HomeMy WebLinkAbout07-6730
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6730
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:
6730
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 39329 ORAN E AVE
ZEPHYRHILLS, FL
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0040-00200-0110
3,440.00
5/23/2007
50.00
50.00
5/23/2007
REROOF W/25 YR 3 T AS
Name: LA VIANO, NANCY
Address: 39329 ORANGE AVE
ZEPHYRHILLS, FL 33542
Phone:
~~
o 1\; tj~\ (\
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.
/~- ~~
..,. CONTRACTOR SIGNATURE PERMIT OFFI
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
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name cJ
Owner's Address 1'30; '32 C;J OrCt~ #'7'f-v~
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
JOB ADDRESS .3 'Y 3 2- / 0 rc, /;tY
ff-ve
LOT #
I
D NEW CONSTR Cl
D INSTALL D
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTION OF WORK I /2e "......)c,,).f v-J/ ~ 2- S- /kC-t. v
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PARCEL ID#I
ADD/ALT
REPAIR
COMM
FRAME
12-L~ - 2 \ _ ooL\-o - 00200- 0 \ \ 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
SUBDIVISION
WORK PROPOSED
D
D
D
OTHER I
STEEL D
'3>-- T rt- I":>
OTHER I
COMMERCIAL
License # I
OTHER J bl ~ ~ /' COMPANY I;:" frqJ ("-. L k~ It cx.! <f( ~
SIGNATURE _~c::7Y REGISTERED I Y / N I FEE CURRENT I Y / N
Address I '3 JOt u 5 e e;-"Z- License # I C' c ,--oT7iS7
111111111111111111111111111111111111111111111111111111I1111111111111111111111I1111111111111111I11111111I11111111111111I1111111111111111111111I1111
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, Storm water Plans w/ Silt 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 w/ 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.
1$ :?/-( L(Or Do I
1$ I
1$ I
1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11I11111I11111111I11111111I11111111111111111I11111111111111111111111111111111111111111111111I1111111111111111111I111111111111111111111111111111111
I
I
I
I
I
I
I
I
I
I
D BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
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 #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
SIGN PERMIT
Di~~~ti~~~~ ' . . , , , . . , , , . . , , . , , , , . . , , , . . . , , , . . , , , , . , . , , , , . , . . . . , , . . . , , . . . . , , , , . , , , . , , . . , . , . . , , , ~ . . , , . . . . . , , , , , , , , , . . , . . , , , . , , . . , , . , , , , . . , . . . . . , , . . . .
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 NC 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 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, 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 Officia~ for a period not t~ exceed nin~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 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)
OWNER OR AGENT - ~
SUQscribed and s n to (or affirmed) before me this
6l2~/()"J by YoH A\tU'l.:::~
who Is/are~ known to me or has{have produced
as identification,
~c.---_ 0~'"-~
Notary Public
~
d .~~ \.. ~ Notary Public
~~~ Karen .L. Miller
Expirel October 29. 2010
Commission No.
Name of Notary typed, print
NOTICE OF COMMENCEMENT
State of [7' 10 V1 'do-... County of p ~S Co
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following inforniation is provided in
this Notice of Commencement:
Kl. Description ofPropeny: Parcel No. /L- 2. ~ - 2./-00'-1:0 -00 LOu -0 II 0
3 OJ 3l ~ yAM ve. k. v " I r 3 3 ~ Y 2-
(Legal description of the proper and street address if available)
2. General Description of Improvement rtexDof wi Ot LSt-Otlf GAl=- 3-1Af!>
/111111 11111 1111I1111I1111/111111111111111 ""'1111I11111111
2007081317
'fJ3.
Owner Information: Name (JCJ..Y1C- V' L r\u (qt1,.O
,
Address 3 OJ 3 2- '1 0 Vtt~ Ave..
City Z!..f ~rh, //)
"State F (
'33StjZ
Interest in Property:
Name of Fee Simple Titleholder:
(If h h) Rcpt: 1101616 Rec: 10.00
ot er t an owner DS: 0.00 IT: 0.00
0!5/23/07 Dpty Clerk
Address City State
.i. Contractor: Name ~CO ~a.C~f) ~Ol)h ~ lInG
" Address p() 6nx , ,6fi> ',a30ro5tl-S'L City --SAN ft1JToNlo State FC 33510
5. Surety: Name
Address
City
State
Amount of Bond: $
JED PITT"AN~ PASCO COUNTY CLERK
0!5/23/07 0. : 34am 1 of 1
OR BK 7508 PG 195
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
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (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.)
X Signature ofOwner: ,S~ ~
. Sworn to and subscribe - be-ore me this ,;ll day of 2!?At
~Ok 'Gf0
Notary Public: I ~ C~ ) t.e..R .
My Commission Exp' es: . _'
PC930~~/A .~5. .11
. . . c...: r:ilr....OctlO.
C4J.J.J&I.nh . lID ._
........ ., ....... .., ...
,20~.
Proposal/Contract
S~?J~ 1e~r 1~,
po, Box 1188
~010 SR 52
San Antonio. FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
"'=~ emall: :~~~::~r:~~:aOl.com Da.e-7!2A7-
~'--"_r:__--!ROPOSACSUB~n~ ~ l ~ .. ~O~Ep T~~E PERFOR~E~;; .,
Name _0L~YJ..0t L:q Vi a ~ () ,_1 Street ~~ ,.-----,
Street -3-'13_1- 't Or-r:t I1JL /:h!t.. . _~ I City
city_2tjf';,//,./i.$____ ~ State___ ~__Zip__~____.
State --1::_L __~_._ Zip __ _.. l OWr1sr (If Property _--_ -~..
I'h<me Number _. ... ____-___FdXfZ ~ 5~ Phone NlImberFax
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U,;,,:CXJCHEE ELEH,
PAGE.
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We ~y propose to furnish all the matenals and perfOrm ~the labor necessary for thG c,,!""'pletlon of:
~emove eXisting shingle roof ~epIacebl!ldfascl.boa:"dsl!t$ .3 ~W ~perfoot
All n"1eterrE\I 's guaranteed to be as specIfied. and the above worK IS to be pertormed Is acCordance wittl the drawings a.nd specifica,
t;O~$ submItted for above work ard eompleted in it 5ubatanlial wOi'Kmllrhke r1anner for the sum Of $ "5/ i..7'tt c2. cJ .
with payt"'\enlS to be macf~ as fl.>llows. ~m,,"t due in full QO cqmD'e~.ign, unlees otherwise noted. Thank You.
_,____~ _ Cr9ditcards accepted, addft:ona! 2,a% chal1;e
..-~.~ ..,---"--------
Officer/Agent Scott 6lacl<man Roofing
Note: Th=7-S asa! may be withdrawn by usf not accepted
wIthin __ __ days,
Cllem gives permission to 1r1vl: on dlivevv<\y to deliver mat(jrjals.
!-'--.-".----.---.-----..,
ACCE?T ANCE OF PAOPOSAL - -- ~ ~
fhe above pnce~, specIfications and conditions. are llatisfactOIY and are hereby accepted, YOU are authorized to do ti1tl work illS
specified, I have read thl:' back of tn.s propcealfCcntraet, whlCl'l(iO"ltalns Florida S-81w9 713 DOl- 7l3.37 Payment will be maeJe as
:~::::b~~;...J__ S4l0.lu,._~1J?w~__1
Oale___ -#--,4-J(Z..--~-_.~. --"-- Signature ---.- . --___ I
-__.-J
':) Re';)Pve existing bum-up ro~"./-
~,'n with U 15 fb 13"10 Ib,
~lllew gBlv6nlz~d valley metlil
~slaH 1'lew le<;td boots
~~tall new ex.heust vants
id1hS;~1l n@wdrip edge 'I' 1"\ \.<.J~ CO or
d !r)~tal! new flesMing as nee~'d.
~ace plywood at $__ __.!JJL_01) _ pl.?r sheet
.~ir rotten trusses 8.t $ ,~S I P.!2--.. per foot
'WOOdwork Is an addltlO'1al cnarge, see pricIng above
Any aller"',on ~r devi;ll'on t'o'" .~Ov~ ~p~elllcatlO/'o$ ItW01.1"!,l e,t,,. ~S13 ...i1,
te '~UCJt.cl O"ly IIDon .."lien 'JrdBr., 8"; w1I11l1lCQl1'e IIn elltta tl'l31ll8 ovlTBnd
af)OV& 1"0 IIst"""!e, AI' "9[';lqmeoIS conMgwnl up"" slrik". ae1lifMf1'l6 or ile1ays.
l'~~O"O nltr oon'-Ol Ow".r to C!or'Y 'ire. lom\'KlQ eXl 01"'" ngce,.uIY 'nsvrllrlce
"pon 1':;>;)V~ WO'll, WON(!'lJ CQ"'IIg".ati'lfl ana P'I./brtc I.lab;H:V 1!'l$\!'llncP. enlllt'J\1l
"CI'~ Ie bt lake~. out ny Pooll'g CO"'taCW '
o Install feet of ndg& vents
o Install modified bltimen i9ranulated) tOf\;h doWl'l roofing
black. white or ot!1er oolor
~talt 25 yr, fungus resistant 3-tab ~:~Ies
Q Install 30 yr. fungus rasistant dimensional shingles
U Shingle manufacturer __~_____' COiOf__.,___-'-----_
o Install TPO. white fJbberizecl rooflrtg membrane
OO.h~'~W1-h:~-~: ~~ .
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