HomeMy WebLinkAbout09-9828 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9828
BUILDING PERMIT
Permit Number: 9 828 Address: 6706 BASSWOOD CIR
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: DRIFTWOOD
Est. Value: Parcel Number: 02- 26 -21- 0210 - 00000 -1470
Improv. Cost: 3,623.33 Ff '::::::1,T::::7 1,
Date Issued: 12/01/2009 Name: BURT, RUSSELL B & LUCY N
Total Fees: 50.00 Address: 6706 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
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a ,a m
• BLA K AN - •":"°
e N RER• • - • TIA 50.00
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DRY IN Re •F IN P
TAPE JOINTS ROOF INSP
FINAL i' (q-I
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."
Iv - ,Ae.-ovie---- e 1 4 4 /* '
CONTRACTOR SIGNATURE PERMIT OFFI FR
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 /".-- /° 42 7 Phone Contact for Permitting --
111111111111111.1111.07
Owner's Name !�� -1-��,. ee55��1`--- Owner Phone Number
Owner's Address 61 0 to (x,sst..rUV et e iv- Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address , ` z �/' •
JOB ADDRESS (9 - ) 0 �0 e w C f r ZCLI Vif111 1 I/ F( ✓ 2. LOT #
SUBDIVISION PARCEL ID# Q) v2-Eo - 21 " d Z 1 (S -00o O v - J t{ 7 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I NEW CONSTR I I ADD /ALT 1 1 SIGN 1 I MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR 11 COMM 1 1 OTHER I I
TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I I
DESCRIPTION OF WORK P- e r Go 'i' �/ a 3 o �PAG ,_ f f J If
BUILDING SIZE SQ FOOTAGE I / T7 S HEIGHT
I I BUILDING $ _3(443 , 3 3 VALUATION OF TOTAL CONSTRUCTION
:J
I ( ELECTRICAL $ AMP SERVICE I 1 PROGRES Y F W.R.E.C.
I I PLUMBING $ - 4_ (72
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I I NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address License # I
PLUMBER COMPANY
SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address 1 License #
OTHER " .__ -- ----
COMPANY SU / / -41 r `' /)
SIGNATURE r � /�, is. / REGISTERED I Y / N 1 FEE CURRENT I Y / N I
Address Y n l3OX (I& �4 (..% Y/�IVt 1 ' ( 333-7 6 License # I cc( c 7 , 1 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
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 is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING YOUR LENDER OR AN YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT.UR L
FLORIDA JURAT (F.S. 117.03) ��,
OWNER OR AGENT / .�°'" r/" ��. CONTRACTOR `" """."—_
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.
Name of Notary typed, printed rinted or stamped Name of Notary typed, printed or stamped
Pasco County Parcel: 02- 26 -21- 0210 - 00000 -1470 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 I 02- 26 -21- 0210 - 00000 -1470 (Card: 001 of 001)
I Classification 01 - Single Family
Mailing Address Property Value
BURT RUSSELL B & LUCY N Ag Land $0
6706 BASSWOOD CIR Land $21,963
ZEPHYRHILLS, FL 335426630 Building $67,832
Physical Address , / Extra Features $394
6706 BASSWOOD CIR V
ZEPHYRHILLS, FL 33542 -6630 Market Value $90,189
Assessed (Save Our Homes) $70,213
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision ." Non - School Additional Homestead Exemption - $20,213
DRIFTWOOD SUBDIVISION III
PB 27 PG 15 Non - School Taxable Value $25,000
LOT 147 & SOUTH 20.33 FT OF School District Taxable Value $45,213
LOT 148 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line II Use IlDescriptionll Zoning II Units II Type II Price II Condition II Value
I 1 I 0100 II SFR II 00M1 II 1,640.00 II SF II $11.85 II 1.00 Q $19,434
I 2 II 0100 II SFR II 00M1 II 1,099.60 II SF II $2.30 II 1.00 II $2,529
I Additional Land Information
I Acres 11 0.06 I Tax Area 11 30ZH II FEMA Code 11 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 I Sq. Feet II Repl. Cost New
I 1 I I BAS II 1,200 II $78,660
I 2 1 FST II 28 II $918
I 3 II FOP II 60 II $983
I Extra Features (Card: 001 of 001)
I Line II Description II Year II Units 11 Value
I 1 II FDC 0 1994 II 290 0 $394
I Sales History
Previous Owner 11 BURT JOHN R REVOCABLE TRUST
I Year II Month II Book /Page II Type II Amount
I 1995 II 09 II 3473 / 0820 II WD II $
I 1995 II 09
11 3473 / 0821 II IN II $0
I 1995 II 01 I I 3388 / 1801 II WD II $68,900
http: / /www. appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng=21 &sbb =... 11/30/2009
seat. ee,Teeireed Proposal /Contract
Seat Mae leateia R , Tae.
P.O. Box 1188 3301 S R 52
San Antonio, FL 33576 deceased,
Lip (352) 588 -ROOF (7663) • (813) 782 -1330 S•adcd d
Fax (352) 588 -9763 laectecd
‘ www.scottblackmanroofing.com
Reselegg. ea email: blackmanroofing@aol.com Date er l b7
eee 057957
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
!' T
Name t 6t iV Street
Street & 700 —6;70y — 6 70 (o 6efidooql Cit
Cit 2-t y ✓4 '/6 State Zip
State ( 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:
8'Remove existing shingle roof ❑ Replace bad fascia boards at $ per foot
❑Reemove existing built -up roof ❑ Replace 1 x decking at $ per foot
1 — Dry -in with ❑ 15 Ib. t 30 Ib. ❑ Install feet of ridge vents
❑ Dry-in with a fully adhered underlayment $ ❑ Install modified bitimen (granulated) torch down roofing
galvanized valley metal a dditional
❑ Install new
9 Y black, white or other color
❑ Install new lead boots ❑ Install 25 yr. fungus resistant 3 -tab shingles
❑ Install new exhaust vents /Install 30 yr. fungus resistant dimensional shingles
❑ Install new drip edge, color ❑ Shingle manufacturer color
❑ Install new flashing as needed ❑ Install TPO, white rubberized roofing membrane
❑ Replace plywood at $ per sheet ❑ Other:
❑ 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 awings and specifi-
cations submitted for above work and completed in a substantial workmanlike manner for the sum of $ /v 7o( UV
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 i
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 2 .Za ) A....1...:._, b'�. ,e.
Date Signature l
STATE OF 9, UNTY OF PASCO IIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
THIS IS TO f2`JFd5 7H OREGOING IS A 2009170777
TRUE ;4N CORRFpT C - Y OR OX TH DOCUMENT
ON FILE OR OF PUE iC EC p1 T,HI `;OFFICE Rcpt :1275698 Rec : 10.00
WIT II S MY DAY( F tip? Ail, FFICI> L A • 2 LTyj$ DS : 0.00 IT : 0.00
5 (jj 11/30/09 Dpty Clerk
PAULA '. O' B ,;.. $ COMP TROLL PAULA S. O'NEIL PASCO CLERK & COMPTROLLER
BY , J i r } 11/30/09 0 :0 1 0 1
,
I~iEPI C LERK OR BK 8 I PG 16
�! NOTICE OF COMMENCEMENT
Permit No.
Property IdentificationNo02- 1(o b210- ccc)cDt.7 -B 1 S -0 ; /V 'HO
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 :) I r fii"voc�7rfibcl/ III :2 G/ ° B2 ' IC 07 1 V • . • • J
a) Street Address: " OD' ' 0 ' to P ( .. 1�b<�c ' C !�r _ . /J r I' • r
2. General description of improvements: /4443-c)
3. Owner Information
a) Name and address: A c°S0 ✓t x J0cc ti 6 7O y e4 sSZtf 6 tr Z Cd 4 r 4 , f (S C 13 35`54? --
' b) Name and address of fee simple titl (if other than owner)
R c) Interest in property
4. Contractor Information /
a) Name an address: Go7 t -a..�t �.y, �k-€ 336 0 S/C <Z /6 464,( l(f 4 /64 $
b) Telephone No.: 0‘- 7b 4, 3 Fax No. (Opt.) S.,c--.6"- . 7& 3 _, 3 4 --167
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 --VY-/-‘-4-44"-----—
Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager
Pnn ame
foregoing was acknow :1-d b or- me th d of � V , 2001 by 5(--61
L1 •' 1/l as 1 .' C� � (type of authority, e.g. officer, trustee, attorney
in act) for _Mr 41111r�[�1Y' (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification Notary Signature _ , = ' ,` _ . .� " -10.m..., ./ '� _-
Tye of Identification Produced Name (print) (1 a..h, k 02/1 P P r 1
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
� , CORI ANN KEOUGH I
r -1
' Wert Public - State of Flodda
` 4 CpnmNelon Expires Aug 17, 2010 �
Commission / 00 586503
1 1,` . Rf . `' Bonded By National No ar Mm.