HomeMy WebLinkAbout14-15120 � CITY OF ZEPHYRHILLS
� 5335—8TH STREET
(ais)�so-oo20 15120
BUILDING PERMIT '
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Permit Number: 15120 Address: 5604 18TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11200-0180
Improv. Cost: 5,400.00 �'�:t � r� ..� �'+
Date Issued: 3/26/2014 Name: GRAHAM FAMILY TRUST
Total Fees: 65.00 Address: 1002 MILL ST
Amount Paid: 65.00 EAST JORDAN MI 49727
Date Paid: 3/26/2014 Phone:
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Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL
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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 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� 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.
, "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."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ais-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin --
Owner's Name �(7✓�^ f 9 �'l4`"` Owner Phone Number
Owner's Address �O� 2 ���� �� ��>c;��j• !F'� ..� Owner Phone Number �_
Fee Simple Titleholder Name Owner Phone Number � —�
Fee Simpie Titleholder Address
JOB ADDRESS � �O� ( � o �� -Sfi � Y L� � S I�" � 3 3�S Z LOT# �
SUBDIVISION PARCEL iD# � � � 2"�° -Z f 'OL�I D��i�� ZO U- U
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONS7R 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEI Q
DESCRIPTION OF WORK �`"�" r"v W /T� �t� y�-J= %� "h- �i-Cr�! �
BUILDING SIZE � � SQ FOOTAGE� HEIGHT C�
QBUILDING S � QD. `,�D VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � ( ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � `
QGAS [�] ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# �
ELECTRICIAN � COMPANY
SIGNATURE ReGis�Re� 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/ N FEE CURRE� Y/N
Address License# �
OTHER ='�.._� �� COMPANY GC'�( ��tC �.� �
SIGNATURE �`t REGISTERED Y! N FEE CURRE� Y/N
Address 11�'vk f t� ��rK !¢n fou•y � 3S' (� License# C,C C �� 7 T`�
RESIDENTIAL Attach(2)Plat 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,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facilities&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 construcUon.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs ii shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Oriveways-Not over Counter if on public roadways..needs ROW
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s���� Proposal/Contract - � � �� .
.�ceztt �Qacle�r,a� � �'�uy, �I�r.c. �
P.O. Box 1188 � 33010��>R 52 �
San Antonio, FL 33576 1'���
� (352) 588-ROOF (7663) • (813) 782-1330 �� &
� 1-866-407-0559 • Fax (352) 588-9763 ���
www.scottblackmanroofing.com
��e��� email: blackmanroofing@aol.com Date
eee os�ss�
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name Street
Street City
City State 7_ip
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:
❑ Remove existing shingle roof ❑ Replace bad fascia boards at$ per foot
❑ Remove existing built-up roof ❑ Replace 1x decking at$_ per foot
❑ Dry-in with ❑ 15 Ib. ❑30 Ib. ❑ Install feet of ridge vents
❑ Dry-in with a fully adhered underlayment$ ❑ 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
❑ Install new roof vents ❑ Install fungus resistant dimensional shingles
❑ Install new drip edge, color ❑Shingle manufacturer color
❑ Install new flashing as needed ❑ Install TPO,white rubberized roofing membrane
❑ Replace plywood at$ per sheet ❑Other:
❑ 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$
with payments to be made as fo��ows: Payment due in full on completion, 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 too close to roof decking
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 Offieer/Agent Scott Blaekman Roofing
beyond our control. Owner to carry fire,tornado and other necessary insurance Note: This proposal may be withdrawn by us if not aeeepted
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 C�ByS.
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
03/1�/2014 22:49 3525889763 _,.,_,_,,,,,.W SBR,RDOFING PAGE 01
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