HomeMy WebLinkAbout06-5328
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5328
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5328
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38426 18TH AV
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0080-00100-0070
4,890.00
1/19/2006
55.00
55.00
1/19/2006
RE-ROOF
Phone:
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The paymen
"Warning
improve
before
of inspection fees shall be made before any further permits will be issued to the person owning same
owner: Your failure to record a notice of commencement may result in your paying twice for
ts ur pro rty. If you intend to obtain financing, consult with your lender or an attorney
i ur ice of commencement."
NO OCCUPANCY BEFORE C.O.
~~
OR 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
813-7BO-0020 FAX:B13-7BO-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
JOB ADDRESS
PHONE
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID .. \)'2..- 2b~o.' - OOKb~ 00100 - 60'7D
(OBTAIN FROM PROPERTY,TAX NOTICE!
WORK PROPSED: 0 NEW CONSTRUCTION
OSIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0.. OF UNITS
o SWIMMING POOL
o MOBILE HOM
o OTHER
BUILDING SI ZE
~ & HEALTH DEPARTMENT APPROVAL
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
[VJfO
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
COMPANY
STATE CERT OR REGIS'!' ..
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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 REGIS'!' #
A. NOTIC,E 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 l~cal 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 "Contractor Sections" of this ~pplication for which they
will be responsible. It you,as the owner signs as ~he 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 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 wiil be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regul~tions 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 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 1a
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 OB AIN FINANCING, CONSULT
WITH YOUR L ER AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C EN MENT. J ER
$2,500 I A~ NOT NEED TO RECORD AND POST A '\NOTICE OF NT" .
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)
[Nho 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 Ddid D:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
A. 1liartlett itnnfing (@f otentrallJilnriila, 11nc.
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
, ,'v /,"~, i
,\( )/ (~ ~SIDENTIAL. COMMERCIAL. MOBILE HOME
(.f"'i"-' '/ ~ './ L1CE~SED - INSURED - BONDED
", / \,,' / · MEMBER OF THE CHAMBER OF COMMERCE ·
,I, L
" "~. servinl~ephyrhills, 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,
C/O Richard Bartlett
38408 3rd Ave,
Zephyrhills, FL 33542
"
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OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
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A. fBartlett itnnfing (@f otentrallJilnriba. lln[.
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
L1CE~SED - INSURED - BONDED
· MEMBER b~ THE CHAMBER OF COMMERCE ·
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.
/..,.-<...~.,.,
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Name
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Address
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Phone
"'---,---DES6RI PTION AMOUNT
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President & Owner A. Bartlett Roofing of Central FL, Inc,
Sign: .' ,.
Richard C. Bartlett
THANK YOU ~.~.-:-c
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra $35.00 per sheet (4.ply). Rotten fascia is $2.00 per linear foot. Total
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2006010840
NOTICE OF COMMENCEMENT
Rcpl:960976
OS: 0.00
01/18/06
Rec: 10.00
IT: 0. 00
Dpty Clerk
State of
Florida
County of Pasco
THE lmDERSIGNED hereby gives notice that improvement will be made to c8rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
Description of Property: Parcel No. O~""'-1-b -)J - 0010-00(00 -
DolO
(Legal description of the property and street address if available)
1.
2. General Description of Improvement 38426 18th Ave
JEO PITTMAN, PASCO COUNTY CLERK
01/18/06 10:30am 1 if 1..
OR BK 6800 PG 3~6
3.
Owner Information: Name
Carol Jackson
Address 38426 18th Ave
CityZephyrhills
State Fl
Interest in Property:
Name of Fee Simple Titleholder:
(If other thgn owner)
City
State
Address
.
'H.,.....;&4
.~., .
Contractor: Name A Bartlett Roofing of Central Fl., Ine
Address 38408 3rd Ave
CityZephyrhills
StateFl
33542
5.
Surety: Name
City
State
Address
Amount of Bond: $
6. Lender: Name
City
State
Address
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
City
State
Address
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes.
9. E:xp.irl'1t..Lon dat.e or NotIce of Commencement (the expiratIon date is 1 year
fr0m the date of recording unless a different date is specified.)
Signature of Owner.
,
Sworn to and
~~\.~
Notary Public:
My Commission Expires:
PC93053048