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08-8537
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8537 BUILDING PERMIT Permit Number: 8537 Address: 5335 4TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-09600-0060 Improv. Cost: 5,800.00 Date Issued: 11/14/2008 Name: WESTBROOK& JERRY & JAMES Total Fees: 60.00 Address: 5335 4TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/14/2008 Phone: (813)263-6374 Work Desc: REROOF 30 YR RYMAN CONSTRUCTION CO.,INC. REROOF RESIDENTIAL 60.00 // DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one 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." / IONTRkTOSIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Lepnyrrnns relnni miitinn,auvl l Building Department l3 Date Received Phone Contact for Pe rml tin J [ l - Owner's Name Owner Phone Number 2� c� c F� `3 Owner's Address ✓�-� ✓1�€.1� � çve Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � �� JOB ADDRESSL3 ` �� LOT# SUBDIVISION ] PARCEL ID# l ^ zl Vd - + (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT SIGN B 0C MOVE [jI DEMOLISH INSTALL REPAIR ��t2� PROPOSED USE Q SFR LJ COMM OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q OTHER DESCRIPTION OF WORK _V( C' ( Q--' BUILDING SIZE ' I SQ FOOTAGE ® HEIGHT LIII BUILDING Is S 00 VALUATION OF TOTAL CONSTRUCTION till ELECTRICAL $ AMP SERVICE E PROGRESS ENERGY Q W.R.E.C, 0 PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO BUILDER COMPANY SIGNATURE REGISTERED VIN VINI FEE CURRENT Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/YINI FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I_YINI FEE CURRENT Y/N Address License# MECHANICAL COMPANY SIGNATURE I REGISTERED I_Y/ NI FEE CURRENT Y/N Address License# OTHER P COMPANY I 61 Y/ cSi'25 ______ SIGNATURE REGISTERED N FEE CURREN Y/N Address 137. I J7 ! License# C T 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)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 WI 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. lrllrr1 _ 1111111111l_11111111111_lll111111 _11,1111111111_L1 Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (A/C 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(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, 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 iod not to exceed ninety may be requested,steo, i writing, Ifhe work Building ceases forlal for a ninety(O)r consecutive days, the�job is0) days and considered bandonedstrate justifiable cause for the extension. WARNING TO OWNER: YOUR FAILURE TO RECORD T ICE OF COMMENCEMENT MAY RESULT IN YOU ROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR WITH Y UR LENDER AN ATTORNEY BEFORE RECORDING YOUR N TICS OF C MM NCEMENT. FLORIDA JURAT(F.S. 1 3) IT CONTRACTOR OWNER OR AGENT S scr bid and swo to(or affi ed)bef a me this $ybscrib and sworn to o affirmed efore a this by Who is/are personally 1(tlown to me4r has/have produced Who Is/are personally known to me or has/have produced as identification. as Identification. Notary Public otary Public �s JACQUELINE B0GES ^ommission DD 621833 g .12 9(110 Commission No Com ssio o xsee7," �' Expires December 12,2010 printed or stamped Name of Notary type Name of Notary typed d,printed or stampe 1111111 DIII 11111 11111 11111 11111 11111 11111 11111 11111 liii liii STATE OF FLORIDA 2008164270 COUNTY OF Pi'*CO THIS IS TO CERTIFY THATFO GOING IS A '. TRUE AND CORRECT COPY OF THE D0C T0NiFILA i Rcpt.: 1213141 Rec: 10.00 OR OF PUBLIC RECORD IN THIS OEFIC . NESS MY DS: 0.00 IT: 0.00 HAN ND 0FFICI L SEAL '�H• -;o 0� 11/14/08 ..--- _ Dpty Clerk JED PI MAN,CLERK OF C COURT- • � JED PITTMAN, PASC0 COUNTY CLERK _ 4/08 10 l6am 1 EPUTYCLERK\\;` l0R1BK 7965 PG 1935 CONIM.INCLMENT Permit No. Property Identification No. w(-Z' ` /©.r OQ 6OO— O0G0 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 innformat'on I+is provided hi this NOTICE O COMMENCEMENT, lee with I.Description of pro erty(le'gri(ate f crij) l l �^' � n a)S1Teet Address: S lS 1� �?p� 2.General scriptjtin of'nprovements: 3.Owner Information _ a)Name and addressyr �` Y►'1 2S �� b)Nance and address of fee snulr}!e irtleholcler(nf other tlraun P r �C 3oG� �' ��1r/PSSP�- / � c)Interest in property rrh' �rl Qv _3_ actor Infornnationl a)Name and address: S� b)Telephone No.: -__ '=^` ).Surety Information Fax No. (Opt.) a)Name and address:_ _ b) Amount of Bond: c) Telephone No.: 6.Lender Fax No. (Opt.)_ a)Name and address: o. 7. Identity of person within the,State of Florida designated by owner upon whom notiPhone ces or other document a)Name and address: s may be served: b)Telephone No.; B.In addition to himself;'owner designates the followin Fax No (Upt.) 713.13(1�(b� Florida Statutes: g person to receive a copy of'the Lienor's Notice as provided inr Section a) Nan15 and address: b)Telephone No.: 9.Fxpiration date of Notice of Counnencement the expiration date is one year fro notl eOdatpt.)e of recording unless a thflerejit d t specified): "leas WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRAT THE NOTICE COMMENCEMENT:ARE CONSID1 RED IMPROPER PAYMENTS [ON OT 71' OF hLOR.1DA STATUTES, UNDER CHAPTER 713 PART I SIi,CTION 713.13 S,AND CAN RESULT IN YOUR PAYING TWICE FOR INIPROVL ' A NOTICE OF COMMENCEMENT MUST BE,RECORDED POSTED MI!.NTS TO YOUR PROPERTY INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDEi2 OR AN ATTORNEY BEFORE TY TIIE FIRST COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 1ZE STATT,OF FLORIDA COUN'1'Y OF PASCO Notary Public State of Florida Ryma`F Christian Commission Signu r of Oumer Owner's Authorized Officer/Director/pnrtnci,/tvlugei. My CommissionDD751ii10 Expires 01/24/2012 ©� Print Nunre The foregoing instrument w •s acknowledged before w me this PS �vc7 oI —t day of 20QK, as , in fact) for (type of authority, e.g. officer, trustee, attorney (Name of party on behalf of whom u tTument was executed). Personally Known k OR Produced Identification Notary Signatu "Type of Identification Produced Name(print)_��11.S� ��� Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury,I declare that I have r he facts stated in it are true to the best of my laiowledge and beliefread the fore coingandthat 6 ORbMS/NOC,rvsd2007 Signature of Npturnl Person Signing Above Do0S.-�- av /Sod. JJ 1�GlK2GZGl 144 GGl CVu. A Division of Ryman Construction, Inc. d`I1rfvV,-3 - 6346., 37325 SR 54*Zephyrhills, Florida 33542 I Phone: 813-782-6094 Fax 813-783-2645 License#CCC 1325505 Customer: _è-T Ti ) rvd k Date:_' IS/C'8 Address: -.5'33-5 L �h .S* , City: ZPP1.1r Zip: Home TTelephone63 -A 37'1 Alternate Phone# Business Phone# C_�./ Complete tear off of existing shingles Additional Items: Roof dried in with jFL U " Install new valley metal with galvanized metal L .çrpr. p .D�t�(�. pt[ � L ' Re-secure all loose roof decking as needed t7� ,00 s'►, '* Ga' Install all new lead boots ae_needed La' Install all new drip edge aaw arded5` Ja T- \LA,t c � \\ Install all new3Q_year ungus resistant shingle Ca' Shingle Color' " C._ * 1.�1t. IY All debris removed from the job site GY All materials,labor and permits furnished Total bid price$-S1c27. Extra's La' Bad plywood replaced at a cost of $ per sheet in the roof field. All other wood work, such as valley rebuilding or rafter replacement,will be at a rate of$5i - ' 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,tornado,hailstorm,impact of foreign 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 perform any work other than what is described above. Replacement 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 the 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 The above prices,specifications and conditions are satisfact and ar hereby accepted. You are authorized to do the work as specified. Purchaser: Date: // f Y Estimator: Date: 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 CONSTRUCTION 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 SHOULD 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. I HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT. Purchaser: iy By: Date Title Purchaser: City of Zepiiyrliills BIJIIDJNG DEPARTMENT RE:Permit#�s� 9/17/07 Inspection Affidavit I I�e_V'i t dtn ,licensed as a(n) Contractor*/Engineer/Architect, (please print name and circle Lie.Type) FS 468 Building Inspector* License#; CC,L, \3aS--1705 on or about I I laio ' 1.0O , I did personally inspect the rot (Date&time) deck nailin nd/or eiondary water barrier work at ≤33 + + • (umle one) (Job Site Address) 2Q)t.,1rS, -FL_ 3 tia- Based upon that examination I have determined the installation was done according to the on Retrofit Manual (Based on 553.844 F.S.) STATE OF FLORIDA COUNTY OF Sworn to and scribed before me this. day ofAPk .ir . 200 Notary Public, State of Florida �F CnrhUanu RlymenM of Fbr►da =i S� A,. �_ My Commissan 00767910 (Print,type or"'stam� p name) q Expires 01/2412012 Commission No.: Personally known or Produced Identification Type of identification produced. •General,Building,Residential,or Roofing Contractor or my 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 iaepectfon. LOO/L00 IJ XV.d 9Z.'El 8o0 /oz/LL