HomeMy WebLinkAbout06-5495
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5495
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:
5495
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 39439 9TH A V
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0300-00000-0170
2,496.00
2/27/2006
45.00
45.00
2/27/2006
REROOF
Name: KOEHLER,SHARON
Address: 39439 9TH A V
ZEPHYRHILLS, FL. 33542
Phone:
L
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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 recordin r ce of commencement."
NO CY BEFORE C.O.
CTORSIGNATURE ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERM~T A~~L~~A~~U~
BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # I d-~ -d\ - 0300 ~ 6~.61l0
(OBTAIN FROM PROPERTY,TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
Os I GN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
c=J RES~H LTH DEPARTMENT
Al .
,/ .
SQUARE FOOTAGE
AP!?ROVAL
DESCRIPTION OF WORK
BUILDING SIZE
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.
o BUILDING
cZ-Lf rG
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o MECHANICAL
$
VALUATION OF'MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
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
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A.' NOTIGE OF DEED RESTRICTIONS
Tha undersigned understands that this p~rmit may be subject to ftde~d 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~9tors to undertake work, 'they may be required
to be licensed in accordance with state and f~cal regulation~. 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 ftGohtractor Sections" of this cipplication 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, haYE;! been provided with a copy 'of ftFlorida'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 ftowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ftowner" 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 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 protectio~ Agency-Asbestos abatement
I also certity that, if fill material is to be used in Flood Zone ftA" or ftA,etc.", it is
understood that a drainage plan addressing a;~'compensa.ting '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 la
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 t project will be considered abandoned.
WARNING TO OWNE YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE IMPROVEMENTS 'TO, YOUR PROPERTY. I~ YOU INTEND TO,OBTAIN FINAN lNG, CONSULT
WITH YOUR L AN TTORNEY RE RECORDING YOUR NOTICE OF COMMEN JOBS UNDER
$2,500 IN RECORD AND POST A "NOTICE OF COMMEN NT".
SIG
acknowledged
, 2CL-
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)
C1ho 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 Odid Diid not take an oath
signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
,.-..-
~. ~nrtlrtt itnnfing (@f O!intral1lilnriikai 1Jnr.
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 -- (?L'--,'C;(
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.
Name
~ jT:t!!~
~ .. j - r.
Address
Phone
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tt Roofing of Central FL, Inc.
Sign:
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
-.a..
ard C, Bartlett
THANK YOU
Your Business is Appreciated,
Payment upon completion unless previous arrangement made, Warranties pertain to original owner.
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All arrangemenls contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance, 't
Our workers are fully covered by Workmen's Compensation Insurance. CustofJ].er is liable for any charges incurred in collecting this bill. ,l.' ()_ ~ 'f I,) ____.
Rotten W;.ood is an extra $35,QO p~r sheet (47PI}jl. Rptten fascia is $2,00 peF linear foot. / Total.. .