HomeMy WebLinkAbout09-9826 CITY OF ZEPHYRHILLS
5335 — 8TH STREET
(813)780 -0020 9826
BUILDING PERMIT
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Permit Number: 9826 Address: 6700 BASSWOOD CIR
Permit Type: RE -ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):145 Biock: Section:
Square Feet: Subdivision: DRIFTWOOD
Est. Value: Parcel Number: 02- 26 -21- 0210 - 00000 -1450
Improv. Cost: 3,623.00 a
Date Issued: 12/01/2009 Name: LINCOLN, RODNEY D
Total Fees: 50.00 Address: 6700 BASSWOOD CIR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/01/2009 Phone:
Work Desc: RE -ROOF W /30 YR ASPHALT SHINGLES - 17 SQ
• LA K AN - • • FI - - • OF - DENTIAL 50.00
•'YIN'S• IN P a
TAPE JOINTS ROOF INSP
FINAL— �i -� —�j�
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."
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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 Receivd"a CJ j)�t
/ a
� Phone Contact for Permitting --
Owner's Name A /Aiez. ?.0 j 1 f (./ Owner Phone Number
Owner's Address 6 00 64.35 t4Jr -o ` i r Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address Q �-
JOB ADDRESS -1 43(7 645 s i...)004 c (V Z C p4t i yin t I l `
I S f LOT #
SUBDIVISION DIrkaJDOCI PARCEL ID# 0 -2-6 `Z- 1 - 0 2 1 0 - co G v 0 / 1 O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 SIGN 1 1 MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE I SFR I COMM I OTHER I
TYPE OF CONSTRUCTION I / � 1 BLOCK I FRAME 1 1 STEEL 1 1 OTHER
DESCRIPTION OF WORK 6 Q.. 1roc,- j „J ( At 3 () yf a v /19A /? J 4 ' // 5 Q
BUILDING SIZE SQ FOOTAGE HEIGHT
VA BUILDING $ 36 2- 3 , 3 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERG - - -rTL W.R.E.C.
c..._.______ ....)
1 I PLUMBING $
1 ( MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -
1 1 GAS ROOFING I 1 SPECIALTY 1 I OTHER 61 V1 /
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES 1 1NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address I License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY 1
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address y� / License #
1/ ei)
OTHER COMPANY 1. N-1iPH
SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I
Address p e 0 X !! JJt J 77 J4 k "H PP Fr 3 v7 l° License # ( ( C 4)5 7 5 7
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 A/C Fences (Plot/Survey /Footage)
Driveways - Not over Counter if on public roadways..needs ROW
i
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, WaterlWastewater 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, 1 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 LE LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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
b y Who Is /are personally known to me or has /have produced
Who is /are personally known to me i has /have produced p as identification.
as identification.
Notary Public otary Public
Commission No. Commission No. --
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
Pasco County Parcel: 02- 26 -21- 0210 - 00000 -1450 001 Page 1 of 2
Search Again 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, November 28, 2009
Parcel ID 02- 26 -21- 0210- 00000 -1450 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
LINCOLN RODNEY D Ag Land $0
39145 PRETTY POND RD Land $20,170
ZEPHYRHILLS, FL 335401532 Building $67,832
Physical Address Extra Features $394
6700 BASSWOOD CIR Y
ZEPHYRHILLS, FL 33542 Market Value $88,396
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
See Plat for this Subdivision .1- Taxable Value $88,396
DRIFTWOOD SUBDIVISION III
PB 27 PG 15
LOT 145
OR 3386 PG 1331
Land Detail (Card: 001 of 001)
Line II Use I Description Zoning II Units II Type II Price II Condition II Value
1 II 0100 II SFR II 00M1 II 1,640.00 II SF II $11.85 II 1.00 II $19,434
2 II 0100 II SFR II 00M1 II 320.20 II SF II $2.30 II 1.00 II $736
Additional Land Information
Acres II 0.05 II Tax Area II 30ZH II FEMA Code II X IlResidential Codell DRIFLP1
Building Information - Use 07 - Single Family Villas (Card: 001 of 001)
Year Built 1994 Stories 1.0
Exterior Wall 1 Concrete Block Stucco 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 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
I Line II Description II Sq. Feet II Repl. Cost New
1 II BAS II 1,200 II $78,660
3 II FOP II 60 11 $983
Extra Features (Card: 001 of 001)
Line I Description Year II Units II Value
1 II FDC 1994 II 290 II $394
Sales History
Previous Owner DIAMONDHEAD PARTNERSHIP
Year 111 Month Book /Page 11 Type II Amount
1995 I 01 3386 / 1331 II WD II $67,000
1988 II 08 1741 / 0716 II WD II $0
1988 II 08 1741 / 0719 II WD 0 $ 0
Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
http: / /www. appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng =21 &sbb =... 11/30/2009
tate eeatqted Proposal /Contract
Satre Stetereateut Roojemf, lac.
P.O. Box 1188 33010 SR 52
San Antonio, FL 33576 deees4ed,
DP (352) 588 -ROOF (7663) • (813) 782 -1330 troweled &
Fax (352) 588-9763 9ocsaeed
‘jcic. www.scottblackmanroofing.com
Rea eeateaeten email: blackmanroofing @aol.com Date /pro?
eee 057957
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name 6-700 C704 t//, -,i /Z "V Street
Street & 7 ��7 — 670 & Otfloroci
City
City 2 yr/4 1' State Zip
State _ F ( Zip 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'R
.emove existing shingle roof ❑ Replace bad fascia boards at $ per foot
CI Remove existing built -up roof ❑ Replace 1 x decking at $ per foot
.61 with ❑ 15 Ib. 30 Ib. ❑ Install feet of ridge vents
❑ Dry-in with a fully adhered underlayment $ ❑ Install modified bitimen (granulated) torch down roofing
❑ Install new galvanized valley metal addition black, white or other color
❑ Install new lead boots ❑ Install 25 yr. fungus resistant 3 -tab shingles
❑ Install new exhaust vents / rIlnstail 30 yr. fungus resistant dimensional shingles
❑ Install new drip edge, color ❑ Shingle manufacturer .cefar^" -- �-
❑ Install new flashing as needed ❑ Install TPO, white rubberized roofi r • membrane
❑ Replace plywood at $ per sheet ❑ Other:
❑Repair rotten trusses at $ per foot �"' /
*Woodwork is an additional charge, see pricing above i - C
All material is guaranteed to be as specified, and the above work is to be performed is ac : • • - - ith the psawings and specifi-
cations submitted for above work and completed in a substantial workmanlike manner for the sum of $ l 70. CJV
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 for A/C & electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs will 046
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 Scott Blackman Roofing
beyond our control. Owner to carry fire, tornado and other necessary insurance
upon above work. Workers' Compensation and Public Liability insurance an above Note: This pro osal 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. Client gives permission to drive on driveway to deliver materials.
Accepted Signature 17.,-, .: / ...L..:.. '"✓f�,r 6.
Date Signature
STATE OF I= :OR ; I;c JNTY OF PASCO IIIIIIIIIIII111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111
THIS IS T(.f fltIF ;=l, TH.J OREGOING ISA 2009170777
TRUE Ate CORR C Y�OF TH€€ DOCUMENT
ON FILE OF OF PU :IC ECda#p
Rept:1275698 Rec:10.00
WIT¢JPSS MY HM AV, FFICI ;L y S, AL THIS DS : 0.00 IT: 0.00
O'er, DAY OF • ; 2_0 11/30/09 Dpty Clerk
PAULA- O'NE �;' & COMPTRO R
PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
BY ,• ` 11/30/09 022 1 0 1
pEPUTY CLERK Q 2 �1 6
OR BK u PG i V
;11 `} NOTICE OF COMMENCEMENT
Permit No.
Property Identification No02- 16-21 024 Q_ occ cx7 -- /S/S /V60 i y fO
THE UNDERSIGNED hereby gives notice that improvements 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 :) prl fIwonTSvbC4kelt i//PB2 /5 Le'? /'(c n y 5/0 / /1 �7
a) Street Address: CO ' , 0 • (o ! (9 .j ♦ i .r . ocf C ! r 7' . y - /5
2. General description of improvements: �c.koc.
3. Owner Information
a) Name and address: ' t/fSn ✓t JO et let ff ri S5` 4/005/0, (r Z 'X �S r i 3
b) Name and address of fee simple titl- older (if other than owner)
R c) Interest in property
4. Contractor Information -
_
a) Name and address: Go t .a_.: 6 '_. Lie 3 v o fie < Z 116 ,be,l• �[ ' - Al si/
b) Telephone No.: e-- 7� G, 3 Fax No. (Opt.) S�� 7c' 3 . 236
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
Signature of Owner or Owner's Authorized Officer/Director /Partner /Manager 4 Pr m llii!!llVVVVame
ore_• oing instrument was acknow : _• d b me this day of , 2 by
a .
_ (L as _ r \ G& L. (type of authority, e.g. officer, trustee, attorney
in act) for _Mir 0 4111ti L) (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification Notary Signature
Type of Identification Produced Name (print) (.a r ( 1 X—I 1 vco
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.
Signature of Natural Person Signing Above
FORMS /NOC,rvsd2007
CORIANN KEOUGH
Notary Pubic - State Fiodde
• Canmiuu on Expkes ug 17, 2010
Dominion / DD 586503
Bonded 8q► Nation.i Notuq Assn. 1