HomeMy WebLinkAbout12-12851 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
(si3)�so-oozo fi2851
BUILDING PERMIT
Permit Number: 12851 Address: 6052 6102 10TH ST
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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00100-0190
Improv. Cost: 4,200.00
Date Issued: 2/28/2012 Name: GOFF CHARLES JERRY
Total Fees: 60.00 Address: P.O. BOX 150707
Amount Paid: 60.00 NASHVILLE TN 37215-0707
Date Paid: 2/28/2012 Phone: 615-417-7401
Work Desc: REROOF SHINGLE 17 SQ
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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 accessibie.
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."
Complet Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CO T C OR I NA E PERMIT OFFI R
Fv IT E RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyfiilis Permit Application Fax-813-780-0021
Building Department
Date Recelved Phone Contact for Permittin –
Owner's Name ` 'T Owner Phone Number C - �- � 1`-1 U
(� � o���
Owner's Address .(�. 1 t h�.V� � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Addresa
JOB ADDRESS � lU� S _ . � LOT# �
SUBDIVISION �u ,��(�'\ PARCEL ID# � .��� `
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED e NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH
INSTALL REPAIR � ����
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q �
DESCRIPTION OF WORK -e(�� ,' (, • `y� l �
BUILDING SIZE 3Q FOOTAGE L� HEIGHT —.
OBUILDING $ � VALUATION OF TOTAL CONSTRUCTION
C• _
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � /���/
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS � ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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# r— �
OTHER COMPANY �a.111 1�
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �� �.�. JS Ucense# C`� �•� ����
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w!Silt Fence installed,
Sanitary FaGlities 8 1 dumpster;Site Wo�ic Permlt 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 consVuction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Faalitles 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 consVucUon.
Directions:
Fill out applicaGon completely.
Owner 8 Contractor sign back of application,notarized
If over t2500,a Notice of Commencement is required. (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
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/SurveylFootage)
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 iicensing 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 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 atso 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 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 Gufde" 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. 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 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 Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Autho�ity-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, 1 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 affldavit 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 spec�cally included in the application. A
permit issued shall be construed to be a license to proceed wlth 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 RILE DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' CONSULT
WITH YOU
FLORIDA JURAT(F.S. 1__� �
OWNER OR AGENT �' CONTRACTOR
Subscrlbed and swom to(or aftir before th s Subscrlbed and swom to( r affl )b fore th
by by
Who islare personally known to me or hasThave produced Who ts/are personally known to me or has/have produced
as identlflcatlon. as idendficaUon.
Notary Publlc Notary Public
Commissfon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
. i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2012032158
Effective: Octobcr],2p11
Retum to:
~ Rcpt:1418347 Rec: 10.00
IV01'ICE O�'COb��-?�r'��a�N� �$: 0•00 I T: 0.00
SteteofFlo ' A 02�28/12 C. Cook, Dpty Clerk
County of�z Permit No.
7'ex Folio No. . -
The undersigned hereb �-- -
Chapter 713,Florida��tes,the fol o'wing ntform1auo�spprpvided in this Notice of Co mencement� e
�, c�n� I1 P P rty, and in accordance,with
, , �' Descr-v ip on pC f pr��op�� �) �C�C��1� �O 1 l��.�
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�� �y • ��Oa r0`µ�S�'- 1`7 V
2. Gener�(descnp nofimprovemen�s�� L� � �3C�' -�a
�� (�°c'�' �� drK � v� �2S;3p P� 1 S7U
3 Owiier Information or i.essee information if the Lessee contracted for the improvement:
a• Name and Address: �(�
b• Interest in Property• ��, +�
�• Name/address of fee simple titleholder(ifdifferent from Owner listed above): 3!�'S
� 4 Contractur;
�• Name and qddress: �(�,�
b• Phone nwnber. .� 33Sy�
S Surety(if app�icable,a co �
py of payment bond is attached): °
r
a• Nwne a��d Addross:
b• Phone number
PRULA S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLEF
Amount of bond: $ 02/28/12 1�1�4am 1
�— OR BK �� of 1
6• Lender (� PG 2�p�2
A' Name a»d Address: •
, b• Phone mimber•
7 = —�-
3ery�d�P Persons within the State ofFloride designated b
rovided by Section 713.13(1)(e)7,Floiida Stalutes: y�`"ner upon whom notices or other documents may be
e' Name�u�d Address;
; b• Phone numbers of designated persons:
8. ' ---�
fl• In addition to himself or herself,O�vner designates
3tatutes, fo receive a copy of the Lienor's Notice as provided in Sectio�j 3 1 6 Ftorida
� )� ),
b• Phone number af person or entity desig�ated by owner•
, • �_ ,
f 9• Expiration dete of notice of conune�cement(tlie expiration date may not be before tlae completion of
� construction and final payment,but will be I year from Uu date of recording unless a different date'
WARI`1RVG TO OWNgR; ,,��,pA�,I,s �s specified)_�_
COMMgNCE�N.�. M'°`DE BY THE OWNgR qp'['�R T�E�,I�TION OF THE NOT[CE OF
ARE CONSIDERED 1MPROPBR PAYIvIENTS UNDER C
FLORIDA STATUTES, �TER��3.Pf1RT 1,SECTION 713.I3,
AND CAN[tES�,T IN YOUR pq'y�G TWtCE FOR IMpRpV��NTS TO YOUR pROPERTY
� A NOTICE OF COIvIlv�NCEI�NT
MUST BE RECORDED qt�ppS�D ON.I.f-�Jpg SI,�,E BEFORE'I'Hg gmST
INSPECTION. IF YOU IN'I'ENp TO OBTAITJ FINqNCMG,CONSULT WITH YOUR LENDgR OR
BEFORE COMivp?NCING WORI{OR RECORD AN ATTORNEY
IIVG YOUR NOTtCg OF COI�gNCEMENT.
Under penalties of perjury,(declare that I have read the foregoing Notice of Commencement end thal the fact
tnie to tlie best of my knowledge and belief. s tated in it are
.�
�
' � ZL
�Signature ofOw er r see,or
Authorized Offi er irecter/A� �; �'s o e e'
� dManagerY
Sigr�atory's Title/�ffi ; "l.
STATE OF �p�� _ -------- -
COUNTY OF P ., .-�, -----"_.-------_..____.
--�—_�_
• The foregoing instrument was acknoW�edged before me this�daY of �
for �.
-�bY�_�
Personally ICnown� ��, ate of�_ ----
Type ofldentification Produced R Produced Identification Printed Name;
` R�.-.a�
omm►ss�on �y1�A
� r Nofx�r l�Olic-SWt�of Florlda ---_
' • ���-�Ohs�hn 2�.Z0/6
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�e�M�TM�IN�q�nM MohryAttn.
ST�iTE G:JF �LORIC?A, COU!`ITY i� PASCt7
THIS IS TQ CER?{FY THAT THE FQREGc�IN� IS H
TRUE P.hiD CGRRE�T CQPY QF TH�DOCUMEN+
ON FiLE OR 0� PU[��I RECORQ Ir!THlS 0�"�ICE
J�ITNES MY'NAND F. D FFICIAL u��:�l_``HI�
�2�—�DAY Qr= ! ' � �/ Z
PAUL �S O'NEIL. LERK,� CO TROLLEf�
�`i
BY ___ ';'..•'r'�.�7" f,,i.Et�,K
Pasco County Parcel: 02-26-21-0080-00100-0190 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, February 25, 2012
Parcel ID 02-26-21-0080-00100-0190 (Card: 001 of 002)
Ciassification 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
GOFF CHARLES JERRY q9 ��d ��
PO BOX 150707 Land $15,120
NASHVILLE TN 37215-0707 Building $26,463
Phvsical Address- See All 2 addresses (First Extra Features $250
Shown)
6052 lOTH ST 7ust Value �41,833
ZEPHYRHILLS FL 33542-3521 Assessed (Non-Schooi Amendment
Leaal Descriution (First a �ines)
1� $41,833
See Plat for this Subdivision�"' Taxable Value $41,833
TYSON SUB MB 4 PG 109
LOT 19 BLK 1
OR 5830 PG 1510
�and Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
� 0800 MULTI FAMT OOR3 9,450.00 �F $1.60 1.00 $15,120
Additional Land Information
Acres 0.22 Tax Area ZH FEMA Code X Residential Code TY BLP1
Buildina Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1973 Stories 1.0
Enterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet r Repl. Cost New
1 � 560 $3,177
2 B?� 1,288 $48,712
Extra Features (Card: 001 of 002)
Line Description Year Units � Value
1 DWSWC 1973 667 $250
Sales History
Previous Owner SIMKINS ALBERT J &GALE I
Year Month Book/Paye Type Amount
2004 04 5830/ 1510 WD $61,500
1982 �6 1192/0170 $45,000
1977 09 0908/0258 $28,000
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0080&b... 2/28/2012
Pasco County Property Appraiser- Physical Address List for: 02-26-21-0080-00100-0190 Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 02-26-21-0080-00100-0190
Displaying 2 records View in groups of: 10 25 50 1�0 5Q
Street Number Street Name w Unit
6052 10TH ST
6102 10TH ST
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 2/28/2012 1:09:33 PM
http://apprai ser.pascogov.com/search/physadd.aspx?parce1=212602008 0001000190&eas=... 2/28/2012
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A Divi�ion o Rym n Conslruction, Inc. Proposal#
INC. 3641 SR 5�1 • Z phyrhills, Florida 33541
Phone 813)7�82- 94 • Fax (813) 788-6773 Estimate# �`"1
l�ic.# CC 132,5505 --r--
1-8�0-800-�t0 F (h'ss ) Serving all of Central Florida Job# �`�1
� �
Owner/Purchaser: _Date:�i��/ ��
Claim#• � � InsuranceCompany: �
Policy#
,
Address: �p 3 �'�" �t City: zeP1�'��;\ Z�P: �$'y\ _
/ -_�
Home #• C�II #: /�/�- �l'�-�C.,D` Business #:
E-Mail Address•
[�Complete tear off of exis�ng ' �i Additional Notes/Special Concems:�5 c..�A � C3)
I t
0'Secure all loose roof dec g as eed d accor ing �� °� p���'`'�� ' �-^^o Cdl �.�.iys
to Florida Building Codes �-_—���`�, y0 L� .�dF �rnu�r� RiaH�,,,,�_
�Roof dried in with
�] Install new valley metal w h gal nize metal
[✓f Install new�_^ ip ed e col r: '�
(�," nstall new lead boots
`f�Install all new general roo vents
[�Install new
Manufacturer•
[�Color
[�All roof related debris re ved f�om j b site, pi k-up loose
nails using commercial gr�de m 'gnet j
�[� II materials, labor and p mits f rnis ed
rovide a '� lab�r warranty 0
Additional Items:
� Total Investment$ y��, �
� c..�,�-; : 38 1
��
Payment Method. Q�Check# � Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment: $ �yt'�, � Amount Financed: $ Approx. Monthly Payment:$
PaymentTerms.
Ex as � �
[�Deficient 1/2"plywood repla�,ed at cost of$�. �O per sq.ft. in the roof field,which includes labor&materials.All other wood worWad-
ditional labor, such as, but not li ited t vall y rebuilc�ing, rafter replacement, 1x decking, etc.will be a rate of$ss �'per man hour plus the
cost of materials.
THI5 BECOMES A BINDING CONT CT UI�ON A CEPTAN�E OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THtS P OSAL REBY�CERT Y AT 1�HAVE READ AND FULLY UNDERSTAND THE PRO IONS OF THIS CONTRACT.
I
Purchaser• Date: ° 1 � � �__
Purchaser• %� Estimator: