HomeMy WebLinkAbout06-5540
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5540
Permit Number: 5540
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 7,970.00
Date Issued: 3/08/2006
Total Fees: 70.00
Amount Paid: 70.00
Date Paid: 3/08/2006
Work Desc: RE-ROOF
Address: 6320 SILVER AKS DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-012A-00000-0170
Name: FRERKING, ROBERT
Address: 6320 SILVER OAKS DR
ZEPHYRHILLS, FL. 33542
Phone:
Ili:J
\(\ ~) \r
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 PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
C1rry OF ZEPHYRHILLS PERM.l'.1' Al'l'.LI.LL.;.a'J:.LU1'f
BUI;LDING DEPARTMENT 5335 BTH St, Zephyrhills, FL 33542
813-7BO-0020 FAX:B13-7BO-0021
DJ\.TE RECE IVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
:20 bey 1-
~~2o
~evk(l~
S l l.ve.-v b ~ \L.-<;.
PHONE
JOB ADDRESS
:Dr
LEGAL DESCRIPTION: LOT(S)
PARCEL ID it D '3 - L ~ - L J
BLOCK SUBDIVISION
. __ 0/ 10
01 LA -60000 (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: 0 NEW CONSTRUCTION
Os I GN
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 HO~
o OTHER
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APpROVAl,
~Vb\J f- "5 S- 51
wI
,
;s ~ vcc;.." . Clt-F T",1A 6-{v Ir'vu.
/
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.
o BUILDING
$
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: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AHEAD YES 0 NO
""~'~-"'''''''T~-t-..,...","" __~ ___~~_____...., .~,_~__~,__ _ ~ _,_____~_+......___~-_- ------y - ,-- --- -- - - --...____..-__~___,,_IT,.,...,..,...,~
If; r I I , 1 l I I I I I, ' ,(I
WI I 'J t I' I i I t ~ r - : It' I I I I ' ~ 'I '111)
II'_......~_~.J..O ~_~_---1...-__J..:.J..._____~___~._____.:_ ~----------- ~-- ---~~~~~-~~+, '
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIS'!' it
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER A () u -A:J COMPANY Sf 0 Irt:; /ttcjurl..-" # tf.-.v v +-. ~ 'l-rd...
SIGNATURE ~ __ STATE CERT' OR REGIST # (C ( Or77J/
A.' NOTI~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 contr~~tors to undertake work, . they may be required
to be licensed in accordance with state and i~cal regulation~. If the cont~actor 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 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 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, haYf;! 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 appLi.cant 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 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 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, 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 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 Flo~ida prior to permit
issuance. ~
A permit issued shall ,be .construedto 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 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'INOTICE OF COMMENCEMENT".
~
SIGNATURE: OWNER OR AGENT
---:...~-.
'A~
SIGNATURE: CONTRACTOR
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 persor 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 wlioO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid D:l.id not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
1111I11111111111I1111I11I111111111111111111111I111I111111111
2006046562
Rcpl : 976680 Rec: 10.00
OS: 0. 00 IT: 0. 00
03/08/06 __~___~ Dpty Clerk
S tat e 0 f ~\ c)\[ \.00J.....
County of
JEO PITTMAN, PASCO COUNTY CLERK
03/08/06 02: 47~ 1 of 1
OR BK 687:> PG 161
~s~~-O
NOTXCE OP COMMENCEMENT
THE (mOERSIGNED hereby gives notice that improvement will'be made to czrtain
real property, and in accordance with Chapter 713, Florida Statutes, the
follo~ing infor~ation is provided in this Notice of Commencement:
1.
Descr iption of Property: Parcel No.
&: 32-0 S -<.t/,G~ (l v<: 6" IJ.<-
(Legal descr~pt~on of the property
o ;3.---<& -.<./ - tJ/z,,4 -00000 _ 0/ /0
2 .
General Descript10n ~ Improvement
;r('';':::~A-4<:...~ {j;Jd./ ~t'"p./p;lt- ./ {;)-Or=/4 b
3 .
O\vncr Information: Name ~dJce;.wl(.
l\ddress ~'.32.o S;~I/,6L.tJ.4k.~ ~'<:-City
dvP!446/.E ~/c..~
;(E 4Ir ~~"-~
OtdN6~
~
/ ~..r-r
r/"
State ~
31,<16
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
Stilte
Contractor: N.:lme ~~
. --:J?o, ~ h~~
Address ;~~t)\t)::\~ ~~
Address
'\D\Q~ 'Lm~f\ ~~\."'~.. \ "(\.~-'
City ,gAW Ay\l-rcrVIO State -fL
fS-lt,P
5. SlJrety: N.:lrne
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcrn
notices or o~her documents may be served as provided by Section
713.13(1) (a) (7), Florida Statutes:
tJc:mc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(11(b), FlorIda Statutes.
<). r-xp..i.rnt J.'Jn dnte or rlot.lce of Comm~ncement (t.he explratlcJn date is 1 year
fr~m the d.:lte of recording unless a different date is specified.)
Signature of Owner: ~L2. 7!f2~~/ 7T-~
Sworn to and subscribed before me this fJ77I day of MARCH
20~
PC93053048/ A
.
Notary Public: ~ ;~ ~..:....~
My C "~," s sian Expire : '1a...-.-' /~. · .2=,;;
~CW"~ K.N'~ 7"Z> IU~
f?4$CO Ca.eA.rTy / r-,oR.t'l>A
"''':';:,''''' Jeffrey fodd Reutimann
t~~~-:.-;. Commission #DD159234
=;:. ~.::~ Expires: Nov 15, 2006
-;',,"~'.' .~~" Bonded Thru
"',~flr:;,," Atlantic Bonding Co., Inc.
Proposal/Contract
SC6tt~~ ~~, 1HC.
p.o. Box 1188
33010SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
J! tc,e",4-etlt.
g tJ.",tltetlt &
'I", 4-"-'" e tit
Name
PROPOSAL SUBMITTED TO
e-v-f P Y"e;r L,',:;
63'- 0 s. IIJ~'" (JAil f
"2 Jl/gr
FJ
Datej/Pb
WORKED TO BE PERFORMED AT
Street
City
St~e Z~
Phone Number '779 - r ') 7 fa
Fax
We hereby propose to furnish all the materials and perform al!Jhe labor n~cessary for the completion of:
~ove existing shingle roof ~place bad fascia boards at $ ~ [) J per foot
o Remove existing built-up roof ~I C () feet of ridge vents
~With 0 15 lb. ~.. 0 Install modified bitimen (granulated) torch down roofing
~ew galvanized valley metal black, white or other color
~~w lead boots 0 Ins~ yr. fungus resistant 3-tab shingles
I31iiSta.II new exhaust vents err;;;tall 30 yr. fungus resistant dimensional shingles
Er1ii'Stall new drip edge, 61 ~ t--/ AI k color 0 Shingle manufacturer color
o Install new flashing as needed
~ace plywood at $ 'I (!). 00
0Repair rotten trusses at $ '-/. oLl
per sheet
per foot
o Install TPO, white rubberized roofing membrane
o Other:
*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 manner for the sum of $ 79 7 cJ ... 0 0
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 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 posal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as
outlined above.
Signature
Accepted
Date
Signature