HomeMy WebLinkAbout10-10935 v
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10935
BUILDING PERMIT
Permit Number: 10935 , Address: 5316 11TH ST
Permit Type: RE -ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0100 - 17100 -0100
Improv. Cost: 6,175.00
Date Issued: 9/15/2010 Name: SAINT JOSEPH CATHOLIC CHURCH
Total Fees: 65.00 Address: 5316 11TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/15/2010 Phone: (813)782 -2813
Work Desc: RE -ROOF WITH SHINGLES
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• AN-•• - ••• ' IAL .5.00
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."
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C N TRACTOR SIGNATURE PERMIT OFFI FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Building Department
Date Received 9-- / /0 Phone Contact for Permitting ( )
Owner's Name Robe/ Lydia /6 � Jf ' Owner Phone Number
Owner's Address '0 Or, bot V0Lo0 ,51�'A '/e F1 5 37 4 tn er Phone Number
Fee Simple Titleholder Name . Owner Phone Number
Fee Simple Titleholder Address /
JOB ADDRESS 53 /b // ' Sf Zt-pL7 a 4 t 1 l S LOT #
SUBDIVISION PARCEL ID# 11 -2. 1. 2 / - tin J — 1 7I0 D - 0100
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ( I NEW CONSTR ADD /ALT I SIGN n n DEMOLISH
INSTALL REPAIR
PROPOSED USE n SFR Q COMM OTHER
TYPE OF CONSTRUCTION n BLOCK FRAME r 1 STEEL n I I
DESCRIPTION OF WORK e r o eF 1..// .7 7{ 4 ... e A F ArpAt /1 AP 1 7 .
BUILDING SIZE SQ FOOTAGE 27 HEIGHT
BUILDING $ l lc: oa VALUATION OF TOTAL CONSTRUCTION
nELECTRICAL $ AMP SERVICE [n PROGRESS ENERGY n W.R.E.C.
nPLUMBING $
nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
nGAS n ROOFING fl SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREI I YIN
Address Ucense #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRE1 1 Y/ N 1
Address I Ucense#
PLUMBER COMPANY I
SIGNATURE REGISTERED I Y/ N 1 FEE CURREI. f Y/ N I
Address Ucense # I
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRE. f Y/ N I
Address 1 c J' Ucense # I ,/
SI
OTHER GNATURE 11 % � i %i'`AC ' COMPANY C/ Z �� 1 /Lf
RLS Y / N I yL �j
�` 77 REGISTERED Y / "'NNN FEE CURRE� 1 Y / N f
Address Pe 6o.r iIr ` 1; it /44.1 305" 1 b Ucense # I CC c , C T . 717 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 (1 0) working days after submittal date. Required onslte, Construction Plans, Stornwater 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 57500)
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 A/C Fences (Plot/Survey/Footage)
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 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 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 Agriqulture 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 1 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 Tess 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, th 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 RAG (F.S. 117
OWNER OR AGE CONTRACTOR
Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
by by
Who Is/are personally known to m or has/hhav produced Who is/are personally known to me or has/ha produced ti
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
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San Antonio, FL 33576 dreamodtadt,
(352) 588-ROOF (7663) • (613) 782.1330 Ifeadtedt A
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PROPOSAL SUBMITTED TO WORKED TO BE PF.RFORMED AT _-
Name ____53 ....T f,.,cbafit_\LL,_..Chm.L-t)3_ Street -t_ro•• , st - ,,.... _
. _
eity.,...2eSbil. C hl__I Ls _ stitteitteg--• ZIP
Owner of Pf0PertY____Nat_....1051.12LLCdiaakc_rlea,
We N Nienber V ") 4 2 7 Zra_Fax.1 - lir - la& Pro* Number Fax
x,rf on c,- 4,c 4. nk 1.4 k*uff- NA , ito
reby propose to turreth all the niotteriab and perTorty an the labor necessary for the completion of:
111,Remove existing shingle +mot LA Replace teat fascia boards et $ ....... a. go pip foot
'.3 Remove existing bu-up roof L.I Replace Ix .,_. decking at $ .S.t 0 0 per fool
CJ °yin With M 15 id. U 30 R) ii Inman . ..._ feet of *kw vents okS r. 4.. aka
IlkOry-ln witti a fully adhered 1,1ftdOrkeyrnent $ _---.--- U Install Modified Minton (granulated) torah down roofing
ethilliarmi
la install new galvanized valley metal black. whit* or other color ..
*rate new lead boots
0 Wean 26 yr. fungus resistant 3-tab shingles
) instat new exhaust vents %Install 30 yr. fungus resistant dimensional shingles
Ifl
hostel new drip edge, °clot 'lifting* manufsetiror
0 lostail new flashing as needed C3 install TPO, whitelubbarized mooting membrane
1 Anise. *wood at 5 3109 _ _ pe7 sheet
Repair rotten trusties at $ 50 per foot , sl't \\. -- gsir-flaj____Ffaszts24.l.L\___ _
'Weashieurk le en ecisellersst charge, Soo Pricing Iltbove .......................... ......_
Ail frAteria.i is guersntee0 to be se opecifled, and the above work is to be perform(' is itocOrttence with the drawings and specifi-
cations subrnItted for above w w and completed In a substantial WOrKrnanlIke !miner to the sum of $ _ to '
wtit parelP1* to be made an follows; Payineattimulajaamagaugailm unless othanwia• noted. Thank You.
Credit cards aorrepted, additional 21% charge,
'Not reepOneltite for Meseta signal when satelite Is reinstalled Not responsible for A/C 4 Oliseldeet knee too close to roof docking
*roe itiattatim 0 deviator% *Ion asps. goocanityns ilwomng arum MOO SI
.tegif fiLlig#04&=metezwaserow...--... .
Pm Wiwured anly woe snarl omen, ass vssi DIONFIA Gil *OM &WOO OW IMO
solovo the *IOW* Alt ersemsnis ttrikeent up 4170111116 6CMIxlit go' &slays
OfficteriAgOnt Scott Riaciowan R
4efoxi ovrvontrat Owner kr Gem, W*. krraistu MC 001114 neosssery insironee
roon meows leo*. Wows° Oomaensition era FV; Sc Llobley stesascs ol above Note : This proposal may be withdrawn by tis 0 not accepted
van, in to tow, out by noreN, commthw. twee* semen allogid DO
MAIel Cline *PO 00116' teftlyuct4on FIK riblorle one mate *Wee during within days
AOCEP1AN ZE OF PROPOSAL_
The above prices, $c tons and ooncittiona are Sallifactory and are herebf etOcapted. You are autthwized to do th e work as
eperstled. I have reed the back of this ProposaVeontrdect, whirtitontaine Ronda Gtetu.e 713.001-7'3.31 Payment win be made u
outlined above. Oftent gives perrnieelon to drive on driveway to deliver materials,
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2010124045
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08/30/10 Rcpt1323233 C. Cook, Dpty Clerk
NOTICE OF COMMENCEMENT
PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLE.
Permit No. 08/30/10g: 1 1 of 1
OR BK 408 PG 821
Property Identification No. //- 240-2.1-0010 -11 / 00 -0106
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.
ioi,L' z_ 7# 1., /f' Pa /'G Sy 1r5 /0 / /4 /.LL --S
1. Description of property (legal description ) P1)t lO F -1' . p / L b T / 2. /} c/ s Gt. I'.0 gam{- c}
a) Street Address: S 3 1 (o O i ' t Z e�k y rti � �S r 1 335 .. Sy ' f/
2. General descr of improvements: a_ yc,0f i t . 4 Zr t 4v" 1COrrM.
3. Owner Information yrl cii g bey. -f-Al /SI:S/top c:4 7 e AiC ce;bt Sf Peer _c11trg
a) Name and address: p0 ,nr„a.t,.ier 1 /01 -00 J* . 1-trJbilly Fl 33 7
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
t ntractor Information ( 1 ,� j / '
a) Name and address: - i]iq, .ba* A. I , '11 P D.i3o
.W
- j
b) Telephone No.: ' -� -See 71, ( , Fax No. (Opt.) $ S , 9 -71, 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 y�-
COUNTY OF PASCO 111 _
Signature of Owner or Owner's Authorized Officer /Director/Partner /Manager
Jl �' O!!c (4 �r h
Print Name f
e o
regoin_ instrument was acknowledge e t is da of , 201 by 6(01
A u a y (type of authority, e.g. officer, trustee, attorney
in act) for If/ ex (name of party on behalf of om instrument was executed).
Personally Known )(OR Produced Identification Notary Signature vim it
Type of Identification Produced Name (print) CA r (A tai keo keo
i
Verifica tion 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.
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ignature of Natural Person Signing Above
FORMS /NOC'NeNT. ILE OR OF PUBLIC RECORD IN THIS OFFICE
MINE S MY HAND ,1e OFFICIAL SEAL THIS .
• DAY OF ��i • 2 O/b 4 a til h CORI ANN KEOU(iH k
PAU 1' . O'NEI� ;. C Stab of BY / G 2»,,MPTROLLER
DEPUTY CLERK �� -.a Commisston ExpheaAup17.2010
• % : $ ff Commission # DD 586503
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