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Home My WebLink About08-8312 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 8312 Permit Num er: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 8312 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 39744 MEADOWO D LP ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: MEADOWOOD ESTATES Parcel Number: 13-26-21-0140-00000-0110 5,100.00 9/15/2008 60.00 60.00 9/15/2008 REROOF Name: RUSZALA, JOHN Address: 39744 MEADOWOOD LP ZEPHYRHILLS, FL. 33542 Phone: 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 paymen Inspection fees shall be made before any further pennits will be issued to the person owning same owner: Your failure to record a notice of commencement may result in your paying twice for ts to your p .If you intend to obtain financing, consult with your lender or an attorney . notice of commencement. n 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 Building Department Fax-813-780-0021 Owner's Name Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Owner's Address JOB ADDRESS LOT # SUBDIVISION PARCEL 10#1 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLISH , , 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 If' 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 . . 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I . , . . . . o NEW CONSTR EeJ INSTALL [$J SFR LJ BLOCK I~t(~ I sa FOOTAGE I ADD/AL T REPAIR COMM FRAME o D D OTHER STEEL I D WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK BUILDING SIZE HEIGHT I D BUILDING 1$ CJ ELECTRICAL 1$ CJ PLUMBING 1$ CJ MECHANICAL CJ GAS ROOFING FINISHED FLOOR ELEVATIO IS7VO VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY YOR.E.C 0UC) VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE D -I SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO MECHANICAL SIGNATURE 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 # COMPANY REGISTERED Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address Address License # OTHER SIGNATURE Address 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) wDrking 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. 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 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 A/C Fences (PloUSurvey/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. '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 ~nstallations 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 authorl~ !o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II~lng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt 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~ wor. ommenced: An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln. ( ) da~s and Will demonstrate justifiable cause for the ex .on. If work ceases for ninety (90) consecutive days, t \Jo IS conSidered abandoned. ER' YOUR FAILURE TO RECORD A NOTICE OF CO PROVEMENTS TO YOUR PROPERTY, IF YOU I OR AN ATTORNEY BEFORE RECORDING Y 117.03) before me this is ACQiJE.\..\Nl aoeL..) .R lQ\ \:xp\t~ o.eem:!...l~,,\' Q<lntlGll ,1\1.1'~1 r~ Notary Public Name of Notary typed, printed or stamped LEG A L ASSESSED IN SECTION PASCO DES C RIP T ION: 13, TOWNSHIP 26 SOUTH, RANGE 21 EAST COUNTY, FLORIDA PB 15 PG 106 LOT 11 MEADOWOOD ESTATES OR 3105 PG 1654 11111111111I1111I11I11111111111I 1111I11111111" 11111 11111111 2008134611 Rcpl : 1203475 Rec: 10.00 OS: 0.00 IT: 0.00 09/16/08 Dpty Clerk NOTICE OF COMMENCEMENT IS~I;J'i~~il~SC01CO~'Tl CL~RK OR BI< 792! PG 1862 Permit No. Property Identification No. 1.3 - ).te,- 2/ - tJ/-ItJ - ppotJO - tJ/ /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. 1.Description of property (legal description:) 6ec. 0... bo V e......--- a) Street Address: 39744 Meadowood Loop Zephyrhills, FL 33542 2.General description of improvements: r e roo f h 0 use s h i n R 1 e s 3.0wnerInformation Sh ~5..... ~- (R,^S~U.L~) a) Name and address: erry andJohn 3 74 ~adowood Loop Zephyrhills, FL 33542 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4. Contractor Information a) Name and address: b) Telephone No.: 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: 6.Lender a) Name and address: Fax No. (Opt.) R r A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542 813-782-5585 Fax No. (Opt.) 813-780-1805 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 PAVING 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. STATEOFFLORIDA \1_ _~ ( 11 COUNTYOFPASCO ~ J Vl >( X- s;go,rureofjl; e ~', .Jf '}==a:'f""'~IMM'''' Print Name in fact) for M , 20_, by (type of au tho 'ty, e.g. officer, trustee, attorney (name of party on behalfofw in e wa e c The foregomg instrument was acknowledged before me this L day of as Name (print) Personally Known _ OR Produced Identification _ Notary Signature Type of Identification Produced Verification pursuant to. Section 92.525, 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 nf ' belief. ,o/!:JlI......... RICHARD C. BARIlETT If'A~). MY COMMISSION 'DO 447832 \.J'~.zi EXPIRES: July 31, 2009 ~~iif.~'~ Bonded Thro NoIiry P1tlIIc UnderNrtl8nI STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIi:V T\.IAT T'* FOREGOING IS A Signature of Natural Person Signing~~NO CORRECT COpy OF THE OOCUMENT ON FILE OR OF PUIlLIC RECORD IN THIS OFFICE. WITNESS MY HAND AND OFFICIAL SEAL THIS ~ DAY OF (\);::;pj 2 JJ:::/? JE~AN~E~CIRCUIT COURT BV CI - --i:f-tr DEPUTY CLERK FORMS/NOC,rvsd2007 RE: Permit # City ~of .ZepbyrbiIIs ,BUILDING DEPAR'ifMENT ~~/v 9/17/07 Inspection Affidavit rfJ~D JJ~r (please print name and circle Lie. Type) ,licensed as a(n) Contractor* /Engineer/Architect, FS 468 BUilding Inspector* License #; , I did personally inspect the roof On or about (Date & time) deck nailing and/or secondary water barrier work at Leph, /t( (;;) 4t 3 3~-'fv 3 91 </1 /11ecdfflJ rfJd If (Job Site Address) ation I have determined the installation was done according to the annal (Based on 553.844 F.S.) STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this~day of ~~ By .2008 Personally known N or Produced Identification Type of identification produced. Commi '''~oJ~CQUeLINE SOGes al \~ Commission 00 ~21833 \~'. ,:. Expires December 12, 2010 ...tiff.J\\' " 11M611d 1'l\IIIt,~y ~lln IllIurll1C9800-385-7019 * 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.. iBartlett itnnfing (@f <!tentral1Jilnribat llnc. 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 & Insulated Aluminum Roof Overs RESIDENTIAL · COMMERCIAL · MOBILE HOME LICENSED - INSURED - BONDED · MEMBER OF THE CHAMBER OF COMMERCE . OFFICE PHONE (813) 782-5585 (813) 973~7737 (352) 523~ 1944 Lic.#RC 0031769 Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Sun: unding Areas We have re-roofed more roofs (16,000) in the past 35 years than the four local leading roofing co anie combined. Date Name Address Phone Sign: THANK YOU Your Business is Appreciated Payment upon completion unless previous arrangement made. Warranties pertain to original owner. All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, /omado and other necessary insurance. Our workersare fully covered by. Workmen's Compensation /nslJrance. Customer is liable for any charges incurred in collecting this bill. Rotten wood is an extra $35.00 per sheet (4-ply). Rotten fascia;s $2.00 per linear toot. AMOUMT S'I <ru JimJ