HomeMy WebLinkAbout11-12537 CITY OF ZEPHYRHILLS
5335 - 8TH SIREET
(sis)�so-oo20 12537
" BUILDING PERMIT
Permit Number: 12537 Address: 6435 LAURELWOOD 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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0271
Improv. Cost: 4,875.00
Date Issued: 11/16/2011 Name: CUSHMAN, MAX & BRISKY, MARY
Total Fees: 60.00 Address: 6435 LAURELWOOD DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/16/2011 Phone: (813)780-8193
Work Desc: RE-ROOF WITH 30 YR TIMBERLINE SHINGLES
C �
Na �
����
TAPE JOINTS�OO�I,�VSP v
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.
"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, Specifications Must Accompany Application. All work shall be performed in acaordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR 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-813-780-0021
Building Department
� "
)ate Received Phone Contact for Permittin —
hvners Name I'��LS� � �t ,.5�� �'�+ 2 Owner Phone Number � ` �
Tnrner's Address � GS 4�.f li t�i.�°C'��✓ Owner Phone Number
'ee Simpie Titleholder Name � Owner Phone Number
=ee Simple Titleholder Address
!OB ADDRESS �GJ �� C�-a-'JS''e � WC� � C( D i( Z ✓ I� ` I� S �_ I LOT # �
SUBDIVISION t�� ��-S PARCEL ID# v�� Z lO� Z� - O( ZO— �%�'��C7U — CL 7 �
(OBTAINED FROM PROPERTY TAX NOTICE)
JVORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
NPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK f�- G/�O[� � w �� � 7 �`�""' 6 t 'V 1 ��{
BUILDING SiZE SQ FOOTAGE �= f � HEIGHT
QBUILDING $ ���� VALUATION OF TOTAL CONSTRUCTION
�� �
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����
OGAS � ROOFING Q SPECIALTY Q 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 License # �
OTHER � —, COMPANY � ��"'u� /�� �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y
Address �dl�a(, �� �� h License # �� �-r 7 �v / �
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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 subdivisionsAarge 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.
Directlons:
Fill out application comptetely.
Owner & Contractor sign back of application, notarized
If over:2500, a Notice of Commencement ls required. (AlC upgrades over 57500)
kk 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 (PIoUSurvey/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 com�liance.,+vith 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 tocal regulations. If the
contractor is not licensed as requfred by law, both the owner and contractor may be cited for a misdemeano� 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 Biock" 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 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 pvwer 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 appiicant, 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. 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 govemment 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 inciude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentaily 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 Heatth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmentai 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 Fiood 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" wili 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 fiil the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill wiil 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, poots, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shal) 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 Buflding 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 wili demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days,
the job is considered abandoned.
WARNING TO OWNER: YOUR EN TO YOUR PROPERT1f. YOU INTEND BTAIN NANCINGTCO SULT
PAYING TWICE FOR IMPROVEM
WITH YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.0 � �1�'
CTOR %��"�'�
OWNER OR A(3E Subscribed and swom to (or afflrmed) before me thfs
Subscxibed and m to (or affirmed) before me this --_bY
bY Who fs/are personally known to me or haslhave produced
Who is%are personally known to me or has/have produced as identification.
as Identlficatlon.
Notary Pubiic
Notary Public
Commissfon No.
Commission No.
Name of Notary tyPed, printed or stamped
Name of Notary tYPed, P�nted or stamped
Pasco County Parcel: 03-26-21-0120-00000-0271 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, November 12, 2011
Parcel ID 03-26-21-0120-00000-0271 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
CUSHMAN MAX L& Ag Land $0
BRISKY MARY A Land $16,119
6435 LAURELWOOD DR
ZEPHYRHILLS FL 33542-4870 Building $70,108
Extra Features $822
Physical Address
6435 LAURELWOOD DR Market Value ;87,049
ZEPHYRHILLS FL 33542-4870 Assessed (Save Our Homes) $87,049
Homestead 196.031 - $25,000
Le9al DesCriDtion (First 4 Lines) Non-School Additional Homestead Exemption -$25,000
SILVER OAKS PHASE ONE
PB 26 PGS 46-49 Non-School Taxable Value ;37,049
LOT 27 EXC SOUTH 73.10 Ff School District Taxable Value $62,049
THEREOF Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OPUD 6,000.00 � $2.50 1.00 $15,000
�2 0100 SFR OPUD 1,834.41 � $0.61 1.00 $1,119
Additional Land Information
Acres 0.18 Tax Area OZH FEMA Code � Residential Code SIVLLP2
Buildina Information - Use 07 - Single Family Villas (Card: 001 of 001)
Year Built 1995 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,300 $71,760
2 FEP � 144 $5,575
3 F P 20 $386
4 F R 260 �— $5,741
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1995 498 $822
Sales History
Previous Owner MILLER CARL E& MARY E
� Year Month Book/Page Type Amount
2002 11 5155 / 0550 WD $0 �
2002 11 5136 / 0110 WD $93,900
1995 10 3492 / 0400 WD $73,900 �
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=03&twn=26&... 11 / 16/2011
5��� Proposal/Contract
� .�cezt,t � � ' , �I�c.
P.O. Box 1188 • 33010��
San Antonio, FL 33576 .t�tee�cda�,
� (352) 588-ROOF (7663) � (813) 782-1330 �4�c�c� d
� 1-866-407-0559 • Fax (352) 588-9763 9�ce.�cti��
www.scottblackmanroofing.com t ,
���^�� emaii: blackmanroofing@aol.com Date N ��` � � ��C�
e� OS?45?
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name �1h Street
Street `7 l..-�L �-'%`' ` �� City
City Irh � / �S State Zip
State Zip Owner of Properry
Phone Number �? 7' 7�''�� g�J Fax Phone Number Fax
T
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
�emove existing shingle roof �ace bad fascia boards at �7�� �� perfoot
❑ Remove existing built-up roof ❑ Replace 1 x_ decking at $ per foot
�'bry-inwith ❑151b. 0301b. �Install�' feetofridgevents
❑ D with a fully adhered underlayment $ ❑ Install modified bitimen (granulated) torch down roofing
nst I new alvanized valle metal additional
9 Y black, white or other color
nst new lead boots ❑ Install 25 yr. fun�us resistant 3-tab shingles
_� Cr � rrG .ti..l
nstall new roof jacks .. �Install-39�pr. ungus resistant dimensional shingles
�Install new drip edge, �"^� ��f olor ❑ Shingle manufacturer color
❑ Inst w flashing as needed ❑ Install TPO, white rubberized roofing membrane
eplace plywood at $_ �"�'� per sheet ❑ Other: � ��uc„tsJ�3 �p �y��� � ,, ��
,J�Repair rotten trusses at $ 3� per foot
*Woodwork is an additional charge, see pricing above
All material is guaranteed to be as specified, and the above work is to be performed is accordance with he 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: Payment 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 respon ' le for A/C & electrical li s 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
above the estimate. All agreements contingent upon strikes, accidents or delays Officer/A ent Scott Blackman Roofin
beyond our control. Owner to carry fire, tornado and other necessary insurance 9 9
upon above work. Workers' Compensation and Public Liability insurance an above Note: Thi pOS11 may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor. Extreme caution should be
used during and after constructlon for debris and nails missed during within d'c1yS.
cleanup.
ACCEPTANCE OF PROP SAL
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 this Proposal/Contract, which contains Florida Statues 713.001-71 .37. Pay ent will be made as
outlined above. Client gives permission to drive on driveway to deliver materi Is.
Accepted Signature � �
Date Signature
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2011177488
Rcpt:1399196 I TeeO . 0.00
. ' p�: 0.00 p Clerk
il/15/li C. Cook,
NOTICE OF COMMENCEMENT
PAULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROL!ER
PermitNo 11/15/il 02:21 m 1 cf 1
P rty �j 2�7 2�—t?1 Z�^'�b00� " D2?/ OR BK ���� FG 'j'T�2
Pro e Identification No "' �
THE LINDERSIGNED hereby gives notice that improvements will be made to certain real properiy, and in accordance with Section
713 13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1 Descript�on of property (le al descri ti n:) �/,+ /� S R �/t Pa 2-d 6.S � b- L.'% Z7 �X
a) Street Address: fJ 0 1�1 �!G
2. General description of improvements e, I^O Y-'� 1'' �r. E ,
3. Owner Information , /� c
a) Name and address. �,�S�iK4Y� ��� �� C� W �Y Y�'! 1 �l�J -r'
, b) Name and address of fee simple titleholder (if other than owner) '� s��
c) Interest in properiy '
�4. Contractor Information + • j
a) Name and address. �� �� �s� dOX /� h�
b) Telephone No.. — b(0 Fax No. (Opt.) — 7 F�
5 Surety Information 33✓r�
a) Name and address:
b) Amount of Bond.
c) Te(ephone No.• Fax No. (Opt.)
6 Lender
a) Name and address�
Phone No.
7 Identity of person within the State of Florida designated by owner upon whom nohces 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 persan to receive a cppy c�f.the Lienor's Notice as provided in Section
713 13(1) (b), Florida Statutes:
a) Name and address•
b) Telephone No. • • Fax No. (Opt.)
9. Exp�ration date of Notice of Commencement (the expiration date is one year from the date of recordmg unless a different date is
Specified}. '
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTEIt 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 JdB 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 OF FLORIDA
COUNTY OF PASCO �
Signatu rg of Owner or Owner's Authonzed Officer/Director/Partner/Manager
/� �Gl.�C �� /�J�./t�1
Print Name
The oregom instrument was acknowledged before me this 1� day of ✓ , 20 `/ , by �/���
, U�/�VL/4/lJ as Z'jW1�.� (type of authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of w om instrument was executed).
Personally Known �OR Produced Identification Notary Signature
Type of Identificat�on Produced Name (print) ��0�7�/F'L�7�L����+V
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.
�T��E a� FLORlDA (',Q(J(��/ Q� PASCO Signature ofNatural Person Signing Above
FoRMS,NO TH�2�o�tS T� CERTIFY THAT THE FOREGOWG IS A
G 1`�RUE AND CQRRECT CQPY OF THE DOCUMENT
ON FILE OR OF Pl1gLlC RECORD IN THIS OFFICE
rv�TNESS MY HAND ND OFFICIAL SEAL THIS
� Notary Public State of Florida
_� S DAY OF 2 b�� ; � Scott C Blackman
PA A S O'NEIL. CLE K& COMPTROL � ` My Commission OD796572
l�/, �ora� Expires08/10/2012
B " ' 4
C'F''! � -`' CLERK