HomeMy WebLinkAbout11-12055 CITY OF ZEPHYRHILLS
* � 5335 - 8TH STREET
(si3)�so-oozo 12055
BUILDING PERMIT
Permit Number: 12055 Address: 38737 12TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04200-0100
Improv. Cost: 5,990.00
Date Issued: 6/28/2011 Name: LAUGHLIN, JIM 8�MAJORIE
Total Fees: 97.50 Address: 38737 12TH AVE
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/28/2011 Phone: (813)782-5735
Work Desc: TPO GENFLEX REROOF SYSTEM 17 SQ
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TAPE JOINTS ROOF INSP
FINAL �� �� -- �J
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 commenceme "
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' CONT OR SIGN�TUR PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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C�ntractor/Homeowner: /�'� �
Date Received: � - Z� - l�
Site: ��7� 7 �Z� 0��
Permit Type: ���� ���
Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit andlor plans.
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K 'n Switze lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
a�s-7s�-��z� City of Zephyrhills Permit Application Fax-813-780-0021
Building Department ..
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Date Received � � �' �'� � • Q
Phone Contact for Permitting
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Owner's Name � �1Q.L" ��' IGV ���� i��1�� � Ovdner Phone Number �j"� r7c� ���
Owner's Address � C� l Pa Y 1'l \" � �Li7- l�i� �� � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titlehotder Address
JOB ADDRESS 3 ,� r l C� �'�� l.�( ��..— LOT # ��
SUBDIVISION , PARCEL ID# �; �. � `�j' �,.�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT � a SIGN 0 Q DEMOLISH
INSTALL REPAIR F•.�.�L'
�,t� i
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK `� � C� � Y'�� r ' � � S
BUILDING SIZE SQ FOOTAGELL-1sLSz�J HEIGHT
[�BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
i,
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � ���
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
OGAS � ROOFING Q SPECIALTY � OTHER
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 s License #
OTH � "d� .� COMPANY T�\�� �v
SIGNA f � � REGISTERED Y/ N FEE CURRE� Y/ N
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Address �- ( S License# � �� S r
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) wortcing 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, Stortnwater 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 requlred for all NEW construcUon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over;2500, a Notice of Commencement is required. (AlC upgrades over;7500y
" 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 fo� a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may appiy for the
intended work, they are advised to contact the Pasco County Buiiding 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 entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact 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 (Chapter 713, Flvrlda Statutes, as amended): If valuation of work is $2,500.00 or more, 1
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", 1 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'SIOWNER'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 filt 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 instatlations 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 is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR �MPROVEMENTS TO YOUR PROPERTY. IF YOU TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN RlOR AN ATTOR EY BEFORE RECORDING YOU NOTICE OF COMMEN MENT.
FLORI A JU T(F.$'. 11,�.03) �' s
OWNER GE . � CONT� � \
Subscribed���a�i orn to (or affirm efore me Subscribed� wom to (or affl e) b fore me this .
by �` � bY
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identlficatlon. as identification.
1
Notary Public �-- Notary Public
Commission No. Com i on No
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
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'� =��, ADivision of Ry�narc Construction, lnc. � ��� ��-"�`' Proposal # �-+� � �
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iNC. 36413 SR 54 • Zephyrhills, Florida 33541 ���c�,� Estimate #
Phone: 813-782-6094 • Fax: 813-788-6773
License # CCC 1325505 Job # c�! �.� �
'�-�+�i�-��l�-�t��1� Also, Serving the Central and East Coast of Florida
(71��i�)
Customer: � r �l �� ��� � � Date: �-� -` r, I
Address: j�7 � 7 ,��'� !� '� CitY� �C�A�r'� � �� i�� S Zip: ��� ��
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Home #: � � 3 �� /<� � � 7.3� Cell #• Business #:
E-niail Address: —
�� Complete te.u• off of existing Additional Items: � �� '�
❑ Secure a111oose roof decking as needed according � 3 � - �.�,,;� �d �, � � •
to I�'loiida Building Codes � . ,
❑ Roof dried iii wiLh �
l:.! Install new valley metal with galvanized nietal ��
U Install a11 new " drip edge color: �,s' , • � .�. ; ; ,
�J Ixistall all new lead boots _ _ frj ��; � ; -
C1 Install a11 new year fungus-resistant shingles �vc�2
❑ Shingle br�uuUcolor: .� �. � t �,��_ Warrantypackage.
�AII roof related debris removed from job site
�All materials, labor and perinits furnished �
Total bid price $ - �� '��• �
E�ctra's
❑ Bad plywood replaced at a cos1, of �,�i"�'�_ per sq. ft. in the roof field. A.11 other wood work/additional labor, such as, but not
luiuted to, valle3 i•ebuild'ulg, rafter replacement, etc. will be a rate of $�,/i �- per man hour plus the cost of materials.
'11iIS BECObIES A BINDING CONTRACT UPON ACCEPTANCE OF PROPO5AL. PURCHASER ACKNOWLEDGES BECEIPT OF A COPY OF THIS CONTSACT.
1. All material is gii�r�uueed to be as speciYied <uid completed in a substantia! worlauaiilike ma�mer.
'L. Nl agreements contuigent upon sf�ikes, accidents or delays beyond our control. Owner to cany Lre, hurricane and other necessary insurance upon above work
3. la�or wai•ruity does not cover damage to roofs caused by lighUuiig, hiuricane, tornado, hailstorni, impact of foreign objects or other violent storm or casualty dantage to roofs due to
settlement, distortion Yailure ur cracldi�a of' i•oof deck, walls or Y'oiuidation of a buildictg.
4. Worlciva�i's compei�sation a�id public liabIlity u�sma�ice on above work to Ue taken out by $YMAN ROOF'ING, INC., a Division of Ryman Constivction, Inc., or it's subcontractors.
6. HYMAN ROOFING, INC., a llivisioii of Rymaai Cuiut�l�ctiou, Inc. is not responsible to provide any mateiials or to perl'onn any work other then what is desciibed above. Replacement
of deterioi•ated decldng or fa5cia boarci�, is not included a�id will be ch�uged as an e�ctra uiiless otherwise stated herein.
6. 1Yiis cutitiact is subject to fui.il approval by RYNIAN ROOr'[NG, INC., a Division of Rycnan Construction, Inc. and is the entire agreement of the parties and no other written or other
f'om�s will recognized.
7 A cha��ge of 1.5%will be niadt� un all unpaid balances aY'ter 30 days, plus cliarges incuized for non-payment procedures, plus attomey's fees.
8. A�l°� processuig fee will be added to all credit cu�d ordeis.
Ryman Rooiing, Inc., a Division of Ryman Constructioiy Ine. will not be responsible for any damage to septic tanks, sod, shrubbery, paint, satellite signai loss, sprinkleis,
concrete drives or aiiy underground piping.
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Payment Schediile• �� G��L�Y\ ��v�.L.�� ���i Payment Method:
� Acceptance of Proposal
�TATUTORY NOTICE REGARDIN(� CON TR TION I N• ACCORDING TO FLORIDA'S
CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK
ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL
HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS
CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR
FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE
PEOPLE WHO ARE OWEll MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU
HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR,
YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS
FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS,
OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO
PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAY1VlENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN
RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE
TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED
THAT YOU CONSULT AN ATTORNEY.
I ACCEPT THIS PRO O�AL AND HEREB ERTIFY T VE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Ptuchaser: l�f� Date: r"
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Piu�chaser: Estimato : � -
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-- 2011096432
NOTICE OF COMMENCEMENT
STATE OF FLORIDA COUNTY OF Gt, ��
THE i7NDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 71.3, Florida Statues, the following information is provided in this Notice of Commencement:
1. D�� ription of Pro �rXy; Parcel No. - Ip ' ' — C( � _. ���
1�
� N�3 � PG- �� �u c i t a� 3��xc, ►� 5 F� a F �oT
\ i � fcx��{ G- taE�
2. Gener escription�f Improvement Rcpt :1374487 Rec : 10 . 00 �
�t�` DS: 0.00 IT: 0.00
06/23/11 A. Giard, DNty Clerk
3. Owner Informatio : e: � ' r f � � [ i
Address: Q
City ' State Zip code ��$ 6"1
� -Interest in Property: � t ,��.Q r
Name of Fea Simple Trttleholder.
If other than owner: Address:
City Stata Zip Code
Contractor: �qp� ��'1 '��� �f � `�j- � �Q� - 6 OC!
� Addross: 364 3.R. 54 Ze h rhi 1 L 3 41
. -
�
5• Surety NS1110 N/A PQULA 5 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
� Address 06/23/11 08:36am 1 of 1
j OR BK ���5 PG �2�
City �atate Zip Code
Amount of Bond: $ -
4• Lender: Name Phone # - �
Address
City State Zip Code
'�• 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_ T� Phone #"
Address
C �� State ' Zip Code
8• In addition to himself, Owner designates: N/A
°� Phone #' to receive a copy of the Lienor's Notice as
provided in section 713.13(1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
, different date is specified.) �
WARNING TO OWNER: ANY pA�MENTS MADE BY THE OWNER AFTER THE EXPIR.ATION OF THE
1�TOTICE OF COMMENCEMENT A.RE CONSIDERED INIpROPER PAYMENTS UNDER CHAPTER'713,
�'ART I, SECTION 7 3 13, FLORIDA STATUTES, AND �AN RESULT IN YOUR PAYING TWICE FOR
�MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
�OSTED ON TI� JOB SITE BEFORE TI� FIRST INSPECTION: IF YOU INTEND TO OBTAIN
�INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCI1vG WORK OR
�ECORDING YOUR N CE OF CO ENCEMENT.
Signature of Owner: Printed Name ���,,, r - J �j( ,„�,
STATE OF FLORIDA
COUNTY .OF _ � �_
2he foregoing instrument was .acknowledged before me thi�.. � day of 'T � 20�, personallv known
to me or who produced identifi 'on, an i not take oath (please circle which)
�� � l_L%t-�.0 l � �� "40� Notary Pub4c State of Florida
, Christian Ryman
Notary P�uG1ic;"� A ' My Commission �D751610
My Commission Expires• � oFao�' Expires 01124@p12
Under penalties of perjury, I declare that I have read the foregoing Notice of Commencement and that the facts stated in it are
true to e best of my wledge a b'ef. •
�
(Si ature of Owner Signi Above)
�TA►TE OP FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THA7 THE FORrG01NG IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND AN OFFICIAL SEAL THIS
�_ DAY OF
PAULA . O'NEIL, CL K CO PTR LLER
�Y � TY CLERK