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HomeMy WebLinkAbout09-9016 CITY OF ZEPHYRHILLS 5335 - 811H STREET (813)780 -0020 9016 BUILDING PERMIT Permit Number: 9016 Address: 5854 9TH 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: 11-26-21-0010-01500-0130 Improv. Cost: ! /• 'OP Date Issued: 4/13/2009 Name: SLAVEN, JAMES Total Fees: 70.00 Address: 5854 9TH ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/13/2009 Phone: Work Desc: RE -ROOF - 16 SQ - SHINGLES HOME IMPROVEMENT SERVI ES REROOF RESIDENTIAL 70.00 1 1,67 ti r 1.f17:;; ' g 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 improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." r = ° °1g- P4. CONTRACT 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 / Phone Contact for Permitting -- ____ • Owner's Name j)i/ V `CSV Owner Phone Number 03 - 7(f. -,:)"-ri r ('` Owner's Address S q ST• Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � /� JOB ADDRESS - O 4 Sr. 4 i a l'tt (S j �' LOT # SUBDIVISION (0 & I !J (1-' 2p 1- 1 t- 1 + [ U LL$ARCEL ID# //_))-/ 00/0 — C/ SOO — 0/3 O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR 1 I COMM 1 1 OTHER I 1 TYPE OF CONSTRUCTION 1 Q 1 BLOCK 1 1 FRAME 1 1 STEEL 1 I OTHER 1 J DESCRIPTION OF WORK "—_71.-e) 0 () s &"S 30 `/.. ` �,..a..-4,- .. J ( `t -(-E -C BUILDING SIZE SQ FOOTAGE HEIGHT y __ ,,_ BUILDING $ l ' ' VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. 1 I PLUMBING $ J 6' 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f 9 n I 1 GAS 1 1 ROOFING 1 I SPECIALTY I I OTHER 1 ) L � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO I BUILDER COMPANY 4l �/� I " - GE J SIGNATURE REGISTERED Y / N 1 FE URRENT I Y/ N 1 /f Address License # lc C &0 s ta-)- / ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address 1 License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I Address License # n MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address 1 License # OTHER COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT 1 Y/ N 1 Address 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 , j ob is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR OR AN FINANCING, CONSULT WITH YOUR LENDER OR N ATTORNEY BEFORE RECORDING YOUR NOTICE OF FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this b 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 ]H[&:_,4 E INCIPROVEMENT SRI.... JICES . 14377 U.S. Hwy. 19N • Clearwater, FL 33764 1951 Porter Lake Road, Suite A • Sarasota, Florida 34240 Phone: 727430-0412 • ToN Free 14877.94546660 Phone: 941.377 -6100 • To0 Free 1477.3744778 Fax: 7274396912 Fax: 941.3774133 • Lie. No. CCCOSB227 SALES CONTRACT Nome Im vement Services agrees to hem all materials and labor necessary to do the modernixatlon work at the following address: Nemo 67 /n,ru Phone S;" ;" 70 ^A -Y Phone (w) 5 3 SS /S' Address 18575 ' , . •• ...... Date �f / / /149 Cry —A r /�� 181 Stele lgl, Zlp J� / /. in accordance th • F epecNlcauona given below: REROOF: • A. SHINGLE ROOF 1. REMOVE OLD ROOF TO WORKABLE SURFACE. 2. REWIIL ROOF DECK WITH RING SHANK NAILS 1 REPLACE ANY ROTTED WOOD WITH STANDARD SHEATHING 0 57.00 PER FOOT AND 300.00 PER SHEET OP PLYWDCD, F ANY •• •• • S (Iona) 4, INSTALL S.A. WATERPROOFING UNDERMENT O NTIRE ROOF. 5, INSTALL FHNVA EAVES DRIP. COLD LAV F. INSTALL NEW VALLEY METAL AND FLAStVNGS AS NECESSARY. 7. INSTALL N EAD BOOTS OVER Waif PIPES AND RESEAL VENTS e, INSTAL[ YEAR FIBEAGLASS SHINOLES, COLOR_. . — — A, INSTALL. FEET OF RIDGE VENT AT SRODPERPODt OR 10. cLEAN•UP .109 SITE OF ALL WORK DEWS AND MAUL AWAY AU. RELATED DESRISNID LEAVE JOB SITE CLEAN. 11. CONTRACTOR WILL COORDINATE REMOVAL AND ROWS17LLU0•ION OF ROOF RELATED PERIPHERALS SUCH AS (OUT NOT UMIT.O T0) SOLAR UNITS. SKYLKtHTS, T.V. DISH AND AIR CONDITIONERS, ETC. REMOVE AND REINSTALL EXISTING SOFFIT AND FACIA a 5425 PER FOOT IN ADDITION TO CONTRACT PRICE IF REQUIRED, THE COST FOR SUCH WORK WILL BE M ADDITION TO CONTRACT PRICE ANO HEREIN APPROVED BY HOMEOWNER. •B-1 P LY ROOF SYSTEM t. RE�It7v ROOF TO WORKABLE SURFACE. 2. RENAILrN0.: ANKNAILS, 3, 9001*CE ANY ROTTED WOOD Rh • • - • . G O 57.00 PER FOOT AND l• , • • ,' ^ - ' 01 .. .. 3 ,1 4 INSTALL S.A. WATERPROOFING UNDERLAYMENT o _- •.•I : -' • • • 5. INSTALL NEW LEAD BOOTS. D. INSTALL FHANA - • - COLOR 7, INsTAL 1.PLI'Ab0P SYSTEM. COLOR 8. CLE U P JOB 91TE OF ALL WORK DEBRIS AND HAITI AWAY ALL RELATED DEBRIS Aire LEAVE JOB SITE . 1. 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T4Oe notice met edema pal you do 4104 rat et oxen mcmvime eV coma be denser 0 or weeterse0 bpelo moot el Ale elite bUM11Eee day anew you eon Ih4 Renames SUbbtal $ 0, Ben wakes eane•rhalm and mMle Wily insurance era canted by OM Boger sal they Me tope able l0 ale wort lobe - -- pMOenel. A. It e understood and agreed ire the buyer now mmeeaa, Herne lownwern a SeMea, Mr any demote eel new Rear to Inc buyers eavemsyle duke lM del+my of meblNe alder The removed d welt reset der a the may loo mopWOd le protean Ire home Improvement e3614Ed. Ftrlhanmre, es buyer nadrt glee pemneawl for 155108 steep' wines and BALANCE DUE $ goad waem 08810E weals to entre .did Move* ler en paean a 8rpe9Ml9 SW ma a (Plus Total from Item ND. 3 above) 10. COmmdm mdAAAle mowed end nlhclaLlpOn d mot KWa.Mpolpha3N eudl err: (bug not Timed w) elLYd1U 1t. Ho me Imp l s ll ea hold i e repo arm tor omega 40 elect* nn rehea h•�M UPON COMPLETION N 6 0 1 0 0 0 0 09 4 11 01 0 0 1 1 1 7 1 MVO been Improperly errand OW and rbdead and may 50 danapmd wNb Panaming ratensten el terns emerge. Home Im*nn0MM0 Seven Mel eel be rewrite et any 048174 U dose Rollo roof t even, eat m mN ay hem 010 merles 4AMro0 m Rude a woy est No sera meste re a 019 teutere. /� )�jw�1 42. Cmrwludlon Indwells Ramrory Fad p anent many 0e Inell14 8 hem 0M C0F 4 br you a money on a paled �^ //� ,w p�/ t (/ Cn ci /( undo Dem Ore TIM 10114 rear o 4ren11 peddled edema a Noddm lee by a stomecerted 001000100 For Ylmeow • 1 melt 0m emery fund and Nee a oxen, COMen 0Ic Raids CmmRtlal Industry LOoordng Nerd et dm 4l0aanp tesphonn number Ind oaten: 7960 AdInglen Weeny, Suhe 600, Ateliers*, , FL 22211 -7407 or 170 (004) 727.6530. 13. Chapter 558, Maeda Steen catmint impotent requirement' you mull room before roll ear WMg any ROOI mdmn for en seeped mpnrAUd40n 9041801 In your hems, GIdy aryl beta• you bong any legal X11, you mew (mourn mem* wry to thle moron a Olen notice rennin° to chow iii 01 anY Aulled amlatuattaa daaxaa • and to consider ma an ogle 10 leper or pay lot Inn aimed mnerucil0n delve, You are not ellg405 to accept enyolorwM[h may bra rondo. There mm snit deedlnes under the Florida Lew teem must be men end followed 0, prolad your Inberee0. Execu ed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, this I / day of akop , 20 O 9 Approved and Accepted: NOTICE TO OWNER a. Do not sign this home Improvement contract in blank. b. You are entitled to a copy of the contract at the time you sign. Keep It to protect your rights. (Seal) (X) (Seal) (DEO Seller) (Purchaser Sign BY (X) , .. 2- (Seal) Gep (Purchaser SIQrt Here) a �' J HIS 3 • 4420400 NI 070 /� RS 0701866 NOTICE OF COMMENCEMENT 11111111111111111111111111111111111111111111111111111111II11 yI 2009050028 PernutNo. l �' «rI lku'�) Rcpt :1237353 Ree: 10.00 Tax Folio No. 1I r 0 4 0 - DS: 0.00 IT: 0.00 • 1. so ' 0 04/13/09 Dpty Clerk 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 descri' + I dl , F 41.• i/ f - /Y(C ( X W T.S /,3 %- /� - 1 /6 Ck- 1 s a) Street (job) Address: 4 ■ , .�t+ f� „ ! .., gai 2.General description of improvements: , - " , 3.Owner Information _ �, a) Name and address: /....--#252-P �f'< `S � 2 5 z b) Name and addr � fee simple titleholder (if other than owner) c) Interest in pro _ 4.Contractor Information HOME IMPROVEMENT SERVICES a) Name and address: 14377 US 19 NORTH, CLEARWATER, FL, 33764 • F ; b) Telephone No.: 7 2 7- 530 -0412 FaxNo.(Opt.) 727 - 539 -6912 v. 5.Surety Information a) Name and address: ,1/ .4 PRULR 5. O'NEIL, PR5C0 CLERK a COMPTROLLER b) Amount of Bond: 04/13/09 1 668 1 P6 10 43 c) Telephone No.: Fax No. (Opt.) 6.Lender r 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: / r _ 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: 1 a) Name and address: /v( /i &IA X-,---1--11.- 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 OFT'iNEL-L-'A&- PA SC c. 10 e?JZ`a ; — gnature of Owner or Owner's Authorized Officer/Director/Partner/Managcr STEVE HAZELWOOD S .9/." ,"env"" Comm# D00874383 e .s E Print Name Expires 5!8!2013 i 07-ii-r14.--- The foregoing instrur enY e land l� drtAllorellAe? this f ' day of n-+ 1 , 20 09, by (S' s-.- I ti 1,' - -w' . as r) /,1; r 1 ,e .- -- (type of authority, e.g. officer, trustee, attorney in fact) for `e1-• c' _ SI ti' t/a-'v " - (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification t/ Notary Signat ur -e- L' ( ` - - Z-e_[) ve- Type of Identification Produced /Lilt- `(0"• -( ) i /1 - c Name (print) ✓ - e i - e- H"d ZeJ Z _ rt.,`, Ai v 1D It , ; v(-.P. (. * = 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. . FORMSMCK.rv,d2007 - '= ''-��/ �..'t- Z-�"c_ /'1°? I 'c 7.!5 t A , 1 a= . ' 2 0 J S' azure of Natural Person Signing (in line # 10.) Above STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CORRECT COPY OF O E TRUE AN DOCUMENT ON FILE OR OF PUBLIC RECORD OFFICE WITN MY HAND AN 2 0 DAY OF Pad..-2 6 ) PAL O'NEIL, . ' R 'I& COMPTR EL R q J DEPUTY CLERK s_ .. . . 5 Ld 0 A , A.,)c SI 3-'7 t36-06 R,E: t# . ..*,.3 - ' ' : . , ' • 9/17/67 . ? ► k le. ,licensed .as; ' Contractor* ,gineet/ rchiteot, 4 1� P „ading/.,.mn Z inane and circle Lie. ,TYPE) ' License #; -' a �0 / b 3 . Q:G;� . IJ -- '�n.y late ;thE roe T 1 d;.a• cso . Oa or about (Date & time) w ater:bamer :. deck and o r oe (Job (drele tiHej l LS ` • � • �.jg�,o�,: Was acco�;ng o the on.T have.dete iiil " • Bused upon Hurricane Mitigation Retrofit• annal (Based on. 353 :4 FS.) • . i - E I Signature • 0 ' STATE OF FLORIDA • - COUNTY OF • . .... ' 4! '" L 200 . d subscri edtbeforettiie-`tlias. .� Y o' 'Sworn- tta • .. • j i y 4. NOtary,PtbiiC; State of Flarida Doha Prosy k . '�� ' • NOtay Public strte of . Flotlda � : e - - - ; ; ! ,y � ; "' B � I . . My comgm. exp. Mitch 22.2013 ; Co mm NO. DDS72J13 : .: • Y " Mat =P.' March 22, S'013 • . � t�0, D�72975. '.: , . •.Cobssidnr • Personally known ` (.. ' • , Prod a dentitfica tion Produced' ' L-- , , Type ' F S. to make such an . Residential; iot Roofing Coneteptor:6r "' 5ed wider 468: i * Geduld, ation In hg, Rem al; # �'�addtess # clearly shoran marked . inspection. Iuclade photographs of each Plane a£••�c w;th,tl�ta� • , deck faa':ettch .