HomeMy WebLinkAbout08-7802
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7802
Permit Number: 7802
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 9,870.00
Date Issued: 4/25/2008
Total Fees: 80.00
Amount Paid: 80.00
Date Paid: 4/25/2008
Work Desc: REROOF 30YR TIMBERLINE
Address: 6712 BA SWOOD CI
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-0210-00000-1490
Name: WINSOR, JAMES & PATRICIA
Address: 704 GUNGYWAMP RD
GROTON, CT 06340
Phone:
<hlJ -B
tS/1AJ
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. "
CONTRACTOR 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 A /'\ fJD(I1/
Building Department ~tr I J
Fax-813-780-0021
Fee Simple TitleholdE!r Name
W lV\..50 V
I-d GroTo~ Gt
Phone Conl..,t fo, Peno'!ting 9'~' ,1.............1,,,,,,,"'" ,
Owner Phone Number I
Owner Phone Number I
Owner Phone Number I
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Address I
JOB ADDRESS I G,ll 'L 6'<. i5iV C oct Ct....c(<.
SUBDIVISION I I
WORK PROPOSED B NEW CONSTR B
INSTALL
PROPOSED USE 0 SFR D
TYPE OF CONSTRUCTION 0 BLOCK D
DESCRIPTION OF WORK .,fb 0 {' v.....> q
BUILDING SIZE
-30 y'V 2~;lls F- ( 3. ~></ L(bI7/~OT# I
PARCELlD#lo2-2b- 2/- bLI O--ooODo-1 'fq 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
OTHER [
STEEL D
'1.-/ 1\' 'IV\.. ~ lJ t [' .,...{'
HEIGHT I
ADD/AL T
REPAIR
COMM
FRAME
o
o
o
DEMOLISH
OTHER I
I
.'.....11....111...11....11.......11........'...111.............11.....1...'.......11....111..111....,...11111........'"1....11111"11......11111.111
1$ Cr ~10" aV
1$
1$
1$
;';'SHEO :~OR ELEVATIO~
ROOFING
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C
o
o
o
o
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
OTHER
SIGNATURE
I~~-~I
I~D Box /l8Y ~h ~io'y1.l '., PI 33S-76 1
COMPANY
REGISTERED
License # I
tS'u i+5kLk.Mt\~ f2oo~~ LK<:
I Y / N I FEE CURRENT 1 N I
License # Ice cor- 1 '1 r- (
Address
Address
11I111111111111I1I1111I11111111I1111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111I11111
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.
II1I11111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111I11111111111111I1111
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" 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 Jaws 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 "N 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 proce~d with the work a~d not as authori~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffICial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~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 nrn~ty (90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\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) p? ....A-d\ // .-
OWNER OR AGENT CONTRACTOR ~~~
Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
~ ~
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
STATE OF FLOR1DA
. COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
o CORRECT COPV OF THE DOCUMENT ON FILE
6~U5F~UBLlC RECORD IN THIS OFFI~ ~ESS MY
HAND D OFFJCIAL SEAL THIS~ DAV OF
y t 2c::5C>T
N C C ITCO
111111111111 11111111111111I1111111111 111111111111I111111 I11I
2008061638
Rcpt : 1176467 Rec: 10. 00
DS: 0.00 IT: 0.00
04/25/08 Dpty Clerk
CLERK
JED PITTMAN, PASCO COUNTY CLERK
04/25/08 09: 39am 1 of 1
OR BK 7820 PG 773
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. 02.- Z ",... 2...1 -02.1 0 -00000 - I l./9o
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.
f) '{'I-fA./cocl SlAbo!'ViJt"Q..-r lIT PIJ'L, P6 /5 L.a f IY9
I.Description of property (legal description;) Y I 4 (;, / 'II
a) Street Address: 7 J 1- W od L l'r d z . Z
2.General description of improvements: 0
3.0wner Information
a) Name and address: Me.) I V\$C y 70t..! G.
. b) Name and address of fee simple titleholder (if other than owner
;:5 "'^'. c) Interest in property 0 '-A.,) 'v''\. ex
A. 'ontractor Information
. a) Name and address:Scol!-s 14.r.b..tIlY\ ~uhh.J .z;,,~
'j,i b) Telephone No.: ;~r- 7(,,(oJ
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
/?c.1 b
Ct Ct,,3 0
i/o,&c;)./lrl' <..)4h ~ /'/ ~3j'7~
Fax No. (Opt.) - <f 7 h 1
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 ~~
Signa~ure of Owner or Owner's Authorized OfficerlDirector/PartnerlManager
SoH- S{Iic.c.t.mtJc.ir7
Print Name
The fmegoing i"'1rument wa, aoknnWl~ed before me tbi,~ day of ~l ' \ . 20ii bY!?c off (;1 a.ckt\
. as -UJ '" +-V-CLL ~ (type of authority, e.g. officer, trustee, attorney
1D fact) for ~ 1 ^ c<\t') V (name of party on behalf of whom instrument was executed).
Pe"onally Known LR Prodnced Identification _ NoUuy Signatnre C-O-v ~~
Type ofIdentification Prodnced Name (print) Con' t2-.n VI k e () YJ L,
V erification pm:s~nt to. Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated 1D It are true to the best of my knowledge and belief.
~~~'-/
Signature of Natural Person Signing Above
FORMS/NOC,rvsd2007
. ""'I~'I."',, CORI ANN KEOUGH
~m"l,!! ~ N.....'" Public . Stil8 01 FlorIda
. i \-,
,. . !MY CommIasIon ExphaAug 17. 2010
I ~ ~ COmmIssIon , DO 586503
I ~..vr.~"'" Bonded By National Nolmy Alan.
~ - -
Proposal/Contract
SCfJU ~~ ;e~r 11te.
P.O. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
~te.e.~elt,
~_lUlelt &
'1.~.4elt
j .
4/' 7:....: I,~
Date . L._ .:/ )0
PROPOSAL SUBMITTED TO
WORKED TO BE PERFORMED AT
l'
Street
Name
Street (
City
State
()
t ~,"' .
.1'
L .1'
,
" I~
City
State
Owner of Property
Phone Number
Zip
. I
~, I.. , ,.
,
;'
Zip
Phone Number
Fax
Fax
We. hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
o Remove existing shingle roof 0 Replace bad fascia boards at $ per foot
o Remove existing built-up roof 0 Install feet of ridge vents
[] Dry-in with 0 15 lb. 030 lb. 0 Install modified bitimen (granulated) torch down roofing
o Install new galvanized valley metal black, white or other color
o Install new lead boots 0 Install 25 yr. fungus resistant 3-tab shingles
o Install new exhaust vents cflnstall 30 yr. fungus resistant dimensional shingles.
o Install new drip edge, color 0 Shingle manufacturer .. color
o Install new flashing as needed 0 Install TPO, white rubberized roofing membrane
o Replace plywood at $ per sheet 0 Other:
o Repair rotten trusses at $ per foot
*Woodwork is an additional charge, see pricing above
i .~
All material is guaranteed to be as specified, and the above work is to be performed is accordance withJh~drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ '-I 6. 7 l), 0
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, additional 2.8% charge.
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 agreements contingent upon strikes, accidents or delays
beyond our control. Owner to carry fire, tornado and other necessary insurance
upon above work. Workers' Compensation and Public Liability insurance an above
work to be taken out by Roofing Contractor.
'".:. "f-.-' .~
f~ ~.
Client gives permission to drive on driveway to deliver materials.
Officer/Agent Scott Blackman Roofing
Note: This proposal may be withdrawn by us if not accepted
within days.
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 Propos~I/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as
outlined above:,;>, / t~:,--,,-, )' .. ~7 .:) i_I
Accepted Signature
Date
Signature
- . .
ACCORDING TO FLORIDA'S CONSTRUCTION LtEN- LAW
(SECTIONS 713.001-713.37, FLORIDA STATUES), THOSE WHO
WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE
NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR
PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWNASA
CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS,
SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR
NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS, THE
PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON
YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR ORA SUBCONTRACTOR MAY HAVE FAILED TO PAY.
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS
RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES,
YOU CONSULT AN ATTORNEY.
City of ZeJmyrhills
BUILDING DEPARTMENT
RE: Permit # 7 k 0 l-
9117/07
Inspection Affidavit
I 5(0 it (j I~c..ktt'\~"'-
(please print nlaDe and circle Lie. Type)
,licensed as a(n~~ /Engineerl Architect,
8 Building Inspector*
License #; C c.c.. OS-, C} S-l
On or about tj,/ zJr /0 Is'
I (Date & time)
~ ~:!eCOndary water ~ork at.
Of' 'Ki)
Left, '1 (~lt 115 f 8
, I did personally inspect the !:!l!lf
(,7/ 2 b~.s..J tA.J oot/ (} ~
,
(Job Site Address)
Ba.."led upon tbat examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
sdf:!f-~~
.. gnature
STATE OF FLORIDA
COUNTY OF . 1Tf-I.-
Sworn to and subscribed before me this ~day of
By &ott- o{CLclw1a.V\
,.200]'
Notary Public, State of Florida
&v.~/__
(print, type or stamp name)
Personally known X or
Produced Identification_
Type of identification produced.
Commission No.:
.. Gem~nll, Building, Residential, or Roofing Contractor or any individual certific::d under 468 F.S. to make such an
inspection. Include photographs of eacb plane of me roof with the permit # or addJea.q # elearly shown mlUked on the
deck for each inspection.