HomeMy WebLinkAbout06-5750
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5750
Permit Number: 5750
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
lmprov. Cost: 2,995.00
Date Issued: 5/03/2006
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 5/03/2006
Work Desc: DUPLEX RE-ROOF 25 YR 3 TAB
Address: 38600 NAOMI AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-002A-00000-0070
Name: GRACE,RENEE
Address: 38600 NAOM I AVE
ZEPHYRHILLS, FL. 33542
Phone:
lO-J &-;
0(10- ,,/0.
I n /
\
REINSPECTION 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.
- ~-~
/~RE -PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhllls t-'ermlI AppllCcHlUII
Building Department
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name Ro~~s
Owner's Address I ~ I '2.. '2 Lf L (...~ c V\ A-\..JC
Fee Simple Titleholder NamJ
JOB ADDRESS
Fee Simple Titleholder Address I
I '3 <is'(,D () / 'jg~D<-f
I
SUBDIVISION
I
E3 NEW CONSTR D ADD/ALT D
INSTALL D REPAIR
PROPOSED USE D SFR 0 COMM D OTHER I
TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I
;~~;~;;;~~~I~~". ~.,,~. ~.~..r.~, ~~ ~;;~~.1.. ~ ~,~." ~I:.: ;~~~~..I. ~~. ~...",...!......",......",....~
(\19 oM; A:vf.
PARCELlD#IO"l -l.. ~- 2 )-00 'LA - 6 0006- 0070
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
LOT #
DEMOLISH
WORK PROPOSED
D BUILDING 1$ '2 q9<)/iJD I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C.
0 PLUMBING 1$ I
D MECHANICAL ~ I VALUATION OF MECHANICAL INSTALLATION
D GAS ROOFING 0 SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
'1.111111'...1111....1.....,111111111.....1.111111..'1...'..11.......11'.11'11......11.....1111...111..11111.....1111111.111...11.11..............
PLUMBER
SIGNATURE
I
I
I
I
I
Address License # I
MECHANICAL I COMPANY I
SIGNATURE , REGISTERED Y / N FEE CURRENT Y / N
Address I License # I
OTHER J A ~ d' -I COMPANY I $~H-j} ICtJ..i-V ttW ~ D~ ~ 7JM <- I
SIGNATURE ~L{\J:5 REG..,...." I Y / N I FEE CURRENT I '" / N; ..
Address I3JlO 10 S IL- S 2- /(.7 ~).II g-K' ..J4k A~H1/ ~ ( ..:r35'{ ~I License # I C' ~ C 6 M 7') 7 I
IIIIIIIIIIIIIIII~IIIIIIIIII'IIIIIII'IIIIIIIIIIIIIIIIII11111111111111'11111'111'111111111111'111"111"11111'1111111111111111111"111111111111111"
RESIDENTIAL Attach (2) Plot Plans; (2) 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
Attach (3) 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
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMMERCIAL
SIGN PERMIT
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 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 I I I i I I I I I I
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 AlC 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" restri~tions"
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 Divislon-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, 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, addressl~g 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.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 rior to commencing construction. I understand that a separate permit may ~e reqUlr~d for elect~lca.1 work,
lumblng Signs, wells, pools, air conditioning, gas, or other installations not specifically In?luded. In the application. A
p ermit is~ued shall be construed to be a license to proceed with the work a~d not as authorl~y !o vlolat~, cancel, alter, or
~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II,dlng ~ff~I~: :om the~ea~~~
. . 1'on of errors in plans construction or violations of any codes. Every permit Issue s a ecome. Inva I
renqleUslrsln~: ~~;:~~thorized by such p~rmit is commenced within six months o,f permit issu~nce, or if wordk aAuthorltzed, by
u . d f . (6) ths after the time the work IS commence. n ex ens Ion
~::~~m:~~~:~:~de~~e~r~rn~~~~o~~~~ f~~ifdjne~l~ff~i:ll~or a ~~~iod not t~ exceed nin~ty ~90) da~~ an~ ~II ~emo~strate
justifiable cause fo~ the extension. If work ceases for ninety (90) consecutive days, the Job IS conSI ere a an one .
N TICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: Yg~::~~~~~ ~~~:~~~~~~ IF YOU INTEND TO OBTAIN FINANCING, CONSULT
~~i::O~I~~:g:~~:~N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are 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
~~~~~~~~lW' 1////11I1//1/// 1/1// 1/11I 1///1 //1/11I1
NOTICE OF COMMENCEMENT
State of ....J::;\()y'\ ria.
County of
--PCLSc..o
TUE tmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commenc~mcnt:
...
1. Descr iption of Property: Parcel No.
:3 ~(d::::)o 3~Ccoc{
(Legal descr1pt10n of
~
able)
2. General Description of
Rcpt: 992156
DS: 0.00
04/26/06
Rec: 10.00
IT: 0,00
Dpty Clerk
3 .
O\-Jner Information: Name ThOrl'lv.s ~ Kcncc 6rCc.cc-
llddress 37U'-{ Lcn-,on IV<- City ~hyrL-" lis
Interest in Property: Q..0ncr:s
State R-
~5~/Z-
Name of Fee Simple Titleholder:
(If other th~n owner)
Address City
JED PITTMAN PASCO COUNTY CLERK
04/26/06 09: 26am 1 10'361 7
OR BK 6954 PG
State
4. ~""tt~ontractor: Name ~('~'~
R !I 7. C. \$)~ \\<6<6
."l Address -2Pn\\0 S'\L ~'d-
5. Surety: Name
b\O-C ~ ~~ . \'1"(' _
City ~A'!,.) C\\J",,-)\O sta- e" I-l
;;"Jj-/&
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or o~her documents may be served as provided by Section
713.13(1) (a) (7), rlorida Statutes:
tJ.:;mc
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.
<). f"xp.i.rflt.l'Jn dflte 01 Uot.lce of Comm~ncement. (t.he explratlc,n date 15 1 year
fr~m the date of recording unless a different date is specified.)
Signature of Owner: ~~~~
Sworn to and subscribed before me this ;()~ day of
20~'
~PJl
Notury Public:
My C:):n,;,j s s ion Expires:
PC93053048/A
Proposal/Contract
Suet ~~ i1<~, 1~*
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
PROPOSAL SUBMITTED TO
Name 7A c,. rvt.Pt f G iT\.- Co- ~
Street .~ ~ (, OU- '3;j- 6 CJ L( fA/~ aM, ',1..r
City 2..... hi " L I )
State ~, , Zip
Phone Number Zk,"3 - 7.) I/CfI Fax
1i?~~~
&'3t3 057957
.4 tc,eft,a.ee:l..
g tJ.ft,etee:l. &
1", a.tltIf.ee:l.
Date
WORKED TO BE PERFORMED AT
Street ? / '3 -' ~ 6Cf -- S. <;' $ ;I'
City
State
Zip
Owner of Property
Phone Number
Fax
We hereby propose to furnish all the materials and periorm allJbe labor necessary for the completion of:
j;,;;tfre~~~e existing shingle roof t:r1f~laCE?J,)ad f~cia boards at $ ". () v per foot
o Remove existing built-up roof O~ _ ).c.:...-J feet of ridge vents
~n with 0 15 lb. ~- 0 Install modified bitimen (granulated) torch down roofing
o Install new galvanized valley metal
o Install new lead boots
o Install new exhaust vents
crrn;tall new drip edge, color
e:rrnst~II _~:w flashing as nee~~ /.k- ~O
~ce plywood at $ ..../ ~ ~ per stieet
erR;~ai;' rotten trusses at $ :3 ,00 per foot
'Woodwork is an additional charge, see pricing above
black, white or other color
.a1T1sfciii25'. yr. fungus resistant 3-tab shingles
o Install 30 yr. fungus resistant dimensional shingles
o Shingle manufacturer color
o Install TPO, white rubberized roofing membrane
~ Other: ~ C OCL l
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 $ 2... CJ1 s:~- V<..,
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
"7'-#'2 .
" __-~~,-'f.;;'?lR -c
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 ~,/al may be withdrawn by us it not accepte'
within days.
ACCEPTANCE OF PROPOSAL
The ':l~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.
Accepted
n-:)tr.
Signature
~L~
~J'7yJ1&\ R (" ~~
0;,...........................