HomeMy WebLinkAbout11-11471 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813)780 -0020 11471
BUILDING PERMIT
Permit Number: 11471 Address: 37408 TEABERRY LOOP LOT 10
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10- 26 -21- 0120 - 00000 -0100
Improv. Cost: 6,250.00
Date Issued: 1/31/2011 Name: VIRGIL, GEORGE & JEAN
Total Fees: 70.00 Address: 37408 TEABERRY LOOP
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/31/2011 Phone:
Work Desc: RE -ROOF WITH SHINGLES
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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 reco ing your notice of commencement."
,ir /�� % _
`+I � • R SIGNATURE •
Av.,/ PERMIT OFFI �R
- RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
/ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813 780 - 0020 Gity of Lephyrhiils Fermit Application rax- C 1j- iuu -uuz,
Building Department
Date Received / — — // I S ) — I
Phone Co tact for Permitting
Owner's Name �; � Ny L a Owner Phone Numb I ,_________2_,___2_._.,
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Owner's Address •. + � r ' '_ 4 Owner Phone Number 1
Fee Simple TitijotdeNa e . tip jVj ` �' �`_: ', I
Phone Number
Fee Simple Titleholder Address (
JOB ADDRESS � j / 7/r) , `/- - LOT # I
SUBDIVISION 1
I , PA CEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I I NEW CONSTR n ADD /ALT � � SIGN r [ DEMOLISH
INSTALL 17 REPAIR
PROPOSED USE ri SFR n COMM I I OTHER 1 I
TYPE OF CONSTRUCTION n BLOCK ri F ME I 1 STEEL n 1 I
DESCRIPTION OF WORK 1 ' 01- �k49 e S I
BUILDING SIZE 1 1 SQ FOOTA 1 HEIGHT I
n BUILDING 41 - '1"—,^ J �—
V VALUATION OF TOTAL CONSTRUCTION
F $
( I AMP SERVICE I 1 PROGRESS ENERGY_,... W.R.E.C.
nPLUMBING I$ I i/Ii-/7/
n MECHANIC ' L I$ I VALUATION OF MECHANICAL INSTALLATIO
El GAS [ ROOFING rl SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA nYES NO
BUILDER
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I COMPANY I I
SIGNATURE REGISTERED Y / N FE E CURREf
I I Y / N I
Address 1 License # I I
ELECTRICIAN I COMPANY 1 I
SIGNATURE I REGISTERED FE E C
I Y / N URREN I Y/ N I
Address 1 License # I I
PLUMBER I COMPANY I I
SIGNATURE I REGISTERED FE
I Y / N I E CURREN I Y/ N I
Address I License # I
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN ��
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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 Attomey (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 specked 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
reeq u ic any a cor rect of e r of t ro r s s in plans, construction s or a violat violations of any codes. the Building
t issued hall become invalid
rqirng recton of rr in plans,
unless the work authorized by such permit is commenced within six months of permit issuance, or if work d A n extension
siby
the permit is suspended or abandoned for a period of six (6) months after the time the work mend will demonstrate
may be requested, in writing, from the Building Official for a period not to exceed (90) •
justifiable cause for the exte on. If work ceases for ninety (90) consecutive d: , the job is • •nsidered abandoned.
WARNING TO OWN ' OUR FAILURE TO RECORD A NOTICE IN • MENC OB aN F MAY
Y R NGT IN YOUR
PAYING TWICE F • ' - OVEMENTS TO YOUR PROPERTY. F
WITH YOUR LE %RA ATTORNEY BEFORE RECORDING YOU '%= OF COMMENCEMENT.
FLORIDA JURAT (F 3)
_ CONTRACTO: /� !� e
OWNER OR A Subscribe• - d � •m • (or a' - -
Subscribed al o = ► efore = his b
/, � /— Who isI- •ersonally own to me or has/have pro ced
Who is/are rsonall ,f. own • e or has /have produced • - , ced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
. "Bartlett anufing u: f (Central Jluriba, ,1nr.
• C/O Richard Bartlett
• 38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs (813) 782 -5585
(813) 973 -7737
RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523 -1944
LICENSED - INSURED - BONDED Lic. #CCC 1325499
• MEMBER OF THE CHAMBER OF COMMERCE •
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. Bartlett Roofing of Central FL, Inc.
Sign:
Ricfiftrd artlett
ANK YOU
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Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra $35.00 per sheet (4 -ply). Rotten fascia is $2.00 per linear foot.
Total � _
, I ,, k eA/1 el lAi 6'"'<./ .PLE'e■-• ( '..177-
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. NOTICE OF COMMENCEMENT 11111111111111111111111111111111111111111111111111111111111!
2011015453
Permit No.
Property Identification No. (0 -- 2-6 ..--0(2_0 — 0 b OOD v ( V 0
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 0
a) Street Address: 37408 Teaberry Loop. Zephyrhills, t•'L .5.1542 Wedgewood
2. General description of improvements • R e r o f MR Rubber
3. Owner Information v ��. i
a) George Vtrgilds 37408 Teaberry Loop Zephyrhill, fl 33542
b) Name and address of fee simple titleholder (if other than owner)
iik c) Interest in property Contractor Information
a) Name and address: A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542
b) Telephone No.: 813 782 - 5585 Fax No. (Opt.) 813
5. Surety Information
a) Name and address:
b) Amount of Bond: Rcpt.:1348301 Rec: 10.00
c) Telephone No.: • DS: 0.00 IT: 0.00
6. Lender 01/31/11 A. Giard, Dpty Clerk —
a) Name and address:
- 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 m c
713.13(1) (b), Florida Statutes: c
w n
a) Name and address: w r N
b) Telephone No.:
to •
Fax No. (Opt.) r
9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is x m p
m
Specified): ro g r-
T
G o
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF v
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, -u °
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 0 c
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 N" Q
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO NCEMEN . o
PA 3
STATE OF FLORIDA CD T,
COUNTY iL 1l NTY OF PASCO J ` / C/ � / m
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Si afore of Own or Owner's A on O icer/Direct artner /Manager
cep e /,L t
Prin ame
et
The foregoing instrument was acknowledged before me this 27 day of VAIN 20 cf b
as — by
in fact) for ( of authority, e.g. officer, trustee, attorney
(name of party on behalf of w instrument was executed).
Personally Known R Produced Identification Notary Signature
Type of Identification Produced Name (print) %--4 IdA
Verification 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.
NOTARY PUBLIGSTATE OF FLORIDA
Richard C. Bartlett �r
FcRMS ?007 ' Commission #DD878490 Si fur o atura erson Signing ve
III4
, Expires: JULY 31, 2013
BONDED TKO ATLANTIC BONDNG CO., INC.
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 PUBLIC RECORD IN THIS
WITNESS MY OF AN' OFFICIAL SEAL T
-i---- DAY OF L
'
PAULA - O'NEIL, �► '
� RO LER
� & COM _ .-- ITYCLERK