HomeMy WebLinkAbout06-5714
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5714
Permit Number: 5714
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 17,825.00
Date Issued: 4/18/2006
Total Fees: 120.00
Amount Paid: 120.00
Date Paid: 4/18/2006
Work Desc: REROOF - SHINGLE - BLDG 4
Address: 38136 TO NVIEW AVE - BLDG 4
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-08900-0010
Name: CONCIRE CENTERS INC
Address: 411 COMMERCIAL CT
VENICE, FL 34292
Phone: 941 488-0270
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 recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
~~
CONTRACTOR SIG RE PERMIT OFF I
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 Received
SUBDIVISION
I
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~~~:w ~:'\~:RC~ ~~\~-~I()- ~B~: ~ L"'l 01
(OBTAINED FROM PROPERTY TAX NOnCE)
D NEW CONSTR r=J ADD/AL T D SIGN D MOVE D
~ INSTALL D REPAIR
PROPOSED USE D SFR D COMM
TYPE OF CONSTRUCTION ~ BLOCK D FRAME
DESCRIPTION OF WORK "" ~ ~ r~~ D ~
I SQ FOOTAGE I c, ;tCC"\
Cl~1 ---OJ \
.. . - ,
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Owner Phone Number
Owner Phone Number 1
Owner Phone Number I
Owner's Name
~.,,~,- I 4'1
Fee Simple Titleholder Name
Fee Simple Titleholder Address 1
JOB ADDRESS
WORK PROPOSED
DEMOLISH
~
OTHER LAP<<~"'^" ~\.- 'Q\c\~
STEEL c==1 OTHER_
~;\ \A.l'''5 f*' L/
I HEIGHT I ~()'
BUILDING SIZE
D
D
D
D
1$ lit Ci?26
1$
1$
1$
GAS ~
FINISHED FLOOR ELEVATIONS I
ROOFING
I
1
I
1
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
o
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES DNO
COMPANY
REGISTERED ~ FEE CURRENT ~
License #
COMPANY
REGISTERED ~ FEE CURRENT ~
License #
COMPANY
REGISTERED ~ FEE CURRENT ~
License #
COMPANY
REGISTERED Y/N FEE CURRENT ~
MECHANICAL
BUILDER
SIGNATURE
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
Address
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) wor1<ing 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) wor1<ing days after submittal date. Required onsite, 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.
License # I
1 ~~'l~~~~~H
)..<1.5 License #
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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 PERMlmNG (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloUSurveylFootage)
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'S10WNER'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 govemment 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, WaterlWastewater 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 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.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before m s
by
~o is/are personally known to me,..or haslhave produced
as identification.
CONTRACTOR
Subscribed and s
by
~ ;o:rrtCII'I::: .J.lt:JSUIli:IllY I\IIUWlI lU lIte'-orJ1aslhave p uced
as identification.
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Commission Noe" CO? q Si-G:,
5lA.21.1 ,rW'~ C"'T()..~I1'tf \
Name of Notary typed, printed or 5 ed
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Commission No. CCC 0 ~ QS~t..
5,z.o.('\~ [~~\
Name of Notary typed. printed or starn e
Notary Public
Notary Public
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Peimit No.
11111111111I11I1111111111111111I11111 WIIIIIII 1/111 1111111I
2006076539
Tax Folio No.
NOTICE OF COMMENCEMENT
State of Florida L:>
County of r'i'SC d
Rcpt. : 989103 Rec: 10.00
DS: 0. 00 IT: 0. 00
04/17/06 ___Dpty Clerk
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 B provided in this Notice of Commencement.
Legal description of property (include street address, if available):? \~
a .- 7e.. h:' i\
., 1- S F + \D.CA- ~ q() Lj ; -:\
General desaiption of improvement (4, r~-f
Owner informa,tion - name and address: 58'i3C 7(jlc}/lv:'-c ~ Ave..~
2?'1;'YI"J,,~/:: ,FL - $35'1/ ~\a......pc;. \-\- ~~ "y..a. ~
Interest in property:
Name and address of fee simple titleholder (if other than Owner):
R
4. Contractor - name and address: ~ ~'/-.t.l ~ fo~.~ -:I:~c.. fb &", 1 Jq" v
1;; ~ 0 L,:X,>t,c! \ F L ::H ')., GS ,.
Phone number cry \-I..\f4-~\\~ Fax number q<-i 1-i..\JS-Q,4Lj
5. Surety ~ name and address:
Phone number
Fax number
Amount of bond: $
6. Lender - name and address: JED PITTI1AN, PASCO COUNTY CLERK
04/17/06 12:561!:' 1 !f41..S
OR BK 6930 PG ~
Phone number Fax number. _.
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(i)(a)7., Florida Statutes (name and addresS):
Phone number Fax number
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.
Phone number Fax number
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording
unless ~ different date is specified). a
F ) Se<//~~
Sworn to and subscribed before me this -l 5
day of Af r \
,20 D(a>
~~~.
~
Not:aIy Public ,
My Commission Expires: vn~. ~ I (), ')J10-,
,"~~V.~U~/I" Suza~~ Gangnagel
~;~~~'~:c. Com.mlsslon #DD 198786
~~'. ~,:,..: ExpIres: May 10,2007
'",?;fOFf~O~" Bonded Thru
"/, Ill'" Atlantic Bonding CO"Inc
Kirkey Roofing, Inc.
State Certified Roofing Contractor
P.O. Box 1796
Englewood, Florida 34295
Office: (941) 474-2113 Fax: (941) 475-9794
Email: info@kirkeyroofing.com
State Certificate #
CCC029586
PROPOSAL SUBMITTED TO
Concire Centers DBA Town view Apartments
STREET
38136 Townview Ave
CITY, STATE AND ZIP CODE
Zephyrhills, FL 33541
ARCHITECT
PHONE
488-0270
DATE
04-13-06
JOB NAME
JOB LOCATION
DATE OF PLANS
JOB PHONE
Remove existing roofing materials.
Install new 30# asphalt saturated dry-in paper, drip edge, lead plumbing flashings, 60 lineal feet of ridge vents and new
galvalume flashings where necessary.
Shingles to be fiberglass, fungus resistant, dimensional look, GAF Timberline Series, 30-year manufacturer's warranty.
Carpentry is a T&M extra at $40.00 per man-hour, plus materials.
ull{ g;:>~ hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Seventeen thousand, eight hundred twenty five dollars ($17 .825)
Payment to be made as follows:
In Full Upon Completion
All work to be completed in a workmanlike manner according to standard
practices. Owner is responsible for providing truck access to building. Kirkey
Roofing, Inc. is not responsible for cracked or damaged driveways, culverts,
septic or drain fields, light fixtures, ceiling, tape or texture damage due to
roofing process. All agreements contingent upon strikes, accidents or delays
beyond our control.
Termite Damage an extra cbarge. No painting unless so stated,
Authorized Signature: Dennis Kit'key
Note: This proposal may be withdrawn by us ifnot
accepted within 30 days.
YOUR ACCOUNT IS SUBJECT TO THE FOLLOWING:
Kirkey Roofing, Inc. reserves the right to send out "Notice to Owners" and file liens on delinquent accounts. If any legal action is initiated to collect amounts owed,
pursuant to your credit agreement, you agree to pay all reasonable legal or other collection fees and costs incurred by us
(Whether for negotiation, trial or appellate proceedings).
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-
713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR
PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO
ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS
CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS,
OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY
REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO
YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR
CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A
LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY
FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR
A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S CONSTRUCTION
LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A
SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY.
~nee o/f!jJ~ - The above prices, specifications and conditions
are satisfactory and are hereby accepted. You are authorized to do the Signature
~
ROOFINGINC.
Office: (941) 474-2113 Fax: (941) 475-9794
State Certified
CCC# 029586
April 17, 2006
City of Zephyrhills Building Department
To Whom It May Concern:
Please be advised that I, Dennis Kirkey certification number CCC029586, hereby authorize the
following persons to purchase and retrieve permits on my behalf as authorized agents. I
understand that I am responsible for any work performed by my agents.
1. Craig Squier
2. Patricia Squier
3. Suzanne Gangnagel
4. Jim Bingham Jr.
The dates I am authorizing the above persons to act on my behalf in securing permits in the City
of Zephyrhills are January I, 2006 to December 31, 2006.
Res~f;
DenniV~
Contractor
Sworn and subscribed to me, this 1 ih day of March 2006.
,,<~';yte", SuzaI?1~ Gangnagel
L~~~~.t~ Com.mls~lon #00198786
~~. ~.;''''~ ExpIres. May 10,2007
/./~~ 0. .\.O~ ,,' Bonded Thru
'1111 \ \' Atlantic Bonding Co., Inc.
- ;'5~ ~
L._______~
Notary Public
P.O. Box 1796. Englewood, FL 34295
Email: info@kirkeyroofing.com. Website: www.kirkeyroofing.com