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Home My WebLink About05-5088 I I CITY OF ZEPHYRHILLS 5335 . 8TH STREET (813)780-0020 BUILDING PERMIT 5088 Permit Number: 5088 Permit Type: RE-ROOF Class of Work: ROOF REPLACE Proposed Use: MOBILE HOME S Square Feet: Est. Value: Improv. Cost: 3,280.00 Date Issued: 10/31/2005 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 10/31/2005 Work Desc: RE-ROOF Address: 6136 RID EWAY DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: J HN PIERCE 6136 RIDGEWAY DR ZEPHYRHILLS, FL. 33542 Phone: REINSPECTlON 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 wor 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 e before any further permits will be issued to the person owning same "Warning to owner: Your failure to rei a notice of commencement may result in your paying twice for improvements to your property. Ify ... intend to obtain financing, consult with your lender or an attorney before recording your notice of com e' cement." Complete Plan ,:Specifications and Fee Must Accompany Application. All work shall be rformed in accordance with City Codes and Ordinances OCCUPANCY BEFORE C.O. ~~ PERMIT OFFI $PECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER CONTRACTOR SIGNATURE CALL FOR I P I CITY F ZEPHYRHILLS PERMIT APPLICATION BUILDIN DEPARTMENT 5335 8TH St, Zephyrhills, FI. 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING DSIGN PROPOSED USE: DSGL FAMILY o COMMERCIAL e PHONE OWNER'S NAME JOB ADDRESS 6/ "" LEGAL DESCRIPTION: PARCEL ID # BLOCK SUBDIVISION - 00000 - 03 ffo WORK PROPSED: o ADDITION DALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH DMULTI - FAMIL Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ,) ~ I~ c"v 1~\' BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PL T PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SE S OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) S TS OF ENGINEERED PLANS REQUIRED. PROPERTY SURV Y REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o GAS o ROOFING AMP SERVICE 0 Progress Energy 0 W.R.E.C. ~ $ VALUATION OF MECHANCIAL INSTALLATION ~O3 1\ _ 0 OTHER o PLUMBING o MECHANICAL TYPE OF CONSTRUCTION: 0 BLO 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 COMPANY SIGNATURE STATE CERT OR REGIST # *************** ~************************************************ OTHER - COMPANY S ( (; fff3L9,C It. t-t.....a, t..... ~'I! It 7 STATE CERT OR REGIST '" (( ( {j )-7 Jr 7 , , SIGNATUR 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 portions 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 indication 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 acknowledged , 2CL- 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) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who Odid Diid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped 11111/1111111111111111 11m 11I1I 11111/1111 I11I1 11/1111111111 2005228558 State of ,e 10 r 101" NOTICE OF COMMENCEMENT County of Potd (0 THE tmDERSIGNED hereby 9 ves notice that improvement will be made to czrtain real property, and in a cordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. 0 5- Z (p -2. 1--=-a.J 3u -00000 - OSb'O (Legal descr1pt1on the property and street address 1f ava1lable) 2 . General Deseri pUnn of mprovement n < "." {: w,L 2 ~ ! ('.., Y' r;A.F .s.; c.le 'e 0 tiS Rcpl: 937126 DS: 0.00 10/28/05 Rec: 10.00 IT: 0.00 ---______ Dpty Clerk 3. Owner Inforrnation: N John P/e v ( (.. 2efhJ rAil h State FI 1'3S1'L Address .(p I Interest in Property Name of Fee Simple Ti leholder: (If other th~n 0 ner) i~92~~~~"'AN8 : r~:~o fOUNT:, C1.ERt< OR Bt< 6664 PG 276 Address City State f1'...".;......... 4. It;. ~ i " Contractor: Name ~(J i ty S" C1..h A"1 1/\ State r: I Address 330ltJ SI!..- 5. Surety: Name Address . City State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other d cuments may be served as provided by Section 713.l3(1)(a)(7), Flo ida Statutes: Name Address City State 8. In addition to himsel , Owner designates of Lienor's to receive a copy of the 1n Sect10n 7l3.l3(1)(b), Florida Statutes. ( Signature of Owner: . Sworn to 2.Ov 5 tl" . 9. Exp~rotlon date or No lee or Commencement (the expiration date is 1 year fr0ffi the date of rec ~ding unless a different date is specified.) .;ls day of ()c..-\-r-.b~, Notary Public: \ PC93053048 I I Proposal/Contract SCtJ# ~~ ;e~, 1HC. P.O. Box 1188 33010 SA 52 San Antonio, FL 33576 (352) 88-ROOF (7663Y- (813) 782-1330 Fax (352) 588-9763 blackmanroofing@aol.com rials and perform ~he labor necessary for the completion of: ~place bad fascia boards at $ '6,() U per foot D Install feet of ridge vents D Install modified bitimen (granulated) torch down roofing black white or other color ~ 25 yr. fungus resistant 3-tab shingles D Install 30 yr. fungus resistant dimensional shingles D Shingle manufacturer P 6' t4~ color S; Iver ~ D Install TPO, white rubberized roofing membrane' /J D Other: em Name ,PROPOSAL SUBMITTED 0 I't '-!vc l. Street City State Zip Phone Number -; f"'f('- s'"' 75[, Fa We ~y propoSe to fufnish all the mat ~move existing shingle roof D Remove existing built-up roof ~th ~ D301b. ,;;........~h I~trv ~~w galvanized valley metal ~~new lead boots ~tall new exhaust vents D Install new drip edge, D In~1 new flashing as needed ~Place plywood at $ .y'~ ot,) ~r rotten trusses at $ "&.."c'J U *Woodwork is an additional charge, see pricin col r per heet &r foot above ~tee",,,,etlt. ~ ",,,,utlt & 'l"''''",,,,etlt Date JO!Wvs- r WORKED TO BE PERFORMED AT Street City State Owner of Property Phone Number Zip Fax All material is guaranteed to be as specified, a dthe above work is to be performed is accordance with the drawings and specifica- tions submitted for above work and completed i Cl1 substantial workmanlike manner for the sum of $ 3., 2.? t.J , 0 () with payments to be made as follows. Pa m t due in full on com letion, unless otherwise noted. Thank You. Credit cards accepted, additional 2.8% charge. ~.MJ (./ Officer/Agent Scott Blackman Roofing Note: This proposal may be withdrawn by us if not accepted within , ') days. Any alteration or deviation from above specifications involving ~a costs will be executed only upon written orders, and will become an extra c r e over and above the estimate. All agreements contingent upon strikes, accid s or delays beyond our control. Owner to carry fire, tornado and other neces ary insurance upon above work, Workers' Compensation and Public Liability insur nte an above work to be taken out by Roofing Contractor. Client gives permission to drive on driveway to d I~ver materials. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditio H:l are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back of this Proposal cbntract, which contains Florida Statues 713.001-713.37. Payment will be made as outlined above. .~..,,/;:; _ "-a;:;.. , if . Accepted Signature L-= 7 J ~,~_ J-' Date Signature