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Home My WebLink About06-5522 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5522 Permit Number: 5522 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 9,490.00 Date Issued: 3/06/2006 Total Fees: 80.00 Amount Paid: 80.00 Date Paid: 3/06/2006 Work Desc: REROOF Address: 5222 21ST ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0010-00200-0012 ENGEIL, TH MAS 5222 21ST ST ZEPHYRHILLS, FL. 33542 Phone: & / La, ,\bitJ V \ '6\'f' (Y 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 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 NO O~c:UPANCY BEFORE C.O. ~~ NATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CIrry OF ZEPHYRHILLS PERMJ.'!' A.k'.k'LJ.L;A'J.".LU~ BUHDING DEPARTMENT 5335 8~H St, Zephyrhills, E'L 33542 813-780-0020 FAX: 813-780-0021 ,1 DATE RECEIVED OWNER'S NAME 5~ ~ Pi ~om JOB ADDRESS CONTACT FOR PERMITTING PHONE LEGAL DESCRIPTION: LOT(S) BLOCK I'd- - ~Co - ~ \... 061 b - Ob&OC... Dol "2.- SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY,TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION o ADDITION [JALTERATION o REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HO~ [J COMMERCIAL [J INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL DESCRIPTION OF WORK 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING !J1f?O / ! PERMITS REQUESTED ---- VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ VALUATION OF'MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME o STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO STATE CERT OR REGIST # ****************************************************************** 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 i A.' NOTI~E OF DEED RESTRICTIONS The undersigned understands that this p~rmit may be subject to "de~d restrictions" which may be more restrictive than city regulations. The undersigned assumes responsibility for compliance with any appiicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES If the owner, has hired a contractor or contr~ftors to undertake work, 'they ~ay be required to be licensed in accordance with state and local regulation~. If the cont~acto~ is no~ 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 "Gohtractor Sections" of this ~pplication for which they will be tesponsible. 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 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 STArUTES, AS AMENDED) I certify that I, the applicant, hay!;! 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 somdone 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 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 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 include 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::'compensa,ting'volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. k 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 the project will be considered abandoned. WARNING TO 0 ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT PAYING TW FOR IMPROVEMENTS 'TO --PROPERTY. IF YOU INTEND TO WITH YO DER OR EY BEFORE RECORDING YOUR NOTICE 0 $2,50 U NEED TO RECbRDAND POST A "NOTICE OF C OWNER OR AGENT MAY RESULT IN YOUR IN FINANCING, CONSULT ENCEMENT. JOBS UNDER EMENT". .------~.. SI 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 .t 20_ (name of perso~ acknowledged) [1ho is personally known to me, or (name' of person acknowledged) Owho is personally known to me, 'or o who has produced (type and wtioO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who Odid 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 ~~~~~~~~!W'JII1II1I1II1I11I1I1IIIIIIIIIIIIIIIII11 NOTICE OF COMMENCEMENT State of. Florida County of Pasco TUB tmoERSIGNED 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: ., 1. Oeser iption of Property: Parcel No. 5222 21st Street (Legal description of the property and street address ~f available) 2 . General Description of Improvement Reroof 3. O\.mcr Information: Name Thomas Engeil Address 5222 21st St. City Zephyrhills State FL 33542 Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) Rcpt: 975005 OS: 0.00 03/03/06 Rec: 10.00 IT: 0.00 Dpty Clerk Address City State 'R Contractor: Name A.BartletttRoofing of Central Florida, Inc. Address 38408 3rd Ave. City Zephyrhills StateFL 33542 5. Surcty: Name Address City . State Amount of Bond: $ JEO PITTMAN PASCO COUNTY CLERK 03/03/06 1 i : 20am 1 o~ 1 OR BK 6866 PG 616 6. Lender: Name Addrcss C i t Y :;:... State 7. Persons within the State of Florida designated by Owner upon whcm notices or o~her documents may be served as provided by Section 713.13(1)(8)(7), Florida Statutes: tJ c"': me Address City State 8. In addition to himself, Owner designates of to receive a copy of t~e Lienor's Notice as provided ~n Section 713.13(1)(b), Florida Statutes. '). ["xpi.rn1 '':''In dnte ()f n0tlce of Commencement. (t.he expiratiun d.::.te is 1 year fr~m the date of recording unless a different date is specified.) 2od. this --I-- day of Sig:1ature of Owner: Sworn to and subscri Notury Public: STATE OF FLORIDA COUNTY OF PASCO THII' IS T E ~ r-.' IS A TRUE AND CORRECT COpy OF THE DOCU~lENT ON FILE OR OF PUb~IC RECORO IN THIS OFFICE WITNESS MY Y OF My C:J:n;;lj ssion Expires: PC93053048/A ~~ 2 006 JED ~GLERK 0; ClACUIl COURT BY IY'<.-- DEPUTY CLERK A. 1Bnrtlrtt itnnfing (@f <tr.entrallJilnriika, 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- 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 3 --(- Name Address Phone , Sign: ~' ,r f ~' ,AMOlJNT yc) ,) , Bartlett THANK YOU Your Business is Appreciated, Payment upon completion unless previous arrangement made, Warranties pertain to original owner, All arrangements contingent upon strikes, aC,cidents or delays beyond our control. Owner to carry fire, tornado and other necessary insuranc, e, ;: Our workers are fully covered by Workmen's Compensation Insurance, Customer is liable for any charges incurred in collecting this bill, /., 7" {</' C1 L/ . Rotten wDod is an extra $35,00 per sheet (4-ply), RDtten fascia is $2,00 per linear fDDl. / Total I (