HomeMy WebLinkAbout06-6082
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6082
Permit Number: 6082
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,500,00
Date Issued: 9/06/2006
Total Fees: 55,00
Amount Paid: 55,00
Date Paid: 9/06/2006
Work Desc: REROOF - 1044 sa FT
Address: 5805 DAYTON ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0000-00100-0000
Name: MORKEN, EVELYN M
Address: 5805 DAYTON ST
ZEPHYRHILLS, FL. 33542
Phone:
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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 OFF I
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 Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date'Recelved
Owner's Name
Fee Simple Titleholder Address I
I SgD5 Da..-y to ~
t-Ree- Lan~
JOB ADDRESS
LOT #
SUBDIVISION
PARCEL 10#1
10 .;1~~, ODeD 00100
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
0000
DESCRIPTION OF WORK
B
D
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ye.-voo,f -
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/ALT
REPAIR
COMM
FRAME
D
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fhefh\. b r a..,n e..
DEMOLISH
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
STEEL D
OTHER I
I 0 tit{ ~
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BUILDING SIZE I I
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D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION $ if '17 {) ,C}o
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS ~ ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO
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"1/o~/ad t:ouhns- /~ L I
I Y N I FEE CURRENT I Y/N I
License # I ec..c... J ~ a-t.,q 35 I
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License # I
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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,
11.1111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111
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 Ale
AMP SERVICE
D
PROGRESS ENERGY
o
W,R.E,C,
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
l;i
I
COMPANY
REGISTERED
Address
ELECTRICIAN I
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y I N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
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 aU 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 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 ~nstallations not specifically in?luded, in the application, A
permit issued shall be construed to be a license to proce?d With the work a~d not as authorl~y ~o vlol~t~, 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 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 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 COMIYIENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO BTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE EMENT,
FLORIDA JURAT (F.S, 117.03), he "
OWNER OR AGENT;J /I ~~ )IJ2 ""7Y2~A C~NTRACTOR ,
S b . ed and SWQIll tq (or-affi!~;-,Gi, efore me this T'S'ub c' ed and sworn to r A~ n~l re ml \l:)ls
/ ,'. U by 'z:vt..1 , 0 by ./LI-ti/-,c.... f1/I ft2votJ;A\
Who s/~ per!V'nally kn me or has/have produced 0 is/are flersoniillv IqlQ'Ml to me or has/have p~odu?ed
~ :<<:::: as Identification, as Identification,
J~JY\~
Notary Public
cJ~~~ "lV\-R/~
Notary Public
Commission No, "R[\'O~ M. ~nFAnE ,
N t PubliC State 01 FlOrida
_0 ary , 5 2007
Name of Notary typed. printed tl\yt~lJmttI. expo Oc;., r ~ 0,(/
CO[f,il1. No. DO ,5J,-k
Commission No, TR[VOR M. MEAD[
Notary Public, State 01 Florida
Name of Notary typed. printed or stamped My comm. expo Oct. 5, 2007
Comm. No. DO 255550
Permit No,
Parcel LD, NO,/o'.,;.L.lL)..1 oCCJ.;
NOTICE OF CO.MMENCErvfENT
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2006182240
DOIOl.1 U 00 '-"
State of Florida
County of Pine lias
Rcpl: 1030508 Rec: 10.00
OS: 0. 00 IT: 0, 00
09/06/06 _ _Dpty Clerk
THE UNDERSIGNED herby give notice that the improvement will be made to certain
real property in accordance with Chapter 713, Florida Statues, the following information is provided
in this notice of commencement.
1. Description o(propert~' (legal descriptiojl ofp~operty and address ifavailable~ La", e /J7 Ifr>
5&,0 S- ~a.V f~" 2.efhyrJ.tll1.5 ~( 335'tfJ.....
2, General description'ofimprovements re. ro=+'
., Ow I fi ' . , (r'ttJ~y) Yn. Tnu.,)<er~
.>. ner n ormatlon I
A)Name and AddressEI/fL l( ~ fV1 fJ1 tJ,''''k:...~
B) Interest in property ~
C) Name and address of fee simple titleholder (if other than owner)
R 4. Contractor (name and address) 'Mark McBroo~ / Tropical Roofing. Inc,
. 5985 - 49th Street North S1. Petersburg. Florida 33709
5, Surety
A) Name and address
B) Aunountofbond
6, Lender (name and address)
- O_i lA j.... eef'/-. YI.tH lIt; ~I
5B'OS- <-Vj.l"O... ~35lf~
JEO PITTMAN, PASCO COUNTY CLERK
09/06/06 01: 50pm 1 If 1.
OR BK 7168 PG .L8~
7, Person within State of Florida designated by owner upon who notices or other documents may be
served as provided by Section 713,J3(1)(aX7), Florida Statues,
Name and address
8, In addition to him or herself, owner designates
of ' to received a copy of the Lienor's Notice as provided in
Section 713, I 3( l)(b), Florida Statues,
9, Expiration date of notice of commencement (the expiration date is one
year frem the date of recording unlesf a differen} date is specitiedy J NlO n i/C )
'V1 , V\ t) ~ 't' Y1l 0, J.... ,9t 7-111-- ~Y\ L!j Iv ~ llV
STATE OF FLORIDA C1~307'i5J-,%1 ' PrintNamJ
COUNTY OF PINEL LAS 51/{., _~<Z.~.yvvm_ '~"yV
ignature of O~ner
1.:!Je following instrument was acknowledged before me this --iday of 2;.ef{- , 200 b by
t::-ve.llftt m MCf ~h who is personally known to me or who produced D L
as identification, ~, ,
After recordingreturn to: Notary Signat~ ~
Name: Tropical Roofing.. Inc, too
Address: 5985 - 49th Street North
City: 51. Petersburg.. Florida 33709
WPDOCS.'FORMS/NOC, rvsdlOO3
TROPICAL ROOFING INC.
5985 49'h Street Nonh, St, Petersburg, FL 33739
Phone (727) 572-5545 · Toll Free (888) 372-0488 · Fax (727) 533-8835
STATE CERTIFIED GENERAL CONTRACTOR LICENSE NUMBER: CGC 1510110
STATE CERTIFIED ROOFING CONI'RACTOR LICENSE NUMBER: CCC 1326935
CONTRACT
Address:
Date:
Address2:
City:
Zip:
- whkb ;, furth" d,,,,tihed m th, "'ta~'" ,pocifioatiOn4!.~M h're~ " Exhibit" A" "'" ~/2? ~
The above work will be completed in accordance with the terms, conditions and specifications herein, with payment to be made accordance with
the following payment schedule:
1. PRICE $ -t/~
2. TAX $
3. TOTAL
4. \,DOWN PAYMENT
5. 'BALANCE i ~ 1701 ~ UPON COMPLETION OF WORK
PAYMENT TO BE MADE BY CHECK PAYABLE TO "TROPICAL ROOFING, INC." WHICH CHECK IS
DUE AND PAYABLE AT TROPICAL ROOFING'S OFFICE AT THE ADDRESS SET FORTH ABOVE
BUYER'S RIGHT TO CANCEL
THIS IS A HOME SOLICITATION SALE, AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL TIDS AGREEMENT
BY PRO~ING WRITTEN NOTICE TO THE SELLER IN PERSON, BY TELEGRAM, OR BY MAIL. TIDS NOTICE MUST INDICATE THAT YOU
DO NOT \<\NT THE GOODS OR SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY
AFI'ER YOU SIGN THIS AGREEMENT. IF YOU CANCEL TIHSAGREEMENT, THE SELLER MAY NOT KEEP ALL OR PART OF ANY CASH DOWN
PAYMENT.
NOTE: RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING:
I certify that I own the land on which the structure I am improving is permanently affixed, Furthermore. I have filed a
declaration with the Property Appraiser requesting the structure be assessed as realty and it bears an 'RP' decal.
SIGNATURE:
STATUTORY NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO
FLORIDA'S CONSTRUCTION LIEN LA W (SECTIONS 713.001-713.37, FLORIDA STATUTES),
THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT
PAID IN FULL HA VE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST
YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY
SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE
WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF
YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY.
THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR,
WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR'
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE F4\ILED TO PAY. TO PROTECT
YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMP ANY THAT HAS PROVIDED
TO YOU A "NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX
AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
I HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT,
INCLUDING THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE, AND I AGREE TO ALL
OF THE PROVISIONS, TERMS AND CONDmONS THEREOF. THIS CONTRACT IS NOT VALID OR BINDING
UNLESS AND UNTIL SIGNED BY AN OFFICER OF TROPICAL ROOFING, INC.
)(,i;, ('.,J..t~ 'lVI. "lntrr ~
Purchaser
TROPICAL ROOFING, INC.
BY:
Officer
Date
Title
Purchaser,