HomeMy WebLinkAbout12-12906 l
CITY OF ZEPHYRHILLS
"`° 5335-8TH STREET
�si3)�so-oozo 12906
BUILDING PERMIT
Permit Number: 12906 Address: 5328 BELTRAM DR
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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00400-0050
Improv. Cost: 5,400.00
Date Issued: 3/19/2012 Name: PIROSSENO NANCY JEAN
Total Fees: 65.00 Address: 5328 BELTRAM DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542
Date Paid: 3/19/2012 Phone: 813-783-8670
Work Desc: REROOF SHINGLE 23 SQ
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TAPE JOINT$-�OOF INSP
FINAL !J�2 2��J!
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 t) 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 commenoement 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�rding your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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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
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P.O. Box 1188 • 33010 S 52
•
San Antonio, FL 33576 .L�6CC�dGe�,
� (352) 588-ROOF (7663) • (813) 782-1330 �s���� d
1-866-407-0559 • Fax (352) 588-9763 9�d,c���
www.scottblackmanroofing.com
�°°���� email: blackmanroofing@aol.com Date�/q V /� �'� �
��05?957
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name�"�v -�° /��'S /". rd s«-e� r�'���'� Street
Street S�3 �-k (3���f�--c..., C�r City
Ciry 2�,v i�► .�i, , /l � State Zip
State_�' � Zip Owner of Property
Phone Number ��f 3 ' ��' �v Fax Phone Number F�
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
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All material is guaranteed to be as specified,and the above work is to be performed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of$ .S s��� 'D�
with payments to be made as follows: Payment 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 respons' le for A/C & electrical 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 Officer/A ent Scott Blackman Roofin
beyond our control.Owner to carry fire,tornado and other necessary insurance 9 g
upon above work.workers'Compensation and Public Liability insurance an above Note: This proposal may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor. Extreme cautlon should be
used during and atter constructlo� for debrls and 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 713.001-71 3 37�ayment wilf be made as
outlined above. Client gives permission to drive on driveway to deliver mater�a;s �
Accepted Signature � s
� �
Date Signature
s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date'12eceived
Phone Contact for Permittin _
Owner's Name )� (/ / r vf$e/1 O Owner Phone Number
Owner's Address ZX ' 7 Y4,ln^ !� Owner Phone Number
Fee Simple Titleholder Name �— Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS S 3d � � T Y�i,vv� �j LOT# �
SUBDIVISION . PARCEL ID# Z �Z� �� Z��UL ,�jU'(�U (�U — �j0�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q
DESCRIPTION OF WORK L�- 1�0 S �
BUILDING SIZE SQ FOOTAGE�� HEIGHT ��
QBUILDING $ Cfv(� VALUATION OF TOTAL CONSTRUCTION
r
QELECTRICAL �— AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �!�Cj D /
� ( �l
QGAS ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATION 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 CURRE� Y/N
Address Lfcense# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER ,'�`����� /� _COMPANY �� '�2/� ���
SIGNATURE ��� l� REGISTERED Y/ N FEE CURRE� Y/N
Address � �X � �a � J�/�� /V �\ License# � C Cc, �,� 7 `��
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requ(red onslte,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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 construction.
Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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 requlred for all NEW constructlon.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over E7500)
'* 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 ApplicaGon 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" restric�ions" �
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 fvr 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 properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 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 p�oject does not involve a.certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, 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, 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 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with alt applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and instatlation 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 atso
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 t must take to be in compliance. Such agencies include but are not limited to:
- Depa�tment 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 8� 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 "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 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 YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S 117.
OWNER OR AGENT l'
--��'L '�-'�4� �— CONTRACTOR< `-`"- /" L��
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or afflrmed)before me this
by by
Who islare personally known to me or has/have produced Who lslare personally known to me or has/have produced
as identlfication. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
Pasco County Parcel: 12-26-21-0030-00400-0050 001 Page 1 of 1
Data Current as of: Weekly Archive - Saturday, March 17, 2012
Parcel ID 12-26-21-0030-00400-0050 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
PIROSSENO NANCY]EAN Ag Land �p
5328 BELTRAM DR ��d $13,559
ZEPHYRHILLS FL 33542-4646 Building $36,537
Physical Address Extra Features $600
5328 BELTRAM DR
ZEPHYRHILLS FL 33542-4646 )ust Value �50,696
Assessed (Save Our Homes) $47,Z2g
Leaal Descriution (First a Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision�" Non-School Additional Homestead Exemption - $p
ZEPHYR HEIGHTS
PB 5 PG 50 LOT 5 BLOCK 4 Taxable Value �22,22g
OR 3358 PG 1697 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description 2oning Units Type Price Condition Value
� 0100 SFR OOR1 7,000.00 �F $1.91 1.00 $13,370
� 0100 SFR OORl 700.00 �F $0.27 1.00 $189
Additional Land Information
Acres 0.18 Tax Area ZH FEMA Code X Residerrtial Code ZHL LP3
Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1961 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Terrazzo Monolithic Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 � � 110 $2,723
2 � 988 $48,906
3 Q 52 $644
4 � 264 $5,247
5 � F� 96 $2,376
Extra Features (Card: 001 of 001)
Line Description � Year Units Value
1 DWSWC 1973 360 $284
2 UDU-M 1998 1 $316
Sales liistory
Previous Owner WISNIEWSKI LUCILLE M TRUST
Year Month Book/Paye Type � Amount
1994 10 3358/ 1697 WD $0
1992 09 �074/0236 WD $0
1984 06 1340/ 1261 WD $44,000
http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=0030&b... 3/19/2012
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2012048867
Permit No. Parcel ID No IZ� Zb"L/-l�Oj t�--Opf�00�� G�O.�'a
NOTICE OF COMMENCEMENT
State of ��Or��q /�
County of !"��D
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
the following iMortnatlon is provided in this Notice of C�nmencement: Z, r �0���and in acco ance with Chapter 713,Florida Statutes,
1. Description of Property; Parcel IdeMiflcation No. O R 335�/ � �(� G`' � � P�r P6 �d ��- s /�lc e.1C �
�c /2-2b-Zl-oc��o-oo t7o-c�o,S�
Street Address; d� �������r� �� 3�2
2• General Description of Improvement��J I"6 D � �1 Q ����- ��� ��
3. Owner Informatlon or Lessee,informatlon if the Lessee contrected for the improvexnent: DSp�01004194 ITs�O.00�00
_ ��Ih c. �J P� ►''D��� � 03/26/12 C Condry Dpty Clerk
R
S 3 ZSi /f'c"'�-�i-.w,.,,,, O/ Zi1.11�u�,rfi,,�l�' �-�
Ad resa ciry
InterestinProperty: St33D <�„
Name of Fee Simple TiUeholder:
(If dffferent from Owner listed above)
�Address / � / � �, ry
4. Contractor: W.,� /�—�Oo�Z ' �/Y.. �� State
ame , i f
� �, p D . 1 X I �6 b ��.h �-r�.�D�2 - l� ____L
1; Address -
v �'' C o n t r a c t o r's T e lep hone No.: ��o�"S&&�' ) l�(0 3 ��ty s t a t e 3�7(�
5. Surety:
Name
Address City
Amount of Bond: a State
Telephone No.:
s. Lender.
Name
Address �ity
Lender's Telephone No.: State
7 Persons vuithln the State oi Florida deaignated by the owner upon whom notices or other documerrts may be served as provided by
Section 713.13(1)(a)(�,Florida Statutes:
Name PqULA S 0'NEIL,Ph D Pp5C0 CLERK & COMPTROLLER
03/OR6BK �6�4 PG�1386
Address ��ry
Telephone Number of Designated Person: State
8. In additlon to himself,the owner designates
of
to receive a copy of the Lienor's Notice as provided in Sectlon 713.13(7)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expi�ation date of Notice of CommencemeM(the expiration date may not be before the compleUon of construction and flnal payment to the
contractor,but will be one year from the date of rec;ording uniess a differe�t date is specifiedj;
WARNIN(i TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION T13.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERN. A NOTICE OF COMMENCEMENT MUST BE
RECOROED 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 a the facts stated therein are true to the best
of my knowledge and belief.
.-
STATE OF FLORIDA ! -�
COUNTY OF PASCO `
g ture of Les ,or Owners or Lessee's Authorized
ceNDire NPartnedManager
�
,�1 Signatory's itleJOffice
The foregoing instrument was acknowledged before me this,��da of (,� � (� � h b
y �i,20/�by (vpl.h.LH P �- Q
as� L�1 v�1;f
N , (type of authority,e.g.,officer,trustee,attomey in fact)for
(�ame of p rty on behalf of whom instnunent was executed).
Personally Knoyvn�(g�p����derrtfflcation❑ Notary Signature
i �
Type of Identitication Produced Name(Print) � �, /j�,p�
�
��
jp'�►"�"� Notery Public State of Florida
St�t C Bladcman
My Commisston DD798572
�or a� �Pires OB/10/2012
wpdata/bcslnoticecommencement�c053048
�
STAi E t�F F�.�ROaA� COUNTY OF FASCO
TH�S I��TG GERTiFY THAT THE FORcG01NG IS A
TF�UE ANC CORRECT COPY OF TH�DOCUMENT
ON FILE 0� QF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND D OFFICI SEA��i�
DAY OF
PA L � J'NEIL, CL K&COMPTROLLER
�Y^ � �.,� DEPU l Y CLERK