HomeMy WebLinkAbout06-6211
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6211
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:
6211
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6717 BAS OOD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-0210-00000-1560
5,890.00
11/03/2006
60.00
60.00
11/03/2006 Phone:
REROOF 31 sa W/ 30YR GAF TIMBERLINE
Name: DRAKE,EDNA
Address: 6717 BASSWOOD CIRCLE
ZEPHYRHILLS FL 33542
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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."
NO OCCUPANCY BEFORE C.O.
-~/ ~~
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
t-ax-lil ;j-(liU-UULl
Date Received (- -3. ' 0 ~
Owner's Name E Yl '\.. .0 rq !u-
Owner's Address I fo 7 11 B ~ \{ <; 06 0 J C;,
Fee Simple Titleholder Namel
-t:r (,L- i I
Owner Phone Number
Owner Phone Number I
Owner phone Number I
Fee Simple Titleholder Address I
I & 7;1 /345) wove! (Iff
I C'> If t..c. -\- vJ ~ c.l d I PARCEL IDNI
D NEW CONSTR E3 ADD/ALT 0
D INSTALL REPAIR
PROPOSED USE 0 SFR 0 COMM 0 OTHER I
TYPE OF CONSTRUCTION 0 BLOCK CJ FRAME 0 STEEL 0 OTHER I
DESCRIPTION OF WORK I R-.e. V () u-f 3 \ s~ _ w ! C\.. JOY" ~ A. ~ II If"/\. \ e V' \ l' .M...
BUILDING SIZE I Iso FOOTAGE I -3 I () 0 HEIGHT I .......I.......................
0" ...~~,~;~~........ 'i~'" '5;'9 o';;~"'" i" ...;~~;~:~~ ~~'~~~~~~~~~~~,~~""" ,..,..
D ELECTRICAL 1$ I AMP SERVICE CJ PROGRESS ENERGY
D PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS ~ ROOFING CJ SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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SIGNATURE REGISTERED Y I N FEE CURRENT Y I N
I
I
I
I
I
I
I
LOTN I
JOB ADDRESS
SUBDIVISION
lG L - 2.10 - L \ - () 2..1 0-00000 -/560
(OaT AINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
DEMOLISH
WORK PROPOSED
D
W.R.E.C,
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
I
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
MECHANICAL I
SIGNATURE
Address I
~~H::rURE J..~
Address 133010 S tL S L po ()6X I ~r License # I Lce 6)795 7
111111111111111111111111111111111111111111111111111111111111111111 t 1111111111111111111111111111111\111111111111111111111111111\1\111111111111\1111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Sile Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sels of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
111111111111/111/1111111/111111/1111111/111111111111111111111/11111111111111111111111111111111111/11111111/111/11111111 J 11111111/11111111 J 11111111
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
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
---
COMPANY
REGISTERED
License #
COMMERCIAL
SIGN PERMIT
Fences (Plot/Survey/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 requireiTlehts may apply for the
intended work, they are advised to contact the Pasco County Buildinglnsp~ction 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 lInderstands
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 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. SlIch agencies include but are not limited to:
_ Department of Environmental Protection-Cypress Bayheads, WeUandAreas 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 CIA", 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 hOt adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properti~s, the.ow~er 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 permlttln~ conditions s~t forth In
this affidavit prior to commencing construction. I understand ~hat a s,eparate perm~t, may ?e reqUlr~d for. elect~lca.1 ~or~,
plumbing, signs, wells, pools, air conditioning, gas, or other installations hot specifically In~luded, In the application. A
permit issued shall be construed to be a license to proceed with the work a~d. not as authon~y !o vlolat~, 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 ~ermlt Issued. shall become, Invall~
unless the work authorized by such permit is commenced within six months o,f permltlssu~nce, or If work authorrzed, by
the permit is suspended or abandoned for a period of six (6) months after the lime th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~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 swoni'to (or affirmed) before me this
by
.wt1q is/are personally known to me or has/have produced
/.5 y2,5 7~ '"!::, f if 0 (p 7 0 as identification.
CONTRACTOR ~
Subscribed and sworn to (or affirmed) before me this
by .
"]ro Is/are personally known to me or haslhave produced
4 '2 5 7 ff ~ ~ r 067 0 as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped.
Name of Notary typed. printed or stamped
NOTICE OF COMMENCEMENT
State of t:='\Ov\cP..
County of
fJd.S8D
THE tmDERSIGNED hereby gives notice that improvement will be made to czrtain
real property, and 1n accordance with Chapter 713, Florida Statutes, the
followinginforrnation is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 0"" ~/'-dl- O{;lltJr.-OOO(!)O -1560
w/
I'
'LS-vv )k~
f
2.
General Description of Improvement
111111111111111111111111111111111111111111111111111111111III
2006220921
3. Owner Information: Name ~r}""8-Ke:. j Edn.Jl.,;
Address~717 L!3d.-.s:SWcod (1;17 City 7R~hv"rh//ls.
/ "
Interest in Property: 0 LLly"'!,.-
State FL '
7 3 s-y 2-
Name of Fee Simple Titleholder:
(If other thsn owner)
Rcpl: 1046516 Rec: 10.00
DS: 0.00 IT: 0.00
11/02/06 .___ Dpty Clerk
Address
City State
~. contra~: Name ~\\ ~\O-C~L~OD~(\~\ I f\C '
R Address .~~ ~~ <.7 City -:)AII J ttI\J'TONIQ State r-::-c
3317(,
5.
Surety: Name
Address
City
State
Amount of Bond: $
JED PITTMAN~ PASCO COUNTY CLERK
11/02/06 0...." :.1~... m 1 of. 1
OR BK 725~ PG 249
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~ratlon date ot Notice ol Commencement (the expiration date is 1 year
fr?m the date of recording unless a different date is specified.)
Signature of Owner: ~~o.J ~~~
Sworn to and subscribed before me this IS- T day of
Notary Public:
0Y-UrJ~U
,
~ c;;2.00(p .
c2~
My Commission Expir
PC930S3048
Proposal/Contract
SC6tt ~~ 1<~, 1HC.
P.O. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofin9@aol.com
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Date .
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PROPOSAL SUBMITTED TO
WORKED TO BE PERFORMED AT
Name
Street
Street
0=-~ /
7
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City
State
City
Zip
Phone Number
Fax
Owner of Property
Phone Number
State
Zip
Fax
We h~~Jeby propose to furnish all the materials and perform all the labor necessary for the completion of:
a~move existing shingle roof 8fleplace bad fascia boards at $ ) Q U per foot
o Remove existing built-up roof B1nstall " <(!l'lfeet of ridge vents
GDrY~in with 0 15 lb. G-3O Th. 0 Install modified bitimen (granulated) torch down roofing
o Install new galvanized valley metal black, white or other color
O-rnstall new lead boots 0 Install 25 yr. fungus resistant 3-tab shingles
/.
[J.ffistall 30 yr. fungus resistant dimensional shingles
->-,..._......,.__.~._...."--------......
8Shingle manufacturer i... /1 r color ,i,<
o Install new exhaust vents
o Install new drip edge, r, ",") / r color
o Install new flashing as needed
o Replace plywood at $ , (; (., per sheet
o Repair rotten trusses at $ . t/) U per foot
*Woodwork is an additional charge, see pricing above
if"
o Install TPO, white rubberized roofing membrane
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All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica-
c, ,.
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ _)....~ / ,() c
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.
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.
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Client gives permission to drive on driveway to deliver materials.
Officer/Agent Scott Blackman Roofing
Note: This ~,osal may be withdrawn by us if not accepted
within days.
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 713.001-71 ::~.37. Payment will be made as
outlined above.
Accepted
Signature
Date
,t"'-
Signature