HomeMy WebLinkAbout08-7599
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7599
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:
7599
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6442 BR OOD DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 04-26-21-0030-00DOO-0030
2,400.00
3/10/2008
45.00
45.00
3/10/2008
REROOF 30YR FIBERGLASS
WILKE, B TTY R
6442 BRENTWOOD DR
ZEPHYRHILLS, FL. 33542
Phone: 813 783-6639
rC;f\t& vB
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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.
NonCE: 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."
~
RACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyr hills
BUILDING DEPARTMENT
RE: Permit # 7__)flVr
9/17/07
Inspection Affidavit
I
~t/?.-
i? /J //.)//
~-~
,licensed as a(n ontractor*' ngin~ Architect,
~InSP~
(please print name and circle Lie. Type)
License #; .-f! C () {) 5I6;Z L) J
-2~5hY
/ ,(Date & time)
~ and/or secondarv water barr!!!!: lvork at 0 c; 72- t1 L6J.//t4/'7) o()
(dll;i"" .mO) (Job Site Address)
On or about
, I did personally inspect the roof
Based upon that examination I have determined the installation was done according to the
Hurrican 'tigation Retrofit Manual (Based on 553.844 F.S,)
/7 to
~
Signature
STATE OF FLPJUDA
COUNTY OF ffi sea , .
Sworn to and subscribed before me this JJfb..... day of
By R i (I( ~ Y (} Q V j N
JUNe...
.200~
Notary Public, State of Florida
eax~l:J~ ~
(print, type or stamp name)
Personally known V or
Produced Identification
Type of identification produced.
Commission No.:
CAROl. YN DRISKELL
# DO 728829
~. ii,.i EXPIRES: November 20, 2011
~iff..r..~,. Bonded Thru Notary Public UndelWl1lera
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.So to make such an
inspection. Include photographs of each plane of the roof with the pennit # or address # clearly shown marked on the
deck for each inspection.
(
~roposaI
I Gavin Roofing
Quality Roofing Since 1984
i. P,Q. Box 1364
.' - Dade City. FL 33526
~', - 352-567-5034
. .-- - ,- Lie # RC 0046241 2 Year leak Warranty
Page No.
of Pages
N~
01110
PHONE
oS
JOB NAME
L.
JOB LOCATION
;:::v
OATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for:
.~ l. p;C? +-
Jill;';;: t.e:
COr/eL
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BIt 'ropOSt hereby to furnish material and~r - complete in accordance with above specifications, for the sum ot:
/W6'i1/t;' ;;Cf)t{;L N-'t-J"vlP~...-r - dollars ($ 2'100, (J7 ).
Payment to be ade as follows: /
Cd /.1/~-c-r; d/V c ~ ya.L)
All material is guaranteed to be as specnied, All work to be completad in a workmanlike
manner according to standard practices. 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 agreemen15 contingent upon strikes, accidants
or delays beyond our control. Owner to carry fire, tomado and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature
~:
M
9'0
Note: This proposal may be
withdrawn by us if not accepted within
Arrrpfanrr 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.
(2~);)).v
Date of Acceptance:
Signature
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
fJL-
Owner.s Name
LOT #
WORK PROPOSED
i
PARCELID#I OLf~).6 ~21- f)()3D- Of)IJ/)D~ 6J()3V
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
SUBDIVISION
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
STEEL D
OTHER I
DESCRIPTION OF WORK
BUILDING
HEIGHT I
BUILDING SIZE
o
o
o PLUMBING 1$
D MECHANICAL 1$
D GAS m--ROOFING
FINISHED FLOOR ELEVATIONS I
(}O
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
o
W.R.E.C.
I
I
D
I
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
"""1"11111"11111'1111'1'11111"'.1""""'11""111""11..."'..""'1'.""'1111.."1111'1"11....'.IIII"P,""I.","'III"I'II,I'IIIIII
BUILDER COMPANY
SIGNATURE REGISTERED YI N FEE CURRENT Y/N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT Y/N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT Y/N
Address License #
MECHANICAL I COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address I License # I
OTHER I cJlI L:- COMPANY (l/}t/I jJ t f) ()7/;-l ~
SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/N I
Address 0 IJox }3t:J License # I ILL tJof/l2-tJ/
/
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 onsile, 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 onsile, 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.
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111I111111111
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 AlC 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" r~strictio!ls"
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 cRed 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 pennR. may be required for electrlca.1 work,
plumbing, signs, wells. pools, air conditioning, gas, or other .nstallallons not spec~lClllly Included m the appllClltlon. A
pennlt issued shall be construed to be a license to proceed With the wort< and not as authonty to Violate, cancel, alter, or
set aside any provisions of the technical codes. nor shall Issuance of a permit prevent the BUlldmg OffiCial from thereafter
requiring a correcUon of errors in plans. construction or violations of any codes. Every pennrt .ssued shall become. mvalld
unless the work authortzed by such penn It is commenced within six months of permR Issuance, or ft work authorized. by
the penn it 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
justffiable cause for the extension. If wort< ceases for nmety (90) consecullve days. theJob 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 N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S.117.03 "C / ,-
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identiflcatlon.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as Identlflcatlon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped