HomeMy WebLinkAbout08-7960
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7960
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Oesc:
7960
RE-ROOF
ROOF REPLACEMENT
CHURCH
Address: 5316 11 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0100-17100-0100
38,700.00
6/13/2008
225.00
225.00
6/13/2008
REROOF 30YR GAF
Phone:
~J O~
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q/
NOV
TAPE JOINTS ROOF INSP
FINAL
REINSPECTlON 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."
~~R SIGNA~~RE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Proposal
8co1t ~1tuJutuu& ~ Le.
P.o. Box 1188
33010 SR 52
San Antonio, Florida 33576
352-588-7663 or 813-782-1330 Fax: 352-588-9763
CCC057957
Name:
Street:
City:
Phone #:
Date: May 5, 2008
Remove Existing shingle roof
Renail plywood decking to meet new hurricane mitigation codes
Apply 30 lb felt underlayment
Install new galvanized valley metal
Install new lead boots
Install new exhaust vents
Install new drip edge
Install new ridge vent
St. Joseph Catholic Church
5316 11th St
Zephyrhills State: FL
Fax: 788-1036
Contact: Michael
Zip:
454-3514
Woodwork is an additional charge as follows:
Replace plywood @ $38.00 per sheet
Repair rotten trusses @ $2.00 per foot
Repair Ix decking boards @ $2.00 per foot
Repair bad fascia boards @ $2.00 per foot
Install a 30 year fungus resistant dimensional shingle
$34,228.00
Price to apply fully adhered underlayment
$38,700.00
Replace all existing gutters with aluminum 6" K Gutters
$2650.00
Proposal may be withdrawn if not accepted within 14 days. .Payment due in full on completion
Any alterations 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 necesslll)' insurance. Our workers are covered by Workman's Compensation Insurance.
Authorized Signature
Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
Signature
11111111111111I11111111111I11111111111111111I1111111111I1111
2008088276
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.
Rcpl: 1186363 Rec: 10.00
OS: 0.00 IT: 0.00
06/13/08 Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvements 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.
1. Description of property (legal description): Parcel No. 11-26-21-0010-17100-0100 TOWN OF ZEPHYRHILLS PB 1 PG 54 LOTS 10 11 & 12
LESS NL Y 10 Ff OF LOT 12 AND SEL Y 80 Ff OF LOT 9A AND SLY 80 Ff OF FORMER ALLEY IN BLOCK 171 OR 3253 PG 1350
a) Street Gob) Address: 5316 11th Street. Zephvrhills. Florida 33542
2. General description of improvements: Tear Off and Re-Roof. Church and Parish Center. St. Joseph Catholic Church
3. Owner Information
a) Name and address: Robert F. Morris by POA Recorded in O.R. Book 7560. PlU!:e 1020 Publ~ Records ofPaseo County for Robert N.
Lynch. as Bishop of the Diocese ofSt. Petersbul"2. a Coroontion Sole. 6363 9" Aye.. N" St. Petersbnl"2. FL 33710
b) Name and address of fee simple titleholder (if other than owner) Same as Above
c) Interest in property Owner
4. ~tractor Information
t-0 a) Name and address: Scott Blackman Roofinl!. Inc.. PO Box 1188.33010 SRS2. San Antonio. FL 3~576
o ~l b) Telephone No.: (352) 588-7663 Fax No. (Opt.) (352) 588-9763
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.) Lender
a) Name and address:
N/A
Fax No. (Opt.L
JEO PITTMAN~ PASCO COUNTY CLERK
06/13/08 1t1: 23am 1 of 1
OR BK 7860 PG 1064
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: Diocese ofSt. Petersbunl. Attn: Director of Construction. Street Address: 6363 9" Ave.. N. St, Petersbul'l!:. FL 33710.
Mailinll: P.O.Box 40200. St. Petersbul"2. FL 3374~200
b) Telephone No.: (727) 344-1611 Fax No. (Opt.) (727) 347-6414
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: The Contractor (above)
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): Six (6) months
N/A
WARNING TO. OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROER 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.
10. ~ 7:~
Signature of Owner or Owner's Authorized Officer/DirectorlPartnerlManager
STATE OF FLORIDA
COUNTY OF PASCO
Robert F. Morris
Print Name
The foregoing instrument was acknowledged before me this yttJ day of ~ tJy...e. , 20.QL by Elizabeth DeDtula
_as Vicar General of the Diocese of St. Petersbul"2 by POA Recorded in O.R. Boo 560. Palle 1020 Public Records ofPaseo COllntv (type of authority,
e.g. officer, trustee, attorney in fact) for Robert N. Lvnch. as Bishop ofthe Diocese ofSt. PetersbUI"2. a Corooration Sole. 6363 9'" Ave.. N_ St.
"""'...... FL 33710 (nam. of""" on behoIf of whom """"""'" Tied).
Personally Known ~ OR Produced Identification Notary Signature . 1-,)11~. 8~
Type ofIdentification Produced . Name (print) Lis tt 5: ~~V It u !
-AND-
Verification pursuant to Section 92.525, Florida. Statutes. Under penalties of peJjury, 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.
..0/>.""'''';''''111 ~'8. BAGGErr
!..1JfJ'~ MY COMMlSSIOO" DO 631149 Signature of Natural Person Signing (in line # 10.) Above
: . .. EXPIRES: January 18, 2011
Bonded Thru Notary Public UndolWrilera
FORMSINOC.rsvdZOO7
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date R&ceived -
51-- ~icv- s
V e ~ f" Ill! kr 5. h..w
Owner's Name
Owner's Address
Fee Simple Titleholder Name
JOB ADDRESS
Fee Simple Titleholder Address I
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PARCELlD#llJ - L (p - L I - Oaf () -/7/ 00 - 0 100
(OBTAINED FROM PROPERTY TAX NOTICE)
LOT #
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
SUBDIVISION
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I Nrov-F C~ uv-c.. L... -tJ PctYI".s h C-t/^..k'r \A) l'-tt--. at 5-0 '(p-~v /;'wJafJ1/t'--{.
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ADD/AL T
REPAIR
COMM
FRAME
D
D
D
OTHER
STEEL
I
D
SIGN
D
MOVE D
DEMOLISH
OTHER I
D BUILDING
1$ :~ &"J 7U D (c) vi
r
1$ I
1$ I
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
D PLUMBING
D MECHANICAL
D GAS
FINISHED FLOOR ELEVATI
AMP SERVICE
D
PROGRESS ENERGY
o
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
ROOFING D
SPECIALTY D OTHER
FLOOD ZONE AREA 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
--------
License # I
COMPANY 15Uv t/rs)( ti: ~tf....A;'" ~/7 kf
REGISTERED I Y / N I FEE CURRENT I Y / N
License # I CC [0 J-} is-- 7
Address
OTHER k~
SIGNATURE "
Address 1.33 0 l o5K- :;: z.
P~1}0X IllY
111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111
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 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 NC 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 complian-ce 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 offill 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 proce~d with the work a~d not as authori~y !o viol~t~, 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 th~ work is commenced.. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty (,90) days 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)
CONTRACTOR
Subscribed sworn to (or affirmed) before me this
- by
Who is/are personally known to me or has/have produced
_~ as identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Commission No.
Commi
Notary Public
Notary Public
Name of Notary typed, printed or stamped