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HomeMy WebLinkAbout09-8828 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8828 BUILDING PERMIT iii Permit Number: 8828 Address: 4821 19TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0010-02300-0080 Improv. Cost: 6,440.00 Date Issued: 2/17/2009 Name: DOYER, JOHN Total Fees: 65.00 Address: 4821 19TH ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/17/2009 Phone: Work Desc: REROOF-30 YR 3 TAB SHINGLE A.BARTLETT ROOFING OF C NTRAL F REROOF RESIDENTIAL 65.00 „ cC 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 our property. If you intend to obtain financing,consult with your lender or an attorney before record'ng our n ice of commencement." SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 44 iiarflett is fing O)f (1ti ntral 1JTtnria, 31nt. C/O Richard Bartlett 38408 3rd Ave. Zephyrhills, FL 33542 One of the Largest, Oldest, Most Dependable OFFICE Roofing Companies in Central Florida PHONE Specializing in Mobile Home JP Stevens White Rubber Roofs & Insulated Aluminum Roof Overs (813) 782-5585 (813) 973-7737 RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523-1944 LICENSED - INSURED - BONDED Lic.#RC 0031769 • MEMBER OF THE CHAMBER OF COMMERCE • 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 years than the four local leading roofing companies combined. Date February 5 , 2009 Name John Doyen Address 41321 19th Street Zepryrhills , FL 33542 Phone DEScRIPIlON ernove cousplete shingle roof . Complete haul away . New 20 lb , base sheet . Yew regular white drip ed edge . New 30 year 3 tab shingles . Four ridge vents . li) year lea: warranty . loasales tax , eru it included r ri 1 President & O,ln r A.-�_ lett Roof g of Central FL, Inc. Sign: chard C.Bartlett 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,tornado and other necessary insurance. Our workers are fully coveredby Workmen's Compensation Insurance.Customer is liable foranycharges incurred in collecting this bill. Rotten wood is an extra$35.00 per sheet(4-ply). Rotten fascia is$2.00 per linear foot. otal 71f /1 37 11111111111111111111111111111111111111111111111111111111111 2009014225 NOTICE OF COMMENCEMENT DSp 0.00 4479 R IT: 0.T: 0. 00 00 02/02/09 - _-_-_ __Dpty Clerk Permit No. ,l Property Identification No. /( l9 —Z( (�( ® ©O v THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description:) a)Street Address: 4821 19th Street FL 33542 2.General description of improvements: reroof 3 tab . Shingles — 3.Owner Information a)Name andaddress:John Doyen 4821 19th StreetZephyrhills , FL 33542 b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4.Contractor Information a)Name and address: A Bartlett Roofing 38408 3rd . Ave . Zephyrhills , FL 33542 b)Telephone No.: 813-782-5585 Fax No. (Opt.) Al 3-7 8 0-i R 0 5 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No. (Opt.) 6.Lender a)Name and address: Phone No. o N 7. Identity of person within the State of Florida designated by owner.upon whom notices or other documents may be served: n a)Name and address: W N cn Imo b)Telephone No.: Fax No. (Opt.) ( 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b),Florida Statutes: a)Name and address: Nm$ b)Telephone No.: Fax No.(Opt.) o 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is ...m specified): x o � 4+3 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF (0 A 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. M 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 ' Signatuame r f wner wner's Au rized Officer/Director/Partner/Manager Print N The foregoing instrument was acknowledged before me this day of 2O l) b > by as (type of authori ,e.g.officer,trustee,attorney in fact)for (name of party on ehaIf of whom' ent w s xecuted). Personally Known OR Produced Identification Notary Signature Type of Identification Produced Name(print) 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 of my knowledge and belief. r"''• RICHARD C. RTLETr _ i W COMMISSION M FORMS/NOC,rvsd2007 ,'� EXPIRES:Judy 31,2009 Signature of Natural Person Signing Above '�l pt;;`;•' Bontletl ThN Naury pi�h�(p UrW�Mnk�n STATE OF FLORIIDA COUN ,p ; THIS IS TO CE GW� , TRUE AND CORRECT COP D Q . TS OFC ; ON FILE OR OF PUBLIC RCI EM THIS ► W IT SS MY HAND ANP DAY OF PAULA S 9E IL CLERK BYE 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received —(7 Q5 Phone Contact for Permitting -- Owner's Name �/ Owner Phone Number Owner's Address r Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# SUBDIVISION I PARCEL 1D# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED FQ NEW CONSTR e ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE n SFR COMM OTHER TYPE OF CONSTRUCTION uR BLOCK FRAME Q STEEL 0 OTHER DESCRIPTION OF WORK BUILDING SIZE I SQ FO AGE I HEIGHT = BUILDING $ VALUATION OF TOTAL CONSTRUCTION �-7 f = ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. = PLUMBING $ = MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 11111 GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ONO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# I 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 Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# OTHER COMPANY I -7t'•-- I SIGNATUREH-- REGISTERED Y/ FE CURRENT Y/ Address License# 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& I 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. 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 ersigned understands that may be ject to"deed"whichNOTICE DEED RESTRICTIONS: The re regulations. The undersigned this permit responsibility for compliance restrictions" any which may be more restrictive than County g applicable deed restrictions. the owner has UNLICENSED CONTRACTORS AND CONTRACTOR to be RESPONSIBILITIES: enOsedSi BacicoEdance with state and hired a regulations.contractor or contractors to undertake work, they mayrequired contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor lvi may apy olation r the under state law. If the owner intended dcontractor ilding Inspection s to what l Div ving sion—Licensing on L cens ngtSection at 727-847- intended work, they are advised t contact the Pasco County Buo have the ign 8009. Furthermore, if the owner has hired edtractor or ractors, he is advisd witl be espons bleelftyou, as the owner sign ass the portions of the "contractor Block" of this application for which they contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. The TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY the construction of new undersigned buildings, nds of that Transportation Impact Fees and Recourse Recovery Fees may apply 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'SIOWNER'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: Y FAILURE TO RECORD A NOTICE OF COMME CEMENT MAY RESULT IN YOUR PAYING TWICE FOR I ENTS TO YOUR PROPERTY. IF YOU INTE O OBTAIN FINANCING, CONSULT WITH YOUR LENDE A O NEY BEFORE RECORDING YOUR N OF COMMENCEMENT. FLORIDA JURAT(F.S. 11 ) OWNER OR AGENT CONTRACTOR bscribed and rmed) ore me this Subscribed and savor r e r e this Su by nIIYkflo me orhas/have produced Who is/are personal) kn wn to a or has/ ve produced are as identification. as identification. nR oU .-� Notary Public �. otary Public Y ' JACQUELINE BOOB Co issio Comm! * COmrilirrtloll CJfiJ 821 .'. fir= Fucpires Dwenftr 12,2010 *:, 833 ea�atTMv��y�e�Mwew�+aaala Name of Nota ' A Name of Notary typed,printed or stamped 611111 ,509.36��ats 03/09/2009 13:30 8137801805 BARTLETT ROOFING PAGE 02 AUG/20/2007/M0N 02:23 PM ZEPHYP►BILLS BUILDING FAX No. 813-780-0021 P. 001/001 D gni/07. Iced as e(n)Cooa (plwe�taone ad dAr IA'17P)• UccnscWasa On oraboAt work at 9 (�bBNrAd_j • 2 ; cSl- 33 h Boed upon that ninati0fl I have wed the inatail5totwas Gone accamding to tho I R;ctoftt Maul(Based aam 553.844 F.S.) S' STATE OF FLORIDA COUNTY OF . Sworn to and subsc�dbod boreme this. day of • O By Nay Pubbe,Stye.ofFlanda gtiu,type of nom) CornamssionNo.:• PeasanaUy]mown ar Produced jcatwn Type of'dendfics °n produced. • "Qana�H�oldir�]taa�io rr�oSwP a'°x ea�Be�ceder X68 F.S tnmri�e root ss qao pbabo of=&PlUt dtitie:opdv'&**Pam'b# addres#cleaiy ++�m fired as�a aectfor arch�redre_ • . zl leer p _ € p- 832 4 00�y03235 C051572 Cash COO Check n,. _ LIDO Char e r. O rotal t_av_: P . TRANSACTION REPORT 01 /01 FEB/ 18/2008/MON 08 : 59 AM FAX ( TX) - # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 FEB/18 08:57AM 97801805 0:01 : 45 3 OK G3 8260 .• City of Zephyrhills: Phone: (813)-780-0020 .. Fax: (813)-780-0021 :.. o`.• �ht t�4 - TO: Lori --------------- --------------�----- FROM: Jackie -------I FAX#:813-780-1805 FAX#: • DATE:2-17-09 #OF PAGES including cover sheet:.',j MESSAGE: Hello Lori, I am faxing over a inspection affidavit for Richard to sign and you can fax them back to us when the roof are ready to be inspected.He has pulled 2 permits that would need the affidavit permit 8814 for 492916'Street for Moody the next one is for permit#8828 4821 19th Street,Doyen.If you have any questions just give•us a call ext. 3513. Thanks Jackie Code Support Specialist -----------------------------------------------------------------;