HomeMy WebLinkAbout09-9447 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
• (813)780 -0020 9447
BUILDING PERMIT
Permit Number: 9447 Address: 6353 SEVER OARS DR
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: SILVER OAKS
Est. Value: Parcel Number: 03- 26 -21- 0120 - 00000 -1091
Improv. Cost: 8,750.00 4, ",, ,.Itirg7 7: 7 ; ; :. g�..
Date Issued: 8/19/2009 Name: MAUPIN, ROY & EVELYN
Total Fees: 75.00 Address: 6353 SILVER OAKS DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/19/2009 Phone: (813)783 -7867
Work Desc: REROOF 30 YR ASPHALT
• : A - -2• - • '1 • R IDE I AL 75.00
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D - Y O N P .7: °" , � ?
TAPE JOINTS QOF IN
FINAL / Z -5/
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."
CONTRACTOR SIGNATURE PERMIT OFFI 'R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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5 P.O. Box 1188 • 33010 S 52 4daagas.f• it
San Antonio, FL 33576 ���
t' (352) 588-ROOF (7663) • (813) 782 -1330
Fax (352) 588 -9763 90#0304
/rte. wwwscottblackmanroofing.com Z �
Ree p, a email: blackmanroofing@aol.com Date A 1, i
057937
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT I�
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State _ _ _ Zip Owner of Property _ _ j,
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Phone Number _.
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
'"i Remove existing shingle root ell lace bad fascia boards at $ 3.
p i.) per foot
J Remove existing bullt- uproot
J Replace 1x decking at $_ _ _ per foot ,
Li'Dry -in with U 15 lb. 010 Ib. U Install _ _ feet of ridge vents
J Dry-in with a fully adhered underlayment $ L7 Install modified bitlmen (granulated) torch down roofing
I
ns II new galvanized valley metal black, white or other color __ - ,l
Install new lead boots additional
C3 In II 25 yr. fungus resistant 3 -tab shingles
stall new exhaust vents - Install 30 yr. fungus resistant dimensional shingles
j� color..__.,__...___,. • ._
Install new drip edge, _ !s!J�! tee__ .•color C] Shingle manufacturer -_ --
v Ins all new flashing as needed
r.:1
Install TPO, white rubberized roofing membrane / ��
C3 Other: t � - � '� L `� _d �'�¢ -n
ieplace plywood at $_. _j�_ = per sheet e - V _ '
trusses at $ �'� a _ per foot '
epair rotten trus, - - - ,-""_�" ^ ?
pricing above �!"' O v _ r . � � -� t i
'Woodwork is an additional charge, see p 9 CT �� + i
All material is guaranteed to be as specified, and the above work is to be performed fa the sane $ th the drawings and spe! (-
cations submitted tor above work and completed in a substantial workmanlfk i t ' n unless otherwise noted. Thank • U
with payments to be made as follows: p du e in full sn Cf iY1 redit cards accepted, additional 2.8% charge. '!
Not responsible for satelite signal when satelite is reinstalled *Not responsible A/ & el •c 1 lin too close to root decking '
Any alteration or deviation from above specifications come n e lvin C c end - �� — �� —~ '
be ezeCUted only upon written orders. an0 Officer /Agent Scott Blackman Roofing
above the estmete AU agreements contingent upon strikes accidentstneu insurance
beyond our control. $r to
o carry fir n and tornado and
Public Liability e( necessary Insurance surance Note: This pro osal may be withdrawn by us if not acs I -pt @(
upon tb above work. Within — days. ��
wo to be taken nut after Roofing construction f or deb V i Extreme and nails mi should be
used - -�– —
ed during and sfter or debris ltd ails mh•esd during -` –•— _� +;,__.._f– - ---• I
01 °' ""� - -- - ""�` -_ ACCEPTANCE OF PROPOSAL
sa pe above prices, specifications and Proposal/Contract n wh ch ccontai s Florida Statues 713.001 713.37 Payment will be ma as
i pehed.l have read the back ck of of this 0-) �,
outlined above. Client gives permission to drive on driveway to delive ma te els.
_----- -- Signatur tfuL_ - - -- - G- -f -` _., __ _.._,. i ___,
. __ 6 l'i 4-1 nct
Signature _ -. __ - ..._._.._.._- ~
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021
Building Department - CA/C4 7
Date Received' 04 � "(Y7 Phone Contact for Permitting --
Owner's Name ( V- t 1 } Y1 V " lA V 1I v\ Owner Phone Number
/- 1 'n
Owner's Address 35 _ st (,ve � D0.ks b/ Y Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (03 S 3 S + 'e v 0 & ks p A Z it y ✓ 41 7/] F/ LOT #
Cc ;r r'
�
SUBDIVISION t if DGtK - PARCEL ID# 03'" 6' "Z1 -01 Z G -- 00000 — I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I ] SIGN n MOVE I] DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 SFR 1 1 COMM I I OTHER I I
TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL I I OTHER 1 I
DESCRIPTION OF WORK l "<e k7 )/ 1,37 q Q / ` ,L- 14SoAtcy ( + ,S Yl t l+ 3 k 3 5
BUILDING SIZE SQ FOOTAGE / HEIGHT L/
BUILDING $ 7c-0
/ 00
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ( W.R.E.C.
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIO S FLOOD ZONE AREA 1 IYES I
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I
Address I License # 1
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # I
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address Li I
CC ce // nse #
OTHER COMPANY S (6 € ca k f _l9 J (t �'i c1 / C
SIGNATURE _ REGISTERED I Y/ N I FEE CURRENT 1 Y I
Address (o x / (es- 3 3 S,e 5,2 ,4h lAm F7 License # I C 05 7 , c 7
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: 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.
FLORIDA JURAT (F.S. 117.03) �/
OWNER OR AGENT �'7K'e-'"— CONTRACTOR
Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
by b y
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 or stamped Name of Notary typed, printed or stamped
1111111 11111 11111 11111 111111111111111 1111111111 11111 11111111
2009115856
Rcpt:1259351 Rec: 10.00
DS: 0.00 IT: 0.00
08/19/09 Dpty Clerk
PAULA S. O'NEIL, PRSCO CLERK & COMPTROLLER
08/19BK9 2 1PGA . 3 3 5
NOTICE OF COMMENCEMENT
Permit No. q 01
Property Identification No. 03— 2(p -2.-1 -b( z.0 - 00000 -- /01/
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 description,: r tic Artie / '/3 is PG 6 L 36 a I . Le'T /.fe g? /1/L/' d p i
a) Street Address: i 5 v rI ( P h l�-� of- LcTt/e
2. General description of improvements: /ja Z J i � i ` g 47 ' 4 -04 , r -
• P6 saa
3. Owner Information • Nn / 7
, a) Name and address: fy6 / n / "!A i n Y,7 �3 < S , ' � Uev OOLle- Or ZP9ti. y r 14 1r 0 ,F 3S %
b) Name and address of fee sirtple titleholder'(if other than owner)
c) Interest in property ctA,A, 1 .9 )1-
Contractor Information /
f
a) Name and address:.S(4 d 4ch/ickA e ( a /ec A/3oX ( /I' f s1 /fits, ,l 3 3 5 71
b) Telephone No.: 75 2.— s kb - 7 rp 4.3 C Fax No. (Opt.) 3S Z —S&P"— 7(, 3
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 COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO - - 204i/A
Signature of Owner or Owner's Authorized Officer/Director /Partner /Manager
Print Name
- ft egoing ' nstrument was acknow • :ed befo e me this ay of , 2tc 3c-M-4.., c b
i 44 , / as 1 1t4 data (type of authority, e.g. officer, trustee, attorney
in fact) for allarftill r s l (name of party on behalf of hom instrument was executed).
Personally Known OR Produced Identification Notary Signature ) d..../Vt■v■_
Type of Identification Produced Name (print) `6 V f A ,
II
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'"
Signature of Natural Person Signing Above
FORMS /NOC,rvsd2007
CORI ANN KEOUGH
r�•pra 4 ,.
rtir. X
r:° - < Notary Public - State of Florida
• '!' ' •)My Commission Expires Aug 17,2010
'=;�+ �+ Ar Commission # DD 586503
Bonded By National Notary Assn.
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING ISA
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC R ORD IN THIS OFFICE
WI ASS MY HAND AND /jFFICIAL EAL THI
`( DAY OF j /, A O -
PAU : O'NEIL, CL R CO - T - •LLER
BY /' `� ' - UTY CLERK
Cty Hof _Zephyrhills
BUILDING DEPARTMENT
RE: Permit # ` / y/7 7 9/17/07
Inspection Affidavit
I 5t o f f ,(,,744 4* ,licensed as a(n) /Engineer /Architect,
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; CC LU ? S �1
On or about ' J Z ! Sr v �"l , I did personally inspect the roof
ate & time)
deck nailin , and /or seconda water barrier work at 6, 3 5 3 ,� 1 hit( 04- 5 7 r
(circle one (Job Site Address)
Z�P kCr 4., 76 ( i
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
- Cw
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of . 200
By
Notary Public, State of Florida
(Print, type or stamp name)
Commission No.:
Personally known or
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.