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Home My WebLink About05-5110 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5110 Permit Number: 5110 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 5,800.00 Date Issued: 11/07/2005 Total Fees: 60.00 Amount Paid: 60.00 Date Paid: 11/07/2005 Work Desc: RE-ROOF Address: 6240 IL AK DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: SILVER OAKS Parcel Number: Book: Section: Name: GARY MUTHIG Address: 6240 SILVER OAKS DR ZEPHYRHILLS, FL. 33542 Phone: / 0~o\DU \(\ ~ ~ REINSPECTION FEES: When extra inspection bips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each bip 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 inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same nWarning 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. n Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~. ~-~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED - PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-7BO-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME ,.G OL V' J JOB ADDRESS ~ 7 \....[ 0 MCA th ("q . / S I I v. e II 0 ~ ft s Ut PHONE LEGAL DESCRIPTION: LOT(S) PARCEL 10 # Os 7 \::> L\ BLOCK SUBDIVISION o \ '- A.. oc::.oc::,u ot<t ~BTAIN FROM PROPERTY TAX NOTICE\ WORK PROPSED: D NEW CONSTRUCTION DADDITION DALTERATION D REPAIR D INSTALL D SIGN PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL D MOVE D DEMOLISH DMULTI-FAMILY o INDUSTRIAL D# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING $ S; fVO VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D Progress Energy D W.R.E.C. D PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D 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 A 00 (7 0 7 . / SIGNATURE ~ -- COMPANY 5'1'6/7.64 c.{"'" ~ po ~r.,r;;; 3 STATE CERT OR REGIST # (CC' oJ- 7 ,f'.{'-7 A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" whiC11 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 contra.ctors 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 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 cormnencement. 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 cormnenced 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 cormnenced 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 cormnenced. 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 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) C1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid OEd not take an oath Dwho has produced (type and wrioD did D did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Name Proposal/Contract SC6tt~~ ~~, 1HC. P,O, Box 1188 33010 SA 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofi n9 @ aoLcom ! I Slree' City .4 tt;e-.4-ellt. ~ tJ.-.lltellt & 'l-.4-u,,,,ellt Date PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Street l)v If" City State Phone Number Fax State Owner of Property Phone Number Zip _Zip Fax We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: 3 Remove existing shingle roof ct'Replace bad fascia boards at $ pertoot :J Remove existing built-up roof 0 Install ,LJ feet of ridge vents 3t)ry-in with 0 15 lb. [4'30 lb. 0 Install modified bitimen (granulated) torch down roofing :Jlnstall new galvanized valley metal black, white or other color ______ :J Install new lead boots 0 Instal125 yr. fungus resistant 3-tab shingles _/'.-'" 3 Install new exhaust vents erlnstall 30 yr. fungus resistant dimensional shingles :J Install new drip edge, color .:J Install new flashing as needed ;:JReplace plywood at $ per sheet 3'Aepair rotten trusses at $ , per foot 'Woodwork is an additional charge, see pricing above o Shingle manufacturer ;:' \" color (, o Install TPO, white rubberized roofing membrane o Other: All material is guaranteed to be as specified, and 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 $ /. ., . .. I' with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You Credit cards accepted, additional 2.8% charge Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance upon above work. Workers' Compensation and Public Liability insurance an above work to be taken out by Roofing Contractor '~,L,,,// "' .r(.!! /;/ .i:_,<;:~>~"~(:~~,-<",~>,,,-,- m Client gives permission to drive on driveway to deliver materials. Officer/Agent Scott Blackman Roofing Note: This ~osal may be withdrawn by us if not accepte within __/_ days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back of this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as outlined above. Accepted Signature ~~ State of 80Y'c\:\. NOTICE OF COMMENCEMENT County of ~ I 11111111111 IIIIIIIIU 1I111111111111111111111111111111111111 2005235809 PIl5c 0 TUB lmOERSIGNED hereby gives notice that improvement will be made to czrtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. 03 ;;t(, ;2/ 0/)/1 6Dooo ()/y() 2 . address ~f available) 30 V c'Ci. l-- dr "rvvt.-..j"~hc..' /; / Rcpt : 939975 Rec: 10.00 OS: 0. 00 IT: 0. 00 11/07/05 Dpty Clerk a,mcr Information: Name{.::.t;t?~ -if f1t/i's/Jf1l7J#C l\ddress0")VO S;Ltf~ tJ4~ D~ City Zf fJl4j/ /;://5 - (Legal description of the property and street General Description of Improvement R.. (. V()t3;/ t..../ / , , x. State Fc 3 3){/ 0 Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) JEO PITTMAN. PASCO COUNTY CLERK 11/07/05 08:31am 1 of1 OR BK 6681 PG 212 Address City Stilte R4. Contractor: N.:lme ~ v.a, €0x. 119a Address ,-:::S~D\D .~~ ~'L ~\oC~f) ~rcf\ \\<j \ \ f\C , City ~ A l\J AJVT[)lIlI0 State FL J35~ 5. Surety: N.:lme Address City . State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whcm notices or o:her documents may be served as provided by Section 713.13(1)(a)(7), florida Statutes: t),;mc Address City Stilte 8. In addition to himself, Owner designates of Lienor's Notice as provided . to receive a copy of t~e ~n Sect~on 71J.IJ(1) (b), Florida Statutes. <). f'xpi.rnt J.')n dl"lte of rlut.ice of Contm~ncement. (the explratiun date is 1 year ir~m the dute of recording unless a different date is specified.) ~ig~atureOfawner: ~ ~~ Sworn to and subscribed bef~me th~s J - day of M\rE'lv\~ D5 ~~ ~lD\V~_ r 20. : ~ Notary Public: .,~ Ii\ .~~~~ . '. ffi L. ~ ' yC:l~.;11SSl.onExp~res: ~ - - - PC93053048/ A ,.,.It...,,, Q~\ Notary Public. State. of Florida ' l .~; p.tf Commission Expires Jan 31, 2009 ' · ~o. ,,~~.~ Commission' DO 384884 , .""....- Bonded By NalionIl_A' ~,Assn. - -