HomeMy WebLinkAbout06-5958
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5958
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:
5958
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 37747 14TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0600-00000-0210
4,655.00
7/19/2006
55.00
55.00
7/19/2006
REROOF
Name: GILL, RYAN
Address: 37747 14TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEcnON 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.
~- ~~
c;:/" CONTRACTOR SIGNATURE PERMIT OFF!
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
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Building Department
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Owner's Address ') I I I IT
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
JOB ADDRESS
Fee Simple Titleholder Address
I
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317Yl
1'-1f-1-"
f\Je
LOT #
PARCELlD#1
I 0 - L (g - IJ - Db 0 (J -00000 -
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
aUO
WORK PROPOSED
B
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK I
BUILDING SIZE I I SQ FOOTAGE I .2- fo DO I HEIGHT I 111111111111111111111111111111111111111111
I II f 111I111111 f 11111 1111111 11111111111111111111111111111111111111111111111111111111111111111111111111111
1$ f&)S-tOU
1$
1$
NEW CONSTR
INSTALL
SFR
BLOCK
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B
D
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ADD/AL T
REPAIR
COMM
FRAME
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DEMOLISH.
SUBDIVISION
OTHER I
STEEL D
OTHER I
Address
MECHANICAL I
SIGNATURE .
Address I
~~H:A~URE ~
Address I S ~ ,C;L PO (J 0 k II pt- ..JJYI 4tn ~ J{' l~ License # If {( or/f)7
111/111111111111111111111111111111111111111111111111111111111111 i 111111111111111111111111 i 1111111111111111111 i 11/111111111111 i 11/11111111111111111
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
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,
*wPROPERTY SURVEY required for all NEW construction.
/1.111111111111111111111111111111111111111111111111111111I11I11111I1111I1111I11II1111II11I1111I111I1111111111111111111111111111111111111111I1111111
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
o
D
D
D MECHANiCAL r VALUATION OF MECHANICAL INSTALLATION
o GAS ~;:OOFlNG 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I, I FLOOD ZONE AREA DYES DNO . ..
11111111111111111111111I1111111111111111111111111111IIIllllllllllllllllllilllllllllllllllllllllllllllllllllllillllllllllllllllllllllllllllllllllll
:~~~~~RE I ~:= I Y I N FEE CURRENT Y I N I
I
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ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W,R.E.C,
BUILDING
VALUATION OF TOTAL CONSTRUCTION
PLUMBING
Address
License #
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y I N
FEE CURRENT
YIN
Address
License #
COMPANY
REGISTERED
PLUMBER
SIGNATURE
YI N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMPANY
REGISTERED
License #
FEE CURRENT
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 Dlvlslon-Llcenslng 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 specffied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will ~e Identmed 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 certfficate of occupancy or
final power release, the fees must be paid prior to permit Issuance. Furthermore, If Pasco COllnty 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 Instailation has
commenced prior to issuance of a permit and that all work will be performed to meet standatds 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 o~ 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 s~t forth In
this affidavit prior to commencing construction. I understand that a separate permit may be required for electncal work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specmcally included In the application. A
permit issued shall be construed to be a license to proceed with the work and not as. authority !o violat~, cancel~ alter, or
set aside any provisions of the teahnlcal codes, nor shall issuance of a permit prevent the B~"dlng OffICial from thereaft~r
requiring a correction of errors In plans, construction or violations of any codes. Every permit issued. shall become in~a~d
unless the work authorized by such permit Is commenced within six months of permit Issuance, or If work authorize y
the ermit Is suspended or abandoned for a period of six (6) months after the time the work Is commenced: An extension
ma: be requested, in writing, from the Building Official for a period not to exceed nln~ty (90) days an3 wl'l demodstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is consldere abandone .
. . LURE TO RECORD A NOTICE OF COMMENCEMENT MAY. RESULT IN, YOUR
:':~:~~~EO~:I~P~g~::~TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LE D R OR' ATTO EY BEFO ECORDING YOU 0 ICE 0 NCE ENT.
FLORIDA JURAT (F.S.117.03)
OWNER OR AGENT /~ I~~ --
Subscribed and swOm to (or afflnnoo) efore me thls----".
by
Who Is/are personally known to me or hasJhave produced
as IdenUflcaUon.
CONTRACTOR ~ ~
Subscribed and sWOm to (or amnned) before me this
-. by
Who Is/are personally known to me or hasJhave produced
as IdenUflcaUon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
t .:
1111//1/1111 II111 11111 1111111111 111111111' 1//11 1111111111111
2006144556
State of -E}tJr\ do.-
NOTICE OF COMMENCEMENT
County of
f(1SCD
TUR lmOERSIGNED 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 Commencement:
..
Parcel No. J 0 -1-(0 - 2...) - 0 (p OU - OOOO(J - 0 '-I 0
r 't~ ~\ 3YoiL
street a
1.
Description of
~11 ~,
(Legal descr~pt~on 0
e propert
~vw-r
2 .
General Description of Improvement
Rcpt: 1015781 Rec: 10 00
DS: 0.00 .
07/17/06 IT: 0.00
--------- Dpty Clerk
'-
3 .
Q,;ner Information: Name (~Sn.(\ Gi \ l
l,ddress :2J1Y 1 I ym~ity -Z4h~
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
State ~
37s?,~
Address City
JED PITTMANA PASCO COUNTY CLERK
07/17/06 0~:50am 1 of 1
OR BK 7087 PG 38
StClte
7. Persons within the State of Florida designated by Owner upon whcm
notices or other documents may be served as provided by Section
713.13(1) (a) (7), Florida Statutes:
N,-:me
Address
City
StClte
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as prov~ded ~n Section 713.13(1)(b), Florida Statutes.
<.J. ~)(p.i.rtH.L')n d~te 0! Uot.lc,e of COlTlmencem~nt. (t.he expiration d.:::.te is 1 yeCir
rr~m the ~ate of record~ng unless a d~fferent date is specified.)
,
S~natureofQwner: ~
Sworn to and subscribed dore me
this ~ day of -:\.. \\ f
200ln
Notary Publ ic: \)-A- Cl. 1. ,. C\ ..\\ r\ ~.J=::::::\.. ~
My Co,",,; 55 ion Expires: ~ /0/'3 I I (')1
MARCY A. tlAMPTON
MY COMMISSION' 00 221908
EXPIRES: 0ct0Iler 31, 2007
Booded 1lvu NaIIly fl\IJIIc IkIllIrwrIIn
PC93053048/A
Proposal/Contract
SC6tt ~~ i1<~, 11tC.
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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Date
7//%ft,
PROPOSAL SUBMITTED TO
WORKED TO BE PERFORMED AT
Name
Street 3 7 7 Y I I t/ f't... /fvf
City lZ.. f ,//hy v I., IfF
StateF ( Zip
Phone Number 7lf'K" - 7 tfJ1J Fax
Phone Number
Fax
Wej!.ereby propose to furnish all the materials and perform all the labor necessary for the co~pletion of:
dRemove existing shingle roof~ce bad fascia boards at $ 3..1 Ci U per foot
o Remove existing built-up roof ~ (0 0 feet of ridge vents
~With 0 15 lb. ~. 0 Install modified bitimen (granulated) torch down roofing
~new galvanized valley metal black, white or other color 1f.
D1nstall new lead boots C>~V\ I 0 InstaIl2~yr. fungus resistant 3-tab shingleS''! /70; uO
o Install new exhaust vents 61 ,f]/P1t. '2...0 Install 30 yr. fungus resistant dimensional ShingletJ,,-/, /P 5 S. oD
~ new drip edge, CL:'" JIu).. color 0 Shingle manufacturer color ?ernt. (; ~
.0 In~ew flashing as n.eeded 0 Install TPO, white rubberized roofing membrane
d'Replace plywood at $ ~J, f1i) per sheet 0 Other:
~ rotten trusses at $ 3, 6D per foot
*Woodwork is an additional charge, see pricing above
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.
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.
-~ -----
Officer/Agent Scott Blackman Roofing
Note: This ~sal may be withdrawn by us if not accepted
within 6 days,
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 713,001-713.37. Payment will be made as
outlined above.
AccePted~~
Date 7; /7/-00=-
Signature
~6~
Signature