HomeMy WebLinkAbout09-9068 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9068
BUILDING PERMIT
Permit Number: 9068 Address: 37551 LANDIS AVE
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: GRAND HORIZONS
Est. Value: Parcel Number:
Improv. Cost: 5,390.00. `� x E'.
Date Issued: 4/27/2009 Name: CARTER, TOM
Total Fees: 60.00 Address: 37551 LANDIS AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/27/2009 Phone:
Work Desc: RE -ROOF 23 SQUARES
y ^ ` Viz" & r ad°' z" _, u - ua - �a' - a
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 77\61
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DRY IN ROOF v 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
improve 6 ; to y r property. :. end to obtain financing, consult with your lender or an attorney
before a I • ; - i - • . • • - • commencement."
of /37
CONT CTOR 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
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Date Received Phone Contact for Permitting --
Owner's Name / (174/ ° � Owner Phone Number
Owner's Address 3 7-sS C-- 015 lire -- Owner Phone Number
r I C r �
Fee Simple Titleholder Na , - -- \ ` Owner Phone Number
1 (
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I SIGN n MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE I SFR 1 1 COMM I ) OTHER I I
TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 I STEEL 1 1 OTHER 1 I
DESCRIPTION OF WORK -,E.- t7 "
BUILDING SIZE / SQ F /AGE ` HEIGHT
I I BUILDING r �� �^
� .� l Q --t"' VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ I AMP SERVICE 1 1 PROGRESS ENERGY pr, , .- .E.C.
I I PLUMBING $ n l+!
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES nINO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y 1 N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE , ' , ! REGISTERED Y / N FEE CURRENT ria '
Address ���� / License # --
OTHER - ,it,/ COMPANY �1�� ' �_� -■
SIGNATU -''��� =` jr ` / / REGISTERED - mum FEE CURRENT `,�'
�wwm r
Address g ��� _ 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 Tots 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 or
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, a alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Off '-
requiring a correction of errors in plans, construction or violations of any codes. Every permit i , - • - • shall beco • e invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work .. horized by the permit is suspended • . bandoned for a period of six (6) months after the time the work is commenc s . An extension
may be requested, in •riti g, from the Building Official for a period not to exceed ninety (90) o a - aba d m
justifiable cause for t e e ension. If work ceases for ninety (90) consecutive days, the j '
WARNING TO 0 NE": YOUR FAILURE TO RECORD A NOTIC
� ENCEMEN 4. ' RESULT IN YOUR
PAYING TWICE OR TO YOUR PROPERTY: "(F INTEND TO OBT 4 ANCING, CONSULT
WITH YOU' -4r =
OR AN ATTORNEY BEFORE RECbRDING YOUR NOTICE OF _ `�tu EMENT.
, f r ,,_
FLORIDA
iiiryjOidi CONT RACTOR O R O Subscribed and bwo • (or aft •ef• a me this
S •scribe• ed) b efore'me thi r
y y f of has /have roduced
o is /are pers to me or has/have produced Who is /are perso all known to� , P o as ide n ti fic a tion. as identification.
�' Notary Public
j Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
111111111111 111111111111111111111111 ! 11111 1111111111 MIMI
2009055273
. . C1/4_4_,„ 14 ; ( i ,./ 1A---- 3'
1 Rcpt: 12391
fir r / 7//:751—ikli D5 2 7 Rec. 10.00
0. 00 I T : 0.00
O� 04/22/09 Dpty Clerk
i
PAULA S. O'NEIL PASCO CLERK d COMPTROLLER
NOTICE OF COMMENCEMENT 04O/R22/ 9 1 ,� 1
Permit No.
Property Identification No. , ? _ Q O "., A
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 m this NOTICE OF COMMENCEMENT.
1.Description of property (legal description:) C , Jot beNj Q
a) Street Address: 3755tLandis Ave. Zephyrhills, FL 33542 Grand Horizons
2. General description of improvements: R e r o o r. MH 3 Tab S h i n g 1 P s
3.Owner Information
a)Nameandaddress: Tom Carter 3755 Landis Ave. Zephyrhills, FL 33542 Grand Ho
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.0 ci
actor Information
a) Name and address: A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542
b) Telephone No.: 813 Fax No. (Opt.) 813 — 7 80 —18 0 5
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 COMME ENT.
STATE OF FLORIDA
COUNTY OF PASCO
Ignature off� Owner roo(r.O��wne Au or ed Officer rector/Partner/Manager fk
Print Name G
i i
-
The foregoing instrument was acicnowledged before me this 2 day of 200 by
as '
(type of a thori , e.g. officer, trustee, attorney
in fact) for (name of party on beh1 of who.- ' % • me was executed).
Personally Known OR Produced Identification Notary Signature �; � � t /
• /
Type of Identification Produced Name (print) / C fs .,, ��e,
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.
i ,
y RICHARD C. BARTLEIT
s MY COMMISSION # DD 447832
. EXPIRES: July 31, 2009 Signature of Natural Person Signing Above
FORMS /NOC,rvsd2007 . ? Batd+dT IN
ohr Public U
04/27/2009 11:09 8137801805 BARTLETT ROOFING PAGE 02
• A. Eartte #t Roofing «1 f Central. ffiliribit, ,J1nc.
C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida PHONE
P
Specializing In Mobile Home JP Stevens White Rubber Roofs PHONE
& 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 April 27, 2009
Name Tom Carter
Address 3755 Landis Ave. Grand Horizons Zephyrhills, F1 33542
Phone 813 - 7888059
9{ Y . �" te'v7!"y, • '
r« .2i.:�iSi�llLlct':;s 'dak'°'S. }' ' ".�. .�. r�. ♦. �, w l "� i:T.�e�.:
Remove complete shingle roof. Complete haul away.
New 30 lb. .base sheet. New 30 year 3 tab shingles
New vents, new skylights. 10 year leak warranty. J
•
President & Owner A. Bartlett Roofing of Central FL, Inc.
Sign:
Richard C. Bartlett
_
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner
Ar' arrangements cormnQentlrpon svmmes, accleen s oroelaysneyonaour contra owner to oarrydre, romadoetd omet nec9ssery Minna
Our workers am Wycoverea byWatmeirs Compensation Insurance. Customer's liable kr any charges incurred in collecting thisa $5,
Rotten wood is an exha $35.00 per sheet (d -ply). Rotten fascia is $200 per linear fool, TOW
04/27/2009 11:09 8137801805 BARTLETT ROOFING PAGE 01
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•
. Bartlett
R_o c• fxi.
of Central Florida, Inc.
38408 Third Avenue • Zephyrhills, FL 33542
(813) 782 -5585
(813) 780 -1805 Fax
FAX COVER SHEET
DATE: 4-- O�
•
TO : Q •ctil t
COMPANY: tAti m 2 LIALS _ ,
FAX NUMBER : 7 go -0024
l.
FROM: .UV
RE : *0 Y' P tirrN CC V
NUMBER OF PAGES:
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04/29/2009 08:36 8137801805 BARTLETT ROOFING PAGE 02
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• a ' ) PASCO COUNTY FLORIDA
�r* Building Inspection Division
zoRiv
RE: Permit# G INS Q _ Form: 10101/07
inspection Affidavit
L Ear-1 , licensed as a(n)
- - Contractor *fEngi eerlArchitectiFS 462 Building Inspector* License #:
as D
•
On or about 2816 , did p lly inspect the .11/b
Roof Deck Nailinr or Secondary Water Barrier
(Circle i
A t t h e f o l l o w i n g a d d r e s s : (i 33 th S I v " t oe.k g D t . _ • t o k I �(. 33 0{1
(Job Site ,Address) a
* * ** * * * * * * * * * * * * * ** ************************** * * * * * * * * * *** * * * * * *‘* * ** * * * * * * **
Based upon that . . i on Y have Bete wined the installation vw done according to the
Hurricane •fit Manual (Based on 553.844 F.S.) 1 have included photographs of
each • . h: - with the permit # clearly shown marked on the deck.
. ATE OF FLORIDA
COUNTY OF . . -
Sworn to and subscribed before me this , z9 - day 14 ji i I , 2000 q
By C Ud U Notary Public Sate of Florida
•
%nY JACGk1CLINE OGES
(Print, "; . • : 1 621833
I
-.►�- a: Expires December 12, 2010
, ;; Ws 0 4.40 ThnA Troy Fun Insurance 800386.7016
Commission No:
Personalty know )C or
Produced Identification
Type of identification produced:
*General Building, Residential, or Roofing Contractor or any individual certified. under 468. F.S.
to make such inspection.
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. L