HomeMy WebLinkAbout06-5822
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5822
Permit Number: 5822
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,940.00
Date Issued: 5/23/2006
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 5/23/2006
Work Desc: RE-ROOF
Address: 39041 ARK DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0030-00100-0050
Name: BRIDGES, DAVID
Address: 39041 PARK DR
ZEPHYRHILLS, FL. 33542
Phone:
(\~f\\eO
I \y\ jcrt.e
La @
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. n
NO OCCUPANCY BEFORE C.O.
~j~ ~.
/' CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81~-780-0020
City of Zephyrhills Permit Application
Building Department
t-aX-tll;:l-(tlU-UULI
Owner's Name 0 ~ V "
Owner's Address I '3 OJ 0
Fee Simple Titleholder NamJ
Date Received
PA c<-Ic Dr
Fee Simple Titleholder Address
I
I
l
3~oLjI
P A t1- Ie
Ov I
PARCEL ID#I /2.- 2..& -2/ - 0030,- DO/GO -OCX-O
, (OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN D MOVE D
o
D
LOT i#
JOB ADDRESS
I
B'
o
D
DESCRIPllONOFWORK I ttevou I- . 2,'-1 <;~ 1_/ ~~YCQV Tt'Mbwi,it.(
BUILDING SIZE I !I sa FOOTAGE I 2-l..{ Q U I HEIGHT - ,I
I""""""""""""""""""""" "...""..."".""""",..".""".".,...,..,',."""""""""",."".."".",.,"""""
D BUILDING 1$ L/CJyOrU u I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE t=J PROGRESS ENERGY
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS ,OJ ROOFING D
FINISHED FLOOR ELEVATIONS I I
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
B
o
D
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/ALT
REPAIR
COMM
FRAME
DEMOLIsH
WORK PROPOSED
I
I'
I
OTHER I
STEEL D
OTHER I
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
11'.""",..""",.".",.",,"",."""1""'.,",.,"'."1'.".".'..1'.".""..1"""""',.,"""..",."."""."""""""",..",
MECHANICAL
SIGNATURE
Y/N
I
I
I
I
I
I
I
I
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y IN FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N
Address
COMPANY
REGISTERED
Y/N
ELECTRICIAN
SIGNATURE
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
Address
I
COMPANY
REGISTERED
OTHER
SIGNATURE
H
REGISTERED FEE CURRENT Y I N
Address I J~ 0 I 0 ~~. s: L f/cJ lJok /I~' 'I License # Ieee 0 S-7 q \7 I
III1 ' I , , II II . , II 1 ~ I I I ' I II I ; I":': 11II , I ~ II ~ I ;-;-; II ; 1,11111 , III , IIIIIII~ II, II I , , 1I111 , , II , II , 1111 , 1I1I11 I1111111I11111 III , ' I1I1I1111 · , 11I1111111111 I' I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslle, 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. ,
11111111111111111111111111111.1111111111111,11111,,111.'I.'IIIIIIII,IIIIIIIII,llllllllllliillll,lillillllili1IIIIilillllillllillliliiiliiililiiliii
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
I~
COMPANY
Address
----
COMMERCIAL
SIGN PERMIT
Driveways
Fences (PloUSurvey/Footage)
NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'permit may be subject to "deed;' restricti~ns"
, which may be more restrictive than County regulations. The unde~slgned assumes responsibility for 'compliahce With any
applicable deed r~strlctions. ' ., " "
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:', If the owner has hired, a contractor or
cl;mtl'actors to undertake work, they may be required to be licensed in accordance wltti state and local regulatlohs. If the
contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor violation
under state, law. If the ~wner or Intended contractor a~e uncertain as, to what "<?enslhg reqUirements may apply.for the '
Intended work, they are advls~d ,to contact the P~sco County Building Insp~ctlon Dlvlslori-L1censl~g Section at 727-847-
8009., Furthermore, If the owner has hired a cont~actor,or contractors, he Is advised to havEdhe contractor(s) sigh
, portions of the .contractor Blockn of this ~ppllcatlon for which they Will be te~ponslble. If you, as the owner slgrl as the,
contractor, thatmay be an Indication that he Is not properly licensed and Is hot enlltled ,to permlttlhg prlvllegel;l In Pasco
County. , " , '
TRANSPO~TATION II'JIPACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned understahds
, that Transpoi"tatlon Impact Fees ~nd Recourse Recovery Fees may apply to the construction of heW bUildings, chahge of
use In, existing bulldings~ or expansion of existing buildings, as specified In Pasco County Ordinance hLJmber 89-07 and
_, " 90-07, as amended. The undersigned also understands; that such fees, as may be duej will be Identified at the time of
permitting. 'It Is further ~nderstood that Transpo~atlonlmpact Fees and Resource Recovery Fees tnust be paid pi"ior to
, receiving a .certlficate of occupancyn or final power release. If the project does hot Involve a cerllflcah~ of. occLJp~hcY or
final power, release, the fees must be paid prior to permit Issuance. Furthermote; 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 (Chapler,713, Florida Statutes, as amended): 'lfValuatlon 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 Gulden prepared by the Florida Department of AgricUlture and Consuiner Affairs. If the applicant Is someone
, other than. the .ownern, I certify thlilt I, have obtained a copy of the above described document and promise In good faith to,
, deliver it to the .owner" prior to cOll1mencement. ' , '
CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the information In this application Is accurate and,that all Work
will be don~ in complianqe with all applicable laws regulating construction, zonltig and land develop'inent. 'Application Is ' '
hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or Installation has
commenced prior to Issuance' of a permit and that all work will be p~rformed 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 agenples Include but are hot limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
Lands, W~ter/Wastewater Treatment. ' ' ',' ,
Southwest 'Florida Water Management District-Wells, Cypress' Bayheads, , Wetlahd Areas, Alterilig
Watercourses.' , " ' "
Army Corps of Engineers-Seawalls, Docks"Navigable Waterways. ' ,,' " , ,
Department of He~lth & Rehabilitative SerVlces/Envlronmental HE;lalth 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 dralnag,e plan addr.esslng a
"compensating volumen 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 "N In connection with a permitted building using stem wall
, construction, I certify that fill will be used only to fill the arE;la within the stem wall. '
, If fill, materl~1 Is to be used In' any area, I certify that use of such fill will hot, adversely affect ~djac?nt
properties. If use of fill Is found to adversely affect adjacent properties, the owner may be cited fo~ violating
. " the conditions of the building permit issued under the attached permit appllcatll,ln, 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 fo~h in
this affidavit prior to commencing. construction. I, understand that a separate permi~ may be required for electrical wor~,
, ' . 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, c,an,cel, alter, or
set aside any provisions of the technical codes, ~or shall Issuance of a permit prevent the Building Official !rom ,t~e~ea~er
, requiring a correction of errors In plans, construction or violations .of any code,S. Every permit lssu~d shall b~come 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.Slx (6) months after. the time the ~ork Is commenced. An extension
may be requested, 'in writing, from the Building Official for a period not to exceed hlnety (90) dars"ahd WIII,deinl?nstrate
, justifiable cause,for the extension. If work ceases for ninety (90) consecu~l\le days, the Job Is conSidered abandoned. ,
: WARNING TO OWNER: YOUR FAiLURE TO REC~RD A NOTICE OF COMMENCENII:;N~ MAy ~E~Ult INNY~UR'
, PAYING TWICE FOR IMPROVEMENTS TO YOUIt PROPERTY. I,F YPU INTEND TO O,BTA!N F~NANCING; 00 SL T
WITH OUR LEND OR AN ATTO NEY BEFORE RECORDING YOU OTIC OF COM ENCEME T;
, ~~~~ o'~~~~ts, 11?03) , CONTRACTOR' ,~----
Subscribed and sWorn to (or affirmed) before me this, Subscribed and sworn to (or afilrmed) before me this
, " by' , ' by'
, Who Is/are personally known to me or has/have produced ' Who Is/are personally knoWn to me or ha~~~:t::a~c:~ '
asldelJUflcaUon.
Notary Public
NolarY Public
Commission No.
Commission No.
Name of Notary typed. prin\ed or stamped
, , .
Name of Notary typed, printed or stamped
State of ~\[)Y\~
County of
r~jto
NOTICE OF COHHBNCEHBNT
3.
THE trnoERSIGNED 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 No;~cOe (~1~ co~~:c).~cnt: '
1. Oeser iption of Property: Parcel No. ..J '7 I JI1 u<..- c.....
, 3 3 L) z- - z-" - z-i -0 C,:)1o,.. 00100 - OOS<
property an reet a ress ~ aVa~ able)
~ ~() r v.f /4 J",ct!i;evr/ ~
~~v
. / / WI/4S
t r1,;;v<VA ~)'-t~~-J
City Zf{~lJ y~)~')) ls State F t
.33~-YZ
2 .
General Description of Improvement
Owner Information: Name f)AVJ..l\
llddress 390L}} -P~K- X- nK
Interest in Property:
Address City
1111111111111111111111111I1111111111111111111111111111111111
2006105339
Rcpt: 1000595
OS: 0. 00
OS/23/06
Rec: 10.00
IT: 0.00
Dpty Clerk
Name of Fee Simple Titleholder:
(If other th~n owner)
Contractor: N.:lme ~C n* (b\o...C-.~
'\). D. 6D~ lItts16
. Addres s 350\0 S Y'_ ,,)'L
City SAy\)
~ootl(\()~t \nc.
f-).t\)1"'oM 0 State
PC
33,51(,
JEO PITTMANn PASCO COUNTY CLERK _
OS/23/06 00:51am 1 of 1
OR BK 7000 PG 756
5 .
Surety: N.:lme
Address
City
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon wham
notices or other documents may be served as provided by Section
71J.13(1){a)(7), f'lorida Statutes:
tJt:mc
F\ddress
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.irnt .l',n d~te of rICJt.lce of Commencement (the explratiun d.::.te is 1 year
fr~m the d~te of recor ing unless a date is specified.)
20~.
day of
lUo;
Si<J:lature of Owner:
Sworn to and subscribed
Not.:lry Publ ic:
(lJp ~C-/
~ a\. Carolyn Zappulla
. ~ .; My Commission 00273751
-.,:; or,.',/ Expires December Of. 2007
My C::J:n',;,.i s s ion Expires:
PC93053048/A
Proposal/Contract
SC6tt ~~ ;e~, 1nc.
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,e",4-ec..
~ ".",c.ec. &
'J",4-u",ec.
Date
5jI1/d&
PROPOSAL SUBMITTED TO
Name {)q /VI d tC )'1' ~J
Street 5,/Ot( / ;J~IL /Jv
City '""2..L-u 'J ( r
State ----F- (
WORKED TO BE PERFORMED AT
Street
City
State
Zip
Owner of Property
Phone Number
Zip
~(;) -/ J 7,
Phone Number
Fax
Fax
y propose to furnish all the materials and perform al e labor necessary for the completion of:
emove existing shingle roof eplace bad fascia boards at $ '1... 0 .~ per foot
o Rem~sting built-up ro~ ~ Z--U feet of ridge vents
~n with 015 lb. .e:f'30 lb. 0 Install modified bitimen (granulated) torch down roofing
0, I Inn~stal_new galvanized valley metal blac~e or other color
~stall new lead boots ~II 25 yr. fungus resistant 3-tab shingles J
~new exhaust vents, 0 Install 30 yr. fungus resistant dimensional Shingle'lL/- 9 1(),..OlJ
~II new drip edge, t;. ~C/L 'If color 0 Shingle manufacturer color
o Ins~ew flashing as ne;djd 0 Install TPO,,wqite;ubberized roofing membrane /
~plac::e plywood at $ ~. d~ per sheet 0 Other: f'/YJ 4 ;r:hQ.i<~1 0 ft., ff
~r rotten trusses at $ 3...0 [/ 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 $ _ Lj <I Z-o.l /) 0
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.
~
Officer/Agent Scott Blackman Roofing
Note: This ~osal may be withdrawn by us if not accepted
within --I- days.
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.
Date
Signature
ACCEPTANCE OF PROPOSAL
The ~~ove prices, specifications a~d conditions are satisfactory and are hereby accepte
specified. I have read the back of thiS Proposal/Contract, which contains Florida Statues 7
outlined above.
Accepted
Signature