HomeMy WebLinkAbout11-12555 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis)�so-oozo 12555
BUILDING PERMIT
Permit Number: 12555 Address: 5721 19TH ST
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: 11-26-21-0010-07900-0080
Improv. Cost: 3,850.00
Date Issued: 11/22/2011 Name: HALSEY, JEFFERY & DEANN
Total Fees: 55.00 Address: 5721 19TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11 /22/2011 Phone: (813)783-3664
Work Desc: REROOF SHINGLE
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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.
"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 pertormed in acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
N CTOR IG A URE � PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� Pasca County Parcel: 11-26-21-0010-07900-0080 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, November 19, 2011
Parcel ID 11-26-21-0010-07900-0080 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
HALSEY JEFFERY BRIAN & DEANN D Ag Land ��
5721 19TH ST Land $22�g4g
ZEPHYRHILLS FL 33542-4436 Building
Physical Address $20,507
Extra Features $1,413
5721 19TH ST
ZEPHYRHILLS FL 33542-4436 Market Value �44,768
Le4al DeSCrlDtion (First 4 Lines) Assessed (Save Our Homes) $40,354
See Plat for this Subdivision �'� Homestead 196.031 -$25,000
CITY OF ZEPHYRHILLS Non-School Additional Homestead Exemption -�p
PB 1 PG 54 Taxable Value $15,354
LOTS 8& 9 BLOCK 79 Warning: A significant taxable value increase may occur when sold.
OR 4544 PG 854 Click h re for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Conditio� Value
1 0100 SFR OOR2 8,400.00 � $2.72 1.00 $22,848
Additional Land Information
Acres 0.19 Tax Area OZH FEMA Code � Residential Code ZHLHLP2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1955 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wali 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plastered Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 B� 624 $26,551
2 � 240 � $2,553
3 UST 64 $1,106
4 � 24 —� $170
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1973 133 $110
Z UDU-M � 1994 1 $969
3 DCFENCE 1996 894 $334
Sales History
Previous Owner BAPTIST SHAWN E& KIMBERLY D
Year Month —� Book/Page Type Amount
2001 02 4544 / 0854 WD � $0
1996 03 3548 / 0467 AD $39,000
1993 09 3197 / 0192 WD $20,000
http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&... 11 /22/2011
s��-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
)ate Received � ' r, n � L
Phone Contact for Permittin U
Anrners Name Owner Phone Number �d .�`�
�nrner's Address � ' t ��, t• Owner Phone Number —�
'ee Simple Titleholder Name —� Owner Phone Number
'ee Simple Titleholder Address
!OB ADDRESS 1 �� � • I�1 � LOT # ��
iUBDIVISION � PARCEL ID# � Z�Q -�� � �` •Q ° � U
(OBTAINED FROM PROPERTY TAX NOTICE)
JVORK PROPOSED NEW CoNSTR ADD/ALT [� SIGN Q Q DEMOLISH
INSTALL B REPAIR '� � d2�
PROPOSED USE �` SFR Q COMM � OTHER
f'YPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � �U I C� �L11 ��
BUILDING SIZE SQ FOOTAGE ' HEIGHT
Q BUILDING $ � --� VALUATION OF TOTAL CONSTRUCTION
L
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION
QGAS �] 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
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �—
�LUMBER COMPANY
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense #
�AECHANICAL COMPANY
>IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �—
)THER ������ COMPANY � n� �
iIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N
Address I��"ll License #��_ �� as S�j ^
;ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) wo�icing days after submittal date. Required onsite, ConstrucGon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilitles & 1 dumpster; Site Work Permit for subdivisions/large projects
:OMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcdon.
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 commerciai requirements must meet compliance
IGN PERMIT Attach (2) sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW construction.
ireciions: - •
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over s2500, a Notice of Commencement is required. (A/C upgrades over s7500)
Agent (for the conVactor) or Power of Attomey (for the owner) would be someane with notarized letter from owner authorizing same
VER THE COUNTER PERMITTING (Front of Application Oniy)
eroofs 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 responsibiliry for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to unde�take work, they may be requfred 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 prope�ly 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 fu�ther understood that Transportatfon Impact Fees and Resaurce 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. Fu�thermore, ff 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, Flortda 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 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 ail laws regulating
construction, County and City codes, zoning regulations, and tand development regulations in the jurisdiction. I also
certify that i understand that the regulations of other government agencies may appiy 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.
- 5outhwes� Florida Water Management District-Wells, Cypress Bayheads, Wettand 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 flll:
Use of fiil 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 Fiood Zone "A" in connection with a permitted building using stem wali
construction, I certify that fiil 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 ��the �owne� may cit d for v�olat ng
properties. if use of fill is found to adversely affect adjacent properties,
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, ti n ise iu derstan that parat permit may be requ ed for �electr cal work,
this affidavit prior to commencing con
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 I' �� c aes e nor shall ess a a pe mitp event the ding from ther
set aside any provisions of the technical c ,
requiring a correction of errors in plans, constnict within si a monhs of perm t pss a uor�if wo authorized by
unless th� work authorized by such permit is co
the permit is suspended or abandoned for a P� fosa period not to exc ed nety days and will demo strate
may be requested, in writing, from the Build g
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abanT IN YOUR
WARNING TO OWNER: YOUR FAILURE T OUR PROPERT1f.TIF YOU NTEND TO BTAIN F NANC NG, CONSULT
PAYING TW�CE FOR IMPROVEMENTS TO Y
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTICE OF COMMENCEMENT.
FLORIDA JURAT {F.S. 7•a3),� , -
� CONTRACTOR
OWNER OR AGENT Subscrlbed and swom o(or afflr e before m is
Subscrlbed and swom to (or afflrm efore e I y
by Wha �— S/a p nally known to me or � �den ficatio�n.
Who is /a�e personally known to m as IdenHflcaHo�
Notary Public
Notary Publlc
Commission No.
Commisslon No.
Name of Notary tyPed� P�nted or stamped
Name of Notary tyPed, prtnted or stamped
�_- i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii� iiii iiii
, 2011181534
Rcpt:14@0514 Rec: 10.00
Effective: October 1, 2011 DS : 0. 00 I T: 0. 00
Retumto: 11/22/11 C. Cook, Dpty Clerk
NOTICE OF CONIMENCEMENT
State of Flor' a Pertnit No.
County of Tax Folio No.
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida St�utes, the following informa6o is pr vided in this Notice of Commencement:
� � ��P�wrWUS �e� I �6�y wi5 �r¢9 �.� � 9 or u�t..�y +PC� �Sy
1 escn tion of Pro e �" �'► c,� Irr
P p �' c7 r I c7� � �� �]7 . L Y �I�U �. 3, � L
2. Gen� de�� on of i I ts��� 0 ' l.�� %� ' GO ' � 3S r�,
�,Q � ��
3 Owner Information or Lesse nformation if the Lessee contracted for the improvement:
a. Name and Address: �_
57. v�,iUs , �t.. �Sy2
b. Interest in Property
c. Name/address of fee simple titleholder (ifdifferent from Owner listed above):
4. Contractor
a. Name and Address: ��j �yy5
' b• Phone number: � �us' �-' `� �y �
R C�°I�
5 Surety (if applicable, a copy of payment bond is attached):
f
a Name and Address:
b. Phonenumber: pqULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
Amountofbond: $ 11/22/11 �� PG o ���
OR BK 2
6• Lender•
a. Name and Address: '
b. Phone number•
7 Persons within the State of Florida designa[ed by Owner upon whom notices or other documents may be
served as provided by Section 713 13(1)(a)7, Florida Statutes:
a. Name and address:
b. Phone numbers of designated persor�s:
8 • a. In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida
Statutes.
b. Phone number of person or entity designated by owner
9 Expiration date of notice of commencement (the expiration date may not be beforo the completion of
construc6on and final payment, but will be 1 year from the date of rewrding unless a different date is specified)
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AI�TER 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 COMNIENCEMENT MUST BE RECORDED AND POSTED ON TFIE JOB SITE BEFORE 'TF� FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COM[vvIENCING WORK OR RECORDING YOUR NOTICE OF COMIvvIENCEMENT
Under penalties of perjury, I declare that I have read the foregoing Notice of Commencement and that the facts stated in it are
we to the best of my knowledge and belief.
X �
ignature of Owner or Lessee, or Owner's or s
Authorized OfficedpirectodParfiedManager)
STATE OF 1 O � Dl
COUNTY OF
Ds,a,,,,�
The foregoing instrument was aclmowledged beforo me thi�� day of�._, 20�, by �_ �
for
Notary Public, State of
Personall Known Printed Name:
Y OR Produced Identification Chj'���,� R�,��
Type of Identification Produced
My Commissio
=O�}�tY AV O G Nc:ary ��;bh� State of Flori��
; L'htlSben 4Vrn3n
°.. a �; My Comrn�ssion DD75161q
'�'pF�,O ExpiresU1/24/2012
57ATE OF FLORIDA, COUNTY C!F pqSCQ
THIS !S TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE QR QF PUBLIC RECORD IN THIS OFFICE
-�"TNESy �iY HAND. OFFICIAL SEAL THIS
�� _ DAY OF (�,
PAU�c.fA S O'NEIL, CLER�S� pTROL R
,
_/ � r
f3Y! �-��1-�ii �x �/�
( °'~ n � *v CLERK
ti . qE ry�` � �iM�f � �
`+���� I ��'VI y,`* '��
� A Division of Ry� arz Construction, Inc. ����
Proposal' #
�NC. 36413 SR 54 • Z phyrhills, Florida 33541
Phone: 813-782-6 94 • Fax: 813-788-6773 Estimate #
License CCC 1325505 Job # =��
�����"��d'"�� 1� Aiso, Serving the Central and East Coast of Florida
(766 )/
�Custoiner. �'/U� Date: ��'�� � /
Address: J� � � s -� � �
City: ��/,C,h �� Zip:
Hoine #: J ��7 � Cell #: /
Business #: �� '' 3<0 (o f �
E-mail Address: _
�Y(�mplete tc:ar off of existin , S/1 !Ng C�S Ad ition Items: �.�/G�u- �-S �� �
4��Secure allluose roof deckin as needed according S �
to Fiorida Building Codes
��.��!'�ho f dried in with � J�� �/�
W'install new valley inetal wit galvanized nietal
_��'I�n tall all nf�w �_" �•ip �ge color: �, ,/. i ; r =
is1'l,nstall a11 nE�w lead booLs _
C�' a11 n�w ��i:' year fu gt �-resistant shir}�les
� G] nglebrallcVcolor• J � ' ��, _,
�oof related debizs i•emo ed fr•om job site � �� - W� P��e'
fi ; ,:
All material5, labor and per its fiu�ushed �/-E.�' ��`-� ��i' �i� To id price $ 3��� �
°. %�7� C � � ,t,�
E�ras / f/ J/� '�i t1 �/��,.,/`t 1/�
�ad plywood replaced at a cost o$��� per s ft. in the roof field. t�ll oth r wood work/�dditionallabor, such as, but not
linuted to, valley rebuilding, ra('t i•eplacement, etc. e a rate of $ ,s S,�
pe an hour plus the cost of materials.
THIS BECOl1ES A BINDING CONTRACT U P A C C E P I 9 N C E O F Y R O P O S A L. P
W L EDGES RECEIPT OF A COPY OF THIS CONTRACI:
1. All material is guaranteed to be as specified ruid co pleted in a subsLu�tial worlmlaiilike manner.
'?. All agreements contingent upon st�ikes, accident� o delays beyotid oiv conh�ol. Owner to cairy fire, hurricane and other necessary insurance upon above work.
3. Labur wan•anty does not cov��r daniage to roof's ca ed by light�iu�g, hwrica�ie, turnado, hailstoiln, hnpact of foreign objects or other violent stoinl or casualty damage to roofs due to
settlement, distoilion failure ur cracldng of ro�f de , walls or T'omidation of a building.
4. Worktna[i's conipeitsatiott atut pttblic liability u�s�u•• ce on above work to be taken out by RYMAN ROOFING, INC., a Division of Ryman Coi�st�vction, Inc, or it's subcontractors.
5. RYMAN RUOFING, INC., a Dn�ision of Kynun Coc�s ��ctiun, Inc is not responsible to provide any materials or to peiform az�y work other than what is described above. Replacement
of deteriorated decking or fascia bo:u�ds, is not aicl ed and will be cliarged as an extra uiiless otherwise stated hereui.
6. Ttus conU�act is subject to iui,il approval by R RUOFINU, INC., a Division of Ryman Construction, Inc. and is tlie entu•e agreement of the parties and no ottier written or ottier
foni�s will recognued.
7 A chu•ge of' 1.5% will be made oii all utipaid balanc after JO days, plivs chaiges inctured for non-payntent procedures, plus attorney's fees.
8. A 4%processuig fee will be added to all credit c�•d rders.
Ryn►�n Ruofing, h�c., a Division of Ryman Cunstr ction, Inc. will not be responsible for any damage to septic tanks, sod, sluubbery, paint, satellite signal loss, sprinklers,
conca•ete drives or any undergro�md pipuig.
/ - r l
Paynient Schedule: �l � ��l F_ ( 'C' :. ) ' .1� �)
--�— '� ' Yayment Method:
" Acceptance of Proposal
�TATI�TORY • ACCORDING TO FLORIDA'S
CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK
ON YOUR PROPERTY OR P OVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL
HAVE A RIGHT TO ENFOR E THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS
CLAIM IS KNOWN AS A CO STRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR
FAILS TO PAY SUBCONTRA TORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE
PEOPLE WHO ARE OWED M NEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU
HAVE ALREADY YAID YOU CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR,
YOUR CONTRAC'rOR MAY LSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS
FILED YOUR PROPERTY CO LD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS,
QR OTHER SERVICES THAT OUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO
PAY. TO PROTEC7' YOURSE , YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAYMENT IS MAllE, YOUR ONTRACTOR IS REQUIRED TO �PROVIDE YOU WITH A WRITTEN
RELEASE OF LIEN FRONI A Y PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE
TO OWNER". FLORIDA'S C NSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED
THAT YOU CONSULT AN AT ORNEY.
I ACCEPT THIS P OSAL AND HE EB CERTIFY THAT I HAVE READ AND F[.JLLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: Date:
Purchaser: Estimator: