HomeMy WebLinkAbout07-6670
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6670
Permit Number: 6670
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 3,200.00
Date Issued: 4/30/2007
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 4/30/2007
Work Desc: RE-ROOF ASPHALT SHINGLES.18 SQ
Address: 5509 23RD ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: CAMPBELL, RENE
Address: 5509 23RD ST
ZEPHYRHILLS, FL. 33542
Phone:
iRSlNSRE:u..SNliREES:HReinspectionfees will comply with Florida Statute 553.S0(2)(c)when extra inspection
bipsare'necessarydueto 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) penn it 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.
~ ~~
T RE PERMIT OFFI
ll- OR INSPECTION - 8 HOUR NOnCE REQUIRED .
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner Phone Number <(1 J )
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address 0 ("),
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
JOB ADDRESS S So 0.,
I
Ef NEW CONSTR B
INSTALL
PROPOSED USE ~ SFR [=::J
TYPE OF CONSTRUCTION D BLOCK [=::J
DESCRIPTION OF WORK ~t A-J P L "'~~ :'II." "'.I ( , ;
BUILDING SIZE I ===:JJSQ FOOTAGE HEIGHT
C97" '~~,~~,'~~"""" 'I';'~; :~.~"."""'" i"" .~~~~~~~ ~~.~~~:;' ~~~:~~~~;~~"".."""""..""""".".,..."'" ,
'l~{cf S~
LOT #
SUBDIVISION
PARCEL 10#/ )'1 - :}& - ~ ' (!)CJ;2. A .. ()OGOC>-- ~ I 0
(OBT AIHED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
D
o
D
DEMOLISH
OTHER
STEEL
I
D
OTHER I
1<iS" q
0 ELECTRICAL 1$ I AMP SERVICE [=::J W.R.E.C.
0 PLUMBING 1$ I
0 MECHANICAL ~- ROOFING I VALUATION OF MECHANICAL INSTALLATION
0 GAS D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [=:JNO
II' I I' , 1 II ' , , III' " I' II' I 111111 " , , I , II , .. , , I " IP I " I II' I " I ' II " " I I " I " " " " II ' IP " " I " , " ' , II " , " 1111 " III " . I " " ' , IIII' I " " II " 1111111 "
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/ N FEE CURRENT
Y/N
Addre55
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
I
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
Address
MECHANICAL I
SIGNATURE
COMPANY
REGISTERED
Address
Y/N
COMMERCIAL
SIGN PERMIT
Fences (PloVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permtt may be subject to "deed" ,estrictlons"
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 wori<, they may be required to be tlcensed In accordance WIth stete and local regulations. If the
contrector Is not tlcensed as required by taw, both Ihe own'" and contractor may be cited lor a misdemeanor violation
under stale law. tI the owner or Intended conlractor are uncertain as 10 what tlcenslng requirements may apply lor the
Intended wtl'k, Ihey are advised to contact the Pasco County Building Inspection Division-licensing Secllon al727-841-
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 wtll be responsible. If you, as the owner sign as the
con"""lor, that may be an Indication that he Is nol properly tlcansed and Is not entllled to perml"lng prlvllegas In Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMt'ACT AND RESOURCE RECOVERY FEES: The undersigned understands
Ihet Trensportatlon Impeel Faas and Recourae Recovery Faas may apply 10 tha construction 01 heW buildings, change of
use In existing bulldlnge, or axpanelon ofaxlstlng buildings, as speclflad In Pasco Coonty Ordinance n"mbar 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
pennltllng. It Is furth'" undarslood Ihal Transportation Impact Fees and Rasource Recovery Faas must be paid prlo'to
receiving a "certificate of occupancy" or final power release, If the project does not Involve a certificate of occupancy or
flnal powar relaase, tha teas must ba paid p,lor to pannltlssuance. Furthe,more, If Pasco County Watar/SeWer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chaptar 713, Flonda Stalulea. as amand.d): If valuation of work Is $2,500.00 or more, 1
certify Ihat I, tha applicant, have bean provided with a copy of tha "Florida Construction Lien Law--l-lomaownar's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than tha "owner", I cenlfy that I hava obtained a copy of tha abova dascilbed docoment and promlsa In good lalth 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 B 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 tha ragulatlons of other govemmant agencias may apply 10 tha Intandad _k, and that tI is
my responsibility to idanllfy what aellonsl must taka to baln compliance. Such agancl.s Includ. bul are hOlllmltad to:
Department of Environmental protection-Cypress Bayheads, VVetland Areas and Environmentally Sensitive
Lands, WaterfWastewater 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 "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 matari.t Is to ba usad tn any area, I certify thai osa of such fill wtll not advarsaly affact adJ.cent
properties. If usa of flllle found to .dvaraety affect adjacent prop.rtlas, tha ownar may be cltad fa' vlotatlng
the conditions of the building permit issued under the attached permit application, for lots less thah one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am lhe AGENT FOR THE OWNER, I promlsa In good faith 10 tnlonn the ownar of the permitting condlllons sellorth In
Ihls afftdavlt prior to commanclng construction. I und",Sland th.t a saparata panni! may be required fa' electrical w<Jrk,
plumbing, slgne, walls, pools, air condlllonlng, gas, "' other Install.tions hot specifically Includad In the appllcatiori. A
pannlt Issued shall be construed to ba a IIcensa to proceed with tha w<J,k and not as aulhorlty to vlolata, cancel, altar, or
sat aslda any provisions of the tachnlcal codes, nor shall Issuance of a permll p'avant tha BUlldln9 Offlclal from thareaffer
requiring a co"actlon of arrors In plane, conslrucllon or violations of any codas. Every penn It Isslled shall become Invalid
unlass the work authorlte<l by such parmllle commanced WIthin six montns of permit Issuance, 0' II work euthmlred by
tha pannlt Is suspendad or .bandoned for a period of six (6) monlhs aIIar tha Uma lha work Is commanced: An axtenslon
may be requasled, In writing, from tha BUilding Official for a period not to axceed nlnaty (90) days and WIll damonstrate
justiflabl. caue. for tha ext.nslon. If wort< ceases for ninety (90) consecullva days, thajob Is consld",ad abandon.d.
Notary Public
Name of Notary typ ... ::;::;:;:;;j -- _t",mn..ti ~
1J Notary PubIie SIOIe of FIQridJ
! . Angela Helma
~ ,~ Mycomm~i(l"~~1m'
Of"" Expires011Q3/2.011
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37325 SR 54 * Zephyrhills, Florida 33542
Phone: 813-782-6094 Fax 813-783-2645
License #CCC 1325505
Customer: ~ e....I\~e
c~~~ \\
d.Sr& St.
Date: l{ -~'7- 07
City: ..2e..Dhirk ; ns Zip:
Address: S- S" og
Home Telephone: 7513-7.661
.
Alternate Phone #
Business Phone #
~omPlete tear off of ex~ing shingles
ar Roof dried in with # ~ felt
o ....-Install new valley metal with galvanized metal
6' )'e-secure all loose roof decking as needed
(J"'" jnstall all new lead boots Je R88e1id
(J""'~lnstall all new drip ~ge ae flD6aeEl S' \ -Be.!. ,'\e j
~nstall all ne~S year fUngUS-r~t shingle~
u( ~hingle Color bO\t~ (.l.f' L ,M-
B' ~II debris removed from the job site
C!J"" All materials, labor and permits furnished
Additionallte~: ~+~\\ J~", ~ D~\J.9~
J/Q~tr to" .\-'\'L ;\\ ~\i .
Extra's / (')
c:r Bad plywood replaced at a cost 3 ~ 7. c/o per sheet in the roof field. All other wood work, such as valley rebuilding or rafter
replacement, will be at a rate of $ . :5'0 per man hour plus the cost of materials.
Total bid price $ ~ 00. 00
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COpy OF THIS CONTRACT.
1. All material is guaranteed to be as specified and completed in a substantial workmanlike manner.
2. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work.
3. Labor warranty does not cover damage to roofs caused by lightning, hurricane, tornado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due
to settlement, distortion, failure or cracking of roof deck, walls or foundation of a building.
4. Workmen's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING (a subsidiary of Ryman Construction, Inc.), or it's sub-contractors.
5. RYMAN ROOFING, INC is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deteriorated decking, fascia board,
is not included and will be charged as an extra unless otherwise stated herein.
6. This contract is subject to final approval by RYMAN ROOFING, INC. and is the entire agreement of the parties and no other written or other forms will be recognized.
7. A charge of 1.5% will be made on all unpaid balances after 30 days plus charges incurred for non-payment procedures.
Ryman Roofing, Inc. wiIl not be responsible for
any septic tank, sod, shrubbery or paint damage.
Payment due upon completion a/job.
Acceptance of Proposal
a hereby accepted. You are aU~h~ized to d~.the work as specified.
_ Date: 1/j.J. ~/u /
Date: [I - j. 7- 0 '"7
~-~
Stateof~~j,"^--
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is ProvIded In
this Notice of Commencement:
COlilltyof
PlUrm
!. Descri pti on of Property: Parcel No.. l:l.'), 1:. J.l. CbJ-<l' 0<',""" _ t'lr) 1<:>
Q:') /
2. General Description of Improvement t. I~
3.
111111111111111111/11/111111111111111111111111111111/1111111
2007074757
Ow ner In fonnation : Name I?e.... I. {'4.., !'eII
Address , r-Oi :B f I '\-1 City
-
'"
Interest in Property: _._
7~A~rLt(,
I
-
State +r 3 ~ r-r~
Name of Fee Simple Titleholder:
(If other than Owner)
Rcpt: 1095447 Rec: 10.00
DS: 0.00 IT: 0.00
04/30/07 --____ Dpty Clerk
R'
Address
Contractor: Name 1~ ~..,
Address 3)} 2 J- ). 11. 5"7'
_City
State
s.
Surety: Name_
- City :l1~rL:-!j,
Address
- States:( 53 l!tJ
Amount of Bond: $
Ci ty _
State_
6. Lender: Name
~~3:~~~~,rr~o ~~ ClfRk
OR 81( 747~ PG 538
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other
docu men ls maybe served as provided by Section 713.13 (l) (a) (7), Florida S lalutes:
_ Cjty_
State_
Name
_ City
Address
8. In addition to himself, Owner designates_
of to receive a copy of the Lienor's Notice as
pro vi ded inS ecti On 713.13 (l ) (b), Florida Statu tes.
State
9. Exp.iration date of Notice of Commencement (the expiration date is 1 year fwm the dale
of recording unless a different date is specified.)
Signature of Owner:
, 2c6/_.
Sworn to ane! subscri
Notary Public:
My Commission Expires:
PC930530481 A