HomeMy WebLinkAbout10-10634 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10634
BUILDING PERMIT
Permit Number: 10634 Address: 5855 FOREST LN
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: FOREST VILLAS
Est. Value: Parcel Number: 10- 26 -21- 0110 - 00000 -0160
Improv. Cost: 4,900.00
Date Issued: 6/23/2010 Name: LEE, FLOSSIE DRIGGERS & STEPHEN
Total Fees: 55.00 Address: 5855 FOREST LN
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/23/2010 Phone:
Work Desc: REROOF SHINGLE
A. :A L •• IN • N - Y L - E - ••F - I• N I•L 55
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FINAL ( / '- V
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
improvemen ! • your property. If you intend to obtain financing, consult with your lender or an attorney
befo - reco / :your notice of commencement."
J I L I C Tr SIGNATURE
PERMIT OFFI �R
t PER IT 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 �, .- Z 3 -/ 0
A Phone Contact for Permitting ( ) --
Owner's Name V_ s «'.' ---e---'"" Owner Phone Number
■
Owner's Address S tr _w� / �� • ner Phone Number
Fee Simple Titleholder Nam �l V�� �igig •wner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ri ADD /ALT 1 1 SIGN [ 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE ( 1 SFR I COMM I 1 OTHER I
TYPE OF CONSTRUCTION 1 BLOCK fl FRAME /STE - Q I
DESCRIPTION OF WORK -AL , _` NIfiadir_ -`��-
/
BUILDING SIZE SQ f AGE HEIGHT
I (BUILDING �
9 VALUATION OF TOTAL CONSTRUCTION
I ELECTRICAL ( AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C.
IPLUMBING $
(MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
(GAS 1 I ROOFING SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 $YES NO
BUILDER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1
Address I I License # 1
MECHANICAL COMPANY
SIGNATURE ■ / REGISTERED Y / N FEE CURREN Y / N r '
Address k dallir
I License # /�®
SIGNATURE 2Affivfifr.
/ • � / COMPANY � MUM � REG ISTERED �. FE CURREN WADE P.-
Address �� ���m��� 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 $7500)
** 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 if shingles 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 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 Wbrk 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 OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FO • PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LE . 9 OR AN ATTORNEY BEFORE RECORDING YOUR.,NTICE OF COMMENCEMENT.
FLORIDA JURAT (f . 17.03)
•
OWNER OR A CONTRACTQ
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3 . ands, /r aff ed) before me this
Subscribed a � • i ed) before me this Subscribed yaf' mt
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by
Who is /a = •(" r onally kno e or has /have produced Who is/ re personally knorto me or ha / / h a ve ve r odu e
- as identification.
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Notary Public otary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
A. ? &trtlrtt /loafing Of Cnrnttral P Puri is . ttr.
f t i ;i C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542 l ic°"6
One of the Largest, Oldest, Most Dependable
k;; ' i Roofing Companies in Central Florida OFFICE
Specializing in Mobile Home JP Stevens White Rubber Roofs PHONE
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& Insulated Aluminum Roof Overs (813) 782 -5585
(813) 973 -7737
/ . RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523 -1944
LICENSED - INSURED - BONDED
y Y • MEMBER OF THE CHAMBER OF COMMERCE • Lic. #CCC 1325499
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and.-Surrounding Areas
We have re -roofed or repaired more roofs (16, 000) in the past 36 years, than the four local leading roofing companies combined.
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President Owner A, B ett Roofing of Centr AtFL, Inc. /.�
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Sign: i ," i' I // � -t
Ritard C. Bartlett / .,1
THANK YOU
Your Business is Appreciated. J
Payment upon completion unless previous arrangement made. Warranties pertain to orilrowner. } i i i'
All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. ..,t �' _ t
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collectipg this bill. = ! ;
Rotten wood is an extra $35.00 per sheet (4 -ply). Rotten fascia is $2.00 per linear foot. i Total
L E G A L D E S C R I P T I O N :
ASSESSED IN SECTION 10, TOWNSHIP 26 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
rvIl oz- V ETAS VIVREC PLAT PCL 16 BEING A POR OF LOTS 18 & 17
BLOCK 2 OF FOREST HEIGHTS SUB PB 8 PG 10 AND DESC AS FCLL:
COM AT NE COR OF SEC 10 TH N89DG 38' 40 "W 671.73 FT ALG
NORTH LINE OF SAID SEC TH SOODG 04' 30 "E 25.0 FT TO NE
COR OF BLOCK 2 OF SAID FOREST HEIGHTS SUB TH N89DG 38' 40 "W
150.0 FT ALG NORTH LINE OF SAID BLOCK 2 TO EAST R/W LINE
OF EAST HART DR & NW COR OF LOT 22 BLOCK 2 OF SAID FOREST
HEIGHTS SUB TH SOODG 04' 30 "E R/W LINE OF EAST HART DR
524.04 FT FOR POB TH N46DG 45' 49 "E 86.71 FT TH SOODG 04'
30 "E 49.28 FT TH S46DG 45' 49 "W 86.71 FT TO SAID EAST R/W
LINE TO EAST HART DR TH NOODG 04' 30 "W ALG EAST R/W LINE OF
EAST HART DR 49.28 FT TO POB OR 4418 PG 87
Property Identification No. /0 - -42 I.. 0 //t - 00000 - 016 0 2010084747 I IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII
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 .) ..5O5 gd over
a) Street Address: 5855 forest lan oo r
2. General description of improveme " .a
R Prnnf Hntic -
tab shingles -" -
3. Owner Information
a) Name and address: Flossie Lee 5855 F • .
b) Name and address of fee simple titleholder (if other than owner) to
c) Interest in property
4. Contractor Information .-+
a) Name and address:A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542 a m
f b) Telephone No.:
813- 782-5585 Fax No. (Opt.) F+
5. Surety Information 813 $ Q -1$g5 0 o a m
a) Name and address:
• cs
b) Amount of Bond: 0
c) Telephone No.:
6. Lender Fax No. (Opt.)
a) Name and address:
Phone
w
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 Li' cn 8
713.13(1) (b), Florida Statutes: Lienor's Notice as provided in Section o
a) Name and address: • 1-. n
b) Telephone No.: • o
9. Expiration date of Notice of Commencement (the expiration date is one year Fax
the date of recording unless a different date is p
Specified):
m
Ufa
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, 6 p.
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 L W " A
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE J o
COMMENCING WORK OR RECORDING YOUR NOTICE OF C • ENCEMENT. m
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STATE OF FLORIDA z
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COUNTY OF PASCO o
All. 1NOP 1
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S i : ature of Owner or Owner's Authorized Officer /Dir ctor /Partner /Manager
Print Name y "-- --- IL--
The foregoing instrument was acknowledged before me this / 0 day of
as �/ Lo 20 by
in fact) for (type of authority, e.g. officer, trustee, attorney
(name of party o ehalf of om in ment wa ecuted).
Personally Known OR Produced Identification
Notary Signature
______Olq4
Type of Identification Produced
Name (print) C � - � l /�
r t G eT d
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of . 'ury, 1 declare that I h.ve read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief. / —
FOR MS /NOC,rvsd20W IF re of Natural Person Signing Above --
NOTARY PUBLIC-STATE OF FLORIDA
e"'N Richard C. Bartlett
,; = Commission #DD878490
Expires: JULY 31, 2013
BONDED THF(C ? i L;.NT1C BONDING CO.. INC.
OY' l . S .i A, COUNTY OF, 1 0ASCO
u i ; i AT THE FOt eGOdN &'1? A
,: Y OF THE DOCUME =M
ON i L 0;:-c r- _.IC RECORD IN THIS OFCICE
Wl LS' M ttANL AI r' QFFICIALSEAL.
/5rvfN U 'f F ; r(j
PAULA S. O'f EIL ;C IRK &'CQN/I' .ROLLER
BY .. DE.FUTY CLERK
Pasco County Parcel: 10- 26 -21- 0110 - 00000 -0160 001 Page 1 of 1
Data Current as Of: I Weekly Archive - Saturday, June 19, 2010
Parcel ID I 10 26 - 21 - 01'10- 00000 -0160 (Card: 001 of 001)
I Classification I 01 - Single Family
Mailing Address Final 2009 Value
LEE FLOSSIE DRIGGERS & Ag Land $0
STEPHENS LORETTA ANN Land
5855 FOREST LN $5,860
ZEPHYRHILLS FL 33542 -3258 Building $52,895
Physical Address Extra Features $447
5855 FOREST LN Market Value $59,202
ZEPHYRHILLS FL 33542 -3258
Assessed (Save Our Homes) $54,025
Homestead 196.031 - $25,000
Legal Description (First 4 Lines) Non - School Additional Homestead Exemption - $4,025
FOREST VILLAS UNREC PLAT PCL '
16 BEING A POR OF LOTS 18 & 17 Non - School Taxable Value $24,500
BLOCK 2 OF FOREST HEIGHTS SUB School District Taxable Value $28,525
PB 8 PG 10 AND DESC AS FOLL: Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
I Land Detail (Card: 001 of 001) I
Line II Use IlDescriptionll Zoning II Units II Type 11 Price II Condition II Value
I 1 0 0100 IL SFR 0 00R4 II 3,116.90 11 SF II $1.88 11 1.00 II $5,860 I
I Additional Land Information 1
I Acres II 0.07 II Tax Area II 30ZH II FEMA Code II X IlResidential Codell FVLALP1 I
Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I
Year Built 1983 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
I Line II Descri tion
1 11 BAS 11 Sq. Feet
I I I Repl. Cost New
I 2 11 BAP ( 1,100 $56,298
1 3 II FOP II 60 $4,862
l 4 II FGR 1l $768
�I 288 II $ 5,886
Extra Features (Card: 001 of 001)
Line lI Description II Year I Units Value
1
li 0 DWC �I 1983
11 300 () $383
1 2 UDU -M l 1985 I 1 0 $ I
Sales History
Previous Owner 11 LEE ROBERT L & FLOSSIE
Year
11 Month ll
I 2000
11 Book/Page
02 II 4418 / 0 87 II Type 11 Amount
I 1996 II 03 j 3553 / 0453 U WD 11 $0
1 1995 11 12 .__.D 3518 / 1777 11 WD II so
http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec= 10 &twn= 26 &rng=21 &sbb= 0110 &b... 6/23/2010