HomeMy WebLinkAbout05-5250
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5250
Permit Number: 5250
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 5,190.00
Date Issued: 12/15/2005
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 12/15/2005
Work Desc: RE-ROOF
Address: 5338 19TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: HARTNETT, DIANE
Address: 5338 - 19TH ST
ZEPHYRHILLS, FL. 33542
Phone:
J
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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. 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.
.,~. .... '1Z~_.
. ~
CTOR' GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A. ilnrtlett itnnfing (@f OtentrnllJilnribni lint.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE ·
, fD
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OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 13,000 Homes and Mobile Homes in the last 32 years.
Date
Name
.,.ill..-
T /I; -f/U' '-~-
"
Address
Phone
"
1/
BWRfing of gentral FL, Inc.
Richard C. Bartlett
~ ',,' , THANK YOU / ;d,''VVl (l '
/"'J' ;_'0' /<.-' Your Business is Appreciated. V l ,
c,- Payment upon completion unless previous arrangement made. Warra les pertain to ori In~ner.
AHm'fa~lifiA41ingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necess/ insu~/nce\.jJvK..J-1
Our w~;t:r~';;iJriftfcovered by Workmen's Compensation Insurance, Custo er is liable for any charges incurred in collecting this ~
. / Rotten wood is an e .0Qper sheet (4-ply 'Rotten fascia is $2.00 per linear foot. atal
President & qw,neli
I ,
1:.."
Sign:: '.
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(.-;:4 -/ \) '-. L.'..)
~
CIrry OF ZEPHYRHILLS PERMJ.'!' A.t'.t'.LIJ.~Jf\.".L".LU.L'f
BU~LDING DEPARTMENT 5335 8~H st, Zephyrhi11s, ~L 33542
a13-780-0020 FAX: 813-780-0021 . 1,2- -iF ~
DATE RECEIVED
OWNER'S NAME
PHONE
D,'~ ~W-t
~5r -(i-f;r+-
GONTACT FOR PERMITTING
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID jf:
WORK PROPSED: [JNEW CONSTRUCTION
DSIGN
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
/OBTAIN FROM PROPERTY.TAX NOTICEl
[JADDITION
[JALTERATION
[J REPAIR
[J INSTALL
o MOVE
o DEMOLISH
[JMULTI-FAMILY
[J INDUSTRIAL
[Ji OF UNITS
[J SWIMMING POOL
[J MOBILE HO~
[JOTHER
BUILDING SIZE
~R~ HEALTH DEPARTMENT A."PROVAL
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.
o BUILDING
$
PERMITS REQUESTED
-s-r r () VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
[J MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [J NO
BUILDER
STATE CERT OR REGIST jf:
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ELECTRICIAN
COMPANY
SIGNATURE
,
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST *
********************************************~****;***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST f
A. NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be subject to "deed restrictions" whi~h
may be more restiictivethanCity 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 ctmtra.~tors 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 maybe 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 ~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 CONNECTI.ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, hay~ been provided with a copy.of "Florida's Construction
lien ~aw _ Homeowner's.Protection Guide" prepared by the Florida Department ot Agriculture
and Consumer Affairs. If the appLi.cant 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 instaliation as indicated. I
certify that no work or installation has commenced prior to issuahce of a permit and that
all work wiil be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land developmerit 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 inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetiand 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 abatemen~
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 .construedto 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 INTEN . OBTAIN FINANCING, CONSULT
WITH YOUR L RON TORNEY BEFORE RECORDING YOUR NOTI OMMENCEMENT. JOBS UNDER
$2,500 IN E NEED TO RECbRDAND POST A "NOTIC EN ENT" .
OR AGENT
SI
acknowledged
, 20..:-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before m~ 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
Owho has produced
(type of identification)
and whoO did 0 did not take an oath.
o who has produced
(type of identification)
and who 0 did [kiid . not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
\
\.;\
1111111 11111 11111 11111 Iml 11111 11111 1111111111111111111 IIII
2005268459
NOTICE OF COMMENCEMENT
State of ~lnr;rl~
County of
Pasco
THE lmDERSIGNED herepy gives notice that improvement will be made to c~rtain
real property, and ih accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No.(I,..J..z~-.2I-ODlro ---/7.rfJo """"--llrJ6J"
(Legal description of the property and street address if available)
2.
General Description of Improvement
Rprnnf
Rcpl: 952825
DS: 0.00
12/19/05
Rec: 10.00
IT: 0.00
Dpty Clerk
3. Owner Information: Name Diane Hartnett
Address 5338 19th ST
City Zeohvrhil1s
State FL
Interest in Property:
Name of Fee Simple Titleholder:
(If other thgn owner)
iS91~~~~MACi: r~s;o fOUNToY,. C'-"ERK
OR BK 6754 PG 82
Address
City
State
'\
R.....4.
f '.~'
;~. .'; ,"
Contractor: Name Bartlett RoofinQ
Addres~8408 3rd Avp CitYZpphyrhillR
5. Surety: Name
. State FL
.
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 documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp.irl1t.ion date or Notlce of Commencement. (the explration date is 1 year
fr0m the date of recording unless a different date is specified.)
Signature of Owner:
.-/ ,
Notary Public:
My Commission Expires:
PC93053048