HomeMy WebLinkAbout07-6676
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6676
Permit Number: 6676
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 39641 MEADOWOOD LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MEADOWOOD ESTATES
Parcel Number: 13-26-21-0140-00000-0940
4,560.00
5/02/2007
55.00
55.00
5/02/2007 Phone:
REROOF GAF DIMENSIONAL SHINGLES
Name:
Address:
SCHROEDER, ELLEN & ROBERT
39641 MEADOWOOD LP
ZEPHYRHILLS, FL. 33542
813 843-6293
hnoL.?d
5-\5-07
I~
n/
~D"
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.
~~
SIGNATURE PERMIT OFF I
CALL FOR 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
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number L
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Address I
\30;"</ 1 (v1~a_)J~W0<9J
1fi1~~dcl4(i1o~ Es~k5 I
SUBDIVISION
J....OOf-J
r
PARCELlD#1
I
LOT #
JOB ADDRESS
/3 -:2'- -;:2. I-() Iv 0 --. 00000 - 09 yo
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
a
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE c=J
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
E3
18:
c=J
ADD/ALT
REPAIR
COMM
FRAME
OTHER
STEEL
I
o
OTHER I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y / N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address I
~::.:':TURE I~ ;if: 4--fl
Address I 37,",;:2S- S~k ROQcl sy License # Ice (! 0'/9570
111111111111111111I11111111111111111111111111111111I1111I111111111I111111111111I11111111111I1111111111111111111I11111111I1111111111111111111111111
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 w/ Slit 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 wI 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
License #
COMMERCIAL
SIGN PERMIT
Di~~~ti~~~':' , . , , , , , , , , , , , , . , , , , , , , , , . . , , , , , , . , , , , , . , , , . . , , , . . , , , . . , , , . . , , , , , , . . , , , . . . , , , , , . , , '. ' , . , , , , , , , , , . . . , , , , , , , , . . , , , , , , , , , , , , . , , , . , , . , , , , , . 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 (Plot/Survey/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 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 ~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 proceed With the work a~d not as authon~y !O vlol~t~, 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 violat~o~s o~ 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 Officia~ for a period not t~ exceed nln~ty (.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the)ob 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 CO ENCEMENT.
FLORIDA JURAT (F.S. 117. ) -<-
OWNER OR AGEN ~ r
~bscrlbed and s to (or affi ed) b ore me this
:::r l..o1 by L-cP... , a -r
Who is/are personally known to me or haslhave produced
LI ~ as identification.
Notary Public
Notary Public
.._ r''''~.''''''''''''''''''"T-'''''''--'''''''-~ .-..-..,.- ...,."-.~>....~;-.~~"'-.-
Hillsborough County
H & L Homes
17300 N. Hwy. 41
Lutz, FL 33549
~ ~;~v~( 7JIT"~;7'" -- -_.~
~~€. CROWN ROO~/.
-<... ~ TWO L.<;>~f-!I~~~ T?~!=RVE YOU Jt, &
8'1"-3-909~8608
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h' ';j.
Pasco County
37625 State Rd. 54
Zephyrhills, FL 33542
Submitted to: Name=I"1
Address:
Date:
<",~' ./
"'/ I
.
Phone:
Fax:
City:- !
State:
Zip:
H & L Homes, Inc. and/or Triple Crown Roofing hereby agrees to furnish all materials & labor necessary to complete the job described below
t 'f f .lZtRe"~Of'r 5,., 0 Re~~l')i "'" .' [4'ftoc;'Qver"f """ if ,
:fJ 5 Year Labor Warranty D 2 Year Labor Warranty D 1 Year Labor Warranty
Remove existing: ~'Shingles
D,Tile
OTar & Gravel
o Other:
-Remove existing:):gDrip Edge '2Valley Metal )gLead Boots
o Other:
Jia Hood Vents
o Turbines
~ Ridge Vent
Remove existing: Flat Deck Material ~s )ao
Haul away all roofing debris
Comments: ~/i'"('" l, ,/ "
Remove Flat Deck Only Des Do
-....:r-'
;I
+: ~,
,/ :.', "
Install ne~Dimensional Shingles: ~ 30 year
OThree Tab Shingles: 0 25 year
o Modified bitumen torch down (low slope or flat)
o Other:
040 year
o 20 year
o 50 yea~ '''''..
Brand of shingles: ""$ GAF
CoforofShingles: .L\,/}.{
OElk
OOwens Corning
o Other:
ij,....
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i...._.
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: .--i:~
. .-- '-.r'Pf';"j.
~
/
. .color of new drip edge:
OWhite
tJ Brown
i
I
043# (for torch only)
o Other: .
Install new felt:
~\30#
tZ1Drip Edge
015#
Install new:
J.'ij Lead Boots
.K;i Ridge Vent ( /j
~Hood Vent ,lUValley ~etal
feet) 0 Ridge Roll ( feet)
o Other:
Install new ventilation:
Comments: {./ T' ./'
o Off Ridge Vent (
feet)
....-'. ,
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All permits and dump fees included
, ,.
Rotted Wood Costs
::---
I understand that rotted wood replacement is an extra cost of $ per 4' x 8' x 'j," sheet of plywood,
and $"V, / per linear foot of 60ard (1 by's and 2 by's) to be replaced as needed. Initial
Thankyou for your businessl
Please refer a friend!
c~ 1 j'
Authorized Rep. ' ,) .:.. ';; -i-r .le /'
Job,Cpst* "'''' ".' "i". '" "..:' "','''''''''' ,...., $
-.......i
Deposit upon dry-in* ",..,,,.....,,,,......... $
Balance due upon completion* "",..". $
*This price does not include rotted wood charges.
)
( ,
ACCEPTANCE OF AGREEMENT
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payments will be made as outlined above, ....
Delte:
Signature:
Signature:
111111111111 1111I11111111111111I111111111111111 11111 11111111
2007076242
1.
2 ~ General Description of Improvement
Rcpl : 1096076 Rec: 10. 00
DS: 0.00 IT: 0.00
05/02/07 Dpty Clerk
3.
O\...ncr Information: Name[flPl/YtJ JI~J1/ ',:
Mdr.ess S 3~ (, '4'1']" ..Jn~itY Uhif f ~,1 state1i'l1
Interest in Property: JlI4
Uame of Fee Simple Titleholder: .Nil ~~90~~~~M'~':ll~C01CO~~Tl CLERK
(If other thfLln owner) OR BK 748~ PG 1208
Nil
Address
R.
Contractor: Name
City
State
Address ,'11 (o~ {" JtdJ (#.S.iJ
s. '., ..' ~u~~~I:~01~~ ......t1L.II.
"....::..,...:>:~::.-.. ..'"
Address
City
Stat.:!
6.
Amount of Bond: S
JVII
Lender: llame
Address
City
State
7. Persons within the State of Florida designated by Owner upon wh
notices or other documents may be served as provided by Secti
7!3.13(1)(a)(7), Florida Statutes:
tJt:mc AlA
J\ddil?SS
City
Stat.e
8.
In addit.ion to himself, Owner designates
If4
of to receive a copy c= ':'
Lienor'sNot~ce as prov~ded ~n Sect~on 71J.13(1'(b), Florida Stat~tc.
I). f"xp.i:nt ,L'Jf1 dnte n! ltC/t.ice or Commencement. (t.he expl..cAtivn d.:te is 1 ve.:
fr~m the ~atc of recording unless a different date is specified.) J
tikJ dJJ---
~ig;tature of Owner:
~-~~~
i JENNIFER EDGEiiijii .....!
: ~",""'I:~ ..
: l;''ff:.''~ ean....~"^: .
: = ~~. - e.,..",fn('~~ .-
. -':'- -
: ~o:t'.. 741 BondecIlIIIlI-...., . .
. ~~Qf:f\.~~ _' twVV/ :
Sworn to and subscribed befor~ me this
20JYl .
Not.:lry Publ ic :
............................... ..
""j ."l
PC93OS304aIA
.........
JENNIFER '''GBMN
_ CIIIIIlI........
. ........
.......
...... ~~.