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Home My WebLink About13-14205 r---. CITY OF ZEPHYRHILLS � , 5335-8TH SIREET (sis)�so-oo20 1 4 5 BUILDING PERMIT Permit Number: 14205 Address: 5836 11 TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-03700-0190 Improv. Cost: 3,900.00 Date Issued: 5/21/2013 Name: CHIANG, BEN Total Fees: 55.00 Address: 16915 POWERLINE RD Amount Paid: 55.00 DADE CITY FL 33523 Date Paid: 5/21/2013 Phone: Work Desc: REROOF SHINGLE � �� C�,,�-�C� , TAPE JOINT�R O F INSP� FINAL `�-�t3 r REINSPECTION FEES: Reinspection fees will aomply 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 wnsbvction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site t) 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 reoord 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 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. CONTRAC OR GNATURE 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 .�ceztt � � • , �KC. P.O. Box 1188 • 330104� • San Antonio, FL 33576 .t��ac�csa�l, � (352) 588-ROOF (7663) • (813) 782-1330 �s�c�� d 1-866-407-0559 • Fax (352) 588-9763 9�a�c�cc� www.scottblackmanroofing.com �°°��°"�`a`�" email: blackmanroofin @aol.com �os�9s� 9 Date /�'l 4• � � 3 PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name_ �'� C� �l + ��•-S Street Street_ �� C�ry City �. �G�,�tv ��1� State Zip State � Zip Owner of Property Phone Number Fax Phone Number F� We h�reby propose to furnish all the materials and perform all the labor necessary for the completion of: E7Remove existing shingle roof place bad fascia boards at$�,a!� per foot ❑ Re ve existing built-up roof ❑Replace 1x decking at$ perfoot ❑ Dry-in with ❑ 15 Ib. �b. � � 8 Install � feet of ridge vents ❑Dry-in with a fully adhered underlayment$ ❑Install modified bitimen(granulated)torch down roofing ❑Install new galvanized valley metal additlonal �� b�white or other color -�lnst I new lead boots Install 25 yr.fungus resistant 3-tab shingles I� nstall new roof jacks � � , ❑ Install 30 yr.fungus resistant dimensional shingles B'fnstalf new drip edge, �"` `� '� color ❑Shingle manufacturer color ❑Install new flashing as needed 0 Install TPO,white rubberized roofing membrane �! 0'Repl ce plywood at$ �: �J per sheet ❑Other: � 1 � � / �P �� l�Gf/a- .,3, /ti c `t�t epair rotten trusses at$ �� ' per foot 'Woodwork is an additional charge,see pricing above 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$�5 C?C3,r1�7� with payments to be made as follows: PaV�Tt@11t dUe in fUll OI7 C0111p1@tlOtl, 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 �• �►�— J/��/,�� / be executed only upon written orders,and will become an extra charge over and ��i✓ �-✓,� �J�2�-:�— above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance OfficeNAgent Scott Blackman Roofing upon above work.Workers'Compensation and Public Liability insurance an above Note: This p osal may be withdrawn by us if not accepted work to be taken out by Roofing Contractor Extreme cautlon should be used during and aiter constructlon for debris and nalls 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 ive ermission to drive on driveway to deliver materials. Accepted � �� -��--�._� � �-� / .� Signature � l-��_-�_t,_� , �- °/ �-t�_ � s Date_ ` Signature � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permlttin __ Owner's Name �j�N Vl I 0.V� Owner Phone Number Owne�'s Address /�(�7 rOG✓�j"�jn Q Owner Phone Number Fee Simple Titleholder Name � � Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � 0 �� I ` t� S � Z G) Y�f ��s LOT# �� SUBDIVISION PARCEL ID# � �"2' 6_z1 "' O� r O rp 37 O0 —� �90 (OBTAINED FR�OM PROPERTY TA�riCe1 DEMOLISH WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM [� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK BUILDING SIZE � SQ FOOTAGE �o jL HEIGHT OBUILDING $ � �DO'vD VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY Q W.R.E.0 QPLUMBING �� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� l �� QGAS [� ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE _ REGtSTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER /'/�� y,�- �JE� � COMPANY �CD� ��N•.a.� ��' StGNATURE GB'�7 Q' '�4G�'~`— REGISTERED Y/ N FEE CURRE� Y/N Address Q b �� ..,��Gvi �'�[+-+a r( ,?�S'�7�o License# L�v� 9 � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivlslonsflarge 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 Englneered 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 required. (A/C upgrades over E7500) "' 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(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 compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or contractors to undertake work, they may be requi�ed to be licensed 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 misdem�an�op Yiolation under state law. if the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s 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, witl 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 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, Florfda Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that t, 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 alt 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-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 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 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 specificalty 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 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 Official for a period not to exceed ninety (90) days and will demonstrate the ob is considered abandoned justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j WARNING TO OWNER: YOVEMEN'TSTO YOOUR PR PERTY.TIF YOU INTO NDETO OBTAINnFI�NANCSNG, CONSULR PAYING TWICE FOR IMPRO WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F S 117.03) p � (') , �� OWNER OR AGENT �i'`""� � �-" ""' '— C�NTRACTOR i�-�- �y� Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this b bY y Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commissfon No. ed, rinted or stamped Name of Notary typed,printed or stamped Name of Notary typ P _� �5/0�/2013_ 15:41 3525889763 _ SBR ROOFING PAGE 01 ��s�� wrm�Ho. P.rorroN, //-Zb��l�0010�^G370a-d1a NOTICE Cf COMMENCEYENT sue.a��or�'d1 , ca.�ra��SCo �ro��p:d�re w�ir��otow,.,�,orn�i„!°'f0 oNaw,r.�r vopary..na In.aeeid�no.�11n c�h.Ner 71s.Ra�e.ealulss, � ��blbn d Propwy:Pa►eel k�MaMlon Na ��0� Z� � + �Q O SIIS�tAtltlnw; '�� .� �� ^�� .. -..,�� , caeesrr DwapYOn d I�powmaM��to 0 7_ � /'�`' /�fiO�i./� c n��.:e/i� �.r 3. 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E�rlen e�m d Na1ke W ComnNnovnaM Me e�p1►+tlen o�M mq not b�W�w�tl�e ra+pepen a oerrin�ctlon�nd IInN ayMwN�o IM m�lnax,eut ww a en.yw/bm ue ew a roeaMkq wifn.�dIR«�nt dde b.p�tl1�:,,,�� vYARNMK3 TO 01NDER: IWY PAYA�IENTB MAOE YY TME OVYNER AFiER TME E10PIRATION OF TNE N0710E OF COMMENCEMENT '1RE CONMO�Rm IMPROpE� pA�°M�j CNAPIFR 713, PNIT 1 S ON 11J.1! f�ORIDA S�A Alq GW ' RE�CARDE�D hsYEO�pN J09RSITE�Sf�Tr��YOUI�TO AM�) VNTM YOUR�R CR AN A�S6FORE COMME/ICMrO OR RECORDWC YOUR NOTICE��SULT ��deOW!IhM 1 NW Irt01fN Mltl M�1 M�hK�t MMb MMnM M!1nN t0 tlM bpl t � no�ur�ir+°FoF� � � � o►�a.��u�naaee oMovRMr.awiP�h+enlArwper � 64�pYf�TIIMIOI�a Tn�b�eoor�warna�t.rw�do�apw �.-.� e.Y a.�,zo�ey ��1 I�•!kd - u_ �rt e.s/' (y�0/�A�eAty.a.q.�el�p►,dwM. In�fOr Q1MIR Of pYly On bN1�lf d1Nqm M�M wM�. P�tondY K110YM1�PrOdul'.!tl b�tplAptlOn� ��y g�� r. ryps er�er�ewon rti+oaKra ��__ s'sr� t dA*e.��••a4.r f 4�iAiiA �CSfT 0 I�AENMM �f�I�IM-NMn M 11�Ir w�,�� srare o�F�o�ain�,couNr�r oF�e►aco THIS IS T0�CER1'IFY TWAT THE�qi�Q01NG IS A TRUE ANp CORRECT CpRY C,lF 1'HE ppCUMENT ON FfLE�R OF PUBLIG fiECORD IN THIS OFFiC� � m w.�+wr * W�T ESS MY HANC1 RICIAL SEA4 YMIS # • . ' * � � ' PAULA D E�� K R�L� 1�87 * 8Y UTY C4ERK Z6 3JCd 9NI�OO�J 21fiS � ' B9G6885Z9£ Zb�Si EZOZ/Z0/S0