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Home My WebLink About05-5239 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5239 Permit Number: 5239 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 3,820.00 Date Issued: 12/13/2005 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 12/13/2005 Work Desc: RE-ROOF Address: 4702 WI TERIA DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 15-26-21-0160-00000-0280 Name: MciNTYRE MARION Address: 4702 WISTERIA DR 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. ~~ - ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIiLDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DM~E RECEIVED t~/\~/o<5: PHONE CONTACT FOR PERMITTING ~\~--{'3d - \~'30 OWNER'S NAME M OlV \' V V\ vV\ cT VI tv V"{ / JOB ADDRESS~ J DJ ~) I J f:- e.-'" j' '1 D,.. PHONE; LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 15 - L.Eo - 2.1 - 0\(0(, -OOOQO - C 2. 2r 0 (OBTAIN FROM PROPERTY,TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o SIGN PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL DADDITION DALTERATION o REPAIR D INSTALL o MOVE o DEMOLISH DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOM DOTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL R.c. Ire () t 20 SA} ~ LI/ -/ ~ S- y rZo.- y- ,/ J,OOO ~ \~b ~ 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 $ 3<?2o,oJ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING D MECHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. D GAS D ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION D OTHER $ TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO ~-,,-,'--nF"'" ..".. - ,.,." -'--...--'-~..~. ......,.... , , , . -~ ,----,~--~.....- - - - .. - .. ' ,..... '....,. -- ....' -, -,,-'-"-~'='~-' 'I i ~ _ I , I If' ,: I' I I ~ I I I I , 1 I I' I, I, ;,' \:'11 I ';':"1/'11 Ii 'II jl ," I i I ,I II' r I I I II I I, ,III I ' I : . I, I \ I ,1 'T -~ ftll'] j IW' 1~ ~ I II 1'1 l~ I) \1' _* ~~___~.-.J._L;.__~~_~____._~___~___-- -- -- ----~~~-~~ BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ******************************************************k*********** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER (1 D f) -1-" ruz SIGNATURE ~~~~~ ----. COMPANY 50D!t 1)1 fA J?vta. h f4JU ~ j STATE CERT OR REGIST # CC CO r 77 \7 - A. NOTI~E OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ndeed 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 16cal 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 nContractor Sections" of this ~pplication 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 nFlorida'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 nowner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the nowner" 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. Appliqation 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 nA" or nA,etc.", it is understood that a drainage plan addressing a ncompensating 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 , 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 0 did [}: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 Proposal/Contract SC6U ~~ 1i:~, 1He. P.O. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 email: blackmanroofing@aol.com ~ te.e",.et/,. ~ ".",t/,et/, " 1",..",et/, Date / /...,/ f/ q- PROPOSAL SUBMITTED TO Name (I.,/ fY/C7h +'11'-( Street '-17 (.) 1. LJ IS +-e--r I'~ 0.,- City 7 If h 'Jlrk,. l(r State r:: I Zip Phone Number 7 )( 1... - f' 2. 1'9 Fax WORKED TO BE PERFORMED AT Street City .Zip State Owner of Property Phone Number Fax We jJereby propose to furnish all the materials and perform ~e labor necessary for the completion of: B'1lemove existing shingle roof ~place bad fascia boards at $ '"3 .. () c) per foot o ~ove existing built-up roof 0 Install feet of ridge vents ef"~~in with 0 15 lb. I3'36Ib. 0 Install modified bitimen (granulated) torch down roofing d1nstall new galvanized valley metal bl~hite or other color ~~new lead boots .~stall 25 yr. fungus resistant 3-tab shingles ~stall new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles ~stall new drip edge, 6~ h. b/l>u" color 0 Shingle manufacturer C 1/ F cOlor{! f' rt' [{ ~'l--t. o Install new flashing as needed 0 Install TPO, white rubberized roofing membrane ~~e plywood at $ <;1(:- 0 J per sheet 0 Other: e:l'Repair rotten trusses at $ 5... d i) per foot *Woodwork is an additional charge, see pricing above 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 $ 392 0 .. 0 0 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. ------ Client gives permission to drive on driveway to deliver materials. Officer/Agent Scott Blackman Roofing Note: This 70sal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The ~~ove 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 Date -I) .." <'c.... , -- y ?. () CP s;- s:gnature&?-1j e Cftt:~r Signature I ~1II1 11111 1111I1111111111 1111111I11 1111111111111111111 1111 2005262999 State of \='\OY-'~ NOTICE OF COMMENCEMENT County of 'J( F PcrS;c.o THE IrnOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes the following information is provided in this Notice of Commencement: ' 1. able) 2. General Description of Improvement Rcpt:950796 DS: 0.00 12/12/05 Rec: 10.00 IT: 0.00 Dpty Clerk 3. O\lIncr Information: Name -.-Ma"L'o~ Mc:.:t",~~c. S. Rc. VDc:. T..."s-\- l~ddress 1f7~2 WI.s"\-~.\-1-:t D\.. Ci ty 2.~h~ 'r Vh""t" .1 State -El Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) JED PITTMAN, PASCO COUNTY CLERK 12/12/05 03:46~m 1 4'21. OR BK 6741 PO ~ Address - City State 4 . Con tr actor: N~rne 0c D Y\ '\?, \0.(' '<-f'f\of\ '~\\ {\~ \ \ 'f'C. '-::;>,0. '~ox \ \C-016 . ~ Address .3~D\O ~\> '5'1- City S...\-rd f}AJT{)IVID State ,--C "-# 5. Surety: Nilrne Address City State Amount of Bond: $ 6. Lender: Name Address City State 7 . Persons within the State of Florida notices or other documents may be 7l3.lJ(1)(a)(7), Florida Statutes: designated by Owner upon whcm served as provided by Section tJc:mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided ~n Sect~on 713.13(1) (b), Florida Statutes. 9. r-xpir.'11 .l'Jn d~te cd tlot.ice of Commencement. (t.he explraticjn date is 1 year fr~m the date of recording unless a different date is specified.) SiCJ:1a t ure of Owner: ';u-<MA~ Sworn to and subscribed before _.1. /J1~ A!J~r~ me this qth- day of j)~f<f3< 20 OS D \~ MY COMMISSION # DO 212858 ..~,<} EXPiRES: May 15, 2007 ....fr~.' iJooded Thru Nolary Public Underwriters Notilry Publ ic: MyCa~;njssionExpires: PC93053048/ A