HomeMy WebLinkAbout13-13906 CITY OF ZEPHYRHILLS
5335-8TH STREET
, (si3)�so-oozo ���-
' BUILDING PERMIT
Permit Number: 13906 Address: 5845 YORKSHIRE 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: 10-26-21-0120-00000-0370
Improv. Cost: 6,460.00
Date Issued: 2/20/2013 Name: GASKIN TRUST GASKIN & CA TRUST
Total Fees: 70.00 Address: 5845 YORKSHIRE DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 2/20/2013 Phone:
Work Desc: REROOF SHINGLE 26 SQ
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TAPE JOINTS ROOF INSP
FINAL_�ZL�I�
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 faulfiy 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 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 wmmencement 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 rewrding your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�8.�� �- ���:�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021
Building Department
Date Received Phone Contact for Permlttin J5 �U - I b�3
Owner's Name ��V��` ��k�n Ow�er Phone Number
Owner'sAddress �J��S^ \Or����L-��' ��\k OwnerPhoneNumber � �
335 y�Z
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS J U-l5 or k.s h�« 1!� . h �►���1s ���35yZ LOT# �
SUBDIVISION W W a� PARCEL ID# 1V"��o " 2�-��ZO 'CSd�4�-�3�0
�OBTAINED FROM PROPERTY TAX NOTICE)
VIfORK PROPOSED e NEW CONS7R 8 ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK C °��� ��= R� 1'W�� Sha� `�$ ��� �L1�nr�e.� �O�o-�
BUILDING SIZE � SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION� ��"b�„�
�ELECTRICAL $ AMP SERVICE � PROGRES 0 W.R.E.C.
OPLUMBING $ a L��'�
flN .� j����
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI
QGAS � ROOFING Q SPECIALTY � OTHER � �—i.C�J �d
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 I 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" COMPANY v���^'��`-'�� �d�h
SIGNATU� �o-"''� REGISTERED Y( N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-O-W Permit for new construction,
Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivlsfonsllarge 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is requlred. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
ONER 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 understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliarice 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 liceqsed 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 requirements 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 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 Transporta�ion Impact Fees and Recourse f7lecovery Fees may apply to the constructior� of hew 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 further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or�nal 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, FlQrlda 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'S/OWNER'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 �egulating
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 V1later 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 flll:
- 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 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
properties. If use of fill 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, atter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become 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 requested, in writing, from the Building O�cial 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, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT �i 1.L�G..—. ���^'�— CONTRACTOR ��� � �QO-�a �
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or afflrmed)before me this
by by
Who is/are personally known to me or has/have produced Who islare personally known to me or hasJhave produced
as idenUficatlon. as identiBcation.
Notary Public Notary Public
Commission No Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
5���� Proposal/Contract ����.s �a
s�� � � � , �I�c. c
P.O. Box 1188 • 330104�
San Antonio, FL 33576 .�tea�cmc�,
` (352) 588-ROOF (7663) • (813) 782-1330 �s�c��� &
� 1-866-407-0559 • Fax (352) 588-9763 9�cs.�ctic�
www.scottblackmanroofing.com �
�°°��� email: blackmanroofing@aol.com Date.�r� r�A ����
e(�OS?957
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name �r��r�L°.� ;,�t� k. :�.� Street
Street '.���'�,���`i;� % `�° °< i' -f City
City c�-r,� �.,f.' f�, . c �� State Zip
! F
State <' '` Zip Ownerof Property
Phone Number �°��� `�'�; - f J �'`� Fax Phone Number Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
C��Remove existing shingle roof �]Replace bad fascia boards at$ ��� ` per foot
❑ Remove existing built-up roof ❑Replace 1 x decking at$ per foot
�°Dry-in with ❑ 15 Ib. �30 Ib. -�i Install S'`r`�' feet of ridge vents
❑ Dry-in with a fully adhered underlayment$ ❑Install modified bitimen(granulated)torch down roofing
❑Install new alvanized valle metal additional
9 y black, white or other color
�Cnstall new lead boots ❑ Install 25 yr.fungus resistant 3-tab shingles
�Install new roof jacks .l�[Install 30 yr.fungus resistant dimensional shingles�- �•�_ "��E �`�� '`�
a�Install new drip edge, ,;" l �°v't`,.� f� color ;t�t��hingle manufacturer ���,� � color �°'. °<_ :.'.� r.;--;t
r�"Install new flashing as needed ❑ Install TPO,white rubberized roofing membrane
�1 Replace plywood at$ �%�`' � ` per sheet �� t ? �` SN: f .1 % t� .It �t � ,.1.,
L]Other: ,;�- � �_,r, � E- � f � ,�t,<F,.#�; ,
�Repair rotten trusses at$ Z .•"`j per foot � '
`Woodwork is an additional charge,see pricing above
411 material is guaranteed to be as specified,and the above work is to be performed is accordance with the drawings and specifica-
:ions submitted for above work and completed in a substantial workmanlike manner for the sum of$_��,�',�`; e' `'
roith payments to be made as follows: P8yttletlt dUe In fUll Or1 C0111p1et1011, unless otherwise noted. Thank You.
Credit cards accepted,additional 3%charge.
'Not responsible for satellite signal when satelite is reinstalled 'Not responsible for A/C & electrical lines too close to roof decking
1ny alteration or deviation from above specifications involving extra costs will ,�'' , -�_ i = �•r _
�e executed only upon written orders,and will become an extra charge over and '_'�`�; ;�'
�bove the estimate.All agreements contingent upon strikes,accidents or delays Officer/A ent Scott Blackman Roofin
>eyond our control.Owner to carry fire,tornado and other necessary insurance 9 9
ipon above work.Workers'Compensation and Public Liability insurance an above Note: This proposal may be withdrawn by us if not accepted
vork to be taken out by Roofing Contractor. Extreme caution should be --}
ised during and after construction for debris and nalls missed during within �� days.
:leanu .
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. Client gives permi�'sion to drive Qn driveway to deliver materials.
��� � .
Accepted , `� ' "` `' � �� ` ��'' Signature
Date Signature
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