HomeMy WebLinkAbout07-6987
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6987
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:
6987
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5447 11TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13700-0010
4,100.00
8/29/2007
55.00
55.00
8/29/2007
REROOF SHINGLE
Name: CHENKIN, RICHARD W & PAULA K
Address: 5447 11TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813782-1583
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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,"
RSI
PERMIT X ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CAL[ FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Name
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
/ II" 3~
JOB ADDRESS
Fee Simple Titleholder Address I
I 5'1'17
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LOT# 11Y~
PARCELID#III/J.(P-').I-~o- \37OCJ -rol 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
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DEMOLISH
DESCRIPTION OF WORK
c:J/ NEW CONSTR
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BLOCK D FRAME
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.SQ FOOTAGE IgCC)
ADD/ALT
REPAIR
COMM
OTHER
STEEL
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SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
HEIGHT I
BUILDING SIZE
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AMP SERVICE
D
PROGRESS ENERGY
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W.R.E.C.
BUILDING
1$ ~/OO ,Db
1$
1$
VALUATION OF TOTAL CONSTRUCTION
D
D
D MECHANICAL r
o GAS ~ ROOFLNG
FINISHED FLOOR ELEVATIONS
ELECTRICAL
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
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License # I I
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Address License # Il'~ IS;;} .rs-oS- I
11111111111111111111111111111111111111111111111111111 1111111111111 11111111111 11111111111111111 11111111111111111 111111111111111111111 11111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-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
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 onslle, 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
Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required for all NEW construction.
1I111111111111111111111111111111111111111111I11I1I11111111111111111 11111111111111111111111111111111111111111111111111111111111I1I11I1111III1111111
Directions:
Fill oul 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
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ 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
Address
OTHER
SIGNATURE
COMMERCIAL
SIGN PERMIT
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 tor 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 property 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 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 occupahcy 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'SfOWNER'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 wor~,
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.
CONTRACTOR
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. fare oersonR11y known to me 0
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Notary Public
State of ~(QJA
NOTICE OF COMMENCEMEN1'
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 III
this Notice of Commencement:
1. Descri pti on 0 f Property: Parcel No. 11- )C,f) /- 00 10- /3/00.- 0011'") . $y't7. 1/ H, ~
~ Lf.lr r 'j
(Ee ,I description of the property and street address if available)
2. General Description of Improvement Lt ~
COLlnty of --.FaiLe>
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2007146846
3. Owner Information: Nm11e L'<~cf Ci<;}t};r'L
Address S'l't7 ilt< Sf City Z~I'~~tl4
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
State fl J3S"lfd
Rcpt: 1125468 Rec: 10.00
DS: 0.00 IT: 0.00
08/29/07 Opty Clerk
R 4.
Address _ City
Con tractor: Name '-7 ,..., Ao.V 4d :;
Address '~.J 5; f'. S':'f City ? '-'P~r 1.1j;
5. Surety: Nfll11e_
Slale
~
Address
State ~ 315'1'2
Amount of Bond: $
City
State
6. Lender: Name
JED PITTMAN PASCO COUNTY CLERK
08/29/07 01: 5.!Pm 1 of 1
OR BK 7611 PG 914
Adclress
City
S lale
7. Persons within the State of Florida designated by Owner upon whom notices Or other
documen ts may be served as provided by Section 713.13 (I ) (a) (7), Florida Statutes:
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 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is I year from the date
of recording unless a different date is specified.)
Signature of Owner:
'c.~
day of ~l.Jrf
_, 20QL.
Wly Commission Expires:
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'Rlfman 'Roo~in9' 'lft(;,
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37325 SR 54 * Zephyrhills, Florida 33542
Phone: 813-782-6094 Fax 813-783-2645
License #CCC 1325505
Customer:
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Address: n 1-\ 7
Home Telephone: 78~' \.>g3
Zip:
Alternate Phone #
Business Phone #
~omplete tear off of existing shingles
6' Roof dried In with # JO felt
rJ". Install new valley metal with galvanized metal
GY Re-secure all loose roof decking as needed
IJ/ Install all new lead boots an R1Hl9BS
[B/ Install all new drip edge ii Rggg8aS" Wh; k
Gr').ns.tall all new 39- year f~ngus-resistal)t,.shingles
!2( Shingle Colorf'_lk BlrL~LvOo61
[3/ All debris removed from the job site
[a/ All materials, labor and permits furnished
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Total bid price t~ICrO, 00
Extra's .. OD
Iir' Bad plywood replaced at a cost of $ LJs . per sheet in the roof field. All other wood work, such as valley rebuilding or rafter
replacement, will be at a rate of $ S5 . 00 per man hour plus the cost of materials.
Sc-~lL ..\0 5~ ~~ Dr Q/3/0 7 +~ '1/7/07
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. will not be responsible for
any septic tank, sod, shrubbery or paint damage.
Payment due upon completion of job.
The ab
orized to 1 the work as specified.
S- ;, /7-007
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Date:
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