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Home My WebLink About06-5968 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5968 Permit Number: 5968 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 5,615.00 Date Issued: 7/25/2006 Total Fees: 60.00 Amount Paid: 60.00 Date Paid: 8/01/2006 Work Desc: REROOF Address: 4912 16TH S ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-00400-0090 Name: SMITH, GROVER Address: 4912 16TH ST ZEPHYRHILLS, FL. 33542 Phone: \9a LP / c:v V y'~/J 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. ~.. ~~ / CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name ro ve...v 5'(V\.'~ Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Owner's Address 4 c; I L. I 6 H-.. .J j- Fee Simple Titleholder Namel Fee Simple Titleholder Address SUBDIVISION BUILDING SIZE I I SQ FOOTAGE I /0 0 0 HEIGHT I 1111"'1111111'11'111'111111111111'11111"'111"111'1111111111'1"1111111'111'11'1"111111'11111'1111'111111"11111111"11111'111"111111111"1111 B D D I NEW CONSTR INSTALL SFR BLOCK B D D ADD/ALT REPAIR COMM FRAME r<-/ D D D r- LOT # L & z. ( () 0 I 0 ~ 06</00 - (JO ~ V (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH JOB ADDRESS WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION OTHER I STEEL D OTHER I DESCRIPTION OF WORK o D D o MECHANICAL r- D GAS ~ROOFING FINISHED FLOOR ELEVATIONS BUILDING 1$ J & 00, P () ELECTRICAL 1$ PLUMBING 1$ I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION I 1I1111111111111I111111111111111111111111111111111111111111I111111111111I11111I11I1111111111111111111111111I111111111111111111111111111111111111111 SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO COMPANY REGISTERED BUILDER SIGNATURE YI N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # . PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL I COMPANY SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N Address I License # OTHER ~t1 COMPANY J{~ ff~/Cc.(,.J~ ~ ..... J?i/)f/~ dA C SIGNATURE .~ 1);S REGISTERED I Y I N I FEE CURRENT I N I Address \33 C:;l t>l S' rL <; L. License # I tee on 7 r7 111II1111111111111111111111111111111I111111111111111111111111111111111111111I11111111111111111111I1111111111I111I1111111I11111111111111111111I1111 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 COMMERCIAL 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. SIGN PERMIT Attach (2) sets of Engineered Plans, ***~PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 (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 proce?d with the work a~d not as authori~y !o violat~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o~ 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) mon.ths after the time th~ work is commenced: An extension may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~90) da~s 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 INYOUR 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. FLORIDA JURAT (F,S.117.0.~.? ------. /' -----.CONTRACTOR ~~ ~:~~~~~~dG:NT Subscribed and"1lwom to (or affirmed) before me this ~ ~ Who is/are personally known to me or has/have 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 1111111111111111111I11111111111I111111111I111111111111111111 2006150440 NOTICE OF COMMENCEMENT State of V\aV\ m . County of /15 (- () THE tmDERSIGNED hereby gives notice that improvement will be made to czrtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No./LJ-lW- L-.l-CD{O"OO'-!ro-0{f70 Lf9/L /6 -H- 0'( 2- \1\ \' (\ s f, 3J~ l. (Legal description of the property and street address if available) f<c? ~rOf) .. F- ~ . 2. General Description of Improvement Rcpt: 1018441 Rec: 10.00 DS: 0. 00 IT: 0. 00 , 07/25/06 Dpty Clerk 3. O\vner Inforaatioe: _ .c:;f'-&>vt!!1L Sm/~ Address 1.ff /"-. I~A Sf:" City Ze~~ulf,'/J~ / State ~"' . -:5 3 ~.;( Interest in Property: JED PITTMAN, PASCO COUNTY CLERK 07/25/06 01:20~ 1 ~f81. OR BK 710~ PG ~ ~ State Name of Fee Simple Titleholder: (If other th~n owner) Address City R40 Contractor: Name ~~ \).0. \6\:>1... \ \ <0 Address ~O\O ~-e.. 5'd- 5. Surety: Name ~$}.(' ~trlc\ (\ '$.,~ 0~ \ ~ ~ CitY~A.N A....)-rtl1\)/O State F'L 3~~ 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 other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name 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. 9. Exp~ration date or NotIce or Commencement (the expIration date is 1 year fr0m the date of recording unless a different date is specified.) Signature of owner:......~V..b~ ~~~ Sworn to .25 day of~ ," ~'\"" ..\~ . '4 b ~ ~^\:)\....... . '" rf~}o ~ v.' ..' 'N'.. ~ ~ '~C'I"'''' CJ:..... ~ ~ .' ~~~ 18, ~ -...y-a. ~ .: l$~ ~~\ _~ ~*: ..... :*E ~Z\ 100194281 :i!:E "'l?A.~ ~~~ '\ ~.. ~~ .* cr#- ~ -'tlr.. f ~ 'Olls,........::.:. .' ~,~ ~""I:l~ SI!~:;-.\\\\'~ ."'lil/l""~ , ~r Nota.ry Public: My Commission Expires: PC93053048 Proposal/Contract SCtJtt ~~ 1i!~, 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 ...! (,e,eft,4-ec,. ~ tJ.ft,tlec, & 1ft,4,ft,lf,ec, oate&!/96 Street PROPOSAL SUBMITTED TO Gr6i/eV J~,fIJ 'Ie; /2 /&(11 5;~ ~h'J,4ltl~ --7 ., WORKED TO BE PERFORMED AT Name Street City jco/r' ~J jiy r.rJ}" City Fax ~Ye~i~~i~~S~t~~:~t all the materials and perfo~:~~~;~~:::d~ :~; t:t C~ci'etion o:~r foot D R~isting built-up roof D Install feet of ridge vents c::rDry-in with D 15 lb. ~- D Install modified bitimen (granulated) torch down roofing color black, white or other color D Instal yr. fungus resistant 3-tab shingles I ' . , . S"",s;.,. nstall 30 yr, fungus resistant dimensional shingle pi Ij 11 woo D Shingle manufacturer color. D Install TPO, white rubberized roofing membrane ~r: #4''/ d()~ '1. h -t--o I K yoaf dec.iJ w galvanized valley metal D In~ew exhaust vents ~stall new drip edge, D Install new flashing as needed D Replace plywood at $ ~r rotten trusses at $ 3,6 () per sheet per foot ~odwork is an additional charge, see pricing above Atpl~ hJ It. de(J/~@1 :3,00 pe V- ~~ 't- Ail 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 $ 3 ~oo,oo r;'M kt/ ~ 1'1L-~/ ~ f- - I 7fltJ.~/() - 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 pr,sa; may be withdrawn by us if not accepted within _ 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, 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 t.he ~ack of this Propo al/cont. ract, WhiC.h contains Florida Statues 713.001-713.37, Payment will be made as outline~dbove, 7/fi ~/.EI'Y")I -! / A- I . ~A.../rWC10'1 C' ~ Accepted. ~. Signature~~~'I/~?;::I~- Date /j/~.5i'I" Signatur: