HomeMy WebLinkAbout14-15062 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 15062
BUILDING PERMIT
Permit Number: 15062 Address: 6140 SILVER OAKS DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0060
Improv. Cost: 12,415.00
Date Issued: 3/10/2014 Name: SAMONS RALPH E & JEAN A
Total Fees: 100.00 Address: PO BOX 320
Amount Paid: 100.00 ZEPHYRHILLS FL 33539-0320
Date Paid: 3/10/2014 Phone:
Work Desc: REROOF SHINGLE
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resuiting
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� pians 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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-s���� Proposal/Contract
s�� �e���:� � ���y, ��.
P.O. Box 1188 • 330104 SR 52
San Antonio, FL 33576 1'��•
� (352) 588-ROOF (7663) • (813) 782-1330 ��d&
� 1-866-407-0559 • Fax (352) 588-9763 ��,�
wv�rw.scottblackmanroofing.com
�°°��°�� email: blackmanroofing@aol.com Date
eee os�gs�
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name >� � � � Street �
.#
Street - � �' € City
_ �;
,
City • + � State Zip
State � Zip Owner of Property
Phone Number Fax Phone Number Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
0 Remove existing shingle roof 0"Replace bad fascia boards at$ a ,"� ?.� per foot
❑ Remove existing built-up roof ❑ Replace 1x decking at$_ per foot
❑ Dry-in with ❑ 15 Ib. ❑ 30 Ib. , D install feet of ridge vents
0 Dry-in with a fully adhered underlayment$ - - ❑ Install modified bitimen (granulated)torch down roofing
❑ Install new galvanized valley metal additional black,white or other color
❑ Install new lead boots ❑ Install 25 yr. fungus resistant 3-tab shingles
0 Install new roof vents 0 Install �° `�- ' :.�`,"%�•�f"°pngus resistant dimensional shingles
0 Install new drip edge, - color 0 Shingle manufacturer - color � '
❑ Install new flashing as needed 0 Install TPO, white rubberized roofing membrane �
p p yw per sheet ❑Other. _. ` �
0 Re lace I ood at$ ` .. ,,,, :�.�r�_, � , �t Y � Y .�,r
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0 Repair rotten trusses at$ per foot �
'`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 specifi-
cations submitted for above work and completed in a substantial workmanlike manner for the sum of$ " ~ °' E ;�, �` '
with payments to be made as follows: Paymellt due Irt full 011 COmpleti011, unless otherwise noted. Thank You. '
Credit cards accepted, additional 3% charge.
*Not responsible for satellite signal when satelite is reinstalled *Not responsible forA/C&electrical lines�oo close to roof decking
Any alteration or deviation from above specifications irnolving extre costs will be � � � �y r >-,: �•- - _
�� � ,d. ., .
executed only upon written orders, and will become an extra charge over and " � �
above the estimate.All agreements contingent upon strikes,accidents or delays Officer/Agent Scott Blackman Roofing
beyond our control.Owner to carry fire,tornado and other necessary insurance Note: This proposal may be withdrawn by us if not aecepted
upon above work.Workers'Compensation and Public Liability insurance an above
work to be taken out by Roofing Contractor. Extreme caution should be used within days.
during and after construction for debris and nails missed during cleanup.
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 Proposal/Contract, which contains Florida Statues 713.001-713.37.
Payment will be made as outlined above. Client gives permission to drive on driveway to deliver materials.
Accepted ;_ , Signature
Date Signature
813-780-Q02L1 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin __
Owner's Name � / � � iy�� � Owner Phone Number
Owner's Address lG� L .S. ���'� (,'���f � `'� Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS �I L� S i l�''� '' �'� `t��.1' �% �t GL r!.. . ��1 LOT# ��
SUBDIVISION S (�c.- G�C� ��s PARCEL ID# C �Z b - Z - i:/ Z Q --c�v v O O - c O(�0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR O COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � ��;t? � 3 � -S� [„u � � � ` �
ia. :o � .. f � �
BUILDING SIZE —1 SQ FOOTAGE� HEIGHT
QBUILDING $ �Z c//C �� VALUATION OF TOTAL CONSTRUCTION
/ /
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���` Z
QGAS [� ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �J�2
BUILDER COMPANY
SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— —1
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# � �
OTHER `� �/--. COMPANY l'e � �S C�J�c�, �Gc�1� `;
0
SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N
Address ��' c�( � ,G h �
;7�v,� i> >F' S'�S`7 � License# C(�C.' u � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Faciltt(es 8 1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Pfans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facitities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construction.
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Directions. "
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A!C upgrades over sT500)
" Agent(for tl�e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
02/18/2014 21:42 3525889763 SBR ROOFING PAGE 01
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