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Home My WebLink About06-6215 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6215 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: REROOF 6215 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 6645 JUNIPER CT ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: DRIFTWOOD Parcel Number: 02-26-21-0210-00000-1241 4,750.00 Name: ROBERTS, JACQUELINE Address: 6645 JUNIPER CT ZEPHYRHILLS FL 33542 55.00 Phone: \:lJ~ 0l\~\t' Dlp JI ~~ 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. CONTRACTORSIGNATU ~~ CALL FOR INSP JON - 8 HOUR NOnCE REQUIRED --- PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department l-aX-!SM-1 !SU-UUZl Owner's Address Fee Simple Titleholder Namel it ~~f S Date Received OWner's Name Owner Phone Number Owner Phone Number I Owner Phone Number I JOB ADDRESS Fee Simple Titleholder Address I I b bY') j u V\ { p ~v I D'( ('.r -h,00 0 ~ E3 PROPOSED USE 0 TYPE OF CONSTRUCTION 0 DESCRIPTION OF WORK I C-f- LOT # PARCEL ID#I Ol-2-~ ~~/-62--IO- ooooo-i2-<f1 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLISH SUBDIVISION I E3 o CJ ADD/ALT REPAIR COMM FRAME o o o OTHER I STEEL D WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK OTHER I BUILDING SIZE I ISQ FOOTAGE 11 )00 I HEIGHT I . . . . , , . . . ~ I . . . . I I . . . ". . . , , . . I I . . . I I , I I . t 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 . PLUMBING 1$ Lj 1~-V, UO 1$ 1$ VALUATION OF TOTAL CONSTRUCTION BUILDING ELECTRICAL AMP SERVICE CJ PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N OTHER SIGNATURE ~_.- I IJ~olo Snfft:- ~j S-L 1l<.J(J6X I(x:~ COMPANY REGISTERED License # I L~o ft6~WtCW\ ~I h~ T0 I Y I N I FEE CURRENT Y I N I License # I Oc c 0(7 7 .') 7 Address Address 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennlt for new construction, Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Stonnwater Plans wI Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivislonsllarge projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns, R-O-W Penn It 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 Pennit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 11111111111111111111111111111111111111111111111111111 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 NC 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 tor a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireiTiehts 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 understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the constrUction of hew buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordihance 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. SLJch agencies include but are hot 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 "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. . . 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 a~versely affect adjacent properti~s, the.ow.n~r may be cited fo~ 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 ~f the permltbn~ condlbons s~t forth In this affidavit prior to commencing construction. I understand ~hat a s,eparate perm~t. may ~e reqUlrl~d for. elect~lca.1 ~or~, plumbing, signs, wells, pools, air conditioning, gas; or other Installations not speCifically 1n~luded.1n the application. A permit issued shall be construed to be a license to proceed with the work a~d not as authon~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 o! 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 authorized. by the ermit is suspended or abandoned for a period of six (6) mon,ths after the bme th~ work IS commenced: An extension ma: be requested, in writing, from the Building Official for a period not t~ exceed nln~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 AGENJ~ . Subscribed and sworn to (or affirmed) before me this by :YYho Is/are person Iy known to me or haslhave produced iJCf~ 6 0" 7 CJ as identification. . CONTRACTOR .At~ Subscribed and sworn to (or affirmed) before me this by . Who Is/arEDlersonaIlU~WU t9 me or haslhave produced i3 If 2S- 1t- 3 - (J U (, 7 - () 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 ylo V l ~(k, County of ~CD THB ImOERSIGNBD hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following infor~atiop is provided in this Notice of Commencement: 1. Description of Property: Parcel No. O).-~"-~b-O;;lU:>""OODDa-/~'f/ 2 . General Description of Improvement TL-e rue, -f L-./ / L r- Y \r I J J-.. b ~~~~~~~~!~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 3 . O\vner Information: Name 7lob!!i"TS) ;r;:Lc~'r'nt!! ..toJ.~ l\ddress ~6 J/6 (rUh}l'er L!7: City bphvYhfIJ.s. State I , Interest in Property: {9 Ldrte r F~.. ~3s-~,- Name of Fee Simple Titleholder: (If other th~n owner) City Rcpt: 1046516 Rec: 10.00 DS: 0.00 IT: 0.00 11/02/06 ___ Dpty Clerk State Address Contractor: Name ~~ P.O. f!:ij'( tr€> Address 3\:~D ro .se.. F\'L lS \ (i t_lYYron KooF\ 1'\ <3 Ci ty SA)\) A f\.rTbrV \0 , t1C- State -r; \; >7~ 5. Surety: N.:lrne Address City State Amount of Bond: $ JED PITTMAN~ PASCO COUNT~CLERK 11/02/06 0" : 14pm 1 20T501. OR BK 7252 PG . .-- - "- ,. 6 . Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or o~her. documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: tJ2.me Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided 1n Section 713.13(1)(b), Florida Statutes. <J. ~xp.irn1.1.'J~ dnte of tlCJt.lc,e of Cornmencem~nt. (the explratlc.n date is 1 year rr~m the ~.:lte of record1ng unless a d1fferent date is specified.) Signature of Owner: Sworn to before me this day of 20 t? Ce Notclry Public: ~ NADINE L. SEELY EXPIRES: March 13.2009 Fl. N<<my Discount Ass<<.. Co. PC93053048/A Proposal/Contract SC6tt ~~ 'R~, 11eC. 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 ~ tee",6eel. ~ fI.",eleel & '7",6u",eel Date 'II~~i 6 WORKED TO BE PERFORMED AT Name vis Street Street City 2 . I State"". I f /./il '1 r h, I / Q City State Zip Zip Phone Number Fax Owner of Property Phone Number Fax We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: ~~ove existing shingle roof o Remove existing built-up roof'__r ,.'- ! c:rory,~in with 0 15 Ib.('/ B-"3U11f..: / "",,"""'" ~-----"'--.- B1nstall new galvanized valley metal EJlnstall new lead boots l31ieplace bad fascia boards at $ ..3: 0 () per foot crlnstall /tJc) feet of ridge vents o Install modified bitimen (granulated) torch down roofing black, white or other color o Install 25 yr. fungus resistant 3-tab shingles ~~" 30 yr. fungus resistant dimensional shingles B'Shingle manufacturer (-::.;/1 r color5'/f. If'" o Install TPO, white rubberized roofingrT}~mbrane o Other: -#-15 () (2 C\..~ -- 61 nstall new exhaust vents B-tnstall new drip edge, r; /"., ""'" hi k color o Install new flashing as needed 811eplace plywood at $ liLY. OJ ~E;pair rotten trusses at $ ?;.o,,; per sheet per foot *Woodwork is an additional charge, see pricing above 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 $ 75 () 0 , 0 LJ 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. J-u/t7~.l] ~----__.__ 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. Officer/Agent Scott Blackman Roofing Note: This pro71 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 713.001-713.37. Payment will be made as outlined above. Accepted Date / ,"-. Il..,;' .. ",r;.- '. ~_, / I, ..~ j ,I ,. -f / . r ,../.') Signature' ;/\)i/{(~.~ ,_ Signature / I . '>1,..... -I,,' _ . / ,;;- -, ...( J :trt.A-./ - tE~"LAV\i rH.OS IAl$, "rH'EIR'C: