HomeMy WebLinkAbout09-8948 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 8948
BUILDING PERMIT
Permit Number: 8948 Address: 5751 13TH 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 - 07100 -0010
Improv. Cost: 6,100.00 7:t 0E .
Date Issued: 3/20/2009 Name: MOREL, MATTHEW & LORRAINE
Total Fees: 65.00 Address: 5751 13TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2009 Phone: (813)715 -0122
Work Desc: REROOF SHINGLE
$ 3c` ; I; :77 ; o. w � ' ",':r j . . 0
TLC ROOFING LLC REROOF RESIDENTIAL 65.00
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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 your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
40 /�
CONTRAC SIGNATURE PERMIT OFFI rR
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 U7 ;
Date Received Phone Contact for Permitting --
Owner's Name C ` \e,rr ( ei Owner Phone Number si 3-
Owner's Address 57 ) Sfi • Owner Phone Number it l 3 ( .. 2c,
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1 ` � 75] )e'5 I {
LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I NEW CONSTR ADD /ALT I 1 SIGN n MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR I I COMM 1 I OTHER 1
TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL I I OTHER I
DESCRIPTION OF WORK �,e .s\-\ 1 1 l
BUILDING SIZE SQ FOOTAGE HEIGHT
[ ] BUILDING $ QO VALUATION OF TOTAL CONSTRUCTION
(D
I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C,
I 1 PLUMBING $
I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
11 GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES n No
BUILDER COMPANY /4.. 1700P1 /l/cy L—L�
SIGNATURE '1���/ REGISTERED I Y/ N FEE CURRENT I Y / N I
1
Address / V/ 3 k / rQ 7-144 /Q r - 1 c)F ? / T • � i License # = p,205^
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN 1
Address I License #
PLUMBER COMPANY
SIGNATURE REGISTERED L Y/ N . 1 FEE CURRENT 1 Y/ N I
Address I License #
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I
Address I 1 License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N 1
Address I 1 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 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.
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 AN ATTORNEY BEFORE RECORDING YOUR OTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) %� /
OWNER OR AGENT
CONTRACTOR i r Lre0 ),
Subscribed and sworn to (or affirmed) before me this Subscribed d s to (or affirme ) before is
by 3 Ze '&1 by _ _,/' v�/
Who is /are personally known to me or has/have produced Who is /are peisgatiy- Ikrrewn to me or ha / h ve produced
as identification. r
Notary Public
Notary Public
Commission No. Comr ij`ion No.
omm 44 N
JACQUELINE BOGES
Sw• i � ' • is uc ,.. UII .
Name of Notary typed, printed or stamped Name of Nit: BOW 999 8@f'42, 2010
8onded Thru Troy Fein Insurance 800385.7019
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CALL MIKE THURSTON
OFFICE: (352) - 437-4073
CELL: (352)450 -7101
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name (n (TO I rl LIYID (PJ Street
Street , 73) ) is -t, City
City Why h 1 ) 1S State Zip
State Zip 335 c ) Owner of Property
Phone Number !J! 73 ?/5 (DI Fax Phone Number Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
O Remove existing shingle roof `� l Replace bad fascia boards at $ 5 per foot
N W Remove existing ilt -up roof g Install s feet of ridge vents
W Dry-in with 0 15 Ib. `eft 30 Ib. ❑ Install modified bitimen (granulated) torch down roofing
Install new galvanized valley metal black, white or other color
Install new lead boots 0 Install 25 yr. fungus resistant 3 -tab shingles
❑ Install new exhaust vents Install 30 yr. fungus resistant dimensional shingles
-x `61 Install new drip edge, color 0 Shingle manufacturer color
\� Install new flashing as needed 0 Install TPO, white rubberized roofing membrane
Replace plywood at $ O per sheet 0 O ther: S� e l�J w
0 Repair rotten trusses at $ per foot .\" cir C-v S 1 '
*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-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ O 0 (1. d (,)
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
beyond our control. Owner to carry fire, tomado and other necessary insurance Officer /Agent Scott Blackman Roofing
upon 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 • • the ork as
specified. I have read the back of this Proposal /Contract, which contains Florida Statues 713.001- 713.37. Paym - - • 111 ade as
outlined above.
Accepted Signature
Date Signature
CITY OF ZEPHYRHILLS PB 1 PG 54
LOT 3 BLOCK 71
_._ --------- __..___ _.;_.__.- . --- - .-- -- NOTICE OF
-• DWNSHIP 26 SOUTH, RANGE 21 EAST,
Permit No. / 1�4Jt is 1 "TY, FLORIDA
LOTS 1 & 2 & NORTH 20.00 FT OF
Property Identification No. // ,2 6 , ,2/ - ,9J /j 07/0D - oof-0 OR 5568 PG 460
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 descr'e, rem) t 1 ,( , ,�,. 1 I 1 r h� 1 � - • )-#) a)' Street Address;_.,` , Y )) t ,) F6
2.General description of improvements: ' . _ - t,1 ��� r �� L.63
3.Owner Information ��
a) Name and address: t D c Ca) cu._ -mot- "I 5 5) ),3' 5f, 7 /�i rt. 3? `72 ti
b) Name and address of fee simple titleholder (if other than owner)
c). Interest in property .
R 4c0ntractor Information mp
) Le, R icjf. /_L J i4 C .. 33 s`02 /` // ST?' /P ," g=
a Name and address: J
b) Telephone No.: .i. -. c ' 4'e73 F No. (Opt.) - w=
h � % Sa
s.Surety Information
a) Name and address: i-
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):
me
_ n
.. W N
a .
WARNING TO OWNER: ANYPAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF a a N
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, tO a w
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ca
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. e
STATE OF FLORIDA , ( �. o m r+
- COUNTY OF PASCO Ltf �� J � 1 . � ` GI • •
• Signature of Owner or Owner's Authorized Officer/D' tor/Partner/Manager 0 m
I D (Tat 6AQ. L. f(1ar
Print Name . '
-/ p( x
•
The fo Ding instrument was acknowledged before me this day of M&[..r 20 O?, --�-�-_ by c Jr Ckit�
as
(type of authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf wh • m instrument xecut :- ).
Personally Known OR Produced Identification Notary Sly.. _ file" '
1 e• ELI Bt, 0 � Type of Identification Produced . 4 (P,h rint _ Name(p priATIN
,,.„! �W
/ liuui c --
raz Ex; December 12, 2010
Pf f, � ` Bon... n, Troy Fain Insurance 1300- 385-7019 •
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 ofNatural Person Signing Al PRULR S . 0 ' NEIL , ' PRSCO CLERK a COMPTROLLER
FORMSMOOmmd2007 - 03/20/09 64g 1 PG o L 4
OR B ��// 55
STATE OF FLORIDA, COU VY PASCO
THIS IS TO CERTIFY TH4F FO . E Q NG IS A
TRUE AND CORRECT! OPY ()FYNE DOCUMENT
ON FILE OR OF P JBLUC.R5CORD IN THIS OFFICE
WIT MY HAND A .. FFI( IAL SEAL THIS
DAY OF iiiil /. _ . 2 OC)q
P ULA •'NEIL, CL R �: O,MPTROLLER
BY £. LI''� ' 'A,. r'r� DEPUTY CLERK
. .
Cty of S.
BUMDING DEPARTMENT
RE: Permit # 5"/ 9/17/07
•
•
eCtaM MaVit
I MoZc ,licensed as a(n) Contractor* /Engineer/Architect,
(please prim name and circle Lic. Type) FS 468 Building Inspector*
License #; CL. /3.2 ga •
On or about 3 - 0 9 , 1 did personally inspect the roof
(Date & time)
deck nailing and/or secondary water barrier work at
(circle one) (Job Site Address)
S /3 74 sr 2iF I/ id .5 PL. 3332
Based upon that examination 1 have determined the installation was done according to the
Hurricane 14itigatis Retrofit 1 • It ased on 553.844 F.S.)
Signature
STATE OF FLORIDA
COUNTY OF
• Sworn to and subscribed before me this y day of 711 G1444 . 200_
By e 717 eL/ s
Notary public, State of Florida
•
HILDA M. MANS
(p r int illalibi+. 11 "1-Ftanthr— typ Wystiffillgleki ly 24, 2009
Comm. Ne. DO 454034
Commission No.:
PersonallY known °r
Produced Idoutification
Type of identification
or sny individual certified under 468 F.S. to make such =
* General, Building, Rsidential, or Roofing Conea t h e t # or address # clearly shown marked on the
- • 'on. Include photographs of each Plane of tholu
deck for aka inspection-
I I
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