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10-10807
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10807 BUILDING PERMIT Permit Number: 10807 Address: 5604 6TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11 26 - 0010 - 05800 - 0160 Improv. Cost: 5,400.00 Date Issued: 8/10/2010 N ame: D AVIS, SUSAN Total Fees: 60.00 Address: 5604 6TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/10/2010 Phone: (813)779 -7795 Work Desc: REROOF SHINGLE kY ii3 e �r ' _ ama ate✓€ Z+ � �a 1\)(i) AVN v - -ss •M� _`ALA 60.00 TAPE JOINTS ROT 11>I FINAL /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 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." 6 6e-- 1 / s _ CONTRACTOR SIGNATURE PERMIT OFFI ! 'R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER al J- /aU -UUZU LAW H1/IJOLiCUVII . Building Department Date Received © ` ' Phone Contact for Permitting — Owner's Name r. / L f / ) v / 5 Owner Phone Number Owner's Address Owner Phone Number Fee Simple•Titleholder Name . Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS [s 0 Y t0 Zu 3 f LOT # 4 SUBDIVISION PARCEL I13# / 1/ 2 t/ 61 4/6 �! / / J o1 v IY f (// 'ra. (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED n NEW CONSTR _ ADD /ALT I21" SIGN n n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR 2rI COMM I I OTHER I TYPE OF CONSTRUCTION n BLOCK FRAME n STEEL e / n DESCRIPTION OF WORK rC� to d e /9y ,r ti- [. s /®Q r.(,� - BUILDING SIZE SQ FOOTAGE HEIGHT r ILDING $ ®. ! �+� VALUATION OF TOTAL CONSTRUCTION nELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. E 1PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION nGAS OOFING Q SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N . I FEECURREn Y/N Address License # ELECTRICIAN COMPANY SIGNATURE - REGISTERED 1 Y / N I FEE CURREF I Y / N Address License # PLUMBER • COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREr, I Y/N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE COME: 1 Y/ N I Address �) License # OTHER � J / 441/2/4/ _ COMPANY ,4 o a "-- SIGNATURE - �°Y REGISTERED I Y / N I FEE CURREn `�?? 1 Y/N � Address f 0 [.I'® ,/ � 3 G,i 3 Q ( , L License # (/Z e ©0' %Z yl RESIDENTIAL Attach (2) Piot 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 (1 0) working days after submittal date. Required onslte, Construction Plans, Stonnwater 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 Ate Fences (Ptot/Survey1Foetag,) Driveways -Not over Counter If on public roadways..needs ROW NOTICE OFDEED "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 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 (Chapter713, 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 govemment 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 the e cones. Muse of th of e fill is building p ermit sued under adjacent properties, the owner may be permit application, for lots less violating the cons e ing 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, th ejob is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE D . IF Y YOU INTEND TO COMMENNANCIN , CONSULT WITH YOUR END R O;1 • ATTO' EY = F • R • FLORIDA JURAT (F:S. 117 •�—�— OWNER OR AGENT CONTRACTOR g bed sworn to (or affirmed) before me this S 0 lnd to or affirmed) before me this 0 70 --/ by svw (J y : re to me or has/have produced o islare pe mall to me or has/have produced as Identlficatlon. asfdentlflcah'o; : / , ; �r /� i - i • ` Notary Public ‘,(1 • ota ry Pubiic . � ,�► 4 .1.,, 0 w iaaui"a •, - . ry �r.I. " Commission DD 621833 , corn .sio : � b.o It s DD 62833 ....A rrniSSIOn Comae ■ �:I ES ..,'. i , f %: P.f. ,, Bonded T. troy F■in In""m a 900- 338,7019 Name of Notery aypfIp 10 Name of Notary typed, printed or stamped Troy Fain in 1019 V ropolvat Page No. of Pages • r Gavin Roofing Quality Roofing Since 1984 M • " ` Dade i FL 3 526 N 1057 352- 567 -5034 ' Lic # RC 0046241 2 Year Leak Warranty PROPOSAL SUBMITTED TO PHONE DATE / STREET JOB NAME CITY, STATE and ZIP CODE • JOB LOCATION / ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: �- P-- --> > .--- �- ) to �� la C. l i i.. .fit- . Al .- %i c'i°' «' /i sc' r LC, c c ic.;c /r f ..7 i% (-- v i E. 4 /L2 v>l., ] - i®lfd1S/9-- 71 / j el- Al /9 t// -; I PP p rapDft hereby to furnish material and labor — complete in accordance with above specif lions, for the sum of: >z'/,,->'�/�// & i . /Z.- /4‘) /R I.�1 —d) # — t / .5 �/� �-- Payment'fo be made as follows: dollars ($ / r �, Co'i//6720 A, & z To 6 All material is guaranteed to be as specified. All work to be completed in a workmanlike 7 manner according to standard practices. Any alteration or deviation from above specifications Authorized ("-- 4 1 — ,..--- - involving extra costs will be executed only upon written orders, and will become an extra Signature L 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 w r'n days. / tcrptanrP of Proposal — The above prices, specifications .., and conditions are satisfactory and are hereby accepted. You are authorized Signature elk" ' to do the work as specked. Payment will be made as outlined above. Date of Acceptance: Signature Legal Description 1 1 - 26 - 21 - 0010 - 05800 -0160 Assessed in Section 11 , Township 26 South, Range 21 East of Pasco County, Florida CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 16 & 17 BLOCK 58 OR 8132 PG 1442 NOTICE OF COMMENCEMENT 1111111111111111111111 pIN11M 11111111111111111111111 2010113846 Permit No. Rcpt01319893 Rec: 10.00 IT: 0.00 , Dpty Property Identification No. 08/09 S. Hatcher P Y Clerk 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. PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLEF 1. Description of property (legal description :) 08/09/10 02 : 51 m 1 of 1 a) Street Address: OR BK 2. General description of improvements: ,f .�110�/��j 83 4 P6 140 3. Owner Information C // ./� a) Name and address: L— � /7 5 � C,1 v r�6 �GT v Z e p 4 7 / //.$ t FZ 3 3 5 yo( b) Name and address of fee simple titleholder (if other than owner) / c) Interest in property 4. Contractor Information a) Name and address: 6II'' i 00A=7/040- / J / 3 4 X / 3 63 G/ i t � 3 3 b) Telephone No.: 3S,L —7 "7 Sv7 3y Fax No. (Opt.) ".5476 I\ R 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 Notic Commencement (the expiration date is one year from the date of recording unless a different date is Specified):�/1 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 Y e UR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C ! '4 M r . STATE OF FLORIDA 4 COUNTY OF PASCO .) Sig Owner or Owner's Autho ed Off • irector/Partner/Manager Print Name /,, v fore�oing instrument was acknowledged before me this qm day of (J (,i&f , 20 /0 , by agSff2her` os as (type • f authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of who if strument was exe . -(1). Personally Known OR Produced Identification y Notary Signature G 4104.1 4104.1 / / f L AIS Type of Identification Produced 1'L DL Name (print) aret h Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declt re that e read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. SI nature ural erson Signor - Above FORMS /NOC,rvsd200 SAM MITT � Nelley hive • SIM N Wile My NNW Wen Dee 11, M � csn, rntae • OD MON * graph NOW Wry Asa t1M11 Nam ( . swot trot ,ft ,e0 setae .A> OM A '111Ett NNN 00 N #tofu *wm3 , .mnA two. slew iom t be , 4 * ..1' Pasco County Parcel: 11- 26 -21- 0010 - 05800 -0160 001 Page 1 of 1 Data Current as Of Weekly Archive - Saturday, August 07, 2010 Parcel ID 11 26 -21- 0010 - 05800 -0160 (Card: 001 of 001) Classification 12 - Stores, Office, SFR Mailing Address Property Value DAVIS SUSAN F Ag Land $0 5604 6TH ST Land $28,000 ZEPHYRHILLS FL 33542 -3410 Building $43,521 Physical Address Extra Features $5,705 5604 6TH ST ZEPHYRHILLS FL 33542 -3409 Market Value $77,226 Assessed (Save Our Homes) $65,728 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision l'`` Non - School Additional Homestead Exemption - $15,728 CITY OF ZEPHYRHILLS PB 1 PG 54 Non - School Taxable Value $25,000 LOTS 16 & 17 BLOCK 58 School District Taxable Value $40,728 OR 8132 PG 1442 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) _J Line I Use IDescription Zoning Units I Type Price Condition Value 1 1200 STORE 00C2 7,000.00 SF COMB $4.00 1.00 $28,000 Additional Land Information Acres 1 0.16 1 Tax Are 30ZH FEMA Code X Commerical Code M6ST2AA Building Information - Use 12 - Stores / Office SFR (Card: 001 of 001) Year Built 1950 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 Plastered Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line Description I Sq. Feet I Repl. Cost New 1 UGR I 240 I $5,010 2 Ea, I 120 I $5,845 3 BM 647 $45,018 4 FOP 81 $1,392 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 PVCF SF 2009 2,896 $5,705 Sales History Previous Owner I WELCOME HOME REALTY OF Year 11 Month I I Book /Page II Type I Amount I I 2009 II 07 I 8132 / 1442 II Qc_ I $ I 2008 10 II 7955 / 0678 II QC II $0 I 2008 I 09 7929 / 0578 WD $89,900 http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &b... 8/10/2010