AND POST A "NOTICE OF COMMENC ENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
of identif'cation)
take an oa h.
STATE OF FLORID~ U
COUNTY OF \ (\~ "S
The foregoing instrument was~ac4nowledged .
Before me this J,Lday of L C , )AC S-
by .d/IN <fP?..u~
~ (name of person acknowledged)
~ is personally known to me, or
,
'.
(name of person acknowledged)
Owho is personally known to me,
ackno ledged
, 19_
o who has produced
(type
and whoO did Odid not
o who has produced
(type of identification)
and who Odid DUd not take an oath
~ Jw~ m lY).4LL/-6
Signature of person taking acknowledgment
Signature of person taking acknowle
Name typed, printed or stamped
,. '
~"~. tI_1f/\DE
.cd' 1\ F!<':rlda Name typed, printed
C7
." ,,',
or straniiJ'~ M. M~AD[ .
N"t~"v ()u[)lic, State 01 Florida
~"', . (H 5 "007
r,.'" u'r"11L 8Xp. U"L. , ,-
,Vi) .... I t :c~ L - -'"":JO
I I
State Certified
Roofing Contractor
License # CC 057552
Member:
NatJ, Roofing Contractors Assoc.
Better Business Bureau
FMO Associate Member
Contract
-c--
l(!rOPi.cal
RooflngR
Your Florida Roofing Specialist
5985 - 49th St. North
St. Petersburg, FL 33709
Toll Free: 888-372-0488
Office: 727-572-5545
Fax: 727-533-8835
PROPOSAL SUBMITTED TO
PHONE <;{'/3
7 ~ ..:.r - 7';J'';:;
UP NORTH PHONE
CONTRACT DATE
10//7)()-5
MHP NAME
1-/9' /.s-
,...
Wi fer 5
MHP LOCATION
~I-/;;;
APPROX. JOB START DATE
J~o~;;t wJ,Jfer (J~.
APPROX. JOB COMPLETION DATE
L-I-
5 CA/Vl'e
d
We hereby submit the following specificati~ns and estimates:
1. INSTALL CUSTOM ~INJGLE PLY MEMBRANE ROOF S, YSTEM FOR THE FOLLOWING
AREAS ONLY: Pll 1('1"-1 + t3ecl,-ol1"'" + Lo..v.~d7 r-I'l-o'\.
2. SYSTEM TO BE INStALLED:
WHITE -X- I SHINfUE STYLE WHITE TAN GREY
3. INCLUDE DOUBLE- OIL-FACED INSULATION AS INDICATED:
~ 11/4" 3/4" NONE
4. INCLUDE NEW SPU ALUMINUM VENTS (ELIMINATE DEAD AIR SPACE VENTS)
5. INCLUDE ALL REQU R!ED PERMITS,
6, CLEAN UP AND RE OVE ALL JOB-RELATED DEBRIS FROM JOBSITE,
7. # ~
TO BE INSTALLED. NO INSIDE FINISH INCLUDED,
8. PROVIDE LIFETIME !ITH 15 YA. MANUFACTURER'S BACKED NO LEAK, NON-
PRORATED, TRANS ElRABLE WARRANTY
FULLY COVERING A L LABOR AND ALL MATERIALS.
ADDITIONAL INFORMATI
ria'
;:? ::s ;;? 1-/9'/
MAKE A 4 CHECKS PAYABLE TO TROPICAL ROOFING
CASH PRICE AND PAYMENT SCHEDUL
necessary to complete that phase). Buyer
jng payment schedule:
1. Price $
2. Tax $
3. Down Payment $
4. Balance $
ON COMPLETION OF ALL
: (Reference to a phase of construction means all work, materials and equipment
grees to pay Seller the Cash Price at Seller's office in accordance with the follow-
Authorized i
Signature ~
All materials guara 0 be as specified. All w: r~ to be completed in workmanlike man-
ner according to standard practices. Any addition Ii work needed to complete this job, with
customer approval, will be billed as an extra an ustomer agrees to pay for such cost.
All agreements contingent upon strikes, accident r delays beyond our control. Owner to
carry fire, tornado and other necessary insuranc . i
I have the authority to order the above work and do so orders as outlined herein,
it is agreed that the seller will retain title to any equipment or material furnished
until final & complete payment is made. An express mechanic lien is he'eby
acknowledged for security of this debt and the total amount will be paid within
terms show. Customer agrees to pay any or all attorney fees that are ,elated to
collection of money that is due.
I, (we) herewith exp,essly agree to pay not as a penalty but as liquidated dam-
ages, 25% of the principal amount of this contract to Tropical Roofing in the event
of a breach of this ag'eement prior to wo,k beginning.
NOTICE TO OWNER
Do not sign this home improvement contract
in blank, or before you read it. You are entitled
to a copy of this contract at the time you sign.
Keep it to protect your legal rights, Buyer's
right to cancel on reverse side.
I
Acceptance of Contract - The abov ~rices, specifications
and conditions are satisfactory and are her y accepted. You are
authoflzed to do the work as specified Pa ent will be made as
outlined above. i
Signature a ~ rn tJ? ikLd.-
Signature
I I
Customer
MHP W,,J-rers
City Z - JiJ I/s
SYSTEM: White ~
VENTS: Small /
SKYLIGHTS: Quality
ROOF TOP AlC'S R:r'
c--
(!tbP.ica
Roofin R
Work Order
For Office Use only
I.P. & F.
Final Only
Installer
Install Date
.13
Job Address J./9/S' Le.ke,sule
Ph (~tj 7 $-'3 - 9':?6A. At. PH: ( )
GLE STYLE: white _ tan _ grey _
SOLAR TUBES: Quality A.-
i%e: _x_ GABLES: Quality..Rf Size:
POP UP VENTS PI
o r-"
Ridge Cap x x
Drops to Fla rm ~ 4" Car ort ~
Other
Extra Flashings
EXACT DIMENSIONS
Home: X
Fl. Room: X
Carport: X
Other: 9' X ~;;;'
ROOF DIMENSIONS: Sho ~II Lengths and Widths to be covered. Including Over-Seals
of 6" each Side and 6" Front a d Back. If Main Home is Double-Wide, Show width of Each
Half Main Home INCLUDING 0 er-Seals:
I
.e 1-Wide Width = 9
o 2-Wide Widths =
Lengths = 7'z /
+
=
,A#;,,,t;f
t!/ M , -i:.
/z
r'1~,,J' J./",...., e 'I..
" ,...." r
<< FRONT
(3d'clrQ f/,-t
* ty(lf'
vi /I r-'~ Rt:4 fJ
,Gt. -e1"'1 9 I
TYPE OF EXISTING:
Main RoofSfeveAlS E r'Carp
Type of existing roof:
Is there soft decking that may n
SPECIAL INSTRUCTIONS:
N ...:l,4 Ir w
If.:? I .
Ca"'fJClrr _ t!1;V1, f
/Ja.AI FI. Rm. r MS
,
b "'OrtJ r'
Ao.A./ Other
,
Should be tear-off be considered? f'I'{)
l$d to be replaced? Nt) (Mark with X's on draawing)
, I Ji.,~e -
T(J F/.. I ~&>c1f"~ ,c.z
.
e.J :} t"J t u. s. :)(1'
K DONE TO SATISFACTION:
Customer Signature: Date:
Crew Leader Signature: Date:
COD amount to Collect: . Od Method of payment:
o Check .C. Card 0 Fi ance 0 In House Fin. 0 Other
Customer not home and office h been contacted Spoke to: