HomeMy WebLinkAbout08-8151
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8151
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:
8151
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6330 12TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0000-03400-0010
6,235.00
8/05/2008
65.00
65.00
8/05/2008
REROOF W 30 YR
Name: BRYANT, DIANE FABRE REV TRUST
Address: 818 BENTLEY GREEN CIR
WINTER SPRINGS FL 32708
Phone: 813312-9578
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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."
~~
"'CONTRACTOR SIGNATURE PERMIT OFF I
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
Building Department
Date Received
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Address I
10330
I
JOB ADDRESS
\ L.-J\A S+
Z-ef\A~vl-tI'lIs ~(
PARCEL 10#102- - L(o - Ll -(fJOD -63,/00 - 0010
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
LOT #
I
o NEW CONSTR 0 ADD/ALT 0
D INSTALL D REPAIR
PROPOSED USE D SFR D COMM D OTHER I
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0
DESCRIPTION OF WORK I f2--e rOb ~ ~/ a f ~tl4, (f ('Jr (~lt'J
. v
BUILDING SIZE I ' I sa FOOTAGE I 2 1tJ () I HEIGHT I
I., . . I . I . . . . . I . . . . I I I I '.' I I I . I . , I . I I I I . . I I I I I . . . I I I . . , . I . . . I I I . . . : . . I . . I I I . . . I I I I . . . I I . . . . I I . . . . I . I I . ... . . . I I I I I I I I . . . . . . I I I I I . . . . . . . . . . . . . . . . . . . . . . .
D BUILDING 1$ 0 2JS: 0 v I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL ~ I
D GAS ROOFING D
FINISHED FLOOR ELEVATION I
SUBDIVISION
DEMOLISH
WORK PROPOSED
OTHER I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
WR.E.C
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
""1"""1""111"1"1""""1'1""'11'1111""'1'11...1..111...,1.,..,11'1...'...'11'11.,."...."11.'"11""""'1"'1"""'11""11111"
BUILDER
SIGNATURE
I J{ C--tt-Q)(Or..~qk ~It Vr
I Y / N I FEE CURRENT I Y r N I
License # I(C(O J7 f r 7
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
11I111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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.
11111I1111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111II111111111111111111I111111111111111I
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 AfC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadwaysooneeds 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 In~luded. In the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorlo/ !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~".dlng OffiCial from the~eaft~r
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) mon.ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~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)
OWNER OR AGENT ,,~~ .-
Subscribeqand sworn to (or affirmed) before me this
8 -S-(,)tl by
Who Is/are personally known to me or has/have produced
as IdenUfication.
CONTRACTOR ~
Subscribed and SWorn to (or affirmed) before me this
8...5-..h by
Who is/are P9J:i9r::J~lIy luJown to me or has/have produced
as identification.
!~ ~
~br~ . ,
Corrlrn1S'slon No.
"'"'''~''''' JACQUELINE SOGES
f~!!''''Y,~'<. " DO 621833
Name of Notary typ~. ~ ce~ember 1 aOo-385-7019
"'1,~:II"'\ ,..," Bonded Thru Troy FaIn Insurance
Notary Public
Notary Public
f't~'~
s"L+ vF
1-, ~ ~I
\City ~of Z.y:thills
BUILDING DEP .AR'ifMEN'r
RE:Permit#~
9/17/07
Inspection Aflidavit
I ~-H 8{~MI1#~
(plellRl print name and circle Lie. Type)
,licmsed as a(n~Z'ec:rlArcbi~
Building Inspector*
License#; L.(L.oS-) 9S-7
On or about A V ~ I bJ f't.. ~o tY . , I did personally inspect the roof
":::7 (D8ie k time)
~:~ miDr ~~Dru/arv water barri~ work at Jz '330 I ~+~ .sf
_ . _ ~.; J.I ~,~ (Job Site Address)
2~lfV'hmsl ~ ,
Based upon that exam;na.tion I have detennined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553-844 F.S.)
~ ~,.......,.-
Signature
STATE OF FLORIDA
COUNTY OF L ~ +
s 0 and subscribed before me tbis~day of f4u JU..s
By
. 200.f
Notary Public, State of Florida
(lA]\j {iANn ~.L.
(print, type or stamp name)
Personally known X or
Produced Identification
Type of identification produced.
Commission No.~
~ Gen~. Building, Residential; or Roofing Conuactor or IIIIY individual certified lIDda- 468 F.S. to make such en
mspectton. Include pbotosraphs of each plme of the roofwitb the permit # or addteIa # clearly shown muked on tit
deck for each iDspec:Uon. e
~"'J';,'''''', CORI ANN KEOUGH
GJit\ "*' PuIIIIc . S. at FbIldI
i. .;My CommIllIIol. ExpnaAug 17, 2010
CommIIIIal. t DO S88S03
. EIcInMd ., NdInIl AIIft.
~~~~~~~~1~1111111 1111111I1111111111111111111111111
Rcpl: 1201723 Rec: 10.00
~~~00. 00 IT: 0.00
8/08 ______ Dpty Clerk
JED PITTMA~ PASCO COUNTY CLERK
09/08/08 0~:10am 1 of 1
OR BK 7920 PG 542
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. 02- 2lt;.- 2..1- OD 00 ~ 03<<-+00 - DOlO
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 infor,mation is p.rovided in this N8JfrCE 01 ~5l~Y'~~~~1I~1 /2- of tV "'"" Vet
COWl C(,J-OLfOOII1. j- 30 Pi- 1'0 ...,
L. .L:. - -u tJ ""'1 c/~ ..53' ,"~ . r-r.
l.Description of property (legal tlfscription:) of- S6/~i./ 0.,...- .fee 2. '-OY 1,,8 f" ..../ C ' C /2.7" ~ Jrp~
a) Street Address: I ~~3o 1'2..-""'''\. t' Z e.. ph Y ~k 1'1 'S F L .,
2.GeneraI description of improvements: -.J
(/..Lroo f "2~ 5t wI A B AFT)'.,fIllol.l I, ,,(. .iklc.Jtewooq
3.Owner Information n a. . r, , 1"/ - -f 't1 fJ _ f1 /2 . (1'
. a)Nameandaddress:J./le..\I'\( UVlj~lI\.r rAf3R..c -/\..cf/-/YUJ Kll1rxJ1/('!Lll'eei1 IV "
b) Name and address of fee simple titleholder (if other than owner) JIV 111 t' n nj S
c) Interest in property t= 0 it'
Rcontractor Information ,C" ('" A~ r',
a) Name and address: .J4h f17lh L'
b) Telephone No.: ".. "3 6 7 V
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 COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
irector/PartnerlManager
The foregoing,instrument was acknowle~d before me this ~ day of ~V~ t- ,20C>~, by W h ,{- Bv~n.. +--
.. as I -y "'-oS +t e... (type ofauthority, e.g. officer, trustee, att mey
m fact) for (::), C\. '" L ; ~v ~ e... '" +- (name of party on behalf of whom instrument was executed).
Personally Known.x. OR Produced Identification Notary Signature.~ C, ~
--
Name (print) (.<)rl)ft L ~\ CL~kwtCc.V\
Type of Identification Produced
Verification pw:su:mt 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 knowledge and belief.
~~~
Si tIi of ra ers n g Above
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My CommIIIIon 00?98512
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Proposal/Contract
Se6tt ~~ ~~, 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
..i1 it:-elt-d-eti,
€(J.lt-tieti &
11t-d-et'r-eti
Date?! )/oY
, f
PROPOSAL SUBMITTED TO
Name fY}v, I3vJ q V\ f-
Street ~ ~3D /2 +-h Sf
City 2~f2h-Lt-du1J S
State LI Zip
Phone Number -3J 2 -157 R
WORKED TO BE PERFORMED AT
Street
City
State
Zip
Owner of Property
Phone Number
Fax
Fax
We hereby propose to furnish all the materials and perform ~he labor n~cessary for the completion of:
~ove existing shingle roof dou.ble It\.!t<r- ~placebadfasclaboardsat$ Z - 7 S- per foot
o Remove existing built-up roof 0 Install feet of ridge vents
~in with 015 lb. a'3O lb. 0 Install modified bitimen (granulated) torch down roofing
~ ew galvanized valley metal blac ,white or other color
Install new lead boots nstall 25 yr. fungus resistant 3-tab shingles
o Install new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles 4 'l-' ,(:00
~tall new drip edge, 5;'.,.. uJh. k color 0 Shingle manufacturer color ~~
~all new flashing as needed 0 Install TPO, white rubberized roofing membrane
~place plywood at $ .3 7 ~ a 0 per sheet 0 Other:
~air rotten trusses at $ 2, 1~ per foot
*Woodwork is an additional charge, see pricing above
W t..~/4. (e I X (, pled< (~J @Fz.. ~ 0 ~CY' ~~
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ -5'j~ b 0 , v' 0
with payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, addtionaI2.8% 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.
Officer/Agent Scott Blackman Roofing
Note: This osal 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 Proposal/Contract, which contains Florida Stautes 713.001-713.37. Payment will be made
as outlined above. ~
Acceptad"fc" '2 3!i ~O ,wa.1I cIr"'''''o'' .J Signature n . -- - -
Date Signature
Pasco County Parcel: 02-26-21-0000-03400-0010 001
Page 1 of2
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequentlv Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Mailing Address
BRYANT DIANE FABRE REV TRUST
818 BENTLEY GREEN CIR
WINTER SPRINGS, FL 327084349
Physical Address
6330 12TH ST
ZEPHYRHILLS, FL 33542-6306
Weekly Archive - Saturday, August 02, 2008
02-26-21-0000-03400-0010 (Card: 001 of 001)
01 - Single Family
Property Value
Ag Land
Land
Building
Extra Features
$0
$32,709
$69,775
$1,564
Data Current as Of:
Parcel ID
Classification
Legal Description (First 4 Lines)
COM AT A POINT 30 FT EAST OF
NW COR OF Sl/2 OF NW1/4 OF
SE1/4 OF SEC 2 FOR POB TH
N89DG 53' 06"E 127.55 FT TH
Market Value
Assessed (Save Our Homes)
Homestead 196.031
Non-School Additional Homestead Exemption
$104,048
$104,048
- $25,000
- $25,000
Non-School Taxable Value $54,048
School District Taxable Value $79,048
Warning: A significant taxable value increase
may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Line II Use
II 0110
II 0110
Additional Land Information
Acres I 0.54 I Tax Area I 30ZH FEMA Code IT] Residential Code I 1ZHN.N2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1961 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plastered Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
1
2
Land Detail (Card: 001 of 001)
Units I Type I Pr
0.50 I AC 1$47,9
0.26 AC $47,9
Line Description Sq. Feet Re
1 BAS 1,670 $95,073
2 FST 168 $4,782
3 UGR 325 $5,579
4 FOP 20 $285
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1975 400 $405
2 CLFENCE 1975 1,400 $494
3 FIRE PL 1975 1 $290
4 UDU-M 1983 1 $375
Sales History
Previous Owner
BRYANT DIANE &
II
http://appraiser.pascogov .comlsearchlparcel.aspx?sec=02&twn=26&mg=21 &sbb=OOOO&bl... 8/5/2008