HomeMy WebLinkAbout06-5609
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5609
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5609
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38245 B XWOOD DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-021A-00AOO-0060
16,850.00
3/27/2006
115.00
115.00
3/27/2006 Phone:
RE-ROOF 86 SQ W/A 30 YEAR CERTAINTEED 3 TAB
Name: DRI TWOOD C NDO ASSOC
Address: 38333 COTTONWOOD PL
ZEPHYRHILLS, FL. 33542
~\~~'f\b\J
REINSPEcnON FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at jOb site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
NO OCCUPANCY BEFORE C.O.
~~ . 1'~~
CONTRACTOR SIGNA rURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Recfilived .
"'H1Tt'
Owner's Name
l?v~dcl (lOI1c!O Ass- QC
(OM;, (.Jar! ,//
Owner Phone Number
Owner Phone Number 1
Owner Phone Number 1
Owner's Address I 3l? 3.3 '3
Fee Simple Titleholder Nam~
JOB ADDRESS
Fee Simple Titleholder Address I
! 3f ZYs- 130)(tvooo/ /Jv
I I
B
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK ~roDf E6 S 0 Cer~l'lI'\.~e
BUILDING SIZE I I SQ FOOTAGE J ffboo HEIGHT I! 1
..."'...'.'..........'..."........;'....:..'.....'...,.............,.....,.,..,.,..........".... .......,....,..........,..,...........'..'..1
o BUILDING 1$ /C: ~c.J 1 VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY
o PLUMBING 1$ I
o MECHANICAL r- I VALUATION OF MECHANICAL INSTALLATION
o GAS ~OOFING 0 OTHER
FINISHED FLOOR ELEVATIONS I
NEW CONSTR
INSTALL
SFR
BLOCK
PARCEL ID#/U 2. - "Llo- 21 -Ol,Ji4 -lJor1oo
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
LOT #
SUBDIVISION
WORK PROPOSED
- 00(,0
B
o
o
ADD/AL T
REPAIR
COMM
FRAME
o
o
o
DEMOLISH
OTHER
STEEL
I
o
OTHER I
I
I
D
WR.E.C,
SPECIALTY 0
FLOOD ZONE AREA
DYES
DNO
..,',.....,....",....,....,..",....,.....,..,....,....,',..,',..,.,.....,.,....."...........",........".,',.,......,",....,.....,..'.""111
I
BUILDER
SIGNATURE
Address I
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
I
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
LIcense #
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Address
MECHANICAL I
SIGNATURE .
Address I
~,~~~"ruRE I t2<v p0 ~ ~"
Address ~ ~ ,~.~.. ~~ .( 2 ff /t7V I':h n. I-!
Y/N
COMPANY
REGISTERED
I
}- COMPANY
; R'G""""D
30"7"- I
Y/N
License #
~~C c oJ7f.r7
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
111.1,1"..1.1,1111,1.1,1.1.1111.1.1.1,1.11.11,1.11,1.1.1,1.,.1"..,,1.1.1.1.,111.1111.1.1.111111.111,1.11111I,lllll.I,..I.I,III,IIIIIIIIIIII.III;
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. CAlC upgrades over $5000)
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 (Front of Application Only)
Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/SurveY/Footage)
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 forcomplia'nce with aJ;ly
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 hot 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 hew buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance humber 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 undOfStood that Transportation Impact Fees and Resource ROCO\Iery 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 offill 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 undOfStand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installallons 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 perm" is commenced within six months of permit issuance, or " work authorized by
the pen,," 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
juslifiable cause for the extension. "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 INYOUR
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
Subscribed and swom to (or affirmed) before me this
by
Who isfare personally known to me or has/have produced
as identification.
CONTRACTO
Subscribed and sworn to (or affirmed) before me this
by
Who Isfare personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
111111111111 11111 111111111I II11I 11111 111111111111111 11111111
2006060720p
NOTICE OF COMMENCEMENT
~,f2
State "f t:"\anc\o.. County ofl /(f4~('!
TUB lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
...
1.
Description of Property:' Parcel No. 0 L - Zit; - 7/ _ D 2.. / A - OOA 60-
~2 b ~XwCJcJ IJr 00(00
(Legal descr~ptlon 0 t e p~perty an able)
Gene'a! Description of Improvemen{tt.lt17f/ ~~ JD r~ fA/,
Ree: 10.00
IT: 0.00
Dpty Clerk
2 .
3. Owner Information:
Interest in Property:
fty
~/n1L571
llddress
Name of Fee Simple Titleholder:
(If other th~n owner)
1r~!1/~
jk
/ JED PITTMAN I PASCO COUNTY CLERK
03/27/06 10: 36am 1 Al ~
OR BK 6904 PG 041
State -.d~.5~
Address
City
State
4.
Contractor: Name &11\\- ~\~(\.'" ~'f\~. \f\c....
.-:p, t>~'P:t:K ~ \ %
Address [)/D ~ 5-7 City ~ 4!t/7i)AJ{O StateFL
33S-7.4
5.
Surety: N.:lrne
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of. Flor ida designated by Owner upon whom
notices or o~her documents may be served as provided by Section
7IJ.13(1)(a)(7), Florida Statutes:
tJ,;me
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Not1ce as provided 1n Section 71J.13(1)(b), rlorida Statutes.
9. Cxp>rot "'W dote of lIoUce of Commencement (the explratl0n dote L3 ! year
fr~m the d.:lte of recording unless a different date is specified.)
Signature of Owner: i\\frLvt~ 4<rn1\-{')'\ll ')n:JtoV.,,- f--
Sworn to and subscribed before me this Cl8ittl day of 1f!..au/_JA..
20 0& .
Notclry Publ ic :
My C:l:T1,OIj ssion Expires:
PC93053048/ A
Proposal/Contract
ScMe g'~ i1f?~, 11tC.
p.o. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
~ teett-4-eet.
~ tJ.tt-eteet "
'ltt-4-"-lf-eet
Date
3/114/0 b
PROPOSAL SUBMITTED TO
Name D~l'f+\.JbO d {;" ~.$
Street "?;-~n woac/ -6 ~o'v i.Uo 0 0/
City 2-9~r),,//s-
State f/ Zip
Phone Number 'h=- ? -/ b 5" 0 Fax
WORKED TO BE PERFORMED AT
State
Zip
We ~proposs to furnish aU the materiais and perform 'lIJ.lhtfi8bor necessary for the compietion of:
dRemovs ~existing shingle roof m'leplace bad faSCia boards at $ '3. 0-0 per foot
D Re~xisfing built -up root B-Irrsl8iI! 7 () teet of ridge vents e "-c. k
cnfrY-in with D 15 lb. er:lilib." D Install modified bitimen (granulated) torch down rooting
o In~ew galvanized valley metal black, white orother color
err.;:;tall new lead boots D Install 25 yr. fungus resistant 3-tab shingles
D Install new exhaust vents 8-tr1Slaii 30 yr. fungus resistant 8iFlleeB'0.,,1 ..i.~I.. 3- J-... b
~ew drip edge, b; ~ ; r".." color D Shingle manufacturer GV-J..<; ~ ke <f.-- color(', '-1\. h-"'ll--
D tn~new flashing as n~eded D Install TPO, white rubberized roofing membrane
~P/ace plywood at $ Ys::- t:/ v per sheet 0 Other:
~ rotten trusses at $ ,3". U () per foot
*Woodwork is an additional charge, see pricing above
Owner of Property
Phone Number
Fax
All material is guaranteed to be as specified, and the above work is to be perlormed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ 3~ 700. C.:l (i~ s.'
with payments to be made as follows. Payment due in full on coml!letion, unless otherwise noted. Thank You.'
Credit cards accepted, additiona/2.8% charge.
~ny alteration or deviation from above specifications involving extra costs will
Je executed only upon written orders, and will become an extra charge over and
Ibove the estimate. All agreements contingent upon strikes, accidents or delays
leyond our Control. Owner to carry fire, tornado and other necessary insurance
pon above work. Workers' Compensation and Public Liability insurance an above
'ork to be taken out by Roofing Contractor.
L--e~
Officer/Agent Scott Blackman Roofing
Note: This proposal may be withdrawn by us if not accepted
within ---aays.
;/ient gives permisSion to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satistactory and are hereby accepted. You are authorized to do the work as
specIfIed. I have read the back at this Proposal/Contraci, which Contains FlOrida Statues 7 t 3.001-713.37. Payment will be made as
outlined above.. 0
Accepted f/~~ J~Jg-
late. /)}1tf/l., /6 - ;;?1:tJ6
Signature
Signature