HomeMy WebLinkAbout12-12930 CITY OF ZEPHYRHILLS �
5335-8TH STREET
s • (ai3)�so-oo20 12930
BUILDING PERMIT
Permit Number: 12930 Address: 55��- 5 c
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-06400-0131
Improv. Cost: 2,400.00
Date Issued: 3/27/2012 Name: SMITH PATRI l�,,/ �
Total Fees: 50.00 Address: ��`��� S� � _;
A m o u n t P a i d: 5 0.0 0 Z E P H Y R H I L L S, F L. 3 3 5 4 2
Date Paid: 3/27/2012 Phone:
Work Desc: REROOF SHINGLE 14 SQ
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TAPE JOINTS ROOF INSP
FINAL ��-�'lZ
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 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 property. 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.
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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
� � ���� � � �rD�O$dY Page No. of Pages
o��=� Gavin Roofing
Quality Roo�ng Since 1984 � � � . ;°.^a
j P.O.Box 1364 � -- " ��
– Dade City, FL 33526
'' - 352-567-5034
' � Lic#RC 0046241 2 Year Leak Warranty
PROPO�AL SUBMITTED TO PHONE DATE
t
STR Ef. JOB NAME
CITY,STATE and Z:P CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for.
, � ,
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�P �rII�IQSP hereby to furnish materiai and labor—complete in accordance with above specifications, for the sum of:
� ° �- dollars($ ).
Payment to be made as folbws:
All material is guaranteed to be as spec'rfied. All work to be completed in e workmanlike ��
manner according to standard pradices.Any aNeration or devietion from above specifications AuthO�i2@d '
involving extra costs will be execuled only upon written orders,and will become an extra Sign3tU�e , ` � ��
charge over and above the estimate.�All agreements contingent upon strikes, accidents
or delays beyond our control.Owner to carry tire,tomado and other necessary insurance. Note:This proposal may be
Our workers are tully covered by Workman's Compensation Insurance. Withd�8wn by us ff nOt 8ccepted within _ dByS.
z�rrr�t�nre of �ro�osal —The ab�,e p���es,spec'rfications �
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and conditions are satisfactory and are hereby accepted. You are authorized Signature �
to do the work as spec�ed. Payment will be made as outlined above.
Date of Acceptance: Signature
Pasco County Parcel: 11-26-21-0010-09100-0220 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, March 24, 2012
Parcel ID 11-26-21-0010-09100-0220 (Card: 001 of 001)
r Classification 01 - Single Family
Mailing Address Property Value
SMITH PATRICIA A Ag Land $0
5440 5TH ST Land $23,583
ZEPHYRHILLS FL 33542-3944
PhySiCal Address Building $32,916
Extra Features $1,352
5440 5TH ST
ZEPHYRHILLS FL 33542-3943 7ust Value �57,851
Assessed (Save Our Homes) $57,851
Le9a1 DeSCriDtion (First 4 Lines) Homestead 196.031 - $25,000
Non-School Additional Homestead Exemption - $7,851
See Plat for this Subdivision�"
CITY OF ZEPHYRHILLS PB 1 PG 54 Non-School Taxable Value �24,500
LOTS 22 23&24 BLOCK 91 School District Taxable Value ;32,351
OR 4378 PG 1342 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
�1 0100 SFR OOR3 8,400.00 � $2.72 1.00 $22,848
� 0100 SFR OOR3 2,100.00 SF $0.35 1.00 $735
Additional Land Information
Acres 0.24 Tax Area 30ZH FEMA Code �Residential Code ZHLHLP2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1968 Stories 1.0
Euterior Wall i Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wali i Wall Board or Wood Wall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Duded
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 10A 240 $1,287
�— 2 BAS 988 �— $35,321
3 FEP ��- 160 �— $4,004
�-4—� FOP 96 � $858
5 FGR 364 � $5,220
Extra Features (Card: 001 of 001)
Line Description Year Units � Value
1 � DWC 1974 240 � $198
�— 2 CLFENCE 1988 2,160� $761
�— 3 UDU-M 1989 1 $393
Sales History
Previous Owner STRONG MURIEL ANN &
Year� Month Book/Page Type Amount
2000 � 05 4378/ 1342 WD � $50,000
1990 06 1919/ 1810 � $p
1986 04 � 1497/0539 WD $50,000
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=01)10&b... 3/27/2012
A,¢��. CERTIFICATE OF LIABILITY INSURANCE � �"'�,��°°o"
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NOT AFFIRMATIVEIY OR 13EGATIVELY AMEND,EXTEI�D OR ALTER TNE COVERAGB AFFORp�D BY THE POLICIES BELOW.TFIIS CERTIFICATE OF
INSURANCB DOES NOT CONSTRUTE A GONTRACT 6ETWEEN 7FIE ISSUING INSURER(S),AU7HORIZEO REPRI?SE1�1'TATNE OR PRODUCER,AND 7HE
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CERTFICAT!MOI.DBI! CANCBLLATION
SHWLD ANY OF THE ABOVE pESCitlYBD POLIpE3 BE GANCELL&C BEFORE
'n��pIPIRA710N Oa��TE THERI�F.NOTCE NMLL BE DELIVERED IN
/1CCORDANCE NRiN THE AORICY PROWSIONS.
CITY OF ZEPMYRHILLS FL
5335 8TH ST AYTIIOpfapllVRClENTAiNE
ZEPHYRHII�S, FL 33542 ����
m 19N-2010 ACORD CORPORATION� MI►ighes ro�enetl.
ACORD 2s(�tolo6) 7f��ACORD nun��nd logo�m reglseewe mrko of ACORD
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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date�:Receive'd Phone Contact for Permittin _
Owner's Name �iLlG//� /� /1�7� Owner Phone Number
Owner's Address �`7`7� � „�T Owner Phone Number C
Fee Simple Titleholder Name Owner Phone Number C
Fee Simple Titleholder Address
JOBADDRESS • D SL� S� � /� /GG,f �i' � LOT# �
SUBDIVISION , PARCEL ID# �� Q � Q�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER �-
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK � ��//��� � � � /�(,�/��j/(,���� �
BUILDING SIZE SQ FOOTAGE C� HEIGHT ��
QBUILDING $ •OD �" VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ Z�t �jU
�- � t
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N
Address ' License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C -�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# C
OTHER � COMPANY Ji w ��f��`t"�%
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � .l�D/� � „3 D/g �,,G C ,f.�-� License# �^���(v���
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,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciliiies 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 submittal 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 required for all NEW construcGon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of appl(cation,notarized
If over E2500,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(Plot/Survey/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:aons"
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 Iocal 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. 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
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 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 flnal power release. If the project does not involve a.certi�icate 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 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 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 1 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 "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 a�davit 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 p�oceed 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 A ATTORNEY BEFORE RECORDING YOUR NO C OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03 ..� L�
OWNER OR AGENT � �—� — CONTRACTOR
.�S�ksc ib and sworn to(or a irmed)before me this Subscribed and sworn to(or affirmed)before me this
by 3 z 7-f.2— by
Who is/are personally known to me or has/have produced Who ls/are personallv known to me or haslhave produced
" as Identlflcation. ` as identification.
_ �
� ' ' �`l- Gt-C� � '���'"' Notary Public
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Comfnis JAC � �� Comm ssion N . _�
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Name of tbdq�tAfi�f,1� ' 019 Name of Notary typed,printed or stamped