HomeMy WebLinkAbout20-22345 CITY OF ZEPHYRHILLS
5335-8TH STREET
1 (813)780-0020 22345
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22345 Address: 38229 IRONWOOD PL
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021A-OOD00-0030
Improv. Cost: OWNER INFORMATION
Date Issued: 1/22/2020 Name: MOORE VERONICA & BENSON ROGER
Total Fees: Address: 2228 CLOUGH RIDGE DR
Amount Paid: CINCINNATI OH 45230-1487
Date Paid: Phone: 513-716-8557
Work Desc: REROOF SHINGLE ( PART OF BP#22203# 19) FEE PAID
CONTRACTORS APPLICATION FEES
SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 0.00
�I
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 renspection,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.
�(Low L
CONTRACTOR SIGNATURE PERMIT OFFI R
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.Receivdd
Phone Contact for Permitting
TIM"........... ................==azm ,,F....... ......................... ......
Owner's Name _VCV'0V\%cy-- P6f< :Lr 'kairio" BCKo4 Owner Phone Number
A
Owner's Address r �o Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID# 06 06 0 cio 30
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL F_
DESCRIPTION OF WORK iv
K!��
BUILDING SIZE SO FOOTAGE= HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE Q DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=ME CHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
0 M I I I I
BUILDER COMPANY
SIGNATURE REGISTERED FEE CURREN .
Address License# F
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L�_N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN �N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY Fsc--� '%\ v%_talrl tiv�c
SIGNATURE ii R REGISTERED Y/ N J FEE CURREN L_yj J
Address FRO13210k2h License# S `7
"+H if if if HHHHif
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/Slit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&I 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 Service Upgrades A/C, Fences(PlottSurvey/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 specked 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.
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 "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 s &,(? CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirmed)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.
Notary Public Notary Public
.Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
I;
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C ^ OST9Tsraat - aUC.�.onP;opos t.r-ac
PO. Box 11883aS520
San Antonio, FL 33570 ROOF (7663) a (813) 7 82t-,.
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www.scottblackmanroofng:com
emai : blackmanroofng@aol.com Date
T (352) 588-
1-866407-0559 • Fax (352).588-9763
Zo�Z O.
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name 7cr S fltil Street
Street3if2.� ,jk2Z7,Zd'2? :3�Z3J 1*4-04/y( City
City L,,*1 IS State Zip
State r/ zip. . Owner of Property,
Phone Number Fax Phone Nurribdt, ,Fax
We hereby propose to'furnish eill'the materials and perform all the labor necessary for the completion of`.
"'Remove existing'shirlgle roof U eplace bad fascia boards at$ y/y per foot
u'Dry-in with O 30 lb. UI, `'ZSynthetic undedayment O Replace'1x decking at$ per foot
'❑Dry-in with a fully adhered underlayment$ O'Gstall N!Z✓ fe"ridge vents
addltlonal
install new galvanized valley metal O-Install 25 yr.fungus,resistant 3-tab shingles.
0"Insta11 new lead boots U46stall LiLel?-:-e .AI P fungus resistant dimensional shingles
O Install new roof vents / O.Shingle manufacturer Gi4F color Dfwos .'
l�tall new.drip edge, bra.1.✓N color Q Install TPO,white rubberized roofing membrane
0 Install new flashing as needed: ❑Other., G.'s w V J- s:.. fL,' ;I,
� 7
QRe lace plywood at$ fS%.r O per sheet
O'Repair rotten trusses at-$ Od 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 accordande with the drawings and.specifi-
cations submitted'for.-above work and'completed.in a substantial workmanlike;manner forthe..sum of$._l%. S-Gv ,e,a
With payments t9f be Lmade.as follows:PaymentAue in full on comnletion, unless,otheiwise noted, Thank You.
Credit cards accepted,additional 3%charge.
'Not responsible for-satellite signal when satellite is reinstalled *Not.responsibllee for Ai $electrical lines too Gose 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 e
above the estimate.All agreements contingent upon strikes,accidents or delays OffieedAgent Scott Blackman Roofing
beyond our control.'Owner to cary fire,tornado-and other necessary-insurance Note: This proposal maybe withdrawn by us `if'not accepted
uporrabove work.Workers'compensation and Public Liability Insurance an above
work to tie.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.713.00.1-713,37.
Payment will be made as outlined above. Client gives permission to drive on driveway to deliver materials.
r
Accepted Signature 7
Date Signature
Scanned with CamScanner .
114STR# 2020000388 BK 10032PG 1701
01/02/2020 02:44p.n Page 1 of 1
" Rcpt: 212223088 Rec: 10.00
' DS: IT: 0.00
NOTICE OF COMMENCEMENT
Nikki Alvarez-Soules, Esq. j
Permit No. Pasco County Clerk & Comptroller
Property Identification No. O -D. -4 6- d eA Z!- Q(]-\R,()0 0000
THE 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.
1. Description of property(1 al descri lion:) — - a 0 010 0 -Q Q 0-3
a) Street Addr Y' 0 d O d
2. General description of improvements G S h% k e ' -z (-- 3 76- 2--
3. Owner Information a) Name and address: D r��-��aae� ar r P D h 11AA -tS (" ,C\14„r 1 A L u-PWN S SGt G� �� ��
b) Name and address of fee simple titleholder(if otllqr thRii owner) 2- .w t�
c) Interest in property Col. :g C SY1 C\a.�o r
4. Contractor Information `_ R�� r� �
a) Name and address: �CO'�} •�`Ci.�1t..Yw`0.1� 1-Soo-�.rsc ��, ��o \�i ... a,F�3b7L
b) Telephone No.: 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 Lienor's Notice as provided in Section_
713.13(1)(b),Florida Statutes: _
a) Nameand address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date 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 IPROVEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEME T.
STATE OF FLORIDA
COUNTY OF PASCO
Signature OF Owner or Owner's Authorized Officer/Director/Partner anager
1 a-A-
Print Name
The foregoing instrument was acknowledged before me this 30 day of Z eCt►*-berms ,20 ft,by ��T �6KcChShd�S,P�t,
as Pr ex,Ncak of Ce,-Au ASSO C- (type of authority,e.g.officer,trustee,attorney in fact)for
(name of party on behalf of whom iins�trumen/tt was executed).
�/
Personally Known "&"OR Produced Identification_ Notary Signature (�
Type of Identification Produced Name(print) t C k a-c--( 2 e y
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief.
FORMS/NOC.rvsd2007 ni••PF RE-N
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EXPIRES:Fehruar ,dP °`' Bonded Thru 9 0� �n
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