HomeMy WebLinkAbout10-11191 CITY OF ZEPHYRHILLS r
5335 - 8TH STREET
(813)780 -0020 11191
BUILDING PERMIT
Permit Number: 11191 Address: 6928 STEPHENS PATH LT 45
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: SILVER OAKS
Est. Value: Parcel Number: 03- 26 -21- 0160 - 0000 -0450
Improv. Cost: 6,145.00
Date Issued: 11/22/2010 Name: BOWEN, TREVA
Total Fees: 70.00 Address: 6928 STEPHENS PATH
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/22/2010 Phone: (813)783 - 8074
Work Desc: REROOF 30 YR TIMBERLINE APHALT SHINGLES
- -es 1 • - - •s . 1 • 1.11
PDC
OpkV
TAPE JOINTS RO F
FINAL 6 '
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
ements to your property. If you intend to obtain financing, consult with your lender or an attorney
lam • . rding your notice of commencement."
fte
Cr TRACTOR 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- 780.00z1
Building Department
Date Received
J) / r . /
Phone Contact for Permittr • /
_
Owners Name Q. U. � 1 Owner � / Phone Number � � " / r — ■ 61
Owners Address 1 Owner Phone Number
Fee Simple Titleholder Name I 1 Owner Phone Number
Fee Simple Titleholder Address I
� �\� JOB ADDRESS s , q Q S �+- Q ph Q .n s . ci' j "� LOT M I I
SUBDIVISION I hO f l p � l en I PARCEL ID* � � DI Q ` � /'1^ Q
T (MANED PROM PROPERTY TAX ' NOME)
WORK PROPOSED NEW CONSTR ADD /ALT 7 SIGN Q 0 DEMOLISH
__ INSTALL REPAIR
PROPOSED USE Aga SFR = COMM r OTHER I 1
TYPE OF CONSTRUCTION Y BLOCK 0 FRAME r, STEEL = I I
DESCRIPTION OF WORK e f .Uk,i t . ' 1 . I. I r I ` 51 / %y
BUILDING SIZE I I SQ FOOTAGE 1956 HEIGHT ( PA te r , •-Q,
1-- BUILDING ($ C i L 5 I __NWLUATION OF TOTAL CONSTRUCTION
— .t....kw _ AMP SERVICE n
PROGRESS ENERGY Q W.R.E.C.
r1 PLUMBING IS I
=MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY r OTHER
FINISHED FLOOR EL TIONS FLOOD ZONE AREA r1YES NO
r
�J H ON �D I - 1 Y / N �`4 hDO J1 I ` BUILDER ._( S3NNATURE FEE CURREN { / N (
L- - -
.. _._ Llcena I ( C<< L3) - 1) CAS
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ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y / N I FEE CLARE?, 1 Y/ N I
Address 1 I License f/ I
PLUMBER COMPANY I
SIGNATURE
newsman I Y/ N I FEE CIggEA 1 Y / N I
Address I
l License*
MECHANICAL I I COMPANY I
SIGNATURE REOIaTERED ( Y/ N
I FEE CURREA 1 Y/N I
Address
1 License if 1
OTHER COMPANY I
SIGNATURE
REGISTERED 1 Y/ N
FEE CURREA I Y / N I
Address I 1 License • I
11111111I111III1I11I111111111111 III 1111111111I11111111111I111111II1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of BuldIng Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days otter submittal date. Required orate, Constrtwtlon Plans, Stormwatw Plans w/ Silt Fence installed,
COMMERCIAL Attach Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects () complete sets of Bulkiing Plans plus a Life Safety Page (1) Set of Energy Forms. R-O-W Permit for new constriction.
Sanitary tan (10) & 1 diirm� alter submittal ne date. Required wane, Construction Plans, Stoma* Plans w/ Silt Fence installed,
SIGN PERMIT Attach 2 ate et Engineered Site Work Pernik for all w projects. AM commercial requirements must meet compliance
() gi eered Plans.
""PROPERTY SURVEY required for at NEW construction. •
Directions:
RN out application completely.
Oman & Contractor sign beck d ns applicatlion, notarized
If required. (A/C upgrades over MOO)
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)
Rerocts W shingles Sewers Servbe 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 anc
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, l
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. l 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.
111 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 • MENCEMENT MAY RESULT IN YOUR
PAYING TWICE F IMPROVEMENTS TO YOUR PROPERTY. IF YO4 INTE D TO OBTAIN FINANCING, CONSULT
WITH YOUR L DER OR 9N ATTORNEY BEFORE RECORDING Y. R NO E OF COMMENCEMENT.
FLORIDA JURAT .S. 117. 1
` i
OWNER OR AGEr4,T CONTRACTOR
Subscribed and s oTh affirmedLbei re me this Sub d and sworn to (or atfirme ) beftarre me this
who is/are personally known to mw nr hwcm,,ve produced who Is/are personally NO
own to me h produced
as identification.
Gfication.
Gikair:--') : . 1'-- ° it..*Public '-' . ° .. //
('� Notary Public
Commission Nb� j� �1l OO�@ Commission No.I q ( O <�a ~ 3
Name Name of Notary ty .
....401k, HEATHER D. H09FELD ,,,,,
R D. H09FELD
?t. •, r_ MY COMMISSION 11 DD 962223 : i$ HEATHER ,
ss EXPIRES: March 21, 2014 *_ MY COMMISSION f OD 962223
ti Bonded 7hre Notary Pubic Underwriter ! is o;' EXPIRES: March 21, 2014 •
rr Bonded Thnr. Na18ry PrbMc UtMervrtiter
1 111111 0111 1111111111 11111 11111 11111 11111 11111 11111 1111 1111
Key No. Permit No. 2010164928
NOTICE OF COMMENCEMENT ' Rcpt :1336190 Rec: 10.00
DS: 0.00 IT: 0.00
11/16/10 L. Korb, Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be
Made to certain, and in accordance with Chapter 713, Florida State
Statue, the following information is provided in this Notice of
Comm : � � _ a1 _
1. Description of Property: Parcel No.:��
(Legal description of the p operty and street address if avaiI bl) /
2. General Description of Improvement: n
K. F
Owner Information: Name:�Tp"j(L oTrj
Address: LQ9 ity -zh `L� L� i 1 5 State 1 335'1 -
Interest in Property: c1�jix'
Name and Address of Fee Simple Titleholder (If other than owner). PAULA S.O 'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
11!16/10 10•03am 1 of 1
4. Contractor: Name: 7 b3 -h 'rS Q OR BK $467 PG 649
Address: PC) City ' rrn1_ - / State FI
Phone No. ,Zcy) ) Fax No. FjUy - f()p
5. Surety: Name N Amount of Bond: $
Address: City State
Phone No. Fax No.
6. Lender: Name: f3' P
Address: City State
Phone No. Fax No.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)(7) Florida Statutes.
Name: //
Address: City State
Phone No. Fax No.
8. In addition to hirpelf or herself, Owner designates of
To receive a copy of the Leinor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year 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 1, SEC 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 WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
X. l
Signature o ner or Owner's Authorized Officer /Director /Partner /Manager Signatory's Title /Office
Signature Required by same below by 'X" mark
State of County of f nQ nd(�
The forgoing instrument was acknowledged before me this a day of t\. 2010 by 1r(Q )Q.. 1 , I o(p)
as (Printed name of person acknowledging)
(Typ- of authority o ice attorney in fact) for (Name of party on behalf of who instrument was executed)
Signa ure of Notary Print � / "
Personally known �1R Produced Identific 'on ✓ Type or Stamp Name of Notary
Type of Identification Produced: � L
Verification pursuant to Section 92:525, Florida Statutes: under Penalties of perjury, 1 declare that 1 have read the foregoing and that the facts
stated in it are true to the best of my knowledge and belief.
FEAThERD.HDSFEID
-- MY COMMISSION t DD 96,2223
Signature of Natural Person Signing Above EXPIRES: March2l, 2014
. Bonded Thru Notary Public U
Oc08.doc Rev -2008
STATE OF FLORIDA. COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
W TNNES,S HAND App OFFICIAL SEAL THIS
9�� DAY OF 6 ' U
PAULA S. O'NEIL, CLERK &COMPTROLLER
E3Y_ d� ' " /C-6'_ " / DEPUTY CLERK
�,-- Fosters Roofin 1 „ � .
MauerCard `^` P.O. BOX 10553
BROOKSVILLE, FL 34603 ti,
ascoVER VISA B 727- 848 -6600 — -,
® 352- 799 -0045
MEMBER CCC1327265
Date: i ,' . ' (
Name Fd, Job Name , ,,- ;
Address (,c )r- ; , ; , e , \ ;; 1. Job Address
City, State, Zip - —, � ,., / . i t : City, State, Zip
Phone , ;, -). , ./ Phone
cv 50 Yr. Architectural cv o Di :) / i a l 3 t i Galvanized Valley /
40 Yr. Architectural „. Angle Flashing
30 Yr. Architectural f` . ix, : .:,1, ,l Aluminum Drip < -
25 Yr. Fiber Glass Shingles Galvanized Drip
30 Lb. Felt 6 ; Plumbing Boots: 4” 3"
Peel'N'Stick . - { 2" F, 1 1/2"
90 Lb. Roll Roofing 1 GRV Vent 1
75 Lb. Base Sheet Range Vent ,
Mop Down Ridge Vent
Cement/adhesive End Plugs ,
Plywood: PerSheet 2x6 fascia .F per ft.Truss tails 2x4 F; per ft.
Re -nail Plywood
All wood repair is extra. By signing this proposal you are giving me permission to change and
charge for any bad wood that is required by law. Workmanship is guaranteed for a period
of LL years. Price includes all taxes and permit fees. Prices are subject . to change without
notice. Any legal fees pertaining to this contract or for the collection thereof shall be paid in
full by contractee. Homeowner must provide access thru driveway or yard to the roof.
We propose hereby to furnish ateriaLand labor- complete in accordance with above specifications,
for the sum of $ , w . ..., lea Payment to be made as follows: in full .upon job completion.
A 3% charge will be applied for use of credit card.
All material to be specified. Any alteration or deviation from the above specifications involving extra
costs will be executed only upon written orders, and will become an extra charge over and above
the estimate. All arrangements contingent upon strikes, accidents or delays beyond our control.
Our workers are fully covered by workers compensation insurance.
Note: This proposal may be withdrawn by us
Authorized b , Y
Signature: f ,�
g : -, - ; if not accepted within days.
Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorizing to do the work as specified. Payment will be made as outlined
above.
Signature: Date of Acceptance: