HomeMy WebLinkAbout20-22284 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (813)780-0020 22284
BUILDING PERMIT
PERMIT INFORMATION I LOCATION INFORMATION
Permit Number: 22284 Addre s: 38340 IRONWOOD PL
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Towns ip: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdi ision: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021A-OOL00-0010
Improv. Cost: OWNER INFORMATION
Date Issued: 1/13/2020 Name: HAMPTON DELORIS
Total Fees: Addre s: 38340 IRONWOOD PL
Amount Paid: ZEPHYRHILLS, FL. 33542-6622
Date Paid: Phone:
Work Desc: REROOF SHINGLE ( PART OF BP#22203-#1 ) FEE PAID
CONTRACTORS APPLICATION FEES
SCOTT BLACKMAN ROOFING INC REROO RESIDENTIAL 0.00
tlu
Ins ections Re uir d
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees wi I 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 eac such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe dditional restrictions applicable to this property that
may be found in the public records of this county, and there may be 4dditional permits required from other governmental
entities such as water management, state a encies or federal agencies.
"Warning to owner: Your failure to record a notice of comm ncement may result in your paying twice for
improvements to your property. If you intend to obtain fina cing,consult with your lender or an attorney
before recording your notice of ommencement."
Complete Plans, Specifications Must Accompany Application. A k1l work shall be performed in accordance with
City Codes and Ordinances. NO OCC JPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHO1UT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Se Proposal/Co tract
ve"o6�a Ra%Aaq�, *7ac-
P.O. Box 1188 - 33010 52
San Antonio, FL 33r 76 zaaea"'
dw
(352) 588-ROOF (7663) • (8 3) 782-1330 Faada&
1-866-407-0559 • Fax (35 ) 588-9763
www.scottblackmanroofing.com
email: blackmanroofingigpaol.com Date
eee 057957 i
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name ��.r, � �� �.rr� ` °-� S treet
Street'3� `f�r�j'/3�y' Ik3g6 _?S-35/ " 393S"v,3-Y City
city bw'11��. /�S . P
State Zi
State Fd Zip Owner o Property
Phone Number Fax Phone umber Fax
We hereby propose to furnish all the materials and perform all the la or necessary for the completion of:
�IRemove existing shingle roof ❑ Replace b d fascia boards at$ per foot
❑ Dry-in with ❑ 30 lb. U.L. ❑ Synthetic underlayment ❑ Replace 1 decking at$ per foot
❑ Dry-in with a fully adhered underlayment$ ❑ Install feet of ridge vents
additional
❑ Install new galvanized valley metal ❑ Install 25 r. fungus resistant 3-tab shingles
❑ Install new lead boots Install D fungus resistant dimensional shingles
❑ Install new roof vents �&i6hingle m nufacturer (-, A color
❑ Install new drip edge, color ❑ Install TP , white rubberized roofing membrane
❑ Install new flashing as needed ❑Other:
❑ Replace plywood at$ per sheet
❑ 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 I erformed is accordance with the drawings and specifi-
cations submitted for above work and completed in a substantial workman ike manner for the sum of$ ,2
with payments to be made as follows: Payment due in full on corn letion, unless otherwise noted. Thank You.
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Credit cards accepted, additional 3% charge.
*Not responsible for satellite signal when satellite is reinstalled *Not responsibler A/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 v
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: T is 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 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 aid are hereby accepted. You are authorized to do
the work as specified: I have read the back of this Proposal/Contr ct, which contains Florida Statues 713.001-713.37.
Payment will be made as outlined above. Client gives permissi n to drive on driveway to d liver materials.
Accepted Signat rem � , f, ,a
/� 1�/—
Date Signat r
re
813-780-0020 City of Zephyrhills Permit plication Fax 813-780-0021
Building Department
Date Received Phone Contact for Permitting ° �I — Elf
Owner's Name d ' ' M d Owi ier Phone Number
Owner's Address O U P Ow er Phone Number
Fee Simple4itleholder Name Ow tier Phone Number
Fee Simple Titleholder Address
JOB ADDRESS D �1 YO F�V�.D O® LOT#
I
SUBDIVISION c�, -F�,o� Z 1-� IS 2"6--A -0� 1 A - 001-0�0
PARCEL ID# ��
i tQ (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR'= ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM 0 OTHER
TYPEOF CONSTRUCTION 0 BLOCK 0 FRAME. _. STEEL
DESCRIPTION OF WORK ��UG' h1►'� 2/2-U3
4
BUILDING SIZE SQ FOOTAGE HEIGHT- .
=B1 ILDING $ VALUATION'OF TOTAL CONSTRUCTION
='ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $ t-
=MECHANICAL. $ VALUATION OF MECHANIC L.INSTALLATION
=;GAS = ROOFING Kh SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
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BUILDER .I COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURREN
Address License'#
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;'.'ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE'CURRE�' I/IN.
'Address` License# r
M
PLUMBER.k; COMPANY''
'SIGNATURE REGISTERED Y,�/; FEE CURREt, Y/N "
e
Address Li cerise#
MECHANICAL COMPANY
SIGNATURE'' REGISTERED ; Y/ N i_ :FEE CURREK
Address License
sr:..,• .
COMPANY Q 1 ,t .
SIGNATURE:? REGISTERED Y A'nfFF R
a _
Address;.}, License# C-CCOS
'.RESIf)ENTIAL` �AttacFi`"2 iPl of P.laris 2 sefs of Buildiri Plans' 1 'set of E` 'r 'F.: , •(_)" ,O g ,O . ne gy, orms;R;O;W:Femiitfornew.construction,"
~. Minimumaeo(10),workih days.dftersubinittal.date: Required onsite;Co"struction Plans;Stormwater Plans w/Silt Fence installed,.
?f:=,:_" Sariitary;Facilities;&1,',dumpste�;,Site:Work Pemlit for:`subdiyisioos0arge rojects.::-
MMERCIAL AttacFi(2)°complete"sets of'Building Plans plus a Life Safety Page;(1)se of Energy Forms.R-O-W Permit foe new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed,
Sanitary Facilities&1 dumpster„Site Work.Permit fog"all-new projects.All commercial requirements must meet compliance
`SIGN PERMIT Attach'(2j sets_of Engineered.Plans,:-
****PROPERTY
f N '
PROPERTY SURVEY,requ(red:for:all:NEW construction.,
Fill out,,application completely.
._ Owner'&Contractor sign back of application,notarized
If over+$2500,a Notice.of Commencement is required. (AIC upgrades over$7500)
Agent•(for'tt a°cbntractor),or°Power of Attomey(for'the owner)would be someone with notarized letter from owner authorizing same
OVER:THE COUNTER_PERMITTING,. -.._. „(copy.of contract<required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Fooage)
Driveways-Not over Counter if on public roadways..hee-ds ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands-thatahis permit may be.subject•to"deed":restriction's-,,
which maybe moce..restrictive,.than:Caurity.regulations 'The�undersignedtiassames``tesponsibllrty.foir compliance with any
applicable deed restrictions. , '•..
UNLICENSED. CONTRACTORS AND" CONTRACTOR RESPONSIBILITIES:.. 1f-the=-owner-`has h'iretl ai-contractor or
contractors to undertake work;they,may be required to be?licensed in accordance with state sand.local:_regulations...',lfrtfie:�*.,_,-:�
contractor,is;not,licensed-as:required by.'law, both the owner:and'contractor-mayb6-citetlrfara misdemeanor violatl6n�. :-;;
under state,law. If the owner or;intended.;contractor are',uncertain as to what licensing requirem.ents.may apply ifor
intended work,they-are advised`to contact the'Pasco County'Suilding'Inspection Division,-Licensing Section at 727=84:7=
8009. Furthermore, if the owner-has`°hired`'a contractor or contractors, he is advised to{have the,contractor(i). sion,
portions of the "contractor Block!' of this application.:for which they will be_responsible. If:you, as`'°fYie ownersign:as'tie:
contractor;that may bean indication that he-is-not properly,licensed and'is not'entitled to permitting privileges,in Pasco__:,
County.
TRANSPORTATION-iMPACTLUTiLiTiES,IMPACT AND RESOURCE RECOVERY"FEES:-The undersigned understands }
that Transportation Impact Fees and Recourse.Recovery Fees may-,apply to,the construction;of new-buildings, 6h6i$bP�0f'` r=,z
use in existing-buildings, or expansion-:of:existing buildings, as specified in Pasco County Ordinance number 89w07:and,
90-07, as amended. The-undersigned also understands, that such:_fees, as"may;be.:due, will:be,,identified-at-.tt a time
permitting. 1t is further understood that'TransportationImpact-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 occuparicy:or*,;t
final power release,..the,.fees:must be;paid prior to permit issuance..;Furthermore,A,Pasco:County Water/S.ewer Impact.
fees are due,the must be paid prior,to:permit,'issuance.in accordance withapplicaole.Pasco'County ordinances.
CONSTRUCTIONLIEN-LAW(Chapter Z43;Florida Statutes,as amended): If valuation of work is$2,500.0,O,..or�more,,..I,, ,m-.
certify that, 1, the applicant,. have .been-.-provided with a copy.,-of;the "Florida--Construction:.:Lien-.LaiA:Homeowner's
Protection Guide" prepared-by'the"Florida Department of Agriculture and Consumer Affairs. if the applicantis someone;, ..
other than the"owner",`I certify that,l_have obtained a copy of the above described document and promise-in.good?faith to,_
deliver it to.the:"owner"�Ohor 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'iaws 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 Pubtallation`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. .Valso
certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is F
my responsibility to'identlfy what actions i must take to be in compliance. Such.agencies include butare 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,
SepticTanks.
US Environmental Protection Agency-Asbestos abatement.
Federal-Aviation Authority-Runways. i
I understand that,the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V' unless expressly permitted.
if the _fill material is to be used in..Flood Zone "K, 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 stern 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
9,P.. p pP
the-conditions of.:tlie.oulldin ermit:issued under the attached permit.application,(icatian, for.iots_less than one (1)
acre-which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT.FOR THE OWNER,.V.promise in good faith to inform the owner of-the permitting:conditions set forth in
this affidavit prior to-commenc!ng'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-author'izeblby'such`�er`mit'is'coiiimenced within six months of permit issuance, or if work authorized by-
the permit is suspended.oi abandoned•for a period•;of six(6) months after the time the work ig,commenced. An extension
may be requested,:in;writing, fromnthe'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-NOTIGE-OF CQMMENCEMENT MAY RESULT IN YOUR
PAYING-TWICE�FOP.IMPROVEMENTS"TO YOIJR:PROPERTY—IF YOUJNTENWTO�'OBTAiN FINANCING;CONSULT
WITH YOUR1EN0ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF-COMMENCEMENT:
FLORIDA JURAT(F.S.117.03) . .
G _
OWNER OR AGENT_ `=�s� ___ CONTRACTOR
Subscribed and sworn to(or affirmed)before'me this Subscribed and sworn to(or affirme )before'me this
by by
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced !
as identification. as identification.
Notay Public Notary Public
Commission No, Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed,or stamped
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