HomeMy WebLinkAbout06-5842
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5842
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:
5842
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 4913 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-00500-0080
3,740.00
5/31/2006
50.00
50.00
5/31/2006
REROOF
Name: HUSSEY, MADELINE
Address: 4913 16TH ST
ZEPHYRHILLS, FL. 33542
Phone:
J).. J) V
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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.
,~. ~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPEcnON - 8 HOUR NOTICE REQUIRED . --
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Address I
LJ913 Ibfh 51
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
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PARCELlD#l/ej. 210. 2/ ' DOIU "005 DU 4 (JoN
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
JOB ADDRESS
LOT #
SUBDIVISION
DESCRIPTION OF WORK
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ADD/ALT
REPAIR
COMM
FRAME
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D
DEMOLISH
WORK PROPOSED
OTHER I
STEEL D
OTHER I
2-s3r
HEIGHT I
o
o
o
o MECHANICAL r-
D GAS ~oo::
FINISHED FLOOR ELEVATIONS
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1$ 3 Jiu/ ou I
1$ 1
1$ I
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Address 133 OlcJ5tt..S-Z Po C,Of( l(rJ- I License # I CCC(JS7fr7 I
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RESIDENTIAL Attach (2) Plot Plans; (2) 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
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.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement 15 required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attomey (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
SQ FOOTAGE I
BUILDING SIZE
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
o
PROGRESS ENERGY
D
W.R.E.C.
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
I
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
MECHANICAL I
SIGNATURE
Address I
OTHER ~
SIGNATURE
License #
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
COMPANY
REGISTERED
License # I
1J~;ft?4dJ<vf0; ~~ In ~
I Y / N I FEE CURRENT I / N I
COMMERCIAL
SIGN PERMIT
Fences (PloUSurvey/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" 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 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.
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.
FLORIDAJURAT(F.S~ ". ~""
OWNER OR AGENT " CONTRACTOR
Subscribed and swdiTi to (or a rmed) before me this Subscribed and sw6m to (or affirmed) before me this
~ ~
Who Is/are personally known to me or haslhave produced Who is/are personally known to me or has/have produced
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
'R~ e~t<>>
eee 057957
Proposal/Contract
SC6tt ~~ 1e~, 1HC.
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
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"7", a- ".If, e tJt
Date
\5/1 tfilo?
--~~-------- .
--~--------_._----.---~---_._----~-~----_.._- -"-~---'-~-"-'----~----~_..._-----,--~,--
PROPOSAL SUBMITTED TO
Name
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Y'j/S /h
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/f vI J Sc <--j
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WORKED TO BE PERFORMED AT
i--~---_.-. .-.-------------~-
Ii Street --:? /~=__96 f:J.."3~~__
City _________ .
I
!
State
Street
City
Z'
. Ip___
State__________Zip
Phone Number 7/.) - 00/ 3
---- ,
Owner of Property ________________________________________
Fax
Phone Number
Fax
We herepy propose to furnish all the materials and perform ~abor necessary for the G~mpletion of:
~e existing shingle roof ~eplace bad faSCia boards at $ 3, <.) j _ per foot
[J Remove existing built-up roof futall -bu___ feet of ridge vents
~With 0 15 lb. i.::r3U1l3"':- lJ Install modified bitimen (granulated) torch down roofing
t:rlil:;t~1I new galvanized valley metal black, white or other color____________
d1f)';;1I new lead boots Olh'ltYl I U Install 25 yr. fungus resistant 3-tab shingles $ 31 7tf 0.... ou
LJ Install.~ew exhaust ve~ Of /7/J"L-U Install 30 yr. fungus resistant dimensional Shlngle~t..j I ro ... .
~ new drip edge, 2'~L WA L/f__ color U Shingle manufacturer GeE cOlor5i,~t:.!:._1!.~
U Install TPO. white rubberized roofing membrane
~w flashing as neede~ F
:.J ~Iace plywood at Lb.r l.i~
..1Repair rotten trusses at $_.::' ,~-J 0
per sheet
U Other:
per foot ~___ .______ ____ ___.___._~___________~_____________________________
~:~:;r~~~:g;~~~d;::~ ;~~~';';2C~~~b:~ :=~~~d~S:co:~~ce ':t~~::=:;~ an:s~ecifi;a.
tlons 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,
"._~---~-_.~-_._~---~.~~--~--~~-~
Any alterallon Dr deviation from above specifications involving extra cosls will
be executed only upon written orders, and wit! 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 a!Jove work. Workers' Compensation and Public Liability insurance an above
WU!K " be taken out by Rooting Contractor.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above 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 713.001-71337. Payment will be made as
, :::::~~ ~~~ I ~.t- ~ ~'~::~u::~~ - __n___~
State of Slov,d~
County of
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2006109605
:::Y.1\.Jl).(' ..,.r)
NOTICE OF COMMENCEMENT
THB tmDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes the
following inforr.lation is provided in this Notice of Commencement: '
1.
Oeser iption of Property: Parcel No.
2.
General Description of
fU.R.,+
of the prop ty n street a
Improvement :;;1 tp jrCl~~
0050b. ao.go
~ ~Cf J I ~-f h .
(Legal descr1pt1on
Ie)
Rcpt: 1002063 R 10 00
DS: 0.00 ec:.
05/30 IT: 0.00
/06 Dpty Clerk
3. "Owner Information: Name.r-n RJ)()..o~.D
~ llddress 4q 13 I b:.+h. 5-1-.
City
State tp. 33S"~
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
City
JED PITT"AN, PASCO COUNTY CLERk
05/30/06 08:33am 1 ~t.J.
OR Bk 7009 PG ='0 {
Stilte
Address
R~~
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11
Co
Contractor: Name Sf n1-t bJ ().('-~n
Address p,O,~~~\O J/.~~_ ~T City ~AllI
~a~'Y/5 I }()r
4r\/70rVl D State
5.
Surety: Name
PL
33 r 7(,
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o~her documents may be served as provided by Section
713.l3(1)(a)(7), Florida Statutes:
tJc-:mc
Address
City
Stilte
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.
<). r-xpi.rnt J.'Jn dflte of tlCJt..ice of Commencement. (t.he expiratiun date is 1 year
ir~m the dutc uf r~cording unless a different date is specified.)
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20~ / .~ \
Notary PUQ.1 ic :
dWlf
My C:)~.;l.i s s ion Expires:
PC93053048/A