HomeMy WebLinkAbout06-5554
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5554
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 13,922.00
Date Issued: 3/10/2006
Total Fees: 100.00
Amount Paid: 100,00
Date Paid: 3/10/2006 Phone:
Work Desc: 26 GUAGE METAL ROOF OVER EXISTING
5554
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5019 18TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-21400-0100
C OK-MARKS, VIR INIA
5019 18TH ST
ZEPHYRHILLS, FL. 33542
813 782-2940
< t~~O;-
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.
~~
R SIGNAT PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
JAN/24/2006/TUE 09:07 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P,002
CI Y OF ZEPHYRHILLS PERMIT APPLICATION
aUI ING DEPAR~N~ 5335 B~ at, ~ephyrhi1181 FL 33542
,813-780-0020 FAX:B13-780-0021
.J PATE ro:CEIVEP
PHONE GONTACT FOR PERMITTING
OW~ER' s NAM~JI;K~NIIt e{l)t - bJf.WZ,1)S
. .
JOE ADDlUlSS ~t;bIQ m r!!. S-.. .
PHONE .R'l3. JK"- ~ aq"o
LEGAL PESCRll?TIO~: LOT (S) _ /0'.. I :3 .~ BLOCK ,;}JlI
PARCEL ID Jt ./L' ~/#',:u, txJ.l.D .;lJI.IfYJ' 0(00
SUBDrVISION
WORK PROPSED: [JNEW CO~STRUC'l'ION
Ds~ .
PROPOSED USE: ~GL FAMILY DWE~tING
o COMMERCIAL
o APDITION
(OeTAIN FROM P~QP~RTY,TAX NOTICE}
o ALTERATION 0 REPAIR ~STALL
o MOVE
o DEMOLISH
OMULTI~F1\MIL'l
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBIL)!: HOM
o OTHER
"
r=J REST~ORAN'l' & HEALTH DEPARTMENT AP~ROVAL
",
.
DESC:RIPTIcm OF WOlU{ ~'l;uA6a hY.::nK. Ih::::a;::::.
BUILDING SIZE _
SQUARE: FOOTAGE
HEIGHT.
RESIDENTI~L: ATTACH (2) PLOT PLANS & (2) SETS o~ BUILDING PLANS & (1) BET ENERGY FORMS.
COMMERCIAL: ATT1\.CH' '(3) SETS OF BOILDlNG PLANS & (1) SET ENERGY FORMS.
It SIGN PERM~T ONLX (2) SETS of ENGINEERgD PLANS REQUIRED,
PROPERTY SURVEY REQUIRED fOR ALL NEW CONSTRUCTION,
PERMITS REQUESTE~
o BUILDING
G)..;),
$ I 3 q. . OD_ V}\L~ATION OF TOTAL CONSTRUCTION.
. .'
o progress Energy 0
W.R,E.C.
o ELECTRICAL
o PLUMBING
o MECHANICAY
o GAS ~OOFING
AMP SERVICE
o SPECIALTY
VALO~TION OF MECHANCIAL INST~LLATION
o OTHER
~E~L
. 0 OTHJ!<R
$
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
o FRAME
IS PROJECT IN FLOOD ZONE MEAD YES 0 NO
SIGNATUR
COMPANyW/Ni})W !5ufJPLI/ Ilye!-
. . STATE CERT OR REGIST t (!~.(YJ/X'(p,L,)
~**********~****~*****'/I~**********************'/I**** I.
:BUILDER
:mr.IlC~:RJ:CI.1Uf
COMPANY
SIGNATURE
. .
STATE CERT OR REGIST #
******************~*********'/I*************************************
p1..UMBli:R
COMPANY
SIGNATURE
STATE CERT OR RreGIST *
'/I * '/I * * * * * * 0/1 * * * * * * 0/1 '/I * * * * 'It * '/I '" '/I * * * -* '/I '* * * * * * * .. * *,* * * * * * *"* '* * *.. * * *:* * * *.. * w * '/I
COMPANY
:tdEC~ICA!.
SIGNATURE
STATE CERT OR REGIST #
**********'/I********W**********W****~**W*********W****************
O~lllill<
COMPANY
'.
STATE CERT OR REGlST *
5I~NATURE
JAN/24/2006/TUE 09:07 AM
ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 003
A.' ~OTIGE OF DEED RESTRICTIONS
trh~ .und8Tsigned understands that this permit may be subject to "daed re::ltriction::l" which
may be more restrictive . than City reg{llat'iohs. the underl;ligned aasumes responsibility'for
.oompliance with any applicable deed restrictions, .' .'
B. UNLICENSED CONTRACTORS .AND CON'l'RACTOR RE:SPONSIBILITIES
If .the owner. haS hired acontraotO;I;' or contr<;\$,Jtors to undert.ake work, 'they may be required
to be licen::led in aocordance with state and focal regulationil.. It the cont'r:.'actor is nO,t
)..ic8psed as J:"equired by law, both the owner and contJ:"actor may"be cited for a misdemeanor.
violation under s~ate law: If the owner or inten~ed contractor are uncertain as to. what
licensing requirements may <Olpply for the iritended work, they are 'advised to contact the
city of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner haB hired a contraotor or contraotors, he i::l advised to have th~
contractO;t:' (s) ::Iigppo;r;-tions of. the. "Contractor, sections" of. this applioation for which they
.will be responsible, If yciu,' .as the owner 'signs astheaontractor, 'you a-re indicating that
you~ rather than the contractor, are re$pansible for the work, ,If the contractor wishes
you to sign as contractor tnat maybe an indication that he is not properLy'lioensed and is
not entitled to permitting l?ri'vil,~gesinthe City of ZephyrhiUs.
C: TRANSPORTATIbN IMPACT FEES AND OTILITY CONNBCT~ON .FEES '
p. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIPA:STATUTES, AS AMENDED)
I certify that!, the applicant, hay~ b.el!m provided with a: copy"of "Florida's Construction
lien :i:;aw _ Homeowner's.!?rotection Guide" prepared' by the Florida Department of Agriculture
and Con::lumer Affai~s. If the applicant. 1::1 someone other that the "owner", I ceri;Ey that I
ha've obtained a copy' of the above described document imd prom{se in good ;Eaitb 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 accu~ate and that all work will
be done in oompliance with ,all applicable laws regulating construction, zoning, and land
development. .'
Applisation is hereby made to obtain a'permit to do work and installation as.indicated, I
ce~tify that no work qr in::ltallation has commenced prior to issuance of a permit and that
all work wiil b~ performed to meet sta~dards of all laws regulating construction, City
code::l, zoning regulations, and land dev~lopmerit regulations in the jurisdiction. I also
certify that IunderBtand that the'regulations of other governmental agencies may apply to
-the intended w~rk, a~d that it is my responsibility to identify what actions I must take to
b~ in oompliancB. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cyp~e9saayhead5, Wetiand Areas and Envi~onmentally sensitive
~ands, Water/Wa::ltewater Treatment ' . .
*Southwest Florida Water Management District-Wells, Cypress Bayheads,'Wetland AreaB,
Altering Wi:l.tercoursB5 ' . ... .
*Army COrp::l of Engineers-Seawalls, Docks, Navigable'WaterwaY5
*Pepartment of' Health & Rehabilitative Services, EnviroPffiental Health Unit-Wells,
Wastew~ter Traatment,Septic Tanks' ..
*U.8. Environmeptal Protection Agency-Asb~stos abatemen~
I also certify t'hat, if fill material is. to pe used in Flood Zone "A" or "A, ete. ", it is
understood that a drainage plan add~eBsing al:compen::l~ting volume" will be submitted which
i::l prepared by apro~essional engineer registsred in the state ot Florida prior to permit
issuance. ~.
A permit il;ll3ued shall ,be ,conatrued'~o'be a licen::le to prQceed with the work a.pd 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, c.onstruction, or violat;i.ons of ~ny code. Every pe;J;"mit I
is::Iued shall become invalid unle~~ the work authori~edby such permit is cOlnmenced within I
siX months of issuance, or if work authorizedbyths permit is Buspended or aband~ned fOr\~
peri~d of six mo~ths i:l.fter the time,tpe work i~ commepced. Ooe 90 da~ extension of time i
may be allow@~ for the permi t with fee charge of $15.00 '. The extension shall b~ requested'i
in writing to the BuildingOffioial. An approved inspection must be logged during each si~
month period, or the project will be considered ~bandoned.. .
WARNING TO OWNER: YOORFAILURE TO RECORD A 'NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
~AYING TWICE FOR IMPROVEMENTS 'TO'YOUR P~OPERTY. IF yOU INTEND TO OBTAIN FINANCING, CONSULT
wiTH YOUR LENDER OR AN ATTORNEY BEFORE RE~ORDING YOUR. NOT~CE .OF COMMENCEMENT. JOB~ UNDBR
$2,500 IN VALUE DO NOT NEED TO RECQRDAND PO-5T A \'NOTICE OF COMMENCEMENT".
.~~ SIGNATURE' CONTRACTOR
STATE OF FLORIDA. .. _ /
COqNTY OF . ",,.p.m!!L-, . .
The foregoing instrument was acknowledged
.:~~:-~J~hi<~~ d!YOf (nMM ,2o!)J,
~~ (name' of person acknowledged) ,
"""'who is per::lonally known to nie,-'o:r:
Owho has produced
(type of identifica.tion)
andAoD did Odi~ottye an oath.
ulj/L LQd~
Signature of .person taking acknowledgement
STATE OF WDORIDA
COONT~ OF
The fotegoing instrument was
Before me thig ~ay of
by"
acknowledged
" 20_
(nameot person aCKno~lectged)
[1ho is personally known to me, or
Dwho has produced
(type of ideptification)
and who Ddid [J::I.idnot talee an oath
Si9natu~e ot person taking acknowledgment
"
Name typed, printed or stamped
Name typ~d, printed or ! B~.
. ~~~o;
O,f\:
tl'6;:-~ :"-;~:;::ile of Florida
AIii' /. :()"
MvC'm>T"SSCon 00452959
Ex,)!re:, .1/.2012009
......-.-..--.
"."a'~""".""~_~",____
TIUs Instrument Prepared By:
Record & Return To:
Window Supply, Inc.
Post Offic~ Box 830157
~Ia, Florida 34483-0157
Tax Folio Number 11.~Io.~J. OOJO':V~{)() .0) DD
Notice Of Commencement
111111111111111111111111111111111111111111111111111111111111
2006048904
Rcpt.: 977485
DS: 0. 00
03/10/06
Rec: 10.00
IT: 0.00
___ Dpty Clerk
State Of F10rir
County Of)Cl4..ct..9-
JED PITTMAN~ PASCO COUNTY CLERK
03/ 10/06 1~ : 51Pm 1 of 1
OR BK 687~ PG 1272
THE UNDERSIGNED Hereby give notice that improvement will be made to certain real property, and in accordance with
Chapter 713,13 Florida Statutes. the following infonnation is provided in this Notice of Commencement.
1. Description of Property: ;2N />11.3 I P4.S7-1 ~ 10 11> 13 /NCl- 8t.J4 ~ ~8 ~ As ~~~
2. General description of improvement: Metal Roof Over
R
3, Owner infonnation:
a Interest In~: Fee S~ple r1t1ehol~~r
b,Name: \,rf,"U~ R..,~. f))ft, ,....~~ .R/J -5 3S~~
c. Address: t:ffo,C{ - 1~.g.U" 77 ?/- - --- / r-e~
4,Contractor.
H. 1. McDonald, Jr, or James Gardner Strickland
Window Supply, Inc,
Post Office Box 830157
Ocala, Florida 34483-0157
5, Surety: Not Applicable
6. Lender:
a, Name:
b, Address:
7, Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as
provided by Section 713, 13 (1 2)(b), Florida Statues:
8, In addition to himself: Owner designates the following person(s) to receive a copy of Lienor's Notice as provided in
Section 713.13(l2)(b), Florida Statues:
9. Expiration date of notice of commencement
2006,
~
<:::.
n\~8
Sworn to and subscribed before me by
Drivers License, number . .~ () -, ~
who did not take an oath, this () '7 day of
~'
'I ....
NotaryPubIi~ ..... ,~-
Printed Name: Dan 0
Commission Number: DD446479
Commission E:\.']>iration: July 10,2009
tt..' who produced a Florida
date of birth <is - ~ ij -II , as identification and
,2006.
NOTARY PUBUC-STATE OF FLORIDA
~ Dan Fordham
Commission #DD446479
Expires: JULY 10, 2009
Bonded Thru Atlantic Bonding Co., Inc.
,--A-eORD CERTIFICATE OF LIABILITY INSURANCE \ DATE (MM/DDNYYY)
TM 02/03/2006
PRODUCER (352) 732 -45 50 FAX (352)732-0132 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lossing Insurance Agency, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1724 SE 17th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Oca1a, FL 34471 INSURERS AFFORDING COVERAGE NAIC#
.
INSURED Wi ndow Supply Inc INSURER A: Scottsdale Insurance Co
DBA: National Homecraft INSURER B: Owners Insurance Co 32700
PO Box 830157 INSURER C: Bridgefield Employers Ins Co
Ocala, FL 34484 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDIYYI Pg~fl IMMlDDtrii. LIMITS
GENERAL LIABILITY CLSll09304 02/08/2006 02/08/2007 EACH OCCURRENCE $ 1,000,00(
X COMMERCIAL GENERAL LIABILITY ~~~~~is lEa occurence\ $ 50,00(
I CLAIMS MADE m OCCUR MED EXP (Anyone person) $ 5,00(
A X $2500 BI,PD,P&A PERSONAL & ADV INJURY $ 1 , 000 , 00(
Deductible GENERAL AGGREGATE $ 2 ,000 , 00(
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00(
-xl .n PRO- n
X POLICY JECT LOC
AUTOMOBILE LIABILITY 4625240301 02/08/2006 02/08/2007 COMBINED SINGLE LIMIT
I-- (Ea accident) $
ANY AUTO 1,000,001
T ALL OWNED AUTOS BODILY INJURY
I--- (Per person) $
X SCHEDULED AUTOS
B ~ HIRED AUTOS
BODILY INJURY
I-- (Per accident) $
X NON-OWNED AUTOS
~ $500 Comp Ded PROPERTY DAMAGE
I-- $500 Col1 Oed (Per accident) $
X
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=::J OCCUR D CLAIMS MADE AGGREGATE $
$
r=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 830-34542 06/01/2005 06/01/2006 X I TORY LIMITS I IV~R'-
EMPLOYERS' LIABILITY
C ANY PROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $ 100,00
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100,00
If yes, describe under 500,00
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Qualifier Name - James Gardner Strickland, Jr
State License Number CCC 1326725
Qual ifier Name - H J McDonald Jr
State License Number CRC 001864
City of Zephyrhills
Building Department
5335 Eight Street
Zephyrhills, FL 33540
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
--10.- DAYS WRITTEN NOTICE TO THE CERTIFI
BUT FAILURE TO MAIL SUCH NOTICE SHALL lOSE N
CERTIFICATE HOLDER
ACORD 25 (2001/08)
Kim Sheffi