HomeMy WebLinkAbout09-9028 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020 9028
BUILDING PERMIT
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Permit Number: 9028 Address: 6044 17TH 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: 02- 26 -21- 0180 - 00000 -0530
Improv. Cost: 4,990.00 11. ` .. : , Q
Date Issued: 4/16/2009 Name: HARTMAN, KEITH & MARION
Total Fees: 55.00 Address: 6044 17TH ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 4/16/2009 Phone: (813)782 -0104
Work Desc: REROOF SHINGLE
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A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 55.00
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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 o ner: Your failure to record a notice of commencement may result in your paying twice for
improvem in . to your property. If you intend to obtain financing, consult with your lender or an attorney
before - • g yo notice • • mmencement."
ONT C IR SIGNATURE PERMIT OFFI,t7R
PE • MIT 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 qe m-,, Fax- 813 -780 -0021
Building Department
Date Received' • illurgagag Phone Contact for Permitting --
Owner's Name _---V� /a .j. tf „' $ t ntir l Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ''ll '/(1/1- `
J
JOB ADDRESS (g V T q r LOT #
SUBDIVISION PARCEL ID# 01 4 Z-1- 0i eo - vwpv - CS-30
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE n DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 SFR 1 ( COMM 1 1 OTHER 1 I
TYPE OF CONSTRUCTION I BLOCK 1 1 F I/ STEEL n OTHER 1 1
DESCRIPTION OF WORK
BUILDING OTAGE HEIGHT
BUILDING SIZE / lc '- VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C.
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES n N0
BUILDER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1
Address License # I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y 1 N 1
Address I License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT w
Address =IMF License # 1111/WAILIME
i
OTHER � ,�j / / � COMPANY ►��Il «1�i`�i�� /
SIGNATURE 'elj/g. REGISTERED idailIM FEE CURRE T RIM
ism M 7/ /I/ A Al
Address - greMAI I ri � T� License # EfiZZIE
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 inclu • - • ' • the application. A
permit issued shall be construed to be a license to proceed with the work and not as a - • ity to viola e, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prey: - the Building O • cial from thereafter
requiring a correction of errors in plans, construction or violations of any codes. ' very permit issu s shall become invalid
unless the work authorized by such permit is commenced within six months • permit issuanc or if work authorized by
the permit is suspended or aban• • - = • for a period of six (6) months after e time the work i ommenced. An extension
may be requested, in writin • ro • the Building Official for a period not • exceed ninety :1) days and will demonstrate
justifiable cause for the = en • • n. If work ceases for ninety (90) cons- utive days, the j • • is considered abandoned.
WARNING TO 0 NE YOUR FAILURE TO RECORD A NOT! E OF COMME EMENT MAY RESULT IN YOUR
PAYING TWICE F i " - - = EMENTS TO YOUR PROPERTY. I - YOU IN '� • OBTAIN FINANCING, CONSULT
WITH YOU - +►'!'
R OR AN TTORNEY BEFORE RECORDING 0_- - OT• F COMMENCEMENT.
FLORIDA JU' • T (F ' / „_
OWNER OR AG - / CONTRACTOR
Subscribed and swo • • T., me this
Subscribed an• o (or -''' ed) b- ore me this by �����
-.. uced Who is /are perso k f* or • ave produced
Who is/are , so r1� to me h- hav- as identification.
identification.
dentircation. G
pp
Notary Public
Notary Public
Commission No. Co on No.
Name of Notary typed, printed stamped rinted or stam ed Name of Notary typed, printed or stamped
A. i&trtti tt atuifing Of central Ifturitta, lint.
C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs (813) 782 -5585
(813) 973 -7737
RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523 -1944
LICENSED - INSURED - BONDED Lic. #RC 0031769
• MEMBER OF THE CHAMBER OF COMMERCE •
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have re- roofed more roofs (16, 000) in the past 35 years than the four local leading roofing companies combined .
Date L I' l CQ 2009
•
Name 1 \icl\ L - a r h 1a'
Address 'b r _ el '_1 A , kal • • 33 Z
Phone g13, - 2g2-0/01
, , . ,,,,, , DESCRIPTION AMO Rverlow2_ exsrtp al. &h, rrob, eumperb
JY44,2 auuoi . (1) - 3611) bafa.e. &.x. nut, ati,e'
al wry. i nu -• 13A.44.4 t . n.044) 36 L . 3 +4.b
ys sna VQ.t .
"4161-
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President jj B lett R ng of Central FL, Inc.
Sign: —
ai
ard C. Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner. 1
All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. „ 1
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill. vl r
Rotten wood is an extra $35.00 per sheet (4 -ply). Rotten fascia is $2.00 per linear foot. Tota l _�' D. � DO
City iof Zep iyrliills
B. a DING DEPARTMENT
RE: Permit # I O 18 9/17/07
Inspection .ffidavit
La i C 7 '
I ' " _��. A " ;licensed as a(njCan • : - • * /Engineer /Architect,
(please • .1 • cle Lic. T • FS 468 Buildin . •:.'•• ector*
tense #; ��,1 1
On or about f / 7-- 0 7 e` Gb , I did personally inspect the roof
(Date & time)
deck nailing and /or secondary water barrier work at ( [
g
(circle one) (Job Site Address)
' • ation I have determined the installation was done according to the —
Based upon 4/. t e
. umc..•-
!; ti , // . .metro . F,1
. : aced on 553.844 F.S.)
i
IPAggii
STATE OF FLORIDA
COUNTY OF 4 2') Sworn to .>i• d subscribed before me this/ /6 day of / . 200 9
By Art :
Notary Public, State of Florida
u 6ge
(Print, t e or stamp n. ►'•-)
'P.
JACQUELIN DO 62 833
y / Commissio:l
Personally known /� or ' Banded Tnn+ Troy Fein I 701
Produced Identification
Type of identification produced.
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the .
deck for each inspection.
w //
/it/ �d _ S
1 u11111u1111111 u111111111111111111111111111111111111111I
2009053539
NOTICE OF COMMENCEMENT Rept : 1238544 Rec : 10.00
DS: 0.00 IT: 0.00
04/17/09 Dpty Clerk
Permit No. /' � T
Property Identification No. 0 Z '" / ( 0 /(( O O �/ O
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 description:)
a) Street Address: 6044 17th Street Zephyrhills, FL 33542
2.General description of improvements: r e r o o f House Shingles
3.OwnerInformation Keith Hartman 6044 17th Street Zephyrhills, Fl 33542
a) Name and address:
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.ContractorInformation A Bartlett Roofing 38408 3rd. Ave. Zephyhrills, FL 33542
a) Name and address:
b) Telephone No.: 813-782-5585 Fax No. (Opt.) 813-780-1805
5.Surety Information
a) Name and address:
b) Amount of Bond: PAULA S O'NEIL, PASCO CLERK 8 COMPTROLLER
c) Telephone No.: Fax No. (Opt.) 04/17/09 de 1 o i
6.Lender OR BK PD 240
a) Name and address: 'T
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 lee-GZL ;,,
gnature of O er r Own is orized cer /Director/Partner/Manager
,p �
Print Name l:
ll/ r /
The foregoing instrument was acknowledged before me this l day of ,/ A A„ , 20 � , by
as
�� ( . - of .uthority �. officer, trustee, attorney
in fact) for (name of party on be • If of w . '/ . ent . - - _ . . .
Personally Known OR Produced Identification Notary Signa i if%`
Type of Identification Produced Narne (print) 1t‘,_,
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.
Agin, RICHARD C. BARTIEir
FORMS /NOC,rvsd2007 ix '•' :+ MY COMMISSION # DD 447832 3'gnature of Natural Person Signing Above
EXPIRES: July 31 2009
� flf • • Bonded Thru Notary Public U nderwriters