HomeMy WebLinkAbout07-7056
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7056
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:
7056
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5045 SUMMERHILL DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SUMMERHILL
Parcel Number: 12-26-21-0100-00000-0140
7,500.00
9/27/2007
70.00
70.00
9/27/2007
REROOF
Name: GARRISON, BARBARA
Address: 5045 SUMMER HILL RD
ZEPHYRHILLS, FL. 33542
Phone: 813779-0379
r: 00.. ~cO
10 f4fo7
I&v--
JOC1V
TAPE JOINTS ROOF INSP
FINAL
REINSPECDON 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 y.pur tice of commencement."
,I
NA URE PERM IT OFFI
RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
FaX-813-7;t~ ltJ,
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
I SOL{ S'" 3/LYY1mCA tht1
13fuTlt'Vter th'~1
SUBDIVISION
tv.
PARCEL ID#I
LOT #
D NEW CONSTR
D INSTALL
PROPOSED USE [J;2l"" SFR
TYPE OF CONSTRUCTION ~ BLOCK
DESCRIPTION OF WORK I L. ~
BUILDING"" '~FOOTAGEI HEIGHT I
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10/ ADD/ALT
tJ2I' REPAIR
D COMM
D FRAME
1;).- aGo 11- CIDO _.~ --0/<10
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
WORK PROPOSED
o
o
o
OTHER
STEEL
I
D
OTHER I
~
1$ 7S00,OC I
1$ I
1$ I
1$ I
D GAS ~ ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11I1111111111111111111I111111I111111111I1111111111111111111I11111111111111I1111111111111111111111111111111111111111111111111I111111111111111111111
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
D
D
D
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
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 ' License # I
OTHER 4j,W1J:h1 1l_~.A;~ T~
SIGNATURE I / N I ~NU lY/ N I
Address '2 I..).,U ~ 5.Jl1 License # I c.ec.... I :s .:.{ ..[~-CJ
11111111I111111111111111111111I111111111111111111111111111111111111111111111I11111I111111111111111111I11111I1111111111I11I1111111111I11111I1111111
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/ 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 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
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
DI~~~ii~~~': ' , . , . . , , , , . , , . , , , . . . , , , . , , , . . . . . . , , . , , , , , , , , . . . , . . . , . . . , , , . . . , , , , . . , , , , . , , , . . , , , . . . , , , , . . . , , , , . , . . . . . , , , , , , , . , , , , , , , , , , , , , , , , , , , , , , , , . .
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 (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 "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 m~luded. m the application. A
permit issued shall be construed to be a license to proceed 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 the~eaft~r
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 o.f permit Issu~nce, 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 Official for a period not t~ exceed nm~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 0 AN A RNEY BEFORE RECORDING YOUR NOTICE OMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGE
Subscribed and sw
by
Who Is/are personally known to me has produced
as identific tlon.
CONTRACTOR
Subscribed and sworn t
by
Who is/are personally known to me h
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
.
....
/'''':
'I" ~~
~
~ifman ~(J(J~in91 'lHC,
s~ ~?~ SUra 1910
37325 SR 54 * Zephyrhills, Florida 33542
Phone: 813-782-6094 Fax 813-783-2645
License #CCC 1325505
Customer: '3ar-'bD.Jo... ~u.sc:..~LL
Address: 5"'o'-jc;" _~.'Y"I.v-h. 1\ Dr.
Home Telephone: I '74~ 0371 Alternate Phone #
Date: 9-dO-o7
City: ..2~h1 r-\..: n.S Zip:s:s:>-<tJ..
Business Phone #
~comPlete tear off of existing shingles
Id "Roof dried in with #~ felt
~ Install new valley metal with galvanized metal
l.!::I Re-secure all loose roof decking as needed
~' Install all new lead boots 88 Rsoggd
~ Install all new drip edge 88 R99Qed6" w~~~
[?' Install all new..3a- year fungus-resistant shingleg2i:Jfl)})h
8" Shingle Color Elk ShCA ~~ ~
G:( All debris removed from the job site
~ All materials, labor and permits furnished
Addilionalltem;>; .J;,,:;~\\ SD' m :'it,; 'l~J:.
~ r~~:. ~\\(~
' , ..., (; A V kc.k.,.). ~ c__ _. --' -H
~ ~Ii' .
~.('""1ejA.r L(i,. '-'or- lv.a.rrQ/\+t
Total bid price $ 7soo. 00
Extra's .
if Bad plywood replaced at a cost of $ 45: 00 per sheet in the roof field. All other wood work, such as valley rebuilding or rafter
replacement, will be at a rate of $ .s:"r.. 00 per man hour plus the cost of materials.
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.
J 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 a/job,
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.
(Purchaser:
Estimator:
7J IJK* fe.~
111111111111 111111111111111111111111111111111111111111111111
2007161990
Rcpt: 1131719 Rec: 11i'J. Ii'JIi'J
OS: 0.00 IT: 0.00
09/26/07 Dpty Clerk
~&92G~~~M~~di~SC01CO~NTl CLERK
OR BK 7642f PG 316
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. I~ - J.G:.- ).1- Df 00 - (!')OOOe> - 011..(0
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
I.Description of property (legal description:
a) Street Address: . D 4
2.General description of improvements:
..... .,.,~
3.0wnerInformation f)
a) Name and address: D
, b) Name and address offee simple titleholder (if other than owner)
8 c) Interest in property
ontractor Information ~ L .
..' a) Name and address: ~7' J(~1-j 3?.3'J.'s" $.~. S'( 2.<t-7,-L..I1) t fC- 335'1J.
b) Telephone No.: 'iJ__K ~~_ _ Fax No. (Opt.)
5.Surety Information .
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6. Lender
a) Name and address:
Fax No. (Opt.)
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713. 13(I)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCE~T. ~ ~
-r,~ t:L. '"K~
STATE OF FLORIDA ~ I ~
COUNTY OF PASCO ~~ Notary Public State of Florida A- ~ ~
. . Chad Steven Ryman
\; . 4 My CommLsslOl1 00467226
0, fl.' EXPIres 08/3012009
The foregoing instrument was acknowledged before me this ~ day of ..:'vpf~~ , 20~, by tB4rk,q6/oHYl fO",
as (type of authority, e.g. officer, trustee, attorney
m fact) for (name of party on behalf of whom ina7 ~ted).
P=lIy Known -/J( OR Prodocoo Ideotification _ Notary Signatnre~ ---- 6c ~ ___
Type ofIdentification Produced Name (print) C W S. Q ~ ~'" "'---
Verification pursuant to. Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.,
FORMS/NOC.rvsd2007
Signature of Natural Person Signing Above