HomeMy WebLinkAbout09-8947 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 8947
BUILDING PERMIT
.« 1 i E r 7
Permit Number: 8947 Address: 5739 20TH ST
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: 11- 26 -21- 0010 - 07800 -0030
Improv. Cost: 1,800.00
Date Issued: 3/20/2009 Name: BACK, EMANUEL B & LULU J
Total Fees: 40.00 Address: 5738 19TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2009 Phone: (813)788 -3596
Work Desc: REPLACE REROOF -5739 20TH DUPLEX - REFERENCE ADRESS 5741 20TH
HOMEOWNER REROOF RESIDENTIAL 40.00
PYj
; a. s. = . 2! '[ € 9
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
improv ments to your property. If you intend to obtain financing, consult with your lender or an attorney
before ording your notice of commencement."
/// 662-- air 4 1 41
CONTRAC 'OR 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 J 1.3 (1 4 oq (f ,
(VJ
Date Received 3 — 20 -o - Phone Contact for Permitting -
III IIIII III 1111111V
Owner's Name t! .r/ A)O/ L ,64&K Lv W X ° Owner Phone Number $ 3-786 9&
3 8 �T� E.G (/RC{.E Owner Phone Number S/ —2 / -2 2
Owner's Address �
/96 E nr r
Fee Simple Titleholder Name Owner Phone Number 9/3 _ 3 55-1/y5
Fee Simple Titleholder Address
� [ �- —
JOB ADDRESS 53 7 5 / / / .2-0 `S� 7a�`� � LOT #
SUBDIVISION N »- PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT Fl SIGN I MOVE I DEMOLIS
INSTALL REPAIR
PROPOSED USE SFR I I COMM n OTHER �1 ii=reaegairian I I
TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I OTHER I I
DESCRIPTION OF WORK R a./AL T" 6Q-12147419<- 3 rifre smN 6 6e-S
BUILDING SIZE SQ FOOTAGE /SO 0 4 HEIGHT
BUILDING WOO 00 VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C.
I I PLUMBING $
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS 1 1 ROOFING I I SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y / N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address License # I
Owit -- / ti'NT
OTHER COMPANY
SIGNATURE 41. A O, Ltd p3-20 -07 REGISTERED I Y/ N I FEE CURRENT I Y / N I
Address I 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 & 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 \ job is considered abandoned.
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 A N � A T T O ATTORNEY B B EE F O R E RECORDING YOUR NOTICE O F -
FLORIDA JURAT (F.S. 117.03)4/4/1 /� i '_ ,e l !C! 0 �i �
OWNER OR AGENT GJ /Ct M1 �b -r d . L CONTRACTOR ( e)WN / 0) ° 4 l
S bs rib and sworn to (or affirmed) before me thls Subscribed and sworn to (or i f�� fffirmed) before me this
. 07 by ?2o - by
Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced
L,' as identification. Li Cam% as identification.
i
i it„._ Notary Public
ilk, _ • •_.∎uin_.. /_ • • �., ' _ Notary Public ��
' JACQUELIN'�SGES
�.; Com mission DD 621.3 p aY
Co a - • ... - 1 • 1 Co r ssio 1� �'' ,m, `••� Commission DD 62183.i
- ;; ;o
; e , flandaaThru Troy Fein Insurance 9oo-385 ... �a= Exp December 12, 2010
` r Av,,,1 T V F it l eauvi - Uiv
Name of Notary typed, printed or stamped Name of Notary typed, l*Intedor s ampe�
II
a sco County Parcel: 11- 26 -21- 0010 - 07800 -0010 001 Page 1 of 1
s
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Other Parcel Cards: 1 1 2
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, March 14, 2009
Parcel SID 11- 26 -21- 0010 - 07800 -0010 (Card: 001 of 002)
Classification I 08 - Multi- Family - Less than 5 units
Mailing Address Property Value
BACK EMANUEL B & LULU 3 Ag Land $0
39038 CITADEL CIR Land $21,483
ZEPHYRHILLS, FL 335422718 Building $127,240
Physical Address See All 2 addresses (First Shown) Extra Features $84
5742 19TH ST
ZEPHYRHILLS, FL 33542 -4436 Market Value $148,807
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
ZH MB 1 PG 54 LOTS 1, 2 Taxable Value $148,807
BLK 78
I Land Detail (Card: 001 of 002) — I
Line _ Use ( Description Zon ing Units I Type Price Condition I Value I
1 08 00 MULTI FAMT 00R2 8,400.00 SF $2.35 1.00 $19,740 I
2 08 00 MULTI FAMTI 00R2 2,682.00 SF $0.65 1.00 $1,743 I
Additional Land Information I
Acres II 0.25 I Tax Area II 3_021_ 0 FEMA Code II X I Codell ZHLHLP1 I
Building Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of
002)
Year Built 1972 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block 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 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Not Ducted
A/C Window Unit Baths 1.0
I Line II Description II Sq. Feet II Repl. Cost New
1 11A.5 I 1,160 I
I $115,072
2 FOA I 96 $1,389
—_— 3 FOP 200 II $3,968
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 DWSWC 1972 II 111 II $42
Sales History
Previous Owner N/A
Year Month Book /Page Type I Amount I
1972 01 0582 / 0392 I $2,400 I
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Other Parcel Cards: 1 1 2
Other Agency Data: Tax Collector School Board Supervisor of Elections
opqrty Appraiser - Physical Address List for: 11- 26 -21- 0010 - 07800 -0010 Page 1 of 1
ords Search : Parcel Details : Physical Addresses
/ Physical Address List for Parcel: 11- 26 -21- 0010 - 07800 -0010
Displaying 2 records View in groups of: 10 25 50 100 500
Street Number Street Name * Unit
5742 19TH ST
5741 20TH ST
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 3/20/2009 11:54:44 AM
Pasco County Parcel: 11 -26 -21 -0010- 07800 -0030 001 ,, Page 1 of 1
--- - 4
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: Weekly Archive - Saturday, March 14, 2009
Parcel ID 11- 26 -21- 0010 - 07800 -0030 (Card: 001 of 001)
Classification I 08 - Multi - Family - Less than 5 units I
Mailing Address Property Value
BACK EMANUEL B & LULU 3 Ag Land $0
39038 CITADEL CIR Land $13,024
ZEPHYRHILLS, FL 335422718 Building $64,015
Physical Address - See All 3 addresses (First Shown) Extra Features $42
5738 19TH ST
ZEPHYRHILLS, FL 33542 -4437 Market Value $77,081
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
ZH MB 1 PG 54 E 1/2 OF LOTS 3 Taxable Value $77,081
& 4 BLK 78
Land Detail (Card: 001 of 001)
L Zoning Units Type Price Condition I Value I
I 1 I 0800 MULTI FAMT 00R2 5,542.00 SF I $2.35 I 1.00 I $13,024 I
Additional Land Information
Acres 0.13 Tax Area 30ZH11 Code ! X I Residential Code ZHLHLP1
Building Information - Use 08 - Multi Family (4 or Tess Units per Building) (Card: 001 of
001)
Year Built 1972 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 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Not Ducted
A/C Window Unit Baths 1.0
Line _ Description I Sq. Feet II Repi. Cost New I
1 BAS I 1,160 0 $116,510 I
2 FOA 96 $1,406
3 I FOP 200 II $4,018 I
Extra Features (Card: 001 of 001)
Line Description Year Units I Value I
1 DWSWC I 1972 II 111 II $42 I
Sales History
Previous Owner N/A
Year Month Book /Page I Type I Amount
1972 01 0582/ 0392 $0
Search Again Show Mao Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
i
Page 1 of 1
e rty Appraiser - Physical Address List for: 11- 26 -21- 0010- 07800 -0030 Page 1 of 1
.s Search : Parcel Details : Physical Addresses
Kr . ,
Physical Address List for Parcel: 11- 26 -21- 0010- 07800 -0030
Displaying 3 records View in groups of: 10 25 50 100 500
Street Number Street Name* Unit
5738 19TH ST
5735 20TH ST
5739 20TH ST
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 3/20/2009 11:55:26 AM
Mr. Emanuel B. Back &
Mrs. Lulu J. Back
39038 Citadel Circle
Zephyrhills, FL 33542
813 - 788 -3596
POWER OF ATTORNEY & AGENT AUTHORIZATION FOR
CITY OF ZEPHYRHI_LLS BLDG. DEPT. PERMITTING PURPOSES
As the current property owners of multiple improved residential /
rental properties located within the City of Zephyrhills, FL., I / We hereby
fully assign powej of attorney and authorization to act as our agent to,
kJJL,4,9 47 4 - A C& , which shall allow said person to act on
our behalf specifically regarding completion, submission, approval, and
authorization of any and all City of Zephyrhills permitting applications,
forms, authorizations, waivers, affidavits, etc., which are specifically
required to repair / renovate said referenced properties.
a zt.2,6z-a-z-g. 20--.0 7 :/ a 0 /b 7
i E m uel B. Back (Owner) Date L lu J. ck (Owner) Date
A ga ,.3- 20 -20 a 9
William D. Back (Agent) Date
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 2-0 day, of
'_ , 2009, by (1/4) ,, can\ e-I LN,-..-3r— (name of person /
persons acknowledging), who is personally known to me or has produced
(type of identification) as
identification.
NOTARY ' s ..„,_.
f ,.. 000643616
Expires 12E12012 1
:.A.-' I Nifty 7 � r
•
A -1 BUILDING INSPECTIONS (813) 715 -0150
Residential & Commercial Post Office Box 993
Since 1995 Zephyrhills, FL 33539 -0993
a 1 inspectionsinc @verizon.net
City of Zephyrhills Building Department 05 -12 -2009
5335 8 Street
Zephyrhills, FL 33542
813- 780 -0020
Attn: Mr. Bill Burgess
Re: Roofing Permit #8947
5739 & 5741 20 St.
Zephyrhills, FL 33542
Affidavit
As per requirements at the above referenced address / addresses, I have completed
periodic site inspections of the re- roofing project at each the roof sheathing stage
(updated nailing pattern), installation of the drip edge / flashing and after completion of
the "peel and stick membrane" installation to seal all joints in the plywood / sheathing.
Please see the enclosed / attached photos.
All rotten / water damaged sheathing was removed and edges were "solid
blocked" with 2 "x 4" lumber (between supports) and replaced. * Due to the poor
condition of the original sheathing (brittle / cracking), this building was completely over -
sheathed with %2" Q.S.B. All new and existing sheathing was re- nailed with
.131 "diameter, 8d "Common ", "ring shank" (gun nails) at a maximum spacing of 6 "on
center (all edges and field). After completion of said repairs and prior to application of
the #301b dry -in system, all joints in the sheathing were continuously taped with
"Tamco" 4" "peel and stick" membrane. Additionally, all drip edge / flashing was
installed properly and taped with the "Tamco" product; as per industry standards, and the
new "three tab" fiberglass / asphalt shingles were nailed with the approved "six nails per
shingle" (two per tab) pattern using 1-1/4" roofing nails.
To the best of my knowledge all work performed was completed to approved
industry standards and either meets or exceeds all applicable uniform building codes.
Pro sio ally your , `,
William D. Back (President)
A -1 Building Inspections, Inc.
C.G.C.041611
• Consulting/Expert Witness • Insurance Inspections
• Existing & New Construction National Association or
certified Rome Inspectors • Four Point & Wind Mitigation
,„ / :
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