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HomeMy WebLinkAbout12-13750 CITY OF ZEPHYRHILLS � 5335-8TH STREET ' (si3)�so-oozo 13750 BUILDING PERMIT Permit Number: 13750 Address: 7151 APPLEGATE DR 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: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-0050-00000-0030 Improv. Cost: 4,590.00 Date Issued: 1/03/2013 Name: GILGER, MARY Total Fees: 60.00 Address: 7151 APPLEGATE DR Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/03/2013 Phone: (813)788-4565 Work Desc: REROOF SHINGLE 18 SQ W/30 YR � �J�`i �✓ �� ��� 2%' � A G d TAPE JOINT�RO(�F IN� FINAL �� ( REINSPECTION FEES: Reinspection fees wi11 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 aorrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site t) plans not at job site g)woNc 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 attomey before recording your notice of commencement." Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in acxordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. ��-2��C��-- CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8�a-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department � r ��11 r/ Date Received '�eC �(o � o ('Z I� �� � M ��� �,� Phone Contact for Permittin Owner's Name /'!�i Y (�� ✓ Owner Phone Number Owner's Address /�,� � �Z `'rt 'k' p�' Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � Fee Simple Tftleholder Address � JOB ADDRESS ��� ' I` Q �e �, (-K. � r LOT� � SUBDIVISION 1"►1 h.q V� ��q PARCEL ID# �S- ZS- Z 1 -U US U � Dv�GC� - (�� j0 (OBTAINED F�PROPERTY T�ricE►DEMOLISH WORK PROPOSED NEw CONSTR ADD/ALT C� SIGN INSTALL 8 REPAIR PROPOSED USE O SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q r DESCRIPTION OF WORK ��U�� � �s S�' i..J GL 3U �V �� � ( �,,L ��,V �� �,e BUILDING SIZE SQ FOOTAGE (��b HEIGHT QBUILDING $ y��D���`� VALUATION OF TOTAL CONSTRUCTION OELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W,R.E.C. QPLUMBING $ � ��� � 1 �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES IVO BUILDER COMPANY SIGNATURE REGISTERED Y/ 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/ N FEE CURRE� Y/N Address License# �- OTHER � COMPANY s�(► �(fC ��'���-, v f t � '�,,,t SIGNATURE ������' REGISTERED Y/ N FEE CURRE� Y/N Address ��J� �� �� �t,� -�� � J ( � 1{v License# CCC OS 7�s 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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdiv(s(ons/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 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 construction. Directfons: Fill out application completely. Owner&Contractor sign back of application,notarized If over s2500,a Notice of Commencement is required. (A/C upgrades over;7500) "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authonzing same OVER THE COUNTER PERMI7TING (Front of Application Only) Reroofs if shingles Sewers Se►vice 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" 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 misdemyan�opyiolation under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 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 fu�ther 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, Florfda 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'SlOWNER'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 Environmentat Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wettand 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 fiill 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 prope�ties. If use of fill is found to adversely affect adjacent prope�ties, 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 1 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, cancet, alter, or set aside any provisions of the technn a�conse uction oa�violations of any cod sPrEverytperm t is ed shall become inval d requiring a correction of errors tn pla , unless the work authorized by suco ed forl a'S e od of six(6) mhonths after the t me thetworkas commenced Anhextension the permit is suspended or aband P may be requested, in writing, fr nm If work'cefaseso orininety(90)r onsecutive days,the job(sOcons de ed bal donedstra e justifiable cause for the extensio WARNING TO OWNER: YOUR FAILU TO YOUR PROPERTI(.TIF YOU INTOE DETO BTAIN FI�ANC NGTCONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) '/i�A� � CONTRACTOR pWNER OR AGENT Subscribed an swom to(or afflrmed)before me this��'dcu��- Subscribed and swom to(or affirmed)before me this ��hY ��� by � bY Who islare personally known t �e or hasR�ave produced Who isja�e personally known to me or haslhave produced U���-3 �p �p as identification. as identlficadon. F - � Notary Public Notary Public C mmission No. C C � ,�� � Commisslon No. Y\�,�n L ��� ewL � Name of Notary tYPed,printed ! Name of Notary typed,printed or stamped �� ' • KRISTA L.CREWS n :,,, ;._._ Cp�Ytrt�ssion#EE 16748G '' F�cpires Febnrary 17,2014_� m�aeann�rr�F:nwux�cesoa��-"'� � 1N S+� �' S/H , IIIIIIilllllillllllllllllillllllllllllllllllllllllillllilll� 2013001627 .. . `__..—_`_—. -- -------J PertnR No. ParcN ID No�j�Z.s Z�"D��U—0�OOQ— , �3� d NOTICE OF COMMENCEMENT state ot ��OI-+TL� county or/Q�SGd � THE UNDERSIGNED hereby gives noUce that ImprovemeM wiN be made to certein real proparty,end In eocordence�nlry�Chapter 713,Florida Slatutes, the following informetlon la provlded In Ihls NoUce oT Commen t t— 1 Deealptlon of Property: Parcd IdentlflcaGon No. ��Z S�ZI—��j d—ODOQQ —D03� Street Addmss:?����..�s�C 9w�G D�' 7��r���S �/ 3 JD�� 2. General Descriptlon of ImprovemeM�[.ivo� / Q z U � � W � '�� �5\J U 3. Owner Informafion/or Lpsee Intormatfon it the Lessee contraGed for the imprpvemerK; V� �(,�,7(� ~ � Q � H'lavy C�r�l�[✓ L1�„ C��� S Q `~ � � � Name F1! �� � ~ W �/s'� 1�hn�t a o�%C Q�- l �" W N n' a Add�e8s rv--'�� C���4!� lt�/�C �/ 0 O� Q ¢ � . Interest In Property: �'��^t-✓ 5335'`!/ z =O O u ots Name ot Fee Simple Tltlehdder: � F... } � LL. (Ii differont Irom Owner Ilsted above) Q� Q O� p � Addresa W � Contrada: �CO��Ctc4•-.a... �� � C Cly State «Q F— �— J Q �30/b S� S'� Oo/36 /LQ��—� � � W m ° o .� � Addreas k �h 1�1�/b 1� iY W City 8 O O�C CY I.i 2 }¢ Controdora Telephone No.. � '�-Z(p � �,; ;,j � � p l.� C.1 �. � (.� s. surory: ry o� Neme m o� � F7 Z � � \l Cn �NV W � Q � W ZT Q Addreas Gry State w m� F-- W � z J Amount of Bond: i Telephone No.: W�� � � _ � Z ~ Q } 6. Lender. � � , � f" � � � a m Name � N u Address City State �1 A Lenders Telephone No. ,, n � b •A ' 7 Persons within the State of Florida designated by the owner upon whom rwqces or otha documents may be served as provided b � SeWon 713.13(1)(a)(n,Florida Statutes: Y ap�� Name '� � � � ,� '• * * J Addresa CI x I �G ' • / Telephone Number of�esignated Peraon: ry S�� ! (�` `! ^``y} � —J' � � 8. In addPoon to himsel�,the owner designates o�— ��`�J^ . � to recelve a copy of the Llenora Notice es e; o�p � provided In Secdon 713.13(t)(b),Florida StatWes. , Telephone Number oi Perean or Entily Deaignated by Owner: m$ � � ~,�� ��� � • 9. E�IraGon date of Notice of Commencement(the explreGon date may not be before the completlon of constrvctlon and flnal paymeM to the �W D � � • �� contrect o r,b u l w l l l b e one year 6 o m t he date o f recording urdeaa a tlifferent dale la epedfletQ: �.�..o � y WARNINO 70 OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE D(PIRATION OF THE NOTICE OF COMMENCEMENT w� ��$ � •* � ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN r•� ' 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 �A� WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING.YOUR NOTICE OF COMMENCEMENT �°�� Under penally of perJury,I dedare Ihat I have road the loregdng notice ot commencement and Uiat the facta stated theroin ere We to the best �', of my knowkdge and bellei. � r o STATE OF FLORIDA C� �' COUNTY OF PASCO � o p � �x Signature r a Leaaee,a Owners or Lessx's A d w•"' ONixNDired artneNManager J a Signatorya Tipe/Ofice � � /�� y r The foregoing Inatrument was adcrw�Medged before me fhis�day of �C�_,ZOr4 by 1_'/�!�-5/ ��/S,'C� a/ as b�✓v.L� (typ�of authority,e.g..ofAcer,truatee,attomey in fact)tor (name oi parly on behaH otwhom InstnmeM was executed). Peroonally Known�;Qg praduceC Identlflcatlon❑ Notery Sipnature� C�z`�.� Type of Identf8eation Produced Name(Pdnt)��oPl�" C R/�a� 6/ra�� iCOR 6 KACWAN � . MoWy tYOMe-tlw of flMli • w ca.w.6.M.oM,�t01� COiMIMk�I @ M1f1r wpdata/bcs/noticecomrtfencemeM�c053048 ' �� �� 5��� ProposaVContract - .�c�ztt � � • , �IKC. P.O. Box 1188 • 33010 S 52 � San Antonio, FL 33576 .�tee�cse�, � (352) 588-ROOF (7663) • (813) 782-1330 �d�c�a� dr 1-866-407-0559 • Fax (352) 588-9763 q,�Q,�,��,� ���� www.scottblackmanroofing.com L�(,L05�957 email: blackmanroofing�aol.com � �/�0l2 Date -�� PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name L � v � .sc (� ,� �c�✓ Street Street � � �( j � k 7 _ ` r City City_ �-k,��y v i�~► � t�J � State State � � � Z�p Z�p Owner of Property Phone Number Fax Phone Number F� We f}ereby propose to furnish all the materials and perform all the labor necessary for the completion of: �Remove existing shingle roof �ace bad fascia boards at$�u �% per foot ❑Remove existing built-up roof ❑R lace 1 x decking at$_ er foot ry-in with ❑ 15 Ib. p� P Install,�_feet of ridge vents ❑Dry-in with a fully adhered underlayment$ ❑Install modified bitimen (granulated)torch down roofing ❑Instal new galvanized valley metal additional black, white or other color nstall new lead boots 1.�1i5sta new roof jacks � � �� j, ❑ Install��ungus resist nt dimensional shingles j.3 U�h �Install new drip edge, t�.�°1� � �E' c olor ❑Shingle manufacturer ��� color• ' n�` � ❑Install new flashing as needed ���� 0 Install TPO, white rubberized roofing membrane Q�e ce plywood at$ �' `1 `� per sheet ❑Other: � ,��� � �i- r Y� c�c°�7� Repair rotten trusses at$ 'u �' p e r f o o t 'Woodwork is an additfonal charge,see pricing above �p�• _ ���'�.s�� �'�il�f�''` f:?� - ��-fr�-3 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$_ with payments to be made as follows: P8V11'letlt dU@ Itl fUll Of1 COI11DIet�On, unless otherwise noted. Thank �`A' You. Credit cards accepted,additional 3%charge. 'Not responsible for satellite signal when satelite is reinstalled 'Not responsible for 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 � upon above work.Workers'Compensation and Public Liability insurance an above OfficeNAgent Scott Blackman Roofing work to be taken out by Roofing Contractor Extreme cautlon should be Note: This proposal may be withdrawn by us if not accepted used during and after constructfon for debris and nails missed during within cleanu . dayS. The above prices,specifications and conditions a eC ats ac ory nd a e h�e ebLy 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 materials. Accepted Signature�/��•� � � ` `�x, � Date '� ��""._``'�" / . .,� ,� /�- - - Signature ,_ �