HomeMy WebLinkAbout07-6377
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6377
Permit Number: 6377
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 3,950.00
Date Issued: 1/17/2007
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 1/17/2007
Work Desc: REROOF - SHINGLES
Address: 6127 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0180-00000-0070
P YBYLSKI, GAIL
31103 JACANA DR
WESLEY CHAPEL, FL 33544
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.
~~v ~ .. ~~
CONTRACTOR SIGNATURE PERMIT OFFI
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 Name
Date Received
Owner Phone Number
Owner Phone Number I
}',j' * frnner Phone Number I
Fee Simple Titleholder Address
DESCRIPTION OF WORK
E1
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I
I &:y--A/ .s rA?e-g-' r LOT # 7
I PARCELlD#Il? ,~-.;(&; - .2/ - 0/10 -O~tPC)CJ ._t}o ?~
(OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR D ADD/ALT D SIGN D MOVE D
INSTALL D REPAIR
SFR 0 COMM D OTHER
BLOCK D FRAME D STEEL D OTHER I A?~/fJt7tP,.c I
R ~ /? tPt'P UJ / /k 30 ;/.d'/:!~ /J/ /nP-AJ-s/C)/(/4- L--, .<:;).I/"J,/,'L&~51
sa FOOTAGE I / "} tt??J /_7:2.- I HEIGHT & Al ~ /~
DEMOLISH
SUBDIVISION
I {PI,;?/}
!j?;?7/? k I,//LL-
JOB ADDRESS
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
BUILDING SIZE
o BUILDING 1$ I
o ELECTRICAL 1$ I
o PLUMBING 1$ I
o MECHANICAL 1$ ~ 9 .:~~. & c/ I VALUATION OF MECHANICAL INSTALLATION
o GAS ~ ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
1111111111I111111II11111111111111111111111111111111111111111111;11111111111111111111111111111111111111111111111111111111I1111111111111111111111111
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
PROGRESS ENERGY
o
W.R.E.C.
Y/N
I
I
I
I
I
I
I
I
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N
Address
ELECTRICIAN I
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
COMPANY
REGISTERED
License #
SIGN PERMIT
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 w/ 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.
DI~~~ti~~~':' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . .
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500. a Notice of Commencement is required. (A1C 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 (Plot/Survey/Footage)
RESIDENTIAL
COMMERCIAL
Driveways-Not over Counter if on public roadwaysuneeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed",.t~strictions"
w~ichlllaYt)e.rnore restrictive than County regulations. The undersigned assumes responsibility for complianceWittf ahY
ap:pIiEal>led~~drestrictions. . '
Yf1lLI~~N~~b . CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If, the owner has hired acontracl(jf or
;h:~;6:.~~~i~()~~r.1i~=~~:dw:~k;~~~rre~a6y bl:~~~~~~~~~ ~~~~~n:~: ~~~t~~~r~:~:y~~hd::~e f~~,~I;~~~e~~:~~r~iol~tl~~
~n~erstat~J~~' ,.If the owner or intended contractor are uncertain as to what licensing requirements rnayapplY(bf the
irt~hded\y~r~fthey are advised to contact the Pasco County Building Inspection Division--Licensihg Se~tion.at7?7-847-
80p9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the cohtractor(s) sign
pp;rti?nsof th~Jipontractor Block" of this application for which they will be responsible. If you, as the OWher sign as the
cohtractor, tlis.t may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
9d~nty.
tJt4NSP~R:tAtION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
th~t Transp. 'tio~ Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
us~ inexisti..<Udings, or expansion of existing buildings, as specified in Pascp County Ordinal'1ce 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, t~ey 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 provid~d 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: 1 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 "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 "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 Jots 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 perm~t may ~e requir~d for elect~ica.1 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 proce~d with the work a~d not as authori~y ~o violat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUIlding 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 ",n~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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER 0 AN ATTOR Y B RE RECORDING YOU T E OF COMMENCEMENT.
FLORIDAJURAT(F.S.117 3 &~
((JiL~
Notary Public
I#~
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of
,......\':A~::..",.~ KENNE11i L. BROOME
f:r~'~ MY COMMI~SION 1/ DO 410696
~.~~~ EXPIRES. Marcl124, 2009
"~iff.,~'C"" Bonded Thru No1ary Plt>Iic Undetwrllers
","o;r.~:""'" KENNETH L BROOME
/~ ~:\ MY COMMISSION 1/ DO 410696
..:~i EXPIRES: Marcl124, 2009
If.:'' Bonded Thru Notary pt.lJlic UndelWrltel1
NOTICE OF COMMENCEMENT
State of ;--L CJ /?/ /.) /V'
County of p,,<!..5 c~ 0
THE UNDERSIGNED hereby gives notice that improvement will ~e m.ade to ce~ai~ real pr.operty,
and in accordance with Chapter 713, Florida Statutes, the followmg mformatIOn IS provIded m
this Notice of Commencement:
1. Description of Property: Parcel No. 0 c.< -;( c; -;< / - ()/PtJ '-OoC'Ooo - OO~ n
-J.D AI/?.I<. IJ / LL- S L/ L3 ij /1J / /'" / ;:J,8 / ~ ,tO~ r;JcJ L CJ r ~/ f,{!) ~ t:J ~ ~-- /:;) cy / 6 .3/)
(Legal description of the property and street address if aVaIlable)
2. General Description of Improvement /1 ~/?tf7&r &)/1'// 6c?/V,-f
).J/.I?,7/z-N S/d ~ A/_ /-j-f/ /.tJ C L_...r :5
P/ZylzJ L5~
City vJZ>U; t/JI-Iet- State
rz-
y & '
3. Owner Information: Name - It f L
Address ~ II D 3 cJ IfCIl-AJ ft /?~
Interest in Property: 0 tU /JE..I<-
Name of Pee Simple Titleholder: .AJ I r1-
(If other than owner) '/
Address
City
State
4. Contractor: Name c. C>LB'" R ?/t/F/,;'l.J I"; 6'P rA~/<? /~~j)IA.J c-.
Address /;-Ct?.::2./,-?p/p/ftYt't/u/.JL City T#m.;Cl~ State /'=L. .
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
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 t ( ;+
Address
City
State
8. In addition to himself, Owner designates
of. . . to receive a copy of the Lienor's Notice as
provIded m Section 713.13 (1) (b), Florida Statutes.
9. Expiratio!l date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
~ignature of Owner: # ~
Notary Public: fj:::. rJ ~(L\/O~'t [(2 ^--
My Commission Expires:
PC93053048/A
, 20 0 '1.
liJ.'ii!'" KENNETH L BROOME
r: :*~ MY COMMISSION. DO 410696
EXPIRES: March 24, 2009
Banded TIlIu NalIry PtmIc UndtIwrIera
Commercial Residential Industrial
Cole Roofing Of Tampa Bay, Inc.
State Certified Roofing Contractor License #CCC1327064
Phone & FAX: (813) 888-8833
Proposal
Date: 1-15-2007 ( l5 K i'
&. Ifi (, flIlZ'IIJ'Y
1\L. ell. ~I SmiHr (j. zp
6127 16th Street
Zephyrhills, FI. 33542-2653
Reroof: Same address; Phone:(Ski) 813-781-5043
WE PRO POSE to furnish material and labor to complete the following work
for the <contract amount of: $ 3,950.00
Scope of work:
I. Remove existing roof to and all debris from site.
2. Remove and replace damaged wood at additional cost. See below
3. Provide 30# ASTM felt as dry-in.
4. Provide new 6", 26 gauge drip edge on full perimeter.
5. Provide 30 year dimensional tab shingles.
6. Provide 30 year manufactures material warranty.
7. Provide new plumbing flashings.
7. Provide necessary penn it.
8. Provide five year workmanship warranty.
9. Provide fifty feet of shingle over ridge vent.
10. Provide Elk starters, and GAF Weather Watch as valley underlayment.
Existing deck damage is not the responsibility of the roofing contractor, unless specified in the agreement. Any repair or
replacement required will be an additional cost to the owner/General Contractor. $ 50.00 per sheet for Y2" plywood, $ 3.50 per
linear foot for IX. $ 3.75 per linear foot for tongue and groove, $4.50 per linear foot for 2 X 4. Any specialty wood will be at
additional cost. The pricing includes material, labor, and debris removal. All materials are guaranteed to be as specified. All
work to be completed in a workman like manner according to standard practices. Any alterations or deviation from the
above specifications involving extra cost will be executed only upon written approval from the customer. All agreements are
contingent upon strikes, accidents, or delay beyond our control. Owner to carry fire, tornado, and other necessary insurance.
Should any indebtedness not paid in accordance with the terms ofthe proposal occur, the undersigned customer agrees to pay
all costs of collection including attorney's fees.
Cole Roofing of Tampa Bay, Inc. will not be responsible for structural defects. (i.e. warped, deteriorated, or cracked trusses)
Electrical, plumbing, and MV AC work related to the roof is by others. Finish work is by others. (i. e. painting, stucco, etc.)
Payment terms: 1/3 at time of start-up, balance on completion.
Bob's cell: 679-9750
Acceptance:
Date:
/jlh~(:7
.
rrfulnlbou for alImvitlfJ us the opportu