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18-19299
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19299 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19299 Address: 4735 4737 9TH ST 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: MOORES FIRST ADDITION Est. Value: Parcel Number: 14-26-21-0010-03000-0060 Improv. Cost: 6,000.00 OWNER INFORMATION Date Issued: 2/12/2018 Name: MUELLER CYNTHIA Total Fees: 70.00 Address: 31810 CARRIAGE HOUSE RD Amount Paid: 70.00 WESLEY CHAPEL, FL. 33543 Date Paid: 2/12/2018 Phone: (813)782-4634 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 70.00 Guar'V C� DRY IN ROOF INSP Ins ections Required TAPE JOINTS OF INSP FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFIgOR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received _ Phone Contact for Permitting TrITT177 ( 1 Owner's Name h \1f} IAR.K]�h—�61C 4 Lr Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address e (�.n r JOB ADDRESS �1 / v — ` 1 , j i.� r g LOT# SUBDIVISION PARCEL ID# 1 1— ` �� 00 103 000 T0d60 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK ReroofG f-rFR Ro + ( c, III 1 BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ ,�-y��1 VALUATION OF TOTAL CONSTRUCTION 6,600,0 ELECTRICAL $ V AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I ^License# (] �, "� OTHER ��(], COMPANY �CO 7 l k- v- Q4Cf' ( :k QI SIGNATURE y REGISTERED Y/ N FEE CURREN Y/N Address IRA License# Q�� IIIIIIIIIIIIIIIIIIIIIIIIIIt1111i11t11111111111111111111111111111111 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 Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)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,Stonmwater Plans w/Silt Fence installed, 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 construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) " 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 (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 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,Water/Wastewater 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 W"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing 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 wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent 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 of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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 FLORIDA JURAT(F.S.117.03) OWNER OR AGENT _ t CONTRACTOR Subscribed and sworn to(or affirmed)before me this Su bscrlb�l andCsworn to(or affirmed)before me this by ./ �// Who is/are personally known to me or has/have produced Who is/a personally k n to me or has/have produced as identification. as identification. Notary Public Notaap_Ublic Commission No. C mmi ion o. "`Y:rva•,, JACQU pp 150422 Name of Notary typed,printed or stamped Name of Notary typ di 'n F8a ber *: Expires DecemIL, 1B5,700 Bonded 1h u Troy f�n Inaurenoo({OlL Illlllllllllllllllilllllilllllllllllllllllllilllllllllllllll 2018IZ24228 Permit No. Parcel ID No LL A NOTICE OF COMMENCEMENT �.� State of 1 0 County of (�(�(\ �^ ✓ C—D THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following Information Is provided In this Notice of Common cem nt 2 2 ` o \ -�© O r, ^ O O 1. Description of Property: Parcel Identification No. Street Address: � 5 Lk-- J2 TZ' 2. General Description of Improvement �- 3. Owner Information or Lessee information if the Lessee contracted for the improvement: o Q-�. Name CC,-C-C, J �-4 AdcTr-ess City State Interest in Property: Name of Fee Simple Titleholder. (If different from Owner listed above) N 0 Address City State ~ 4. Contractor: S a �\�-C� � O cl �� N CD Nam Dow Address ^�3 i3 3 a city _ State 00 1 Contractors Telephone No.: LS r 5. Surety: Name Address City State M 3 11 Amount of Bond: $ Telephone No.: O" 6. Lender. O m Name Address City State '� CD Lenders Telephone No.: n r 7. Persons within the Slate of Florida designated by the owner upon whom notices or other documents may be served as provided by '1 Section 713.13(1)(a)(7),Florida Statutes: �C Name S Address �� �}, Cityl ` Lk--n State Telephone Number of Designated Person: l� �1 8. In addition to himself,the owner designates of to receive a copy of the Lienors Notice as provided In Section 713.13(1)(b),Florida Statutes. to Telephone Number of Person or Entity Designated by Owner: ~v N N Wes• 9. Expiration date of Notice of Commencement(the a.Viration date may not be before the completion of construction and final payment to the N o contractor,but will be one year from the date of recording unless a different date is spedfied): m m , WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT I�Or r= ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I. SECTION 713.13, FLORIDA STATUTES, AND CAN /!�� RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE N T 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. m 0 a Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best of my knowledge and belief. 3 0 STATE OF FLORIDA L pa r COUNTY OF PASCO m Signature of 0 r or Lessee,or Owners or Lessee's Authorized OfficerrDiredor/Panner/Manag er OW4ER ��o Signatory s Title/Office 3 Ti♦ v C, .0 M X The foregoing 1nsW $ FC ment was acknowledged before me this_day of ,20 ld_,by Cy DU lU15-LL o as p W H G a (type of authority,e.g.,officer,trustee,attorney,in fact)for m (name of party on behalf of whom Instrument was executed). Personally Known Produced Identification 0 Notary Signature KlfvlaEQL . I-4ILL Type of Identification Produced Nariie,(Print) Y uu„ +tiij1°P4yrhs KIMBERLY J.HILL .W COMMISSION'#CGG 614310 <i EXPIRES:July 21,2M z�. 8ayW TAN Nmy Pt k Undw*?MM wpdeta/bcs/noticecammencemenl pc053048 STATE OF FLORIDA,COUNTY OF PASCO 'PHIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND AN OFFICIAL SEAL THIS God w_Taut # DAY OF �� 2 ' ="q n`: P ULA.S:O'NEIL,CLERK&COM TROLLER By �� DEPUTY CLERK a887 Proposal/Contract -o'er 91f Imee P.O.Box 1 168 33010 SR 52 San Antonio,FL 33576 V 64V WZ1 a (352) 588-ROOF (7663) e (813) 782A330 Fax (362) 588-9763 &MC$7957 small: blackmanroofing@aol.com PROPOSAL SUBMI i T EC3 TO WORKED TO BE PERFORMED AT Name r1l 4;1 . — /I /I to S$lreet �A '_ '/ I city City-- State Zip Zip ^ Owner of Prope,rty Phone Nuffbeir ---Fax Phone Number Fax We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: Z1Remove existing sningle root QiRf6place bad fascia boards at ar iocit 0 Remove existing built-up roof :J Install feet of ridge vents C-Mry-inwith c Q Install modified bitimen(granulated) torch down rooting J Install new galvanized valley metal black,white or other � f�nstall new lead boots :3 Install 26 yr,fungus resistant 3-tab shingles Q<nsI_all new exhaijit vents fungus resistant dimens!onal shingles _1L0AU_U color 08hingle manufacturer aTn'stall new drip edge,Ln Q Install now flashing as needed V Z3 Install TPO,,.Yhite rubberized rooting membrane dReplace plywood at S per sheet "k-c 1-1 Other: -T- __.. >3epair rotten trusses at$ 47A�41 per i0ol *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 tne drW.Vings and specifica- tions submitted for above work and completed in asubstantla!workmanlike mariner for the sum of 0 `3 with payments to be made as follows. Pa I G !_dues in full on cornpletign, unless otherivise notWJ. Thank You. Any araralioo or dt-MAVcm from aoova sr),acittcabom invomnG extra casts va ( 7 oe 00 axeciiiad only upon wnti-en orders,and va'!i bacorna an ext—i charge ovor and at;ove the OfifirrkaW A.'agreaments contingent upon ririk6s.accidents or delays "_ond our oontroj.owner to carry fire,lorm3do rind othay notozzary Insurance Off icor/Agen! Scot, Blackman Rooting UPan4bcO W-1e--W0rk83V COMPWISG:i(in and Public',aMILW mvrarrfa an 9bove Note: This proposal may be withdrawn by us ;0 not acceoed Axir'K co bar taxan out by Roofing Convamor Within days. Client gives permission to drive on ariv&way to deliver materials. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are aulhon7ed to do the wom as specified.I have read the back Of this Proposal/Contract,which contains Florida Statues 713.001-713.37.Payment will be madc as Outlined above. l .-__1 4 � . -L-4. I—, �. . Accepted Signature Date LL Signature