HomeMy WebLinkAbout12-13056 CITY OF ZEPHYRHILLS �
5335-8TH STREET
� (si3)�so-oo20 13056
BUILDING PERMIT
Permit Number: 13056 Address: 6545 NORTH LAKE DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0150-00000-0010
Improv. Cost: 17,600.00
Date Issued: 5/08/2012 Name: PLEWES, JOHN E.
Total Fees: 125.00 Address: 6545 NORTHLAKE DR.
Amount Paid: 125.00 ZEPHYRHILLS
Date Paid: 5/08/2012 Phone: /3 - ??Q- /S�`'
Work Desc: REROOF SHINGLE 57 SQ
,
. �
�-����
/
TAPE JOINTS ROO SP
FINAL �-- � � Z
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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recoMing your notice of commenaement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT TOR SI RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i iiiiii iiii�iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
201207��21
Gffective: Octoberl,zo�i Rcpt:1433691 Rec: 10.00
Re(um ta:
DS: 0.00 IT: 0.00
'� 05/08/12 C. Caok, Dpty Clerk
N01'ICE OF COn�NCCMENT
Stete of Flor'
County of_��� Permit No
Tnx C'olio No.
The undersigned hereby gives notice thxf improvemen(will be made to ce �ro�er
Ch�pler 713,Floride Stah s,the follo�ving informalion is provided in this Notice of Commencement:
1 I ty, and in accord;�nce �a�ith
� Description ofProperty p��j.S�� -°�' �'�� •(���b�.C`���
�--� � �,(��y �,
z• General}ipsciip'on of improvemen s: �� �-xx.t� ����,/�r�=`-T"'` �� �+ ��5�-�l. '
� ..�.�•r[.R�Q� � �
3 Owner Infonnation or ssee information if llie Lessee contrACted f � � � �
or tlie itnUro��etnent:
' Name and Address: �
6. Interest in Property� � "--1"` � J��'{ �
�• Name/Addross of fee simple ti(leholder(ifdifferent from Owner listed nbove):
' 4 Contrlctor
� `�' Name and Address: �-�-(��
s �
b. Phone rnimber: � �`� 3��-� '
�-'���--�-�� lQ���
� 5 Surely(if applicable,u co
py of pnyment bond is a�tached);
a
`�' N��»�+��d Acldress:
b• Phone number� -------- PQULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEi
05/08/12 11�:+16am 1 of 1 /�
Amountofbond: � OR BK �V�� pG ��"T
�— �
6� L,ender
i,
�• Name�u�d n�dress:
� � .
, Phone number•
�• Persons within the S[ate of Floride designated by Owner upon�vhom no[ices or othe�dvC1U17CI1tS Itta}��7C
served ns provided by Section 713,13(I)(a)7,rlofidl Stahites:
a• Name and eddress:
��� Phone numbers of designated�S; I
-----_ �
R' �• In nddition to himself or herself,Owner desig�ates �
i
: Stalutes. ---fo receive a copy ofUte Lienor's Notice�s provided in Secfioi— �7�� b rlorida
, � )� )>
b• I'hone numbet of person or entity designated by owner
� i
. --_—. I ,
; 9 Expirntion date ofnotice ofcommencement(tlie expir�tion dnte may nol bb before Uie coiiipletion of
construclion and fin��payinen[,but will be 1 yesr fi-om Ute dnte ofrecording unless e differen(dnt�'
wARNING TO 01�TI�R. I �s specified)-,
ANY PAYMENTg Ivt/�pG BY THE OWNgR q1:TER TE-LL C}�IRk�TTON OF TE[E NOT[CE OF
COMMENCEMENT ARG CONSIDERED IMPROPGR P/�yM�NTS UNb�R CHqPTER"/l ,PART 1,SECTION 7
� 13 13,
PLORIDA STATUTCg,qNp CqN RESULT IN YOUR PAyING TWICE FOR IMpRpVEIv1E�]N7-S TO YOUR PROPERTY
•• A NOTICE OP CO[vIM�NCgM�NT NNST DE 2ECORDED �
1NSPrC7'ION. IF YOU iNTENp TO OBTAIN PIT►qNC1NG,CONSULT WD� p�7O�ER p Fo��F;FIRST
BEPORE COIvIIvp,NC1NG Wp��OR RECORDING YOUR NOTtCE OP COIvp��NCEMEN�' R �ATTp[�y
Under penal(ies of re�ju.ry,I declare that I lievc rend the fore �ii; �
g g Notice of Commencemenl nn�l UiaC the facts stn(ed in it are
liue to the best of nty Icnowledge and 6elief. �
— Y
� � re of O«� r or Less e,or Otime�'s dr Lessee's
ntli ri2ed Of6cer/Director/�nrb���/Mfli�flg�+.�
I
_ ' Sig��a(ory's Title/Oftice:
STATE OP !
cotnvrv or !__
. The foregoing instiument w�s adrnowledged before me tliis� � P+
for a of�. ��Y � �
Y 2rn „�'V r'L_A��S
-{�---
Notary pub�lc,S e f_L I
Personally Known____OR pm�u�ed IdentiGcation V Printed N
Type of ldentification Produced t� r� _ �
-�-l—�t.�l"i���-- � 7[ i
My Commission fixpires; � a0� S.
' HOI.LY HOPPER
,,�,i;4't'��//�t� ,
:i?• `K:
?�, �; MY GOMMISSION#EE070468
^'�q,� �,.�' EXPIRES May 16,2015 � ,
(407)398-0753 FloridalloterySsrvlca.com
�
,
�TATE OF FLORICA, COUNTY�F PA�CU
THIS IS TO CERTIFY THAT TH�FOREGOING IS N
TRUE P,fJD CORRECT COPY OF THE DOCUM�rlT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNE MY HAND AN,� FFICIAL SEAL THIS
_______� DAY OF �l % � �/ Z-
PAUL S O NEIL, ERK� OMPTROLLER
BY � DEPUTY CLERh
�
ERIGW visa�
D�RES '' `
. �
:�.. �y,�t,a.rs �aa,�, ��c.
�`���;� "�' � A Division of Ryman Construction,Inc. Proposal# � 7
.� ��::,;r
� INC. 36413 SR 54 •Zephyrhills, Florida 33541
Phone (813)782-6094 • Fax(813)788-6773 Estimate#
Lic.#CCC 1325505
1-800-800-ROOF (7663) Serving all of Central Florida Job#
i L
Owner/Purchaser: �n7� X Pti���� ��f�2 T�5 Date: �`� ���?
Claim#: InsuranceCompany:
Policy#
Address: `J��rJ' �O�'�'� l�t ��� V� City: Ze��iu/'�i,'��,$ Zip: ��5��
Home #: �i 3' 7`7� � l �l$� Cell #: Business #:
E-Mail Address:
-�^ �
Complete tear off of existing d%r►-+=n S.�►r+°t� Additional Notes/Special Concerns: Lv�C�(r Scd►�s
sh�" '� � x 2 ��,s� la hd �'�H /,� h�.
Secure all loose roof decking as needed according
Florida Building Codes �"'���-'^`' v'D S�°`�� . �x 3 ���
� /� �
Roof dried in with 3� �'"� �'� �•�� �'n si��t.�., b�.r-ol ���, r.�,rio�
�iG✓> > l'l�' �li .'�, �C.S
Install new valley metal with galvanized metal
�nstall new � "drip edge color: �t/ti�>�Q �/ �i
(�nstall new lead boots ' " t(y �' ,�,Pa'r���'S3 �� �}�rS
I�I tail all new general roof vents i�D ���dg P V�^'� ,"�,''f� ��► G�oWn ���i�'S, a��
Installnew ��'-tP �.'mA �,'✓���aS.G+�� � Sr� ffe� �iuc,/'ri�s �,OO/'o,1� Z. 4'C3 l,?.,c�a/'
5 /P �ee?'�
anufacturer: F
f� lor:
. All roof related debris removed from job site, pick-up loose
�i s using commercial grade magnet
aterials, labor and permits fumished
Provide a ��.1�� labor warranty Total Investment$ � � (0�� �
Additional Items:
�C �� _
Payment Method: Check# Z l ZG ❑ Cash ❑ Financing ❑ insurance Claim
❑ Credit Card# Exp. Date CC ID#
/ r�, oc
Down Payment:$ G��,AIG/ - — Amount Financed:$ Approx. Monthly Payment:$
PaymentTerms: 3'� � �,r,vr� �ai I�in�'P CF/C V�o�J �G���t; oi�
�DExt s:
eficient 1/2"plywood replaced at a cost of$ G�q� 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$ �1:°° per man hour plus the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT TH RO SAL AND E Y CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: Date: b�, C. d � `
Purchaser: Estimator:
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receivaal � Phone Contact for Permlttin — �'"I �1
Owner's Name �O�(1 n ��`�f�.x�PS Owner Phone Number �� ° ��o !
Owner's Address �J"1 S � � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �S`-t S �,Z�-1C� LOT# �
SUBDIVISION PARCEL ID# •� •�I ' �� S� '��� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN Q DEMOLISH
INSTALL REPAIR �_�L
PROPOSED USE �., SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTiON OF WORK P K.p � �\I—
BUILDING SIZE � SQ FOOTAGE HEIGHT
QBUILDING $ i �^ VALUATION OF TOTAL CONSTRUCTION
I VlJ
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/``� ��
QGAS � ROOFING Q SPECIALTY 0 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/N
Address License#
OTHER COMPANY rYY'�(l � -
SIGNATURE REGISTERED N FEE CURRE� Y J N
Address � - �� License#�_ � ��>,LJJ �
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. Requlred onsite,Construction Plans,Stormwater Plans wf Silt Fence installed,
Sanitary Facilit(es&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 Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflitles&1 dumpster.Site Work PeRnit for all new projects.All commerclal requirements must meet compliance
31GN PERMIT Attach(2)sets of Engineered Plans.
"'""PROPERTY SURVEY requfred for all NEW construction.
Dlrectlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AlC upgrades over E7500)
•' Agent(for the conVactor)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(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°restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabie 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 locai 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 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 aiso 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
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 Fiorida Depa�tment 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 � 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 tess 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 FO R OR AN ATTORNEY BEFORE RECORDING YOURI NOTICE OF COMMENCEMENT_� CONSULT
WITH YOUR LENDE
FLORIDA JURAT(F.S. 1 7.03 �
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or af rm d)before t Subscribed and swom o(or )b fore �is
by by
Who islare personalry known to me or haslhave produced Who is/are personally known to me or haslhave produced
as identlfication. as idenHfication.
Notary Public
Notary Public
Commission No. Commission No.
ed, rinted or stamped Name of Notary typed.Printed or stamped
Name of Notary typ P