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Home My WebLink About19-22122 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 2 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22122 Address: 5716 5718 16TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-08100-0140 Improv. Cost: 5,500.00 OWNER INFORMATION Date Issued: 12/02/2019 Name: JOHNSON CHRISTINE & KIEPER JAMES Total Fees: 70.00 Address: 29453 DUNCAN TRCE Amount Paid: 70.00 WESLEY CHAPEL, FL. 33545-4108 Date Paid: 12/02/2019 Phone: (813)469-1212 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 70.00 2, r� Ins ections Required DRY IN ROOF INSP TAPE JOINTS ROOF 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 rinspection,whichever is greater,for each such subsequent rinspection. 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. &__ 9�� CONTRACTOR SIGNATURE PERMIT OFFICOR 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 V a Owner's Name c-h" sk1.�e � PQ¢! Owner Phone,Number Owner's Address S 1 -� Owner Phone Number Owner Phone Number JOB ADDRESS 16 r � 5� 2e LOT# V LIP SUBDIVISION PARCEL ID# I �b s Z� 'QQ -0O i'0 o -Q 1 Q AOBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT =] SIGN = = DEMOLISH e INSTALL B REPAIR PROPOSED USE 0 . -SFR = COMM = OTHER TYPE OF'CONSTRUCTION = BLOCK Q FRAME ± = STEEL = ' DESCRIPTION OF WORK 1 co- OdI /-+� e r`e- �7 4h, S BUILDING SIZE S a SO FOOTAGE= HEIGHT =BUILDING' . $ �! VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q, DUKE ENERGY = ' W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES•_ NO BUILDER COMPANY 1 . SIGNATURE REGISTERED Y/ N, __ FEE CURREN Y/N .Address' License# ELECTRICIAN COMPANY. SIGNATURE REGISTERED Y/ N_J FEE,CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N- FEE CURREN' " Y/N Address License# MECHANICAL COMPANY SIGNATUREr REGISTERED Y/•'N` FEE CURREN. LILN J. Address License# OTHER COMPANY S" rftft7 _T Z SIGNATURE REGISTERED YJ N FEE CURREN I Y/ Address License.#--_ -C-�l�� 1 11511111 2 Ina !H. 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 Facilitles&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach-(2)complete sets of Building Plans plus a.Life Safety;Page;(1)set of4Energy 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 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. (AIC 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 :- Seivide U' pgradeg,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 fora 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 ao.contractor or contractors, he_is.advised,to have the contractor(s) sign portions of-the "contractor Block" of 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 projectAoes',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 certifythat l have obtained a copy of the above described document and promise-in good faith to deliver it to the"owner"prior to commencement. CONT.RACTOWS/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. 1--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 noflimited 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 Enviiorimental Protection;Agency-Asbestosabatement: Federal Aviation Authority-Runways. I understand.that the following,restrictions applyto-the-use of fill: Use of fill is not allowed in Flood..Zone"V"unlessexpressly 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 thefill.-material-is s 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 elevate d�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 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO`YOUR PROPERTY., IF YOU,--INTEND'Ta.OBTAIN FINANCING,CONSULT WITWYOUR•.LENDER OR-AN-ATTORNEY BEFORE`•RECORDING.YOUR'NOTICE OF�COMMENCEMENT. FLORIDA JURAT(F.S:117.03) OWNEROR'AGENT _ 0� CONTRACTORS Subscribed,and sworn to(or affirmed)-before me this Subscribed and-sworn to(or affirmed)-before,me this by Who is/are personally known t4 me or hasthave produced Who is/ar e a y kn n to me or has/have produced as identification. as identification. exNotary Public Notary Public Commission No. Commi Vsin'No. Name of Notary typed,printed or stamped Name of Notary typ ?r swfiWINE BODES Cvmmisskm i#GG 276457 `1- ''Fay R•;>°'Expires December 12,2022 Bonded 7W Troy Fain Insurance 8WWE INSTR#2019205084 OR aK 10015 PG 3258 Page 1 of 1 12/03/2019 10:38 AM Rcpt:2113517 Rec:10.00 IDS:0.00 IT:0.00 t Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller Permit NOTICE OF COMI4IIE�JCEMENT � No. Property Identification No. -2-6 ' -2-t — 0 O t p .7 qT 100 — 0 1'-�0 TIM UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and,in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. I. Description of property(legal descrlp� VR:) rf {' 7- 1 '6a 10 0 (0 —0(400 a) Street Address: ( 0*11 2. G end description o ' rovem Re Chd S.kk 3. Owner Information a) Name and address: ra"t, b) Name and address of fee simple titleholder(if other than owner) c) Interest in property 4. Contractor Information P a) Name and address: Sc o-N-. �la�tc. _., A �l i�C b) Telephone No.:,_ .- r�7� Fax No. Opt.) 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself;,owner designates the following person to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: b) Telephone No.: '- --_. ——. Fax No.(Opt) 9. Expiration date of Notice of Commencement(the expirationdate is 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 PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROYEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.W YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. 'd STATE OF FLORIUA ,(1 COUNTY OFPASCO WAA Signs*OF or Owrwes Authorized 0fficer1Dirseint1PWtz= 4mgP - ?' IrtLZ Nam � �� The foregoing instrument was.ectoiowledged tiefdre me this y`5_.day of /�/ D P.µ l 20 44,by l�^N /�.�•�d k— 100/l as' A . (type of authority,e g.officer,trustrney in fact)for ' h s (name of party on behalf of whom instrument was executed). Personally Known 'OR Pioduced Identification Notary Signature %m_ -Q y Type of Identification Prridtioed Name(print) VG rificauion pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have the foregoing and that the facts stated in it are true to the best of my knowledge and belief. ! '� roRmsmorlmd m ¢-e i • s��r '� I M1t MI&REVELL MYCOmws8t0N ff t30184920 :r ass k9>il'IRE9:F4btyary 12,2= d L��fh°•''�tlCsrdM!'ftwt'I�nYPtA9nifntlesYrtitoso i! i t .ch $�, • ®®� STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING ISA TRUE AND CORRECT COPY OF THE DOCUMENT ? ON FILE OR OF PUBLIC RECORD IN THIS OFFICE dyad b WITN SS MY HAND 'ND OFFIC AL SEAL THI 7r _ A�OF` mJI2-Q-r 2 CLERK&COMPTROLLER BY DEPUTY CLERK Se Proposal/Contract- Sew veeir,16�a P.O. Box 1188 33.010 S R 52_, San Antonio, FL 33576 L'cee�xed, (352) 588-ROOF (7663) • (813) 782-1330 Faaded 1-866-407-0559 • Fax (352) 588'°=9763 Ted www.scottblackmanroofing.com l' R e 4n email: ' blackmanroofing@aol.com Date `' U , 1 eee 057957 IV - PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name Street Street `�/� ��y`h -S& �'�,�vdl� - City City V Af State Zip � J State 1 Zip Owner of Property Phone Number Fax Phone Number Fax We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: ❑ Remove existing shingle roof O- place bad fascia boards at$ ; per foot-,.:, ❑ Dry-in with ❑ 30 lb. U.L. ❑ Synthetic underlayment ❑ Replace 1x decking at$ per foot• .. ❑ Dry-in with a fully adhered underlayment$ Q-Install A-&e-1 feet-of ridge vents additional ❑ Install new galvanized valley metal ❑ Install 25 yr. fungus resistant 3-tab shingles ❑ Install new lead boots ❑Install rf < '1��``` /_/fungus resistant dimensional shingles . ❑ Install new roof vents ❑ Shingle manufacturer color ❑ Install new drip edge, color ❑ Install TPO,white rubberized roofing membrane :O:Install new flashing as needed ❑ Other: :0'Replace plywood at$. r11r)Q per sheet ❑ Repair rotten trusses at$ 1-1,d® 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$ C<0 6.60 with payments to be made as follows: Payment due in full on completion, unless otherwise noted. Thank You. Credit cards accepted, additional 3% charge. *Not responsible for satellite signal when satellite is reinstalled *Not responsible forAlC&electrical lines too close to roof decking Any alteration or deviation from above specifications involving extra costs will be jG ✓ �� ' ""�"" '"'" 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 accepted upon above work.Workers'Compensation and Public Liability insurance an above E< 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. 5' 1 Accepted Signature ':% .' `J "'- /-04 Date Signature:;-r.,,,;;