HomeMy WebLinkAbout08-8339
CITY OFZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8339
Permit Number: 8339
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,400.00
Date Issued: 9/19/2008
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 9/19/2008
Work Desc: RE-ROOF SHINGLES - 11 SQ
Address: 5716 9TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Phone:
~~5- j)
q/t/
FI
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
~...
~ CONTRACT~-~~~~~- -- == 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
Date Received
Owner's Name V
Owner's Address I 5 11~
Fee Simple Titleholder Namel
2~,t'-J,1I11S. ))t OWne, Ph.... Numbe, I
Owner Phone Number I
JOB ADDRESS
Fee Simple Titleholder Address I
I SCA.rY)~
I
I LOT # I
I PARCEL ID#ll I-~b - ~ 1-(x)fO -05~ 0' toO
(OST AINED FROM PROPERTY TAX NOTICE)
D NEWCONSTR D ADD/ALT ~D_~N 0 MOVE D
D INSTALL D REPAIR """"lZ CJr
PROPOSED USE D SFR D COMM D OTHER I
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0
DESCRIPTION OF WORK I flJ <;2.- r-crJf- - 6k'F s ) I ] Q-.
BUILDING SIZE I I SQ FOOTAGE 16 HEIGHT I I
\iiJ"'" ~~,~~:~~"""" i' ';)'~i;;':' ~...."'" ;~~~~;~~ ~~'~~~;: ~~~~;~~~;,~~""""""""""""""""" ,,:"" ,
D ELECTRICAL 1$ AMP SERVICE D PROGRESS ENER9Y D .C
D PLUMBING 1$ q 739
D MECHANICAL 1$
D GAS ~
FINISHED FLOOR ELEVATIONS I
SUBDIVISION
WORK PROPOSED
DEMOLISH
OTHER I
VALUATION OF MECHANICAL INSTALLATION
ROOFING
D
I
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
IAINO
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 , . . , , 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 . . . I , , , r I , , I I I I I I I I . I I I I , , , I I I I I I I r p I I P ,
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~'~~":TURE ~~-=-~=-: - I ~':.~~...: ~ ~~~,flq)1 ~y I
1I111 ~I~~::~~IIII ~ ~ ~~I~III~I ~'I ~ III ~~f~~ttt:.~1 ;'I!~ 1111111111111111'11 ~:~:~~~I~I'I .I1~1 ~ ~ ~ ~~;~ 11111.'
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 Safely Page; (1) set of Energy Forms. R-Q-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.
111111111111111111111111111111111111111I1111111111111I111I1I111I1111111I111111111111111111I111111II11111111111111111111I11111111111111111111111111
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 Attomey (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)
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
I Y / N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
MECHANICAL I
SIGNATURE
Address I
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
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, 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 proce~d with the work a~d not as authori~y !o viol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUilding 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) 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.
=:A~~::(FS 1110 = CONTRACT"", 4--~
Subscribed and s rn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
~ ~
Who is/are personally known to me or haslhave produced Who is/are personally known to me or haslhave produced
as identification. as identification.
Notary Public
Notary Public
C,ommisslon No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
"~'1maH- ~()()~iH-9
A Division of Ryman Constrnction, Inc.
37325 SR 54 * Zephyrhills, Florida 33542
Phone: 813-782-6094 Fax 813-783-2645
License #CCC 1325505
\
,
Customer:3 e ~ \..\~ ~
Address: 57 I to Cf -+"'- S -\- ·
,....,
Home Telephone: 7gg - qq q:J Alternate Phone #
~omPlete tear off of existing shihgles
[l( Roof dried in with #.1Q.. felt
0/ Install new valley metal with galvanized metal
~/Re-secure all loose roof decking as needed
V / Install all new lead boots M R'iit;l'i'd
i.i(" Install all new drip edge 8ii RiiQlld:?," - c..v'" \-k..,
~ Install all new ~ year fungus-resistant shingles'- (,\Vif
lS:I Shingle Color ~~ Ccr^i^5 ~\ \ ~lAc..- .;)\.
~ All debris removed from the job site
[J" All materials, labor and permits furnished
Date:~./ IQ/c92
C City: ZePh .../ ~ " , \j Zip: 33-:>1..1 ~
Business Phone #
Additional Items: ~ f"'.)k\\ ~ 0 L.r of 11.ll lA../
l.._\-."k. ~\lJvv..\;'\~ ~\&q~ ~-\.S.
S- -j..u,..r ~~r '-A~~-t-,I
. 0
Total bid price $ ~4w. 0
Extra's _
[i(' Bad plywood replaced at a cost of $ if $' per sheet in the roof fjeld. All other wood work, such as valley rebuilding or rafter
replacement, will be at a rate of $ SS - per man hour plus the cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWlEDGES RECEIPT OF A COPY OF THIS CONTRACT.
1. All material is guaranteed to be as specified and completed in a substantial workmanlike manner.
2. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work.
3. Labor warranty does not cover damage to roofs caused by lightning, hurricane, tomado, hailstorm, impact offoreign objects or other violent storm or casualty damage to roofs due to settlement,
distortion, failure or cracking of roof deck, walls or foundation of a building.
4. Workmen's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING (a subsidiary of Ryman Construction, Inc.), or it's sub-contractors.
5. RYMAN ROOFING, INC is not responsible to provide any materials or to pe?rm any work other than what is described above. Replacemeflt of deteriorated decking, fascia board, is not
included and will be charged as an extra unless otherwise stated herein. - ,
6. This contract is subject to final approval by RYMAN ROOFING, INC. and is ~e entire agreement of the parties and no other written or other forms will be recognized.
7. A charge of 1.5% will be made on all unpaid balances after 30 days plus charges incurred for non-payment procedures plus attorney's fees.
Ryman Roofing, Inc. will not be responsible for any septic tank, sod, shrubbery or paint damage.'
Payment due upon completion of job.
Acceptance of Proposal
Purchas .
t
re satisfactory and are hereby accepted. You are authorized to do the w~rk as specified.
Date: q ~ \ '1 ,.-_.a, S
Date:~/ \ q/O,V
Estimator:
Pleased note: A charge of 1.5% will be made on all unpaid balances after 30 days, which is an annual percentage rate of 18% applied to past due balances.
STATUTORY NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO
FLORIDA'S CONSTRUCTIQN LIEN LAW (SECTIONS 713.001-713.27, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND
ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT
AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR. OR A SUBCONTRACTOR FAILS
TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS,
THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR
PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO
PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR
PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD
AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES
THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO
PROTECT YOURSELF, YOU SHOl,TLD STIPULATE IN THIS CONTRACT THAT BEFORE
ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU
WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS
PROVIDED TO YOU A "NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW
IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
By:
Of - \'\ -O'V
Date
o
w~
TItle
Purchaser:
City of Zepbyrhills
BUILDING DEPART:MENT
RE: Permit#~
9/17/07
Inspection Affidavit
I J<, II." ~~
(please print name and circle Lie. Type)
,licensed as a(n) Contractor* /Engineerl Architect,
FS 468 Building Inspector*
License #;CCL l3d..S.:roS'
On or about..9 / ::J::J./a$l l~ , I did personally inspect the roof
(Date & rime)
~~nd/or secondarv water barrier work at ~ 7/14 q """ .5+.
~~ (dn:leone) (Job SiteAddre9s)
2e-Ph'"/rh;l\~ 1 a. j3S~~
Based upon that examination I have determined the installation was done according to the
Hurrican~fjt Manual (Based on 553.844 F.S.)
Signa~
STATE OF FLORIDA
COUNTY OF
Sworn Io~Ded befure~.~ day of ~\.....-,:
~ -.
. Notary Public, State ofFJorida
r1r;~{\a- ~~.
(print) type or stamp name) ,
. 200.2
.NP ~ Notary Pullllc Sta.. Of FIortd.
'~.-.,. CIlfI,liBn Ryrnafl
~c f"i fttyClIIlImINlonDD75,e10
... o. floG"" Expire. 0112412012
Personally known OJ:
Produced Identification_
Type of identification produced.
COmmission No.:
~
.. Gencral, Building, R.eajdeptial, or R.oofing Contractor or any individual certified UDder 468 F.S. to mBke such BD
inspection. lftclw'le photographs of each plane oftbc roof'Wi1h tbe permit # or Bddre8s '* clearly shown maxbd on the
dcdc for each mspect.ion.
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