HomeMy WebLinkAbout14-15128 � CITY OF ZEPHYRHILLS
� - - 5335-8TH STREET
i . • (813)780-0020 15�3$�
BUILDING PERMIT - �
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Permit Number: 15128 Address: 38610 TRELLIS AVE
Permit Type: RE-ROOF � ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1440
Improv. Cost: 6,600.00 :�� : ;
: .�� x
Date Issued: 3/26/2014 Name: MOREY JANET
Total Fees: 70.00 Address: 38610 TRELLIS AVE
Amount Paid: 70.00 ZEPHYRHILLS FL 33540
Date Paid: 3/26/2014 Phone: 8137827468
Work Desc: REROOF SHINGLE
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TAPE JOINTS, OOF IN P,
FINAL —
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when e�ctra 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
; �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
, CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� -
03/17/2014 03:48 3525889763 SBR ROOFING PAGE 01
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��/-��y Rcpt:1�83546 Rec: 10.00
^ ( ��� 1vQTICF OF CO �1E'NC �E� OS: 0.00 I T: 0,00
Perr�itNo. _ , 04/03/14 E. Mun9ui�, Dpty Clerk
Properry idcntitication No. 3�S- �S�� � -- (�j s�} -0(�0(9Q .. �y� �
Ti�T�UNDERSIGNED hereby gives notice that improvcments wiU be made to certain rcal propGrty,and in aceordnnce with Section
713.I 3 of the 1�lorid`a�Sta�tu�t¢s,the following m r�at�on is vided in thc NOTTCE pF COMII�NC
��(�e.¢x.- p�'� '� �5 � .'.� �� �! ^ a � r�4[�QD ���b
1. Desc�ip on of ptop (legR!deac�o�i: e� � / a Q f� � � �
a) Suea Address: �.3 - �j
2. Gc aQl des 'ption of ii»provemenls V� �1' � S'�(�
3. 4wncr 1 nrmatiun �
a) Name ared address:� , p � (,� � ! � � G5, �
b) Name and address of i'ec situple tit�eholder(if other tham owner)
c) Interest in properry,,,9w�Cr �` ������U�
4. C�ntractpr inforniation SQptt �(� � •
� a) N�n,e�tnd addtcss: -
b) 7alCphone Np.: 5 ' ���$�
5. Surety Inforrn,ati�m
a) Name and addness:
U) Amount.of$ond;_ '
c) Telcphdne No.: Fax No.(Opt)_�
6. (.�nder ` `- - .
a) Name m�d addres,:
7. IdentiCy of per.Son withm the Statt uf Flprida designateci by owner upon whom notices or other documents�nnay be se�vecl;
. a) Namc bnd address:
b) Telephonc No.: Fax No.(Opt.) ��� � � "
x• Xax additioa to k�imsclf,owner dcsignates t�xe foliowin -"�' "�
713.13(1)(b),F l a r i d a S t a h l t e s: �P��on to receive u copy o�t6e Lienar's Notice as pibvided in Section
a) Name and atldr�s:
b) Telephon.e No.: �ax No.(Opt.) .
9. Expiration date of Nptiee of Cornmanccn�e�tt(the expiration date is one yea�r;from the date of irccordin�unless a differeqt date is
cpeci�ed):
WARNING Tp OWNER:ANY PAYMEr1'�'S MAbE$V�'��OWN��t AF'I'ER TH�EXPtRATiQN OF THE NpT.[C�OF
C01v�l�ENCEMF1�tT ARE CUN5ID�RED IMPROPER PAXMENTS IJND�It CFiAPTER 7X3,PART l,$�CTION 713.13,
F1.OR1qA STATUTES ANp CAN RESU�,T iN VUU�t�AYING TWiC�FOR IPROVEMEN7S Tp XOU�t PRqPERTI(.A
NOTiC�O�'COMIN,EI�TCEIK�NT MLiS'�BE I2�Cp�t,AED AND POS'�ED ON TH�JOB SCI'�BFFCIRE'�F1RST
IlYSPECT�O�I.TF Y'OU Il�i'�'ENb TO p/3�',rA,T(Y FINANCx1VG,C(1N3UL'�'XOUR Y.�1�I�ER OR AN ATTORN�X�EFOR�
CUMIy.�NCING WOR�OR RECORA�TG YOU N��CE OF COl►��NCEM�N'�.
STATF.pF�I.ORIDA .
COUNTy OF pASCO
Si nu� Owner or Owner' horizaf O�ccdDi ec Anas�
��o r�'a �ro W �,
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Tho 1'oregui�ng instnuncnt was sckqowledged beFore une tGis _day of YC�._ .Zp�by • /�/ j„�
./w�vL I�"t•it��� •� ��Yp�aFauthority,c.g,o�3iC6r,mfstee,artorney in faCt)for
('name of pany on bchalf of whoro i�tstxu:mcnt was cxecuted).
b���a�all Known UR Produccd tdend�ication� Notary$ig��ature� �'
'0-a��'r�3o--7 a.s�^a � C
T of Iden�i�catson oduced_ fL p I., � Name(prinq, V C,o� C /3 (q e��Y14�t
V'ecitiCalion purauant M Scctiun 9:.�25,Floridx 5tatutec,Undu�prnalHes of pery'ury,I decla�dtst I hsve r¢ad tk�e furCgoing and thsl the(acls slated
in it are true to tha Acsl of my knowlcdge ae�d yelxef. _ "�f
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'�tina�urc o1'N�lural Pa� a�,g;�y,in�TI,Mve �--�
�ott c euc�t�uw � ��
Uofary AWIk•iU1q Of NOrid� .
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C���EE M,77� �RULA 5.0'NEIL,Ph.�.PP5C0 CLERK & COMPTROLLER
�eiMN 1l�tapM IM�nM NOUr�MM, 04/03/14 2 m 1 of 1
o� BK �0�5 PG 19
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�-�fifi-A47-U559 � Fax (352j 58$-9763 �„e�r��,+'
www.sc+attialackmanraafing.com !
�°���°��a�t�� email: bl$ckma�rc�ofing�avl.com �,kQ r� t � (� � ��
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FR�POSAL�UBMITT��T4 1/�ORK�D TOV��(�����RA+i�d AT
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Phon�t�umbe� `��a� 7���;},�;�7:�-F�x Phr�rte Number,,.,y_ Fax
�'_',(�r'�-�tn.c._"� ��d�i a��..r �'�U��.�.� �.�.r�'rC 4�c r��� . C C?► _ .
W�he:rc�by pr��a�tv furni�#�atl the rrtaterials and portorrr►ail ttie labor necessary far the campl�fiar�of;
hl�Reirtove existinr�shingle roof �_ �C:����,�� �ReP�c�bad fas�(a boards at$_. ��, a� per foa#
�l RemovQ�x�sting built-up rc�fi ❑Repbre 1x deckirtg at$� p�f�t
t�kC�ry-in with ❑-15 Ib. �3� Ib. �tr�sl�lt�feet Qf ridfle vents
❑ory�n wiEh a fully aclhere�t underlayrnent$___ D Ir�st�li modEe�d E�(timen(gra�ulated}torch down raofng
l�lnstall near�aluanized valley metal "�`'`�°"°� bfack,avhite dr other�olor
O insi�ll new lead)xools � ��--
`�!fnsiall neav r�a�vbr:ts f$�Inst�l! �+r���iG�'��.���'�`"�un�us resislant d3►n�nsional shingfes
�1 tnstaU n�±sn+drip edpe, �`+ c.,� h� 7�r�5lar 0 Shlttc�Ee m�nuf�cturer _color
0�nsi�lt new f�ashing as neaded O Ei�statl TPO,white ruBbe�ized roafing inenibrane
{�1 Replace ptyv�oad a#� �f .�;.�''�per shc�e! C��tltet; ��,� r�t<< 1 t��y.t�'�,,.L� c�.�'C.�e4 :
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�1 F�epair raften trusses�t�_..__? �c�L'3 p�r Poai t.c� r"1�� ��c�ti �ti t��7 i
"Wvodwark is an addltiona!char�e,�ee prining aErove �C �� r�s,r��f � i A�4,i v � h+rG� �'t•�.,.`�; � �
� �� _ . ���._.__:...�_'�_ !
All materi�l is guar�n[eed to be�s spe�FFi�d, �nd ths a6ov�wQrlc is ta be pQrf+�rmed is a�acdance with the drawings and speclfl- �
�tlons subm[tfed forabo�e+,vortc and completed in a&�bstantia!Workm�nllke mannerfor�he sum Qf$. ���,.� �
wilh paymsnts ta b�made as fallows:.�1[ffi��.t due in fu1C On complet��t�, unless othen�►ise nuted. T�rank Yqu. ' '
-------- Credit cards�acepted,addifit�nal 3°l4 ch�rge. �
i
''Not responsible for satellite signal when sate(ite is re(nstalled 'Not responsible forA/C&elecfricat linas toa c�Ose to roof decking
Any aNerafior�or devietion from alwve sped(iptions imohinp extra cosis will be ,r'�� �, ,e
exea�d only upon w�ittan ordera,and will beoome an extra d�erge over and �.-C,u ti, �,.�,�.—
above the esd�te.All egreements cor�tingent upon atnkes,�ra�or daiays O�cedAgent Scott Blackman Roofing � �
bayona our ca�md.own��o�Ry rtro,��„aao a„d at�r„�a,y;r,�„r�n� IVote: This proposal may be wifhdrawn by us if not acce tec!
upon above work.Workers'Compensation and PubNc Ltabi�ty insurance an ebove p
work W be taken out by fZoofmp CoM�o� Extremeceutlon ahould be uaed �yj��n dayS.
durtng aed a(ier construction for de6Ns and aails mEssed duting cleanup.
i
ACCEPTANCE OF PROPOSAL
The above prices, specificatians and condttions are satisfactory and are hereby accepted. Yau are authorized to do
the work as specified. t have read the back of this proposaUContract, which contains Florida Statues 713.001-713.37.
Payment wiq be made as outlined above. Client gives permission to drive o driveway ta deliver materfals.
Accepted �7��C, Signature•.
Date--������ r�,; 6 �`� Signatur
a�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � � ' Phone Contact for Permittin --
Owner's Name � Owner Phone Number
r�
Owner's Address � �o � �����5 � �' Ovmer Phone Number
Fee Simple Titleholder Name � Owner Phone Number �
Fee Simple Titleholder Addresa _�
JOB ADDRESS ���t(� �" \� S ��`�. ` � LOT# �
SUBDIVISION ���h� U � ���+-�_ PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �t-�f d C�`, � ;;,,`-:�S��-�Y Q — \��•-�������.�� �� � �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � �� � �
QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
OGAS ROOFING Q SPECIALTY � OTHER � ���Gry � C�G
� �
FINISHED FLOOR ELEVATIONB FLOOD ZONE AREA QYES NO � �
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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/ N FEE CURRE� Y!N
Address License# � �
OTHER !R }"}_ � COMPANY �Cc7'C���l:�i�.,�w.-r,�-�.� � �
��^ ��
SIGNATURE '�`�` REGISTERED Y I N FEE CURRE� Y/N
Address �o �� �\ c`T 5c.,.�-`��''<t�rJ-� ��- �`3 -rj�.lo License# �—�--0`,��l 5 ��
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Mfnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties 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 Permit for new construction.
Mi�imum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facilities 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 consVuctlon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement fa required. (AIC upgrades over E7500)
" Agent(for the conVactor)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(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW