HomeMy WebLinkAbout12-12888 CITY OF ZEPHYRHILLS ..�
5335-8TH SIREET i�`
' �sis��so-oozo �288$
BUILDING PERMIT
Permit Number: 12888 Address: 6035 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: 02-26-21-0080-00100-0280
Improv. Cost: 4,347.00
Date Issued: 3/12/2012 Name: TAGLIARENI, JOHN
Total Fees: 60.00 Address: 6253 MIDLAND ST
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542
Date Paid: 3/12/2012 Phone: (315)751-7682
Work Desc: REROOF SHINGLE 14 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)oondemned work resulting
from faulty construction c) repairs or corrections not made when inspections called c�work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g)work not acoessible.
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 govemmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to reoord a notice of commencement may result in your paying twiae for
improvements to your property. If you intend to obtain financing,oonsult with your lender or an attorney
before recordin your notice of commencement."
Complete lans,Specifications Must Acwmpany Application.All work shall be pertormed in acwrdance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CT R SIG E PERMIT OFFI R
P IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021
Building Departrnent
Date Received Phone Contact for Permittin �� � _ ' -�
Owners Name � C—, 7�� '�]�S�
Owner Phone Number �
r A
Owner's Address � ��Owner Phone Number
Fee Simple Titleholder Name Owner Phone Numbsr � —�
Fee Simple Titleholder Address
JOB ADDRESS � } �� S� � • {'C_. L J � LOT# ��
SUBDIVISION PARCEL ID�k • � '�� � . � , �� -
(OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROP03ED NEW CONS7R e ADD/ALT � �GI�( � � DEMOLISH
INSTALL REPAIR �L�,�
PROPOSED USE SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � �Q � 'y � �
BUILDING SIZE SQ FOOTAGE HEIGHT
�BUILDING $ 'Z L f � -- VALUATION OF TOTAL CONSTRUCTION
J l
QELECTRICAL $ 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 CURREA I Y/N
Address Llcense# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
OTHER � � COMPANY �'YYfifl ���T�f\ �JWVC
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ��t L • � 3JJ�1 License# �,?� ����
RESIDENTIAL Attach(2)Plot Plans;(2j sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wo�lcirsg days after submittal date. Required onsite,ConsVuctfon Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilitles&1 dumpster;Site Work Permlt for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perm'it for new construcdon.
Minimum ten(10)working days after subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faci�ities 8 1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"'"PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out application completely.
Owner&Contractor sign back of appflcation,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over:7500)
"" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/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"deec!"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wi�'h 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 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 cont�actor 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
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may appiy 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 power release. If the project does not involve a certificate of occupancy or
fnal 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 applfcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes� as amended): If valuation of work is$2,500.00 or more, I
ce�tify 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 ce�tify that all the information in this application is accurate and that ail 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 regutating
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 & 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 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 "An in connection with a permitted building using stem wali
construction, i certify that fill wili be used only to fill the area within the stem wail.
- 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 Iots less than one (1)
acre which are elevated by fili, 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 lice�se 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 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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C MENCEMENT.
FLORIDA JURAT(F.S. 11 . 3) _ /�_
� � CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or a before
Subscribed and swom to(or a rm e re e bY
by Who Is/are personally known to me or haslhave produced
Who is/are personally known ro mas id ntlfl�caUo�roduced as identNicaUon.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed.Printed or stamped Name of Notary typed.Printed or stamped
��aw ::� Y��
x 1G�ll�fC 1�G�t��iG`t�� /dtC.
A Division of Ryman Construction,Inc. Proposal#
INC. 36413 SR 54 • Zephyrhilis, Florida 33541
Phone(813)782-6094 • Fax(813)788-6773 Estimate# d 1`'�
Lic.#CCC 1325505
1-800-800-ROOF (7663) Serving all of Central Florida �ab#
Owner/Purchaser. ✓c�{'1/1 �P��,�i�,�'E/�'� pate: 3��f%Z
Claim#: InsuranceCompany:
Policy#
Address: �� `O � 5� City: �th�l 5 Zip; �3���
Home #• Cell #: ��$�75,��G�,Z Business#:
E-Mail A ress:
Complete tear off of existing � b � �e Additi n • � �� 3
�"°'� S n 9 o al Notes/Speaal Concems. C�C�' .� 0 �•, ��"
Secure all loose roof decking as needed according �'� '`�i�� ��t fa �e ra�� �,��
t�ida Building Code� �G�f ����� v�✓1 �'
��oof dried in with e�� v, Sf�C�
..
0 Instali new valley metal with galvanized metal
� II new � "drip edge color: �
' In II new lead boots (,�,�, ��
Ins I all new general roof vents ,�7 /
nstall new 1 fi�' Q �C/irHe��;�n� (
�
�ufacturer: /�� f�L �
or:
All r f related debris removed from job site,pick-up loose
ils using commercial grade magnet
I materials, labor and permits fumished
, y���� �
Provide a �y B�c� labor warranty Total Investment$ � �
Additi;,ral ltems:
�dat I /�+�� �/ �
`��.,,✓�nti�t�n a�C' T�� ?�h� /'' C��]/iPy1 �
�',n�•, c•�.�► o�dd,��;cr��l 1� � �ar� �l er 'na��c�5 v�r�
Payment Method� Check# �� > ❑ Cash
❑ Financing ❑ Insurance Claim
❑ Credit Card# Exp. Date CC ID#
ti m.G —
Down Payment:$ ��� ,Z��U��Amount Financed:$ Approx. Monkhly Payment:$
� I-�d C �/
PaymentTerms: � °� ��� c�r►C'� vr� e.�4n-� �o�/��e ft a+�
Extras:
❑ Deficient 1/2"plywood replaced at a cost of$ 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, 1 x decking,etc.will be a rate of$ per man hour plus the
cost of materials.
THIS BECOMES A BIND CONTRACT UPO �EP(TANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THI OP AL AN ERE TIFY THAT I NAVEA�EAD AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser• � Date: � � ��
Pure ser: `` '�
Estimat�..�--''�
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� 2012039889
` Effective: October 1,2p11 Rcpf.:1421135 Rec: 10.00
Retum to: D5: 0.00 IT: 0.00
_ 03/12/12 K. Garcia, Dpty Clerk
N0ITCEOFC01��"�*�r'n'n,r�r,r.t. PA��A S 0'Nk'IL,Ph D PqSCO CLERK & COMPTROLLER
SteteofFlort e 03/l�/12 q�2'_�
County of�� PermitNo. �R BK � � PG of 1
Tsx Polio No. .� �34
The undersigned hereb �—
Y B��es notice that improvement will be made to certain real ro e
Chapter 713,Flori Stahues,the following informetlon is provided in this Notice ofCommencement:
P p rty, and in accordance,with
�• Descri tion ofProperty2�� Z� � '� $'� —
�. � � �'°�' �` �-�--� '�e ^�
2. Gene I d�f�criphon impronvement`�"s: J �� LOf r�'��`.j} �w.n�l d,
3 Owner Inforrr�ation or I.esse nformation if the Z� �`�� � �t� '✓� t � "
Lessee contrACted for tl�e improvement:
�• Name and Address; �jh('1 ,
�A i i r �
b• In[orestin Pro e � .
�• Name/address of fee simple titleholder(ifdifferent from Owner li?d��: F
�- 33S�-�t L
� 4 Contractor: ,
� a• Name and Address:
b• Phone number: ��
� � --��_�o��-j � � 33�r I
5 5����Y(�f appticable,a co
py of pnyment boud is a(techcd):
e
A• Na�ne and Address:
b• Phone number: �—
Amount of bond: g
--�—'
6� Lender
A' N��e a�id Address: •
� b. '
, Phone number:
�• Persons within the State ofFlorida designated by Oivner upon whom notices or other doctiments may be
served as provided b,y Section 713.13 1 8 7 Florlda Stehrtes:
� )�) �
a� Name aud eddress;
�• Phone numbers of designated.persons:
S. . �--
A• L�xddition to himself or herself,O�vner designAtes
statutes. -----_fo receive a copy of U�e Lienor's Notiee as provided in Sectioi— �— 7 j3 �3� �b,['lorida
� )1' )
b• Phone number of person or entity designated by owner;
i
i • �-- �
' 9• Fxpiration date of notice of conunencement(the expiration date may nol be befo��e the camplelion of
caistruction and final payment,but R,i��be I yetv fr�m�te dete of recording unless a different dnte is specified)_
WARI`1ING TO OW1.►ER. ylvf�,-NTS MqDE BY THE OWNER qF'['ER TFIG EXPIR
AtVY PA
_CO1vIIviENCg�NT ARE CONSIDERED 1MPROPGR PAYivIENTS UNDER C�qpTE ATION OF THE NOT[CE O�
FLORIDA STq'['UTES, R�13.PART I,SECTION 7]3 13,
AND CAN RES�,T IN YOUR PA �
YING TWICE FOR IMpRpyg►�NTS TO YOUR PROPERTY
� A NOTICE OF COIvIN�NCEIV�N.i.�ST BE RECORUED
1NSPECTION. IF YOU INTEND TO OBTAIT)FINqNCMG��NS� WD�Y�JO� SIT�ggpp��E FmST
BEFORE Cplv�,p;NC�G Wp�pR�CORDWG yOUR NOTtCg OF CO �ER OR AA�qT'1'p�Y
Under�enalties of er'u �NCEMEN7',
P J ty,I declare that I have read the foregping No[ice
tnie to Uie best of my kno�y�edge and belief. ommencemenl nnd the cts staled in�t are
� `
(Signnture wn or
Autliori2ed Offic or wner's orLessee's
/Dire or/Partner/Manager)
STATE pF S��natory's Title/Oft'rc .
COUNTY OF� +
�� .
. The foi�ego�i�g���S�ment was acknowledged before me Uiis
for_ � dayof 1 20��� •�Y '
A '�'1-�(
Nota blic,StE e of �—� . ---
Pe�ona11Y�OW��_OR Pr�oduced IL,,de,ftification v Printed N m�
Type of Identificntion Produced /"�
-�-�—�.l�. T
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