HomeMy WebLinkAbout08-8297
V"
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8297
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:
8297
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 38823 NORTH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
8,740.00
9/17/2008
75.00
75.00
9/10/2008
RE-ROOF SHINGLES
IN, JIM
38823 NORTH AVE
ZEPHYRHILLS, FL. 33542
Phone:
?J fJ ~
/}/D '1J~
~
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
improveme to your property. If you intend to obtain financing, consult with your lender or an attorney
before ng yo r notice of commencement."
R SIGNATURE PERMIT OFFI
MIT 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
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
LOT #
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
E3
D
D
IA
.J'
NEW CONSTR
INSTALL
SFR
PROPOSED USE
TYPE OF CONSTRUCTION
PARCEL 10#1
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
ADD/ALT
REPAIR
COMM
FRAME
o
o
o
I
D
OTHER
STEEL
OTHER I
DESCRIPTION OF WORK
HEIGHT I
BUILDING SIZE
D
D
D PLUMBING! 1$
D MECHANICAL 1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
I
I
D
I
ROOFING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
D
W.R.E.C
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
j" ~ :J.77
\ /
"'-- ~...
-------~~,.---
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
I I , . . ~ , , , . . I , , , . . I I I I . , , , I . I I I . I , I I I I t I I I r I . . . I I t I . , It' . . . . I . . I , . I I . , I I I I , . I . . , 1 . I I . I . I , , . I , . I I I , . . . I , . . I I . I I I I , . . I . I I I P . I , , I I . I . . I I I . . . I , . . I · · I I ·
BUILDER
SIGNATURE
Address
COMPANY
REGISTERED Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED I Y / N FEE CURRENT Y/N
License #
COMPANY
REGISTERED Y / N FEE CURRENT Y/N
License #
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
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, St rmwater Plans w/ 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.
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
COMPANY
REGISTERED
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 cqntractor) or Power of Attorney (for the owner) would be someone with notarized letter from or I er authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) I
i
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 "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 a~versely affect adjacent properti~s, the. ow~er 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 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 proceed with the work a~d not as authorl~y !o vloI~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violations of any codes. Everr ~ermlt Issued. shall become. invalid
unless the work authorized by s ch permit is commenced within six months o.f permit Issu~nce, or If work authorized. by
the permit is suspended or coned for a period of six (6) months after the time th~ work IS commenced: An extensIon
may be requested, in iJx(, from the Building Official for a period not t~ exceed mn~ty (90W~S and Will demonstrate
justifiable cause fo~) e.'~tension. If work ceases for ninety (90) consecutive days, t~"~).~nsldered abandoned,
WARNING TQ.-'bW ~'R: YOUR FAILURE TO RECORD A NOTICE OF COr,W'E~EMENT MAY RESULT IN YOUR
PAYING TW . E R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INl'ENP-''rO OBTAIN FINANCING, CONSULT
WITH YOU L DER OR AN ATTORNEY BEFOR YO E OF COMMENCEMENT.
FLORIDA JU
/
t
'--.
.....-.....--
as/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
. .
~
A. ilartlttt iUtnfing QI)f €entral1Jrlnribat lJur..
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insula1ed AJuminum Roof Overs
RESIDENTIAL · COMMERCIAL · MOBILE HOME
LICENSED - INSURED -' BONDED
· MEMBER OF THE CHAMBER OF COMMERCE.
OFFICE
, PHONE
'I (813) 782-5585
(813) 973-7737
. (352) 523-1944
UC.#RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' lakes and Surrounding Areas
We have re-roofed more roofs (16,000) in the past 35 yealS than the four /oea/leading roofing companies combined .
Date August 270 2008
Name
Jim Stein
Address
38823 North Ave. ' Zephyrhills, FL 33542
Phone
813-312-6582
DESCRIPTION .
AMOUNT
Remove com lete sh~~gle roof. Complete haul
away. Replace any rotten wood., Install new
peel and stick over plywood to meet new
hurricane code. Install new wide aluminum drip
edge. Repair siding. Reflash all dormers.
Install new valley metal. Nail on a 30 year
Class A Dimensional fiberglass shingle. Install
all new vents. Lifetime leak warranty. No sales
tax. Permit included. $2,000.QO due upon start
of job. Balance due upon
President
Sign:
THANK YOU
iour BUSiness is Appreciated
Payment '.IGor; Co-,p",;Qr unless preVi-Q,IS arrangement made. Warrantl€S oet:a.n [0 orlgnal Gwner
AIi ?rrangemen1.5 cC.':l1'yer.i.:iiOO sIlil:ti. ~iJr~:r.:ra.1d DtIf CI)I//JOi. Owner 1DCitr1fft, ~.rocd1e1 fIf!r.r.:SSilll.;rsu;iJllf.f!.
Ollrwor*e'sar!i&iiyC~byW/:JfkmefrsC~;~:CCC<JstD11le>iS!iJbieiJfat11~iIlcrm:din~".i:;i){i $8, 740. 00
Ro~en 1lOOd IS all ex:ra S"'J5 00;>e:' shee' (4-ply) Rotten fascia IS $2.00 per illleilr foo!. Total '"
fJ~ fhf( ~ UJJt-F I r 'If
() t 70 - # f{J I ~~~I!~~~!!"IIIIIIIII"IIIIIIIIIIIIIIIIIIIIIIIIIII
tI a NOTICE OF COMMENCEMENT
Rcpl: 1201798 Rec: 10.00
os: 0.00 IT: 0.00
09/08/08 _ ______ Dpty Clerk
PermIt No.
Property Identification No. 0 ~. - ~ --.::>..(-0 I?O .<:-' ~--e~O () '-' e cI ! 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 provide this NOTICE 0 MMENCEMENT.
1 D .. f (lid' t'.\ ~ 0_
. escnptlOn 0 property ega escrll!..l lon:/
a) Street Address: 388Z3 North Ave. Zephyrh111s, 1"1 jj:J4l
. 2.General description ofimprovements: reroof shingle dim. house
3.0wner Information
a) Name and address: Jim Stein 38823 North Ave.
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
~.co"ctor Information
l a) Name and address:.
.1 b) Telephone No.:
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
Zephyrhills, FL 33542
A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542
813-782-5585 Fax No. (Opt.) 813-780-1805
Fax No. (Opt.)
JEO PITTMANn PASCO COUNTY CLERK
09/08/08 1~ : 16am 1 of 1
OR BK 7920 PG 803
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, CONSl,JLT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
The foregomg instrument was acknowledged before me this
as
in fact) for
Personally Known _ OR Produced Identification
Notary Signature
Type of Identification Produced
Name (print)
Verification pursuant to. Section 92525, Florida Statutes. 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
.-!l....~ . RICHARD C. BARTLErr
I.f ;~ MY COMMISSION 1/ DD 447832
EXPIRES: July 31, 2009
Bonded ThN NoIary NlIkl Underwriters
Signature of Natural Person Signing Above
tCity {of .ZephyrhiUs
BillLDING DEP ARiI'MEN'f
RE: Permit #
9/17/07
Inspection Affidavit
,licensed as a(n) Contractor* IEngineerl Architect,
FS 468 Bwlding lnspector*
"\
-----
--------
, I did personall:YmsPeet-th~-,'oof
(Date & time)
.........--
deck nailing and/or secondary water barrier work at
(circle one)
(Job Site Address)
ation I have determined the installation was done according to the
on e
STATE OF FLORIDA
COUNTY OF
Sworn to and subscrib
--=--
oremethislLdayof ~:r7'
Y' .
Notary Public, State of Florida
.2001
By
c
....-...
(print,
'i.. . . 734406
.:. Expires ~eoruary 22. 2012
IonGod lluu TlI>Y Fain ........llOO-3ll&-101g
or
* 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 permit # or address # clearly shown marked on the
deck for each inspection.
-------
.~~