HomeMy WebLinkAbout12-12976 - ' CITY OF ZEPHYRHILLS
5335-8TH STREET �
(sis)�so-oo20 12976
BUILDING PERMIT
Permit Number: 12976 Address: 38944 11TH AVE
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: 11-26-21-0010-07700-0020
Improv. Cost: 4,080.00
Date Issued: 4/16/2012 Name: BIGELOW, LINDA
Total Fees: 60.00 Address: 38944 11TH AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 4/16/2012 Phone: 813-780-7377
Work Desc: REROOF SHINGLE TIMBERLINE 17 SQ
� � � n�e�e
. �- `��� �
� �
��� �
TAPE JOINTS R F INSP ,
FINAL
REINSPECTION FEES: Reinspection fees will compiy 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 fl 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 Acxompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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��� I�fOpOSaI/l,OC1Irc'�Ci , � f
.�c�:t,t � � , �IKC.
P.O. Box 1188 • 33010��
.L�tCG�O�Ge�, L'ti i 1 �.c.:t,�i-�
•
San Antonio, FL 33576 -�---------
� (352) 588-ROOF (7663) • (813) 782-1330 �s�c�a� d
1-866-407-0559 • Fax (352) 588-9763 9,�41�,��,�
www.scottbiackmanroofing.com } ,+��
f�aa�lK�eOrtl�tq.etO2 E� .•R 1' t.�'t 'p.lt,/�,
(,(�,e05?45? email: blackmanroofingC�aol.com Date j � '� � � � � �=� t•��
PROPOSAL SUBMIl7ED TO WORKED TO BE PERFORMED AT
Name f � �X � �' �' �e� t,�,,} Street
�
Street `� S``' C'� �f �� f ���� �`' ��;��� City
City r b# � � � � - ' State �. . ,
, � ' ZiP
� � ����� �
State ��- t Zip � Owner of Property
� - �
Phone Number '� } �J' ����°i1.�� � Fau Phone Number
Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
�Remove existing shingle roof p�f�eplace bad fascia boards at$ -�• u t'°" per foot
❑ Remove existing built-up roof ❑Replace 1x decking at$ perfoot
�0"'�ry-in with ❑ 15 Ib. 0-�Orlb. r'"� �`�
�stall _� �-- feet of ridge vents ;
❑ Dry-in with a fully adhered underlayment$ ❑Install modified bitimen (granulated)torch down roofing
❑Install new galvanized valley metal addRional
,,,,.-�• black,white or other color
�Install new lead boots 0 Install 25 yr.fyng�s r�es�'stant 3-tab shingles
F3lnstall new roof jacks � f �°f '� � �� �.�,�ra��
_.- �nstall 3A��r.fungus resistant dimensional shingles ' -�� ��„ , ;,��
�i Install new drip edge, c� � -�} �, ���!C color ❑Shingle manufacturer color
0 Install new flashing as needed 0 Install TPO,white rubberized roofing membrane
0"I�eplace plywood at$ _.✓ �X �''�" er sheet �� �° E � ' "
p ❑Other:,_� •b r��..�..- �`� � i r -. � ,a e�t� t s�w=�.r •
C�-Repair rotten trusses at$ �-�`'� er foot - y f
'� P �f` r�'-"�'` C-' ' � , }-'f' r :ti-, '-�� F fC�i��-� E.�}v � S�' v�'/ /ry f;.<i t
*Woodwork is an additional charge,see pricing above E'`j," f ' �
d r r-r`�° (h.�'%�t �!`1'�•�'G t°'w,��/ ;� G�����h !�
i ; � � �• • '. . ,`
All material is guaranteed to be as specified,and the above work is to be performed is accordance with t e dr wings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of$ ���r �'�
witn payments to be made as fonows: Pavment 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 responsible 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
beyond our control.Owner to carry fire,tornado and other necessary insurance Officer/Agent Scott Blackman Roofing
upon above work.workers'Compensation and Public Liability insurance an above Note: This propa,sal may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor. Extreme cautfon should be ,r" f
used during and after constructlon for debrls and nalls 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 ProposaVContract,which contains Florida Statues 713.001-713.37. Payment will be made as
outlined abov�: fG"fient gives peC}nission to drive on driveway to deliver materials.
/ �
Accepted -. ..-�1��� � ��+'`�c,f`;�.`,��-�'i� fh:'� �,." Si nature
.� .�' �� _� ..� �
9
Date � j.`? ,/�x Signature
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin _
Owners Name L.1✓t �j �r L��t"`�
Owner Phone Number
Owner's Address ���7 y �� �/ '�'� Owner Phone Number
Fee Simple Titleholder Name � —� pwner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS �� ` � �! �� 72 iv�� ��f {►�I 3 �S� '}LOT# C�
SUBDIVISION PARCEL ID# f I�2 �—Z�—v�/n —�"7 7 U v `��02 U
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED 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 � v"�lG �7 C.c.J �j'— �l�-�- � � � ` h P
BUILDING SIZE � SQ FOOTAGE C� HEIGHT
QBUILDING $ �G(� UJ VALUATION OF TOTAL CONSTRUCTION
0 `
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
� �Z� 7�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS � ROOFING Q SPECIALTY � 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 CURRE� Y/N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License# �
OTHER t,�/Il---- COMPANY G� ���Y��t�"�" 1''o � ��=� '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address c�� J k � ( o � �°J � � 73S License# �� C.0,�7 j ,� 7 �
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,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGlities&1 dumpster;Site Work Permit for subdivisionsflarge 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 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 requfred for all NEW consVuction.
Directlons:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement fs required. (A/C upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)uvould 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/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" 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 misdem�a Ppyiolativn
unde� state law. If the owner or intended contractor are unce�tain as to what licensing requirements ma a I for the
intended work, they are advised to contact the Pasco County Building �nspection 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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 speci�ed 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
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 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 ce�tify 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, Wetiand 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 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, 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 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 therm t iss ed shall be ome inval d
requiring a correction of errors in plans, construction or violations of any codes. Every p
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 O�cial for a period not to exceed ninety (90) days and will demonstrate
the ob is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, �j
WARNING TO OWNER: YOUR FAITS TO YOUR PROPERTI(.TIF YOU INT NDETO OBTAIN F NANC NG, CONSULT
PAYING TWICE FOR IMPROVEMEN
WITH YOUR LENDER R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
CONTRACTOR �'y"��
OWNER OR AGENT Subscribed and swom to(or afflrmed)before me thfs
Subscrtbed and sworn to(or affirmed)before me this [��f6-r y by
bY Who is/are R�e�3�y known to me or has/have produced
Who islare personally known to me or haslhave produced �r� '� as fdentification.
as identlficatlon.
�^,
� � Notary Public
Notary Public
N ,! QUELINE BOGES
co
Commisslon No. *' p�,�p��2,2tt14
ed, rinted or stamped Na
Name of Notary typ P
Pasco County Parcel: 11-26-21-0010-07700-0020 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, April 14, 2012
Parcel ID 11-26-21-0010-07700-0020 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
BIGELOW LINDA J Ag Land �p
38944 11TH AVE ��d $15,025
ZEPHYRHILLS FL 33542-3804 Building $38,752
Physical Address Extra Features $557
38944 i 1TH AVE
ZEPHYRHILLS FL 33542-3804 7ust Value #54,334
Assessed (Save Our Homes) �qg�287
Leaal DesCriotion (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision.�'- Non-School Additional Homestead Exemption - �p
CITY OF ZEPHYRHILLS PB 1 PG 54
EASTl/2 OF LOTS 1 &2 BLOCK 77 Taxable Value $2g�2g�
OR 5139 PG 376 Warning: A significant taxable value increase may occur when sold.
Click h re 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 OOR2 5,524.00 SF $2.72 1.00 $15,025
Additional Land Information
Acres 0.13 Tax Area 30ZH FEMA Code X Residential Code HLHLP2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1975 Stories 1.0
Exterior Wall i Concrete or Cinder Block 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 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 � 288 $3,049
2 � 240 $4,066
3 BA� 1,008 $42,689
4 �? 112 $1,186
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 ��W� 1976 200 $180
2 ��5� 1978 1 $81
� 3 D FEN E 2006 216 $296
Sales History
Previous Owner ANDERSON CHRISTIAN M &
Year Month Book/Page Type Amount
2002 il 5139/0376 � �p
1996 05 3572/1904 WD $43,600
1996 O1 3526/ 1244 �� ��
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 4/16/2012
i iiiiii ii�ii�iiii ii�i�iiiii iiiii�ii�i i�iii iiiii iiiii iiii iiii
2012068606
C (�
Permit No. �l Z` � 1� Parcel ID No����10•�'O��C�--d� 7Q0 —OOZ,()
NOTICE OF COMMENCEMENT
State of �l o,.��da County of ���[,p
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real ro e
the following information is provided in this Notice af Commencement: � �f.� o� ?G�'•�`n acco�a�e�h�apteL7�,�r���ute? ��,
h r/�/ ,!3 !.� b- !
1. Descxiption of Property: Parcel Identification No.lid fS /� Z �jm._,j�.�Z WQ�—/� � ����� Zj,_� ��a�� �
�77@0—(.9p2�
Street Address: 3�yY r I�'�''"C- Z�1,�,..,�,.,�,r��S �F f '3 ��'S/e�,
2. General Description of Improvement���o�!� ly d`� eE f i�,.�.�r4��fK,e �/"� ����,,,,,,� �,�f� f_
LC
3. Owner Infortnation or Lessee information if the Lessee contracted for the improvement:
E.�,n�� Qi9�-�ow
3�9YN //�,me�1/C Z[D�t�, �e. ��1 �C'/' �
Address City State
Intere�t in Property: __�W h C r� �3 S-y,�.
Name of Fee Simple Titleholder:
(if different from Ovmer listed above)
Address ` y State
4. Contractor: __J(r�'t'f g�Q,-C, .�n.,_a�,-, �tsp�i,,,iS ..1�C Cit
�► 3301ONS� Sd- po�D�
k If Ytr � AI-.�v e. � v �%
Address City
Contractor's Telephone No.: State��S 7�
5. S�xery:
Name
Address City
Amount of Bond: a State �'N�
Telephone No. N e+
�.m..
6. Lender: �• �
Name N m w
m
� �
Address �iTy • J
Lender's Telephone No.: State �
— .._.� N
7. Persons within the State of Florida designated by the owner upori Wi'iG171 noiices �: other :locuments may be served as provided by m �e
... .. �p
Section 713.13(1)(a)(7),Florida Statutes:
� m..
Name ���
eF
� m
O
Address c�
City State �
Telephone Number of Designated Person: �
�
8. In addition to himself,the owner designates
of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner•
9. E�iration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified): `I
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE C5F COMMENCEMEN,T
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA S�ATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMEWCEMENT MUST BE
RECORDED 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 and that the facts stated therein are true to the best �\r
of my knowledge and belief. D
���
STATE OF FLORIDA � �N °_
COUNTY OF PASCO ' ���
�Signature of Owner or Les e,or O r's or Lessee's Authorized �
O�cer/Director/Partner/Manager �N 7
� �
��
.vr�e� 3 n
Signatory s Title/Office �
v ��• o
The foregoing instrumerrt was acknowledged before me this Z3 day of `% �Zp�y �j,� �,� �� � �
S'.G�� r
O m
�_�83 A ��./ `. ,��
(type of authority,e.g.,officer,trustee,attorney in fact)for .�
(name of party on behalf of whom instrument was executed). �J1�~o
Personally Knovm�f 9g p�a�uc�J Identlfication❑ Notary Signature � � �
.t
Type of Identiflcation Producad : Name(Print) (_a �� ltt L,� �
r
r
m
, �
jp��� Notary Public State of Florida
, Scott C Biackman
� Liy Commission DD796572
�Ot�� Expires OB/10/2012
wpdatalbcslnoticecommencement�c053048
/~ [� _
���OR^�J^���� ''y�' \
Y� •
��� �,,� � _
�fiA���?P��+DRIG�A N�'�`�C?fz�4SC0�,
T������f���RTI�Y HE Ft?R 401NG 1S A
TRU��,Np CpRRECT�� '�F TW��hCU�11�NT
ON FILE QF2 0�PUBLI ORi�iti�t��MiS O�FfCE
iNIT E�j MY HAND AN1 IAL 3EAL THIS
'�?'���"�` I�AY QF � � , �,,�,�
�AULA� Q1`NEIL. G�E � QL- L"�R
��Y__ DEPU?Y CLERK