HomeMy WebLinkAbout13-13842 CITY OF ZEPHYRHILLS
5335-8TH STREET
• (si3)�ao-oo20 842
BUILDING PERMIT ;
Permit Number: 13842 Address: 37354 DERBYSHIRE 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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-1020
Improv. Cost: 6,995.00
Date Issued: 2/06/2013 Name: LIEBOLD RUPERT& BETTY
Total Fees: 70.00 Address: 37354 DERBYSHIRE DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 2/06/2013 Phone: 813-782-6071
Work Desc: REROOF SHINGLE GAF TIMBERLINE HD
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TAPE JOINTS ROOF INS
FINAL '�-ZZ-'( �
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 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.
_.�-�o____ � �-�—�,Q ,�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
5��� Proposal/Contract
, .�c�itt � � ' , �I�zcc.
� P.O. Box 1188 • 33010��
San Antonio, FL 33576 .t�dec�cda�,
� (352) 588-ROOF (7663) • (813) 782-1330 �s�c��� d
� 1-866-407-0559 • Fax (352) 588-9763 9Ka,�s�,�
www.scottblackmanroofing.com i
�°°�"g�°"�"� email: blackmanroofing@aol.com Date J�1 � �a
�e 05795�
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name `''r���. � �- 'p �j�s�F,� Street
street_ 3 7 3�.5%� ��� b ti s-�►, -e �r City
City_ Z G,�1Ju� Lt� l�S State
Zip
State �� Zip Owner of Property
Phone Number���. '�f?�/ Fax Phone Number F�
We hereby propose to furnish all the material and perform all the labor necessary for the completion of:
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All material is guaranteed to be as specified,and the above work is to be performed is accordance with t e drawin s and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of$ E� �
with payments to be made as fonows: Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted,additional 3%charge.
*Not responsible for satellite signal when satelite is reinstalled *Not responsible fo C & electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs will /�� �y /
be executed only upon written orders,and will become an extra charge over and Z� r/ �"�L' —°--------._�
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 Scott 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 and after constructlon for debrfs and nails missed during within days.
cleanu .
ACCEPTANCEOFPROPOSAL
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 materials.
Accepted Signature _ .r ,� ������'���
Date Signature
Pasco County Parcel: 10-26-21-0120-00000-1020 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, February 02, 2013
Parcel ID 10-26-21-0120-00000-1020 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
LIEBOLD RUPERT F & BETTY J TR Ag Land �o
LIEBOLD R F & B J TTEES Land �i5,990
37354 DERBYSHIRE DR
ZEPHYRHILLS FL 33542-7000 Building ��5,749
Physical Address Extra Features $9sz
37354 DERBYSHIRE DR .7ust Value ;9a,�21
ZEPHYRHILLS FL 33542-7000 Assessed (Save our Homes) $94,721
Homestead 196.031 - $25,000
Le4al Descriation (First 4 Lines) Non-School Additional Homestead
See Plat for this Subdivision Exemption - �25,000
WEDGEWOOD MANOR PHASE I &
II Non-School Taxable Value �44,721
PB 27 PGS 11-14 School District Taxable Value �69,721
LOT 102 Warning: A significant taxable value increase may occur when
OR 4348 PG 0577 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
�1 0100 SFR OOR4 4,500.00 SF $4.65 0.80 $16,740
�� 0100 SFR OOR4 1,078.11 SF $0.29 0.80 $250
Additional Land Information
Acres 0.13 Tax Area 30ZH FEMA __ Residential Code WDGWLPI
Code ❑ �
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1994 Stories 1.0
E�cterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 2.p
Line Description Sq. Feet Repl. Cost New
�- 1 � BAS 1,434 ��-$76,504
2 FGR 420 $8,963
� 3 -� FOP 20 -� $267
4 �EP 240 $6,402
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 � DWSWC 1994 648 � $834
2 CO N PTO 1994 r 96 $148 �
Sales History
http://appraiser.pascogov.com/search/parcel.aspx?sec=10&twn=26&rng=21&sbb=0120&bl... 2/6/2013
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PermitNo. ParcellDNO ���Z��2-�-n� Zd�OOQ����0
� NOTICE OF COMMENCEMENT
S�ale o( � I D V I �� COUfIhJ Of ��W
THE UNDERSIGNED hereby gives notice that impovement wiN be made lo certein real property.and fn accortlance with Chapter 713,Flonda Statutes,
the folbwing informatlon fs provided In this Nodce of Canmencemeqt:` V� _b t L 0-OG�p Q—/
1 OescripUon ot Property: Parcel Identification No.����L+� E � �
Street Address: �73S G4 HL ✓�° �r � �G L
2. General Deseriptlon ol Improvement
3, er Iniormation or Lessee infortnation if the Lessee contracled for the improvement:
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Address City -��'/ )
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Interest in PropeRy:
Name of Fee Simple Titleholder
(If diHerent from Owner listed above)
Addresa ^ ,L R�_ _` - /.'� L � Gly State
R4. Coniractor y�Q v. GMe�.n Ke nt�tis T�` c' �+
'�L�Nem �� � �'n!� �A�Jl��O �1- t-- �
q [ Ciry �7 Slale
CaonVadors Telephone No..?�"''��V� ��9� 3J S��
5. s„�ea: �G r. �. * �,
Name �
Cily Slate � ' �
Addreas � ,,
Amount ai 8ond: E TekpFwne No.. k '�� �
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6, Lender �• � � ��J
Name
Address Gty State ' • i� "' s�
Lender's Telephone No. t_ � �
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7 Persona wifhin the Sttde af Fiorlda designated by the owner upon whom noGces or otF�er documenls may be served as provided by ��
SeUfon 713.13(1)(a)(7),Florida Statutes: � .
* * *
Neme
Address Ciry State
Telephone Number of Deaigneted Person:
8. In addi6on to himself,the owner deaignates of_
to receive a coDY of the Lienofs Notice as provided in Section 773.13{t)(b),florida Statutes. Q z U � W
Telephone Number of Peroon or[ntlty Designated by Owner' �W u" � W J
sA ?� � h' `JJ �
g. Expiration date of Notica of Commeneeme�t(the expiration date may not be betore the completlon oi wrnVUCtlon arW final paymeM to ihe � �� O
J �
contrada,bul wili be one year from lhe date of retording unless a ditterent dale ia speciAed):
4 � 2Q � � a
WARNING TO OWNER: ANY PAYMENTS MP�DE BY THE OWMER AFTER THE DCPIRATION OF THE NOTICE OF COMMENCEMENT a'�0 E-- W f" W
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �. � ry}z Cn �- �
RECORD 0 AND PO TEID ON TFIEEJOB SITE BEFORE.E HE fIRST NSPECT ON R F YOU NT�END TO OBT�AIN FI�NANC NG,CONSULE � Q(.�-- � 4 ,
WITM YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT �, �� � U V
Z �Q
Under penalty of perJury,I Oeclare that 1 have read the toregoing nolice ol cOmmencement and thal the So�g stated therein are true to the best �� } v� o�
oi my k�m+Aedge ana belief.
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STATE OF FLORIDA U x- �� Z�W
COUNTY OF PASCO ___ _.__ /\ Q F- �- J Q J
, Signaiure of Owner or Lesaee,or Owner's or Lessee's Aulhorized Q y V � Q � (� �,
�- - OHicerlD�redorlPaAner/Manager � �. �a z Q _j
Repi:1494984 Ree: 10.00
DS: 0.00 IT: B•00 � e� CY u. y Q uJ
02/06/13 K. Garoia, Dpty Clerk �
_ ______.._- Signatorys TNIefOfflce / , I -� t i t ✓! C} � c� O
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sC_ y b o rci
The foregoing insWment was acknowledged before me this da of 20 b �1 hQ-�� u��' LL. �„ �j U �`
a� ����� (type of authorily,e.g.,officer,truatee,attomey in tact)(or � F-- z W (�
(name o aAy on behalf of wi�o/Im instnxnent was executed). � �� � --� � J
Notary Signature a�' G���""'� -' � _ � Z F- Q }
Personatly Known(�52S Produced�dentificatlon❑ � �_ � 0 � a �
r L �co ff' L' ,l�+�1���,nn/h
Type of Identilcation Produced Name(Print)
PpULq 5 0'NEIL,Ph D Pp5C0 CLERK L COMPTROLLER
020R66K3�84�� PG� 1369 Beon c e��
No1�!P�.
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wpdata/bcs/noticecanmencemenf�pc053048
�,s-r�u-uuzv City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin sa _�b
Owner's Name l� C��1 � e Q Owner Phone Number
` �V��� �
Owner's Address r�1 'Z Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simple Titieholder Addreas
JOB ADDRESS �I,.7 S S �t �" �- � ��� �L �S�j LOT� ��
SUBDNISION PARCEL ID� �0� Z�i—Z� —��� ^Q�Qa� - 1 a�
(OBTAINED FR�OM PROPERTY T�nce>DEMOLISH
MMORK PROPOSED B NEW CONSTR 8 AbD/ALT [� SIGN
INSTALL REPAIR
IPROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK e-'�UO {�� '('�n„lo�/li� {"�'�
BUILDING SIZE —� gq FOOTA(3E� HEIGHT
QBUILDING $
' U U VALUATION OF TOTAL CONSTRUCTION
.
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING s
QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �� r`ft� ��
( �
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Lfcense#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas License#
OTHER � COMPANY �e d t� � I�c�I�c.w�ur�-�� .�,C
SIGNATURE - rteGis�Re� Y/ N FEE CURRE� Y
Address License# �������
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction,
Minfmum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
SanRary Fadlitles 8 1 dumpster;Site Work Permit tor subdivisfonsAarge projects
COMMERCIAL Attach(3)complete sets of Buflding 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,Constructlon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciNdes d�1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)seb of Engineered Plans.
"•••PROPERTY SURVEY required for all NEW consUucdon.
Directlons:
Fill out applicatlon completely.
Owner 8 Contractor sign badc of applicatlon,notarized
If over S2S00,a Notice oi Commencement is required. (AIC upgradea over t7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMCrTING (Front of ApplicaUon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrii�tions" .
which may be more restrictive than County regulations. The undersigned assumes responsibllity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors fo undertake work, they may be required to be Iicensed 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 �equirements 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 /he owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Biock" 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 licen,sed and is not entitled to perrrtitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPAC7 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 specifled in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also unde�stands, 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 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 T13, Florida Statutes� as emended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Fiorida 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 obtai�ed 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 do�e 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 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 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 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 connectfon 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 adve�sely affect adjacent
properties. If use of�II 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 p�event the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall hecome 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 for a period of six(6) months after the time the work is commenced. An extension
may be �equested, 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, CONSUL7
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N T �� � � �! o �
FLORIDA JURAT(F.S. 117.03) -- � \r. l� -
OWNER OR AGENT �;, a�� � �'-�