HomeMy WebLinkAbout06-6197
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6197
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 10/26/2006
Work Desc: REROOF EXISTING ROOF
6197
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38049 LAWANDA LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 58 & 59 Block: Section:
Subdivision: WAYWARD WIND
Parcel Number: 14-26-21-0160-00000-0580
4,472.00
GLANVILLE, BUFFY &
38049 LAWANDA LOOP
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 PER~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
613-760-0020
City of Zephyrhills Permit Application
Building Department
r-ax-o l,j- (OU-UU,:: I
Date Received
I
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IWAywNld 1.t\~ld.1bb;le ~~PARCELID#I/(I--:JJC)/(Jt ~() ) (,,0 -omon-os-to I
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN 0 MOVE D
D
D
Owner Phone Number
Owner Phone Number I ~' , .3 -
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I ~ rOo ~
BUILDING SIZE ISQ FOOTAGE I ~ s- t:l HEIGHT I
I P , . I I I I I I I I I . . . I . . I I . . . I I . I . I I . I . . I I . I . I I I . I . I . . I I I . I I I . I I . . I . I I . . I I I I I . I I I I I I . . . . I I . I I I I I I . I I I . I I I I I I . . . I . I I . I . I I . . . I . I . . . I I . I . I . I I . . I I ~ . . I I I . . ,
1$ . fl:7~6V
1$
1$
~( ROOFING
FINISHED FLOOR ELEVATIONS I
NEW CONSTR
INSTALL
SFR
BLOCK
B
D
D
ADD/ALT
REPAIR
COMM
FRAME
DEMOLISH
OTHER I Rp/~~
STEEL 0 OTHER I
MECHANICAL
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
D
D
D
ELECTRICAL
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
D
GAS
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
Address
Address License # I
OTHER COMPANY I \J\\~I','$ ~'* ~t\l~ TNc...
SIGNATURE' REGISTERED I Y I N I FEE CURRE T I Y I N
Address .'. -l0~.s~ :S~:~.f'il:.r,,5+: r~d ~ FL-, ~(gO f License # Ieee oy 6 91.{~ I
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Pennlt for subdivlsionsllarge projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Pennit for new construction.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stonnwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Pennlt for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1111II11111111111I11I1II1I1II11111 i IIII1I11I11II111II
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 SelVlce Upgrades NC
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
COMMERCIAL
SIGN PERMIT
Fences (PloUSulVey/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 hUmber 89-07 ahd
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 Bayheadsj 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 "N, 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 · N 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.
!f 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 hot 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 ~.
FLORIDA JURAT (F.S. 117.03) . /
--..--- ~- /
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as IdenUficatlon.
Notary Public
~ J,L - ~h~^ NOIa"P,,"'
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of No
STATE OF FLORIDA
COUNTY OF PASCO '
, ,THIS IS T.QCERTlfY THAT THE FOREGOING IS A
TFlUc"MID CORRECf CQPy' OF THE DOCUMENT ON FILE
OR 'OF PUBLIC RECORO' ~J THiS OFFICE, YVITNESS MY
t:lANIJ1IN FFIIAL S~L"THIS~ DAY OF
: ' "OD(,?
2._
JEP.. PI . MA,N~)RCUIT COURT
B'( '. " . . , .. '.b- DEPUTY CLERK
" . .. .. ,:.. .. . .' ... "l... (.:
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2006216497
RDcSpl: 1044577 Rec: 10.00
: 0. 00 IT: 0. 00
10/26/06 __u~__ Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
10/26/06 02: 38~m 1 it. \.
OR BK 7241 PG 0'15
NOTICEOFCO~NCEMffiNT
Permit # Key #
State of Florida County of !J/k) C (J
The undersigned hereby gives notice that improvement will be made to certain real propeqy and in
accordance with Chapter 713, Florida Stature~ the following informationis provided in this, Notice of
Commencement.
1. Description of Property: Parcel No. I V ~;liP -;) / - 61 b ().- 00000 .,. o~8'O
2. General Description of Improvement. Reroof. Roof Ie1>lacement.
.,4 J' &;/4-v:..l,.'Ik
3. Owner Information: Name
Address 3 'i( 0 a.. wc\'~J
Interest in property: Owner
R., Name of Fee Simple Titleholder (If other than owner) N/A
, 4. Contractor Name: Alan's Roofing. Inc. 329 West Jefferson Street. Brooksville. FL 34601.
5. Surety Name: N/A
~ :J.S-b'~Y
6. Lender Name: N/A
7. Persons within the State of Florida designj,lted by Owner upon whom notices or other documents may be
served as provided by Section 713.13 (1) (a) (7): N/A
8. In addition to himself, Ownet~esignates Alan's Roofin~. Inc. 329 West Jefferson Street. Brooksville. FL
.34601 to receive a copy of the Ll~nor's Notice as provided in Section 713.13 (1) (b) Florida Statures.
.
9. EXPiiation ~'t of~otice of Commencement is 1 year from date oflecording.
Signatureo~own~r \,' 'It.~:\t G45}-070-&H- '6?:fS~O
The fore~Jg ~ent 'Y lol ledged before me this ,e!R 3 day of () c:. -r 2006
by,'1t4y G/4-/l/ v J II f- who is ( ) personally known to me or (t}Who produced
fj, L ... for identification and who ( ) did or ( ) did not take an oath.
. ~Prm~TC~-SfAfROF FrOroDA
/' ,,~ Jason D~~';<'l .
\f~. ,/ ~~.tiV'~OIl}lI1iSsio.n # ;r)~L(~1nl
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( NOr Pubh~ S1llmp ofNotaty ~-.
-A4/~~r~~~~nc. 1-800-309~5667
..< .. ..'<.. ....... .3Locations To Better Serve You
NAME
01540 IBIS CT.
WINTER PARK, FL
Licensed. Bonded. Insured
01316 CLAY STREET
KISSIMMEE, FL
o
BBB
.-
0329WESTJ~FFERSONStREET
BROOKSVILLE,FL 34601
61Ft N6''})
DATE
CCC046942
LOT
ADDRESS
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PHONE Y I'~ -] r 2 . (;. c...
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it?
UNIT
BLOCK
KEY
PERMIT
Conlract
V r QO
1. PULL A9JY ()R (",()IINTV PERMIT .J 360
V 2. TEAR OFF). <: SQ. OF OLD SH~NGLES
/3. DRY IN WITH FELT I) f..!:.)
l..
,.A'. INSTALL GALV. VALLEY METAL IN ALL VALLEYS 5;)- I </y <::) ,~
\
5. INSTALL STANDARD OR F.HA GALV ~FTAI Ftlf3ltl1G 9?o f Cj/{,!ip /'g/l( oe;;-
v ~ ...,
6. INSTALL! REPLACE FT. OF RIDGE VENT OR TURBINES
l,;. 7. REPLAC,::f. 11/2" 2" 3" LEAD BOOTS 4" J'7 10" GRV's ,..~Q I 5' ""<-I
i,. :.;
v /.8. LAY c;;)~ SQ. OF NEW FIBERGLASS SHINGLES ;/ ("-Ct' 4/5 ? to ;:tt) ...(i
, ::> I( .
9. TEAR OFF SQ. OF FIBERGLASS AND A HOT ASPHALT ROOF
10. INSTALL SQ. OF FIBERGLASS AND HOT ASPHALT ROOF
11. INSTALL SQ. OF FIBERGLASS HOT ASPHALT ROOF AND RUBBERROID
v' 12. INSTALUREPLAGE 2X2 2 X 4 SKYLIGHTS I };2 . /00 ,- -
- X 16v~&-'i.(2
0/ 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS
V 14. ALL WOOD WORK WILL BE EXTRA
SPECIAL INSTRUCTIONS: T,<; ;, /iJd+ I,=!-f A /~) -l of
t-- . >v ./ CI,4 /' 1/10.::;; / E pi' x )..../orecf ~ O"}./l
./ . G./OO /<;:
, )~. /. ~ ~ /; "
~'t:('" M;;,. r ;-"'''9 ..., ( -1".'9 /,r';/J i 1/ e (-:..' JJ J'- ,Ie . (',I(?,<:J
/}JA j...J ,.c' ~ /I'~:' ve~ i C:/4llIP te -Ie;, ..; ~ .J) Jotal2>ue .y '/7). . . 0
"~'I','/ () /- e ,. :" ".. / d (> U!ON COMPLETION
ACCESS: CustQmer agrees kl aIow access klllle property and realizes that heavy equipment is being used.
Contractor shal not be Uable for, wilhout limitation, damage kl driveways, aidewaIts, lawns, sprinkler systems, gardens, septic systems, and any other slructuresthereof, as a result 01 rooftop or job deliveries.
DAMAGE, ETC: Should customer become aware of damage kl properly by Connctlr, his ~nts, or employees dumg the course of installation of the roof said dllllage shall be brought to the attention of the Contractor
prior to the time of payment for IIle roof in question. If CuslDmer fails to notify Conlracklr 0 said damage. within 5 loUting days of occurrence, then shaN waive all rights against Conlraclor concerning said damage.
DELAYS, ETC: Hereby acknowledges that Contacklr may be subject to delays occasioned by inclement W8ather.labor dispullls, and matsrial supply shortages which are beyond IIle control 01 the Contractor and
hereby accepls any delays occasioned by one or all ollheM circumslallC8l in IIle inslallation of his roof. Further agrees kl pay kl Connctlr an amount kl equal 10% of the total contract price should cancel this
contract for any reason prior to lie initiation of work on roof. but aller midnlaht oflhe tIird bu~ daY aller slanina
PAYMENT CONTRACT: CuslDmer hereby agrees that W IIle amounts due and owing hereunder are not paid when due, also shall be liable kl pay al COIls of cancelation, including, but notlimiled to, reasonable attorney's
lees and cosls, which amounls, togeIher with all 8UIlI8 due and owing hereunder. shall bare inlere8t at 1 1/2% per month.
ACCEPTANCE PROPOSAL: The above prices, specifications and conditions are satisfaclllly and hereby accepl8d. $'i-'OJ.. - .:J '79 -7J rJ'
All contracts are subject to management approval.
CUSTOMER SIGNATUR;:t\t~ at CO(lA}{(O 00 ---- t. .'~ .-
SALESMAN SIGNATURE -J k.s:o ~v OCA 'iF.-"", f
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Construction Industries Recove~nd: v
Pa men! ma be available from the const )fl industries recovery fund if you lose money on a project performed under contract, where the loss results from specified
y y
violations of Florida Law by a State Ucensed Contractor, For information about the Recovery Fund and filing a claim, contact the Florida elLS at the following telephone
number and address: 850-487-1395, Florida Construction Industry Ucensing Board, 1940 N, Monroe Street, Tallahassee, FL32399.
Brooksville PriMing (JS2) 796-JS/2