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HomeMy WebLinkAbout10-10796 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10796 BUILDING PERMIT Permit Number: 10796 Address: 39038 BLUEJAY 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: EASY ACRES Est. Value: Parcel Number: 13- 26 -21- 0100 - 00000 -0330 Improv. Cost: 3,40(100 Date Issued: 8/05/2010 Name: BUTTO, PAUL Total Fees: 50.00 Address: 39038 BLUEJAY AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/05/2010 Phone: Work Desc: REROOF SHINGLE 30 YR ■TIAL 50.00 6 / DR IN'1• P 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." i ON - CTOR 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 ‘21 0 Date Reieived IA Phone Contact for Permittin • -- Owner's Name , /T B U( 7 Owner Phone Number Owner's Address 9 D 3 0 L 6-c-TI7 y h/6._ Owner Phone Number Fee Simple Titleholder Name j Owner Phone Number Fee Simple Titleholder Address p JOB ADDRESS 9f) L14 E 4 `, ✓6 LOT # SUBDIVISION // PARCEL ID# l 3 — 2 !° - / - 0/0P - 0000P 0330 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I 1 I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR n COMM I 1 OTHER I TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I 1 STEEL n 1 DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT 'BUILDING /La VALUATION OF TOTAL CONSTRUCTION i (ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. IPLUMBING $ IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION IGAS ROOFING n SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURREI' 1 Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURREI' 1 Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # OTHER COMPANY / f(//) SIGNATURE �) REGISTERED I Y/ N I FEE CURREN I Y/ N I Address PO , D 1( ) 3 P j 3 License # CO 0 W2_9/ Illltltllllllltllltttllllllllilllillllllilillllllltilltlttfiltlllllliflltltllillttllllltiilllllltltlilllllllilllllllllllllllltlilillltlllllll 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 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 CONTRACTOR L / 2 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 Aug 05 10 - 10:44a Lg Edwards Ins 3525676766 p.l co • CERTIFICATE OF LIABILITY INSURANCE OP ID KS DATEIMM/DDIYYYY) 08/05/10 TH C ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEENTHE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the tertificate holder in lieu of such endorsement(s). PRODUCER LUN 141. NAME: PHONE FAX -" M.G. Edwards Insurance Agency ac, No, Est): (A/C, No): T.O. Box 1548 ADDRESS: Dade City FL 33526 -1548 CUSSTOMERID#: GAVIN -1 .Phone:352- 567 -6751 Fax INSURERIS) AFFORDING COVERAGE NAIC 0 INSURED INSURER A : Atlantic Casualty Ins Co Gavin Roofingg INSURER B : Rick Gavin dba: P 0 Box 1363 INSURER C : Dade City FL 33526 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INbR TYPE OF INSURANCE AMA ,UUI PULILY ti-t• MUM? txP LTR IINSR WVD POLICY NUMBER (MMIDO/YYYY) (UMIDO/YYYY) UMITS GENERAL LIABILITY EACH OCCURRENCE $ 300 , 000 A X COMMERCIAL GENERAL LIABILITY L0830047241 08/04/10 08 /04/11 PREMSES x _ $50,000 _ CLAIMS -MADE n OCCUR MED EXP (My one person) $ 5, 000 PERSONAL 8 ADV INJURY $ 300 , 000 GENERAL AGGREGATE I s 300, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 300 , 000 A I POLICY n PRO- n LOC $ JECT , I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS ( (Per accidenl) $ NON -OWNED AUTOS i $ $ UMBRELLA LIAB 1 OCCUR EACH OCCURRENCE $ -- EXCESS UAB — 1 CLAIMS -MADE AGGREGATE $ - DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION I TO RY UMR I I T AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVFD N/A E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 11 yes, describe under l i -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ � I 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more space is required) /22 v& �-9 t) , ,, AY -4 /2-0„7 'O - p/ 17 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYOFZ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Zephyrhills (813) 780-0021 AUTHORIZED REPR ENTATIVE 5335 8th Street Zephyrhills FL 33541 ©1988- 009 AC RD ORP RA All rights reser ed. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Pasco County Parcel: 13-26-21-0100-00000-0330 001 - Page 1 of 1 E Data Current as Of: Weekly Archive - Saturday, July 31, 2010 I ParceliD 1 1 13- 26 -21- 0100 - 00000 -0330 (Card: 001 of 001) Classification 01 Single Family Mailing Address Property Value BUTTO PAUL S Ag Land $0 39038 BLUEJAY AVE Land $18,000 ZEPHYRHILLS FL 33542 -2201 Building $46,944 Physical Address Extra Features $1,083 39038 BLUE JAY AVE ZEPHYRHILLS FL 33542 -2202 Market Value $66,027 Assessed (Save Our Homes) $50,428 Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non- School Additional Homestead Exemption - $428 See Plat for this Subdivision ,1*'" Non - School Taxable Value $25,000 EASY ACRES PB 10 PG 100 LOT 33 School District Taxable Value $25,428 OR 3747 PG 1441 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line II Use IlDescriptionlL Zoning 0 Units II Type II Price II Condition Ir Value I I 1 II 0100 II SFR II 00R3 II 8,000.00 II SF II $2.25 II 1.00 II $18,000 I I Additional Land Information b Acres j 0.18 11 Tax Area II 30ZH II FEMA Code Q X IIResidential CoJI ZHLALP6 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I Year Built 1973 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block 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 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.5 I Line II Description II Sq. Feet II Repl. Cost New I 1 I I BAS II 1,056 II $56,475 I 2 II FOP 0 76 II $1,016 I 3 I) FCP I 160 $2,139 4 I FST I 80 $2,139 I Extra Features (Card: 001 of 001) I Line II Description Year 0 Units I I Value I 1 II DWC 1973 II 360 $311 I 2 II CON PTO 1973 I I 140 II $121 I 3 IL SUNDECK 1995 II 300 II $651 Sales History I Previous Owner BUTTO PAUL S & ADRIENNE V I Year II Month Book /Page II Type II Amount I 1997 I I 04 3747 / 1441 11 2 11 $o I 1981 I I 08 1146 / 1088 I 1 $30,000 I 1973 II 01 0655 / 0044 I 1 $2,700 http://appraiser.pascogov. corn/search/parcel. aspx?sec=13 &twn= 26 &rng=21 &sbb= 0100 &bl... 8/5/2010 I ropo5at Page No. of Pages Gavin Roofing I3- Li - 0 too - 00000 -033 . Quality Roofing Since 1984 b �, 3 N 0 104 8 • P.O. Box 1364 Dade City, FL 33526 352- 567 -5034 Lic # RC 0046241 2 Year Leak Warranty PROP SAL SUBMITTED TO PHONE DATE /9 ill- /5k77/ ST EET JOB NAME Jf' - $ dim.6-,r, /s CITY, STATE and ZIP CODE ` JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: 7 L '- ' ) /2 — Ca16e-- /e Wif# /7 34 42 f S 56 e-- . /V6 , . h-mik - a /Da yjwit/� ,lam✓ M -.1 w0o 9 uiot T /36- D0i✓‘- — T- ��o Dili a Propose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: v dollars ($ al-VA ). Payment to be made as follow,, G®/v° TAB✓ 0, X I All material is guaranteed to be as specified. All work to be completed in a workmanlike #2........ manner according to standard practices. Any alteration or deviation from above specifications Authorized extra costs will be executed on upon Signature involving only pon written orders, and will become an extra g 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 days / � 'Acceptance of Proposal —The above prices, specifications 1) j/ �� /�� and conditions are satisfactory and are hereby accepted. You are authorized Signature _ r to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature