HomeMy WebLinkAbout12-12805 CITY OF ZEPHYRHILLS �
' S335-Slli STREET
(si3)�so-oozo 12805
BUILDING PERMIT
Permit Number: 12805 Address: 5132 16TH ST B
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-=20300-017
Improv. Cost: 3,740.00
Date Issued: 2/17/2012 Name: PANZE, FRANCIS W.
Total Fees: 82.50 Address: 5132 B 16TH ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 2/17/2012 Phone: (813)629-4041
Work Desc: REROOF 8 SQ SHINGLE & 4 SQ RUBBER
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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)aondemned 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 bo obtain financing,wnsult 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.
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O CT R I TURE PERMIT OFFI R
P RMI PIRES I 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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5, NFi
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: ay� �(� ^ �L
Date Received: 2- �- ( Z.
Site: �J � 3 2 � �n� S'�
Permit Type: '�,p� S'�, � s Sr �',-�e��
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
' � _��,-
Kalv n Swit - ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021
, Building Departrnent
Date Recelved �— —r � Phone Contact for Permittin — ''" V
Owner's Name Q_(Y?I � �►� Owner Phone Number - 1 L • ��
Owner's Address � c�[-� . � �� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �—
Fee Simple Titleholder Addresa
JOB ADDRESS � � J LOT# �
SUBDIVISION PARCEL ID� � �� • � �j
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT� SI Q Q DEMOLISH
INSTALL REPAIR �.�
PROPOSED USE SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME [� STEEL Q
DESCRIPTION OF WORK i � �
BUILDING SIZE SQ FOOTAGE HEIGHT �+�~
�UILDING 3 �� (� ---� VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ���
OMECHANICAL $ 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 CURREA Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N
Address Ucense# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address c License# �
OTHER COMPANY ( �� �
SIGNATURE � �� REGISTERED Y/ N FEe CU n Y/N
Address � •� � J`! License# ���� � � �c�C��
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGlities&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 constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inshalled,
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 consVuctlon.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500)
"" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
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OVER THE COUNTER PERMI7TING (Front of Applicatlon Only) "
Reroofs if shingles Sewers Service Upgrades AIC 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 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 for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what Ifcensing 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 appiication for which they witl 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 aiso understands, that such fees, as may be due, wiil 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 T13, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, t
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 af 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 ail 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 appty 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 flll:
- Use of fill is not allowed in Flood Zone uV"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.
tf 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 wfth 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 job is considered abandoned.
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 YOU NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 11 .03 , �
OWNER OR AGENT CONTRACTOR ,
Subscrlbed and swom t ( r rm be re thfs Subscrlbed and swom o or rm d) efo this
by by
Who islare personally known to me or haslhave produced Who Is/are persona��y kno!nm to me or has/h denptificaUontl
— as IdentlflcaUon.
Notary Publlc � < ' Notary Public
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Commisslon No
Comm ��lc. .,
�"". JACQU ='� '' Commission#EE 040520
;��'"'�r�''t ion#EE 040520 �.. ::: �
Name of Notary '
Name o �s.mw •,.� � BadedThiuTroyFrnqrurwaE00385-7019
�''F„o�hc� 6uided'IhuTroYFdnYrur�
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� � 111111411NIINIIII1111111N1111111111111NIIIII11111{111111
. � 20120216'30
Repl:1414518 Ree: 10.00
Effective: october i,2oll D5: 0.00 IT: 0.00
Remmco: 02/09/12 D, Bonilla, Dp1,y Cle�k
hlvr.rc nv rn�,�„IFN(:FrAFNT
StemofFlo��� PermitNo. _
Counry of Tex Folio No.
The undersigned hereby gives notia[het improvement witf be made to certein real property,and in accordance with
Chaptcr 713,Florida Stetutes,the followin info a6on is provided i this Notice of ommcncement:
��$p•,11'�.lQ�dl • bL�l �03 r-70
1. Descnpuon of P o erty: ��Q�• i('l��g��..���
Ci�r �_�) P��S51 �� ►7- o ,n�-l-t.� 6toct< 203�/1 rS�9 P�t30`j
� 2, General de �puon of improvements:
' .�e:i2c�a-�
3. Owner[nformation or Lessee information if the Lessee contracud for the improvcment:
a. Namc and Address: ''"`�����
' -�t._. ..J-���0`1•�l t�
b. In[ercst in Propecty'
c. Namdaddress of fee simple titleholdcr(ifdifferent from Owner lis[ed above):
� Contractor.
a. Name and Address: � 33c-a l/
.7�•
� b. Phone number. 9.�-
' S. Surery(if applicable,a copy of paymrnt bond'u atroched):
' a Name and Address:
b. PhWlCnumber. _ PRULR 5 0'NEIL,Ph D PRSCO CLERK L COMPTROLLEI
�2/09/12 �lc�y� 1PG°f1433
Amountofband: S OR BK p 5
6. Lender.
a. Neme end Address:
� b. Phone number:
7 Persons witl�in ihe Stete of Florida designaled by Owner uPon whom naices a olher docummts may be
served as providrd by Section 713.13Q xa)7,Florida StaNtes:
a. Name nnd eddross: —
b. Phone num6ers of desip{�aad�wrsans:
B, a. In addition to himself or herself,Ownu desi�ates af
; N taxive a ooQy of the Lienor s Notiee as provided in Sectian 713.13Q)(b),Florida
StaNtes.
I b. Phone numbu of pwson or enlity dcsigneted by owner.
g Expiretion da[e of nodce of commencemen[(the expiretion date may not be befae the completion of
constructlon and final peymeM,bul will be 1 year from ilu date of recording unless a differrnt date is specified)
W ARNING TO OWNER:ANY PAYMFNiS 1v1ADE Bl THE OWNER AFIER THC EXPIRATION OF Tk�NOT[CE OF
COMMENCEIvIENT ARE CONSmERED 1MPROPcR PAYMbN'CS UNDER CFL4PI'ER 713,PART 1,SECTION 713.I3,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY Q � w
I A NOTICE OF COMIvtENCEMENC MUST BE RECORDtD AND['OSTF.D ON THE J09 StTE BEFORE THE F(RST o �� �y �C
(� r l!!
MSPECCION. IF YOU INTEND TO OBTAIN FINATICIIJG,CONSULT N77f1 YOUR LENDER OR AN ATTORNEY � Z � O� � � LJ
BEFORE CObM��NCII`1G WORK OR RECORDING YOUR NOTICE OF COMNIENCEMENT. n.Q. (� C-}=Q � �
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Under penflltles of pajury,1 declsre that I have reed the forcgoing NoNce of Commencement and tha[the fects stated in it are � O� �..'f1) � �
, truc to the bat of my knowledge and beliaE � � � �
H�.
� =p �`3 Cy
�'.�.-,,�'`� oc/t. .�-- � r- >-- C.�L �
(SiB�eturo of Owner or Less ,a Owner's or Lessa's � � Q�_
Authorized OfficedDirectodPartnedManeger) �
sipietory's Tiuc/OlTice: ' �'Y����. f� 2 �
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STATE OF Jli� li. w � � tl'
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COUNTY OF �'/� .� � � �' cL[ ? J
The foregoing instrument wu acknowledged bafore me this�d y af 20 0�by��.�5�'es�� LL' {�� � y p Z r �
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N«�y u i� s uoe � cLs �`°� �� u� ,c�
R;��t�a� p._ _t � Q
II Personally Known OR Raduced Id ntificalion� _ITr1� � �", � � tt .Z C j ,
Type of Identi6cation Pradueed����,, My Commi '.�.��R �`i� �-5- �� � a }
� �F ' MY COMMISSION p EE070968 �
� '�;•��, EXPIRES Mey 18,2015
I 107)�08.0/53 Fio�Id�NOtaryS�Nlo�.00m
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ADivision ofRyman Construction,Inc. Proposal# ��.Z
INC. 36413 SR 54 • Zephyrhills, Florida 33541
Phone(813)782-6094 • Fax(813)788-6773 Estimate#
Lic.#CCC 1325505
1-800-800-ROOF (7663) Serving all of Central Florida .1ob# Z��''
Owner/Purchaser: �a4Y�GGe'S /'e,o���/ Date: �� 3�/Z
Claim#: InsuranceCompany:
Policy#
Address: J t � 2 �[� �'� J!� City: �P��y/ �J.��S Zip: 3 3rv'S'i
Home #: Cell #: 7�7�' �L`��T��/ Business#:
E-Mail Address:
f' Complete tear off of existing l-j��c�yti� 3{.ab f�„`n�e5 Additional Notes/Special Concems: c�
f �- /_ - � t-`--� - - �ari
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Secure all loose roof decking as needsd according �� ' �� _ ' _� f� f � ��.
to Florida Building Codes �" ` �'� ���°`�
[�Roof dried in with �CJ��P'G !'�' G�c� ev e5
�v,✓�`� cJ
stall new valley metal with galvanized metai
��nstall new .� "drip edge color:
nstall new lead boots
� stall all new general roof vents/�
Install new L�'�P. �`M'G I.�.'M��5�a��. (
��`n` rE5
�anufacturer. G/p- " '1'",v► �n e
�olor: � �c Da
II roof related debris removed from job site,pick-up loose
s using commercial grade rraagnet
9U-materials, labor and permits fumished
I��Provide a $ r.>t,�.,f labor warranty Total Investment$ � 7�/� �C
Additionalltems: � ' ` C-' /a�
p � O� a�/dl— t°Scac�C/ �
Payment Method: ❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card# Exp. Date CC ID#_
Down Payment:$ � D 7�• � Amount Financed:$ Approx. Monthly Payment:$
PaymentTerms: �✓� "' o�EYr,u�► ��G��C dc�[ UfJnn �O��,� 3'� •n
E s:
Deficient 1/2"plywood replaced at a cost of$ �',�Z per sq.ft.in the roof field,which includes labor&materials.All other wood work/ad-
ditional labor,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will be a rate of$ .S� �per man hour plus the
cost of materials. �
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT TH�S PROPOSAL AND HEREBY C IFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: � �R � • Date: c�
Purchaser: Estimator: �
03-18-'Og 15:37 FBOM-ABC SUPPLY C;�J. �5G5G�'L'GG'� �1�-�L��a ra�af�a�oo r-�oa�
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Code Vaslon 2007 FL A�.I.
/�pplkation'Iype AL4 Pro uct Manufadurer GAF Ma
ALLWO�G C0� �
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Qwuey�swynce�naty uty n�w�nc.�nt�y contrac+P�p�' , LECTRIC CODE AND
' Produat Moae�, Number or Name ,►u roduec uvscMdewn CODE,NATION�LLS ORDINANCES
Approvad for use h�HVHZ ALL Appro� for uae ouhlde HVHZ �ITY OF ZEPH
I�rl�c#��t N1. D�slgn Press�sre AI.�.
Otha Au.
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�Q,� Revfsfen 6AF M+�iats Corporation �� 7ohn W.Knezevich, Approv�a
� �R�ooAny PE
�baMpe�rs Gmonts-Adhesives-Coatings (954)772-62Z4
R13�43_ Rsvlslor C.AF'Mat�rtafs Corporatlon Jehn W. Knezevieh, Approvad
B2 �l�ar�RoOfinq PE
},�qp( 'i1�`a1lp�xn Sptqle P!y Ro0!Systllttg (954)772-622i
F1�t91+_ Re�slon GAF Mabalals Corpo�ation �ohn W.Kn�wfch, Approved
$�, �orya RooAn� P�
}�i�C �s Wahlproo$ng (954)77Z-6�?a)
� Revlsipn W4F Ml�bai�ls Coryoration 7ohn W.Kn�xwich� APproved
BZ C+�orye RooAnp P�
� �Sinql�Ply Roof Syslems (954)772-6224
�Q: Revlsloa W1F Mstdiais torporatlon Iohn W.Knazwich, Approved
al ��� �
� �S MOdIMd 61tu�7011 ROOf Sy8t911't (954)77Z-6Z24
FL6267. R�Wslon GAF MatRpb torporallon �obn W.Kn�aevlch, ApRroved
gl GN�ye RooAn� . P�
� i�o�rye Raoflnq Acaossarlaa that ars an Yats9nl Psrt of th� (95f)772-62Z4
Roo1b�Y S�rt
FL9637• Revbbn �M�t�Mts Coryoratlon �ohn W. Kne�Wch, Ap�oved
g1 G�t��n Rtwflnq PS
�c NraM�nr und�riaymonb (ss4)77z-sxz4
n W1F MK�Is CorpoC�don 7vhn W. Kne�vich. Approv�d
blimOC :uie�e�N�1n Aiphalt Sbinglas 984)772-6224
� Ntw 6AF M�11�is COlpvr+tian lahn W.Knesavid�, APProvetl
�Un4dKlaymenls 954j 772-f224
i loag New GIIF M�tiulils Corpql�tlOn T—~ ��— 7ohn W. Kne�cevl�h. Apprevsd
CM��Wop�nq PE
l�oiNp�rys Bullt up Roofing .. (9S4)772-62T4
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