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Home My WebLink About05-5134 .~ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5134 Permit Number: 5134 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 1,588.00 Date Issued: 11/16/2005 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 11/16/2005 Work Desc: RE-ROOF Address: 4928 19TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: HAMMOND BETTY Address: 4928 19TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~;f!~-u ~-~ CONTRACT IGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021/ O~ DATE RECE IVED / /- / (; . PHONE CONTACT FOR PERMITTING g'/3-!i-S1-77?-O OWNER'S NAME I5f?/rY '17;) ea 1-+ ,th~ f'1(t (,) U 0 /9 1--4 . Sf-. PHONE g 13- 7tff - 'l<ftJ :2 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION [J REPAIR [J INSTALL PROPOSED o SIGN USE:)(SGL FAMILY [J COMMERCIAL o MOVE o DEMOLISH DWELLING [JMULTI - FAMILY [J INDUSTRIAL [J# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~A:-lz.. OFF 5t+;,..j~LE""S ll\.)S/A-LL ,..U;/,t) '$-TA~ ~H;^j(7Lt[S ON riD/....€: oJl.).y SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK 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. /S-g~1 1~ PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE [J Progress Energy [J W.R.E.C. o PLUMBING [J MECHANICAL $ o GAS ~ROOFING 0 SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK VALUATION OF MECHANCIAL INSTALLATION o OTHER o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD 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 Ro~ SIGNATURE V - - - - ~ ~g COMPANY T? p/-(. (7....-0L.J.'\. /?ocsf: J Iv <:.. STATE CERT OR REGIST # C((OY7'370 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 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. Application 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or D who has produced (type and whoD did D did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid [}:lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped ~"'~V;(l-\ NAME ~. ~. ~. TRIPLE CROWN ROOFING INC. 37625 STATE ROAD 54 ZEPHYRHILLS, FL 33542 FAX (813) 783-6017 LEON (813) 833-7720 STEVE (813) 767-1794 ~":r 11"11 M~ YSlP TOLLFREE (888) 903-8899 STATE LICENSE CCC049370 SPECIALIZING IN ALL TYPES OF METAL ROOF SYSTEMS PHONE '/3"" SALESMAN ., Dura Loc Roofing Systems..- Approved Contractor Advanced Metals Contractor Alcoa ~ertifiedRoofing Contractor CMF Certified Metal Roofing Contractor . . STREET 2ePflv~tI it. L S Legal Description: / 33$"'1;;2. We hereby submit, specifications and work description: (]) It'?l ~ ~..r/" lJ. /-A-'1-f e t'e.- <; 0 ~ S 1-1/ N6LG 5 of-lllt II.. L ;1tJ ~ y tv5Rj $. ~ 11J5/.4t/4- !Jew 3f)i.t- FELT Pf)fefC. ~ /ttJ5rRP~ N!3 .v FUI S >/I,<,X. tJ vet< flt4 T 10 ,Roo P . {) 1) /W'i"IL 4;; /lJf;~lMpl.c)I /flafH'i De I P Et)~~ y. ~Aff 1;> 0" to ~~:f[lf1~L~:~ filtF SliPC.e LJNIN'; TO 1IM7~ o~k'i / - 3 ~ 711/3 UP, :'" - \ 'i~ "~_'_: . . .~. j. _' . ,lHE ABOVE ~~SCRIBED WORK WILL BE COMPLETE"D AC'CORDING TO SRFCIFICATIONS, FOR TJiUM OF ($ /~f13/o/t,.). PAYMENT TO BE MADE AS FOLLOWS: 1J{J/foy.1~g", 1h . . I MWI-f' /)~of .... goo,tJO All ~()e · J Vt#ft~ ~JfJ )1ryJ.. uJ~ hffll/'j-, ~6 -10 4~ /JL jJOD(j ey;~("e/l1. ~-I ,/.. . AT Cl?..$T. Np ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED. THIS WRITTEN CONTRACT IS THE ENTIRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO BE FURNISHED. THE WRITTEN PORTION ABOVE IS THE ENTIRE CONSIDERATION FOR THE AMOUNT OFTHE CONTRACT. PURCHASER MAY.CANCEL THIS CONTRACT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT. IT ISAGREED: Contractor will do all said work in a good and workmanlike manner and in strict accordance with the ordinances, rules and requirements of the City, Town or Village, wherein the above mentioned property is located. If Purchaser should cancel this contract after time stated above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attorney to collect any sums due the Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees incurred by the Contractor. This contract shall not be binding upon Contractor until accepted by them. Upon such acceptance by said company, this contract shall be binding on me/us without any further notification to me/us. The undersigned property owner agrees that this contract may be assigned for the performance of the work and labor required by the' description of the work to be performed. Upon assignment the parties hereto consent to the performance of the work by and the payment to such assignee of the amount of this contract. . . Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charg~ over and above the stated contract amount. " NOTICE TO THE BUYER: (1 ) Do not sign this contract before you read it or if it cQntains any blank spaces. (2) You are entitled to an exact . copy of the contractl(P4 sign. (3) Under the law you have the right to payoff in advance the full amount due and under cert.ain circumstances to obtain a partial refund of the time charge. Owner acknowledges receipt of a true copy of this CONTRACT. '\ , \ If !~ c1 :~/ Date . ,( "r ..-1<~_,'.~..,.j/;~- =,r-;G~;/-,,/ .,/--1' // Pu~chaser . . I / \ -'.""/,,.-/' .)' z.., r:;;:- Date Purchaser Date This contract is enforceable only when accepted by management ofTriple Crown Roofmg, Inc.