HomeMy WebLinkAbout13-13786 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3��so-oozo 1 86
BUILDING PERMIT
Permit Number: 13786 Address: 6617 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0150-00000-0040
Improv. Cost: 13,300.00
Date Issued: 1/22/2013 Name: PEEPLES, CARL
Total Fees: 105.00 Address: 6617 NORTH LAKE DR
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/22/2013 Phone: (813)782-0715
Work Desc: REPLACE TAMKO SHINGLES 48 SQ
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TAPE JOINTS ROOF INSP
FINAL�^,��_�-,
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 wrrections not made when inspections called d)work not ready for
inspection when cailed e) permit not posted on job site f) 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 Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
c �
C N � C S G RE PERMIT OFFI R
PER T EX S IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�,o-�ou-uu�u C:ity ot Lephyrhilis Permit A lication
PP Fax-813-780-0021
, „ Building Department
Date Received
Phone Contact for Permittin • __ q�
Owner's Name �' �� ,P ,f,
Owner Phone Number �]�j�, Q� �
Ouvner's Address
C� Owner Phone Number
Fee Simple Titlehoider Name (�
Owner Phone Number �
Fee Sfmple Titleholder Addresa
JOB ADDRESS I� � ��l - � J�S� �
LOT#
SUBDIVISION f � a� PARCEL ID!! (()'aI S�,
�i o�� •CC�`�t U
B (OBTAINED FROM PROPERTY TAX NOTICE)
V1/0RK PROPOSED NEW CONSTR ADD/ALT SIGN
INSTALL 8 REPAIR � ��� 0 DEMOLISH
PROPOSED USE � SFR Q COMM OTHER
TYPE OF CONSTRUCTION `� BLOCK Q FRAME C� STEEL �
__�
DESCRIPTION OF WORK I�A-E� � •S �,,,� —
,' �
BUILDING SIZE SQ FOOTAGE� HEIGHT
�]BUILDING $
� -- VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY [� W.R.E.0
OPLUMBING a
� � �5�� �
OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION
QGAS � ROOFING O SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO /? 3��
��r
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# �— —�
IYIECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER �� COMPANY
SIGNIATURE REGISTERED Y/ N FEE CUR Y/N
Address � `� Ze. �-c. 33�1 ) License# ��, �,� ���
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu(Iding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wotking days aRer submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster,Site Work Permit 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 Facilities&1 dumpster.Site Work Permft for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consVucUon.
-.�����,�,��*„��,������...
Directions. "i'''""
Fill out application completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over i2500,a Notice of Commencement is required. (AIC upgrades over:7500)
"' 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 Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage)
DNvewaya-Not over Counter if on pubNc roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The u gd ulat9ons. The undersigned as umest esp nsibilbty for compl ance wl th any
which may be more restrictive than County g
applicable deed�estrictions.
UNLICENSED CONTRACTORS AND beNe�ed�o be I�ensedSiBaLccoEdance th st te and local egulationsc Ifrthe
contractors to undertake work, they may q
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif�lat{he
under state law. If th e adv sed to contact the Pasc�o County Buitding inspection D vision—L cie s ng Section at727-847-
intended work, they ar
8009. Furthermore, if the owne of thishagdlicat ontfor which they wi I�be espons blie.e If youaas the ow ea sign as the
portions of the "contractor Block PP rivile es in Pasco
contractor, that may be an indication that he is not properly ticensed and is not entitled to permitting p 9
County.
TRANSPORTATION IMPACTlUTILITIE��IMse Reco ery FeesOmay appECo t�heR onstruction of neweb 9de gsncha ge of
that Transportation Impact Fees and R
use in existing buildings, or expans�ed al oXiun'derstandls9that such fees,lasPmaybe due, w I�be dentified at he_tme of
90-07, as amended. The unders�gn
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 cert�cate 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 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'SIOWNER'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 indlcated. 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. 1 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, WateNWastewater 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: ermitted.
Use of fill is not allowed in Flood Zone"V" unless expressly p
If the fill mate�ial 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 Flo�ida.
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 a�y 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 properties, the owner may be cited fo�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 AGEN7 FOR THE OWNE�R�t�ct on!S I'u der5 anld that a�s pah at permit may be requ�ired for�electr cal work,
this affidavit prior to commencing
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inctuded in the application.
permit issued shall be construed to bcal codesenor shall ssua�ncehof a permitprevent thehBu II ding Officeal from therteafter
set aside any provisions of the techrn
requiring a correction of errors in ph n er�o'�ssrc trt°mencefd within s zamonths of perm t P suaaincesuor�if wolrk authorized by
unless the work autho�ized by suc p
the pe�mit is suspended or abando�ed Buildpn r'Offi ial fo6a period not toh xtceedtninetyr(90) days and will demonstrate
may be requested, in writmg, from 9
justffiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILS TO YOUR PROP RT1f.TIF YOU INTENDETO OBTAIN F NANC NG CONSUL7
PAYING TWICE FOR IMPROVEMENT u�uFNCEMENT
WITH YOUR LENDER OR AN ATTORNEY BEFQRE RECORDING YOUR NOTICE OF CO
FLORIDA JURAT(F S. 11 . 3) �
, '� ...n CONTRACTOR m is
OWNER OR AGENT Subscribed and swo (or a )b
Subscribed and swom to(or a rm ) e��e �S f_ZZ-�3 by
-22-( by Who Islare personally known to me or haslhave produced
Who isJarP,nersonal�y known to mas IdenUficatlonroduced — as identlfication.
; � � � �f�� � Notary Public
� �--- tary Public � ��
� ,� �1,• . JAC(�UELINE B ES ,,,,.,'�,,•,.,,
;� - Com sion o
com �' �' ���nber�2 20�4 °•: :� Commission#EE 040520
�l�,R • '� _ !
+`N„�;c,•' e�ann�r Fah Name of Notary typ , • oreM�e�Pe�'F�i�°�o.�'o�s
Name of o ary ,
�
� � oErn�� . • Y/SA'
�!��IQ�L G�G��iG��tGf, %KC. ��
A Division of Ryman Construction,Inc.
INC. 36413 SR 54 • Zephyrhills,florida 33541 Proposal#
Phone (813) 782-6094 • Fax(813) 788-6773
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate# �Q
Serving all of Central Florida
Job#
Owner/Purchaser. • �����
Claim#: Date: \`�(p�1�3
InsuranceCompany:
Policy#
Address: �7 N�����+ �r
� City: ,z'� ��`S Zip: '��
Home #: �'�-'7��/� ceu #: A1�.. 74�- b4��
E-Mail Address: Business #:
C�Complete tear off of existing _�,;,��� e A
__���� _ AdditionalNotes/SpecialConcerns:_$,�c�� _,.�e c^ �_�r1��_
C�Secure all loose roof decking as needed according -� p�y `��"'� T � J,. c ���,
�o Florida Building Codes � • .
Roof dried in with�S' 7/� r. .
(.�1�) S�/..lL �L S�r�.,���,/
� Z-.c� .�
Ps=��,S�-R
�C��nstall new valley metal with galvanized metal �� �'� ' � `� � r- ti dF �n�
ly Install new / � � .
—..t2_"drip edge color: � �� �� �*-+ T` c_ � � ���r
�Install new lead boots
[�Install all new general roof vents
[� Install new�� 7/ �r, • ��� �s�--�S�xi,�}'n�_j_____
�M.,�S: �\eir+
�:�q - -�/c.�.e.,.,.� �'^'`� t--�s-��..��_c�Q�, .
l,y Manufacturer. �'��,,��d ��I 1�Q� ��
[�Color: ��,,,r�'�. C...t,� �
C�AII roof related debris removed from job site, pick-up loose
� nails using commercial grade magnet
C1�All materials, labor and permits furnished
�Provide a .�'__ y_��r.
labor warranty
Additional Items: Total Investment$ 13_ 3Q�� O 4
Payment Method: �heck#.�7
� ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card#
Exp. Date CC ID#
Down Payment: $_�Sj, O� G�,.
-Q Amount Financed: $ Approx. Monthly Payment:$
'aymentTerms.
=xtras: '
�Deficient 1/2"plywood replaced at a cost of$ �,.g
litional labor, such as, but not limited to, valley rebuildingo�, rafter p acementr 1x decking'e cI will be aaate ofmaterials.QA�lI other wood work/ad-
:ost of materials. $y�,�. _per man hour plus the
HIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
ACCEPT THIS PROPOSAL AND HERE CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
'urchaser• ,� � �
urchaser: , Date:
Estimato •
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Effective: October1,201t _ �- -�-- _�
Retum to: I �—' - ------
t , Rcpl:1490665 R�c: 10.00 �
.. ;DS: 0.00 IT: 0.00
, ; 01/22/13 K._Ga�eta, Dpty Cl�rk
S[RIE Of FIO dB ' . . ^ " '_��___�
County of�� PemiiWo. ± 1
T�ie undenttgned hereb 1 rex Folio No.�_.
�I���phr 713,FloridnStehrtw, Y�givw nofica that imprave�hent will be medd P7"certnin real r
��e followin mFormeNon ia rovided in Niis Nodce QFCommencoment��ty•AO�in eccurdonce.wilh
, �� �ription���:��L 1� (�
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2. Deiura dwcripb � Si�U2 r�q���A.!
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°� Neme nnd Addrasa: "� provemq��;
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, constmclion end tnol payinen[,but wfll be I ��LnE°p nau g � ,� '�Q"
Y�xr from tlie d te ofrecord n 'i nless a dilf*rurt dnte•�fore Ou compleuai of ,
� H'NU1M0 TOOWNEi2: AT1Y PAVMII�fI'g ��iFiW) �
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FLORIDA STATU'1' �TS�D�R;C S * • *
�S.AWD CAp���r IN YOUR PAl7Np TW[CE FOR;RdpH ROER 13,PART I.SGCI70N 7U.1J, ,
� ���1 NOTICH OF COA�.1�ryCp�N.�.�ST D& I : S TO YOUR PROPERTY
RECORUED q►�p ppg�p;ON TNE I B S1TG OHFORE THg pp�ST
MSPEC7'IpN, IF'YOU INT'BtJp TO 08TAIN FIN,qNCMG �pNSULT+�y ~ W Y
BEFORE C ITH YOUR ER OR ATJ q7-pp � � � � �
�MtiII3NC1Na WORK OR RECORDQVO YOUR N � RNCY � — !11 I.L UJ W
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