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Home My WebLink About06-5731 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5731 ./ 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: 5731 RE-ROOF ROOF REPLACEMENT MOBILE HOME PARK Address: 7212 APPLEGA E DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: ALPHA VILLAGE Parcel Number: 35-25-21-0050-00000-0160 3,025.00 4/25/2006 50.00 50.00 4/25/2006 RE-ROOF SHINGLES 30 YR Name: JOHNSON, KATHLEEN FLACK Address: 7212 APPLEGATE DR ZEPHYRHILLS, FL. 33542 Phone: ,~ \9- (j\.ft (j-' ~ ) -0 "\ \' ' 0: ~ \~ 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 SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhllls t-'ermlt f\ppllCCllIUII Building Department Date Received \=\ OlCk. ..A. P P \ t. 91 ~ t-c. :Dr Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name t~ Ie Owner's Address 17 2- I 1. Fee Simple Titleholder NamJ Fee Simple Titleholder Address I Ill. I '1- Apt'> i.t G,4 K 1A7hc< tA/1o/ B PROPOSED USE 0 TYPE OF CONSTRUCTION 0 DESCRIPTION OF WORK I fZ.e rC?O -I v/ / VL '30 '-// t>y- J. I' ~ ~ (c) 'Vt a.../ BUILDING SIZE I I SQ FOOTAGE I J-boD I HEIGHT I I . I . . . I . I . . . I I . I . . . I I . I I . I I . I . . I . . I . . . . I . . . I ~ . I . I . I I I I . . . . . . I I . . I . I . I I I I I I I . . I . . I . . . . . I . I . . . . I . I I . I . I . . I I . I I . . . I . I . . . I I I . . . I . . . . I . I I . I . . . I . . . . . . I I I o BUILDING 1$]0 L ).ULJ I VALUATION OF TOTAL CONSTRUCTION , o ELECTRICAL 1$ I o PLUMBING 1$ I o MECHANICAL r I VALUATION OF MECHANICAL INSTALLATION D GAS 6 --;OOFING D FINISHED FLOOR ELEVATIONS I NEW CONSTR INSTALL SFR BLOCK I B o D \)y- PARCEL ID# 13S ~ 2- 5"~ 2 J -oo,} () -uoooo ~ 0 I It:; 0 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 LOT # JOB ADDRESS SUBDIVISION WORK PROPOSED ADD/AL T REPAIR COMM FRAME o o o DEMOLISH I D OTHER I OTHER STEEL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO 1'1111,"""'.11"111'1111.'1""'1""'11"""'1'1'..........,......'11.".........111.........11............111....1.....1.......1111111111111 BUILDER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE Address I COMPANY REGISTERED Y/N PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED MECHANICAL SIGNATURE Y/N Address ~ COMPANY REGISTERED OTHER SIGNATURE Address 3,:, 0 l 0 S Vl- S--L (.)0 r,;o)... I t~ License # Ice C 0 S-7 9 S-) 111111111111111 111111111 I 11111111111111111111111111111111111111 , ' 11111111 " 111111111111111111111111111111111 ' , III " 1111111111' 1111111111111111' II RESIDENTIAL Attach (2) Plot Plans; (2) 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 COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 1111111111111111111111111111111111,,1111111111111111111111111111111111111111111111,111111111111111111111111111111111111,11111111111111111111111111 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 of Application Only) Reroofs Sewers Service Upgrades NC 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" restriotions" 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 Agricu~ure 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 a?Jac~nt properties. If use of fill is found to adversely affect adjacent properti~s, the. ow~er 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 that a separate perm~t. may ~e reqUlr~d for elect~lca.1 work, plumbing signs, wells, pools, air conditioning, gas, or other installations not specifically In?luded.ln the application. A .t" d shall be construed to be a license to proceed with the work and not as authOrity to Violate, cancel, alter, or ~:~~~i~~S~~y provisions of the technical codes, nor shall issuance of a permit prevent the B~i1.ding ~ff~i~: ~om the~eaftl~~ requiring a correction of errors in plans, construction or violations of any codes. Eve~ ~ermlt Issue : a k ec~:;e. Inda ~ unless the work authorized by such permit is commenced within six months o.f permit Issu~nce, or word aAu orltze . y . d f . (6) ths after the time the work IS commence. n ex enslon ~::~~m:~~su:~~::.~~e~r~rn~~~~o~~~: f~~ifdrne~I~~i:ll~or a ~~~iod not t~ exceed nin~ty ~90) day~ an: ~II ~emo~strate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS consi ere a an one . NOTICE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNE~p:g~::~~~~~ ~~~:;~~~~TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ~i~';O~I~~:g:R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT(F.S',117.03) , ~ ~ CONTRACTOR OWNER OR AGENT thl Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) efore me s by by d Who Is/are personally known to me or haslhave produced Who Istare personally known to me or has/have produce 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 1111//1//1/1111/1111111111/ 11I1II1111I1111111111111111111111 2006083513 NOTICE OF COMMENCEMENT State of ~\on~ County of ~ (\~'tJ TUB ImOERSIGNED 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: ... ]r: 2S'-Z-/-QOf;O-OOOoo- 0/0 1. 2 . ava~ ale) Rcpt: 991733 Rec: 10.00 DS: 0.00 IT: 0.00 04/23/06 Dpty Clerk ~l92~~~lMA~g : fC:;O fOUNT:, C~ERK OR BK 6952 PG 648 O"ncr Information: Name _~\\\\~~ 'f~<:l...~ ~1t\\){\9::,'(\ [,ddress ~ ~ ~ry.\s: ~ City .k~~"'~, State % \ 3~9L General Description of proper Improvemen t ~(j tf' 3. Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) Address City State B Contractor: N.-lme S( roTt ? CJ, ~O'f-. \ \ ~~ Address 32:>O\'() ~Q "d- 5 . Surety: N.:une ~\CkC' Lvnp..Y\ ~~\\\~ \\ (\C-~,_ CitYI..<:{A-Y\.) fJ-'^ITOI\.J10 Stat~L 3~S-711 Address City State Amount of Bond: S 6. Lender: Name Address City State 7 . Persons within the State of Florida notices or o~her documents may be 71J.IJ(1)(a)(7), Florida Statutes: designated by Owner upon whcm served as provided by Section tJc":mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided ~n Sect~on 713.13(1)(h), Florida Statutes. <J. ['xp.irrt1.l.'Jn dt'lte ot tlCJt.ice of Commencement. (t.he explratiCJn d.::.te is 1 yedr fr~m the d.-lte of recording unless a different date is specified.) Sig;1ature of Owner: ~~~~,....~ Sworn to and subscribed before me 20 ()f...p . ~ <Q-2)~~~- this ~ day of .f\{J('l \ ~ S~.) SI~) f54W LAURA FORCE Notary Public, State of Florida Notclry Public: No. DD 471021 My C:):w,n.i ssion E PC93053048/A ., . Proposal/Contract SCfJ-tt ~~ ;r::~, 11eC. 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 ~ tc,elt,(j,eti. 'C (J.",tieti & 'J",d-"-",eti Date 1/1 ~/() t PROPOSAL SUBMITTED TO o,r Wl 40.. n Joh 1'\50 11 Street I 2 11 Ap (> It. ~ #V k Dv City ~fh'Jl-h, lis State ~ I WORKED TO BE PERFORMED AT Name Street City State Zip Phone Number Zip 7~rf-7/91 Fax Owner of Property Phone Number Fax We hereby propose to furnish all the materials and perform all the labor n~cessary for the com,gletion of: ~ove existing shingle roof ~ace bad faSCia boards at $ 1.., 7 S- per foot o ~e existing built-up roof , ~all "2. tJ feet of ridge vents e:rDry-in with 0 15 lb. ~ 0 Install modified bitimen (granulated) torch down roofing o Install new galvanized valley metal black, white or other color '~I new lead boots ~ 25 yr. fungus resistant 3-tab Shingles$2, "1 ~5"oo o Install new exhaust vents ~tall 30 yr. fungus resistant dimensional shingles~O z., S", 00 c::rr;;stall new drip edge, W h .'K color 0 Shingle manufacturer color o Install new flashing as needed 0 Install TPO, white rubberized roofing membrane ~ce plywood at $ 3 C); SOper sheet 0 Other: ~r rotten trusses at $ '1.., '15 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 specifica- tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ - with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You. Credit cards accepted, additional 2.8% charge. ~ p/ - 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 above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work, Workers' Compensation and Public Liability insurance an above work to be taken out by Roofing Contractor. Client gives permission to drive on driveway to deliver materials. Officer/Agent Scott Blackman Roofing Note: This~osal may be withdrawn by us if not accepted within -T- days. ACCEPTANCE OF PROPOSAL The ~~ove 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. 4 Accepted .3 ~5.ro L*/.Q.4/fJ(SL Signature ~~ ~~&- I Date Signature