HomeMy WebLinkAbout12-12743 CITY OF ZEPHYRHILLS
5335-8TH STREET �
„ (sis)�so-oo20 12743
BUILDING PERMIT
Permit Number: 12743 Address: 38133 10TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-06400-0081
Improv. Cost: 4,850.00
Date Issued: 1/30/2012 Name: PAULOSE JOSITY 8 JAIMY
Total Fees: 60.00 Address: 6937 WATER THRUSH LN
Amount Paid: 60.00 WESLEY CHAPEL FL 33545
Date Paid: 1/30/2012 Phone:
Work Desc: REROOF SHINGLE 20 SQ
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TAPE JOI TS R OF INSP
FINAL � 3 Z-
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 foilowing 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 properly. 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 accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�c���-�/� FJ�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
5��� Proposal/Contract
.�c��t � � • , �I�zc.
' P.O. Box 1188 • 330100�
•
San Antonio, FL 33576 .��ec�cdc�l,
� (352) 588-ROOF (7663) • (813) 782-1330 �s��c� �r
1-866-407-0559 • Fax (352) 588-9763 �,�4,���,�
www.scottblackmanroofing.com
�°°��°"�� email: blackmanroofing�aol.com �ate_��� � �y
e(�057957
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name / ( ` • �v���� t� .S Street
Street ��f3� / �� �
City
City ��ah hYLi.��S' State
v ;Zip
State � � Zip Owner of Property
Phone Number Fax Phone Number F�
We�aereby propose to furnish all the materials and perform all t e labor necessary for the completion of:
�Remove existing shingle roof C�'F�eplace bad fascia boards at$ �• �� er
p foot
�❑ R move existing built-up roof ❑Replace 1x deckingat$_ perfoot
ry-in with ❑ 15 Ib. �30 Ib. �Install v
��feet of ridge vents
❑ Dry-in with a fully adhered underlayment$ ❑Install modified bitimen(granulated)torch down roofing
�all new galvanized valley metal additlonal
black,white or other color
Install new lead boots �'fnstal�25 yr,fun us resistant 3-tab shingles a �-[�S
❑Install new roof jacks �� __ J sfis��s� .��T�
�!Install new drip edge, ���� color � �
❑Shingle manufacturer color C��--�—
❑Install new flashing as needed ❑Install TPO, white rubberized roofing membr e
C�Replace plywood at$�p '�' er sheet
�� p ❑Other:�_,� �.e..� �'S �!�y r✓iv c.'
-�f Repair rotten trusses at$ 2. ° �� 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 tFje d�r ings and sp,eci�fi `
tions submitted for above work and completed in a substantial workmanlike manner for the sum of$_T�� "� �� V
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 & electric I 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
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 OS11 may be withd rawn by us if not accepted
work to be taken out by Roofing Contractor. Extreme cautlon should be
used during and after construction for debris a�d nails 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 this Proposal/Contract,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_ � �� ������ ��''C����c5� Signature 7�}�'f�
Date 1�f�T�C?�
Signature
813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021
Building Departrnent
Date Rec�ived r�0'�'Y phone Contact for Permittin _
Owner's Name ��5� �R✓ f�52. Owner Phone Number
Owner's Address ��3� In�`�� � r✓S� L iU Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS J �j 3 3 (D�' �"� Z rl c j�5 r-�
LOT#
SUBDIV1510N PARCEL ID# �I-2� r Z I-00�V -v(o y0 d - a o� j
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN �] Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q
DESCRIPTION OF WORK � C r�J7' � � �/ 3 � �-G� /,lq �- ��2Iv�<;
BUILDING SIZE � 3Q FOOTAGE 2 �S HEIGHT
QBUILDING $ C(�i/U VALUATION OF TOTAL CONSTRUCTION
/ r5 7
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL iNSTALLATION
.�l z� �3
OGAS � ROOFING Q SPECIALTY C] 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 CURREP 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# r—
OTHER �e��i _ COMPANY . C qT,r Q[kC.�tG�1s, J2csa{-jK
SIGNATURE <d` REGISTERED Y/ N FEE CURRE� /N
Address 3b D 5���-- ��d ifc//y� �y,, {971h F� License# �LCC,or�5,� 7 -�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliGes&1 dumpster;Site Work Permit for subdivisionsflarge projects
COMMERCIAL Attach(3)complete sets of Building Pians 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,Sto►mwater 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 Engineered Plans.
"""'PROPERTY SURVEY required for all NEW constructlon.
DirecNons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over s2500,a Notice of Commencement is required. (AIC upgrades over ST500)
'" 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 complianc�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 unce�tain 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. Fu�thermore, 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
Counry.
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 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 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 applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Flotida 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. 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 othe� 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 Watervvays.
- Department of Health S Rehabilitative Services/Environmentai Health Unit-Weils, 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 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 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 Buiiding 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
justfiable 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�MR AN ATTORNE YBEFO E RECORDING YOUR NOTI E OF COMMENCEMENT.' CONSULT
WITH YOUR LEN�E •
FLORIDA JURAT(F.S.117.03) � _
OWNER OR A(iEN�V��=�/ ���� — CONTRACTOR —
Subscribed and s m to(or afflrmed)before me this
Subscrlbed and s m to(or afflrmed)before me this bY
bY Who Is/are personally known to me or hasJhave produced
Who is/are personally known to me or has/have produced as identificatlon.
as IdentlficaUon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of NoNary typed,printed or stamped Name of Notary Nped�P�nted or stamped
Pasco County Parcel: 11-26-21-0010-06400-0081 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, January 28, 2012
Parcel ID 11-26-21-0010-06400-0081 (Card: 001 of 001)
Classification 12 - Stores, Office, SFR
Mailing Address Property Value
PAULOSE]OSITY P&JAIMY P Ag Land �p
6937 WATER THRUSH LN ��d $33,250
WESLEY CHAPEL FL 33545-3928
Physical Address Building $63,735
38133 10TH AVE Extra Features $516
ZEPHYRHILLS FL 33542-3923 Just Value ;97,501
L@Qal D@SC�IDtl0�1 (First 4 Lines) ASSeSSed (Non-School Amendment 1) $97,501
See Plat for this Subdivision�` Taxable Value ;97,501
CITY OF ZEPHYRHILLS PB 1 PG 54
WEST 1/2 LOTS 8 9 10 11 & 12
BLOCK 64
OR 5881 PG 518
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price CondRion Value
���� COMB ����C���
1 1200 OOOP 7 000.00 SF $4 00 1.00 $28,000
C� 1200 COMB OOOP 1,750.00 � $3.00 1.00
�.J $5,250
Additional Land Information
Acres 0.20 Tax Area 30ZH FEMA Code AE Commercial Code M T7AA
Buildina Information - Use 12 - Stores/ Office SFR (Card: 001 of 001)
Year Built 1970 Stories 1.0
Exterior Wall i Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gabfe or Hip Roof Cover Asphalt or Composition Shingle
interior Wall i Drywall Interior Wall 2 None
Flooring i Finished Concrete Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,196 $81,567
Z �? 126
$4,297
3 FOP 120 �- $2,046
Extra Features (Card: 001 of 001)
Line Description Year Units Value
�--1 ��� 1970 156 $59
I 1� LFEN E 1970 960 $338
3 UDU-M 1985 1 � $119
Sales History
Previous Owner HE BIN XIANG
Year Month � Book/Page
Type C Amount
2004 05 5881 /0518 WD $84,000
2002 � 08 �060/ 1358 WD $80,000
1985 06 1420/ 1676 WD $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 1/30/2012
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2012021006
Pe�ic rvo. Pe�oei io No_1 ��2�O—Z� — .C'i 0 j �u— �10�L2�"�v c�c��
NOTICE OF COMMENCEMENT
Stete of I� �7`� '���1 (�
County of Y""4 S C U
THE UNDERSIGNED hereby gives nottce that improvement will be made to certain reaf ro
the following informadon is provided in this Notice of Commencement: p ���and in acc daqGe wit Chap� 13,Florid��t e�,, p�
�j►a�f' Z �i yrh� � ,`�/S f"'�l
1. Descriptlon of Property: Parcel IdeMiflcaUon No. �Z�o� /Or- —pG��' W GS'�' �o �9ro���� f�
Street Address: J 0 I�l ( �� �'V C �.ti v I� , j �S , � ( ,��5�� O Y��7
� p6 f�
2. General Description of Improvement �e r0O
3. Owner Information or Lessee Information if the Lessee contracted for the improvement:
o � h , Pa � � o ���
_<o R 3 � �1�t"�-e�� �, Y� s-�, l iv ��� 0 ,�j
Address
Interest ln Property: ��ry state 33,�-y6--
Name of Fee Simple TiGeholder: �Pt:1414303 Rec: 10.00
D5: 0.00 IT: 0.00
(If different irom Owner listed above) 02/08/12 C. Cook, D t
qddre$$ //.. �! r• P Y C 1 erk
4. Contractor: �(,O I► [��t(C.�(,��t� �dp� ,23 T�r C�ty State
Name
' �3v!� - 2 P�� M o� 1 l� S ct� �1-n �-an l � �(
nddresa
P ��l� � ?� �p?j City State 3-��--1(�,
Contractor's Tele hone No.: �'S S�-Z—
5. Surety:
Name
Addl8s8 Ciry---PqULR S 0'NEIL,Ph U pA5C0 CLERK & COMPTROLLER
Amount of Bond: $ 02/08/12 03:2 m 1 of 1
Telephone OR BK ��'�4 PG ���'�
6. Lender:
Name
Address ��ty
Lender's Telephone No.: State
7• Persons within the State of Flo�ida designated by the owner upon w1�om notices or other documerrts may be served as provided by
Section 713.13(1)(a)(7),Flo�ida Statutes: .
Name
Address
City State
Telephone Number of Designated Person:
8• In addition to himself,the owner designates
of
to recelve a copy of the Lienor's Notice as provided in SecHon 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9• E�(ratian date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
corrtractor,but will be one year from the date of record(ng unless a differerrt date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE D(PIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED (MPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERN. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the fects stated therein are true to the best
of my know�edge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owner or Lessee,or oamer's or Lessee's Authorized
Otflcer/DirectoNPartner/Manager
Signatory's TRIe/Qffice
The forego(ng instrument was acknowledged before me thls�day of �G l2_,20�by � o�j�,
as ��✓
�
_ A (type of authori ,e.g.,offlcer,trustee,attomey in fact)for
(name of party on behalf of whom inshument was executed).
Personally Knov�y�g p��Identification❑ Notary Signature
Type of Identtficatton Produced Name(Print) � t-O Q3��c c.�
4
��'� Notary Public State of Floride
� , Scott C Blackman
� My Commission DD798572
�o�a� Expires o6H o/2012
wpdata/bcs/noticecomme�cement pc053048
s�,7 tt!! '�,_'� U� r��..A.AR�LJ'�. COUR�TY�� PASCC7
TH!�. !�TG G��tTIFY THAT THE FOREGOiNG IS(�
TRi_!�,q!�L�CC?RRECT CQPY C�'�THE DOCUMENT
pn� �II_E�JR UF PI,B�IC RECORU IN TNIS OFFICE
'v�Tti ���1Y HAND AN OFFICIAL SEAL TH15
_ � JAY OF � �/ �
PAU�A S O'NEIL, ERK &CO TROLLEf�
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