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Home My WebLink About20-22367 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22367 BUILDING PERMIT PERMIT`INFORMATION :LOC_TION JNF,ORMATION Permit Number: 22367 Address: 38217 BOXWOOD 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: DRIFTWOOD Est. Value: Parcel Number: 02-21-021A-00600-0010 Improv. Cost: OWNER INFORMATION 77= Date Issued: 1/27/2020 Name: HELLER, EDWARD Total Fees: Address: 38217 BOXWOOD DR Amount Paid: ZEPHYRHILLS, FL 33542-6613 Date Paid: Phone: 724-493-3742 Work Desc: REROOF SHINGLE ( PART OF BP#22203 #35) FEE PAID CONTRACTORS APPLICATION FEES SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 0.00 Ins ections Required DRY INR FIN P 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 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. to-NTNAGKOR SIGNATURE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813d80�80?p City Of ZephyfiiDs permit Application F4013-7e0-00211 � � BpOding DeperbnanL ` } Dato'Roceivad, Phone Contact for Pormlpin OrimorsNamo L.�WOI(`(� Owner Phone Number. Own6esAddre&s , O Owner Phone Nui ibor �— Owner Phone Number i .106ADDRESS j� 'O ,, t_ LOT# SUBDIVISION {1?r:�wc aat�e,a�jZllliS� PARCEL IDP-' ' - (OmtkX QFROMPROPERTYYN(nan*CE) WORK PROPOSED e kW CBNSU ADDIALT Q SIGN Q 0" DEMOLISH INSTALL REPAIR PROPOSED USE Q SFr( Q COMM Q OTHER TYPE OFCONSTRUCTtON Q BLOCK (p FRAME Q STEEL L, C DESCRIPTION OFJ WORK ' t BUILDING SIZE i —�Sdi FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELEGTRICAI ($�� AMP SERVICE Q DUKE ENERGY =PLUMBING QMECHANICAL, �[S —� VALUATION OF MECHANICAL,INSTALLATION =GAS = ROOFING SPECIALTY Q -OTHER FINISIiEO.FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO BUILDER COMPANY SIGNATURE REGISTERED I YIN FEE CURREn, Y I N Address 7 Uc(cse#1 :ELECTRICIAN COMPANY F SIGNATURE f+EGtsTEREO I 'YIN FEECURREn YiNY7N Address License# PLUMBER_, COMPANY SIGNATURE REGISTERED I Y.1•N= FEE CU(RAE�K YlN� Address Ucense# MECHANICAL COMPANY SIGNATURE REGISTERED I YIN FEE CURRB ;Y IN— Address .License# OTHER �^ COMPANY SIGNATURE `" I YIN FEE CURREN I YIN ,,�'—� Add,* 1W� e 3�S b Uoense# CGre)S"1riS ( I fill-III I RESIDENTIAL Attach(2)Plat Plans:(2)sets of 8uliding Plans;(1),set of Energy Forms:R D iM1i Pemstt for nevrconsirucNon, 'Minimum ten(10).woiking days aftersubmit ai date.Required onsite.Construction Plans;Sterm"WPlans w/Bill Fence Installed, Sanitary Facftis 8 l dumpster,Slle.Work Pennit foe subdivlslonsliarge projects COMMERCIAL Attach(2)'complete sets of Building Plan plus a Life Safety Page:(1)set of Energy_Forms.R-0-W Permit focnew construction. Minimum ten(10)working days efter submittal date.Required onslte.Constmction Plans,Stormwatei Plaris w(SIR Fence installed, Sanitary Ficirities 61:dumpsler.Site Work Permitfor all new projecds:Ali commerdai requirements mustmeet compliance SIGN PERMIT AUoci(2)set@ of Engtneerad Plans ""PROPERTY SURVEYYequired foreil NEW construction. Dlreetlons: -Fill out application domptete(y. O-q&Contractor sign back of'appiication,notarized If over$2500,4 Notice of Commencement is Nxiulred. (Alc upgrades over$7500) Agent',(for the contractor)or Power of Attdmey(for the owner)would be someone with notarized teller from owner authorizing some OVER THE COUNTER PERMITTING (copy olcontmct required) Rerao(sifstdrigle's Sewers Service Upgrades A/C Fences(PtottSurveyiFootago) 'Driveways-Not over Countor If on public roadways-needs ROW Scanned with CamScanner 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 far a misdemeanor violation under state taw. If the owner or In tended contractor are uncertain as to'what licensing requirements may apply for the intended work,they are advised to contact ihe:Pasco County Building Inspection Division-Llcensing Section at 727.847- 8009. Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractors) sign portions of the'contractor Block—of this application for which they will be responsible. it 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 IMPACTAMLITIES 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 9M7,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",f certify that t have obtained a copy of the above described document and promise in goad faith to deliver it to the 5ownei"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that.al the information in this.appiicaticn 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 cerli(y 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 not limited to: Depaitment.of Environmental Protection-Cypress Bayheads,'Wetiand Areas and Environmentally Sensitive Lands,Water/WastewaterTreatment. Southwest Florida Water Management District-Wells. Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal AViatlon Authority-Runways, understand that the following restrictions apply to the use,of fill: - Use of fill is riot allowed in Flood Zone'V"unless expressly permitted. - It 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. ff the fill material Is to be used in Flood Zone'A'in connection with a permitted building using stem wall construction,1 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,fortats less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If t 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 notAs 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 vlolatioiis 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 susperided 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 FLOPMA JURAT(F.S.117,e3)) OWNER OR AGENT -19 E q CONTRACTOR - 1n� Subscribed and swam to(or affirmed)before-me this Subscribed and swam to before me thls by by we(stare personalty know»to me or hawhave produced Who Ware personalty known to me or hasihave produced as identification, as Identification, Notary Public Notary Public ComrNssion No. Commission No. Name of Notery,typed;plated or stamped Name of Notary typed,printed or stamped Scanned with CamScanner 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received -Phone Contact for Permittim. ............. .......... .......I........ .......... ........ ... . ... Owner's Name luoar& 3 Ac\kc Owner Phone Number Ownees Address r Owner Phone Number rOwner Phone Number JOB ADDRESS LOT# L�� SUBDIVISION PARCEL ID#1 a -211(o 0Q1 A -00RO07001 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE = SFR Q COMM OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL DESCRIPTION OF WORK V_UC)0'f BUILDING SIZE r SQ FOOTAGE HEIGHT =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. =PLUMBING 1$ =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION GAS Q ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN J Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Ly LIN J Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L) LN� Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N 7_J FEE CURREN T Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED L_yj N J FEE CURREN L_yj N_J -* .. - : Address aVG' S)_S,\\RJb _'?q License# Cc—(:-c)a 2 SS2 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 wl Silt Fence installed, Sanitary Facilities&I 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,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. (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. i� UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILIJ,I IM: IT the owner has hired a contractor or contractors to undertake work, they maybe 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 bloi6k" 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 andl is not entitled to permitting privileges in Pasco County. 1: TRANSPORTATION IMPACTIUTILITIES 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, ak-arrieride-d-. The undersigned also 'understands-,that such fees,,'a s 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 amend led): If valuation of work is$2,500.,00 or more, I certify that 1, 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 de"scribed 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 perfoiTned 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 incompliance. 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. I Army Corps,of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Ehvironment,al 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 per, 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 onnecilon 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-a"nd not as authority to,violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of 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 RESULTzINYOUR PAYING TWICE FOR4MPROVEMENTS-T0 YOUR PROPERTY. IFYOU.. NTEND TO OBTAIN-FINANCING,CONSULT WITH'YOUR LENDER OR AN-A-TTORNEY-BEFOREI"RECORDING.*YOUR*:NOTICE OF'COMMENCEMENT. FLORIDA JURAT'(F.S. 117.03) OWNER OR AGENT _s F_q CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(6r 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 504 Proposal/Contrast r S� ' 0 O. Box 1188 . 33010 SR 52 San Antonio, FL 33576 -�' • (352) 588-ROOF (7663) • (813) 782-133.0 goaded 1-866-407-0.559 a Fax (352).588-9763 �,�e Alt www.scottblackmanroof ng.doin. Rwew¢e°"`�"r � email: blackmanroofing@aol.com Date /-21- Zc>Z_0 MO 057957 PROPOSALSUBMITTED TO WORKED TO BE PERFORMED AT Name o o. 01^ JSN Street street d 21 3'Sz( Z23 3�IZ��ok woovl City City_2--116 t s !, State Zp State t' Zip Owner of Property Phone Number Fax Phone Number Fax We hereby propose to furnish alLthe materials and perform all the labor necessary for the completion of. �i Re ove existing shingle roof 8'6eplace bad fascia boards at$ y' °`� per foot Eil ry-in with 0:30 lb. U.L. Z0 Synthetic underlayment 'O;Replace 1x decking at$ per foot O Dry-in with a fuily-adhered underlayment$ Mall NI r✓ 4&*d ridge vents O Ins �.aawon,i-all new galvanized valley metal O Install 25 yr:fungus resistant 3-tab shingles Install new lead boots aInstall X.b" /4h fungus resistant dimensional shingles O Install neuv roof vents O Shingle manufacturer G// `colon= r, id Install*new drip, 'edge, 6r�r✓�✓ color. U lnstall TPO,white rubberized roofing membrane O Install new flashing as needed D Other Replace plywood at$ S per sheet O'fie'pair 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$ h,_ O el, �o with'payments to be made as follows:Payment due in-full on completion, unless otherwise noted:Thank You: 4 Credit cards accepted,additional 3"%charge. ' 'Not responsible for satellite signal when satellite is reinstalled 'Not responsible for C&electrical lines too close to roof decking Any alteration-or deviation from above soeificabons.involving extra costs will be I executed only upon written orders,;and wili become an extra charge over and I above the estimate.Ail agreements contingent'upon stnkas.accidents or delays Offder/Agent'Scott BlaCkmBh Roofing beyond our control.owner to carry fire;tomado_and other necessary insurance Note: This proposal may be withdrawn by us if not accepted.. upon above work.woikers'Compensation and PWieirabl*..insurance an above work to be taken out by'Roofing Contractor. Extreme caution should tie 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. J Accepted Signature 7i'� � e Date Signature Scanned with CamScanner