HomeMy WebLinkAbout11-12457 CITY OF ZEPHYRHILLS
. , 5335 - 8TH STREET
�sis��so-oo20 12457
BUILDING PERMIT
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Permit Number: 12457 Address: 5323 BELTRAM DR
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: 12-26-21-0030-00300-0110
Improv. Cost: 5,490.00
Date Issued: 10/14/2011 Name: NELSON, WILLIAM E
Total Fees: 65.00 Address: 5323 BELTRAM DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/14/2011 Phone:
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL
REINSPECiION 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) wndemned 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.
"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."
Complete Plans, S ifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
SIGNATURE PERMIT OFFI R
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�aaao-oo2o City of Zephyrhills Permit Appiication Fax-813-780-0027
Building Department
Date Received L p
Phone Contact for Permittin _
Owner's Name �'C1� Owner Phone Number
Owner's Address �,7 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS r LOT # ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION Q BIOCK Q RAME � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FO E�� HEIGHT ��
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0
QPLUMBING $ `, �� �� �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 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 F URRE N
Address Li se #
OTHER COMPANY
SIGNATU REGISTERED Y/ N CURRE�
Address " License # � -�
RESIDENTIAL ach ) P ans, 2) sets of Bu ans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) wo�lcing days after submittal date. Required onsite, ConstrucGon Plans, Stormwater Plans w/ Silt Fence installed,
Sanftary FaciHties 8� 1 dumpster; Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit fo� new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed,
Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach !2) sets of Enaineered Plans.
TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, 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 tP�e time
permitting. It is fu�ther 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 ce�tificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florfda 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'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 applicabie 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 pe�formed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify 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 a�e 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-Wetls, 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 Iots 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
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 ndoned e od of six (6) m after the t m the kas commenced An extension
the permit is suspended or aba P
may be requested, in writi�g, from the Building Official for a period not to exceed ninety (90) days and will demonstra e
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAI TS TO OUR PROP RT1f. YOU INTEND TO OBTAIN F NANCI G CONSULT
PAYING TWICE FOR IMP OVEMEN
WITH YOUR LENDE AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF MMENCEMENT.
FL�RIDA JURAT (F.S. 7•
C NTRAC
OWNER OR AGE g� and swo t� o a d) befor his f
a rmed befo e thfs r� _ j, by �
Subscribed and s �
b Who is/are perso a k m r ha ve produced
Who is �a�e pe � to m has/have produced en 'tification.
as ldentlficaUon.
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` Notary Public
Notary PubliC � ,�
4 JACQUEUNE B
Commis�io = _ � ����
Commission �
Name of No , � 1B �' 7G19r
Name of Notary tyPed, printed or stamped �°
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,
C/O Richard Bartiett ,
38408 3rd Ave.
. Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependab/e
Roofing Companies in Central Florida OFFICE
Specializing in Mobile Home JP Stevens White Rubber Roofs PHONE
& Insulared Aluminum Roof Overs (813) 782-5585
RESIDENTIAL • CQMMERCIAL • MOBILE HOME t 973-7737
LICENSED - INSURED - BONDED (352) 523-1944
• MEMBER OF THE CHAMBER OF COMMERCE • Lic. #CCC 1325499
Serving Zephyrhills, pade City, Quail Hollow, Wesley Chapei, Land O' Lakes and Surrounding Areas
We have �-rr�o�ad or iepaired more roo{s (96, 000) in the past 36 years, than the fourloca! leading roo5ng companies combined.
� Date 4ctober 10, 2011
Name Bill Nelson
Address 5323 Betram Zephyrhills, FL 33542
813
Phone
?i's: , ' �`� h nstLF� p; ,. q, �?Mr ` �sq s:<{xa �'� '� 'D
� „ �xd a � � < :z�il�,q�r �` �,, x .q y &� a� �' '-�, is �"w � .iu3A :o
_ yy�n - .y:.�. .;dh�.xs_�`� %:• za�«.� ,., 7:• qi -t 4 'ystw v �4
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Remove complete shingle roof. Complete away
Install new U.L. 30 lb, felt. Install new wide
white drip edge around perimeter. Nail on a 30
year Class A fiberglass shingle. Install 60 "
cobra ridge vent. Lifetime leak warranty.
ermit included. No sales tax,
P sid n Roofing of Centrai FL, Inc.
. Sign•
Richard C. Bartlett
THANK YOU
Payment upon completion unless prev ous ar angerr�ien��made, yyarranUes
pertain to original owner.
A Bartlett has to be notified of leaks within 30 days
A!larrangements contingent upon strikes, accidents or detays beyond ourcontrol. Ownerto carry fire, tornado and othernecessaryinsuiance.
Ourworkersareluirycove,2dbyWorkmen'sCompensationlnsurance. Customeri51iab1eforairychargesincurredlncollectingthlsbill.
Rotten wood is an exha $35.Q0 per sheet (4-ply). Rotten fascia is $2.00 per Iirrear foot. � 5 4 9 0 , � �
Total
ASSESSED IN SECTION 12, TOWNSHIPR26 SOUTH,�RANGE 21 EAST, ��
PASCO COUNTY, FLORIDA
Z HTS MB S PG 50 L 11 BLK 3 OR 1062 PG 499 III � III � IIIIII'IIII � ll llll�ll'IIIII�III�IIIIIIII`IIII'lllll
OR 8196 PG 403 I
20111°36132
RePt:1392626 ITse0.1�0�.00
D5; 0.00 c �ook, DptY Clerk
NOTICE OF COMD�IENCEMENT 10 ���� 13
Permit No PRULR S 0'NEIL,Ph D PpSCO CLERK L COMPTROLLER
10/07/11 �2��� 1 of 1
Property Identification No _ l� � Z ^�n'3��� �O��D OR BK pG 19f��
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"I'HE LTNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
7] 3 13 of the Florida Statutes, the foliowing information is provided in this NOTICE OF COMMENCEMEN'('
1 Description of property (legal description )
a) Street Address: _5'�. � r�y�d 2(� ���1 �� �. 3�
2. General description of improvements: _-� y�j _ _ b. Sh� If�CSf �
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3 Owner Infotmation
a) Name and address: �t l � � Q� CO S 3Z.3 �P�KG,/Y� 2 {h � ��f
b) Name and address of fee simple titlehol er i oiher an owner) �`� ���
c) Interest in property
� Contractor Information
a)Nameandaddress. A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542
b) Telephone No. - - Fax No. (Opt.) - -
5 Surery Information
a) Name and address:
b) Amount of Bond:
c) Telephone No Fax No. (Opt.)
6 Le�der
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.)
B In addition to himself, owner des�gnates the following person to receive a copy of the Lienor's Not�ce as provided in Section
713 13(1) (b), Florida Statutes:
a) Name and address:
b) Telephone No. Fax Nu. (Opt.)
9 Expiration da[e of Notice of Commencement (the expiration date is one yeaz from the date of recordmg unless a different date is
Specified):
WARNING TO OWNER: ANX PAXMENTS MAAE 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 OP FLORIDA � � W Y
COUNTY OF PASCO ��� � w � \ � �
Sign e wner or Owne s uNonud Officer/D�rectodParfieNManay+��r � Ur LL��� U
Punt Nam� �� � l.s 0'v� � z� 0 � v J }
e� Oe (J�2 Q N � Q
The foregoing instrument was acknowledged before me this� day of Zp� b � W��" W �' w
� W z (n d L�
°$ (type of authority, e.g. officcr, trustee, attomey � Q= .Z
in fact) for (name of party on beh f of whom inst ent was ex cuted). z LL O O— O
w V U
Personally Known ` OR Produced Identification _ Notary Signature �~ a W� Y
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Type of Identi5cation Produced Name (print) �= O U Z W
;�;.; . F- Q J
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Verificatiort:pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that 0�� W
the facts stated in it are true to the best of my knowledge and belief. .J �
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