HomeMy WebLinkAbout08-7475
CITY OFZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
i ~.r;
7475
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:
7475
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 5749 14TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-07200-0090
4,330.00
55.00
55.00
2/08/2008
REROOF APSHAL T SHINGLE
Name: COMPTON, TAMMY
Address: 5749 19TH ST
ZEPHYRHILLS FL 33542
Phone: 813780-8460
(: (: ~
tl ~ \,'0
~u~j
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."
~._---_........-- -,-"
~/--"~--~
'. CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Fee Simple Titleholder Name
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
813-780-0020
Date Received
Owner's Address
Owner Phone Number
i lIS Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Address I
IS'lyq
I
\Yt~ s'l-- 2-~yrh"(/S R--~~~~ I LOT# I
I PARCEL ID#UI-2h -~I - (':(')10 rO'1d.CO -OeAD
(OBTAINED FROM PROPERTY TAX NOTICE)
o ADD/All 0 SIGN D MOVE 0
D REPAIR
o COMM D
o FRAME 0
JOB ADDRESS
SUBDIVISION
D
D
B
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK I Fl Q. - r COT
I
111111'"III,IIIIIIIII'IIIIII,rll,1111'11"IIII'IIIII'111111111111111111'1111'111""111"1111111111'11"111'1111111'1""11'111'111'111"11111111
1$ '-l~XJ. tE
1$
1$
D MECHANICAL 1$
D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
111I111111111I1111II1111111111111111111111111111111111111111111111111111111111I1111I1111I11111I111111111111111II111111111I111111111111I11I11111111
NEW CONSTR
INSTALL
SFR
BLOCK
DEMOLISH
WORK PROPOSED
OTHER
STEEL
I
D
OTHER I
HEIGHT I
BUILDING SIZE
SQ FOOTAGE I
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
o
PROGRESS ENERGY
D
WR.E.C,
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
;J ()f:.- V
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
~d~'~~
~~HN"A"ruRE -- - - ~~..::s I :;'~.':e"= ~ ~ r ~ V12JFf/;)Y
"'II~~~~~'I\~~~;?,"'~" ~'I'f,;~~ i,\~" ~S;; ~j~'IIIIIIIIIII~~;:~1 ~111111~ir;s,!~~IIIIIII,1
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
Attach (3) 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 all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
Y/ N
FEE CURRENT
Y/N
License #
COMMERCIAL
SIGN PERMIT
jjl~~~ti~~~': . , . . . . , . . . . , . . . . . . , , , . . . , . , . . . . , . . . . , , . , . , , . . . , , . . . , . . . . , , . . , , , . . . , , , . . . , . . , , , . . . . , , , , . . . , , . . . . . . . . . , , , . , . . . . . . , . . . . . . . . . . . . . . . . . . , . , , ,
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 AlC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadwaysooneeds 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 llliith 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, g~, or ot~rt ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license ~ pr~d 'wlth the work a~d not as authon~y !o, vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor s~1 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 th~ work is commenced: An extensIon
may be requested, in writing, from the Building Officia~ for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for nmety (90) consecutive days, th~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 TIORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 11?) " ,,"'
OWNER OR AGENT .--:::~-",....-"'-
Subscribed and swo 'Co (or a Irmed) b re me this
d-Wf,O~ by ~ ,
o Is/are personal y known to me or haslh ve produ ed
as identification.
ry Public
Commission
N~m%g{lt~'~d~ ~n~~:~;:~i:.~:::?!!D~O~~=
STATE OF FLORIDA
cOUNTY OF 'PASCO
THIS ,1; TO tELntFY THAT THE FOREGOING IS A
T~U~'AND CORREClC!1PY OT~HEO~~~~rr1~::~
00 OF PUBLIC RECORD 11+. ~~::' i7
~~NDHA mCIAL SEt'L::~HIS4-- DAY OF
- · ..~.M.
K.'bF:CIRCUIT COURT
. DEPUTY CLERK
111111111111111111111111111111111111111111111111111111111III
2008019923
Rcpl: 1159609 Rec: 10.00
DS: 0.00 IT: 0.00
02/08/08 ___Dpty Clerk
NOTICE OF COMMENCEMENT
~~~~~11"~~~4~:~C01COUN~Y CLERK
OR BK 7756 PG f 958
Permit No.
Property Identification No. \ \ - d-b - ~\ - ("")0\0 --C:YlaDO - 00:10
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.
LDe"ription ofpmperty (legal dnC'!tio"~~1 Z..p;-.:j~\t. ~I p Ei-5 '-I Lv fS. Cj '" 10
a) Street Address: 5lfLl~ 1<-/_ 'S_Q.Q: '-"'--_ydLI pc..,. 3!>,S-qd...
2.General description ofimprovem~ts~ _ r COr-
3.0wner Information '___
a) Name and address:
b) Name and address of fee simple ti eholder (if other tlian owner)
R c) Interest in property
~.Contractor Information ~ ~
a) Name and address: ' _~ . Ct{\~~hc.., -S-7~ Sf{ s-Lf
b) Telephone No.: ~_ _ _ G ~ Fax No. (Opt.)
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
(3)cr.C l~ 0
~
,.S:
't:)
\}J
.fu-4~
">-~ cp
~"fdt I/(S R.:- V)
....J
o
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 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,
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
(J"..J
Signature of er or Owner's thorized OfficerlDirector/PartnerlManager
· 7itn1~'Wl 111. tOh7t:Jfol\"
Print Name '
The foregoin.$ instru~711t was acknowledged before me this +- day of FQ.h. , 200 ,by ,
{Ill ( onz~ as (type ofauth . e.g. officer, trustee attorney
in fact) for f (name of party on behalf ofw e w executed).
Personally KnO....~OR Produced Identification _ Notary Signature
Type of Identification Produced
Name (print) C~/i.d ~.- RVJY1 CU1
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.
~"~
~~...
. .
\; '/
0.'"
Nf'ltbry Public State of Florida
(, ~", c:teven Ryman
1".1' " irnm'.sSIO~ 00467226
bplle:; U8/30/2009
Signature of Natural Person Signing Above
FORMS/NOC,rvsd2007
'-
..
. ..
..JlJR1SDICTlON' (OF' YOUR ,CHOICE,
, . .BUIDDING'J)EPAR'i.fMENT
, I ,
, ~: 'Permit# 7'175' 9/17107
'lDsriectioD AflidaVit '
, ,
.I jeV\" _~-J r-D.r\
(please yriJ1t DllIIle lIIId circle Lie. Type)
,licensed:as a(n) ContIaCtor* /Fng;neer/Architect,
'FS 468 Bui).r1m.g Inspecto~
License #; ~ r~a~~o.s""
On OI'about &</14/ c:8
lite & tialO)
,3: 30 ~-' i di~ Jieiso~Y inspect the roof'
., I
watel"btll'rier
ork at
S"7""~ \L{-\h 5+,
(Jgb Sita~)
. '
'33$L.\d.
, I
Based upon that p.y=a'ft'l;nA.ti.onI have lkt.,,,..;;ned the iIJstallation was done according to the
-<;::" I:- MitigationR!llr<>lit Mam>al (B..-d em 553.844 F.S.)
Signature
STATE OF FLORIDA '
COUNTY OF : '
Svromto~~~mothi>JfLdayof }:~\-. .
BY~ '.'.
__,', ' ',: Notar,y Public, State of Florida
.200~
~~ N_",~S"'ofFIoliC:l.'
. ~ . CfttItlIIft Ryman ,
, '" c ~ ~ My commjpign 00751610
......" W,..0112./2D12
L-'hN~-W~ A~~~
(Print, type or stamp name)
PersODally lmow:u1 or
Produced Idcmtificati.on
Type of identification produced.
~. Gmen1. BuildiDg, lWidaatill1. or llaofiDg ~ ~ III,)' iJldiYidlJal certified 1mIiar 468 P.5. 10 ~ such BIl
mspeoticm. IDc:h1da pboulsnp!u of' -= plac O~thll nlOfwitb the pcmlit ~ or IddraIl # dcstly JblnvIl DIIBbd on tblll
dec:lc: far =u:h blsped:i.on. '
Commission No.:
lOO/lOO~
-.J 81
X~~ 6~:LO 800G/~l/GO
.t.lonaa ti Ulldmg Code Unlme
t'age 1 01 j
,'l~~}.
BClS Home Log In Hot Topics Submit Surcharge. Stats &. F.cts Publications FBC Staff BClS SIte Map Links Search
""I7.~:~:':~'?Y;'~:_ _.-:;' j~,:, ~.,.-, _;:,~y(-;-;,-:, --- -'---'-~i-
{j~Product Approval
~USER: Public User
Product Aoorov.1 t-tenu :;;. Product or AODlic.ltion Search :;;. Aoolicatioo List> AppHcation DeliU!
FL :it
Application Type
Code Version
Application Status
Comments
Archived
Product Manufacturer
Add ress/ Pl1one/Enld ii
Authorized Signature
Technical Representative
Address/PhonejEmail
Quality Assurance Representative
AddressjPhonejEmail
Category
Subcategory
Compliance Method
Certification Agency
Referenced Standard and Year (of
Standard)
Equivalence of Product Standards
Certified By
FL183-R2
Revision
2004
Approved
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
(973) 628-4119
mrew@gaf.com
Roger Anderson
randerson@gaf.com
Roger Anderson
1361 Alps Road
Wayne, NJ 07470
(224) 717-9086
randerson@gaf.com
Roofing
Asphalt Shingles
Certification Mark or Usting
Miami-Dade BCCO - CER
Standard
ASTM 03161
ASTM D3462
TAS 100
TAS 107
TAS 110
Year
1999
2001
1995
1995
2000