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HomeMy WebLinkAbout09-9549 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9549 BUILDING PERMIT Permit Number: 9549 Address: 37704 NEUKOM AVE LOT 11 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: GRAND HORIZONS Est. Value: Parcel Number: Improv. Cost: 2,450.00 ,, z Date Issued: 9/16/2009 Name: BERNABO, VICTOR & ELIZABETH Total Fees: 45.00 Address: 37704 NEUKOM AVE Amount Paid: 45.00 ZEPHYRHILLS, FL. 33541 Date Paid: 9/16/2009 Phone: (813)779 -8883 Work Desc: REROOF SHINGLE TLC Rs • IN LL RER• • F RE I IENTIAL 45.00 S lok >.. , ; d1 S <, .. �y.....,:;,: i . DRYINR••FI P TAPE JOINTS ROOF INSP FINAL 0 1 -22-01 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." 6 4g___ 0. 44 CO TRAC N "'.IGNATURE 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 HpplicauurI Building Department K q 5 (1 q Date Received Phone Contact for Permitting 1�1J/i ��+�i IIiIIIIItiIIt1tL11111 Sr j / / 7 - bi5 �G 4 3 rr Owner Phone Number Owner's Name V/ ti, To o R. ' l t ) Owner's Address 1 .3,770 /ve L'L11 /+�� I Owner Phone Number Fee Simple Titleholder Namel V /C7Vg_ BeRf Owner Phone Number l 370 r1- c?c- A. Z f �i-ili, 1 A s rt.. 3 35 Fee Simple Titleholder Address I '7-1 / I LOT # I 1! SUBDIVISION l JOB ADDRESS 1 � Af . 1 /�,� PARCEL ID #I✓( 6 )/--00 CUD lST)�`IJp l�1'(�I] i (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE I 1 DEMOLISH I I / I INSTALL x REPAIR PROPOSED USE I I SFR I I COMM 11 OTHER I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I`) OTHER I 1 DESCRIPTION OF WORK 1 Se / 00f. , -_.1-1/ Nr `e l BUILDING SIZE I 1 SQ FOOTAGE 1 / , `'t, I HEIGHT I BUILDING $ Z‘ 0 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I ✓I ROOFING I 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES O NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 1 License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # I OTHER COMPANY /Le vx>t' /tJC- ! SIGNATURE /Vz' 6) , l l9/Y'� REGISTERED I Y/ I FEE CURRENT I Y/ N I Address H/33 {,7'{ ct bc,c (1,--1-- License L 5 � License # C I 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. 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 NC 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. rth in If I am the AGENT FOR THE OWNER, I in inform permit the may be for conditions electr cal this affidavit prior to commencing construction. plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. set aside any shall ro i s io construed ns of the te co hn be a l cal cod nor shall issuance of a permit prevent th e Building Official from thereafter set asde any proviiocio , unless t a correcti he work au th ho ri z errors by in clan uch permit violations of within six a months of permit issuance, uordif shall become work authorized by unless ttried by s the permit is suspended or g, from the Building Official for a period iod not to exceed the ninety days and will may will demo strate may ab requested, in ea te n from the ob is considered abandoned. justifiable cause for the writing, extension. If work ceases for ninety (90) consecutive days, j WARNING TO OWNER: YOUR FAILURE TO RECORD RT YOU INTEND TO OBTAIN FINANCING CONSULT T PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 03) CONTRACTOR ; k/i/% eri 1 / OWNER OR AGENT n ,3, �� Subscribed and s m to (or affirmed) be fe me this sworn and swor (or affirmed) befo - - this by by VVho 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. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped fc\ RUg1INL aor�tewL. ALL ROOF TYPO LCCUEO. Ewnuo CALL MIKE THURSTON OFFICE: (352)437-4073 CELL: (352)450 -7101 PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name ,- Street Street City City / . State _ Zip State 1 , `f Zip 33 5 / Owner of Property Phone Number Fax Phone Number Fax We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: 0 Remove existing shingle roof 0 Replace bad fascia boards at $ per foot 0 Remove existing built -up roof 0 Install feet of ridge vents 0 Dry-in with 0 15 Ib. O 30 Ib. 0 Install modified bitimen (granulated) torch down roofing 0 Install new galvanized valley metal black, white or other color 0 Install new lead boots 0 Install 25 yr. fungus resistant 3 -tab shingles J Install new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles 0 Install new drip edge, color 0 Shingle manufacturer color 0 Install new flashing as needed 0 Install TPO, white rubberized roofing membrane '0 Replace plywood at $ per sheet 0 Other: 0 Repair rotten trusses at $ 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 specifica- t tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ . 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. 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 /A Offi ent beyond our control. Owner to carry fire, tomado and other necessary insurance Officer/Agent 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. within days. Client gives permission to drive on driveway to deliver materials. 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. Accepted Signature , Date Pasco County Parcel: 34- 25 -21- 0090 - 00000 -0110 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Saturday, September 12, 2009 Parcel ID I 34- 25 -21- 0090 - 00000 -0110 (Card: 001 of 001) Classification 11 02 - Mobile Homes I Mailing Address Property Value BERNABO VICTOR L & ELIZABETH M Ag Land $0 37704 NEUKOM AVE Land $24,609 ZEPHYRHILLS, FL 335419302 Building $59,651 Physical Address Extra Features $2,150 37704 NEUKOM AVE ZEPHYRHILLS, FL 33541 -9302 Market Value $86,410 Assessed (Save Our Homes) $75,563 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision Non- School Additional Homestead Exemption - $25,000 GRAND HORIZONS -PHASE ONE Non - School Taxable Value $25,563 PB 34 PGS 99 -102 School District Taxable Value $50,563 LOT 11 Warning: A significant taxable value increase OR 6273 PG 656 may occur when sold. Click here for details and info. regarding the posting of exemptions. I Land Detail (Card: 001 of 001) Line II Use I °Description° Zoning I Units II Type II Price II Condition II Value I 1 0200 MSUBM OOM1 6,000.00 SF $4.00 1.00 $24,000 2 0200 MSUBM OOM1 1,107.00 SF $0.55 1.00 $609 I Additional Land Information I I Acres II 0.16 II Tax Area II 30ZH II FEMA Code II X ( °Residential Codell GDHZLP1 I I Building Information - Use 02 - Mobile Home (Card: 001 of 001) I Year Built 1997 Stories 1.0 Exterior Wall 1 Above Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Sheet Vinyl Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C None Baths 2.0 Line II Description II Sq. Feet II Repl. Cost New 1 II UEA II 216 II $7,804 2 II BAS II 1,296 II $66,977 3 II FCA II 280 II $2,894 4 FST II 80 II $1,860 Extra Features (Card: 001 of 001) Line II Description II Year II Units II Value 1 II CAC -4 II 1998 1 II $420 2 II CON PTO II 1998 II 576 II $914 3 II DWC II 1998 II 444 II $816 Sales History Previous Owner 11 GRAND HORIZONS INC I 11 11 1111 i http: // appraiser. pascogov.com /search/parcel.aspx ?sec= 34 &twn= 25 &rng=21 &sbb= 0090 &b... 9/16/2009 9/16/2009 9:14 AM FROM: Fax AMS Staff Leasing TO: 18137800021 PAGE: 001 OF 002 ACORD CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NO. /DATE AC09 -1600 DS D2- 822966 09/16/2009 09:13 WI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Highpoint Risk Services LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14160 Dallas Parkway #500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dallas, TX 75254 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (800) 632 -5096 Fax: (972) 404 -4450 INSURERS AFFORDING COVERAGE INSURED: AMS 1 /C /t: INSURER A: Companion Property and Casualty Insurance Comp TLC ROOFING, LLC INSURER B: Companion Property and Casualty Insurance Comp PO BOX 1745 DADE CITY, FL 33526 WSURERC (352) 437 -4073 Fax: () - INSURERD INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS LTR DATE IMVVDD /YYI DATE IMBVDD /YYI GENERAL LIABILITY EACH OCCURRENCE $ 1000000 X COMMERCIALGENERALUABIUTV FLG2081595 08/22/2009 08/22/2010 RRE DAMAGE (Any One Fire) S 100000 I CLAIMS MADE © OCCUR MEDEXP (Any one person) $ 5000 A PERSONALBADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GENL AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP /OPAGG $ 2000000 X I POLICY f PEa F LOC AUTOMOBILE LIABILITY COMBINED SINGLE UMIT $ ANY AUTO (Ea acciaent) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIREDAUTOS BODILY INURV $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per Decider() GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR IT' CLANS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ - WORKERS COMPENSATION AND WL LIMIT S UIN- E WC77779990901 X TORVUMIT ER MlLOYERS' LIABILITY 04/01/2009 09/01/2010 E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POUCYUMIT $ 1000000 OTHER UMITS $ - UMITS E DESCRIPTION OF OPERATONS/ LOCATIONSNEHICLES IEXCLUSONSADDED BY ENDORSEME NT/SPE OAL PROVISIONS 1. This certificate remains in effect, provided the client's account is in good standing with AMS. Coverage is not provided for any employee for which the client is not reporting wages to AMS. Applies to 100% of the employees of AMS leased to TLC ROOFING, LLC, effective 04/01/2009 2. Insured is afforded Workers Compensation & Employers liability as a co- employer under the policy for employees leased from AMS Staff Leasing, Inc. CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRM ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER IMLL ENDEAVOR TO MAL 30 DAYS WRITTEN CITY OF ZEPHYRHILLS BUILDING DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ATTN: KAREN MILLER IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5355 8TH STREET ZEPHYRHILLS, FL 33542 RFPRFSFNTATIVF S. AUTHORIZED REPRESENTATIVE ACORD 25 -S (7/97) © ACORD CORPORATION 1988 9/16/2009 9:19 AM FROM: Fax AMS Staff Leasing TO: 18137800021 PAGE: 002 OF 002 CERTIFICATE OF LIABILITY INSURANCE Certificate Number: AC09- 16000502 - 822466 EMPLOYEE ROSTER Attached roster includes employees paid through 09/13/2009. To verify employee's who may have been added since 09/13/2009, please call 1- 800 - 728-0623. " Please note employee roster for this client is updated on a WEEKLY basis. Employee List: THURSTON, LAVERNE MIKE 9/16/2009 Page 1 of 1