HomeMy WebLinkAbout10-10137 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10137
BUILDING PERMIT
Permit N 10137 Address: 38915 5TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 14500 -0100
Improv. Cost: 7,000.00
Date Issued: 2/17/2010 Name: WADDY, JAMES
Total Fees: 65.00 Address: 38915 5TH AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/17/2010 Phone: (813)782 -6627
Work Desc: RE -ROOF WITH SHINGLES 30 SQUARES
. ;"
GAVIN R• •FIN - EROOF RESIDEN 1 _.» " t,
AL 65.00
(f
a; < +* 9 r,'t ' 4 ik€i '� .,
DRY IN ROOF INSP
TAPE JOINTS ROOF IN
FINAL c- 24'4
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."
frir 1 s
CO RACTOR 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
Date Received – J – :� 0/D Phone Contact for Permitting --
Owner's Name 73-''2 & 3 WI 4 46/ Owner Phone Number
Owner's Address '3 0 //s S S vt Owner Phone Number
Fee Simple Titleholder Name, Owner Phone Number
Fee Simple Titleholder Address
/} Tf�
JOB ADDRESS 3 0 p !/ S S v LOT #
SUBDIVISION PARCEL ID# i/ ✓ Z / `0 0 /® -i V5 O- /oa
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR 1 1 COMM I I OTHER I
TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I OTHER I
n
DESCRIPTION OF WORK r� - /C. 00 70,
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ !^ / 00 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C.
PLUMBING $ 4 fO r 7
I ( MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS 14` ROOFING I I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO
BUILDER cl G , COMPANY , V i �C �- 1A-1'
SIGNATURE / �_— REGISTERED I Y / N I FEE CURRENT I Y/ N I
Address Po Le ?C. 1 3b.2 I' 1-I6 -" (' f (// 1 License # , C_. O 0 / 6L 71
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # F
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 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
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 N ATTORNEY BEFORE RECORDING YOUR NO C OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03
OWNER OR AGENT CONTRACTOR G
Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
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 or stamped
Name of Notary typed, printed or stamped
Legal Description
11- 26 -21- 0010 - 14500 -0100
Assessed in Section 11 , Township 26 South, Range 21 East
of Pasco County, Florida
CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 10 & 11 BLOCK 145 OR 3679 PG
Key No. 1867
NOTICE OF COMMENCEMENT 1 Hill 11111111111111111111111111111111111111111111111111111
THE UNDERSIGNED hereby gives notice that improvement will be made
to certain real property, and in accordance with Chapter 713, Florida State 2010019909
Statutes, the following information is provided in this Notice of
Commencement: this space reserved for recorder
1. Description of Property: Parcel No. S C ' L� 0 v / L '
(Legal description of the property and street address if available) .5 66- /9 f) 0 16 _
2. General Description of Improvement /(2= " 1 G} 0.1 ✓/ ,
3. Owner Informed. Name Mg 's c S 1f/ r} D IG' f
Address 6 S '„mign 7L4Y4I2LS ' . e.. — ip iplia
1(jk Interest in - rope • 0 nr -- Name of Fee Simple i dlehold (If other than owner):
Address --.. City State Zip
Contractor ame g " / ^ G'0 i" %/
Address: C m)'ussmirt er fT'!/f ,p : e
Phone No. 3 - 4 f- , Ip MAW f
3 � S! 7 S ' v;3 � ax `0.
5. Surety: Name
Address City State Zip
Amount of Bond: $ Phone No. Fax No.
6. Lender Name --
Address --
Phone No. Fax No. _ City State Zip
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.1 1)(ax7), Florida Statutes:
Name Address City State
Phone No. Fax No.
8. In addition to himself or herself, Owner designates of
to receive a copy of the tenor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Phone No. of person or entity designated by owner.
9. Expiration date of Notice of Commencement (the expiration date is 1
year from the date of recording unless a different date is specified.)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTEF. THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713 PART 1 SEC 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT IutUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT ' WITH YOUR LENDER OR AN ATT i 0 ORE COMMENCING WORK. OR RECORDING YOUR NOTICE OF COMMENCEMENT.
6 Sig Zikviri s ffi prized O • - •'rector/ Partner/Manager Signatory's Title/Omioe
Req by same belowb X` mark **'
STATE OF F I-0 f 1 1-i- COUNTY OF P /VS C 0 `
The foregoing instrument was acknowledged before me this day \
day o f ' C M f I- Y , 20 (6 , by K A Z (,(K t \A) f--� (. y
as for ( Name a Person)
- (Type of authority e.g., orrice, trustee, attorney in fad) (Name of party on behalf of who instrument was execute
• nor, re o 1 ry " •� = ' MARY JEAN DERBY
Print, Type or Stamp Name of Notary I _ �, a Notary Public • State of Florida
Personally Known " OR Produced Identification I =� , I r My Comm. Expires Oct 12, 2012
Type of Identification - .. uced: V4 ! i sw Commission I DO 830494
Verification pursuant to Section 92.525, Florida Statutes: under penalties of perjury, I declare that I have read the fdfegoing'art r that tflb ffttsTtatBd IN itlre —
to best of my knowledge and belief:
I
l-i !? n9
S E F FLORI • ,' • UNTY OF PASCO Rcpt: 1288035 Rec: 10.00
THIS.) TO CERTIFY AT THE FOREGOING IS A DS : 0.00 IT : 0.00
TR AND CORRECT COPY OF THE DOCUMENT 02/12/10 C. Cook, k
O{K�! FILE OR OF PUBLIC RECORD OFCE
MI — NESS MY HAND AN OFFICIAL; 1N SEAL THIS THIS FI PAULA s.
O'N11: tam Dpty CLERK C & COMP TROLLER er
2 G /
02/12/10 11: 32a 1 o f 1
NOGrig.vJPD (71/07) ..— / DAY OF ✓U� OR BK Gl
tsg p ,�ULA S O NEIL, '
9/24/07 C ERK CO 826 P6
/ ,, . A � (DEPUTY CLERK
1376
BY C /�lft
L Y
Gavin Roofing Page No of Pages
1
Quality Roofing Since 1984 N0 1175
• P.O. Box 1364
-- Dade City, FL 33526
352- 567 -5034
Lic # RC 0046241 2 Year Leak Warranty
PROPOSAL SUBMITTED TO PHONE DATE fs � ' /
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TAM S 0.1
. /949,0-/ r // U,
STREET JOB NAME
3 7 9 /.S 1 711 4-U'
CITY, STATE and IP CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for:
Tl ff/L t2 /=� t- , -C L J C % .7 d &, - w /1i4� A id yx, �Afc,c, '�=2, -9
S2///ve -4 � ,v j / /V/ , ` /1�D�z 1 /6,�r,s ��-1z �/ 4 ,1c-l/ j
P , /9 7 : e l e / / V S 7 / t Z 2 6 % t . . / £ i 000 Gil 1 / c D '
4:5 ivrG' ,0 — i 45/4 A. Gam' 2
MP prupDSP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
`
dollars ($ 7/1'4'
Payment to be made as follows: 3 �'
Z.'e/1 6s 2 TE7,Q
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications Authorized �,
involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above the estimate. 'All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tomado and other necessary insurance. Note: This proposal may be
\\ Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within day
s \ / �\
/ Arrrptanrr of Proposal_ The above prices, specifications `�
and conditions are satisfactory and are hereby accepted. You are authorized Signature i ,2 lam' /
to do the work as specified., Payment will be made as outlined above.
Date of Acceptance: Signature