HomeMy WebLinkAbout09-9393 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
' - (813)780 -0020 9393
BUILDING PERMIT
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Permit Number: 9393 Address: 6045 11TH 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: TYSON
Est. Value: Parcel Number: 02- 26 -21- 0080 - 00100 -0170
Improv. Cost: 5,790.00 $' w
Date Issued: 8/05/2009 Name: KEITHLY, THELMA 8,
Total Fees: 90.00 Address: 6045 11TH ST
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/05/2009 Phone:
Work Desc: REROOF RUBBER
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A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 90.00
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DRY IN ROOF INSP
TAPE JOINTS R9F IJJSP
FINAL (p ' ("1(�/
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 ow I - - Your failure to record a notice of commencement may result in your paying twice for
improvem - • .- . y our property. If you intend to obtain financing, consult with your lender or an attorney
before • . . g y r notice of commencement."
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-r TOR SIGNATURE PERMIT OFFI FR
• ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813)780 -0020 9393
`� BUILDING PERMIT
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Permit Number: 9393 Address: 6045 11TH 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: TYSON
Est. Value: Parcel Number: 02- 26 -21- 0080 - 00100 -0170
Improv. Cost: 5,790.00
Date Issued: Name: KEITHLY, THELMA & DAVID
Total Fees: 90.00 Address: 6045 11TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: REROOF RUBBER
A. BARTLETT FI
ROONG OF CENTRAL F REROOF 90.00
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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 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."
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CONTRACTOR 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 i f 93 G� 3
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Date Received 7- �9 � wi,l•� ne Contact for Permitting F / 0,9 -- :3
Owner's Name
IIIL,AI..�l�`W / Owner Phone Number
Owner's Address 111. 0 •••• f a ji i A Owner Phone Number
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Fee Simple Titleholder Name llIMM ' I . PI7Ir% �� — Owner Phone Number
Fee Simple Titleholder Address / 1
JOB ADDRESS LOT # -1
SUBDIVISION PARCEL ID# tV ° ( p — Li " 00b0 00 I N - 0 v (10
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I MOVE I 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR 1 I COMM n OTHER I
TYPE OF CONSTRUCTION I BLOCK 1 1 FRAME I 1 S up, OTHER 1
DESCRIPTION OF WORK '
BUILDING SIZE / r SQ FOOTAGE / HEIGHT
I BUILDING VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0
I PLUMBING $
I 1 MECHANICAL $ VALUATION OF NICAL INSTALLATION
f I GAS I I ROOFING I SPECIALTY 11 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I1 NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # I-
MECHANICAL % COMPANY
SIGNATURE 4 //' a j ED 1 Y/ N 1 FEE CURRENT 1 Y/ N I
Address -,ir „AI/�AIII MIN i•-nse # /`= � , A•0'
OTHER r "� Mil
COMPANY / __ r i
SIGNATURE ,V�gI f� REGISTERED FE CU ..- mo♦
�A�/ - J •
Address ������ License #
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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: Y • AILURE TO RECORD A NOTICE OF COMMENC
,. . • ESULT IN YOUR
PAYING TWICE FOR 1 f% EMENTS TO YOUR PROPERTY. IF YOU INTEND % O: ' N FINANCING, CONSULT
WITH YOUR LE ;4 AN ATTORNEY BEFORE RECORDING YOUR • " COMMENCEMENT.
NOT /
FLORIDA JURAT . "
OWNER O' G ,, CONTRACTOR fore me this
Sub abed and swore.J� .i In Subscribe, and y • t a i ed) before b �i_
j / VVho is /are ! _ / � ! e o as /have produced
Who i , • _ .. • , , , a or has/have produced as identification.
Wrc as identification. 41011°- i
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
. : TY '/11/1 / /- - 1 7 , 0 /
L ,r,-, a ( .6(4. (6904 7)-61
NOTICE OF COMMENCEMENT II I I I I I II I
II I I I I I I I I II 11111111111111111111111111111111111 111
Permit No. 0 7
Property Identification No. 0 (p
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)StreetAddress: 6045 north llth St. Zephyrhills, FL 33542
2.General description of improvements: R e r o o f House Rubber
3.OwnerInformation David Keithley 6045 llth North St. Zephyrhills, Fl 33542
a) Name and address:
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractor Information '.:
a) Name and address: A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542
b) Telephone No.: 813-782-5585 Fax No. (Opt.) 813-780-1805
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.) .9 N(
6.Lender
a) Name and address: _ V. m
Phone No. cco m N
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: N
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 1 m
713.13(1)(b), Florida Statutes: .• ••
a) Name and address: m
b) Telephone No.: Fax No. (Opt.) < m •
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is n m
specified): m
x
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 ... .P
COUNTY OF PASCO _ ,.M . �.
Si I a, - of Owner or Owner's ; u - . . f ' Director/Partner/Manager
• Art; t a wsytell
Print Name
The foregoing instrument was acknowledged before me this ' day of a / 2 /
a
,� b Y
as / .e of auth. 'ty, e.g. officer, trustee, attorney
in fact) for (name of party on ; alf of om instrument was executed).
Personally Known R Produced Identification Notary Signature
Type of Identification Produced Name rint /
Verification pursuant to Section 92.525, Florida. Statutes. Under penalties of perj dec are that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief. /.' / l
f
,, Nit, RICHARD C. BARTLETk f
E: MY COMEXPIRMES ISSIOJ N ADD 31 447832 Signature of Natural ' :I Signing A , . , e
FORMS /NOC,rvsd2007 2009 410 �^sf ,.•`. .'-.. BondedThruNota u Publi c ry ,
Unde�wdters
PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
07OR8BK9 81 3b 1 PG esii7
Pasco County Parcel: 02- 26 -21- 0080 - 00100 -0170 001 Page 1 of 2
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: I Weekly Archive - Saturday, July 25, 2009
I Parcel ID I 02- 26 -21- 0080 - 00100 -0170 (Card: 001 of 001) ---
Classification I 01 - Single Family
Mailing Address Property Value
KEITHLEY THELMA A & DAVID G Ag Land $0
6045 11TH ST Land $21,168
ZEPHYRHILLS, FL 335423525 Building $36,399
Physical Address Extra Features $774
6045 11TH ST
ZEPHYRHILLS, FL 33542 -3525 Market Value $58,341
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
See Plat for this Subdivision . Taxable Value $58,341
TYSON SUB PB 4 PG 109
LOT 17 BLK 1
OR 1456 PG 1340
OR 4906 PG 750
I Land Detail (Card: 001 of 001)
I Line II Use °Description°) Zoning 0 Units (I Type II Price II Condition II Value
I 1 Q 0100 II SFR II 00R3 II 9,450.00 0 SF II $2.24 II 1.00 II $21,168
I Additional Land Information
I Acres II 0.22 II Tax Area II 30ZH II FEMA Code II X ( °Residential Codell TYSBLP1
I Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1960 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Built -Up Tar and Gravel
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Oil Heat Convection
A/C Window Unit Baths 1.0
I Line 11 Description Sq. Feet I Repl. Cost New
I 1 II UST I 60 I $1,173
I 2 I FSA I 240 I $4,106
3 (I FSP I 96 I $1,662
I 4 I I BAS I 960 I $46,925
I 6 II F I 2 4 I $1,026
$2,884
Extra Features (Card: 001 of 001)
Line II Description II Year II Units II Value
1 DWC 1980 $477
2 I I UDU -M (I 1980 II 1 II $57
3 I CLFENCE II 1984 II 680 (I $240
Sales History
Previous Owner II N/A
Year II Month II B ook /Page II Type II Amount
2002 I 03 II 4906 / 0750 (I WD (I $0
11 11
http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng=21 &sbb= 0080 &bl... 8/3/2009
A. Nartiett Ituofing Of Central litatikia, Jut.
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 S � , �' r urrou ing A "as
We have re roofed more roofs (16, 000) in the past 35 years than the four local leading roofing comps es com ned .
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President & Own Pi. B le Rdofing --o'f Central FL, Inc.
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Sign: I �
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THANKYOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
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All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation k surance. Customer is liable for anycharges Incurred in collecting this bill
Rotten wood is an extra $35.00 (qtr sheet (4 -ply). Rotten fascia is $2.00 per linear foot. Total /