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Home My WebLink About08-7426 CITY OFZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7426 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: 7426 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5342 BELTRAM DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0030-00400-0030 5,700.00 1/25/2008 60.00 60.00 1/25/2008 REROOF - GAF TIMBERLINE 30 YR VIEN ,MICHAEL 166 TAPLIN RD BARRE, VT 05641 Phone: bw1r1JJ . .iJ6 I 9p 1/3 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." ~ ~5NTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8 '13-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received \ 111/1111111 Owner's Name ~Y\. -l L ""- cl'\. e..l u " {. V\--> Owner's Address II (p c.. i q fll V\ iZO( Fee Simple Titleholder Namel (3vurr: <- I V / , o J (., V II I Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address -~'iL '~ \ -h ''- """ [)" 2 h.115 '~~S;~L PARCELlD#1 /'"L - 2-/.; -LI-_bo3u - DoL(O 0 -00 $0 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDR.ESS I) I I E1 o o ADD/AL T REPAIR COMM FRAME SUBDIVISION WORK PROPOSED E3 D D R-e:.- Yt.rb-r PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK DESCRIPTION OF WORK I I ,"....'11...11...11...11.11,..."..111....,....111...1111111.'.11....11...'.11..111....'...'11'...111.11.....1111111....,11.'....,....,........11111 BUILDING SIZE 0 BUILDING 1$ !:70U~OO I 0 ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I o GAS . ~ ROOFING D I FINISHED FLOOR ELEVATIONS LOT # D D D DEMOLISH OTHER I STEEL D C:;/I-,c yo OTHER I 71M~~I'h-( HEIGHT I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY o D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO 111111.,1."'."'1"'111111"'1'11""...'111,1""",11111111111"'1,.....'11.11111"11111111111"1111,......1111111.."""111111,......,1111111 BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE po yt S'L Address Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT Y/N Y/N Y/N Y/N License # I ISLD tK3 ~vt~~ tcL>i,.~ I Y / N I FEE CURRENT Y / N I License # Ice LOj-j C}Jt 11I111111 1111 11111 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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. 1111111I11111111111111111I11111111I111111111111II1111111111I11111111111I1111111111I11111II111111111111111111I11111I1I111111111I11I1111111111111111 Directions: 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 AlC 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 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 offill 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 1n~luded.1n 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 B~II~lng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o! any codes. Eve,?, ~ermlt 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 nln~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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S.117,03) _-------- / ~~ OWNER OR AGENT CONTRACTOR ~ Subscribed and s n to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this ~ ~ Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification, as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped STATE OF FLORIDA OOlJNTY. OF PASCO , ."' THIS IS rOCERTIFY THAT THE FOREGOING IS A " TRI1t: AND CORRECt CO~ OF THE DOCUMENi ON FILE . OR OF PuBLIC RECO~ IN THIS OFFICE,.. ~NESS MY ,.': HAND' 0 OFFICIA~ SEAL THIS .;l.. DAY OF .' ... /nctY ::. , ' 2.k:.::1:1.. . . "JED M, C EAX OF CIRCUIT COURT ~BY' . . DEPUTY CLERK ~~~~~I!~~ !~IIIIII/ 11/1///1/1 //1// 1/1111/111 111//111 Rcpl: 1156623 Rec: 10.00 DS: 0. 00 IT: 0. 00 01/25/08 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 01/25/08 02:02&,m 1 if J.. OR BK 774:) PG 8~9 NOTICE OF COMMENCEMENT Permit No. Property Identification No./2-L'" -ZI-OP30 - OOyoO- D030 THE UNDERSIGNED hereby give infonns 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 NOTIC~ OF COMMENCEMEN..T'.I'L Lor 2~P"''1~ 11~/5h. r.J /'135 f?6 50 t- 0, 3 il S S rr l.Description of property (legal description:) 2. J j'JC.L 8LIc. ~ o/Z SOfa 0 1'6 I,'Z- a) Street Address: S :3 "2 13 e l/-r4 ~ Or 2 t# J!J h If rill l/...r. j:' J ? ~ s ~ 2... 2.General description of improvements: A It. r~o/ lAJ/ dt . 10 Y 4-. ~ I (;,4F ~ ~ 6 e-r /; ;"e 3. Owner Information a) Name and address: I? I hllt.~ .~ ~ (;, b) Name and address offee simple titleholder (if other than 0 c) Interest in property t) w iiJ e v 4.Contractor Information ~ a) Name and address: Stt>ff IJ!4C b) Telephone No.: JJ 2.-JV.y- 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: 6.Lender a) Name and address: I~ 78"(, -,'~> A /(/ fl- {Iv Fax No. (Opt.) ^ I lit I V I 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: I J 11 b) Telephone No.: . Ai / . 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(1)(b), Florida Statutes: a) Name and address: }., I ~ b) Telephone No.: I v / 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'FLORlDA 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 ATTORNEY BEFORE COMM}~NCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ~~ .gnature of wner r Owner's Authorized Officer/Director/PartnerlManager . n in fa Type of Identification Produced day of ~, ,20m by c::r O-t\-' (type of authority, e.g. oftil?er, trustee, attorney , \ (name of party on behalf of whom instrument was executed). - Notary Signature Ch.,l 0 JVI,J'\., fuV-{JL Nome(print) C.nY1 Al\Y'I ~~\A..jh Verification pw::s~t to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated m It are true to the best of my knowledge and belief. . ..~. SignatGre of Natural Person Signing Above FORMSINOC,rvsd2 7 "....It CO"'. .......,,'':.~ v RC:~;,..,; M'i ANN KEOUGH f~' :\0. ~~ Not'3ry Pun/ic . State of Florida \~ ~: ;jMy Commission ExPitesAug 17,2010 "~1. 0. ,,<!';.~' COl!lm/SSion #00 586503 ,'It.....' Bonded Bv National Notary Assn. Proposal/Q, SctJU~~.' tract ~, 1~. P.o. Box 1188 33010 SR 52 San Antonio, FL 33576 (352) 588-ROOF (7663) · (813) 782-1330 Fax (352) 588-9763 amail: blackmanroofing@aol.com ~tee",,,,elt. ~.lUtelt II '1",,,,fl.4elt Date IIJy/o1 PROPOSAL SUBMITTED TO Namell. fJZ c h~ t-/ [If t 115 Street .~3 '-I?.. &-1 ~h. Or City 2e IhJ rlt, ! U State F/ Zip Phone Number 7 f1J - f"377 WORKED TO BE PERFORMED AT Street City State Owner of P~operty Phone Number Zip Fax Fax Wej;4'ereby propose to furnish all the materials and perform,.all the labor n~cessary for the completion of: 0'Remove existing shingle roof ~R~ce bad f?sCla boards at $ z..... f:.r- per foot o ~ove existing built-up roof ~stall J 0 feet of ridge vents I21"6ry-in with 0 15 lb. ~Ib. Tnl'6 Sc~J 0 Install modified bitimen (granulated) torch down roofing o Install new galvanized valley metal black, white or other color ~all new lead boots o Install new exhaust vents ~stall new drip edge, t, ~ J h j 'k color o In~1I new flashing as needed ~place plywood at $ J,f, b 0 per sheet ~ir rotten trusses at $ '2-... 8-$- per foot *Waodwork is an additional charge, see pricing above 'It'1/O /V1fh Ol.tr~A'i)"'sh/~/~ -f~2S0, o~ 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 $ 5 700 If 0 V 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. o In~5 yr. fungus resistant 3-tab shingles 6stall 30 yr. fungus resistant dimensional shingles ,go"",,, ~ o Sh~anufacturer C~ colorpl "rchlA/otx/ ~tall TPO, white rubberized roofing membrane () 1'\ If> W .5 Ib o Other: vV~ 3sj,ah "'7z=~N' . ^ &Ii 1 . 17{.;Vt.>od Iv; ~. ~.w ~ I 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 7posal 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. Payme ill be made as outlined abov~. /J . (' \ I r Accepted /v (; c h tie r V; e. J.1 S Signature Date -JI - I t - 0:8 Signature . '. .Jl]RfSDICt'ION.iOF yOUR ,CHOICE', '.BUJLD~Gt>EPAR'ifMENT -,Li i v M: Permit# 17 9/17107 msPecnoD AffidaVit. J ~ tDtf IJIA c1M..Il ^ (please print Dame and ci1cle Lie, 'IYJ!e) ~censed'as a(~ /Engineer/Architect; . . ~l1i1r1mg Inspector* License#;CtC OS? q s-7 On or'sbout 1/1-1' joY. :L :00 PM. . e &. time) , I did personally inspect'the rJl9t . deck nailinyandlor secOndary water barrier'. ork at /)"3 Lf ~ /J.e-lfy~M.{) y (drt:le one) (Job Site.Address)' ~flMt.,./.t~/LJ ~I 33rf',-. . , . Based upon that e:r::rt"lmation I have determined the installation was done according to the Hmricane Mitigation ~ofit Manual (Based on 553.844 F.S.) ~ / V' Signllture STATE OF FLORIDA COUNTY OF . Sworn to and subscribed before me this 2-f~y of By S r6tf Nfi.clJY1q:1'1 ~.~~ J4-n ' . 200 ~ Notmy Public, State of Florida rOr/ann J/~ul;A (Print, type or stamp name) c/ Personally kDownL or Produced Id.entiDcation Type of identification produced. ~ Gcne:ral, BuDdiDg, ResideD1ia1, or Roobi CcmtrllctDr ~ aay ill4i'vidwll certi:fi1lCl1lDdcr 468 F.S. to make. such m iDspectio:II. l1Jclucil: pbotDsn-Phs of each plane oflbe JUOfwitb. the J'CDDit:ff. 0< adcir=ls # clCllldy shown mmaxI on the cleek for each iDspcction. ' Commission No.: . CCII ANN IlEOUlIH ...,,.. - -....... . t .....,..t7.2IN c-.._." ,'00_ ..... Iv ..... Ala