HomeMy WebLinkAbout06-5690
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5690
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:
5690
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6417 SILVER OAKS D
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-1061
8,990.00
4/14/2006
75.00
75.00
4/14/2006
RE-ROOF
Name: BENTLEY, LUCILLE
Address: 6417 SILVER OAKS DR
ZEPHYRHILLS, FL. 33542
Phone:
~&
(. ("6' ~&'"
REINSPECTlON 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 recordin your notice of commencement."
OCCUPANCY BEFORE C.O.
~~
RACTOR SIGNATURE 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
Owner's Address
Fee Simple Titleholder NamJ
Date.Received
NEW CONSTR
INSTALL
I
I
I
I LOT# I I
PARCELlD#103 - 2<0 ~d-\- OI'2.0-QOCOO-IO(oLJ
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Address
JOB ADDRESS
WORK PROPOSED
B
I
B
DSFR 0
D BLOCK ,0
I~
-~ S FOOTAGE I
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
DEMOLISH
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
I
D
OTHER I
DESCRIPTION OF WORK
BUILDING SIZE
HEIGHT I
D BUILDING
D
D
D MECHANICAL
D GAS
FINISHED FLOOR ELEVATIONS I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
PROGRESS ENERGY
D
W.R.E.C.
ROOFING
I
I
I
o
I
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
.'....11'...11....111..111..11..1111...111...111....11...........111........11111.........111.....11...11.........111........11..11111...11.11.111
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT
Address License #
ELECTRICIAN I COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT
Address I License #
PLUMBER I COMPANY
SIGNATURE REGISTERED YI N FEE CURRENT
Address I License #
MECHANICAL I COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT
Address
OTHER
SIGNATURE
Address
Y/N
Y/N
Y/N
Y/N
11111111"1111111111111'1111111111111"1111111111"111111111111111111111111111"'1111'1111'1111111,111111'"1111"'1'11,,1'11'..11111111'1'1111'1'
11111111~~1111111111111141111.1111111..111111111'1,1111111,.IIIII,IIIII.IIIIII.IIIIIIIIIIIII..IIIIII...~~111I..III..IIII~~IIIIIII~IIIIII..IIIIIIII
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC 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 Df Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Attach (2) PIDt Plans; (2) sets Df Building Plans; (1) set Df Energy Forms
Minimum ten (10) working days after submittal date. Required Dnsite, 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 onsite, ConstructiDn Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets Df Engineered Plans.
'--'PROPERTY SURVEY required for all NEW constructiDn.
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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 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 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 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 ~all. .
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 properti~s, the.ow.ner 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 ~f the permlttln~ conditions s~t forth In
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e reqUlr~d for elect~lca.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCIfically 1n?luded.ln the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. Invalid
unless the work authorized by such permit is commenced Within SIX months o,f permit Issu~nce, or If work authorized, by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty (.90) da~s 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 IMP MENTS TO YOUR PROPERTY. IF YOU INTEND TO 0 IN FINANCING, CONSULT
WITH YOUR LENDER TIORNEY BEFORE REC ING YOUR NOTICE OMMEN CEMENT.
FLORIDA JURAT (F.S
Iy known to me or has/have produced
as identification.
CONTRACTOR
Subscribed and s
y
Who is/are p rso
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
A. itlurtlctt itnnfiug (@f <!tcutral1Jilnriba, lint.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE ·
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
Serving Zephyrhilis, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have reroofed or repaired over 13,000 Homes and Mobile Homes in the last 32 years.
Date ",' ::- L L
Name
>''It.l~l
))
Address
}-J. 1 7 ~, L 1 'if ' '} r
:- i ~/_:\ , Jj;~;)! Y r ~ 1 L 1 ':1 ,
Phone
1- -!--- ;
i '.:-:
1 .,-
, L ',~
DESCRIPTION
" 1U'I" ~::;J 1)1,'... ,1..1,1' ('o)').,
.J.) ..." 1. (~ ..".1 1. ,~. 1 1 " 1 ]
,"' l:; -: -L () JJ'<- I J":)) ( -~, I ; 1 ~":: t 'l'-: L 1 ~ ') ,-:t j ,') ," 1 1 .
(:,'!" i. L. )
) L L
~ ') 't~ 1
\ I i
.. ...
, ") ..'), '-
1 ,,_ _ .
.) 1....: ~
"1 ~, r
l "if
':"'./
V 11 1 ... 'l
';. ,J''::' 1 ! t
, ,-
J 1 " '- : !
1 ( t
. ,; r.J
1 )~:), 1, .~. r ; j !) ) .;~ C ~~1 V .- ,_; 1 C f. 1 t.L ~ 1: 1 ") r ~ .
~ ~~- ~,t 1_ .t': r
'. .~. ~.l' ;.... ,r I. .:" t 1., L')
',' t,) 1 1
) 1. '-. i t ~ r
t i L ,)
'/ .." ~ :.. L 1. '1 \ 1 .~ 1. ,) 1 1
i ;.
L -, C
" 11. '1
L ;.
1 ~ , , '.
")
) (J_
,I,
. '__ L ~'\ i
. ,. ,
L , .. I.
'~. V..;.." 1 ~ J.
1 ; _
l..
~ , --1
,; r 1. r '7
J J t,) :.
J\t \y. y" l~:;.
..
1...
'{lL
),,-,\ r
J,- _"
; ')
',. '-to '1
.
,
, -
,f '-
") ") I. ~
if:~"'(;
President & Owner A. Bartlett Roofing of Central FL, Inc.
Sign: '1) ; L. " ,
; 1
Richard C. Bartlett ,_ L ',"
THANK YOU ~ L', r, \ )' ') ))! ~..
Your Business is Appreciated
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or deiays beyond our control. Owner to carry fire, tornado and other necessary insurance,
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra $35,00 per sheet (4-ply). Rotten fascia is $2.00 per linear foot Total
AMOUNT
,
, . ;
-
- ,
, 1
NOTICE OF COMMENCEMENT
.
State of
FLORIDA
County of PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel :No. 03 -.z. b - 2-(--() (:2-0 -OCjCJ(S 0 .'
6417 Sil ver Oaks Dri ve ( 0 P )
(Legal description of the property and street address if available)
2. General Description of Improvement
Reroof
111111111111111111111111111111111111111111111111111111111111
2006074520
3. Owner Information: Name
LtJc I / / e.. C!_ Bentley
.
Address 6417 Silver Oaks Drive
City Zephyrhills
State FL
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
Repl: 988240
os: 0.00
04/13/06
Ree: 10.00
IT: 0.00
Dpty Clerk
City
State
R.....
'. . .
Contractor: Name A. Bartlet t Roofing of Central Florida, Inc.
Address
38408 3rd Ave.
City Zephyrhills
State FL 33542
5. Surety: Name
Address
Amount of Bond: $
City_ State
JED PITTMANA PASCO COUNTY CLERK
04/13/06 0~:45am 1 of 1
OR BK 6934 PG 1699
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
-
SignatureofOwner: K~ 1. /3cnU~ ~
Sworn to ~d SUb.. SC~~ be~~?~' 2- day of F t - -(
Notary Puouc:_.~ . ~__
My Commission Expires:
PC93053048/ A
,20 rp.-f