HomeMy WebLinkAbout08-8285
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8285
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:
8285
RE-ROOF
ROOF REPLACEMENT
SINGLE FAMILY RESIDENTIAL
Address: 37352 DE BYSHIRE D
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0120-00000-1010
5,280.00
WHELAN, DENNIS & JESSIE
37352 DERBYSHIRE DR L T 101
ZEPHYRHILLS FL 33542
352 457-5454
Name:
60.00 Address:
60.00
9/08/2008 Phone:
REROOF 30YR DIMENSIONAL SHINGLE
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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 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. II
~
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. se +- uv .,t, '..."'- \
f/(/(S1 ,
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,
!City ~of .Zmh~rhills
-BUILDING DEiPARTMENT
RE: Pennit # ~ J.. &'-.5
9/17/07
Inspection Affidavit
I ScoTt 131~~tvltlV'
(lllc:8Se print name and Qrcle Lie. Type)
=-- .
licensed as a(n~~ngineer/ArChitect,
, Building lnspector*
License #; Cc i ~r 1 ~ S- 1-
On or about ~ 0 k' i.4fV\. , I did personally inspect the roof
(Date & time)
Gieck nailin~ and/or secondary water barri~work at 3., 3 5~ ~y hL.jS 'h I '( e. , 0 y
'-- V-I_I", V-I') - (Job Site Adch'ess) J
Z ~P~'lr-L"l.Ls ( F I
Based upon that examination I have detennined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
~.~
....Signature
STATE OF FLORIDA
COUN1Y OF
Sworn to and subscribed before me this 9!).ay of ~ ~ k~ . 200 ~
By S ( a:l::LJSJ (j Lk. MtLV\ .
Notary Public, State of Florida
C&-u (] A~ Ji" - . vC-
(print, type or stamp n':;n-;; /'
Personally knownL or
Produced IdentificatioD____
Type of identification produced.
Commission No.:
~ Gen~l Building, Residential; or RoofiDg Contractor or IIllY individual certified under 468 F.S. to make such an
mspect1on. Include pbotogxaphs of each plane of the roof with the permit # or address # clearly shown IJlllt"ked on the
deck fOT each inspection.
.' " ':r~ CORI ANN KEOUGH
$,' NoIIIy PubIc - StIlI d FbfdI
. ~ ComnlIIIIDn e...- AcID 17. 20'0
~ CammIIIIon . DO 5Il85llS
.. .r#"~ Bonded By NIl....., NaIIIy ANn.
Date Received
Fax-813-780-0021
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Owner's Name
Owner's Address I J..e-.s.s. l'e
Fee Simple Titleholder Namel
i AJ~elllt V\.
~
JOB ADDRESS
Fee Simple Titleholder Address I
13 7 ~ 5 ^ Oc,\r b,-s \.. ,~ <:
I /;J { d ~ fA/",O vi
V
DESCRIPTION OF WORK
I
E3
D
D
Dr ~T#
PARCELlD#11 () - 2.. (,p- 2-1 -01.2 0 -MooO-1 0 I (J
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
SUBDIVISION
D
D
D
D
D
E3
PROPOSED USE D
TYPE OF CONSTRUCTION D
(2-c VU 0 l-
I
. I I I I . I I I I . I . I r . . . . I I . . . I I . . . I . . , , I . . . . I I I . . . . . 1.1. . I I I . . I I I . . I . I . . I I I . . . . . I I . . . . I . . . . I I I . , . I I . . . . . ... I I I . . . . . . . I I I I I I . . . . . . I . I I I , . . I I I I I I I I . I r I I I I
1$ 5~OO 100
1$
1$
b
FINISHED FLOOR ELEVATIONS I
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/ALT
REPAIR
COMM
FRAME
DEMOLISH
WORK PROPOSED
OTHER
STEEL
I
D
OTHER I
2-tfs
~ >~(:.-r. I le\
BUILDING SIZE
ROOFING
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
GAS
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
IIII " " I , I I , . . I I . I . .. , II , I , I . I II . I I II I II f II , It "It, I . , . , . I I I . . II " . , . I " .. . . . .. I II . I II I r . I " P . . , II II . III , I r " ,. I . I . II I P . .. II I I . III . , . , I .. . . . . . 111
COMPANY
REGISTERED Y/N FEE CURRENT Y/N
LIcense #
COMPANY
REGISTERED I Y / N FEE CURRENT Y/N
License #
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
~U- I
33D 10 S.d-- Po 6-\1"X \ I 8'( 54.. 1Ih",- 13))(,1
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111
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 subdivisionsllarge projects I
Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. ~-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, srrmwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requir ments must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMPANY
REGISTERED
License # I
l5 ( r) troltJtklti., . ,4(/ h ;;
I Y / N I FEE CURRENT Y / N I
License # I c c c.. 0 S 1 i)" 7
Address
OTHER
SIGNATURE
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized 1
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 0 ner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only) .
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
i
Driveways-Not over Counter if on public roadways..needs ROW I
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 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 Officia~ for a period not t~ exceed nin~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 ~ ~/
Subscr1bed and sworn to (or affirmed) before me this
by
Who istare personally known to me or haslhave produced
as Identification.
CONTRACTOR ~~~
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have 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
1111111111111111111111111111111111111111111111111111111II11I
2008130243
Rcpt: 1201723 Rec: 10.00
DS: 0.00 IT: 0.00
09/08/08 ____ Dpty Clerk
NOTICE OF COMMENCEMENT
Permit No.
JED PITTMANft PASCO COUNTY CLERK
09/08/08 0~:10am 1 of 1
OR BK 7920 PG 541
Property Identification No.1 0 - a.. (, - 1'- 0 ,.~. D - 0 000 0 - 1 0' 0
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.
V-ttJI~ ~oo61 ,....,"' '" I,.. '''4.JC 1""'6 II fJ 8 z. 7 P" If -IC/
I.Description of property (le.s..al description:) 0 () /l- 7
a) Street Address: S 7 Z. ,.. b 'Z. ~
2.General description of improvements:
3.0wner Information J W h I
,a)Nameandaddress: ~$51'e (. 4~ 373)2- LJLyj,,,,1A,;t! p"
b) Name and address of fee simple titleholder (if other than owner) ,
c) Interest in property
4.Contractor Information ('
. a) Name and address: ..){ 0 'lit~1'& '"
D. b) Telephone No.: ". ft-f' - 71# C.}
aety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
l<;J..,,~J.,;/If ~/ J 3-..ryz.
,
~ j Z. 1~4 0
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.)
8.1n 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,
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.
~~ u
~,
, Sign)l.ture of Owner or Owner's Authorized OfficerlDirectorlPartnerlManager
~/D17 &e,.CkJl&c ~~
Pri;r~ 2 .
The foregoing i"'trument was "'knoWle~efo~s ~ day of '~f'k;.. her . 20a&..... by \. ~tt ~~
. . as. "--"-' y\ " c..:. V (type of authonty, e.g. officer, trustee, attorney
m fact) for \;~ V\ e......\Cl. 1A. (name of party on behalf of whom instrument was executed).
Penmnally Known ~R P,odnced Identification _ Notary Signature C6-u' ~ t4J.~
Name fJrrint)(b r I · a""" b!e rJ~
STATE OF FLORIDA
COUNTY OF PASCO
Type of Identification Produced
Verification pw:su~nt 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.
'.~~
~ature of Natural Person Signing Above
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scon BLACKMAN ROOFING - ~s
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P.O. Box 1188 .. '3.:'1 ~
SAN ANTONIO, FLORIDA 33576 .., .
(352) 588-7663 (813) 782.1330
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BLACKMAN, SCOTT
SCOTT BLACKMAN ROOFING INC
POBOX 11B8 FL 33576
SAN ANTONIO
ACI 393~Sb
Congratulations! With this license you becon:'e one of the near~y one million.
Floridians licensed by the Department of Business .and ProfeSSional Regulation.
Our professionals and businesses range from architects to yacht brokers. from
boxers to barbeQue restaurants, and they keep Florida's economy strong.
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Thank you for doing business in Florida. and congratulations on your new licensel
. STATE OF FLORIDA
D2PARTMENT OF BUSINESS AND
. . PROFESSIONAL RRGULATION
CCC0579S7
08/21/08 087004333
CERTIFIBD ROOFING CONTRACTOR
BLACKMAN, SCOTT
SCOTT BLACKMAN ROOPING IRe
IS CBRTIFIED Wl<tell' th.. provh:l...... of eh.48!l F
....1rauOD aau, At1G 31, 2010 LOBOB2101218
DETACH HERE
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3934563
STATE OF FLORIDA
DEPAR~~s~lu~~~5~iio~R~R~!~i~~~~!LB~figLATION
. .. LICENSE NBR SEQ#L080B2101218
OB 21/2008 087004333 CCC057957
The ROOPING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 PS.
Expiration date: AUG 31, 2010
BLACICMAN, SCOTT
SCOTT BLACKMAN ROOFING INC
33010 SR 52
ST. LEO FL 33574
CHARLIE CRIST
GOVERNOR
CHARLBS W. DRAGO
SECRETARY