HomeMy WebLinkAbout12-13402 CITY OF ZEPHYRHILLS '
5335-8TH STREET �
(si3)�so-oo20 13402
BUILDING PERMIT
Permit Number: 13402 Address: 5554 11TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Seation:
Square Feet: Subdiv'�jsion: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-10400-0150
Improv. Cost: 6,300.00
Date Issued: 8/30/2012 Name: LAWSON, SHIRLEY
Total Fees: 70.00 Address: 5554 11 TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/30/2012 Phone:
Work Desc: REROOF 20 SQ TIMBERLINE
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TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will aomply 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)wndemned work resulting
from faulty construction c) repairs or aorrections 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 reoordin our notice of oommencement."
Complete Plans,Specifications Must A000mpany Application.All work shall be performed 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
nia-ruu-uutu �,i�y ui �ephyrhi�ls Permit Appiication Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin --
Owner's Name � ` r �C L, s�7V1 Owner Phone Number
Owner's Address 7 � 5 � -�
Owner Phone Number
Fee Simple Titleholder Name � -� Ovmer Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S �( t � S t 2 P Y Z. • , �S !' ^33s� LOT� ��
SUBDIVI310N PARCEL ID# �����8�Z - dVI� �IU yC0 -�%�O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �u U � C7 ��' fj�,� ��� �r.�j�,� � � y�
BUILDINti SIZE SQ FOOTAt3E HEIGHT ��
QBUILDING S po � V VALUATION OF TOTAL CONSTRUCTION
.
QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0
QPLUMBING a
'I' � �7�L
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS � ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N(�
BUILDER COMPANY
SIGNATURE REGISTERED Y J N FEE CURRE� Y/N
Addreas License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r -�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense# �
OTHER COMPANY ���¢���� v�( � �1'! C
SIGRIATURE REGISTERED Y/ N FEE CURREP Y/N
Address C�C d S I'" Sa Qi�9K t�V h n 3 35 �� License# �(.,C �-�r7�l$- /
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)vwrking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisio�s/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 conshuctlon.
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliNes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Atfach(2)sets of Engfneered Plans.
"`•PROPERTY SURVEY requlred for all NEW construcGon.
Directlons:
Fill out application completely.
Owner&Contractor sign back of appitcatlon,notarized
If over i2500,a NoHce of Commencement is required. (AlC upgrades over 57500)
'• Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with nota�ized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage)
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 �esponsibflity 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 misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what Ifcensing 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 thg owner sign as the
contractor, that may be an indication that he is not properly Hcensed and is not enti8ed 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 "ce�tificate 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 WaterlSewer Impact
fees are due, they must be paid prio�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 ConsVuction 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'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. 1 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 identiry what actions 1 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 Watervvays.
- 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 app�ication, 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 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 fo�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 FINANCINT, CONSUL7
WITH YO R LE ER R AN ATTORNEY BEFO E RECORDING Y UR
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscrfbed and swom to{or aHirmed�before me this Subscrtbed m to(or atflrmed)before me this
by bY
Who is/are personally k�own to me or has/have produced Who Is/are personally known to me or has/have produced
as Idendfication. as identlficatlon.
Notary Public
Notary Public
Commissfon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� Pasco County Parcel: 11-26-21-0010-10400-0150 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, August 25, 2012
Parcel ID 11-26-21-0010-10400-0150 (Card: 001 of 001)
Ciassi�cation 01 - Single Family
Mailing Address Property Value
LAWSON SHIRLEY O Ag Land $0
5554 i1TH ST Land $16,100
ZEPHYRHILLS FL 33542-4212 Building $33,059
Physical Address Extra Features $550
5554 11TH ST
ZEPHYRHILLS FL 33542-4237 �ust Value ;49,709
Legal DesCriDtion (First 4 Lines) Assessed (Save Our Homes) $49,709
See Plat for this Subdivision Homestead 196.031 - $25,000
CIT1f OF ZEPHYRHILLS PB 1 PG 54 Non-School Additional Homestead Exemption - $0
LOTS 15 & 16 &SOUTH 2O.00 FT Taxable Value $24,209
LOT 17 BLOCK 104 Warning: A significant taxable value increase may occur when sold.
OR 1549 PG 11 Click here for details and info. regarding the posti�g of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zonin� Units Type Price Condition Value
�1 0100 SFR OOR2 8,400.00 � $1.80 1.00 $15,120
2 0100 SFR OOR2 2,800.00 � $0.35 1.00 $980
Additional Land Information
Acres 0.26 Tax Area 30ZH FEMA Code X i ZHLHLP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1958 Stories 1.0
Exterior Wall 1 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 i Asphalt Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Duded
A/C Central Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 �T 110 $1,936
2 �S 1,196 $42,099
3 F P 72 $634
4 F�P, 220 $5,421
Extra Features (Card: 001 of 001)
Line Descriptfon Year Units Value
1 � DWSWC 1973 222 $175
2 UDU-M 1987 1 $375
Sales History
Previous Owner N/A
Month/Year Book/Pa�e Type ��e Condition Amount
10/1986 1549/0011 Warranty Deed Improved $22,000
Executor'S Deed
08/1986 1530/0889 (Personal Improved $0
Representative's)
O1/1974 0776/0469 Improved $25,000
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 8/30/2012
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2012148416
Permit No. Parcel ID No /�16�Zf -Ob%o-JO`�G�b�^b��O
.,,, . NOTICE OF COMMENCEMENT
State of �r �r� �Q County of��� C C�
THE UNOERSIGNED hereby gives notice that improvement will be made to certain real pro e�ty,and in accordance with Chapter 71 Florida Statutes,� yff,
the following infortnation is provided in this Notice of Comm ncement: ��'Z G'" Z/�C��/O —/Q�{p O — O/$�, c��of �t�hy+ ��
1. Description of Property� Parcel Identification No!���PG sy��rri.��/�-�sa� ao�L%iDFt��T/7�or.(� /o�ati°��9fi���
Street Address. S-S S I � �� Z /'�- Y J�� �
2. General Description of Improvement `06 lt� a C� �'r 1 l�^�('_V �i ✓�
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
• S h i r l�� L c��,.�So t�
Sss � ii +-�, st ��y..� a , �lls �
Address City State �1
Interest in Property: 33,���d
Name of Fee Simple TiUeholder•
(If different from Owner listed above)
Address �lo..j� �j��� `�� �� ,QOG ��=S �^C� State
� 4 Contractor: // ( /` cGy
��v�o a�e� .�� P ° ��`X���'� .��S`Lu ��.?� u Y' /
A dress City State
Contractor's Telephone No.: � yS��
5. Surety�
Name
Address City State
Amount of Bond: $ Telephone No.:
Rept,:1458670 Ree: 10.00
6. �ender� DS: 0.00 IT: 0.00
Name 09/04/12 E. Munguia, Dpty Clerk
Address City State
Lender's Telephone No.:
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
PpULR 5 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
Name 090R4BK �7�� iPG� 2�4
Address C��Y 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. 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):
ARE CONSIDEREDE MPROPER PAYM NT�S U DER C AP ER 13T PARTE, SECTION 713�.'t3, FLORIDAESTA U�ES EANDMCAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT 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 pe�jury,I declare that I have read the foregoing notice of commenceme�t and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA ' �
COUNTY OF PASCO
Signature of Own Lessee,or Owner's or Lessee's Authorized
OfficeNDirector/Pa ner/Manager
� Signatory's Title/Offi e � �
The foregoing instrument was acknowledge ef re�n e is day of�,20�.by�� � �
as }� (type of autho�ity,e.g.,o er,trustee,attomey in fact)for
(na f party on be f of whom instr nt was execut ).
s
Personally Known�OR Produced Identificat'on Notary Signature
Type of Identification Produced �1.-- �� Name(Print) Y( V
i�i�r
�"";�� CORI ANN Kf0U9H
Notur Pu01lc•SW�ol fbridt
• • My Comm.Ex�in�Aup ZY.ZOt4
CanmfsNon�►ff 1l3�,1
"": � SoAdrd 11uou0k N�dOiW No1M�►A1�.
wpdatalbcs/noticecommencement_pc053048
���J � . �+� STATE OF�LORIDA, COUNTY OF PASCO
�P� THIS IS TO CERTIFY THAT THE FOREGOING fS A
Q� . G TRUE ANO CORRECT COPY OF THE DOCUMENT
•�► ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
� • � WITNESS MY HAND AND OFFICIAL SEAL THIS
In Go�we?�r , � DAY 0 F
* � :="�""-; � 2 Z"i 1�
� (,� . * P ULA S. ' EIL, L K& COMPTROLLER
� �
* 1887 � !3Y
DEPUTY CLERK
�A�OF FLO�P
5��� Proposal/Contract
sc��t � � ' , �I�c. �- ,
,c
P.O. Box 1188 • 33010 S 52
San Antonio, FL 33576 ��eEi�4Ci�,
� (352) 588-ROOF (7663) • (813) 782-1330 �4�� �
� 1-866-407-0559 • Fax (352) 588-9763 9�cm�cs�d
www.scottblackmanroofing.com
���� email: blackmanroofing@aol.com Date
ef�057g5?
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name Street ' �
Street City
City State Zip
State Zip Owner of Property
Phone Number • Fax 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 0 Replace bad fascia boards at$ per foot
� Remove existing built-up roof ❑Replace 1x decking at$_ perfooi
❑ Dry-in with ❑ 15 Ib. 0 30 Ib. ❑tnstall feet of ridge vents
❑Dry-in with a fully adhered underfayment$ ❑Install modified bitimen(granulated)torch down roofing
❑Install new alvanized valle metal additional
g y black,white or other color
❑Install new lead boots ❑Install 25 yr.fungus resistant 3-tab shingles
❑Install new roof jacks 0 Install 30 yr.fungus resistant dimensional shingles
❑Install new drip edge, color ❑Shingle manufacturer color
❑Install new flashing as needed 0 Install TPO,white rubberized roofing membrane
❑Replace plywood at$ per sheet p pther:
❑Repair rotten trusses at$ per foot , � ,
'Woodwork is an additional charge,see pricing above -
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$_ f'�,���✓
with payments to be made as follows: Payment due in full on completion, unless otherwise noted. Than ou,/
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 deckin�
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 9
upon above work.Workers'Compensadon 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 caution should be
used during and after constructton for debris and nails missed during within days.
cleanup.
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 above. Client gives permission to drive on driveway to deliver materials.
Accepted Signature - ' � ` �
Date Signature