HomeMy WebLinkAbout07-6507
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6507
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:
6507
RE-ROOF
ROOF REPLACEMENT
MOBILE HOME PARK
Address: 38706 DAUGH RY RD LOT 39
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ALPHA VILLAGE
Parcel Number: 35-25-21-0010-11500-0390
4,297.00
3/07/2007
82.50
82.50
3/07/2007
SINGLE PLY MEMBRAME "TPO" ROOF
Name: KEYSOR, KYLE
Address: 38706 DAUGHTERY RD LOT 39
ZEPHYRHILLS, FL. 33542
Phone:
(/1{\~ jJ '\
\' l I\)\~ ~
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 y ur notice of commencement."
NO OCCUPANCY BEFORE C.O.
~~
TURE PERM IT OFFI
LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyr hills
BUILDING PLAN REVIEW CO:MMENrn
T~;w ~na-
3--I~o 1
(3 '61 C)~ D~~~'f 12/ L+ 3Cf
Permit Type: 1& f 0(
Approved wino comments: ~ Approved withe below comments: 0 Denied withe below comments: 0
Contractor/Homeowner:
Date Received:
Site:
This comment sheet shall be kept with the permit and/or plans.
Bill .
(J~f7
Date
Contractor and/or Homeowner
(Required when comments are present)
13ullOlng Uepi:lrUIlt:1I1
Date Received
Owner Phone Number
Owner Phone Humber I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address I
~ arab ( iA(/"((' ~D
Uft~ku+r IZ.d ,
Col~ltl ~. I PARCELID#I'~S-d-..D~) OfJ/1l // DJ:/O
(OBTAINED FROM PROPERTY TAX NOTICE)
,tt3 ~~~~~T 0 SIGN D MOVE 0
c==J COMM 0 OTHER I
o FRAME 0 STEEL D
,M.~~ n::-c I (T fo L-l Il.1J J
Zq>~rk.Us .pI 3-S~
2-(-1 f( 7S 32~ I
LOT #
ELECTRICIAN I
SIGNATURE "
Address I
PLUMBER I
SIGNATURE
I
I "3~-=t-O ~
tze~r
B
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK I S~'D lL P { I
BUILDING SIZE 1 1 SQ FOOTAGE I HEIGHT
1111111111111111111111111111111111111111111111'1111'111'11111111111111111111111111111111111111111111'111111111'1111111'111111111111111111"11111'.
D BUILDING '/$ C-{ d- Cz 7- . dO I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ 1
o GAS ~ ROOFING c==J SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
111111II11111I11II1111111111I11111111111I111111I1111111111111111111111111I111111111I111111II11111111111111111IIIIIIIIIIIIIIIIillllllllllilllllllll
:I~~~RE I I ~~= I Y IN"" CUR",,", Y I N I
~~I ~~# I
I
I
I
I
I
I
I
SUBDIVISION
JOB ADDRESS
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
DEMOLISH
OTHER I
c1f2f
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
c==J
PROGRESS ENERGY
o
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
;)ot-
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Address
MECHANICAL I
SIGNATURE
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Address
Y/ N
FEE CURRENT
o
License # I
COMPANY 1(~AL4.'-- ~,Vc;-
REGISTERED I d; N I FEE CURRENT I Y / /I.J ,.
( 3 7oe, license # I C"C( (;S;;Z 6 '( 5 sl
Y/N
OTHER
SIGNATURE
Address
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
MInimum ten (10) working days after submittal date. Required onslte. Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
*mpROPERTY SURVEY required for all NEW construction.
1111111111111111111111111111111111111111111111111 " 11111 " III " 1111111111111111111111111111111111 " 11111111I1I11 " 1111111111111111 " 111II111111111
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 Attomey (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
NOncE or: __ ftR. . TMG<<" TM ~~ ..nq'ri\l~~ "'et \hllfeth1l~mjt.:~~*tl"ct.,,"11 t t<'i~~"I\.q
whld\ m~ bEl mWl m~\1.'ft ~ ~ ~\I\~"'\ ~ ~.~ '"~ II~.' "'~i.,rt Ptl"ft~b. - '~f
appllcable deed restrlctlons.
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 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, 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 aJI 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. J::very 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)
C NTRACTOR ~~
. ubscribed and swam to (or affirm r me this
. by ~v.,,>> <l. ('~at~-i
Who Is/are personally known to me or has/have produ ed
~ '3~ \ ~ ~ -:; Gt. 0 '). 'So~ as Identification.
OWNER OR AGENT
Subscribed and swam to (or affirmed) before me thIs
by
Who isfare personally known to me or hasfhave produced
as Identification.
Notary Public
Notary Public
Commission No.
Name of Notary typed, printed or stamped
NOTICE OF COMMENCEMENT
1111111111111111I1111I11111 11111 1111I11111 1111I11I11 "" 1111
2007037203
Permit No.
ParcelI.D. No. ~5 ;l$ :2 \ otOo q s-ootJooo
, .
Rept: 1078207 Ree: 10.00
DS: 0,00 IT: 0.00
03/01/07 Dpty Clerk
JED PITTMAN1 PASCO COUNTY CLERK
03/01/07 1 : 12am 1 0' 1
OR BK 7400 PG 888
THE UNDERSIGNED herby give notice that the improvement will be made to certain
real pr~perty in accordance with Chapter 713, Florida Statues, the following infonnation is provided
in this notice of co~encement.
State of Florida
County of Pine lIas
1. Description of property (legal description of property and address if available) ~ 5"';;2 os; :;).. \ () \. 0"0 It :)00 ')O.?<?
~ ~'1-0 .lo DA.,ca k +-rt-t ftd ~ '3 '\. 1..efI..-tJ ~ l LS f \ . '3 :; S- "( '{)
2. General description of improvements tL~
3. Owner Infonnation'
A) Name and Address -41[.. ti ~'1 s nr' 3> ~ T(:)k, ])A,uq+rT,c,Lj I( 1) P -3 'j
B) Interest in property ~tJ~fL 2e;p~ rt--, ~\ ~ -r( 33.5"'10
C) Name and address offee simple titleholder (if other than owner) Molc.,^-",,<---' v' M I t-r,'
"3 'tS c:, S- \ TA fl.;!.. 12-1) . U~ ~L/(<;. F I 3 > 5""L/o
4. Contractor (name and address) _Mark McBroom / Tropical Roofing. Inc.
5985 - 49th Street North St. Petersbur Florida 33709
5. Surety
A) Name and address
B) Amount of bond
6. Lender (name and address)
,tJ l f-\
.ftv/A
NI(\-
7. Person within State of Florida designated by owner upon who notices or other documents may be
served as provided by Section 713. 13(1)(aX7), Florida Statues.
Name and address
8. In addition to him or herself, owner designates
of to received a copy of the Lienor's Notice as provided in
Section 713. 13(1 )(b), Florida Statues.
9. Expiration date of notice of commencement (the expiration date is one
year from the date of recording unless a different date is specified).
STATE OF FLORIDA
COUNTY OF PINELLAS
'~ // ..>
'; I ' '. /,.} ,:.~ _. f
Signatut~ of Owner
The fOllOWing instrument was acknowledged before me this ~ day of rE ~
I('{I<... 1~c..1~erF who is personally known to me or who produced ( L
f f=' ( _ T) L.. as identification. .
J
, 200 7- by
After recording return to:
Name: Tropical Roofing. Inc.
Address: 5985 - 49th Street North
City: S1. Petersburg. Florida 33709
WPDOCS/FORMSINOC. rvsd2003
TROPICAL ROOFING [Nf':;.
5985417h Street North, St. Petersburg, r:~ 33739
Phone (727) 572-5545 · Toll Free (888) 372-0488. Fax (727) 533-8835
STATE CERTIFIED GENERAL CONTRACTOR LICENSE NUMBER: CGC _510110
STATE CERTIFIED ROOFING CONTRACTOR LICENSE N[MBER: CCC 1325935
,-
,.
6R./ftJJ
PURCHASER NA~ Y 1-<-.
Address: 38' 70 f;;
~ CONTRACT f-vf-I,. -::#- () if 0 - G s ~ ~ 7 K t="
Co 0 ! 0 ,.- ~.s ~.., ,J
1/ Pho/'€ 3 I -7 5' -.- Date:.;.L./ . /
~ ~ y S 0 (~ \.Q / j / . (0 / .~ ~ 7 .:l ~/ 07
7) V' v ) ~ +-~~ 1 K.) LOT ::#=- 39
Job Name:
Address2:
City: 2 ~,I'-\\{..- ~\: J /5 StateFI_
General Vescnptlon ot Work:
en-f-t I C- 5+' cl C-~ I e.
Zip: 3 35 4 D
- which is further described in lhe detailed specificalion sheel allached hereto as Exhi Jil "A" alld initialed by the parties.
The above work will be completed in accordance with the terms. condilions and specific ltions here n, witt payment to be made accordance with
the following payment schedule: e-/< .::J:F I (p 3 ~
1. PRICE $ Lf;l. 97 00
2. TAX $ ;; 5 7. S;L X
3. TOTAL $ 4-5 5 4- ~~
4. DOWN PAYMENT $ / 5 CJ 0 . .,/'
5. BALANCE $~O 54. Y;) UPON COMPLETION OF WORK
PA YMENT TO BE MADE BY CHECK PAYABLE TO "TROPICAL ROOFING, INC." WHICH CHECK IS
DUE AND PAYABLE AT TROPICAL ROOFING'S OFFICE AT THE ADDRESS SET FORTH ABOVE
BLYER'S RIGHT TO CANCEL
TlliS IS A HOME SOLICITATION SALE, AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOI) MAY CANCEL TlliS AGREEMENT
BY PROVIDING WRITTEN NOTICE TO THE SELLER IN PERSON, BY TELEGRAM, OR BY MAIL. TlliS NOTICE MUST INDICATE THAT YOU
DO ~OT \\.A......T THE GOODS OR SER\lCES AND MUST BE DELIVERED OR POSTMARK ED BEFORI: MIDN:GHT OF THE THIRD BUSINESS DA Y
.UTEa \'ot: 5lGS THIS .-\GJU:E.\LE.,"T. IF YOC CA. ,"CEL THIS AGREL\lEST. THE SELLJ:.R ~l-\ Y S() T KED' _-\l..L OR PART OF A. ""Y C-\.SH DOWS
PAYMENT.
NOTE: RETAIL SALES TAX MUST BE CHARGED UNLESS THE (;USTOMF.R SIGNS THE FOLLOWING:
I certify that I own the land on which the structure I am improving is permanently <Iffixed. Furthermore, I have filed a
declaration with the Property Appraiser requesting the structure be assessed as'ealty and it bears an "RP" decal.
SIGNATURE:
STATUTORY NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO
FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES),
THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT
PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLADtf FOR PAYMENT AGAINST
YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY
SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE
WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF
YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY.
THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR
WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SI:RVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FA,ILED TO PAY. TO PROTECT
YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO JPROVIDE YOU WITH A
nn......~~T"....TT'llY:'T ~ 10 C<T.' IYDT TV'lV VDOl\lr A l\TVP1<'Q~()N nR rOMPANYTHA THASPROVIDED