HomeMy WebLinkAbout08-7547
I
'I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
" ?547
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:
7547
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6341 HUNTINGT
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-01200-00000-091
6,500.00
2/26/2008
65.00
65.00
2/26/2008
RE-ROOF SHINGLES - SFD
MAUR , AUL
6341 HUNTINGTON DR
ZEPHYRHILLS, FL. 33542
Phone:
(iJ
I
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. "
ONTRACTOR SIG
PERMIT EX RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
TIM FULTZ, Owner
Lie # CCC1326874
A-DEAL ROOFING INe
4507 Sleepy Hollow Ln Plant City, FL 33565
Phone (813) 655-5560
Fax (813) 659-9069
PROPOSAL/AGREEMENT
PROPOSAL SUBMITIED TO
(...)
STREET
b3 'll
,
O'?5
CITY, STATE AND ZIP CODE
"'2
We hereby propose to furnish materials and labor necessary for the completion of
~VE EXISTING S~,,=F I '- .,.,-
~ALL peeL IV . \A.....o~lt.ly""'~1
~L NEW PIPE COVERS
:ALL NEW VALLEY FLASHING
:ALL 26 G.A. 6" DRIP EDGE COLOR J... .'-t~ G-Q ~ \
STALL SHINGLE OF CUSTOMERS CHOICE ~'\ ("ch-~O 0-
~:ALL ~ LF OF RIDGE VENT COLOR lA.J ~~ -t ~
agnet around job to pick up any loose nails or staples
Y r Labor Warranty
CARPENTRY RATES AS FOLLOWS:
Yz CDX PLYWOOD @ PER SH
FRAMING MEMBERS @ PER LF
FASCIAAND TRIM @ PER LF
D REMOVE EXISTING
DBUILT-UP
D SHINGLE PLY
D INSTALL
D INSTALL
D INSTALL
BASE SHEET
LAYERS OF PLY
CAP SHEET
1/12 + "Ji
ADDITIONAL NOTES
;;;;! 8' -r J-,
dollars $
b, ,soD
I
All material Is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner accor ng to specifications submitted, per standard practice. 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 cury fire, tornado and other necessary insurance. Our workers are folly covered by Workmans' Compensation Insurance.
ACCEPTANCE OF PROPOSAL Tbe above prices, speclficatioos and conditions are
satisfactory and are bereby accepted. You are authorized to do tbe work specified. Payment
wW be as outliued above..
NOTE TO OWNERS: During thc removal of your old roof and the instaUation of your
new roof it is possible vibration will be gener.ted by the various construction activities.
A-Deal Roofing Inc. recommends that aU pictures, collectibles aud other breakable items be re-
moved from waDs, uuprotected shelves or areas where items might be able to fall and break. I
acknowledge receipt of the above advisory and agree to hold A-Deal Roofing Inc. harmless in the
event I do not foUow the above suggested precautions and damage occurs.
/'"J' - -7 1 - 2 t:H:?f
Date of acceptance V -V- v
A........'.....~ ffi ~ Ai~
Note: This proposal may be withdrawn by us if not ~ccePted withiri
days
Siguature
1J~40fM-W
/
Signature
Minuteman Press 01 Plant City
(813)719-2111
This ~ for use by Clerk of the Cfrcuit Court only.
STATE OF f.~ORIDA
COUrtTY Oe:J'ASCO .
'.,}'iAis Ism ct~TIFV THAT THE FOREGOING IS A
4 E-AND CORRECT CO~Y OF THE DOCUMENT ON RLE
~U.oE.eU6~lC,RECORD.lN"TI.f~ OFFI~E, WITNESS MY .
H~~t , O'FF1CIAl SE~L 2:rr));?-6 DA"i OF
J~~ pi ~,b~,CIRCUIT COURT
. , :: OEPUTY CLERK
11111111111111111111111111I111111111111111111111111111111111
2008029229
Rcpt: 1163306 Rec: 10. 00
DS: 0.00 IT: 0.00
02/26/08 Dpty CJerk
BY"',. .
-;.
JED PITTMAN, PASCO COUNTY CLERK
02/26/08 11: 10am 1 J'91.9
OR BK 7769 PG .L ~
NOTIce OF COIIIIENcAIIENT
3IL
3b.
k
R <I.
5.
SlaIa fit FIadde
Caunlwfit~ ~
The ....~... -...,....IIDIbt...Imp._... WIt be.... to...........~. end.. 8llCOi...._...
Sec:Ian 71~13 ar.. FIadda --'''1iIIDwIng 1nL......... prUlIIded.. lie NOTICe OF COMIENC:EIENT.
1. --;,,---_ ()~.~.o\te?l:OOO .~q~.
~1~~2 na KS PtWI Sf.::7;-l;.;l-~,=' -,4. LA </ fl H'18
2. Genri~tc.t.II..ar_______.. residirr1i.&J rp -YnJ
:=,=:...~a&\1.) If.! !!l:~4~ Qr. liphyr h, II... fO'- . .~~ <1J ~_ ~ ~
0lInefa......1n -'Ie: () LV r1 fl r
~.
Fee SImple TIle ......(af lIlher... -., ('\ J t:L
AddnIR:
~l/~~~! ~erty ~S"'"
SUnII,y ~ () 1 a , 'Amaunt af band: '
Address: 'Phone:
n I aJ
8I3-/4.,t:)-5\;'"1...€>
s. ..............
AdIhea:
Cane.cI:
Phane:
7. .................. fitFlodda ...........b,r............. ....arallw...~ _..... be.............. b,r
....7..'3.U(I)(aJ7. FIadda......
(\ ) 0....
N8me:'
AdIhea:
Phone Number.
8. III ......trtllilllsC o.w......_ ..... I1efDlllMfna.-- trt....... COpJ fit.. Uenar"a HI*-.........In SecIan
7.fS.13(1)(bJ. AaridII--.
rUCL
--
Addnta:
Phone Number.
.. ~~r ~~ it). ~af~B .... Ea-.4..........one (1),..,........ fit....... ...................
rp~ /Ltt.~ tc-J
STATI!OPFI..ORIDA ,. --"afOwner
COUNIYOF ItI..LS8ORouGH
The b8golng insIrwnent WIll adcJvw4edge before me this 2-1 dale of r= e h 'r, A f1 "y . 201f3.
by "1''<.1 ~4ur'r .-!Io){JQI__......_
- . ---1l.k as idenllll......".. Who did I did naI trike 8ft 08Ih:
j CDrtvra lJCeniIe #)
i:~~
. ""'Ii e;;QMMJS5lON. DDS58899
" W'PIaES: ~ 12. 2010
fit.. ~- . ,4ft111iMl'Bf
c;Y ~..~
SIonatunt- ~ PuIIIc
-=---...-..,
fA
afthla NaIIcle orCom..___.Wlnt)
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
,*
Date Received
z.h. }\s>f2 i
Owner's Name
Own.,'sAdd",ss I (PJJ~n
Fee Simple Titlehold~r Name
Dr
Fee Simple Titleholder Address I
JOB ADDRESS
lC)a~
: ~~~o Hw,j1~tOh
.liph~. J3~ ! LOTti I 01JO
PARCEL 10#/ n.~ - 2lr 2J - 0 J200-ooo00-oq 10
(OBTAINED FROM PROPERTY TAX NOTICE)
Dr.
I
o NEW CONSTR 0 ADD/ALT 0
D INSTALL D REPAIR
PROPOSED USE 0 SFR D. COMM D OTHER I re-rl?o-f'
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
DESCRIPTION OF WORK I resit\f't')1io.1 re-n,~Li.hou.se") 6~1~
~~~~?,I~~.~~~~.".I..",..",."".."",..I.", .~~ ,~~~~~~~!.,? ~~,~,..,',..., ,I,.., I~~I~~,~,!... ,I., ~~r. 't."". ,I,.." I"""""""'"
D BUILDING 1$ I . L 00
~ ' ~O(J .
,
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS G2J ROOFING
FINISHED FLOOR ELEVATIONS I
SUBDIVISION
WORK PROPOSED
SIGN
D
MOVE
D
DEMOLISH
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
",0,_ W.R.E.C
DYES
VALUATION OF MECHANICAL INSTALLATION
D
I
SPECIALTY D
FLOOD ZONE AREA
OTHER
DNO
,11....,r""IIII""'IIIIIII"",II",IIII",IIIII",."'1,'..111'1'1""..111'1.,1'1"'111111111'.."1'",111111111111....,..'.."'11,..11.'",.
::::~~~RE ~ ~.
Address _
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
Address I
/\~ &~a.1 F~E:;8) iIvi~. I
License # I
COMPANY
REGISTERED
COMPANY
REGISTERED
I Y / N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
License #
~ ~~fTnrYIN I
License # I c..CC L~ 1.L, "S 7 4-
OTHER
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.
11111111I111111111I111II1111I1111I1111I1111111I1111I1111111111I1111III11111II11111I11111I11I1I11111111I111I1111111111111111111111I1I1111111111111I
Directions:
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 Ale 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 that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the)ob 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)
CONTRACTOR \\....-- ~
S scri ed and sworn to (or affirmed) before e this
20~by -r1>'V"\ t:;LITz"
o Isfare personally known to me or hasfhave produced
1> ll- as Identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Isfare personally known to me or hasfhave produced
as identification.
Notary Public
I~~--
Notary Public
Name of Notary typed. printed or stamped
Name of Notary typ
EXPIRES: July \2. 20\0
Florida Nol8I)' SeIVlce.COI!l
Commission No.
Commission No.
City ~ofZeRhYrhills
BUILDING DEPARTMENT
RE: Pennit # 7 5.1'7
9/17107
Inspection Affidavit
I -r;m h.{JtL
(pIeue prim IUIIDe aad circle Lie. Type)
.licensed as a(n}~lEngineerlArcbitect:,
~uilding lnspector*
License #; fi:,/ C 1'3 2l.u ~ '74-'
On or about zL~ 1L~ S l r rY'\
, I did personally :inspect the roof
~ "",,;';;;;"':/or ~"'--~ work at Iu .'{ 'll f1A tJ-h '" n-tna j),.- .
(ciTe/cone) (lob SitllAddrea~
--Z((o~,..5, FL.. 33S~2-
Based upon that examination I have determined the installation was done according to the
HUIricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
T ~ --h.-tJP
Signature
STATE OF FLORIDA
COUNTYOF H1tl~I"''>~ .
Swom to and subscribed before me this ~ day of ---.Fib, !AJ.~j
By ~ W'\h.Lt Tz.-
. 2OOf..
Notary Public, State of Florida
ff ---~ ~
(Print, type or
Personally known /' or
Produced ldemification
Type of identification produced..
* Geaaal, Building. Residential. or ~ Comractor or aay indMda8l catified under 468 F.s. to make SDCh an
~OIL. lDcludepbotapapbs of each plane of1be roofwi1b tiulpermit# or address '1# dearly sbownmmbd CIIl the:
deck for each iDspectjou.
Comnriqion No.:
~''tf~ PAM SCHRECENGOST
l} MY COMMISSION #. DDSS8..
~ '" . .Iy 12. 2010
Aorida-.y~..com
G'd
8LP:90 90 ~O J81/1J
r=-====-~-"'==-"""'-==,~,---"-=":==="",::-,,,,,,,-:=":,":==,,-,,~=,,=:.;::_.'_ _
:1
i
j
"I
J
:1
,i To: Zephyrhills Building Dept.
~, Fax number: 813-780-0021
-.-.------.
,... , , . u. _....._.. .,.
A-Deal Roofing, Inc.
4507 SleepV Hollow Lane
Plant City, FL 33565
(813)655-5560
Fax (813)659-9069
.. From: Tim Fultz
, Fax number: 813-659-9069
....~ -----_._----~---_.__..
Date: 3/3/2008
j!
.-------.--_0__.
i
j
.., ... -'----.----..,~..----'n..-f
I
I
I
t
, Regarding:
;. Affidavit
"
-------,..--.t
i
i
!
'-
L
!
,--".----..---1.
.'
!-.-.--------.,.--.,..,-.-c--,... .. .________-,-____._.._____.._____..
,'j
:j
:1
i Comments:
I
.i
q
:1
ij
:1
"
;/ To Whom It May Concern,
i
: Here is the affidavit for permit #7547. Please schedule a final inspection.
.' anything further, please caU me at 813-655-5560. Thank you, Tim Fultz
Phone number for fOllow-up:
. 813-655-5560
I'
I,
L
I
If I need
..j
J
:! ;"
;J
L~i I"
; i~
F
: !
'.. i;
"
.':
......--..........--- . - .....,....... ',.. .-----.,- , - -'"
-----_..._-_._~_._.~..__-..--........._..._-_.._.._._---~---_._---~-....
I"
I'
~'d
B9p:90 gO m JBVII