HomeMy WebLinkAbout13-14081 CITY OF ZEPHYRHILLS
� + 5335-8TH STREET
�si3��so-oo20 14081
BUILDING PERMIT
Permit Number: 14081 Address: 37608 LORENA AVE
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: 34-25-21-0090-00000-1310
Improv. Cost: 3,640.00
Date Issued: 4/12/2013 Name: POSEY, JENNIFER
Total Fees: 55.00 Address: 37608 LORENA AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/12/2013 Phone:
Work Desc: RE-ROOF WITH SHINGLES 14 SQUARES GAF BIRCHWOOD
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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 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.
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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
� � 5��� Proposal/Contract
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P.O. Box 1188 • 33010 S 52
San Antonio, FL 33576 .@�ec�csce�,
� (352) 588-ROOF (7663) � (813) 782-1330 �4�c�c�l dr
� 1-866-407-0559 • Fax (352) 588-9763 9�aac�c�
www.scottblackmanroofing.com
�°°���� email: blackmanroofingCaol.com Date :=-��. a� �,
e(,e 05795?
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name ' � � �2..r1r�i�+r �oSc.� Street � � s' .� ` � . °
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Street �• - City s�
City �"�►'�hc� r�Zo State Zip
State Zip Owner of Property
Phone Number Fax Phone Number Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
❑ 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. ❑Install feet of ridge vents
.�f Dry-in with a fully adhered underlayment$ ❑Install modified bitimen (granulated)torch dflwn roofing
❑Install new galvanized valley metal addkional
black, white or other color
L]Install new lead boots ❑Install 25 yr.fungus resistant 3-tab shingles
•b Install new roof jacks _�1 Install 30 yr.fungus resistant dimensional shingles
❑Install new drip edge, color �
❑Shingle manufacturer �''zr color ,-�-�.
❑Install new flashing as needed ❑Install TPO, white rubberized roofing membrane
O Replace plywood at$ per sheet p Other: {� � - - � � '
—�
0 Repair rotten trusses at$ ° per foot ,, f � ,; ,.
"Woodwork is an additional charge,see pricing above � �r ,
All 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$ '�(��}� 00
witn payments to be made as touows: 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 for A/C & electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs will
be executed only upon written orders,and will become an extra charge over and ' ' `
above the estimate.All agreements contingent upon strikes,accidents or delays Officer/A ent Scott Blackman Roofin
beyond our control.Owner to carry fire,tornado and other necessary insurance 9 g
upon above work.Workers'Compensation and Public Liability insurance an above Note: This proposal may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor. Extreme caution should be
used during and after constructfon for debris and nails missed during within days.
cleanup.
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 permission to drive on driveway to deliver materials.
Accepted Signature
Date Signature
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
� • Building Department
Date Received '� �`�- I Phone Contact for Permittin �l � s�b _ � � �
�
Owner's Name �,rl ni �r S� Owner Phone Number
Owner's Address ��V�U LQ�'^ t � h �•��.f Owner Pho�e Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 (pO r e Y� • ' L 3 3Sy� LOT# �
SUBDIVISION �r(�r� t-t0r'lZOI� PARCEL ID# 3� -a Jr' 2,.� � Q()�jQ ' 00 OOF� - �'31 �
(OBTAINED FROM PROPERTY TAX NOTICE)
1NORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTIONOFWORK �C(ZOP/T "� �j{1i� '{,,,5 �yS . `jftF �ir'chwoa�
BUILDING SIZE SQ FOOTAGE�� HEIGHT �—�
Q BUtLDING $ VALUATION OF TOTAL CONSTRUCTION � 3 6 ��.O O
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E,C
�PLUMBING $ /,,,_'� �� l/�
t�
QMECHANICAL $ VALUATION OF MECHANICAL tNSTALLATION � / r)� /
� V
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER SC�� II�'��~� --V��/ COMPANY `��# U�G�C.L_W�pr� 'Z.(/G�r�
SIGNATURE REGISTERED / N FEE CURREA Y/N
Address G 1�G`�-�185 SCc.•�K�/l c� F� `'S 3 SZ-L License# G C�Q���1�1
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
PLUMBER COMPANY
SIGNATURE REG�STERED Y I N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License# �—
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y I 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 Plans,Stormwater Ptans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivlsions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Forms.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 Facilittes&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 requ(red for all NEW construction.
Directlons:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over a2500,a Notice of Commencement is requlred. (A/C 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 App�cation 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 undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance 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 licensed in accordance with state and locel 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 IMPACTIUTILITIES IMPACT 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 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 "ce�tificate of occupancy" or final 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 WaterlSewer 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 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'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 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-Welts, 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:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
If the fill material is to be used in Ftood 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 shalf 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 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 pe�mit 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 TWICENDER OR AN ATTORNEY BEFORE RECORDING YOURI NOTI E O COM' EF'CEMENT� CONSULT
WITH Y�UR LE
FLORIDA JURAT(F.S 117.03) �
OWNER OR AGENT �C.]l�JIQ 4.... � ��� "-- CONTRACTOR
Subscribed and swom o(or affirm b e �s ,
Sub.s1 rl ed a d sworn to(o a�rmed)bef �� � /�_�Tb � '
F�� � ��� Who is/are p nall kno to me or s/have produced
-j��— y a�rta�has/haJe produy� as identification.
W is/are,psrsorta►�y -'-°
�„_� __.._.�entification.
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/ , �� . Public
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� �• " ,•v u••�� BOBBIE S.
,,..,,,., Comm �.� ,�_ #EE140109
Commission . .
_: :,� Commission#EE 140709 E��s F
� Name ro�s
Name of Nota � eoa�esrme
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