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Home My WebLink About08-7640 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7640 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: 7640 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 38832 HEN R ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: PARK HILL Parcel Number: 02-26-21-0180-00000-0310 3,360.00 3/17/2008 50.00 50.00 3/17/2008 REROOF GAF 30YR SHINGLE Phone: HrJ 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. " ~ GONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of ZeWrhills BUILDING DEPARTMENT RE: Permit # 7fJ,'fo 9/17107 Inspection Affidavit 1 Stll~~h (pICII$c print name and citcle Lie, Type) ;licensed as a~=~gineer/Architect, : ; udding lnspector* License #; C. CLOS-7 '7 S-1 On or about ~/ 2-1 / (j ~ L ';',0' 0 PM. , J did personally inspect the roof r (Date & time) 4.-ek naili"" and/or secondarv water barrier *ox:k at J .tct'3 L l-/e/'\.r'J b' tf.<n;ee' Qne,J ./' (Job Site Address) '_~\"'t~'I..\rll ~ ~ I ~3s1 ( :Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F,S.) ~~ ~~ Signature STATE OF FLORIDA COUNTY OF I- m Sworn to and subscribed before me this B..l'S day of a..rch. By (3 en if ~ \ a..u.. MG\. V\ _200? Notary Public, State of Florida ~.~~ (Print, type or stamp name) Personally known ~r Produced Identification_ Type of identification produced. Commission No.: .. General, Building, Residential, or Roofing Contractor or any individual certified undcr.468 F .5. to make such lIll inspection. Include pborogt1lphs of alCh pJllne Df the roof with the pcnnit #. or addn:as #. clearly sbown marked on the deck for mch inspection. -= CORl MN KEOUGH ,.." PuIlIa . StIlt III FbIdI . . CollI' Y ElpMA/.W 17, 201 CGlMA.A.' . DO 11II03 ...... ., ........, ~, '_....k'~~."~-...__~""~__,___.....'_,..............___~..__._,,_ " ...p(~op()saI/Com~taot Suaa~iE!~, 11tC. P,O"Box1188 33010SR52 SanAntonio,,'FL 33576 (352) 588-ROOF(i166~).'(8~t3'J~82~;1;S30 Fax(352)588~976a email: blackmanroofing@aohcom )old ~tee...etit. 'B..tite.tft,. ').jj,~e4 f / / Date /' I /! 1..., V PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT \lame :r> ., I;'" ,;V I) I .( A l V Ii ( I :>treet 3 <i!c;~,?~ 1../.... ",k >' 1.)~" ) " Street Fax City State Owner of Property Phone Number Zip :;ity Zi!':7t.. ',H J".. tJ., 3tate;:/A Zip ;)hone Number 7'7.r.; ..,r 1"13 ::J Fax Nehereqyproposetofurnish all the materials and perform all the labor necessary for the completion of: lR~moveexisting:shingleroof 'l!i:lReplacebad fascia boards at $ 2."[' per foot JRemove,existing,:built..uproof .trlnstall 5(? / feet of ridge vents tbl'Y;in'lJIfith~m.'t51Jb.X30 lb. -+ ; .4I~, 0 Install modified bitimen (granulated) torch down roofing ~n~alli~~~}9a.')ianiZedva11ey metal black, white or other color ~nst~II:~~Wfeadboots . 0 Install 25 yr. fungus resistant 3-tab shingles .".. '. . .,. '..' rrnstall'new.eXhaustvents "Install 30 yr. fungus resistant dimensional shingles :finstall;~eW!c1rip!.eqge,tJ.ti.lJ.., color ~'Shingle manufacturer G,.I1;' .3...'Jy.....,,e color )(NdS" ' ] InstaIFneW'flashing..asneeded 0 Install TPO, white rubberized roofing membrane ~Replace plywood at $ 3e. , per sheet 0 Other: ~IJ i;/ //;._"" perfoot fUt) '>'L/:;._ <." I' dt~ior:la'Mcnarge. see pricing above r: f . f .f /'l ;, >-: _," ' ; !.f,/ ,~'... r / _s-\'<( -,' VI P \ny alteration or deviation from above specifications involving extra costs will Ie executed only upon written orders,andwill become an extra charge over and Ibove the estimate. All agreements contingent upon strikes, accidents or delays leyond our control. Owner to carry fire, tornado and other necessary insurance !pon above work. Workers' Compensation and Public Liability insurance an above IOrk to be taken out by Roofing Contractor. ~Iient gives permission to drive on driveway to deliver materials. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back of this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as outlined above. Accepted Signature Signature Date h. VIJI'1 ~ I< 5D" 55 (\Ji~ (1/\( I~ '2A /Ucr-Ihlh III Fax-813-780-0021 .1 ~~() 780-0020 City of Zephyrhills Permit Application Building Department ~ Owner's Address Fee Simple Titleholder Namel MI- I PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK 2 At 'II f ;:- / '33S-Y2- PARCEL ID#I () 2- -'2...10 - L r -01 g--O-bOQOO -0 3 (0 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D LOT # JOB ADDRESS SUBDIVISION DESCRIPTION OF WORK E3 D D I ADD/AL T REPAIR COMM FRAME D D o DEMOLISH WORK PROPOSED OTHER I STEEL D OTHER I BUILDING SIZE I sa FOOTAGE I l ( S (. HEIGHT I '.'11...,11.1'.1'.....,11.....,......111'111.'....111...'.111....'....,....-......'111..............'...'1................'.""".'......""f..".. D D D D 1$ 33~O ,oV 1$ 1$ 1$ D GAS ~ FINISHED FLOOR ELEVATIONS I ROOFING I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO 11111"".....11.""".111..,.,'11....'111.'..'.'...11111'..111'.......111"'...."..'11...'11,..,......11'"'1'111'11"'1""'111"1""'1"1'1' COMPANY REGISTERED Y/N BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Address I OTHER SIGNATURE b 'Gt:.X ll&;r Address 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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. 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (Ale 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 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 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, WaterlWastewater 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, 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT .4~~ Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. CONTRACTOR_~ 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 1111111111" 1111111111 1111111I1111111 111111111I1111111111111 2008040283 Rcpt: 1167817 Rec: 10.00 DS: 0.00 IT: 0.00 03/17/08 Dpty Clerk NOTICE OF COMMENCEMENT JED PITTMAN~ PASCO COUNTY CLERK 03/17/08 11:00am 1 of 1 OR BK 7787 PG 263 Pennit No. Property Identification No. () L - 1..l.t, - 2/-D If' 0- OOOOD - 0 3 I 0 THE UNDERSIGNED hereby give infonns you that the improvetnent 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. I . Description of property (legal description: ) PI1\. #' a) Street Address: 8' ~ 2.General description of improvements: 3.0wner Information I a) Name and address: Z 0 -I-Dh . b) Name and address of fee simple titleholder (i c) Interest in property () Lv yt e.y 4.Contractor Information '_ J /J /, _ B a) Name and address: 1(LJlf/'-tt:jI,fQJt7 I .L nc~ b) Telephone No.: 5&'e-- h t, J ./ . ety Information a) Name and address: b) Amount of Bond: c) Telephone No.: 6. Lender a) Name and address: 1'f..L - ,-/8'Jh7 3' .?F liP 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(1 )(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 ~,~/ Signf'1re of Owner or Owner's Authorized OfficerIDirectorlPartnerlManager (j C/) It- 6/ ettJ: VvtOt V1 Print Name re me this 11th day of /'!arc A. ,20 Qf', b~C()!fjJ!aI1Ma.fl (type of authority, e.g. officer, trustee, attorney ~ of pmy on bohalf (J;;Ijlfumrnt was eX"M OR Pmduced Identification - Notary Signature {l.//>tt- ;m-;1:~' Name (print) a r;' t:Lr; 11 J; () vr (' ~ c..I in fact) for The foregoing instrument was acImowledged as Type ofIdentification Produced Verification pm:su~nt 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 Imowledge and belief. . ~~-~~ --Signature of Natural PdSon Signing Above - FORMSINOC,rvsd2007