HomeMy WebLinkAbout08-7827
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7827
Permit Number: 7827
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 5,340.00
Date Issued: 5/05/2008
Total Fees: 60.00
Amount Paid: 60,00
Date Paid: 5/05/2008
Work Desc: REROOF 30 YR
Address: 6136 17TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: PARK HILL
Parcel Number: 02-26-21-0180-00000-0260
J N , L
PO BOX 358
ZEPHYRHILLS, FL. 33539
Phone:
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TAPE JOINTS ROOF INSP
FINAL
REINSPECTlONFEES: 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.
shall be made before any further permits will be issued to the person owning same
failure to record a notice of commencement may result in your paying twice for
rope . f yo intend to obtain financing, consult with your lender or an attorney
o m ment.n
RACTOR SIGNATU E PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\,0\A.~~rtldt ~~fing (@f OLcntra11l11nriika. JIm:.
~ ' -l J . v . ".'46 Richard Bilrtlett 1 ,'i' /l/
~,\! IV, ~/ C _, ~r //.\ 38408 3rd A~e~ ~ r r,d fv v ___________
I, 'j. \ VII' ,\ ,,1,_____
\\ \ , ,I ;:\ Zephyrhills, F~ 3542 '
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/' -One pf{he targest, Olde~t, Mgst Dependable
lr-. / Roofing Companies-in-Cfi[1tral Florida
(\ ! " v:"'?P'Pciali4i,ng i~ Mobile Home"'f;steve'n.s White Rubber Roofs
,x I' >/" V ( I \< ~ Insulated Alumf[tum ~-'bf ov~~
. ,Jj/ / RESIDENTIAl: ERC~ · MOBILE HOME
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, \~' \ LICENSED - INSUR .ED ,/-"\
.. Ml{M,flER OF THE CHAMBER OF COMfv{ERC~ · j _
Serving Zephyrhills, Dade c"t, ~i1 Hollow, Wesley Chapel, Land o'\a~" ..a.rJd s~rr ndil)9 Areas
We have re-roofed more roofs (16,000) in the past 35 years than the four loealleading ofing ~oJn aniei!tombi!J~d.
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All arrangements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable lor any charges incurred in collecting this bill.
Rotten wood is an extra $35,00 per sheet (4-ply). Rotten fascia is $2.00 per linear foot.
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OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
ilf 1t '01
Date Received
Owner's Name
Owner's Address
Fee Simple Tltleholde, Na~~
Fee Simple TIlIeholde' Addmss .. .
JOB ADDRESS
LOT #
PARCEL 10#1
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
DEMOLISH
WORK PROPOSED
B
NEW CONSTR
INSTALL
ADDIALT
REPAIR
COMM
FRAME
D
D
D
I
D
OTHER I
BUILDING
OTHER
STEEL
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
HEIGHT I
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL,
/
,
PLUMBING!
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C
ROOFING
I
I
D
I
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
YI N FEE CURRENT
Y/N
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
Address
Y/N
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
Address
11I1111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsflarge 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 wi 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,
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 (PloUSurvey/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. 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 ~hat a s.eparate perm~t may ?e requir~d for elect~ica,1 work.
plumbing, signs, wells. pools, air conditioning, gas, or other Installations not speCifically 1n?luded,1n the application, A
permit issued shall be construed to be a license to proceed with the work a~d not as authorl~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~lng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Eve'!' ~ermlt Issued. shall become. Invalid
unless the work authorized by such permit is commenced within SIX months of permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time the work is co~n extension
may be requested, in writing, from the Building Official for a period not t~ exceed nin~t~ ~~~s a~9.will demonstrate
justifiable cause for the extension. ork ceases for ninety (90) consecutive days, th~ IS conSidered abandoned.
" MAY RESULT IN YOUR
TAIN FI NCING, CONSULT
CEMENT,
PAYING TWICE FOR
WITH YOUR LEND
FLORIDA JURAT (F
CONTRACTO
Subscribed s 0 (or affirmed) before me this
S-S-D . by
Who is/are personallY known to me or haslhave produced
- as identification.
Com
Notary Public
Notary Public
ZEPHYRHILLS COLONY COMPANY
70 75 & 76 LESS NORTH 15.00 FT
& LESS EAST 20.00 FT OF TRACTS
& EAST 1/2 O~ VACATED R/W
OR 6214 PG 1906
LANDS PB 1 PG 55 TRACTS 69
OF TRACTS 69 & 70 FOR RD R/W
69 & 76 FOR RD R/W
LYING WEST OF TRACTS 70 & 75
1111111111111111111111111111111111111111I1111111111111111111
2008065806
Rcpt : 1177971 Rec: 10. 00
OS: 0, 00 IT: 0. 00
05/02/08 ___On Dpty Clerk
NOTICE OF COMMENCEMENT
Pennit No.
Property Identification No. (!) ~ -Ill," ~ I~ 01 Sb- O()OO()...... 0:2 (,0
JEO PITTM~.~)ASCO COUNTl CLERK
05/02/08 . 9am 1 of1617li2
OR BK 6 PG ~
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,
I.Description of property (legal description:)
a) Street Address: 61:B6 17th Street Zephyrhills, FL 33542
2.General description of improvements: Re roo f
3,Owner Information
a) Name and address: Ilene Jones 6136 17th Street Zephyrhills, FL 33542
b) Name and address offee simple titleholder (if other than owner)
t:' c) Interest in property
ontractor Information
a) Name and address: A Bartlet t Roofing 38408 3rd. Ave. Zephyrhills, FL 33542
b) Telephone No.: 813-782- 5585 Fax No. (Opt.) 813-780-1805
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
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 COMMEN EME
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 2-- day of
as
n1~_ ,20~
e of authonty, e.g. officer, trustee, attorney
(name of party 00 beh.lf Ofil:l:J"~)'
_ Notary SIgnature
Nome(Priot)'ifc.l>h<O !l~&r-
in fact) for
Personally Known _ OR Produced Identification
"'-!."..,.
Type ofIdentificati< W' d AlCHNlD C. BARnETT
\ }~ EXPIRES: Jufy 3t~7832
, ....' ,.' Ilong,o l1InI NoIIry PIlbIIo UndIrwrtl.a
Verification Pm:SU~lI LU ., 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.
FORMS/NOC.rvsd2007
Signature of Natural Person Signing Above
JAN/15/2008/TUE 01:39 PM ZEPIIYRBILLS BUILDI~
FAX No. 813-780-0021
p, 001/001
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of Central FkJrida, Inc.
38408 Third Avenue .. Zephyrhills. FL 33542
(813) 782-5585
(813) 780-1805 Fax
FAX COVER SHEET
DATE: rn~ s I ~oo&
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COMPANY: ~ ~alJ'2~
FAX NUMBER: '"7 80.~ 00"2 f
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NUMBER OF PAGES: ,;2
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