HomeMy WebLinkAbout07-7301
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7301
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:
7301
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 37120 CULLENS TRAIL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0180-00000-0760
7,940.00
12/12/2007
70.00
70.00
12/12/2007
REROOF - TEAR OFF OLD
Name: PRICE, WAYNE
Address: 37120 CULLENS TRAIL
ZEPHYRHILLS, FL. 33542
Phone: 813 788-9941
INSTALL NEW 30 YR GAF DEMINSIONAL SHINGLES
b~('\ ecled)
\2-(22)(07
TAPE JOINTS ROOF INSP
FINAL
REINSPECTlON 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."
~~~p
. ONTRACTOR IGNATURE 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
\'"2 -\ 2- 07
Date Received
WAYNe PRI(..t
I 37/JO tvLLe~s T~Ai.L
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
JOB ADDRESS 37/ao CuJle'l5 Tt<4/ L 2e tl I.> .ti 3 ~- ~ LOT # ?h
SUBDIVISION s"v~/ tJ~K..S I PARCEL ID# 03 -- X'~;/I- CY8'O -tx)Ooo - 1J7fe,O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT D SIGN D MOVE D . DEMOLISH
INSTALL REPAIR
PROPOSED USE D SFR D COMM D OTHER I
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
DESCRIPTION OF WORK -,ell' tfr+ sA,,, e.) 1'15/0.1/ euJ 3D r 6Ar j)""~nS/htec
BUILDING SIZE SQ FOOTAGE I 330 0 I HEIGHT I
'.p..II..IIII.IIII.IIII,.III..II..II..III....'II..II...111..11.........11..1111.....'.............111.....1111.11....11,..'..1111...........11......
D BUILDING 1$ 79LfO I
D ELECTRICAL 1$ 1
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS l&L ROOFING D
FINISHED FLOOR ELEVATIONS I 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
"'IIIPI"""'.""."II"'I"""."""IIII"I"'II11"""'1'111"""""1111."""111111""111111"111111111111""'1""'1111"'11"11"11
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
Address
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) complete sets of Building Plans plus a Life Safety Page; (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.
111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I1111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. CAlC 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 A1C 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 andloca! 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-Homeowne~'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. I
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 properti~s, the. ow~er 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 ~f the permlttln~ conditions s~t forth In
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t.may ?e reqUlr~d for elect~lca.1 work;
plumbing, signs, wells, pools, air condilionlng, gas, or other ~nslallallOns not spactflcally Induded In the appllcabon. A
penni! issued shall be construed to be a license to proceed WIth the work and not as authonty to. vlol~t~, cancel, aller, 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 correclion of errors in plans, construction or vlolallo~s of any codes. Every ~ennrt ISsued shall become. Invalid
unless Ihe work authorized by such permit Is commenced WIthin sIX months of pannlt ISsuance, or it work authonzed. by
the ermills suspended or abandoned for a period of six (6) mon.ths ailer the tIme th? work IS commenced: An extenSIon
p busted in writing from the Building OffIcial for a penod not to exceed nInety (90) days and WlII demonstrate
ru=~fla~l~e~~se fo; the exte~slon. If work ceases for ninety (90) consecutive days, the~ob Is considered abandoned.
TO OWNER' YOUR FAILURE TO ~ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN yoUR
~:~~~C:WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENllER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COM NCEMENT.
FLORIDA JURAT (F,S. 117 ~,,---/:J L ~
7C' ~ CONTRACTO
OWNER OR AGE S b .b a m 0 (or affirmesU befo e me this,
Sub!",""d aad 10 (M am"",d).... Ole ~~l ~ I~ :':. O' by ~""OV'> l<',~ ~\&
12 ,2- f (;;;0 by !-eo f"\ k?l cl '\~ Who Is/are personally known to me or has/have produced
~I.s/are personally known to me or haslhave produced ~ "'"\) e ,,'Z.. u c- as Identification.
"beu<2- 1.-"- c- as Identification. '-'
,
~\QQ---""
~~
Notary Public
~. ~ ~ ~'-'" u---
Notary Public
commission No.
Commission No.
l~\\1.'f.!!f~ Karen ~. Miller
Ir ,2010
........ ~ PalO .IMUItftllI.IM 1OO4I.701Q
.'....'.'r-~""""">""~jff!lJJliIIi~.l!...:... ........._r 1""lr _w,,-.........'f.~,L: ;ftl!I' '"""",,,a
..
~"""r"lI'"I:
-
C((Ol{Cf370 CROWN R
!-le:1:t- ~\,E. OO~/.
;(,..~" TWO LOCATIONS TO SERVE YOU ~G
Hillsborough County
H & L Homes
17300 N. Hwy. 41
Lutz, FL 33549
813-_
g/3-7&';) 08~/()
Pasco County
37625 State Rd. 54
Zephyrhills, FL 33542
Submitted to: Name: UJAJA.H? ;:;/2 I'~
Address:~? 7/2.0 t:..uIJ J~.5 T ~; A I
Date: J.2. ~ }-07
City: 2 'JI, / /.1
Phone: 7f5B-?9'1 / Fax:
--
State: // /. Zip:
H & L Homes, Inc. and/or Triple Crown Roofing hereby agrees to furnish all materials & labor necessary to complete the job described below
e-Roof
o Repair
02 Year labor Warranty
o Roof Over
01 Year Labor Warranty
5 Year labor Warranty
Remove existing: ~hingles
DTile
DTar & Gravel
o Other:
Remove existing:RJ Drip Edge
,,iaOther:
o Hood Vents
o Turbines
J;4Ridge Vent
Remove existing: Flat Deck Material Des
Haul away all roofing debris
.mJb
Remove Flat Deck Only Des Do
Install new:gDimensional Shingles: 1lf30 year
o Three Tab Shingles: 0 25 year
o Modified bitumen torch down (low slope or flat)
o Other:
o 40 year
o 20 year
o 50 year
Brand of shingles: gJ'GAF 0 Elk
Color ofshingles: }{;ur c,.Ao, L<"
DOwens Corning 0 Other:
Color of new drip edge:
o White E Brown
o Other:
Install new felt: 030# 015# 043# (for torch OnlY);' pee.I-/-..5 T/ C-j:::' e....- i, /tt: ~):':
Install new: ,BfDrip Edge Da:Lead Boots 0 Hood Vent ,EfValley Metal 0 Other:
Install new ventilation: ;gTRidge Vent (60 feet) 0 Ridge Roll ( feet) 0 Off Ridge Vent ( feet)
Comments: ~~u ~ t::'Dde: Rt5!..-'VI'Q,) 8,,--f1'/~ ~C -I- Aj(Ju 1./ <~
122. e.,.,/ -I- ~-r/c:-K C''- C'-....-,7-. -< e. /ZL;o-f" ;-?Y~
_~~u-; II hL
~ ~ ;y:} 0 /.J..A...- -/ ~ /.J./r-e--
/Lvo-t
~~ ;41-J/ /~ c.
j/
All permits and dump fees included
Rotted Wood Costs
u::..
I understand that rotted wood replacement is an extra cost of $ 'iV per 4' x 8' x y," sheet of plywood,
and $/;7.5~ per linear foot of board (1 by's and 2 by's) to be replaced as needed. Initial
~
JobCost* .......................................... $ ;: ~ ~O-
Deposit upon dry-in* .......................... $ ~ ~ ~
Balance due upon completion* .......... $ ~
Thank you for your business!
Please refer a friend!
Authorized Rep. . 5::077'" ~~/5'-'_
r'
*This price does not include rotted wood charges.
ACCEPTANCE OF AGREEMENT
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payments will be made as outlined above.
. .
Signature:
Signature:
Date:
--~ -----~ ---~----~-- --------
- ---~-----~-----~--- ------ --~~ ---~ ----~------
1111I111111111111111111111111111111111111111111111111111111I
2007201612
Rcpl : 1147592 Rec: 10.00
. 0 00 IT: 0. 00
~~'/li/07 Dpty Clerk
JE9 PITTM~'fSCO COUNTI CLERK
12 11/07 .5~Dm 1 of".:69
OR BK 1 PG:)
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No, 03 - ~(, -;1.1 - 0/80'" 00000 - 07(,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.
'-'=' r 7,"
l.Description of property (legal desc,,,tion.~ Sf~~e,J J/~"'A erf sllv~,.. OAks ':ast:..~ P& 3~ P6S 5"1./-53-
a) Street Address: 3'1/;)0 {!"II.,.".s ."ffall 2~1!j,'7,"'h" //.5 PL. 33S"1./_
2.Genera1 description of improvements: ]ee,. ~rl'.f 4J r~ r/!}:-..,c r~~/d"'t'1f. c.~
3.Owner Infonnation ~1'Zl-
a) Name and address: . f}~l. 11;1..0 (',,/IY!!A5 V-a;-/ 2 /,. ,./',lls -4. 33.s-y~
b) Name and address of fee SimP,t ti~Older (if other than owner) ,AI' .#?-
ft, " c) Interest in property (JW e
Convactor Information i
" :i, a) Name and address: r. II OC+-I 11Jt.- 37~y Sk-k RoaJ'sy' 2 It ,,';I/.r A. 33S-Y~
. jP ",; b) Telephone No.: ;t{/~ -7R,J - oR/n Fax No. (Opt.) B-1? -71'3 -t- "/7
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
tVA-
Af'1f
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 follow~g ~rson to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b), Florida Statutes: A/ ~
a) Name and address:
b) Telephone No,: F 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):
STATE OF FLORIDA
COUNTY OF PASCO
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 AITORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
~~~
l{ S_ofOwDoi<<Owno-p-~
f/ € R R R. ,. C Ie
Print Name
The foregoing instrument was acknowledged before me this /.r'~y of D':~~. . 20~ by "ItA 'pal'~ ~e
as t:>~e;(! ~ (type of authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom instrument was executed).
Personally Known v{;R Produced Identification _ Notmy Signature
Type of Identification Produced
Name (print)
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
oU.1I11t A.lWOB
MY C{)tAESQI' DOQM1
EXPIre: ApI 28, In!
1IoncIIdn. .................
FORMSINOC,rvad2Q07
'~,,~~
ACCOUNT NO: 054367
SIC CODE: 1761
TRIPLE CROWN ROOFING INC
57625 STATE RD 54
ZEPHYRHIUS Fl 33542-5423
1..11.. .11. .1.1. .1. .1..1.1.1.1..1..1. .1.1..11. ..1.1.1.1.. .1.11
TYPE OF BUSINESS:
ROOFING CONTRACTOR
LOCATION ADDRESS:
37625 STATE RD 54
ZEPHYRHILLS
DATE
RECEIPT AMOUNT
09/21/07 535082
31.25
._~.~~""-'-"",,'~_~.,~_............_~,..,...,".,,_.__._v_,___"_~~~_..____'_'K_._..__~____"..._..._"_">__~~
)J<:--~"""""""~~~!'al!J\~~w~,)J.'lif.lR;,l".;;,~;?J;_,'..,'f.~,.;c,'i'i!"i'c-'"'P!Nf')If,1t,'mt~'~nr lI:ll.l
II __
'fI_ ~l~;;:'
/"
..JURISDICTION, iOF' YOiUR ~,CHOICE,
, 'BlJIDDING1J>EPAR'i'MENT
, ,
RE: Permit # 130/' 9/17/07
,inspection AffidaVit'
.I
Leon ' f<.'.Na.-u 1+ '
,fu,OIlSedas a(nS/EngineerlArcbitect,
, uilding Inspector
(please print name and circle Lie. Type)
License #; CCCo t..i q 3 7 ()
On or' about I ~ . '" I '-J -;) 00 7 II; OOItl'1, I did personally inspect the roof'
(3 -Ih (Date & time). . '. .. . . .---.-
~nailin~ and/or secOndary ~ barri~rk at 31/00 Cu 1/ t' n S / ~ql /
(circle one)' ---: (Job Site Address)
Lcph,rh,;tls) PL, ~~~y~. -. . , .
Based upon that ex~mination I have deternrined the installation was done according to the
Hurricane Mitigati..' ~fit Manual (Bas,ed on 553.844 F.S.)
~ ~ .LP-. .
Signature ' '
FUJlll rV f3 0- 5}(o ~ 5 ~ -333-0
STATE OF FLORIDA
COUNTY OF
Sworn to d bs' efore me this lZdayof DFC.E/YJbEIL
~
//
.2007
Commission No.: D D 7.) )0;0
Personally known _ or
Produced Identification-K.
Type of identification produced. fLDl P 1Vl..f 30 -5Jf::,-58 -33 ~~ 0
~ Gen~, Building, Residential, or Roofing Contractor br any individual certified under 468 F.S. to make. such an
mspection. Include photographs of each plane of the roof with the permit # or address # clearly shoWIi marlced on the
deck for each inspection. '