HomeMy WebLinkAbout06-5427
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5427
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:
5427
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 39015 CANARY AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 13-26-21-0120-00000-0380
4,780.00
2/07/2006
55.00
55.00
2/07/2006
RE-ROOF-SHINGLES
Name: BRIDGES, DAVID
Address: 39015 CANARY AV
ZEPHYRHILLS, FL
Phone:
/ jJ ,d"
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REINSPECTlON FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection
bips 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 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."
NO OCCUPANCY BEFORE C.O.
~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5427
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:
5427
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 39015 AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 13-26-21-0120-00000-0380
4,780.00
2/07/2006
55.00
55.00
2/07/2006
RE-ROOF-SHINGLES
Name: BRIDGES, DAVID
Address: 39015 CANARY AV
ZEPHYRHILLS, FL
Phone:
REINSPECTlON 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 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."
NO OCCUPANCY BEFORE C.O.
~~
CONTRACTOR SIGNATURE PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMLT A~~~~~~~~U~
BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX:B13-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
PHONE:
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION
PARCEL ID #
WORK PROPSED: [JNEW CONSTRUCTION
DSIGN
PROPOSED USE: DSGL FAMILY DWELLING
[J COMMERCIAL
(OBTAIN FROM PROPERTY.TAX NOTICE)
o ADDITION
[JALTERATION
[J REPAIR
[J INSTALL
o MOVE
o DEMOLISH
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[] SWIMMING POOL
[J MOBILE HO~
[] OTHER
BUILDING SIZE
_~EALTH DEPARTMENT A.PPRDVAL
_ ,~UARE 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
PERMITS REQUESTED
---
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
[] MECHANICAL
AMP SERVICE
[J Progress Energy 0
W.R.E.C.
$
VALUATION OF'MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [J NO
BUILDER
~.
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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 *
A. NOTIGE OF DEED RESTRICTIONS
Th~ 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 contr~Ftors 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 ar~ 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 "Gohtractor 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.ONFEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, haye 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. .
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 wiil 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 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 certity 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
. ~
J..ssuance.
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 F IMPR EMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN NANCING, CONSULT
WITH YOUR LE 0 N ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENT. JOBS UNDER
$2,500 IN 0 T NEED TO RECOR POST A "NOTICE OF CO MENT" .
SI
acknowledged
, 2~
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)
o who is personally known to me, . or
(name of perso~ acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type of identification)
and whoD did 0 did not take an oath.
o who has produced
(type of identification)
and who Ddid Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
',,:.Il't..';',"f. ,.r,i .';",,,;:.,.
-1\. iiartlett itnnfing (@f orentralltlnrilla, 11nr.
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 ·
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 ;2 -- (--() ~
~~
10
Name
Address
Phone
~
~
Sign:
. Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or detays 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.
111111111111111111111111I11111111111111111111111111111I1I111
2006022918
NOTICE OF COMMENCEMENT
Rcpt:966490
os: 0.00
02/06/06
Rec: 10.00
IT: 0.00
Dpty Clerk
State of
Florida
County of Pasco
THE ImDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Flo~ida Statutes, the
following information is provided in this Notice of Commencement:
1.
Description of Property:
Parcel No.
(;,-)-{J-,2-( - d) 12- 0 - Off) 0 .01)
- rufJYD
39015 Canary Ave
(Legal description of the property and street address if available)
2.
General Descriptiori of Improvement
Reroof
JEO PITTMAN. PASCO COUNTY CLERK -
02/06/06 08: 46am 1 of 1
OR BK 6826 PG 1831
3. Owner Information: Name David BridgeR
Address 39015 Canary Ave
City Zephvrhills
State FI
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
R4.
Contractor: Name A Bartlett Roofing of Central Fl., Inc
Address 38408 3rd Ave
.
City Zephyrhi11s
StateFI
33542
5. Surety: Name
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
City
State
Address
8. In addition to himself,
of
Lienor's
to receive a copy of the
713.13(1)(b), Florida Statutes.
9.
Exp~ration d8te ot Notice or
fr0m the date of recording u
xpiratlon date is 1 year
ate is specified.)
--;c."
Signature of O\vner =
Sworn to and
,
19
Notary Public:
RICHARD C. BARTLETT
EXPIRES: July 31, 2009
SondId 'fhIu NlltItjI PIllIIo lJrKtItWr1\lII
My Commi.ssion Expires:
PC93053048