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Home My WebLink About06-5541 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT . 5541 Permit Number: 5541 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 3,425.00 Date Issued: 3/08/2006 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 3/08/2006 Work Desc: RE-ROOF Address: 5713 6TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-02800-0090 Name: BUCKLIN, CINDY Address: 5713 6TH ST ZEPHYRHILLS, FL. 33542 Phone: J'f (J'O'lvU{j 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. " NO OCCUPANCY BEFORE C.O. ~. &~ - CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~U~ BUH.oING DEPARTMENT 5335 8TH st, Zephyrhills, F'L 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED PHONE CONTACT FOR PERMITTING OWNER'S NAME Cl~)7 5' ls (3l.-(~L{e~ to +-- "" 5 .t- PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 11- L l, - 2/ - oc..::> I <.J - o2.S--0Q- 007r6BTAIN FROM PROPERTY. TAX NOTICE\ WORK PROPSED: o NEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL DSIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY Oft OF UNITS o MOBILE HO~ o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK CJ RESTAURANT ~ ~vt/f & HEALTH DEPARTMENT AP!?ROVAL /6 5L '2 5>- 0?ar 3'.~h 0"'- '~7 ~lDjI / AAS-h.'L~ T7c) 0"," .('~-r- SQUARE FOOTAGE HEIGHT BUILDING SIZE 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. D BUILDING PERMITS REQUESTED $ -:3 Y 2 S- .- Q) VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy D 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 AREAD YES D NO [~~,-, .~L~~~ --'-,-~~~~'~~,~._~~_._.~~~-=-=---~:- ,--=~~~~'~~-- =l~~~~~~=~"-'~~~~~,'! BUILDER COMPANY SIGNATURE STATE CERT OR REGIST ft ****************************************************************** ELECTRICIAN COMPANY SIGNATURE . STATE CERT OR REGIS'l' ft ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST * ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # . ***************************************************************** OTHER ,A. V U /?,~ . COMPANY k= 7/:;tJ;.(c..);4.;>fN ~c..Jh,!.cj ./ SIGNATURE!... ~~ STATE CERT OR REGIST ,(lee 0 J7 9.T7 A. NOTICE OF DEED RESTRICTIONS Tha unde~signed understands that this p~rmit may be subject to "de~d restrictions" which may b~ 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 ~equired to be licensed in accordance with state and local regulations. If the contractor ~s 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 "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, 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. 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 Wateroourses *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 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 \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 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". ~--_. ~IGNATURE: OWNER OR AGENT . .~~ SIGNATURE: CONTRACTOR 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 per sop acknowledged) C1ho 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. Owho has produced (type of identification) and who Odid O: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 03/06/2006 04:04 3525889763 SBR ROOFING Rcpl:976680 Rec: 10.00 OS: 0. 00 IT: 0. 00 03/08/06 _____ Opty Clerk IIO'l'ICB OlP ~ PAGE 02 1111111111111111111I1111111111111111111111111111111111111111 2006046561 State of l==\O'" \ r\~ ~ C\.S C-U County of TUB lmnERSIGRBD hereby gives notic. that improvement will be ..d. to c3rtain real property, and in accordance with Chapter 713, Florida Statutes, the following inforlllation is provided in this Notice of C~ncClllcnt: \\-'Z..~ -"l..' 1. Description of Property; Parcel No. oc\O 02...~02 ..- 0010 (Le9~1 descr~pt1on of the property and street address 1f ava~lable) :2 . General Description of Improvement ~ r) ~ - ~-e....w 3. O\~ncr Infornlation: Name r\nJ....\/\ n ~ C\a.J..e...V'\ ~~J~City U~~ "(U.....\.l.~ Cl1,^~~j State ~ ~ J J"<lZ l,ddress 5\\) Interest in Property: Name of Fee Simple Tit eholder: (If other than owne Address City State i...." .. Contractor: Nolme ~.f"'IYt ~\.n.c-~1"\ ~\(\o. ,\'"I\e..... 7.0. ~'( I\~ J . Address '3~,o .o..."iL ~"L City S A-fl.J A.v-rnrv ID State Surety: Name PC "3 Js- 7!:> 5. Address City Stat;: Amount of Bond: S 6. S' .I_~Nr\r Lender: Name Address City State 7. Persons within t l"lorida designated by Owner upon whom notices or other documents may be serv d . 7!3.1J( 1)(a)(7), r orida Statutes: e as prov~ded by Section tJ;~ me StOlte Address City 8. In addition to himself, of Lienor's Notlce as provld to receive a copy of the ~n Sect~on 7 3.13{1!(b), Florlda Statutes. 'I. ~ xp..i. rn1 J.' In dft te or UCJt..i.ce ot. Conlmencem~nt. (t.he expll:"atlc.n dZ1t.e .i.s 1 rr~m the ~~t~ Qf recording u a d~fferent date is specified.) year Sig:1ature of Owner: ~J~fY (,?r- ~/V-- before me this ~ day of 7n~ Sworn to and subscribed 20~. Not.lry Public: ~J,j, ~~ My C;:l:!1onj ssion Expires: MY COMMISSION' 00 323041 EXPIRES: June 19, 2008 IlcndId lIIu NolIIy PuIlIIc UndtrwrIlIII PC93053048IA STATE OF FL(JF,IDA COUNTY OF PASCO THIS IS TO CERTIFY n' TRUE AND CORRECT COpy OF ~T THE FOREGOING IS A OR OF PUBLIC RECORD i~1 lH/:JE DOCUMENT ON FILE HAND AND~CIAI s.; '. C OFF/CE,.J.1(1.TNESS MY ---.th~ - ,U\1. TH'S~ DAY OF JED ?n1MA ..', .--- 2QQ.~ BY -UL..~':' "R,fUIT COURT (J (J - --:<:f__ DEPUTY CLERK SLo (,.Irn 0.......0 ;;a ~"'O OJ ....... o-l ~ S-4 en-4 ens~ 03~~ - 1.1:0"'0 ..... ....a :D (JIg (II n o ... "'0 n Cl 0 oC: J-la'" ~ en ...-< sP rr ~ 7 03/06/2006 04:02 3525889763 SBR ROOFING PAGE 01 --....--..---.- Proposal/Contract S~ ~~ '1!!tuJ./Ut9, 11eC. P.o. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) S88-ROOF (7663) · (813) 782.1330 Fax (352) 588~9763 email: blackmanroofing@aol.com WORKED TO BE PERFORMED AT .4ee.."elll. B...ttett " 1."..ec Date ;?,/ 7 /0 ~ :: ~;1~ r. /:~:., City -Z t pAy ,,"k II)" Slate Zip Phone Number J( j -(,,1/ 9 e~i "' -z-r cxr We ~'propose to furnish all the materials and perform all the labor necessary for the completion of: ~move-existing shingle roof 0 R~place bad fascia boards at$ per foot Q ~ existing built-up roof. oInstall dU~eet Of ridge vents ~ Dry-in with CJ 15 lb. ~ 0 Install m.?dified bitimen (granulated) torch down roofing o Inst,!!! new galvanized valley metal bl.~9t(,-White or other color ~all new lead boots Qi';;stall 25 yr. fungus resistant 3-tab shingles o lnsla.11 new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles ~;'II new drip edge, color 0 Sh~manufacturer color U Install new flashing as needed ~tall TPO, white rubberized roofing membrane o Replace plywood at $ per sheet [J Other: . CJ Repair rotten trusses at $ per foot *Woodwork is an additional charge, see pricing above Street City state Zip Owner of Property Fax Phone Number Fax All material is guaranteed to be as specified, and the above work is to be performed is accordance with th_e ~rawi~d specifica- tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ 3. 't L6~ J with payments to be made as follows. Ply:ment due in full on completion, unless otherwise noted. Thank You, Credit cards accepted, additional 2.8% charge /~~~- .''''/ ~ Officer/Agent Scon Blackman Roofing Note: This proposal may be withdrawn by us if not acceptec within . days, Client gives permission to drive on driveway to deliver materials. Any alteration or deviation from above specifications involving extra costs will be executed only upon WIt"en orders, and will become an extra charge over and above the estimate. All agreemenls contingent upon strikes. accidenls 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 worle. to be laken out by Roofing Conlractor. ACCEPTANCE OF PROPOSAL The l.'l~ove prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back 0 this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as outlined above. Signature Accepted Date Signature