HomeMy WebLinkAbout07-6949
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6949
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:
6949
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
3,200.00
Address: 380121 38016 10TH AV
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-09300-0190
50.00 _I B~I~vo 1
JOI/) frA
REROOF 16 sa TIMBERLINE
h'VlOLladJ
Cf, (;)-'6(07
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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."
~SIGNAT:RE PERMITOFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NOTICE OF COMMENCEMENT
State of '~\o'('\dO- County of ~(LSc...O
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:
'tl.
Description of Property: Parcel No. / / - C;;t, - c-2 I - (') 0/0 - 0 q 300 - OJ 9D
:3 8o{')- /0 ift Qt..L- /J..Ss 50'1 1--1. Z. '3 . ~"> F +-- VJ€.,~+ l. r 11 -6 NOIM
Of''' r; ~ P; 10,00 p+ 0(- ~ 3 All Lor) 1'1-62-0 6Lot- Ii'
(Legal descr pti n of the property and street address if available)z:f~ 7~' ;;/::
2. General Description of Improvement /&1/)11 i~ ~O '1-ay (; /IF ~;"'bcr.4;'e
(/
1111111111111111111111111I1111111111111111111111111111111111
2007138700
X 3. Owner Information: Name XY\ A ~
Address 4- gS3 /77A $f,
C R()o/C
City 2ep ~i l~ ( //J
Rcpt : 1122176 Rec: 10.00
DS: 0.00 IT: 0.00
~8/15/07 Dpty Clerk
State f' ( .J .sS-'f L
R.
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address City State
Contractor: Name Sc-o\\ ~'oc-\l.(nG...r'\ ~~\' \"\\~ 1 \ '{\ C
Addresrlb~D~ \\~6', <?~:<'D\o<\~~ll, City -;SAN t+t\.)"-otVIO State FL 3SS'1t.o
~'91~}~~n~:~~sc01CO~~Tl CLERK
OR BK 760~ PG 733
{.
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
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.)
)< Signature of Owner: ~ ~ 1;;;;:;:t
Sworn to and ~'j) be~ "~ this day of - ."- , 2~.
Notary Public: ' ~ ~ -/-b n.....e..-
My Commission Expires:
PC930530481 A
BRENDA l. BUCHANAN
."
~ .(. ~'.:l' ~My Commission Explies Jan 31, 2009
"-~:,~'? Commission # DD 384884
"',d:.:'-'." Bonded By National Notary Assn.
8'13-780-0020
City of Zephyrhills Permit Application
Building Department
Date Received'
Fax-813-780-0021
.~''l 99'51
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Address I
3g--6 /h -3IJO/2
NEW CONSTR
INSTALL
SFR
BLOCK
/071,
I
B
D
D
flve
PARCELlD#II/- 2.. c, -2..1- OO!cJ-O 93r:Jo- 0/90
(OBTAINED FROM PROPERTY TAX NOTICEI
SIGN D MOVE D
LOT #
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I f2-e r-lJO ~ Ie <5 ? t-J /4. "3 () ;;!<Cc. ,.- ~;1.-L h~! ~
~~:~~I~~, ~:~~ III .111111111 f 11111111 1 11111 .111111 ~~ ,~~'~~~~,~ ,III,( ~ "~<:"'III'I ! 1111 ~~:~~~ 1.1, ' 111111 1 1,1,,,,,111,,1,,,,,111,11,1,,11,,,11,
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
DEMOLISH
OTHER
STEEL
I
D
OTHER I
D BUILDING 1$3~r<:..iO I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL ~ 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
111111111I111111I11111111I111111111111111111111111111111111111111I1111111111111I111111111111I111II1111111111I111111111II11111111111111111111111111
BUILDER
SIGNATURE
COMPANY
REGISTERED
YI N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
License #
YI N FEE CURRENT
Y/N
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
COMMERCIAL
SIGN PERMIT
DI~~~ti~~~': . . , , , , , . , , , , . 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 $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deeq" rel$trictions"
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, WaterlWastewater 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 offill:
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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authorl~y ~o vlol~t~, 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 violat~o~s o~ any codes. Eve'!' ~ermit 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 nrn~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for nrnety (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)
CONTRACTOR/~~
S scri ed and sworn to (or affirmed) before me this
- by
o stare personally known to me or has/have produced
as identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as Identification.
Notary Public
Notary Public
Commission No.
Name of Notary typed, printed or stamped
Proposal/Contract
SC6tt~~ ~~, 1HC.
P.O. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
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Date
Name
PROPOSAL SUBMITTED TO
WORKED TO BE PERFORMED AT
Street
Street
Phone Number
Fax
City
State
Owner of Property
Phone Number
Zip
City
State
Zip
Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
o Remove existing shingle roof
o Remove existing built-up roof
o Dry-in with 0 15 lb. 0 30 lb.
o Install new galvanized valley metal
o Install new lead boots
o Install new exhaust vents
o Install new drip edge,
o Install new flashing as needed
o Replace plywood at $
o Repair rotten trusses at $
color
o Replace bad fascia boards at $ per foot
o Install feet of ridge vents
o Install modified bitimen (granulated) torch down roofing
black, white or other color
o In~yr. fungus resistant 3-tab shingles
~tall 30 yr. fungus resistant dimensional shingles
o Shingle manufacturer color
o Install TPO, white rubberized roofing membrane
o Other:
per sheet
per foot
*Woodwork is an additional charge, see pricing above
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ , .':S 2-lJ 0, d ()
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, additional 2.8% charge.
Any alteration or deviation from above specifications involving extra costs will
be executed only upon written orders, and will become an extra charge over and
above the estimate. All agreements contingent upon strikes, accidents or delays
beyond our control. Owner to carry fire, tornado and other necessary insurance
upon above work. Workers' Compensation and Public Liability insurance an above
work to be taken out by Roofing Contractor.
Client gives permission to drive on driveway to deliver materials.
Officer/Agent Scott Blackman Roofing
Note: This proposal may be withdrawn by us if not accepted
within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. I have read the back of this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as
outlined above.
Accepted
Date
Signature
~r;J '01: (!~
Signature
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