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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 .4 te.eft,fI,ee(,. ~ tJ,ft,e(,ee(, & 1ft,fI,,,,,,,,ee(, Date ilzS70 b WORKED TO BE PERFORMED AT 'c..l Street So Z. 7 City '""t. h, /15 State F I ~ 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 I11111111I11111111111111111111111111111111111111111111111111111"1111111111111111"11111111'11111111111111111"11111111111111111111"'111111111111 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