HomeMy WebLinkAbout07-6703
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6703
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:
6703
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 5124 9TH ST
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19400-0120
3,206.57
5/14/2007
50.00
50.00
5/14/2007
REROOF
Name: BARROWS. EUGENE & THEDA
Address: 5124 9TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813 782-5516
~;n ~C~
6.~\ -07
IGLv-...
REINSPEcnON 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.
. ~-~
NATURE PERMIT OFFI
LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Data Received
tro.t..J S
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
5/~4
JOB ADDRESS
/ 'I. Sf
LOT # 1,Jj;/'1
PARCEL 10#1 f I.~ ~Gr - d../ - 00 10 ,- I? '1 (!) 0 - t!:J1'J. CZ>
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
D
D
D
D
I
r:-1/ NEW CONSTR c=J ADD/All D
OZJ INSTALL c::J REPAIR
~ SFR c::J COMM D
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0
t<-~j A~W+ ~~'~~1
BUILDING SIZE Isa FOOTAG~I II oCJ I HEIGHT
I . I . I , , I , , . I I I , . . I I . I , , I . I . I . I . I . I . ~ 111 . II , I . . . I I I I , II I I I I I , , , I . I . , , . . I I I I I I I I I . I I , , . . , , I . II , , , . . I I I , , " , , , .. , , I I I I , I , . I' I I . , , . . I , I I I II , ,. , I , I I I I I
1$ 3'~ee,. 5')
1$
1$
~/ ROOFING
FINISHED FLOOR ELEVATIONS I
SUBDIVISION
WORK PROPOSED
DEMOLISH
PROPOSED USE
OTHER
STEEL
I
D
OTHER I
DESCRIPTION OF WORK
BUILDING
I
I
I
~
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
D
GAS
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
I ' I I I .. 11111I111 ' 1 , , ' 11111 1II111 " 11I1I111 " " I " " " " III " " I " , II " " II " I " " 1 " , .. 1 1 " II " 1I " I " III " " 11111 . " " III ' III " I " III " " I ' II " "
I
I
I
I
I
I
I
I
I
I
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/ N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N
Address
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
Address
~::N"'RruRE I ~1~~ .~~('1jN
Address License # I ~ I J~ .J .f <J.r
I11111111I11111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111I11111111111111111111111I1I111111111111111111
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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit tor new construction.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
StGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required tor all NEW construction.
1111111111111111111111111111 J I J 11111111111111111111111111111 J 1111 J 1111111111111111111111111111111111111 J 11111111111111111 J 111111111111111111111111
Directions:
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 NC Fences (Plol/Survey/Footage)
Driveways-Not over Counter jf 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 ~84 t ~
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 IMt'ACT 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 ahd
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 Uen 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 thah 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 hot 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. 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 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 lWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANClNG, CONSULT
WI H Y U E ORN Y BE ORE RECORDING YOUR NOTICE 0 MEN E NT.
FLORIDA JURAT (F.S. 117.03)
re me this
n()4'L.
ave produced
asldentlflcatlon.
Notary Public
(,;)nc;Ja IJetA16<J
, / . ' . .-
Commission No. 1) D l-p 1171 J
Notary Public
, ~
!~,
~or ,,/
nrlnted or stamoed
Notaly Public State of Florida
Angela Helms
My Commission 00611711
Expires 01103/2011
Name of Notary typed. printed
N&ery Public State 01 Florida
Ang.1lI Helms
My Commission 00611711
Expires 01/03/2011
Name of
Stateof~r.~
NOTICE OF COMMENCEMENrr
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:
COllllty of _ f ()....jLe>
1. Descri pti on of Pro perty: Parcel No. I~ -2(, - J. 1- 0010- ,-q '1= _ 0( J. <f)
General Description of Improvement _J:-
i,o 1.-
7
111111111111111111111111111111111111111111111111111111111111
2007082647
2.
3. OwnerInformation: Name -/4 ~/~<-lS (ihed.a. &noWS)
Adclress S-la.4 11< Ji City Zf4,r left Stat4f 1~r:'1J.
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Rcpt: 1098865 Rec: 10,00
DS: 0,00 IT: 0,00 k
05/11/07 _ Dpty Cler-
Address
R. Contractor: Name ..r1JP1.li1 1<."'j''J
~ddress 3/.JJ.r '),,(. J,
!IS. Surety: Name
_ City_
Slate
-
j x..R" ~
City 1Y7"' t-ar
StateJ1 JJSljQ
Aciclress
City
State
JED PITT"AN PASCO COUNTY, C1.ERK
05/11/07 02:5'!pm 1 10681
OR BK 749:) PG
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices Or other
doc II ments maybe served as prov ided by Section 713.13 (I ) (a) (7), Flori da S [atutes:
Name
_ City
State_
Address
8. In addition to himself, Owner designates
of _ to receive a copy of the Lienor's Notice as
provided in Section 7 i3.I3 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: }( ~:.Jl.<..~4.. .::/ L.?- /..-'b-tc~
SWorn to ancl SUQscribed before me this" {... ! /}., clay of
/ 1 ~ ~
Notary Public: 0"
teo
Angela ""Ims
My Commission 00611711
i 1103/2011
J)7~
, 20 ?J7.
Wly Commission Expires: .
Pr:Q~nc;,<n/HlI ^
2007-05-09
09:34
(1854) 813-838-9008
Ins Sales/CGC1508417
P 2/2
~
~~TRACT #
0094'61,~
.". . .
._-) ~TEMIZED INSTALLED SALES ROOFING CONTRA,CT
, L E~SALES 6PCC"~(3~/ J I N~M"ER ' ..=J ~M"H~_ '
\E',H=;JJ.~lHr~rn~:c:s ,.. .., ~'~. .\I'''CT'TYRC~ADDH~ss . H. "'-~"';;'E
CITY ., STATF .... L~.. ,-' -
I ~ELE:~6NC ) il j ~~,~ I cf " _..' , -'I ,.1 TFI FP,"ONE ~ ; -,
L'ME . ->' I )LO~I!:""'~~T~AlcmRLlCEN"'~NLJ~~FR"; I L,J L::.:j'" 'IL(~
..- MA: MD Sh\le License umberj AI 1tl~1" State. - LO~':-/E:rnPlo~ee Number~'~ -
...... AL, CT. FL. MA. MO, NV 11'45450 unllmit.d, TN H1(106e. only_
This is a contract between L.Ow,,'s (as defined in Ih" T"rms and Conditions) ("Lowe's"), and th" above-named C,.",tomQr for the In"tallallon of goods at the
Customer'", resld.>ntiat premises (thQ "Premises") l'f the following InstallatIon addre:;5; H'., ....._. ... .. .,.., .
L,~.'RFF.T^DORESS ... '.. ' 'H.'. .. "'TV .. .... ..,; .., STATE 71P _.._..,1_..,...~
OC Shingle - _Classl~ .. ..Supreme 0ak Pro 30 _.. Oak Pro 40
_ Oak FJo 50 Other
Color /~ , . . _ __ Yearti
Installation on a ~ Story House with fl ~.,' Pilch
Roof has _\ layers 01 shingles (If rn?~e layers are found during insta.llation, there
will be an additional, charge of $ !-'lL:, per layer per squara.) _" Customer
must Inllla' ,
Tear off and haul away existing shingles and put on ~ Ib felt and specified shingles.
New Drip Edge will also be installed, (qty) New Vent Flashings will be
installed.
Remove/Replace --="(qty) Ridge Vent.
Remove/R"placc ..._. . .i. \(qty) Low Profile and/or .:..1,11 .. (qty) Turbine Vents.
Ramovo!Replace : ,,(qty) POWer Roof Vents,
Addition,;,1 N\\\(qty) Low Profile --l0--\1' \ Ilem # or ~ (qty) Turbine Vents
_~\\\ Item # .'
Additional _ (qty) Power Roof Vents ~,.. ' . Item #
(Customer must supply olec.tric.al B~rvice) .
Additional Soffit Vents -t4 (qty) \-J \.\\ Color
Seamless Guttaring S" 0" Color
Chimney Flashing 0 Yes ,..Q-N9
Sidewall Flashing 0 Yes J31\'io
Skylight Flashing 0 Yes CI-Ht> :
Remova/Raplac"" ~'qfY) 4;(8 Decking or r.J I ('(If) 1 X Decking
Ramova/Replaco ~(If) Fasela
NOTE: If rotted wDo~ls discovered during Installation additional charges
will apply. You will be given a quote and a ohange order must be completed
and signed by the customer tor any additional oharges. Cu.-tomtiT
must initIal
. Any work Of rnnl0rlal not spoclflod is not inclLlded in this contn.ct. Any chHnHt:t:Qt ur w.dLlIUona will
be at an ~dditiontt.l chan,lH for thu fTuil.Lwrial ar~~_I~bor.
I
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ZIP
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"j '-," Item #
to j \ ~"\
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. Show top view of root where shingles
are to be installed.
Additional SpeCificatIons: The Environme~!~I, Protection Agenc,y' (,~!"~t.!!...~~equ~8ted._!.~.~~..
Lowe's notify installation customers that a lead based paint hazard may exist In dwellings built
prior to 1978. see pamphlet EPA 747-K-99-001 for details. ~L~ ~L:,~~' \...J I ,..,
~.. u .-L)..:..:...ta..l. L
Marls
/ j.. '-'-',-':'
- ~-:' ~,~. '~'~i"'. .-,'
"Tax
I.abar
,....
.((j
- ~.'
.Tax
. Total 5c.?C~t;.;, 57
. Where appUcabt. 'abor'" taxablo.
oheck local ta:x ,.e!ltrI01Ions.
. .._._...______u.~.
__........___..A.
WAIVER OF LIEN and ONE YEAR WARRANTY (TO BE SIGNED BY CONTRACTOR)
I, the IIndersignftd Contracrtor, hflving hp.p.n ernployed by the CUfltomer whORl'! name BppAsrA on the reverse side dQ..herehv op.niiv .hst tho work ro1crrc.oc1 In nn lI)n (('"'v~""W' "iid~ will
bw or hm-l IlNMn c~nrr1pIH"'1lCt In Iha ~1Is.tnnuu'N. N,;.llis.f..ldiclll. In <<..;unalllwrallun or UUII rti(;tJ,lpt 01 utla dullur i:Ulc.J oU..:Ir yuod Mnd valuable consideration. I hereby waivp. and relinqui!lJ;h ftllli~n~
J1nd All rightft Bnd c:iI'Iim~ of IiClltOR; whlc:h 11 thft I.Indftr3ignftrl, I)()W hlllVft 01' m"y hftrft"ttftr hRVft for Il'IIborormalftriAltumll!'hftrl. I, the unrJorslgnCeJ, ccrtily U.lal.....lllhcwurkpyrfurfHtnJ .and rnateriahi
furnished. if any, by any other party or partiEiNi upon thy order of Ihw unth::lrl:iiynfIIKI. hiLl:i uatil1 fully paid for. Further, I the under&igned, agree to causp' Th~ prompt reIQ~!;1o of 'lny mechanic'S
lien wllich muy be Ii1cd ..)"air)s1 tile premises tetcrre(l to on the reverse $'(10 by Clny $UbCOf"ltractorj I;),boror, IYlccllanlc or rncatorlul supplitJr cluirnil1Q thV' right to tile 5uch. tien throlJgh work
related 10 thia con1ract, I funher agr.. to hold harml... and indemnify Ih. ou.tomer whoali name .ppeara on the rever.e aide snd/or Lowftl!l\, from and .~galnst [tll CO$l$ and CXPOfl:;i.Uti
arISing Irom or Oy .ooson or suclllion or Ill" rol.lLlSQ or dlsctlargo 01 such lions.
ThP. underslgnp.d, ft !UJbnnntrAntor and/or Ruppllftr tor the oonalructlon and lmprovament ot real e!lJtAte pur~IIBnt to this contract, "<<:-resents thill.:u)y U'lulvriul~ rurni:ihvd on aaid project
ilriW fit Mntl ilppropriiltw for th.. purpu.v for which UlVY W.tf".. uwV<J und Ihwlalny 'wOOr pttrformw by thv und.r>>ignYd and/or ita agent. or S.Nants was aC'..r..ompllRhed in a wQrkmanllko I"nanncr.
In IIddition to Ilny wftrr"ntift,:'l !'Ipl!'oififtd ftl,:'lftwhf!ir~ 01. provirtp-d by lllw, the uncfft~ignftrt tor $~.O() I'lInd other valuable consldcl'aUof''1 U'le IOcuipt und ~ufficlsrx;y of which ia hereby
ilcknowled".d warra.nta that all work turniahed under its contrilct ahall be free from dvtBCltJi either in material or workman&hip. and shall be !S.,it~ in RII re5PCct3 both for ttle purpose$. lor
WtllCtllt was spCClllw and lor all alller usos lor wlllcJl It Is InlondC</ to be UOOd or lor wllle/lll may b" roprosO'll..<l in wrllinlllJy U... und..rslgn..d 10 be sultlld,
It Any rt~f"Cfl1' in rTlil1.dRI (lr workmiU'lship ahall be diac.ov9red in the work furni8h.d or material used during the COUrs.8 of the work or whhjn ono Y03t. from ItlO (lain ot Ihr) '.~ortifj(:i~tir.m
of completion, or if &uch deftiitcts are la1ent within A rRFlROnllhle timA AtI,U whir.h ,R.aid l.f\tont dotocts arc (Uscovoroc.l, tho ultdwrwJgnwd &hilll forthwith raplaoe or oorrftOt "unh cfp.fftf':1IVA work
or material. tree iron) f'l1l ftxpanftfil: to LOWO'Rc ifl;'t m;lInnt'U" 8;,'\IISf;;.c;:lofy 10 Ul(.~ t)wnC)r. I( 1110 LU1UC.\r.siYl1ud tihull fi1lJ tu ,...place or correC1 any defective work or mat.rlals after rafllsonshlCl rW.)'ir.n,
I Qwe's may, C1.tlt$ option, c.aU$C $LICh lIclcClivc work Or rnutorial:>> 10 LJ4lI rwplucwu ur currwctwd. l\nd.1I co~t::i and expensea incurred in cOnmic1iQnthArewith "hall hp. bor'ne t)y 1110 Unaot'Signod,
:3ignod ~u)cj ueUv"'rwcJ lhh:i d~y or
CIliRTIFICATE OF COIllPLETION
I. the buy sr. hen~by certify that the Contractor5. 01' lh91r assigned sub-r.ontractora. have furnished all goods and/or BiKVic:oe6. that in5tana\ion. repair$; and 'llt.ratlon or improvements have
been completed as set-lorth In our ssl.... conlraCl with !.ow..'".
SubooniriiC1or
(S..al)
Date... _
Buyer's Signature _,.........,.
.JOB FOLDER COpy