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HomeMy WebLinkAbout09-8739 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8739 BUILDING PERMIT Permit Number: 8739 Address: 38919 12TH AVE 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: Improv. Cost: 4,500.00 : Date Issued: 1/16/2009 Name: PETRIE, JAMES Total Fees: 55.00 Address: 38919 - 12TH AVE Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/16/2009 Phone: Work Desc: REROOF W/ASPHALT SHINGLES SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 85.00 AD 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." ,:CONTRACTOR SIGNATURE 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 Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting -- Owner's Name jgweS s'+) t' . Owner Phone Number Owner's Address HO ' 7 I—, R4J Jor rla IJI Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address /� JOB ADDRESS l3 9t 2 1'� i -ve k,(I• I' LOT# I SUBDIVISION I PARCEL ID# I I-Z(c 2.I—c0I.O--OZ14 oo-COfrC (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK E 1 FRAME Q STEEL Q OTHER h DESCRIPTION OF WORK i�c.� ¢ �✓ ( � BUILDING SIZE I SQ FOOTAGE I ' 1 7o0 HEIGHT El BUILDING $ s ' VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. 0 PLUMBING $ ?, Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 GAS ROOFING 0 SPECIALTY El OTHER Q ' r FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO r BUILDER COMPANY SIGNATURE REGISTERED f Y/ N I FEE CURRENT I Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# I OTHER � COMPANY Lo Ki11�<-(�4ttk v\ /> .&0 74 f Z;1) L SIGNATURE t- ' REGISTERED I Y/ N I FEE CURRENT /N Address I b i3 tJ� l Ii fTyit.i If/ Y3r 7 License# I Cc CO S 7 j S7 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)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. IIIIIIIIIIIIIIIIIIIIIIIIII 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 may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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 FORINTEND ' CONSULT DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. WITH YOUR LEN FLORIDA JURAT(F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and-sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. rinted or stamped Name of Notary typed,P ed tinted or stamped Name of Notary typed,p se Proposal/Contract s� , low. P.O. Box 1188 • 330100 SR 52 • San Antonio, FL 33576 (352) 588-ROOF (7663) • (813) 782-1330 s.fe.ded d Fax (352) 588-9763 9�dwc�a� www.scottblackmanroofing.com email: blackmanroofing@aol.com Date !fie 057957 PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name 7> v ' /@ /7'/(° Street Street 33// ' ,/.se? �' / City_______________________________ City State Zip State Zip Owner of Property Phone Number ) _3—_ (/ JC Fax Phone Number Fax We hereby propose to furnish all the materials and perform all the labornecessary for the completion of: ve existing shingle roof .9'Replace bad fascia boards at$_3'- "3-y© per foot ❑ Remove existing built-up roof ❑Replace 1 x decking at$ per foot Dry-in with ❑ 15 lb. 3C� 0 Ib. . Install 90 feet of ridge vents ❑Dry-in with a fully adhered underlayment$ ❑ Install modified bitimen(granulated)torch down roofing ❑Install new galvanized valley metal additional �— black, white or other color a1nstall new lead boots ;1"n ns 1125 yr.fungus resistant 3-tab shingles ❑Install new exhaust vents stall 30 yr. fungus resistant dimensional shingles a'fnstall new drip edge, s"' '"'4 T( color ❑Shingle manufacturer color ❑Install new flashing as needed ❑ Install TPO, white rubberized roofing membrane ace plywood at$ 0 UC) per sheet ❑Other: rC'C cS'1'1elT air rotten trusses at$_3" 0y per foot *Woodwork is an additional charge,see pricing above All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of$ 'VSvo ,,, ,'u with payments to be made as follows: Payment due in full on completion, unless otherwise noted. Thank You. Credit cards accepted, additional 2.8%charge. *Not responsible for satelite signal when satelite is reinstalled *Not responsible forA/C&electrical lines too close to roof decking Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays Officer/Agent ent Scott Blackman Roofing beyond our control.Owner to carry fire,tornado and other necessary insurance g g upon above work.Workers'Compensation and Public Liability insurance an above Note: This proposal may be withdrawn by us if not accepted work to be taken out by Roofing Contractor. Extreme caution should be used during and after construction for debris and nails missed during within days. cleanup. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. I have read the back of this Proposal/Contract,which contains Florida Statues 713.001-713.37. Payment will be made as outlined above 4lent gives permis t drive on driveway to deliver materials. Accepted c Signature c ( (7( Ci'177 c Date /72/'>"' 9 Signature 11111111111111111 11111 11111 11111 11111 1111111111 11111 I I I 1101 2009006707 Rcpt: 1221949 Rec: 10.00 DS: 0.00 IT: 0.00 01/15/09 Dpty Clerk PAULA 5. O'NEIL, PASCO CLERK & COMPTROLLER NOTICE OF COMMENCEMENT 010/R15B/09 0 T 1PGo1I17 Permit No. Property Identification No.(1-216-Z I-[ (0 -oj�.jtd0—ckJtJ 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:)(f t 0 Z y h 11 j f'' L 4 y�(,6 �. a)Street Address: ( oZ Z It r r /`� 2.General description of improvements: L ; ice G /, , 3.Owner Information I/O7 a)Name and address: g me-. Pc+rt P- " O?7 7 rL&, m /2c/ ,flhl 727 b)Name and address of f t 1 titleholder(if other than owner) c)Interest in property / i,/A .-V 4.Contractor Information a)Name and address:, u�{11044&,5 i y .3301c y 5 Si (1t.1 & ((Ii S h j 7P b)Telephone No.: S' - -1 J Fax No. (Opt.) S t d'— 7 CO Co 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No. (Opt.) 6.Lender a)Name and address: 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,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, STATE OF FLORIDA / COUNTY OF PASCO `�� +�,f� Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Print Name The foregoing instrument was acknowle ed befqre me this ' 'day , c` y L�7 by ray of �'20_,by ,. -O l trCL �! as - - (type authority. ,e.g. officer,trustee,attorney in fact) for t Q (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature ( i . Z) (2A.4" .. Type of Identification Produced Name(print) /7 /1 Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the fa � 6 o6?Y Co dge and belief. THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT FORMS/ Q"R OF PUBLIC RECORD IN THIS OFFICE signature of Natural Person Sign ng ng Above bove WITNESS MY HAND AND OFFICIAL SEAL THIS "� % C0RI ANN l(E0UGH PAULA S. O'NEIL, CLERK& COMPTROLv R '� �'' Not"Pu -Sorts of Fbrtde Cmntt bsbn E*W Aug 17,2010 BY 1 o%1%°f1m , CoWdUlon#t DO 586503 DEPUTY CLERK Bonded By National Notary Atun.