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HomeMy WebLinkAbout14-15157 CITY OF ZEPHYRHILLS , � 5335-8TH STREET ;' (813)780-0020 1�57 BUILDING PERMIT , Permit Number: 15157 Address: 37348 DERBYSHIRE DR 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-0990 Improv. Cost: 6,990.00 Date Issued: 4/03/2014 Name: NEISWENDER RANDALL J & CARLOYN J Total Fees: 70.00 Address: 37348 DERBYSHIRE DR Amount Paid: 70.00 ZEPHYRHILLS FL 33542-7961 Date Paid: 4/03/2014 Phone: 813-431-7075 Work Desc: REROOF SHINGLE I L 7 , �) ` ' � / _ � � �M.�-� � � � TAPE JOINTS ROOF IN FINAL�� 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 fl 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 pertormed 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 ..� _ .., >.... 5����� ProposaUContract � sco-tt �ea.cle�rz � �z y, ��c. P.O. Box 1188 � 33010�2 � San Antonio, FL 33576 1'�e�', � (352) 588-ROOF (7663) • (813) 782-1330 �o.�ded& 1-866-407-0559 � Fax (352) 588-9763 ��,xu� www.scottblackmanroofing.com �°°�"��°� email: blackmanroofing@aol.com Date � eee os�g5� PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name �- � zAf` N 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: C� Remove existing stiingle roof ❑ Replace bad fascia boards at$ per foot ❑ Remove existing built-up roof � , ❑ Replace 1x decking at$_ per foot 0'Dry-in with ❑ 15 Ib. 0 30 Ib. - 0 Install feet of ridge vents ❑l7ry-i�with a fully adhered underlayment$ ❑ Install modified bitimen (granulated)torch down roofing D Install new galvanized valley metal additional black, white or other color O Install new lead boots ❑ Install 25 yr. fungus resistant 3-tab shingles 0 Install new roof vents � 0 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 follows: PaVment due I11 full On COmpletiOrl, 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 �v executed only upon written orders, and will become an eutra 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 accepted upon above work.Workers'Compensation and Public Liability insurance an above work to be taken out by Roofing Contractoc Extreme caution should be used during and after construction for debris and nails missed during cleanup. Wlthln dayS. 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 813-780-0420 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Dat+a Received Phone Contact for Permittin Owner's Name �C�.r�l� .� C�(�1 � N �,�S C� pWner Phone Number Owner's Address S�l✓t �( ��•�pW er Phone Number � Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � S h�rc �r . h / ���l �3 LOT# C� SUBDIVI310N St`}t �I� --60 o a o � �� 0 � h0 l PARCEL ID� �v�" 2b—�� �' (08TAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q [� DEMOLISH e INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK 2C{/U� $10 h�--Q S, „S � , .t d 6 � BUILDING SIZE SQ FOOTAGE C� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION ,� `� �Q . �� QELECTRICAL $ AMP SERVICE [_] PROGRESS ENERGY [� W.R.E.C. QPLUMBING $ �(��!(; � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ;�� / " M�� QGAS Q ROOFING � SPECIALN Q OTHER �/"�" FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO � �J'��/� �i,� 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 REGISTEREO Y/ N FEE CURRE� Y/N Address License# � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP Y/N Address S00�B�$� ROO�iIg� �t�. � OTHER COMPANY � � SIGNATURE REGISTERED Y FEE CURREP /►� Address � � License# �QS�q S /—� RESIDENTIAL Attach(2) o lans; sets o u g ans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, Sanitary Facilities 8 1 dumpster;Site Wo►k Permit for subdivisfons/large projects COMMERCIAL AtNach(3)complete sets of Building Plans 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commercfal requirements must meet compNance SIGN PERMIT Attach(2)sets of Engineered Plans. •-M•PROPERTY SURVEY requ(red for all NEW consVucdon. Directions: Fill out application completeiy. Ovmer&Co�tractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over a7500) " Agent(for the contractor)or Power ot Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same OVER THE COUNTER PERMI7TING (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 . . i iiiiii iiiii i�iii ii�ii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2014052058 PeRnit No. Parcel ID No I�— ZrD �Z� � " � � "6�����Q��/� NOTICE OF COMMENCEMENT State of � 1 � �� ��-' County of ��S� THE UNDERSIGNEO hereby gives notice that improvement will be made to certain real property,and in accordanc:e with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification No. r���] �a l ' 0 �Z� "� d�d 0 — Q�}`j �/ Street Address: � 1 3 � �' �f'� , � {��., [. 3s Z 2. General Description of Improvement O �1 S S!�l/t� {� 3. Owner Information or Lessee information if the Lessee contracted for the improvement: �clatt J -t- Carc+l.�n ��nc Ne�swe`•c�cr 3''1'3�l�'''ame �erb�l S h i r� �r h ,-k�►t.s �. Address City �3 ��� State Interest in Property: �W 11�X� �'� Name of Fee Simple Titleholder: (If different from Owner listed above) Address Scott Blackman Rooflng inc. City State �4. Contractor: • • � Name X 9��,'�� �O�UO�U�/11B$ Address r it �— State Contractor's Telephone No.:�SZ-s A-7 663 'JUI 'BU�AOj� U6lUI�6f8 j�ppS 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender: Name Rcpt:1593546 Rec: 10.00 DS: 0.00 IT: 0.00 Address city 04/03/14 E. Mungu i a, Dpty C 1 e�k Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name �AULp 5.0'NEIL�Ph.D.PRSCO CLERK & COMPTROLLER 04/03/14 0�2�26p� 1PGcf�1� Address City OR BK r'r�1 a TelePhone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the LienoYs Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of c��nstruction and final payment to the contractor,but will be one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMEIVTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of peryury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO Signature of Owner Lessee,or Owner's or Lessee's Authorized OfficerlDirector/Part er/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this � day of '3 ,20�by �6 ���LI � f"t-+S CJ G��G r as D !�v�1.GI� (type of authority,e.g.,officer,trustee,attorney in fact)for (name of party on behalf of whom instrument was executed). Personally Known�OR Produced Identification,�l( Notary Signature�� � ,�7 ��•'�� � Type of Identification Produced ` � � Name(Print) v�'+�� � ,C�l�'sa��"`'�'�'�9 � ��3 - �� o l 5e� �� I �b �`"'""'N SCOTT C BLACKMAN ��,4 r n %.. �'= p��Y P��-Shte of Florfd� s' •F My Comm.Expi�ee Oct 13.2018 Canmiasion#EE 813776 wpdatalbcs/noticecommencement_pc053048 �, ��,� �T����1 a�•