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HomeMy WebLinkAbout11-11938 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3)�so-oo20 11938 BUILDING PERMIT Permit Number: 11938 Address: 6135 9TH 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: TYSON Est. Value: Parcel Number: 02-26-21-016-000-2000-10 Improv. Cost: 5,700.00 Date Issued: Name: HALL, DANNY & JOAN Total Fees: 65.00 Address: 2119 STOUT RD Amount Paid: 65.00 WELLSVILLE NY 14895 Date Paid: 6/02/2011 Phone: (813)779-2773 Work Desc: REROOF W/ASPHALT SHINGLES 20 SQUARES �� � � TAPE JOI TS ROOF INSP FINAL � L(s+'( ( 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 � 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. ,e9C�� �VO� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sis)�so-oo20 11938 BUILDING PERMIT ���;.; a Permit Number: 11938 Address: 6135 9TH 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: TYSON Est. Value: Parcel Number: 02-26-21-016-000-2000-10 Improv. Cost: 5,700.00 Date Issued: Name: HALL, DANNY & JOAN Total Fees: 65.00 Address: 2119 STOUT RD Amount Paid: WELLSVILLE NY 14895 Date Paid: Phone: (813)779-2773 Work Desc: REROOF W/ASPHALT SHINGLES 20 SQUARES 5. � � (� a�� � 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 � 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 properly. If you intend to�obtain financing, consult with your lender or an attorney before recording your notice of commencement. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER �,�-��u-�u�u City of Zephyrhilis Permit Application ��-c���-�- Fax-813-780-0021 Building Department � ��// Date Received � � � ��' Phone Contact for Permittin __ Owner's Name � c� Owner Phone Number Owner's Address ��' S� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titlehoider Address JOB ADDRESS / ^ % � � �7` � (.� �, � � S — S' �- LOT # C� SUBDIVISION � Sx�+� S.� �j , PARCEL ID# OZ 'Z �o " Z/— O� fp (� —dU 2.0 U—Q � Q Q (OBTAINEDFR�OMpROPERTYT TicE►DEMOLISH WORK PROPOSED B NEW CONSTR ADD/ALT �� SIGN INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q DESCRIPTION OF WORK �►'�v o Y �,J � �� {, � j l S' (,1 1 l,� �-OS BUILDING SIZE SQ FOOTAGE � HEIGHT OBUILDING $����� v� VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROG S ENERGY `\ V1�;R.E.C. --- i �PLUMBING $ �L-- �� V � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA c%'c� ��'/`, �GAS ROOFING Q SPECIALTY � OTHER � r/ ���� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N Address ' License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # � / 1 OTHER COMPANY Gp � � Ct,, C��[ (n•l (� h SIGNATURE `` " REGISTERED Y/ N FEE CURRE� Y/ N Address Q '�x � i� � h � License # � L � � 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, ConstrucUon 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 instailed, 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 construcUon. Trrr�������r�r���r�����.��� Dtrectlons. ' " "'' ' Fill out application completely Ovmer 8 Contractor sign back of application, notarized If over $2500, a Notice of Commenceme�t 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 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transpo�tation 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, wiil 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. cert�cate 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 applicabie 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 compiiance with all applicable laws regulating construction, zoning and land development. Appiication 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 8 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 flll 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. tf 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 ticense 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 CONTRACTO�- � ~ Subscribed and sworn to (or affirmed) before me this Subscri to (or a pte �his y – l�«° ,r.-� Who islare per onally known to me or has/have produced Who Is/are erso�ly me or haslhave produced as iden8ficatlon. �__ as identificatlon. � �, / Notary Public Notary Public " ,, ti�+:rv,�.,. • Commission No. Commission No = L . ° ' �'__ Commission DD 734406 ;,�� : = xp�r9s �.�e�,o,s gpided ThN Troy Fain �nsu�e Name of Notary typed, printed or stamped Name of Notary r , , or stamped 5��� Proposal�Contract .�c�ztt t � ' , �I�zc. P.O. Box 1188 • 33010 San Antonio, FL 33576 .��ec�cda�, � (352) 588-ROOF (7663) � (813) 782-1330 �s�a� dr � 1-866-407-0559 • Fax (352) 588-9763 �,�d,���,� www.scottblackmanroofin .com ` , f; Fa d - �°°���� email: blackmanroofing� ol.com Date ��:�"� �` � `� ��� � OS?957 , PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name _��1 r`� c� ,� i-�,, 't 1 Street Street �? � �� �l � ' �� � ' � � City City �,�, � �, ! I', State Zip State t Zip � Ownerof Properry Phone Number Fax Phone Number F� We hereby propose to furnish all the materials and perform all the ��b�r necessary for the completion of: o existing shingle roof (3fi�1,��e�� #�scia boards at $ `'-' per foot ❑ Remove existing built-up roof ❑ R�'p1� 1 x decking at $ per foot O"Dry-in with ❑ 15 Ib. ❑ 30 Ib. 0�(nstall �1► , feet of ridge vents ❑ Dry-in with a fulty adhered underlayment $ ❑ Install modified bitimen (granulated) torch down roofing ❑ Install new galvanized valley metal addRlonal black, white or other color O Install new lead boots ❑ Install 25 yr. fungus resistant 3-tab shingles C3lns ta l l new roo f jacks °�� �' � F� �� � �nstall 30 yr. fungus resistant dimensional shingles r�` ` F- Y�" 0lnstall new drip edge, . � ' !�'� color ❑ Shingle manufacturer color � � � `� `� ❑ Install new flashing as needed 0 Install TPO, white rubberized roofing membrane ❑'f�eplace plywood at $ t i ` ' �` ' �� per sheet ❑ Other: � �� �` f� ` ` `� , . �` , ! , , �{` � �; ` D�Repairrottentrussesat$ � �' �' perfoot ,�,` r �; ., �,. �, . .��, r, • ; ,_, , - , a ,; , , `Woodwork is an additional charge, see pricing above �� N F " r_�� :' � , ; � , �, , ; ,�! p % �, b. , ,, ,� �,' , -; � �, , ' , ; _ `� , All material is guaranteed to be as specified, and the above work is to be performed is accordance with th.e drawings and specifica- tions submitted for above work and completed in a substantial workmanlike manner for the sum of $ � %` `�"``� � with payments to be made as follows: Pavment due in full on completion, unless otherwise noted. Thank You. Credit cards accepted, additional 3% charge. *Not responsible for satellite signal when satelite is reinstalled "Not responsible .for A/C & electrical lines too close to roof decking Any alteration or deviation from above specifications involving extra costs will � ,' �� �` ,. � be executed only upon written orders, and will become an extra charge over and •°� �� � ��' � s ��' � ry above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance Officer/Agent Scott Blackman Roofing upon above work. Workers' Compensation and Public Liability insurance an above Note: This prnposal may be withdrawn by us if not accepted work to be taken out by Roofing Contractor. Extreme caution should be used during and aiter construction for debris and nalls missed during within days. cleanu . � ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back of tFiis ProposaUContract, which contains Florida Statues 713.001-713.37. Payment will be made as outlined above. Client gives permission to drive on driveway to deliver materials. Accepted Signature _ Date Signature i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2011084769 Rept:1370640 Rec: 10.00 DS: 0.00 IT: 0.00 06/02/11 K. Garcia, Dpty Clerk NOTICE OF COMMENCEMENT PRULR 5 0'NEIL,Ph D PASCO CLERK & COMPTROLLER 06/02/11 08:48am 1 of 1 Permit No. OR BK ���� PG ��'�� Properiy Identification No �j'�,z,° Z �' Z � .��r (pQ - l�C� Z�'j(,� � ,� 1 � �1 THE L7NDERSIGNED hereby grves not�ce that improvements will be made to certain real property, and in accordance wrth Section 713 13 of the Flor�da Statutes, the following mformation is provided m th�s NOTICE OF COMM NCEMENT % yiso n 1•• �/s� �.dc/ vn r� � R� o f E zs �=' �f � f"i �.� �% �/Sc :� I Descnption of property (legal description :) S�b p,g y PG jd 9 L.�T a) Street Address fi, �O ��3� ��' t-JT � �y�;��%� ��,�.� � �,�,� �� S7= Z t p v� y r ti�/l r �" !����i a 2 General description of improvements ���, �„� w ` �� �� G �4 � 7� .•..- �- f r h 3 Owner Information a) Name and address � pc�,v� �-/a� � / �/ �� �''� ,�� z �� ��„�� /� � � � 35 ..�.� b) Name and address of fee simple titleholder (if other than owner) c) Interest m property . Contractor Information a) Name and address. �c.� �111kc IcK (��.� �.�,,,� 3��/ f� 1� �� J�� �,, H I�� /�'/" b) Telephone No 35 Z S d= 7fo (r Fax No O t. �� b,r 3�S-� 5 Surety Information � p�- S Z— S� a) Name and address b) Amount of Bond. c) Telephone No Fax No (Opt.) 6 Lender a) Name and address 7 Identity of person withm the State of Florida designated by owner upon w o noti es 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 rece�ve a copy of the L�enor's Notice as provided m Section 713 13(1) (b), Fior�da 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 Spec�fied) 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 PO5TED ON THE JOB SITE BEFORE THE FIRST INSPECTYON. Ir YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA �. �� COUNTY OF PASCO G6 " ' " ` ,�� ~ Signature of Owner or Owner s Authonzed Officer/DirectodPartner/Manager � �/������/ �w Print Name `r, omg in ru ent was acknowled �1 before this da of , 20�, by �� l.� �- QL-Ci���1/�as _ (type of authorrty, e.g. officer, h•ustee, attorney �n fac for (name of party on behalf of hom instrum t was executed . f `/��� " " \ Personally Known __ roduced Identification Notary Signatare '�. i "fype of Identification Produced Name (prmtj r l � r �� ��,1 � Verification pursuant to Section 92 525, Flortda Statutes Under penalties of pe�jury, I declare that I have read the foregomg and that the facts stated in it are true to the best of my knowledge and belief. .si �.'f��/U " FORMS/NOC,rvsd2007 ���ature ofNatural Person Sigmng Above . ' ���`�,a�'>"�a� �� CORI ANN KEOUGH ' o Not�ry Public • St�te of florlda ;u• •• c My Comm. Expire� Au0 22, 2014 .,,� �� Commisaion N EE 193t3 '����'� +� Y" Bondtd TfK01pA M�101q1 NOt�lp A1fl� �!'� STATE OF FLORIDA, COG'N'FV Of PA$CC? THIS IS TO CERTIFY THAT THE FQREGC�kN� I�a A TRUE AND CORREC7`CQPY OF TM� l]C�GUMENT ON FILE OR OF PUBtIC RECORD IN THIS OFFICE W1T,NE MY HAND A dF�FICIAL SEAL �HIS ���1�� DAY OF � � � �� PAULA S, O�IEIL, RK & COMPTROLI_ER � � SY_� ^ /` -- DEPt1TYCLERk