HomeMy WebLinkAbout06-5749
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5749
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:
5749
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 502717 ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-21300-0090
2,340.00
5/03/2006
45.00
45.00
5/03/2006
RE-ROOF 25 YR DIMENSIONAL
Name: BAYS, JOHN
Address: 502717TH ST
ZEPHYRHILLS, FL. 33542
Phone:
J DLO
/ ,,(7 \ I I\tl'
\'- (V\ {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."
NO OCCUPANCY BEFORE C.O.
~~. - ~-~
./ CONTRACTOR SIGNATURE--- .... PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
Proposal/Contract
SCtJ-tt ~~ If!~, 1~.
P.O. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
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Date
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WORKED TO BE PERFORMED AT
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Street So Z. 7
City '""t. h, /15
State F I
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Street
City /) - 20 - 2, J - (J 6 1 0 - 2/ 300
State Zip 00 'I 0
Name
Phone Number
Zip
7 Q7... -'l 3 () I
Fax
Owner of Property
Phone Number
Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
~ve existing shingle roof ~ace bad fascia boards at $ '3'" tJ () per foot
o Remove existing built-up roof ~II 8 D feet of ridge vents
~With 0 151b. ~ 0 Install modified bitimen (granulated) torch down roofing
o In~ew galvanized valley metal black, white or other color t- )'e,b
~stall new lead boots 0 Install 25 yr. fungus resistant 3-tabshingles'12. 3 iO, 0 0
o Install new exhaust vents! 0 Install 30 yr. fungus resistant dimensional Shingl~S. :Z-"O 0 , OJD
~ new drip edge,~~':.., 1./ ~I Jc.. color 0 Shingle manufacturer bAr: co'orDlrc...h. \,Va.:)_
o Install new flashing as needed 0 Install TP~hite rubberized roofing membrane /
~ce plywood at $ if (P 100 per sheet ~r: ~ i/lJ ~ 1/ If, /; /J ct h f-! IVU A
~air rotten trusses at $ :3,0 0 per foot r 0 () ..{.- 5 yc kh. 2l. & b If-'JIM L/ o;b~
200L 6, vi)
*Woodwork is an additional charge, see pricing above _
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.
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 mannerfor the sum of $ ~ .
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.
~~ ---
./ Officer/Agent Scott Blackman Roofing
Note: This pr osal may be withdrawn by us if not accepted
within days.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The <;1~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 of this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as
outlined above.
Accepted
Date
Signature
Signature
813-780-0020
City of Zephyrhllls t-'ermlI AppllCClllUII
Building Department
Date Received
Owner's 'Name
s
S~
Owner's Address
Fee Simple Titleholder NamJ
Fee Simple Titleholder Address I
50 .1.1
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
11tt-. .5 f-
I
D NEW CONSTR D
D INSTALL D
PROPOSED USE D SFR 0
TYPE OF CONSTRUCTION D BLOCK 0
DESCRIPTION OF WORK I /l--t 1'00 I- l..A./ / t:L
BUILDING SIZE I I SQ FOOTAGE I ,/3 .5"1
111...1.""""",.",1.11111.,'11.,.1......111....11.....11111111.................11......1111.....111111.....'1..1111..11.......11...........11
JOB ADDRESS
LOT #
SUBDIVISION
PARCEL 10# 11/- L ~ - L i - 6 () I () .- 2 I 300 - 0 (} q 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
75
Y-<:'ctv
,
0 BUILDING 1$ 2 "3 YD , 0 () I
0 ELECTRICAL 1$ I
0 PLUMBING 1$ I
0 MECHANICAL ~ ~FING I
0 GAS 0
FINISHED FLOOR ELEVATIONS I
DEMOLISH
OTHER I
STEEL D
OTHER I
DI '/lA-{.//tJ' I o~ (
HEIGHT I I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
o
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
1....111........11..................'..1...11111.11...11........................1.................11....11..1111...1111.1111.11111111.111......111
7),
IN
License # I ('" C ( 0.)" 7 7')' 7
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. RequIred onsite, Construction Plans, Sanitary Facililies & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans,
....PROPERTY SURVEY required for all NEW construction.
1111111111,1111111111111111111111111111111111111111111111111111111111111111111111111111,1111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC
BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
~----- I
1'~3o (() Sa.)'2 SIH0 fiN ,of13:3 S70 I
COMPANY
REGISTERED
Address
COMMERCIAL
SIGN PERMIT
Y I N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Y/N
Y/N
Y/N
License #
I
~L'
Driveways-Not over Counter if on public roadways..needs ROW
Fences (Plot/Survey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. 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 Pasco County Building Inspection Division-licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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. Application 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 will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater 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.
US Environmental Protection Agency-Asbestos abatement.
_ Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
_ Use of fill is not allowed in Flood Zone "V" unless expressly permitted, . '
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan. addressl~g a
"compensating volume" will be submitted at time of permitting which is prepared by a profeSSional engineer
licensed by the State of Florida. .' ,
If the fill material is to be used in Flood Zone "A" in connection with a permitted bUilding uSing stem wall
construction, I certify that fill will be used only to fill the area within the stem ~all. , '
If fill material is to be used in any area, I certify that use of such fill will not adversely, affect a?Jac?nt
properties If use of fill Is found to adversely affect adjacent properties, the owner may be Cited for Violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required. , . . . .
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner ~f the permlttln~ conditions s~t forth In
this affidavit rior to commencing construction. I understand that a separate perm~t may ~e reqUlr~d for elect~lca.1 work,
Plumbing Signs wells pools, air conditioning, gas, or other installations not specifically In?luded, In the apPhc1atlo,t"" A
, , , t d t b r se to proceed with the work and not as authOrity to Violate, cance, a er, or
~:~~:i~~s~~~ ~~:~~~~n~o~fst~etec~ni~af c~~~s, n?r shall.iss~ance of a per~it pr~vent the B~i1'~~~e~~~~~11 ~~:~:~~::I~~
reql Uirintgh a corrkecti~~o~rZ~~O~Sy i;u~~~~r~~rf~r~~:~:~c~~I~:~~~ ~rx a~o~~hSe~f p:r~h ~se::n~e, or if work authorized. by
un ess e wor au . f' (6) th fter the time the work is commenced. An extenSion
the p~rmit is su:p:~~e~r~rn~b~~o~nt~: f~~ifdjne~I~~i:ll~or a ~~~iO~ ~ot to exceed ninety (90) days and will ~emo~strate
~:rifia~l~e:~:e ~o~ ~he exte~sion. If work ceases for ninety (90) consecutive days, the job is considered aban one .
CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR F~~~~ ~~~: PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT
:i~;O~I~~:g:RI~:R~V~~ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) . ,/ /./1~
CONTRACTOR.c~
OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this
Subscribed and s - to (or affirmed) before me this by
by Who is/are personally known to me or haslhave produced
Who is/are personally known to me or has/have prodUced as identification.
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped