HomeMy WebLinkAbout13-13788 � CITY OF ZEPHYRHILLS
5335-8TH STREET �
(si3)�so-oozo 137
BUILDING PERMIT
Permit Number: 13788 Address: 37538 NEW HORIZON BLVD LOT 68
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0680
Improv. Cost: 5,000.00
Date Issued: 1/22/2013 ��y Name: CLAYPOOL, NORMAN & KATHRYN
Total Fees: 60.00 Address: 37538 NEW HORIZONS BLVD
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33541
Date Paid: 1/22/2013 Phone: (813)715-6356
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL � -�(; ( �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra ins
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 properly 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,wnsult with your lender or an attorney
before recordiny 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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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87ATE /�
CERTIFIEO
CCCt3282� RESIDENTIAL.
a►..,o � COMMERCIAL.
y;�` N�.SPECTIONS �ROOF TYPES
Esp..�.wo� �E wNOEO°a�o
ESTIMATES
CALL MIKE THURSTON
OFFICE: (352}437-4013 �E«: f 352�50-7101 "
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name `.,�'�' . . • ,; � �,; , ;
, w, �i ' d , Street
Street -�� .` , < �,, . ' ,L� `, ,,
, , <�� • "f City
�� ��/ State
_ Zip
State Zip�� �� � `� Owner of Property
Phone Number,.`%` ",` � `�` t r�� .° � F�
Phone Number F�
a.� We hereby propose to furnish a!I the materials and pertorm all the labor necessary for the completion of:
�� Remove existing shingle roof ❑Replace bad fascia boards at$ ���`- ��
per foot
0 Remove existing built-up roof ❑I�stall feet of ridge vents
�� '�Dry-in with O 15 Ib. t�30 Ib. ❑Install modified bitimen (granulated)torch down roofing
�Install new galvanized valley metal , t ,\ . black,white or other color
�T install new lead boots � � � �� � � � '
�� �, �.; � ��Lh Install�yr.fungus resistant 3-tab shingles
�ylnstall new�vents 0 Install 30 yr.fungus resistant dimensional shingles
O Install new drip edge, color � ❑Shingie manufacturer
color�.c% /- � � ,�; ,;r
D instail new flashing as needed �; �'_;, _,,� t � � ❑Instali TPO,white rubberized roofing membrane
��l Replace plywood at$ ' ' ` � = < 4 :
per sheet O Other:
❑Repair rotten trusses at$ `� t� � per foot
"Woodwork is an additional charge, see pricing above
Ail 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 foilows. PaVr11@nt dUe in full 017 C0111DIetion, unless otherwise noted. Thank You.
Any alteration or deviatfon from above speclfications involvinp extra costs wili �����a�pted,additional2.8%Ch81�@.
be executed only upon written orders,and w���become en extra cherge over end
above the estimate.All agreements contlngent upon strikes,accidents or delays
beyond our control.Owner to carry fire,tomado end other necessary insurance OfficeNAgent
wo�%be ta n out byrRoof ng Contiracto�d PubNc Ltabflity insurance an above proposal may be withdrawn by us if not accepted
Note: This
Client gives permission to drive on driveway to deliver materials. W�thin days.
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 Proposal/Contract,which contains Florida Statues 713.001-713.37.Payment will be made as
outlined above.
Accepted )
Signature - ..
Date Signature - `
. . s�H Illilllllillllllllllllillillllllllllllllliilllllllllllllllll
2013012168
Rcp1:1490712 Ree: 10 00
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PertnrtNO. ParceIlDNo '�01/22/13 D. Bonilla, Dpty Clerk
NOTICE OF COMMENCEMENT PQUL41 S 0'NEIL,Ph D Pq5C0 CLERK L COMPTROLLER
01/22/13���m 1 of
State o( County ot OR BK � P� ���
THE UNDERSIGNED hereby gives notice thal improvement will be made to certain real property,ana in accortlance wit�Chapter 713,Florida Statutes.
the following infortnallon ia provided in this Notice of Commencement
1 Descrip6on of Property Parce�Itlenti�cation No._ -� �����- 2� 2� - b0�{O- DDp pp.O�ffp
Street Address: ,��S 3 R 'V P�./ rY e r i za n S ��u�.
2. General Description of Improvement �re n T �t a� e�� �,� Y-A.(J S h,�o I t �
_� '�'G.D .S�
3. Owner Informalion or lesaee informalion if the Lessee contracted for the impravement:
/V e r rr�ct� �_� _ o.n /
�75_�R NIU.e ) �ar�2ov+S b�v� ZG/JAr�!"h. l� c ����� �
Address City Slate
Interest In Property
Name o/Fee Simple Tifleholder
(If different from Owner hsled above)
Address n dy � Stale
a. ontrador l�oD�i y(, j
ame PD o k. ) 4,
Address Ciry Slate
Co�traclors Telephone No. �- O
5 Surety y
Name <L Z U � W
Address Cit O � � l�L = J U
Amount of d: t Telephone N . tate U Z � O � �J
6. Le er Q � � = Q N � �
Name � a � C] � W �'"
� w ,� cn a
Address Ciry St� (� � Z z J � �
Lender'a Telephone No. � Ll- ~ 0 Q �
LL � U U
7 Persons withi e State of Floride designated by ovmer upon whom notices o er cuments may be se as provide0 by = � � � LL
Secllon 7 . 3(1)(a)(�,Florida Statutes: � Q O � Q �
Name �= U V z W
� p >- c.~� mp i'lV
AdAress Cify State � W � Z O
Te one Number of Designated Person� _ � W O LL _ Q
8. �n addition to himself,the owner designates o� q� V U � � ,O
ta receive a copy cf Ihe LienoYS Nolice as provided in Section 713.13(1)(b),Flonda Stafutes. �- Q 0 Q �
Tele phone Numbe r of P e rs o n o r E n t i t y D e s i g n a t e d b y O w n e r � ~ z C n� �
- w �_nQ "� w�
9. E�iration date at Notice of Commencement phe expiraGon date may not be before the complehon of construction and final payment lo the Q � �Z � L = }
conUador,but will be one year from lhe date of recording unless a ditterent date is specified). � � � Q � a m
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIFtATION OF THE NOTICE OF COMMENCEMENT '"^-
ARE CONSIDERED iMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN ���S.
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTIC[ OF COMMENCEMENT MUST BE • � �'4��'
RECORDEO AND POSTED ON THE JOB SITE BEFCRE THE FIRST INSPECTION. IF YOU INTENO TO OBTAIN FINANCING,CONSUL7 '�j� ,
WITH YOUR LENDER OR AN ATTORNEY BEFORF COMMENCING WORK OR RECORDING YUUR NOTICE OF COMMENCEMENT * /��,�FA1 �
Under penalty of pe�ury,I declare that I have read lhe toregoing notice of commencemer,t and that the(acts stated therein are true lo the best ,K ;�� *\
of my knowtedge and belief. ����r
STATE OF FLORIDA � '� � �
Q * ' �''"-�l a.�J yo�u`
COUNTY OF PASCO - '
n re of Ovmer or Lessee,or Owner's or L s ee'S Aulhorized � *
O(ficerf ectonParinedManager ' y �
��.+ d
Signatory's 71t1e/O/fice �/ �['�
The(oregoing i ArumeM was acknowtedged before me t�is ��day of^ w��,20�,by_ ��'nYtl) C���G / • � ��yt
rT as /� __(type o/authonty,e.y.,oKcer,truslee,attarney in fact)tor
�/V (name o(party on behalt of whom instrument was execu�ed).
L�'.�- /�.�
PersonaNy Known�0�2 ProduceA Identificati�n Q Notary Siqnature �//�G�-
1
Type of Idenlification Produced�'y�cf_�aS�__ kame(PrinQ_ r4c� C.�q _
BRYAN McCLENDON
T hOTARY PUBUC
"� STATE OF FLORIDA
, Comm#EE038708
wpdata/bcslnoticecoromencement.pc0530ae �"�s E.�kHS i0f31/2014
813-780-0020 City of Zephyrhills Permit Application
� ' Building Department Fax-813-780-0021
Date Received
Phone Contact for Permittln
�wner's Name �� a,�
Owner Phone Number
'�iOwner's Address � � �
` � � Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number �
Fee Simple Titleholder Address
f,� JOB ADDRESS 3' �S. � N e�.,� � z 7 n U j l V '
LOT# �
c�SUBDIVISION (Jy,� � -
z � b � , PARCEL ID#
WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR� ADD/ALT � SIGN
INSTALL REPAIR � 0 DEMOLISH
PROPOSED USE � SFR �
TYPE OF CONSTRUCTION COMM [� OTHER
0 BLOCK Q FRAME � STEEL �
'��DESCRIPTION OF WORK ����- p �� � �,,�b �( ,�� I� i �
h t G, b��C 3 t�b � �� l�
BUILDING SIZE
SQ FOOTAGE HEIGHT
" BUILDING
� o
•��DU '�� VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $
AMP SERVICE
L� PROGRESS ENERGY
�PLUMBING 0 WR.E.C.
$
�MECHANICAL $ '—
VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING � SPECIALTY -7
FINISHED FCOOR ELEVATIONS CJ OTHER
FLOOD ZONE AREA �YES NO
�UILDER
SIGNATURE --�� COMPANY
REGISTERED Y/ N FEE CURRE�
Address � 6 � �l� n C Y/N
��J c � �� r J �ZJ .�icense# L � � �
ELECTRICIAN
SIGNATURE COMPANY
REGIS7ERED Y/ N
FEE CURRE� Y/N
Address
License# �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N
FEE CURRE� Y/N
Address
License# �_
MECHANICqL
SIGNATURE COMPANY
REGISTERED Y/ N
FEE CURRE� Y/N
Address
License#
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N
FEE CURRE� Y/N
Address
License#
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. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/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.Ail commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Englneered Plans.
`"*'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent(for the contractor)or Power of Attorney(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 The undersigned a'ssumes esponsib Ity for c mpl a„nceStw ih any
which may be more �estnctive than County regulations.
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRAe�TOo eE eP�edSiBaacoEdance th s ate and Iocal egulationsc Ifrthe
contractors to undertake work, they may be req � for the
contractor is not licensed as required by law, both thare uncerta n as to what licensingte qu�emen'ts may apP yiolation
under state law. If the owner or intended contractor
intended work, they are advised to contact the Pasco c{o(torBUOntractorsP hel�s advised ot 'have he cont actor(s) Sthe
8009. Furthermore, if the owner has hired a cont rivile es in Pasco
portions of the "contractor Block" of thi a�hei is n'ot prope ly I censedliand s not enttled t yperm ttingep Wn 9 sign as
contractor, that may be an indication th
County.
TRANSPORTATION IMPACTIUTILITIES IMPAC�e A�ND R ee0 mRy aP ECOVh Rc n EES�'o of new b 9denysn�Change of
that Transportation Impact Fees and Recourse rY
use in existing buildings, or expansion of existing build�iS9{�at such feles,'asPmay be dueyw Ildbe 'dentified at he tme of
90-07, as amended. The undersigned also understan ,
permitting. It is further understood that Transportatio (easeaclf the p ojecRdoes notRnvolve a.cerkific te of occ pancy o�
receiving a "certificate of occupancy or final power re
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
fees are due, they must be paid prio�ter 713,1FIorida Statutes, as amenlded)P�If valua on of work is$2,1500.00 or more, I
CONSTRUCTION LIEN LAW(Chap of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the F�hade bta ned a copy of'thetabove d scr bed document and promPseantgood fa th to
other than the "owner", I certify that t
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and thai altion is
wilt be done in compliance with all ap�p�ocaNb�f k and r nstallat on oass indicated onin e�'y�that nov work ort instal�lation has
hereby made to obtain a permit to
commenced prior to issuance codese o1ninga egulafions�r ndl�land development egulationsan the jur�isd ction.9ul also
construction, County and City �
certify that I understand that the regulatio�U t take to be n compliance! S ch agencies nclude but are n t�limi ed to:�t is
my responsibility to identify what actions I
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� 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 us submitted at time o permitting which�s p eparedrby a9professionalreng neer
"compensating volume" will be
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 wa
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 o�adve sell affect adjacent properfesf Ithe'Iowner mayrbelcit d for v�olating
properties. If use of fill is found t Y
the conditions of the buitding 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 iun9�e�stan'd that a�separat peemit may be req u d for'electr cal�work,
this affidavit prior io commencing construction
p�umbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be acodesenor shall ss a'ncehof a pe mitprevent thehBu ding Officeal from thereafter
set aside any provisions of the technical ,
requiring a correction of errors in plans, construoct�mencedl within s xamonths of perm t p sua'nce, or�if wolrk authorized by
un less t he wor k a u t h o r i z e d b y s u c h p e r m i t i s c
the permit is suspe�ded or abandoned Buildpn f10ff cial fosa per od nott tohexc'ed tn netyr(90) days and will demo strate
may be requested, in writing, from the 9
the\ob is considered abandone .
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO OWNER: YOUR FAILURE T OUR PROP RTl(.TIF YOU NTEND TO BTAIN FIANANC NG, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO Y
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N9TICE OF COMMEN MENT.
FLORIDA JURAT(F S. 117.03) y� � - ,
CONTRACTOR r "�
OWNER OR AGENT Subscribed and swor o,�c,efflrmed)be�e me this
Subscribed and swom to(or affirmed)before me this ���� �s� j (�,� , c'c __ t�
b ,^r--by
Y Who islare personally known to me or has/have produced
Who is/a er personally known to me or has/have produced �-�� � ��,� . _as identificaUon.
as idenUfication.
'� �. Notary Public
Notary Publlc
Cor�r�pissio . ,,,,"",,,,
Commission No. : CQUELINE B -
��, :._
ed, rinted or stamped Name of Not . „ ���
Name of Notary tyP P ��'"`"'°� �dedn''"TrorF;,, 12�14 .
�eoa�e�.�ots;.
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