HomeMy WebLinkAbout06-5482
CITY OF ZEPHYRHILLS
5335 - 8TH STREE:r
(813)780-0020
BUILDING PERMIT
5482
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:
5482
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 37153 FOX RUN PL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0120-00000-0460
3,800.00
2/23/2006
50.00
50.00
2/23/2006
RE-ROOF 30 YR-TIMBERLlNE
Phone:
<r4\~~~
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
nWarning 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
NO OCCUPANCY BEFORE C.O.
/~ ~-.
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
cIrry OF l6~.t'n~~n..L.u.u.... ... ......--- - --- ---
BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE GONTACT FOR PERMITTING
OWNER'S NAME p., 0 kv +
JOB ADDRESS '37/ S s
s~v ~J(o(
rex. r.lA..V\ tPi
PHONE
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID it o~ - 'L1.o- 7 \- 0 \ 1...0 - ooCXX)- (Y--I (pO
SUBDIVISION
(OBTAIN FROM PROPERTY,TAX NOTICE\
WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL
D SIGN DMOVE D DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY []. OF UNITS o MOBILE HO~
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
R <Z.- 'too f
LO
-see
L..)/
/
cz....
,!O '/ (CUr
csAF It' ~~((\p'",-,
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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[] BUILDING
$ ~'3, <600, D U
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
AMP SERVICE
D Progress Energy D
W.R.E.C.
o MECHA~ICAL $
o GAS 0 ROOFING 0 SPECIALTY
VALUATION OF'MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
[] FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
~-- .~_~.~=-:~_~_~: ____~i~:. . ,~ =:_-~- L-~_~---"--~~- -=-- ~~-,:
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
,
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST i
Ife 0 *;/7;: * **. *** *** * * ****. * ** * * * * * **. * **.. * ** * **< *** *. ** ** *** * ** **. **
OTHER _) COMPANyJ;~ 1/,I/f(L!l/U/l~h. tPh!f-r;"rJnc
~ ~
SIGNATURE / __ STATE CERT' OR REGIST it Ce C OJ 7 7J-""7
A. NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be
may be more restrictive than City regulations. The
compliance with any appiicab1e 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 may' be cited for a misdemean:or
violation under s~ate law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended w'ork, 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
cdntractor(s) sign pOftions of the "Cohtractor Sections" of this ~pplication for which they
,will be responsible. If you,'.as the owner signs as the contractor,ydU are indicating that'
you, rather than the contractor, are responsible for the work. ,If the contractor wishes
you to sign as contract?r 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 Uaw _ 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 "owneri, 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
I development. '
Application 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 issuance of a permit and that
all work wiil be performed to meet sta~dards 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
be in compliance. Such agencies inolude but a~e 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 protectiori Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flo,?d Zone "A" or "A, etc.", it is I
understood that a drainage plan addressing a;:'compensa,ting volume" will be submitted which \
is prepored by a professional engineer re<iis~ered in the state of Florida prior to permit
I ~
lssuance.
A permit issued shall ,be ,construed to be a license to proceed with the work ~nd 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 montbs of issuance, or if work au~horized by the permi~ is suspended or abandoned for'4
period of six months after the ~ime.~hework is commenced. One 90 dsy extension of ~ime
msy be allowed for the permit with he .chsrge of $~5.00. The ex~ension sball be requeste,:,:
in writing to'the Building Official. An approved lnspection must be logged during each SlX
month period, or the project will be considered ?bandoned. " ,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICS FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOu INTEND TO.OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOROING yOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT'~.
subject to "deed restrictions" which
undersigned assumes responsibility for
~"
-SIGNATURE: OWNER OR AGENT
~
~IGNATURE: CONTRACTOR
acknowledged
, 2 U:..-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me, this ~day of " 20_
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name' of person acknowledged)
[] who. is personally known to me, 'or
(name of persor acknowledged)
[1ho is personally known to me, or
[] who has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid Q:iidnot -take an oath
Signature of person taking acknowledgment
Signature of person taking a,cknowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped
State of
\== \ DY \ 6c..
County of
/111//1//1//11///111/111///11/11////11//1///1//11///11///11/
200603610a
-"l"f
.~ 13tsCo
I
NOTICE OF COMMENCEMEN~
',', >
THE ImOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
~I
1. Description of Property: Parcel No. 03-2."-7..../-0/1.. 0-00000- 6L(6o
(Legal description of the property and street address ~f available)
General Description of Improvement I. e YUII r w.:/ 70 VY" 7;;..nltl' t 4-(
/
2 .
Rcpl:971996
DS: 0.00
02/23/06
Rec: 10.00
IT: 0. 00
Dpty Cle,.k
3.
O\Yncr Information: Name ICc>Bear r. f' LJ:;v.t:>~ 111, s;.'i/}~O
l\ddress3?/'..$3 ~c~ dt11l1 pL" City 7.el?fI ' State
rLf)-~
'33r:tfC;
Interest in Property: lS WIlJ ~,I?
Name of Fee Simple Titleholder:
(If other th~n owner)
City
JED PITTMAN, PASCO COUNTY CLERK
02/23/06 08: 33am 1 ~l 1..
OR BK 6852 PG o9~
Stilte
Address
R 4.
Contractor: N.::lme ~ ~ ~\C\..(' '<. ('{V"\" ~,\\.C) \ \'<'\(".
~. b, e:DY-. \ \ B<Q
Addres s .3:<,1)\D ~ 62 Ci tY~v..JPr't'5TO\\..At:l Sta tet=C
"3 7~7(P
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 o~her documents may be served as provided by Section
713.l3(l)(a)(7), Florida Statutes:
tJc;mc
Address
City
State
8. In addi t ion to himse 1 f, Owner des igna tes
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
<J. f'xpi.rl'1t J.'Jn dl'lte of not.lce of Commencement. (t.he explratic.n d.;;.te is 1 year
fr~m the date of recording unless a different date is specified.)
SiCJ~ature of Owner: 'r2-r,,}j..J.f. J~
Sworn to and subscribed before me this ~
day of
F6'a~(.JA~ ,
)
20 () ~ .
PC93053048/A
Proposal/Contract
S~~~'!e~, 1~.
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
~eee"'4-e~.
'B fI.",~e~ &
')"'4-.."'e~
Date
2/2//01:,
,
PROPOSAL SUBMITTED TO
Name~O~ Sh...l' hI'.,,,
Street 31 1,5"'1 fox ... lAh P'
City 2. ~tJhJYh , lis
State F" I
WORKED TO BE PERFORMED AT
Street
City
State
Owner of Property
Phone Number
Zip
Zip
U>7 - ')<fz. -/OO1ax
Phone Number
Fax
Wejlereby propose to furnish all the materials and perform all the labor n~cessary for the come!.etion of:
erRemove existing shingle roof ~place bad fascia boards at $ 2 ~ 7 J per foot
o Remove existing built-up roof ~stall 50~' 0 feet of ridge vents
~ with 0 15 lb. e:r3OIb. 0 Install mO.dified bitimen (granulated) torch down roofing
e:ffnstall new galvanized valley metal black, white or other color J
~I new lead boots 0 In~25 yr. fungus resistant 3-tab shingles 3/100, f?tJ
o Install new exhaust vents ~tall 30 yr. fungus resistant dimensional shingles
~~new drip edge, 6fh tAlli" ff color I:3"S'FiinQle manufacturer GAP color >",,,.ser- ,6,-, (1<.
o Install new flashing as needed 0 Install TPO, white rubberized roofing membrane
~ace plywood at $ L./o~ DO per sheet 0 Other:
~air rotten trusses at $ 2. 75" 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 mannerforthe sum of $ 3) 8'b 0, Ob .) (J tv
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 proposal may be withdrawn by us if not accepted
within 5 days.
ACCEPTANCE OF PROPOSAL
The above 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. Pa men! will be made as
outlined above. J-
Accepted Signature ~A ~.
Date .;} - .:J I - c> C. Signature