HomeMy WebLinkAbout12-13188 CITY OF ZEPHYRHILLS ��
5335-8TH STREET
�sis��so-oo20 13188
' � BUILDING PERMIT
Perrr�it Number: 13188 Address: 5944 19TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04500-0015
Improv. Cost: 5,750.00
Date Issued: 6/20/2012 Name: FARRINGTON, WAYNE & GLORIA
Total Fees: 65.00 Address: 5944 19TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542
Date Paid: 6/20/2012 Phone:
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL��D�l ?O
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 wmmencement 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.
. ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�aaoozo City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin •-
Owner's Name Q �'� �9+�r�`'� �"� Owner Phone Number
Owner's Address 5� T ! � � r� S * Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number C
Fee Sfmple Titleholder Address
JOB ADDRESS J I �� ( � � "5 t 2�-/��7 �' � , �I S � t LOT# �
SUBDIVISION PARCEL ID� I��Z� Z�-C�O��` C'���v d D v/.j
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEw CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CON37RUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK v� �/'} (J T S,�7� � ( � S�"i '°`S L,��
BUILDING SIZE � SQ FOOTAGE � D s HEIGHT ��
QBUILDING S � 7S�� �� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,., a�jfg�
��/ �
QGAS � ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY � �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas 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 �� COMPANY Cd/� �tQ'4 C�CGKQdi ��d T'��
3IGNATURE L�����""'� REGISTERED Y/ N FEE CURRE� Y/
Address ��V?� � � �� �k�ti �� �3� 7 L Ucense# C�e C d`�7�5 �
RESIDENTtAL 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 aRer submittal date. Required onsite,Construction Plans,Starmwater Plans w!Silt Fence instal�ed,
Sanitary FadliNes 8 1 dumpster;Site Work Permit for subdivisfonsllarge 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 constructlon.
Minimum ten(10)working days aiter 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 required for all NEW construcdon.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over s2500,a Notice of Commencement la 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(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 responsibflity for compliance with an�t
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
cont�actors 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 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 prope�ly licensed and is not entitled to permitting p�ivileges 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 bui�dings, 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
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 Agricuiture and Consumer Affairs. If the appiicant is someone
other than the"owner", 1 certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�"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
ce�tify 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 compllance. 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 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 pe�mit 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. 117.03) � ��
OWNER OR AGENT ��� � '�� CONTRACTOR r " --
Subscribed and swo to or aiflrmed)before me this Subscribed an swom to(or affirmed)before me thfs
by by
VYho is/are personally known to me or has/have produced Who lslare personally known to me or haslhave produced
as Identlficatlon. as identlfication.
Notary Public Notary Public
Commission No. Commfssion No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
5��� Proposal/C�ontract
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. � P.O. Box 1188 • 330104�
� � San Antonio, FL 33576 dtea�cae�,
� (352) 588-ROOF (7663) • (813) 782-1330 �s�c��� d
1-866-407-0559 • Fax (352) 588-9763 �,�d�,��,�
www.scottblackman�roofing.com
�°°�"g�� email: blackmanroofingC�aol.com Date�.��-->�' I - ��
�C 057l5T
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name 2 " h�t �� �,1��i n Street
Street ��y�� l ��, �� C��
City��1�,.,�t,�,� ✓�, � ( C State Zip
State � Zip Owner of Property
Phone Number ��17��_F� Phone Number F�
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
emove existing shingle roof �ace bad fascia boards at$ 3�O �� er foot
P
❑ Rem ve existing built-up roof �eplace 1x decking at$_v-J � perfoot
C�'Dry-in with ❑ 15 Ib. � �stall
l� � feet of ridge vents
❑ Dry-in with a fully adhered underlayment$ ❑Install modified bitimen (granulated)torch down roofing
❑Install new galvanized valley metal additional
black, white or other color
�II new lead boots ❑Install 25�yr.�n�us resistant 3-tab shingles
❑Install new roof jacks � � ' f''"` �, ,.�r�+
uTnstall�@-qr.fungus resistant dimensional shingles�J
�all new drip edge, �w'� color �` �`r����
❑Shingle manufacturer �h color 1�
❑Install new flashing as needed ❑Install TPO,white rubberized roofing membrane
'0 Replace plywood at$ ���� per sheet ❑Other: <t' �4 C c' $� �c�t� c�f ��s��_� �
�rotten trusses at$ �'7'" per foot � l
f'j�''L r ! �t c Lt<_� . G /
'Woodwork is an additional charge,see pricing above /��y- �� f�� � �,�i=�r� y �/�` �� �--v
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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 7;�� � �T�
with payments to be made as follows: Payment due in full ot1 Colrpletion, 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 �F�� '1�
be executed only upon written orders,and will become an extra charge over and �.,�,1�
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 Seott Blackman Roofing
upon above work.Workers'Compensation and Public Liability insurance an above Note: This posal may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor Extreme caution should be
used during end after construction for debris and nafls missed during within � dgyS.
cleanu .
ACCEPTANCE OF PROPO AL
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 713.001-713.37.Payment will be made as
outlined above. Client gives permission to drive on driveway to deliver materia s.
� Accepted - !-��s/ , �1''�:
, Signature � � - ,� �• l
� � s �
Date /�. i" � Signature �
Pasco County Parcel: 11-26-21-0010-04500-0015 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, June 16, 2012
Parcel ID 11-26-21-0010-04500-0015 (Card: 001 of 001)
r-Classification 01 - Single Family
Mailing Address Property Value
FARRINGTON WAYNE C&GLORIA C Ag Land $�
5944 19TH ST �nd $16,013
ZEPHYRHILLS FL 33542-3872 Building $38,598
Physical Address Extra Features $1,285
5944 19TH ST
ZEPHYRHILLS FL 33542-3873 Just Value ;55,896
Assessed (Save Our Homes) $55,896
Leaal Descriotion (First a�ines) Homestead 196.031 - $25,000
See Plat for this Subdivision,�"' Non-School Additional Homestead Exemption - $5,896
CITY OF ZEPHYRHILLS PB 1 PG 54
WEST 1/2 OF LOTS 1-4 Non-School Taxable Value ;25,000
BLOCK 45 School District Taxable Value �30,896
OR 4339 PG 1579 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 Zoning Units Type Price Condition Value
� 0100 SFR OOR2 8,400.00 � $1.80 1.00 $15,120
� 0100 SFR OOR2 2,550.00 �F $0.35 1.00 $893
Additional Land Information
Acres 0.25 Tax Area 30ZH FEMA Code �R i n i I C ZHLHLP2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1965 Stories 1.0
Exterior Wall i Average 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 Hardwood Flooring 2 Parquet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 BAS 1,524 $51,968
2 FSA 112 $1,330
3 F�A 264 � $2,251
4 F A 80 � $682
5 FST 100 � $1,705
� 6 F�P 64 $546
Extra Features (Card: 001 of 001)
Line Description Year Units Value
r 1 —� CLFEN E 1985 320 $113
2 DW 1991 435 r $636
3 UDU-M 1990 1 $536
Sales History
Previous Owner AULBACH MARTIN
� Year Month Book/Page Type Amount
2000 � 03 4339/ 1579 WD $53,000
2000 O1 � 4292/ 0609 � $0
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http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 6/20/2012
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2012113577
Permit No. Parcel ID No ���Z�G'2� -(�U%Q--C��OC�-QU/�
NOTICE O�'COMMENCEMENT
State of ��C r� �� County of �R.S L D
THE UNDERSIGNED hereby gives notice that improvement will be made to certaiq real property,and' acc�►r ance 1h ha ter 713,Florida Statutes,
the following information is provided in this Notice of Commencement: e��'`j �t` Z�t�y.-y�k.��5 /'� L �G� ��wCsf.��a G� L..Q TS
1. Description of Property: Parcel Identification No./_��o��C-ys" �r �/,3�°i PG i�'79— %/-Z m-L/-oo�o-•v y�'OU-vt�/$'
Street Address:� r ! 7 ,�� � � � �,p�y r `,, 1�S , � �
2. General Description of Improvement � e d'"��
3. Owner Information or Lessee infortnation if the Lessee contracted for the improvement:
�I�. �'1�. ��'rcn Y. -
S9 Y Y �j S�`- z�.�c,.�.�1,�/(s �
Address City State
Interest in Property: /J L✓j'�- �� 33�Sl�
Name of Fee Simple Titleholder
(If different from Owner listed above)
Address �1���� `6 h ��C State
4 Contractor C tS��" G ( D� �
� � �N�me� �`' -f
�,�" .,, �` �� �"i h ���-/ r'°'� �4
Address City State �/,
Contractor's Telephone No.: �.S_-�-S�� ���� '3 �'S bf"
5. Surety�
Name
Address City State
Amount of Bond: $ Telephone No.. �o�
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6. Lender �••'�
Name
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Address City State N��
LenJer's Teiepiioi�e i�fo.: e� �
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7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by 3
Section 713.13(1)(a)(7),Florida Statutes: 3 .�
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Name ` �
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Address City State `� �
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Telephone Number of Designated Person: n m
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8. In addition to himself,the owner designates of �
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration 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):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT m D
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �m D
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �v+
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ��o
NZ
Under penalty of pery'ury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best "'
of my knowledge and belief. � �N�
STATE OF FLORIDA " ��7
COI;tiT"OF FA�CO � - � /� ���
Sig tu of or Lessee,or er's or ess e' Authorized �
Officer/Director rtner/Manager ,r o
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Signatory's Title/Offi � �-'+�
The foregoing instrument was acknowledged before me this�� day o V� ,20�1by � �~�
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as (type of autho ,e.g.,officer,trustee,a y in fact)for � �
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(name party on be f of whom ins ent was execu d). °
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Personaliy Known QF3 Produc�d Identification❑ Notary Signatur ` A
Type of Identification Produced Name(Print) �
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�<�Y p���� CORI ANN KEOUGH
,��° o-; Notary Public-State of Florida
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STATE�F FLORIDA,4��Y�0��'�'�� ',>
THIS IS TO CERTIFY THAT i�i��Q��U���`����
TRUE AND CORR OPl',OF TNE�,uCUNfEN�;
ON FILE OR OF PC1� �����'-�N T!�tS OFFIC`�
WIT,NESS MY HAND F�td�F��'�L;�-��TNIS �_
DAYOF '. � � 2 � !�
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