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Home My WebLink About13-13905 � CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 13905 BUILDING PERMIT �' Permit Number: 13905 Address: 37410 DERBYSHIRE 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-1060 Improv. Cost: 5,900.00 Date Issued: 2/20/2013 Name: MILTON, CLARENCE Total Fees: 65.00 Address: 37410 DERBYSHIRE DR Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/20/2013 Phone: (813)782-4347 Work Desc: REROOF SHINGLE 24 SQ � 5. �� / � � a��u� � � ' �I <- '� TAPE JOINT$ROOF INSP FINAL_ �y '(r,--I �j 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 res It ng 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 fl 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 Acxompany Application. All work shall be pertormed 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 s�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 • Building Department Date Received Phone Contact for Permittin Owner•s Name 1 � � �� Jr– Owner Phone Number Owner's Address ��y�� 5 ht re �r. � � Owner Phone Number Fee Simple Titleholder Name (� Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS � � ��, Z �` 333� LOT# �� SUBDIVISION W ' Q,WdO� PARCELID# ��' Z..,�j � "Z _(�� _ (OBTAINED FROM PROPERTY TAX NOTIOCv _ O 1NORK PROPOSED B NEW CONSTR ADD/ALT � SIGN INSTALL 8 REPAIR 0 O DEMOLISH PROPOSED USE Q SFR Q COMM �� OTHER �—" TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � DESCRIPTION OF WORK d� � � �• I�S, � S BUILDING SIZE SQ FOOTAGE C] HEIGHT �BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION -� ��Q,Q� �J [�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. OPLUMBING $ �MECHANICAL $ l�� VALUATION OF MECHANICAL INSTALLATION � OGAS Q ROOFING �] SPECIALTY [� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRE� Y/N Address License# � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � OTHER SC,Q SIGNATURE � COMPANY �CA'� �� REGISTERED Y/ N FEE CURRE� Y/N Address � � � "��y Sqr��,t��G .L.3 sJ'rl� License# �C..e. �Sr]cj��—� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, Minimum ten(10)woricing days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilittes 8 1 dumpster;Site Work Permit for subdivistons/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)worlcing days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(�)'sets of Engi�leered Plans. """PROPERTY SURVEY required for all NEW construction. � Directions: Fill out appiication completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is requfred. (A/C upgrades over sT500) " 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 Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The�e ulations. The undersigned a'ssumes resp ns bilty for compl a„nce tw th ny which may be more restrictive than County g applicable deed restrictions. UNLICENSED CONTRACTORS Ama beNeRu red�to be E enOedSiBac'coEdance th s ate and local eguletionsc Ifrthe contractors to undertake wo�k, they y q contractor is not licensed as required by law, both the owner and contractor may be cifed fo� a misdemeanor��fortthe under state law. If the owner�to cont�act the Pasco C unty Bu Idingslnspectionl Div s on—L cle s ngtSect on at 27-847- intended work, they are advise 8009. Fu�thermore, if the owner h his aedli ationtfor wti'ch theyrwill�be espons bleelftyouaas the ownea sign assthe portions of the "contractor Block" of t pp contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p�ivileges in asco County. ° TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVh Rconstrustion of�ew b ude gsnc�hange of that Transport9tion Impact Fees and Recours�Recovery Fees may app y use in existing buildings, or expansion of ex�sni�nerstand'sgthat such feles,lasPmay be dueywO'�Il�be dentified at the_timenof 90-07, as amended. The undersigned also permitting. It is further understood tha��n�S owerl�leaseaclf the p ojecRdoes notRn�volve a certificatetof occ pancy o� receiving a "certificate of occupancy P final power release, the fees must b��Paermit ssuance n accordanceFwith applicable Pasco County ordi anceser Impac fees are due, they must be paid prior p 500.00 or more, I CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, a of he aF orida� Construct on L en $aw—Homeowner's certify that I, the applican t, h a v e b een provided with a copy lican t is s o m e o n e Protection Guide" preparcertif that Ilhave obta ned a copy of'thetabove descr bed documlent and prompse in good faith to other than the"owner , Y deliver it to the"owner" prior to commencement. CONTRACTOR'SlOWNER'S AFFIDAVIc ble I w's regulating const uction!zoning anld Ialnd developm ntn Application is will be done in compliance wiih all pp 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 oodese zolninn�regulations�and'll nd development eg lationsan thef jurlisd ction.9 Ilaalso construction, County and City c , 9 certify that I understand that the regulatio�ust take to be n ompliance.l Such agencies nc ude but are n t limi ed to,�t is my responsibility to identify what actions ress Ba heads, Wetland Areas and Environmentally Sensitive - Department of Environmental Protection-Cyp Y Lands, WaterlWastewater 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 & Rehabilitative ServiceslEnvironmental 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 ofessionalreng neer "compensating volume" will be submitted at time of permitting which is prepared by p 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 us a�rea,'I tcertify that uselt o1f such tfilrl willllnot adversely affect adjacent If fill material is to be used in any properties. If use of fill is foun erm'i�ssu d under the,attached per�mit applica on foa lots less thanVOnetf( ) the condiiions of the buildmg p acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promis I fu derstan'd thatna�sepah at permit may be req 9 d for felectr cal work�, this affidavit prior to commencing construction. plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the appl�ca ion permit issued shall be construed to be a licensenor shall ssua'ncehof a pe mitprevent theh6 ilding Off ceal from thereafter set aside any provisions of the technical codes, requiring a correction of errors in plans, constructionence'd within s xamonths of perm ssua'nce uo dif wolrk authorized by unless the work authorized by such permit is eomm the permit is suspended or abandoned fouild n r'Offic al fo6a per od not toh xc'eedtn netyr(90) days and will demonstrate may be requested, in writir�g,from the B 9 consecutive tlays;the job is consider�d abandoned. justifiable cause for the extension. If work ceases for ninety(9b) WARNING TO OWNER: YOUR FAILURE TO RECROPERTY.TIF YOU INTOEND TO BTAIN FI�NANCSNG, CONSULR PAYING TWICE FOR IMPROVEMENTS TO YOUR P nuiuFN�EMENT. WITH YOUR LENDE ROR AN ATTORNEY BEFORE RECORDING_YOUR NOTICE OF C FLORIDA JURAT( � � �� CONTRACTOR "�`---�""� '°`�'—~ � OWNER OR AGENT1v.��y`--� � Subscrlbed and swom to(or afflrmed)before me this Subscrlbed and sworn to(or affirmed)before me this by by Who is personally known to me or haslhave produced Who is— /a�e personally known to me or has/have produced as identlflcation. as idenGfication. Notary Public Notary Public °�� _;. COnN�I N��0�520 Commission No. , Commission No. . , ��1D►'�!��'�'rojp Name of Notary typed,printed or stamped Name of Notary tyPeci.Printed or stamped . � � 5�� Proposai/Contract ��`�"�� " s�� ' , �IKC. P.O. Box 1188 • 33010 S 52 � San Antonio, FL 33576 .e��ee�cse�, � (352) 588-ROOF (7663) • (813) 782-1330 �s�c.dc� & 1-866-407-0559 • Fax (352) 588-9763 www scottblackmanroofing.com ��`�''�"`� �� email: blackmanroofingC�aol.com G'G�G osTgs7 aate� � � 3 �' �b� �j PROPOSAL SUBMITTED TO Cu' /►� WORKED TO BE PERFORMED AT Nam� l � r'/ i y, -� � � Street Street P v�j U {� r � City G y h ! City State� / Zip State Z�p Phone Number 7� 2. —y,�L,/ Owner of Property � F� Phone Number JVe h�e�eby propose to furnish all the materials and pertorm all the labor necessary for the com Fax �move existing shingle roof �,� pletion of: �Re e existing built-up roof "^e►"a�e bad fascia boards at$ .��' � p i ❑Replace 1 x --per foot ry-'n with ❑ 15 Ib. � —_decking at$ �_per foot ]Dry-in with a fully adhered underlayment$ �stall�feet of ridge vents ]Inst ew galvanized valley metal �Install modified bitimen(granulated)torch down roofing additlonal Install new lead boots b�ack, white or other color ]Inst new roofjacks ❑Install 25�rr, fj�ngus resistant 3-tab is nh gles `I � r-� �-�..,.� Install new drip edge, ��r;ft- �sta I�r, fungus resistant dimensional shingles��Pf� color ❑Shingle manufacturer � 4` 1 Ins I new flashing as needed _color �"' ";� R' e e p�ywood at$ G�, ��> ' ❑Install TPO, white rubberized ro ' per sheet �fmg membrane Repair rotten trusses at$ .3� �J �7 Other: � ��-{-3 ,� p per foot i� � } '^' �c;-J� � "� �c�r� Noodwork is an additional charge,see pricing above ~ m + � ' Cr �. �'1 � �t ,3 t �t'�----�—� f . _..S r 'I material is guaranteed to be as specified,and the above work is to be pertormed is accordance with t ins submitted for above work and completed in a substantial workmanlike manner for the sum of$ , ,'jr'�U, �'� he drawings and specifica- th payments to be made as follows: Pavment due in full on comoletion, U111eSS Othel'Wi se noted. Thank You. �t responsible for satellite signal when satelite is reinstalled `Not responsi er o�rlA/Cr& ea�tepaetl�edaotooc al 3%charge. alteration or deviation from above specifications involving extra costs will �xecuted only upon written orders,and will become an extra charge over and ose to roof decking +e the estimate.All agreements contingent upon strikes,accidents or delays �nd our control.Owner to carry fire,tornado and other necessary insurance __ �above work.Workers'Compensation and Public Liability insurance an above to be taken out by Roofing Contractor Extreme cautfon should be OfficeNAgent Seott Blackman Roofing Note: This proposal may be withdrawn by us if not accepted ! during and after construction for debris and nails missed during Wlihlfl nup. days. he above prices,specifications and conditions a eC atis ac ory and a e he�ebyL acce ted. Y �ecified. I have read the back of this Proposal/Contract,which contains Flonda Statues 713.001-713.37. P atlined above. Client gives permission to drive on driveway to deliver materials. p ou are authorized to do the work as ayment will be made as :cepted � � , ,U, j �.� Signatur� ,µ� tte =" � ; -� '"` � � � � `, i. . - ' ( '�. Signature ` I Illlllllilllllilllllllllillllllllllllllllllllllllllll \� 2013031396 Pertnit No. Parcel ID No �� -��"'� ^ Q�Z,Q��OQ ��OA,Q NOTICE OF COMMENCEMENT State ot _ ��tl r� Camy of ��'$C.0 THE UNDERSIGNED hae6y gNes notice Ihat Improvement witl be mada to cMain real property,and in accordanca with Chapter 713,Fbrida Statutea, the fWlowfnp informatlan is provided M thfa Notice of Commencement• 1 Desaiptlon of Property: Percel IdenllMeaGon No._/Q� a(o"a� r 0('2,��j .••D 0 O�O�- ��b6 StreetAddreaa: 3�T�[� ��i-1�u51��c. DQ.. 2. General Deacriptlon of impravement �2,RD 0� 1�Sn�� Q�i�� - 3. Owner Informatlon or Leseee informatlon It the Leesee contreded for the improvernent: C-1c�u-cncc. C Pn►1tw�J r 3ri�11.0 "�rh.��ilu'c �r' �� Addresa city 3 ate Interest in Property: Name of Fee Simple Titleholder (Ii dH(ereM from Owner listed above) Addresa � City State R a. Contracta: SC'a-�} ��CL�w�r� 'e1�o�'`nr ;►�hC �� e't-t�� n�t'N'�O N u'y. �- Address Contractora Telephone No..�SZ-^' �� CI�y 3�J'r'?,6 5. Surety Name Addresa City State Amount of Bond: E Telephone No. 6. Lender: Name A�fB� ��b' State Lenders Telephone No.: 7 Persona wlthin the Slate o/Florlda designated by the owner upon whan notices or other tlxuments may be served as provided by Sedlon 713.13(1)(a)(�,Flarida Statutes: Name * ��s City State G`�'GV`? .' * * Telephone Number of Deaignated Person: �/ � _ ` 8. In addition to himsdf,the ovrner deaignates V •. �. of to receive a copy of lhe Lienofs Nodce ea proWded in Sectlon 713.13(1)(b),Florida Sfafutes. '� • � ��,� � Telephone Number c/Peison a Entlty Deaigneted by Owner; � � � b � • 9. E�kation aate ot NoNce of Commencemerrt(the expiratlon date may not ba before Ihe complNton oi conatruclion an0 flnal paymeM to the �t� : conlroctor,but will be one year from the date of recording urdess a diflercnt date la specMod): • � WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT r�'I�• � �� ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FIORIDA STATUTES, ANO CAN � RESULT IN YOUR PAYING NACE FOR IA�ROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE �L 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 q �, � Under penalfy o(perJury,�dedare thet I have road ll�e foregang noNce oi tommencement and Ihat the faeGS stated therein aro true to the best � z V Y of my knowledge and bellei. 0 — LL{lt vj W S7ATE OF FLORIDA , (%j Z -�O= �-� yU COUNTY OF PASCO ' v a �Q��! N O 1- "" "-- ____ __ Signature Owner saee,a Owner' or Lessee horized �` p Z � � � Rcpl:1498376 R�e: 10.00 �cerro�reaodP neuManager L�L W h- Rtl ! d D5: 0.00 IT: 0.00 , �O Z �J ��j �02/20/13 K. Gareia, Dpty Clerk >" LL.�p Q zti � - ---- - _ �. __ � Signafory's TIUe/OHice /� � The toregoing inatrumeM was acknaMedged befae me thi��,day of C� �ppl,�,py `�-• `�'t�k /_t�,/ � H ' 2 �0� F- �- (.3� �d as I��3�`e.✓ (lype of authoiity,e.g.,oMcer,Wstee,attomey In fact)for � Y U Q O� a (name ot party on behalf of wi�om instrument was executed). �� (,� U z` Personalty Known Protluced Identificalfan❑ Notary SignaW GR.,r+--- (] � f" -�Q -� n U ap U 7ype of Identificstion Produced Name(Print) ��^ C��C�I+�-QG� ��Q Z �J � �'j V=i+- = Q !!J - ----- -- -- -- - Ll' U � Q�.. G� Z PpULR 5 0'NEIL,Ph.O PNSCO CLERK 6 COMPTROLLER, � p Z �� 02/20/13 1:4 1 of 1 � OR BK �$�� PG 2819 l Nolr�PMNe-WM W RaN� UJ cn Q LL► v� . • wc�.ww.o�„a.�,� Q � w�z�g co.�w..�.e.rme � � w.w rrr�r�oar�w. v~i ��—~, Q � wpdatafbcs/noticecommencement�c053048 , a m