HomeMy WebLinkAbout07-6376
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6376
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 1/17/2007
Work Desc: REROOF
6 76
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
3,895.00
Address: 4853 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MOORES FIRST ADDITION
Parcel Number: 14-26-21-0010-02100-0010
Name: CROOK, IRL F. & MARY
Address: 4853 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
hVlCL~cP
5--2>l4-o7
l~
JD~J
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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 OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
SctJh ti~~ntr~ct
p.o. Box 1188~. ?~.
33010 SR 52
San AntonIo, Fl33576
(352) SBB-ROOF (7663) . (813) 782-1330
'~~"~e_~~" . Fax (352) 588-9763
m__~!19~_ ~~all: blaCkmantoofing@aotcom 0"'" j 2../ Z. &/0(#
-.-.~. - PROPOSAL SUBMITIeo TO-'~---~"-' .-.....-.___~__..._.._,.
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Street_J.l:=L -.", I --'--.-.---....U.____._..__ '-.u _ "_. _ ". " "'.
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Sla'e FL. __._____ Zip .______.__
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. OT!J~,,.~ ---r;J IJ. A ....~ r ~-,.\, ~.7 G li;',TI':~ .;/?'~l~/m;;r~~.-.. '- , lA. Fax
We>jJ.e'eby propot.El to furnish/all t/'l.e ma~erials and .n r I' ( J,$ I It ~.I./ i .( ~ ~., -j C- (d 'c.... c"'".n
~ ' . pe 0 ~Jhe lauor necessary for the completio"l ()f
..\am~~.e ey,I.!HIr]9 shingle rOOf .. e~lac~ b~d f~scia boams at $~ 1,' L.:~ ' ,,,~r toot
:!~I,;\'a 8xrstr!'lg bu'lt-up roof ~"JI' S (1 /_ t + '
. ~ . -' '. ~_. -=e o. II:::lg6 verts
"",ury.lr WI!h 0 15/0 27'"301b L.i II) "1-11 m dT j b' . .
. ~ c:, ,0' !Elf 1!lmen l~n,'Ir'u!C1:Eld) :l)r~;h OGwr: rOOrirl;!
'J inSfall /)E-NV ga'\'~,1'1ea vallEly metal black, wMe- cr ot"6r l~(Jinr _
:'~tall "ew Ip.ad boots ......~~ ; 111''''~'1 ~.., 1~1l!!lt1! S ( ~~--'-':--. ..J.:.:) .r::.~(/
-"'~ ' . . 1"1:' '_ Q ~_ fa:;) 7; f1'9@I......, ~....
c'p/l Oft '2:~nslal! 3,) if. T'.J.'1glJ!-> re.",,$f3tl[ almflrlS (>tra: ~~".;nfJlcs 13. f--9.f:C..1,
:;, ~:'-;'lgl~ rnanufa:lur~r _,..__._ ,_ '_,_. COIC.t...._.._____,.__
:: 'nstall '1ew flashing .ii\:; nee(Jec :.:J Ins,"1I n:o. while rul:tlerized roofinq m('rnbt'~ne
_J Flf!pli::lC'2 ()IYW()('C1 at s__Y/ Ii e7- ~"Er !.ne€' ,.:rfji'~,~r /'-< I'Y1C~.~.., .~~ h~,-_._It!~.I(t__tt _.._.__
~e'D;lir l'iJ'len t(tJS:';Pf, ..1 ~I..,) pOi '(J')! --b . '~nI:.sJl ,-r.y;t;:..L(,,~~a.:L::,.[!:'.__ .. . ___ _ ,_ . h._.
.Wt;~)dwork I~ a., addItional chRrge"see prrcing abC'\o~ ~-t'::.':.?!~/L _::t!!t'..,ShoJ /Z:. ..51r~~_~
or ,e {t.;t f I J (, chek,'!) @. 2.". 7~'"c" ~~ r f6l. n (.1 _._,---.--_..~-1JL-&1JL_
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AI, mot.'.;,; " g"" ani..." ,,, PO OS 'peell'01. .,., '''e ae." 0 ~o,' " '.J"e ."00 ,","" " OOCo<do nCe w !, ",. 0'''' .'0' aM 'p""! ~~
1IO')S ~lIbrr.;:~E'd lot ab~Ne worl( and completed II'! a 5uL:'iial'!lal WCrkliliill.lke mar-.ner for !tIE SLlnl ot ~ _______..
wit!- r>aymOlll~ tu t>o made a.~ follows. falrnt~in full on completion. unless otherwise noted. Thank You.
~.~~::32 ~
01~'31f,
~ tc:.efU.tt.c.
1!ftJ..~e.t &
'7"f;,,-.."'~tti
,In.:;!all new e)(~ausI veml'
,:1ir;~tall ne.... drip edOf:', ,5"......1 ,~AoI k ((lor
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-_ C~ed~ c:~rds Cl,,:;ce;'ted, addition.?: 2.B% cha'ga,
.;
&~ , -'----___._n
.-- O"f cer/AgMt Scott Blacltrran R(dln!~
N)te TI1iS 9IfOS8! !WlY be VIIU,~jraV\on bv us of :lot Elcc:m~n~(l
wil~m __-1--_ days
Af~y iJJ'~"c.lio'l 0' dill"":"::: tf~l?'t "!'>C'V(I!' ~.r~ritjr.:.;Uit')n:,,; !~""'/'lI:r1r1 .j("'~ -;":~~,~ ....~;!.
t-.f '-"6tCl~(tjr! "nl... 'J)C'f"I wutr~ (','(i~r~, l~n'J w.'llj~'( (:.'''~~ carl c~tr" (.~. ~:Q~' ('V(" ,.)1')
i.tt'.J\fy !-I!t;t Ir~'.j'li"~'1 A~~ ;,~r8o?n€''''1u CCt1f""c;'!:'-:' up"r. :'l-rrC's, fJl;c:d!''''!\ C~ :1t.'I", v,:,.
~~~~r~~1 ::~~ ~:;:;t:~1 ~'~ ~~::: ~;~~~)':,~, ~~'I';;~I'; ';,'~ ,:i:; ~:'i":' ~: ~;~:; ~::'i~;~:;;;;,i; ,:,;i',;;<,~':~::.
IVOf"~"" ~l 1I',(:fl ~.~.J. l;~' ~)r", f'g C'~':"lt,.i'..:"O'
Chew! ~i'/e~ permi~sit.w 10 drive 0' dri"t:lwa~' ,0 deliver malarjah.,
!' -. " ACGE;:1TANCE 0= PROPOSAL
. '.., d ~ d.... l' a'e sat ofs"'tc,y ard <tre hereby ilC~:@ptfH1, YOI';1t~ ;:j~/th:)riLNI to l,ln Oil.; W,)rk :,'~
Tbii! <,b?lI~ prlC~S, sp:lc,hcatICons an p(;;ot' I;~-~~ ~ t 'a"" 1 ~w ~r ~1-)-tr.\inS Fc.rida St;itu6a 713(0' ,j~ '3,21 Pwmp.n: .....ill he made ~s
SD~ciljl?(.. I hav~ rei!d th~ tlar,k (11 !hi5 rt.:'pC's,l Un. _," '.' ". '. . , , .
<)L111i:ler::l abOVE<. . .......A V; IJ ../ /'.4~'
Slgnaturp. .-2'; a:.?, .-;'?l ,.-L_..
Accep:eo __.________... ,/
SIQl1eture ..__..,_,____...,., ,__, _...._.., ___.._._...,. ," ,._,_.._ _'" ,_.....__ ,"_
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NOTICE OF COMMENCEMENT
111111111111 1111I 1111I11111 1111I 1111111111111111111111111111
2007009715
state of
County of
PtLS L. ()
THB trnDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes the
follo\\1ing inforrtation is provided in this Notice of Commencement: '
1.
Oeser iption of Property: Parcel No.
4~S37M S;-
(Legal descr~pt~on
j~ - db -. d/ -0010
~ I 3351f~
street a
2 .
General Description of Improvement ~~oo ~
Rcpt:1065888 Rec: 10.00
DS: 0.00 IT: 0.00
01/17/07 Dpty Clerk
l\ddress Jf~5~~
17Th
IR L
.
<:;':'T. Ci ty
r- Reo r:
~f~p~:lls
State
F/
3 .
Owner Information: Name
Interest in Property: 0 LA) tu-eJL
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMAN, PASCO COUNTY CLERK
01/17/07 12:50J:' 1 Jl..fa1..
OR BK 735~ PG =' ~
Address
City
State
R4.
Contractor: Nilme );~lffjctJiVUW/ t2c..~ h~ In c
Address 13010 s e C; 2- fO/3c.),jD~rCity J'~"'t-N y!j-nkn,b
State FJ 3J~7VJ
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o~her documents may be served as provided by Section
713.l3(1)(a)(7), Florida Statutes:
tJClmc
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), Florlda Statutes.
<J. ~xp.irntJ.(>n dnt.e ot not.ice of Commencement. (the expiration date is 1 year
ir~m the dilte of recording unless a different date is specified.)
&J~
Signa ture of Owner:
Sworn to and subscribed before me this -\0
r2m'}-
day of
(p. N\l 10lA.~
Not.:lry Publi.:;:
My C:J:t1inj s s ion Expires:
PC93053048
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name Lr-ook
Owner'sAddress ILfl S- 3 Il t-"'- St r-c:.e. t-
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
14853
I
/]t-h
5 f-reel- I LOT # I
PARCELlD#1 /'f- 2 (p -2.1- 0010 - (52100 --001 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
WORK PROPOSED
E1
D
D
~e voo-t
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
ADD/ALT
REPAIR
COMM
FRAME
D
D OTHER
D STEEL D
G r T\'Mklf Ii",
DEMOLISH
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
DESCRIPTION OF WORK
vJ
5'i--
BUILDING SIZE HEIGHT I I
II11111111I111111111111111111111111111111111111111111I1111111111111I1111111111111111111111111111111111111111111111I1111111111111111111111111111111
D BUILDING 1$ 3t9r;oO I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL !$~ ROOFING I
D GAS D
FINISHED FLOOR ELEVATIONS I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
o
WR.E.C,
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
COMMERCIAL
~:N":.~URE [~~ I
Address I J~O{ D ~(L 5'L ?o &x J If~ License # I eeC ()~ 7 qr; 7
1111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111
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; Site 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
COMPANY
REGISTERED
Address
SIGN PERMIT
DI~~~ii~~~': . . 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
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways"needs ROW
N<1>>TICEOF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
W~ich t!laYt>e,.more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable.def:)d. restrictions. '
;ii~;~~:E:;:~~~~~i~2~~rt~~;':~S:~E~~il!iiif~~~~~~~~i:~~:~~
un'det state Jsl,\i' , If the owner or intended contractor are uncertain as to what licensing requiremenfsrnay, apply ,for the
irt~riqed,,^,~r~jthey are advised to contact the Pasco County Building Inspection Division-Licensihg Section at 727-847-
80'09. Futth~fmore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
p~rti?nSOfth~jeontractor Block" of this application for which they will be responsible. If you, as the owner sign as the
col1tfactor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
O~unty.
TAAN$PO~~~tION IMPACT/UTILlTIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
th~tTransp~~~tion Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
us~ in existiri~.~Uildings, 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 Oounty 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 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.~ ~_
OWNERORAGENTL~./~ CONTRACTOR
Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
~ ~
Who Is/are personally known to me or haslhave 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