HomeMy WebLinkAbout08-7435
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7435
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 1/29/2008
Work Desc: REROOF 25 sa 30 YR TIMBERLINE
7435
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 37127 FOXRUN PL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-0500
5,800.00
Name: NEFF, DONALD & MARJORIE
Address: 37127 FOXRUN PL
ZEPHYRHILLS, FL. 33542
Phone: 813 779-0271
~ {\(l \(lJ 1, _\_of6
~
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 to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
~-~- PERMITOFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
111111111111
Owner's Name
Owner's Address 1 3 I ( 2- I
Fee Simple Titleholder Namel
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
81 :3-780-0020
PL
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
3l12--1
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
r:o'XAV\1A PI--
I
E1
o
o
Z<ph;vJ. ,II; f- J j 3 s-Lf2
107 .., 1_ '1 olea -001000-0 c:.-o cJ
PARCELlD#~- L.-V/ - l- - ...>
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
LOT #
JOB ADDRESS
SUBDIVISION
DESCRIPTION OF WORK
B
o
D
(l..e.. of 0 -0 ..f
ADD/ALT
REPAIR
COMM
FRAME
D
o
D
30
DEMOLISH
WORK PROPOSED
OTHER I
STEEL D
BUILDING SIZE
t c.... v
HEIGHT I
OTHER I
1i'M- kv II f'~
SQ FOOTAGE
p., I . . I I I . . . r I . . . . I I I I '. I I . . . I I . . P I I I . . I I I I . . . . I I . , . I , I . . . . I . . . I . I . . . I I I . . . .-. I . . . I I I . . . . I . . . . I I I . . . . I II I . . . . . . . I I I I I I I . . . . I I I . I . . . . . . . . . . . . r . I . . I . . ,
D BUILDING 1$ 5"g--O 0, c) 0
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
D GAS ~ ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
1"""1""111111'11""'111111""1"11111111111111''PI"'IIIIII""'I"IIIIII'IIIIIIIII'I""'II'II'I"""'11..1"'1'111...'1111,.."..,.,...,
COMPANY
R,EGISTERED
BUILDER
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
11111111111111111111111I1111I111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111
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.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 NC 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 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 separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authon~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.dlng OffiCial from the~eaft~r
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 th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nrn~ty (.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for nrnety (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. 11~3) //; L/ ____ .!~/
OWNER OR AGENT ~~ CONTRACTOR ~
Subscribed and sworntQ1or affirmed) before me tnlS Subscribed and om 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
Proposal/Contract
S~~~ /Ii?~, 1He;
P.O, Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (3521588-9763
email: blackmanroofing@aol.com
~tee.~e-t.
~..~e-t &
'1.~1e4e-t
Date
1/1-""/10 Zt
, 1-'
We hereby propose to furnish all the materials and perform l:!!J.Ahe labor necessary for the comp~etion of:
t::r1i;~10ve existing shingle roof ~Iace bad fascia boards .at $ 3 ,tJ U per foot
o Remove existing built-up roof ~stall '/' 0 feet of ndge vents
~-in with 0151b. .f3"30lb. 17f,P6- 5~""'J 0 Install modified bitimen (granulated) torch down roofing
~II new galvanized valley metal black, white or other color
~new lead boots 0 Install 25 yr. fungus resistant 3-tab shingles
~ new exhaust vents ~ 30 yr. fungus resistant dimensional shingles
~new drip edge, r:""" t.-Jhe '<< color 0 Shingle manufacturer color
o Install new flashing as needed
~Iace plywood at $ Lf DF t) (; per sheet
~ir rotten trusses at $ 3. <. ;:; per foot
*Woodwork is an additional charge, see pricing above
PROPOSAL SUBMITTED TO
Namel!ll.- ..b fill r J JJ l.f..f
Street 3-7 l 2, ., f:~uY\ P I
City 7_ h-i-' t I)
State F: (
Phone Number
Zip
711.....0 '-1 .I
Fax
WORKED TO BE PERFORMED AT
Street
City
State
Owner of Property
Phone Number
Zip
Fax
o Install TPO, white rubberized roofing membrane /
o Other: ,Al ~ I Ct" t, t 1J.5 -e .J!J / '1 ;.,.rc~q ;.AD
./ / '"
~ ~f- I<./l-W (' "dLJ' ~ fA. /? ~ .~4.I+LJ'
,
JML-~ ~ c-..~..J
h
All material is guaranteed to be as specified, and the above work is to be performed is accordance with thp drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ :) % 0 0, 6 D
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.
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, tomado 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 P7ai may be withdrawn by us it 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. II hJVe r~ad the back of this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as
outlined ab}ifv5l' / /7 /7/ / /
AccePtedW~a$ ~. ' *W Signature
Date--.L:- & Ol. - 0 !-- Signature
k
1111111111111111111111111111111111111111111111111111111111II
2008013567
Rcpl: 1157086 Rec: 10.00
DS: 0.00 IT: 0,00
01/28/08 Dpty Clerk
Permit No.
NOTICE OF COMMENCEMENT JED PITTMAN" PASCO COUNTY CLERK
01/28/08 0~:5.zrm 1 of 913
OR BK 774 t PG 11
PropertyIdentificationNo.03--21,,"': 2.1-0120 --00000 - tJ~OO
3.0wner Information .
,a)Nameandaddress: /Jon Ale.?! 37/2- 1 FO)(R.vrJ fL 2~p~yhJ/r j::'/ S =-))"$1''2.
b) Name and address of fee simple titleholder (if other than owner) IV /19. '
c) Interest in property t? ~N~Y-
Rcontractor Information ...
a) Name and address: >(o/ftJ/I((4.V"'1.4.", k!o,;h ~ Z"'n (
b) Telephone No.: .
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6. Lender
a) Name and address: rt--IJ-d.4
. IV/II 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: ~ r I
b) Telephone No.: U / )4. 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: 1 I / -/,LL
b) Telephone No.: Iv ( / I 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):
3'30/0 . _
~fl S-z. Pb()C)(I/d SA"; f#"n r/ 335}"
Fax No. (Opt.)
A { /f{-
f v {
Fax No. (Opt.)
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 COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
~~
Signature of Owner or Owner's Authorized Officer/Director/PartnerlManager
0coft Klcu:.lLMltV\.
Print Name
-
The foregoing instrument was acknowledged before me this 2 g-1-~ay of (~Q...y\" , 20~, by 2xot+ 2iktlltVldc.t-1
. .;" a.. ~ Y\ ~ . (type ofauthority, e.g. offic", _toe, attorney
lU fact) fm .s GD it- 1 \~ rl MAn R ro (lUUDe of party on behalf of whom "'!tnunent "". 7' /'
',,"oually Known ~ OR Produced Identificatiou_ Notary Signature /3:Tu ??nw ~
Type ofIdentification Produced Name (print) L~ r / tln. 11 ~ D L{ C; it
J
Verification pw:su~nt to Bection 92.525, Florida Statutes. Under penalties ofpetjury, 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. .
._~~/
Signature of Natural Person Signing Above
FORMS/NOC,rvsd2007
Ci:.~"'..
JURISDICTION 'OF YOUR CHOICE
BUILDING DEPARTMENT
RE: Permit # 7'1}~
9/17/07
Inspection Affidavit
I 51.4tr ~~ciP'1.l(;t
(please print nlll1lC and circle Lie. Type)
,licensed a. a(~=ngin..r/ArChitecl,
Building Inspector'"
License #; C t (05)-7 f r 7
On or about 1/2A 10 ~ 2; Jv PM . I did personally inspect the ro()f'
. (Date" time)
0ck ...it;,., and/or .<;:ndmv warer b~ork at 37127 t:=.x. I!!VN ...e l.-
(circle OM (Job Site Address)
~.~",=,yt,,'J1J r I J 3s- ~ L-
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
~~
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this 29f4aay of
cJ4.-1'?
. 2003'
By S etJH- 'Bla..~
~~.~
Personally known K or
Produced Jdentification_
Type of identification produced.
Commission No_:
. General. Building, Residential, or Roofing Contnwtor or an)' individual ccnilled under 468 F.S. to make such lI/I
inspection. Include pbot"g~s of cech plane "fthe roofwilh the JICmlit #/ or 1Id~ # clearly shown marked on the
deck for each inspection.