HomeMy WebLinkAbout08-8269
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8269
Permit Number: 8269
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,700.00
Date Issued: 8/29/2008
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 8/29/2008
Work Desc: REROOF
Address: 5255 18TH
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-17800-0050
Phone:
o 0\& /o~
W'li
D
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.
NOTICE: In addition to t uirements of this permit, there may be additional restrictions applicable to this property that
may be found in the Ii ecords of this county, and there may be additional permits required from other governmental
er m nagement, state agencies or federal agencies.
ion fees shall be made before any further permits will be issued to the person owning same
r: Your failure to record a notice of commencement may result in your paying twice for
your property. If you intend to obtain financing, consult with your lender or an attorney
g your notice of commencement."
CTOR 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 LY (lJ.. '"l (~. q
Building Department 11 U l^(!
Fax-813-780-0021
Date Received '
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS
:;2--5:5
ItfiA
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
Sf
I PARCEL ID#I
~ ADD/ALT D
REPAIR
COMM D
D FRAME D
LOT #
SUBDIVISION
DESCRIPTION OF WORK
E3
g
I
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
STEEL D
OTHER I
SQ FOOTAGE I
HEIGHT I
BUILDING SIZE
,.,......'11'..'...'111...111......11..........111............"""11......'1.111.."".11.....1111.'........111111.11111111........11'..'......1111
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
Address
Y/N
FEE CURRENT
Y/N
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
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 onslte, 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.
11111111111111111 J 11111111111111111111111111111111111111111111111111111111111111 J 111111111111111111111111111111111111111111111111111 i 1111111111111
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 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 UN, 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 UN 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 ork ceases for ninety (90) consecutive days, the' b is considered abandoned.
WARNING TO OWNER:
PAYING TWICE FOR
WITH YOUR LEND
FLORIDA JURAT (F.S. 11
efore me this
Who is/are p
e 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
'<City ~of .Zepbynhills
;BUII..iDING DEP ARtrMEN'if
RE: Permit #
9/17/07
Inspection Affidavit
I~~~
(please print name and circle Lic. Type)
,licensed as a(n) Contractor* /Engineer/Architect,
FS 468 BuIlding Inspector*
License #;
On or about
r - )--fJ cP
(Date & time)
, I did personally inspect the roof
)1- :J) -( cP ~ f--:---
,
(Job Site Address)
deck nailinf! and/or secondary water barrier work at
(circle one)
aye determined the installation was done according to the
t Manual (Based on 553.844 F.S.)
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this ,_day of
.200
By
Notary Public, State of Florida
(Print, type or stamp name)
Commission No.:
Personally known or
Produced Identification
Type of identification produced.
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the pennit # or address # clearly shown marked on the
deck for each inspection.
A -, - f ..... ,,~; .'". "t
A. Snrtldt fRnnfittg (@f Otetttrn11l11nribn. 1J~r.
. I~ J IAJrt(f~
c/o Richard Bartlett ~J
\(/0 384083rdAve. f '~b ~
N ('(-1 I Zephyrh ills , FL 33542 ' _ -'--
r v 0 ( One of the Largest, Oldest, Most Depend.l;!,f';:O O~I~ 6-
~ 1 Roofing Companies in Central Florida ( tv
'J Specializing in Mobile Home JP Stevens White Rubber Roofs PHONE
& Insulated Aluminum Roof Overs (813) 782-5585
(813) 973-7737
(352) 523-1944
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED - BONDED
· MEMBER OF THE CHAMBER OF COMMERCE .
Lic.#RC 0031769
/
Serving Zephyrhills, Dade City, Qu~il Hollow, Wesley Chapel, Land 0' Lakes and Surro)lhding reas
We have re-roofed mo; "i"fs ,(16.000) In the pasl 35 years than the four tocal teading roonngp:,,!';iefCO bi"';~
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resident & Own~ N ~~
Sign:
h9 of Central FL, Inc.
..'
Richard C. artlelt
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
, ' .,~
'All ~rfablfliihents contingent upon stfikes, accidents or delays beyond aUf control. Owner to carry tire, tornado and other necessary insufance.
Our worKers are fully covered by Workmen's Compensation Insufance. Customer is liable fOf any chaFges incufred 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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. Total
---- -----------..-----------
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Rept: 1200274 Ree: 10.00
DS: 0.00 IT. 0 00
08/28/08 "
Permit No. __ Dpty Clerk
iED PITTMAN PASCO COUNTY CLERK
Pmporty Idontifioation No. C:/:'791it. tG of I
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance ~~
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
l.Description of property (legal description:)
a) Street Address: 5255 18th Street Zephvrhills. FL 33542
2.General description of improvements: R e roo f MH She d Rub b e r
3.0wner Information
a) Name and address: Georgia OsbornG"5255 18th Street Zephyrhills, FL 33542
R. . b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
tractor Information
, . a) Name and address: A Bartlett 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( I )(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,
FLOlUDA 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.
in fact) for
(name of party on beha
ST ATE OF FLORIDA
COUNTY OF PASCO
The foregomg instrument was aclmowledged before me this ~ay of
as
Personally Known _ OR Produced Identification_.
Type of Identification Produced
Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregomg and that
the facts stated in it are true tothe best of my lmowledge and belief.
~ 'I::!... RICHARD C. BARTlETT
~~. :~*. MY COMMISSION # DD 447832
t. EXPIRES: July 31, 2009
: Bonded Thill NllIary PubIc Underwriters
ignature of Natural Person Signing Above
FORMS/NCC.rvsd2007