HomeMy WebLinkAbout07-7156
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7156
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 65.00
Amount Paid: 65.00
Date Paid: 10/31/2007
Work Desc: REROOF 24 sa
7156
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 37420 ERBYSHIRE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: WEDGEWOOD MANOR
Parcel Number: 10-26-21-0120-00000-1080
6,200.00
Name: SEIS, JEROME & CAROL
Address: 37420 DERBYSHIRE DR
ZEPHYRHILLS, FL. 33542
Phone: 813715-6224
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HI-do!
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TAPE JOINTS ROOF INSP
FINAL
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 your property. If you intend to obtain financing, consult with your lender or an attorney
before recordi your notice of commencement."
CTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES 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-813-780-0021
Date Received
Owner's Name
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Address I [) cr by:; / f rf!
JOB ADDRESS I 3ry'-l~O LOT #
I
SUBDIVISION l?v~# ?/.J;,d I PARCELlD#1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED E3 NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH
INSTALL REPAIR
PROPOSED USE D SFR D COMM D OTHER OTHER I R.c.~~o f
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL
DESCRIPTION OF WORK
BUILDING SIZE sa FOOTAGE
D BUILDING 1$ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS b ROOFING D
FINISHED FLOOR ELEVATIONS I I
HEIGHT 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
COMPANY V
REGISTEREa
COMPANY I
REGISTERED
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
I
BUILDER
SIGNATURE
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
COMPANY
REGISTERED
Y/N
COMMERCIAL
Address
MECHANICAL I
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I License #
111111111111111111111111111111111111111I11111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111
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 on site, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge 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.
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
SIGN PERMIT
DI~~~ti~~~':' . . . . , , , . . . , , . , . . . , , , . . , 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 NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadwaysooneeds 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 s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallat'ons not specifically 1n?luded. In the application. A
permit issued shall be construed to be a license to proce?d With the work a~d not as authorJ~ ~o. vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~".dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, c~n~truction or violat~o~s o~ any codes. Eve'!' 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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nrn~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 A ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 11 .03)
OWNER OR AGENT fN' (/~I'r'/\-"
Subscribed and swo . ~ i.,)
/0.,3-01 by ,
Wh~/al!l'peJ~onaIlY known to me or haslhave produced
~..::.:4'O7>ll{ r /A.UWH as Identification.
CONTRACTOR
Subscribed and swo t ) be~ r ~!Jf. /IJ //
{O --?/-D 7 by ,
Wh~are perliPpally known to me or has/have produced
rXlt,u IS' tf:,,~ "'- as identification.
, ,
~0ta~~. :~~
f~D COf{\ffilSSIO ,,~2 2Q~Q
: . .Jr, . as Qel'Bffiuer '~7g~P
Name of Notary typiiik~ .... .; ciJJ~foln_rllll<I"'U'"
";f"Rr,,\\'\....
Notary Public
Notary Public
10/18/2007
'Roofing 'Vivision
LIC# CBC058155
LIC# CCC1326166
Re: Mr. and Mrs. Seis
37420 Derby Shire
Zephyrhills, FL
M If 1/57 9~ fa 5f70
~ (X/3) 7/:S-rf2ZY
W.A. Neumann Roofing Division, Inc. proposes to furnish all the labor, material, supervision,
equipment, fees and other costs to complete the project located at Derby Shire according to
specifications listed below. The price includes:
1. Tear off existing one layer of shingles from deck,(re-nail plywood were needed)
2. Replace any rotted or damaged decking $65.00 per sheet, (1 sheet included in contract price)
3. Replace any rotted fascia $4.50 per foot
4. Install new large face white wood grain drip edge
5. Install GAF ICE/WATER Weather Watch on entire roof
6. Install all new led boots and vents, (all boots and vents will be painted to match roof color)
7. Install ELK Starter Strip on all rakes and runs 1 . S 1
8. Install new 30yr ELK High Definition shingles with Stain Guard 1. J 1 f 0
9. Install new O.C. Vent Sure Ridge Vent covered with ELK ridge cap' /Jd
10. Install new ELK SAR ridge cap c:J '-
11. Haul away all roof-related debris
12. Our liability insurance coverage is based on completed operations
13. 15yr ELKlGAF Peak Performance material Warranty included free of charge
14. Provide a 5-year workmanship warranty
15. Payment schedule: Due upon job completion
\.
10/18/2007
It is understood and agreed the W.A. Neumann Roofing Division, Inc. will be held harmless for alleged
or actual damages/claims as a result of algae, fungus, or mold. It is understood the roofing contractor
and the roofing contractor's insurance will exclude all coverage, including defense, damages, related to
bodily injury, property damage and clean up directly or indirectly in whole or in part for any action
brought by mold, including fungus and mildew regardless of the cost, event, product or workmanship
that my have contributed concurrently or in any sequence to the injury or damage occurs.
Total $(6,200.00)
Upgrade:
o. .----......
15yr Golden Pledge (workmanship and product warranty) .. 1
Solar panel attic fan $500.00each -: .
Accepted By:
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iOCl 2 2 2007
Permit No.
Key No.
NOTICE OF COMMENCEMENT
State of Florida County of PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to cer1ain real property, and in
~=-ce:: Chapter 713. F1crida swm S~otut~es, ~ foI1OWt:()ini~o~ OisOproo ~ t~~~ouO'ce of
1. Description of Property. Parcel No. /.-0 - tX d. L / () fl)
(~ 141'JP~ trIf propeI1y an<J street aaaress If 8V8ll8l>le)
2. Genet81 Description of Improvement -' ~ /
I
~6~t+ ~Ei'S
="),~~(If=t:-_~HYW-lI/< "'F/ :3~
Adchss City State
Contractor: Name w. A. Neumann Construction Inc.
Address: y
Phone No. Fax No.
N/A
3.
4.
5.
s~: Name
Address
Amount Of EIOn<I: $
p~
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~tate
Fax .
6.
7.
Lender: Name
Adc:hss
Phone NO.
Penons within the State of Florida de&ignated 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
Phone NO. Fax NO.
In addition to himself Owner designates of
to receive a copy of ihe Lienor's NOtice as provide<lln section 113. t J( 1 )(b), Flonaa Statutes.
Expiration date of . ce of Commencement (the expiration date is 1 year from the date of recordiog
unless a date 's specified.)
State
8.
9.
State of r{ 0 fL( COUlty of fA ~ c ,
s-n~-mme,," l'l-l-t..dayof O~ .~by
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Notary Public: ~ ~
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Pasco County Parcel: 10-26-21-0120-00000-1080001
Page 1 of 1
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Ouestions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Friday, October 26, 2007
Parcel ID 10-26-21-0120-00000-1080 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Assessment (totals)
SEIS JEROME H & CAROL A Ag Land $0
37420 DERBYSHIRE DR Land $17,322
ZEPHYRHILLS, FL 335427937 Building $108,123
Physical Address Extra Features $572
37420 DERBYSHIRE DR
ZEPHYRHILLS, FL 33542-7937 Total Assessment $126,017
Legal Description (First 4 Lines) Save Our Homes $0
WEDGEWOOD MANOR PHASE I & II Taxable Value $126,017
PB 27 PGS 11-14 LOT 108
OR 6316 PG 1820
Land Detail (Card: 001 of 001)
II Line Use Descri"~ I Type I Price I Condition Value
1 0100 SFR .00 I SF I $4.65 0.80 $16,740
2 0100 SFR 1,617.69 SF $0.45 0.80 $582
Additional Land Information
I Acres II 0.15 II Tax Area II 30ZH II FEMA Code 1c::iJ1Residential Codell WDGWLP1 I
I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I
Year Built 1993 Stories 1.0
Exterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
I Line I Description Sq. Feet Repl. Cost New
I 1 I BAS 1,417 $115,174
I 2 I FGR 357 $11,623
I 3 I FOP 20 $406
Extra Features (Card: 001 of 001)
I Line I Description I Year I Units Value
I 1 I DWSWC I 1993 I 282 $486
I 2 I CON PTO 1993 50 $86
I Sales History I
Previous Owner I KEMP PAUL W & BARBARA L I
Year Month Book/Page Type I Amount I
2005 04 6316 / 1820 WD I $150,000 I
2003 12 5661/0544 WD II $98,000
1995 12 3513 / 0618 WD II $73,900
Search Again Show Map Generalized Buildina Schematic Estimate Taxes Frequently Asked Ouestions
Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.com/search/parcel.aspx?sec= 1 0&twn=26&rng=21 &sbb=O 120&... 10/31/2007
,JURfSDICTION;OF YOUR"CHOICE.
-BUll.iD~G.J)EPARTMENT
RE: Permit # f} (V)( (J 9/17/07
Inspection AffidaVit.
J .~ ft SON ~ rJ gl1 /NIfJtlensedas a(n) Contractor* !EngineeriArchitect,
(pI_vtmtname ncircl' Ii~ 1;)9; 1-(5 .FS 468 Building Inspector*
License #; t. '!L- tJ .
On or' about S;J ~v 01
(Date & time)
STATE OF FLORIDA
COUNTY OF ~~ ~
Sworn to and subscribed before me this 5: . Clay of I~
.200ir-
By
~~
, Notary Public, State of Florida
~/;Y14 ()~J:f~
(Pririt, type or stamp name)
commissionNo.:~
Personally known.-L or
Produced Identification
Type of identification produced.
iV/A-
.
~ Gen~, Building, Residential, or Roofing ContIactor ~r any individual certified under 468 F.S. to make such an
mspection. Include photographs of each plane of the roofwith the pemrit # or address # clearly shown marked on the
deck for each inspection. -
~~""^.lio MelindaA. Cheatham
~U'; My~exp.June19,2010
",.# A~ Cornmissidl No. DDS65734
~ IIF t~..