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HomeMy WebLinkAbout08-7748 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7748 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: 7748 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 6151 16 H ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: PARK HILL Parcel Number: 02-26-21-0180-00000-0110 4,800.00 4/14/2008 55.00 55.00 4/14/2008 REROOF 24S0 W/25YR GAF 3 TAF PA J TROY 6151 16TH ST ZEPHYRHILLS, FL. 33542 Phone: ;:;J f4/ V-oB F I P TAPE JOINTS ROOF INSP FINAL REINSPEcnON 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." a' /CONTRACTOR 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 11111111111 Owner's Name -r ~ 0 Owner's Address I ~ ( S-I Fee Simple Titleholder Namel P4LM~;L I b t'~ S t-- I I I 2- "'-'- "I ~ (' / "33),/ L I LOT # I I PARCELID#lo 2_ - LI.o- 2-.) - 0 I &-0 -00000- d/l d (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDRESS Fee Simple Titleholder Address I I Co l S-t (~~ 5' +- I ~~'\ I D NEWCONSTR [=:J ADD/ALT D D INSTALL CJ REPAIR PROPOSED USE D SFR c==J COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I DESCRIPTION OF WORK I ~ voo /' ~y St c.J( A '2 r ~~'" C/fF "Z'-h h C/ BUILDING SIZE I I SQ FOOTAGE I ;....Lls'( I HEIGHT I I '.1111.1111....11....11..11...11..111....1111..1111...111..11...111...1111...111...1111..111......11........11,..11....1111....................... D BUILDING 1$ y rOO. () (/ I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ I AMP SERVICE c==J PROGRESS ENERGY D PLUMBING 1$ I D MECHANiCAL 1$ I D GAS ~ ROOFING c==J FINISHED FLOOR ELEVATIONS I I SUBDIVISION WORK PROPOSED DEMOLISH D W.R.E.C VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO '.""""'1....1"1.'."111".""..""'11111...""111111'11'.........1111..........,11.1111...111..'11'.."...."11.....111'..11'11""'11"" BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE . Address I ~~H::rURE ~L I Address I fD f3DX I (If" J'c,,,, A-nn / I ~3J76 I 111I111111111I1111111111111111I11111111111111111111111111111111111I111111I1111111111111111111111111I111I11111111111111111111111111111111I111111111 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 wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects 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 wi 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. 1111111I111111I11111111111111I1I111II11I11111111111II1111I111111111111111111111111I1111111111111111111111111I1I111111111111111111I11I1111111111I11 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C 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 A/C License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # COMPANY REGISTERED FEE CURRENT License # I.Ccc OJ7;fFl COMMERCIAL SIGN PERMIT 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" res.triction~" 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 authorl~y !o vlolat~, 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 Official for a period not t~ exceed n1n~ty ~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) CONTRACT~?~. Subscribed and swom to (or affirmed) before me this by Who is/are personally known to me or has/have produced as Identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 04/JU/20G8 09:50 ~~\ ~1~342U~Ak IfFn ItCI.; \'r:T~\()RK \\ (' ~ cJ ,-,V ~- 4;001 Proposal/Contract Sent ~~ ;e~f1 11te. P.O. Box 1188 33010 SA 52 San Antonio, FL 33576 (352) 5Sa-ROOF (7663) . (813) 782-1330 Fax (352) 588-9763 et!.(t 0.579.57 email: blackmanroofing@aol.com ------~PROpQSAL.SlI8MmED TO--- - f~- WORKED TO BE PERF-ORMED AT- - "- -- ~.me -ti:-~'l--EtljN.\~-';~==_=--= i Street--=~==~==~=:==:~=== Street -.fLLLL_. / (, f J._~;~_____._________.___ I City ..__._____________.________._______ ___. CitY_~4~ t'~ ,lIJ______..._ I State_______________Zip State -EJ____ -___ tlp_____~ Owner 01 Properly __ ""________ _~__________ Phone NUmber -9!L1..=:-..f....o ~/JL._.Fax_.__________ i Phone Number _.. ___ ---_.___...Fax ~____ h__. _ 4Ie...... fI.rue.tt . 9.....lJe,{ Date 3JJj./Q ~____ We ~y propose to fumishall the materials and perio,rm ~e labor n~essary for the CO~~afkJl1 of: ~move existing shingle roof :.a1i'&place bad faSCia boams at $_ 3" ____ per foot U ~ve existing bllHt-up roof .-. ~II 5 () feet of ridge vents Jd'Ory.;n with a 15 Ib_ ~" rtt PW;:::J"" a InotaU mOd",Od bllimen I gr. nui."'d} to,"h down rooting lJ fns'tsIlI new galvanized valley ml?tal bl~hite or other color ~I new lead boots ~ta!! 25 yr. fungus resistant 3-tab shIngles I4Insl;l:'lll new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles ~all new drtp edge. ~i", !dA~_. color 0 Shl!]ll.e-manufacturer COlor Q Insts.ll naw flashing es needed ! ~all TPO, white rubberized roofing membrane t:) ~ FIA>"l 'I/~ <r1'l.;.J;l<:e plyWOod at $~3X:,~",,,,. - per sheet a Other: ----c-~---'--____LQ _" "'..fk 1- rw f:. ~'ir rotten ''''..es at $_~:"r..> __ per loot _--Bu ,'LoL-9c.Lck.+- """_ h ~__C v,.l~~__ -Woodwork is en additional ch.rg", see pricing a;'1"~ _______~_________ _ ____ _________ ___ ~a:~:' ~ g~.:Z..d :-b: ;'~p.:t: Zove work ~;~~~ perlO~od ~s acc~~ance ~v;,~-::'~~~:;o;;~a~ tions submitted for above work Me: completed in a substantial worKmanlike manner for the sum of $ ._~ ttJ q_.qc.:::o_ with p~lyments to be made as foll<::ws. Payment due in full on completion, unless othe '--,. -_. ----.----------- .. --- Credit cards accepted, additional 2.8% charge AJ'.y alterallol'! or <:leviailon trom above spaC'II('a,.1 tOI'lS inVOlving extra :OSIS will ~ _________. be lIxec"le<;l only UPO~1 written orders. ano will b;,;:ome an extra charge o~er aM abovl! the estimate All agreements contJrgen~ '.'~cn strikes, accidents 'Jrdlilays / . , __..._----:--____ beyond :Illr control. Owner to cerl) lire, tornlld< and other necessary bS:Jl\lnCl1 Officer/Agent Scott BlaCKman Roofing upon abO\'!l Work. WOrker!!' C(>mpen.sa!lonand P'blic Uabllty insurancear allove Note: This proposal may be withdrawn by us It n:lt acceptec WQr~ 10 0., laken OJ! by Roofl'lg Contra~o. within____ days. / () I '"' Cdi'" Client Qlives permission to drive on ,j/"iveway to deliver materials_ . ~ J ..U l tV c 1:' 11 r r-.----------.------ ~----_.__.____.__..__ .____ .____. ACCEPTANCEOFPAOPOSAL I The above prices, speCifications +nd conditions are satisfactory and are herebx accepted. You are authorized to do the work as )1 speci:fied I have read the back of Ihis Proposal/Contract, which contallls Florida ,:,tatues 713.C01-713.37. Payment will be made as outlined above. I Accepted_r--r- I.fi t..J1 t>.L_._______u. __ f IJII/' ~ 111111111111 1111I111111111I11I11 1111111111111111111I111I1111 2008049997 Rcpt : 1171804 Rec: 10.00 OS: 0.00 IT: 0.00 04/03/08 Dpty Clerk JEO PITTMAN, PASCO COUNTY CLERK 04/03/08 11: 49am 1 of' 1 OR BK 7802 PG 1035 NOTICE OF COMMENCEMENT Pennit No. Property Identification No. (yz..- 2Jo-L/.-o I ,?O--oOOOO- 011 CJ 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. l.Descriptionofproperty(le aldescription:)P,uk. h,'1I SuI-, Un,'/-I PB 1c.J PG70 LOT /I ofl-t.t-Jnfo P{., 3"" a) Street Address: I I 61-\.0\ 5+ ~l6dLyhtllr FI 33s- -'--L..I 2.Generaldescriptionofimprovements: p..Q.. roo+ v.:>'/ q z.S '{<"''LV s-11t13 61'1-f:= 3. Owner Information a) Name and address: T/LO 1 PI4:LJ1/f{ R- foJ S-I , fa"".5t- Zt" f' br"..t" 'Its FI ?3)1 L {:\ b) Name and address of fee sImple titleholder (if other than owner) L\:..) c) Interest in property D l-VV\ c...v R 4.Contractor Information a) Name and address: SeD it eiC((l~n. R Do-hA( Po 130;( I (if .J4 h /h..h.. f/ .. b) Telephone No.: 58'(5-- 7be:,)1 j Fax No. (Opt.) .J0'tS-- 97"7 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: 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 following person to receive a copy of the Lienor's Notice as provided in Section 713. 13{l)(b), Florida Statutes: a) Name and address: b) Telephone No.: 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): 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, FLORInA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ANn POSTEn 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 ~~.L ignature of Owner or Owner's Authorized Officer/DirectorlPartnerlManager So 1fL~cR/I-1 Ii" Print Name The foregoing instrument was acknowledged before me this (8f- day of A pn' I ,20ft byJCOftt3 ~J.JIf1at/{ as '~ (type of authority, e.g. officer, trustee, attorney in fact) fi)r ,~. 13 r elL UuM. OL-V\ V ~e of party on behalf o~~ ins~ent was executed). . Personally Known,K.gR Produced Identification _ Notary Signature ( .flU ~~ f1 ~ t1 ' Name (print) Liltl 0- V\ V\ ( -,0 CD ~\ Type of Identification Produced V erification Pm:su~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. FORMS/NOC.rvsd2007 .~~ Signature of Natural Person Signing Above - - - , m call_KEOUGH l l ~\ Notary Public . SIallt of Florida . i. . jMY CommlaaIon ExpIreaAug 17,2010 ~~ ~~ CommissIon , DO 586503 · '. '.CJr.r.i. Bonded By National Notaly Assn. .JURfSDICnON.OF' YOUR ~CBOICE. . :.BlJDj~:DEF.AR!l'MEm RE:Pcrmit~ 7iy..V 9/17107 " DtsDection AffidaVit. .I Sc./r B{ 0 c' k~", (pleae y.niIlt DIIIIle ad ciIcle lie. 'I)pe) I . . . ~'..~~~ ! . 468 Bll,ldmg Inspector"" Liceoae#.; (C.C OJ 7 ? (-, On orabo~t 'i / /~. 3'. f:',o ():~'IIV\ . ,I did~yinspect'1:hf! 1'oof declnwlmrrandlor se~Ondarv ~ barrier' work: at r~. sf (ctrcle onI;) . (Jab SitB.AddnSs) . . 7~~~'~r/is ;C./ Based upon that e,YmninAtion I ha~ ~ed1he instB11ati~ was done acconting to the BmricBDe Mi1igationR.~fit Manual (Based on 553.844 F.S.) ~.~ /Sign,-ture . ~ STATE OF FLORIDA . COUNTY OF . Cl~ Swam to and subscribed before me this lL. day. of By &n~acJ M~ V\ :.' . . - - " NG PnhIic, Stole ofFlorido. Jj-U/Zwt.- ~. . (Print. we or WImp name) .200Z N O""W',Asion.No.; Pencma1ly JaJow!~ or Prod;pccd Idcntific:aticm Type ofi~caticm produced. .. Ge:rItD1, BlIildiq. llaicladW; or llcxdiag CmdrKIDr br 11II)' iDdividaal ~..s 1IDdEr 468 P".S. 10 :mala:. &1Gb & :iZlllpectiClll. lDc:1ude pIlatDJIIIPbs of ClICb p1ae oftheraafwilh the: pcIDIiH~ onddnss ~ c1esdy IbaWli JDIIIbd on tbe dIICk mr IIlICh iDJpectiOJl. . . CORI ANN KEOUGH.. ~ NoeIry PuIIIc . SIIII of ~ I. ~ CommlIIlal, ExpReAug t7, 1010 l . If!. ~ CommlIIIo., . DO 588503 ... Bonded By N8tIoNII NoIllry A81n.