HomeMy WebLinkAbout07-6540
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6540
Permit Number: 6540
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 3,060.00
Date Issued: 3/12/2007
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 3/12/2007
Work Desc: REROOF 17 SQ W/A 25 YR 3TAB
Address: 5901 11 TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-02300-0070
Name: ALPHA & OMEGA PROP
Address: P.O. BOX 547
ZEPHYRHILLS, FL. 33542
Phone:
HOUSE HAS ADDR POSTED 5847
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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
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
Owner's Address
Fee Simple Titleholder Name
JOB ADDRESS
Fee Simple Titleholder Address I
1516/
I
WORK PROPOSED
B
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NEW CONSTR
INSTALL
SFR
BLOCK
( S-? '17 {) '1 ),0(.-(.5';) I LOT # I
I PARCEL ID#I /1-20 - 2/ - () 010 -02"3 DO-O 070
(OBTAINED FROM PROPERTY TAX NOTICE)
B
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SUBDIVISION
DESCRIPTION OF WORK
Y'c-tJ r /7
ADD/ALT D SIGN D MOVE D DEMOLISH
REPAIR
COMM D OTHER I
FRAME D STEEL D OTHER I
JKb
PROPOSED USE
TYPE OF CONSTRUCTION
BUILDING SIZE HEIGHT I
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D BUILDING 1$ 30 (p 0 (aO I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL !i ~--=ROOFING I
D GAS D
FINISHED FLOOR ELEVATIONS I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
1111111111111111111111I1111111111111111I11I1111111111111II1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y IN FEE CURRENT
Y/N
I
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address License # I
OTHER J 2 ~ ~ . /- COMPANY Is to/ltlkcJfA..1"t-r ~oj(l(f
SIGNATURE flUfI(J ~ REGISTERED Y I N FEE CURRENT./ I Y I N I
Address 13') () 1 0 !;R- :5 2 /b IJ iY'C/ltc? License # I C!{'c 6j7/,j7
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111(1111111111111111111111111111111111111
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 on site, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL 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
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
DI~~~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. (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 AlC Fences (PloUSurvey/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 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 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 offill 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 ~hat a s.eparate perm~t. may ~e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded. In the application. A
permit issued shall be construed to be a license to proce~d 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 permit Issued. shall become, invalid
unless the work authorized by such permit is commenced within six months o.f permit issu~nce, or If work authonzed .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 mn~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 INYOUR
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 ORAGENrd~ CONTRACTOR
SUb~CriQed and swoJLl to (or aff.!(med) before me this Sub cri ed an sworn to (or affirmed) before me this
3 _2--1"7 by ~oM ~\ g IZ- 0 by
Who Is/are personally known to me or has/have 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
111111111111 11111 1111I1111/1111I1111I 1111111111111I11111 1111
2007043636
State of
F\o-.r -,dG...
NOTICE OF COMMENCEMENT
County of PQ~C [)
Rcpt:1081062 Rec: 10.00
DS: 0.00 IT: 0.00
03/12/07 Dpty Clerk
THE lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
Xl.
Description of Property: Parcel No.
\ \~ ~C2.-~\ ~
descrlptlon of the property
General Description of Improvement A Il. rtJD ~
2.
JED PITTnAN, PASCO COUNTY CLERK
03/12/07 08: 46am 1 ~f 1
OR BK 7419 PG 19
)( 3.
Owner Information: Name
/7 /;h 4 '"' ' D I'Vl ~ '1 ~ fJro/~~I;'..J Tn r
/ \J
City '2 t' j?h7' hl/O State PI
Pm
Address ;J 0 /Jox ?'Y7
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
4. Contractor: Name <f\ C..o+\- ~\o.c ..~ <\ ~r()~ f\a. I \(\C'
P D..... 3eo 'OS~ .t I J
Address DeuX U~; S'L:. City --5.A,V 11- fl/1btU 10 State PC 3~<),)(
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 whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
8. In addition to himself, Owner designates
State
9.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Exp~ration date or Notice or Commencement (the expiration date is 1 year
fr?m the date of recording unless a different date is specified.)
Sworn to and
y2J1J1-
\VL day of
~c "--
,
~ Signature of Owner:
Notary Public:
My Commission Expires:
PC93053048
''ftlp''Olnt!1
SCOTTSLACKMANROOFING
P.O. Box 1188
SAN ANTONIO, · FLORIDA 33576
(352) 588-7663 (813) 782.1330
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hereby to furnish material and labor -completein accordance with above specifications, for the sum of:
dollars($ 3/ (J/.;r;O,()O).
.
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PROPOSAL SUBMITTED TO
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Sf'Y 7. -'stt'/9)
DATE OF PLANS
We hereby submit specifications and estimates for:
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EA 15 0:J
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7 in .1/"'" II
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In j/-e,1/ ~ 2 )/t'&-J...-
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paYmen~~o, be made as follows: .lk.
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All material isguaranteedlb beas.specified. Allwork to be completed..in a workmanlike
manner'according to standard practices. Any alteration or deviation from above specificalions
involving extra costs will be executed only upon' written orders, . and will become an extra
charge over and above the estimate. All agreements conlingenlupbnslrikes, aceidenls
or delays beyond our conlrol.Ownertocarry fire, ,tomado and other'necessary insuranCE.
Our workers are fully covered by Workman's Compensation InsuranCE.
aC:Ol'ptull-ctnf "'rn'pnsal- The above prices, specifications
and. conditions are satisfactory and are . hereby accepted. You are authorized
to do the work as specified, Payment will be made as outlined above,
Date of Acceptance:
Page No.
of
Pages
PHONE
JOB NAME
JOB LOCATION
JOB PHONE
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Signature