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HomeMy WebLinkAbout08-7537 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7537 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: 80.00 Amount Paid: 80.00 Date Paid: 2/22/2008 Work Desc: REROOF 40 GAF 7537 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 6849 NORTHLAKE DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: SILVER OAKS Parcel Number: 03-26-21-0180-00000-0720 Book: Section: 9,100.00 Name: BOLLENT, MICHAEL & TERESA Address: 6849 NORTHLAKE DR ZEPHYRHILLS, FL. 33542 Phone: rG rt fB \ ~ -" \1-'U DRY IN ROOF INSP 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 our notice of commencement." CTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Date Received M 1'_(\J:--J/1', Owner's Name (;r V/.A..A:7"" l Owner's Address I 6 Z 4 9 No /1-(11).. fr f( t- Fee Simple Titleholder Namel Fee Simple Titleholder Address I JOB ADDRESS 51} M r; - IJIL LOT # PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK I ~ o o ;200 r),J V '--/0 l' I SQ FOOTAGE I PARCEL ID#I 0 "3 J... 6 1-/ () If1) 00001) () )21) (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH SUBDIVISION DESCRIPTION OF WORK ~ D D \(LG ADD/ALT REPAIR COMM FRAME D D D I D OTHER I WORK PROPOSED OTHER STEEL BUILDING SIZE I .'...11...1111...11...11.......'.....11.'........111..111..111.............-..11....11...11..11111..11.111........IIIIII...'III...............p....... HEIGHT I D BUILDING :: CV 00 ,.rJ : VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY D PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS ~ ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO D W.R.E.C, ~o~/ Illpll.II."..""IIIII..."....,..II,....IIII".....,"1111""1"'111"11111",,,"""'1'111"""1'1111.""'1111""""111111"""'11111111 COMPANY REGISTERED BUILDER SIGNATURE Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y / N FEE CURRENT Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Address I OTHER . v{ll t~- SIGNATURE . Address I fJ f) 60 X. 1:3 ~ J COMPANY REGISTERED COMMERCIAL License # I ~~~~:R~~ I ~IJ~/~I I-~~;:::~ I Y/N I License # IIlC&fJ L/ 6 2t{ / . 1I11I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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) 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 Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. I111I11111111111111111111111I111111111111111111II11111111I111I1111111111111111111111111111111111II11111111111I1I11111111111111111I11111111111I1111 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 cQntractor) 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 Y/N DC- I '3:> ~;2..6- 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". 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 obtain~d 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 "An 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. il 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 Officia~ for a period not t~ exceed nin~ty ~90) da~s 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 YO~R 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) /f' ~ _ ~ ...." ~~ ~ /' (J..... U, ("--' OWNER OR AGENT CONTRACTOR '-' Subscribed and sworn to (or affirmed) before me this Subscribed and swam PI (or affirmed1b!"foJe !"~this by by k'... / c.-.7( F([!!.!. e--\./ 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 Pasco County Parcel: 03-26-21-0180-00000-0720001 Page 1 of2 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Friday, February 15, 2008 Parcel ID 03-26-21-0180-00000-0720 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Assessment (totals) BOLLENT MICHAEL G & TERESA A Ag Land $0 6849 NORTH LAKE DR Land $53,156 ZEPHYRHILLS, FL 335420648 Building $112,917 Physical Address Extra Features $14,314 6849 NORTH LAKE DR ZEPHYRHILLS, FL 33542-0648 Total Assessment $180,387 Save Our Homes $147,734 Legal Description (First 4 Lines) Homestead Exemption - $25,000 STEPHEN'S GLEN AT SILVER OAKS PHASE THREE Taxable Value $122,734 PB 32 PGS 54-55 Warning: A significant taxable value increase LOT 72 may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning .Type II Price I Condition Value 1 0140 SFR GOLF OPUD 6,000.00 SF II $6.82 I 1.00 $40,920 2 0140 SFR GOLF OPUD 8,129.84 I SF II $1.50 I 1.00 I $12,195 I ~RGOLF OPUD I 4,116.06 II SF II $0.01 I 1.00 I $41 Additional Land Information Ac - ~ax Area II 30ZH II FEMA Code [::UIResidential Code II SIVLGP1 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1997 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Ca rpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost Ne 1 BAS 1,447 $107,338 2 FGR 480 $14,243 3 FSP 373 $9,718 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWSWC 1997 576 $914 2 CON PTO 1997 120 $221 3 POOL-6 2002 288 $8,410 4 COOL DK 2002 486 $1,681 5 SCRN-AF 2002 1,030 $2,163 6 SCRN-FF 2002 456 $925 Sales History Previous Owner II BAY VILLAGE BUILDERS INC II lr II II http://appraiser.pascogov .comlsearch/parce1.aspx?sec=03&twn=26&mg=21 &sbb=O 180&b... 2/22/2008 111111111111 1111111111111111111111111111111111111I1111111111 2008021633 Legal Description 03-26-21-0180-00000-0720 Assessed in Section 03, Township 26 South, Range 21 East of Pasco County, Florida NOTICE OF COMMENCEMENT Rcpl: 1162514 Rec: 10.00 OS: 0.00 IT: 0.00 02/22/08 Dpty Clerk Permit No. JEO PITTMAN, PASCO COUNTY CLERK 02/22/08 10: 26am 1 of 1 Property Identification No. _ OR BK 7767 PG 1546 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.Description of property (legal description:) 0 3 h t; :L / 0 I 'Bro (9 () O{)'D a) Street Address: b ~ [,1 CJ It) D /L / i-J. uttr& $-' ci-t.f (... w 2.General description of improvements: R..G- - II 001=/ 0- $:I 0 Ii\... r; . ~ ') 2... '1J 3.0wner Information a) Na~e and address: 'Ti:E;lG 5 /-f- I)Oli6/r b 8'i 9 A)PLrllL-/f-I16- /J/L ,~ ' 'b) Name and address of fee simple titleholder (if other than owner) _ \J c) Interest in property () W rJ ~ L, R4.contractor Information _ . . a) Name and address: (;lW , ;J () () JC/rJ e-.- b) Telephone No.: "3 SoL S6? -SO :? ~ 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: 6.Lender a) Name and address: :2-.J.I ( '"3] 5" Lj f. 4 3J~Zh' - -- .-- 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. NOTARY PUBUC-STATE OF FLORIDA ~ / M STATEOFFL~ " \ Jeffrey Todd Reutimann " \/,,'.. I./. Y //A J . COUNTYOFf :Commission#DD600614 6. ~. .. ~ - 11, &pires: NO\( IS, 2010 """lure of Own~ ~ """,,,', A"thori"" Otlk~II>=""IP""'~-""" BONDED THRu ATWmc BONDING co.,lNe. T~l"t..-k r If /t. l50 ~AI"/"' Print Name The foregoing instrument was acImowledged before me this 8711 day of Fl;~u.4fJ... J' , 2~, by as (type of authority, e.g. officer, trustee, attorney in fact) for ~tf.7J of party on behalf of whom instrument was executed). PenlOnally Known _ OR P.-odocod Identification -lYNOWy Sif!1m~ ~ R..-k~ Type of Identification Produced 7:.SP{Ldl- S Name (printf\ /~~ ~e?I &.~ n H c-tc. v 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 Imowledge and beli.:f " / ? / ~ ...---~ ':--V ~ r:;;4 />/./ /J --- ,_~/7~ Signature of Natural Person igning Above FORMSINOC,rvsd2007 f' ~ropo1iaI I Gavin Roofing Quality Roofing Since 1984 J.' P.O. Box 1364 " - Dade City, FL 33526 ~', - 352.567.5034 - - -- Lic # RC 0046241 2 Year Leak Warranty Page No. of Pages N ~ li 0 1 0 7 7 70 "'2.,...c::'" (# "C S~V PHONE JOB NAME JOB LOCATION DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: 7'"0 Co # 6..5 tJ ,;:::.. I HiLffl-? /flU-A- ' 0 /NCt.-dt)G- /l/Gw ;;:c4.-T ;(/ {)'rG t/6rJ;:s uJ /t?~ r~/I) #//l/,c ft~ ;2oo~ k?A--r~LJ u.JooLJ woL'1( /,ZJ LJ6 - IlfEi,J C!.O/J6- jIJ51-1-J.?/i-1/I/v +- j/ll9S# ##IkL 38 /L -.f- lilt 'rDpDBt hereby to furnish material and I~ - complete in accordance with above specifications, for t~E?fum of: /If I NC--r 0 AI' b- #11/ N.tJ~ V- dollars ($}/ () tJ, ). Payment t made as follows: C()M //(J,J O"c So,6 All material is guaranteed to be as specified, All work to be campleled in a workmanlike manner according to standard practices, Any alteration or deviation from above specifications involving extra COS1& will be executed only upon written orders, and will become an extra charge over and above the eatimata, 'AlI agreements contingent upon strikes, accldents or delays beyond our control. Owner to carry fire, tomado and other necessary insurance. Our workers are fully covared by Workman's Compensation Insurance. Authorized Signature c:::.:.- tJ/J Note: This proposal may be withdrawn by us If not accepted within days. Date of Acceptance: Signature Arrrptanrr of 'roposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. City of Zephyr hills BUILDING DEPARTMENT RE: Permit # ? S 3;; 9/17/07 Inspection Affidavit ~/!; t I; ~/J;//~ ,licensed as a(n I (please print name and circle Lie. Type) License #; f( C 0 Ot/62 t( / On or about ], ) ~/f!) Y' / (Date & time) , I did personally inspect the roof ...-------~----_...._--.. / deck nailing and/or secondary water barrier ork at ~ r II 1 )./{) ILl IlL/! /Ie. , one (Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane 'ga' n Retrofit Manual (Based on 553.844 F.S.) ~ Signature STATE OF FLOJUDA COUNTY OF fJQ. S CO Sworn to and subscribed before me this l3thday of By ~ i c K € Y & (A IJ ;~ '-]() .Ne . 200 5.?' Personally known J or Produced Identification Type of identification produced. Commission No.: Notary Public, State of Florida &X~fj~ (print, type or stamp name) . CAR(l.YN DRISKELL MY COMMISSION * DO 728829 , E; : 20,2011 BOIllIed Thru Nolary Public Underwtilers * General, Building, Residential, or Roofing Contractor or any individual certified under 468 F .S. to make such an inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the deck for each inspection.