Loading...
HomeMy WebLinkAbout13-14293 ' CITY OF ZEPHYRHILLS 5335-8TH STREET + �sis)�so-oozo 14293 BUILDING PERMIT Permit Number: 14293 Address: 5028 19TH 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: 11-26-21-0010-21600-0080 Improv. Cost: 5,000.00 Date Issued: 6/17/2013 Name: HILLMAN, LARRY F 8� JEANINE ANNE Total Fees: 60.00 Address: 5028 19TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/17/2013 Phone: (813)783-3601 Work Desc: REROOF SHINGLE 19 SQ ���� �� � � ��' �-1� � �n �� � � ��� � TAPE JOINTS ROOF INSP 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 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 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,Specifica�ons Must Acxompany Application. All work shall be pertormed in accordance with i Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONT R SIGN T PERMIT OFFI R PE IT EX ES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin �� -- Owner's Name '1 � Z � � �' Owner Phone Number '' I lL1b 1 Owner's Address � ° �� . � ��•�`1p� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS � � ` � � CJ�� � LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � DEMOLISH INSTALL REPAIR � � �� PROPOSED USE SFR �- COMM Q OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �T�t1 � �.(:,�`t Q � � ( BUILDING SIZE � SQ FOOTAGE�� HEIGHT �] �BUILDING VALUATION OF TOTAL CONSTRUCTION i • DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING � �i ,`�� , y QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS � ROOFING Q SPECIALTY Q OTHER FtNISHED 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 License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � OTHER q COMPANY I�U.i� 1�bCll.� 31GNATURE \ REGISTERED Y/ N FEE C RE� Y/N Address �3��� � License# � � ° ,J�]�- .�C:',� 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)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Faclllties 8 1 dumpster;Site Work Permit for subdivfsions/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)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 commercfal requirements must meet compUance SIGN PERMIT Attach(2)sets of Engineered Plans. '"*"PROPERTY SURVEY required for all NEW constructfon. Directions: Fill out applicatlon completely. Owner&Contractor sign back of applicadon,notarized If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) •• Agent(for the contrector)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) Drfveways-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 iocal 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 ow�er 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 entiNed to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES 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 aiso 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 final power release. If the project does not involve a ce�tificate 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, 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'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 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 1he fill material is to be used in Flood Zone "A" in connection with a permifted 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 prope�ties. 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 flll, 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 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 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 COMMEN EMENT. FLORIDA JURAT(F.S. 1 7.03) � � OWNER OR AGENT ` � CONTRACTOR � Subscribed and sworn to( affi befor m th Subscribed and swom to(or a )befo th(s by by Who islare personally known to me or has/have produced Who fs/are personally known to me or haslF�ave produced as Idendficatlon. as identification. Notary Public Notary Public Commisslon No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2013104094 Ropt:1528070 Rec: 10.00 DS: 0.00 IT: 0.00 i:ir��u��. c��,on« i zoii 06/13/13 D. Bonilla, Dpty Clerk �t�uim�� NO_fI�LUhC:UMMI=NCFMI;N7 PQULR S 0'NEIL,Ph D PqSCO CLERK d COMPTROLLER 06/13/13 ���' 1 of 1 Suuc�dFlo i a Perm�l No OR BK PG Coualy of�� Tax Fohu No _�_ l 3594 l'hc undcrsigncd hcrcbv �;rvcs nonce Iha� improvemcn�wHl hc mudc to ccnam real propcny and m accord�ncc wnh ('hapicr 71J Flonda Slmutc thc Ibllmvmo inl'orma�on is prm�dcd m Ihis Noucc oC(_ommencemcm �ca�CsQ � = i i �2�e- �� oo,o.�-1 l�bb •�� 1 neccr nion uf Propcny C�7 Ei 1�1 � �� 2 C� p <•C� �Jr•� ��p�� � � 1 ,1��� Slx. ����-' �' �-� � l.o ? c'�n�i�ccn uon o�f iy p�ro hmc�iis � L.� ��-1 -'- � ,�' T"� �'�J'"�� c�Q'a�' Z w1� �i � I U I��cK- Z 1 l f 1 �r Inlonnation or I.essec inlormauon if thc 1_essee cnntr�ctc�lix thc�mpmvcmenr T Name and nddress: �LLiV�.� C 11��u'u '�u`��✓1 � �4�-8'_.�.-��`:-_�e�. �-- 33.�`�1 b Imcresl m Prupertv (Yl.��Y10 J1 c Namc/address of lee cimplc mleholJcr(il'difl'crcnl Irom Owner lisied:rbuvc) 4 (,onunctor a. Namc and ilddress �f-, _l��(y�o2r7C � �.- �-L 3 3 S�-I') b Phone number ,��n.��� � Surery(if apphcable,a copy of paymcnl bond�s allachcd). a Namc and AJdress h Phpne numhcr 4mount of hond: '� 6 I.endcr a. Namc and nddretis M Phcx�c numbcr — -- --•----------- 7 Pcrsons wi�hin the State of I�lor�da dcxignated bv(hvncr upun whom notices or other docununa may be served ac provideA by Seclion 713 13(I)(a)7.Flonda S1amles: a Namc and aJdress h Phnnc numbcn nl'dcsi�naled persons. R a. In addmon to h�msclf on c�rsclf,Ouvner desi�ates ��' _____ ____.__to recerve a copy nf the Licnnr's Nouce as�xovidcd in Secuon 713 13(M)(b),Flonda Slahrte� b Phone numbcr of pcnon or entity desi;nated by owner `� Cxpirauon date of nolice of commencemern(the expiralion daie may not be before the complc�ion of cunstrucUOn and final paymenl,but will be 1 year lian U�e date of recorAing unless a differenl date�s sptcified) WARNING TO OWN►:'R. ANY PAYMI.iN'I'S MADIi BY'1'111;nWNP.R AFT1:R THE LXPIRA'f10N OP Tllh NO'IICf OP COMMIiNCh:MIiN'I'ARF:CONSIDERF:D IMPRUPIiR 1'/�YMf:NTS UNDI:R CI I/�PIIiR 713, I'/1Kl'I,SECTION 713 I i �'�.OftIU/A S'1'/1"flfl'I:S ANUCAN RI-:SIJI:�IN YOI IR PAYIN(J'fWICE PC)R IMPROVI:M(iN'I:ti'fO VnUK PRnPfRTY /�NC>TICG l)I�COMMI:NCEMEN'1-MUST RG R6COFtUGL)ANI)POS1'1'-:I)ON'I'HI�J(>B SITG RL•fORf:Tllfi f�IRSI INSPIcC'flON II YpU IN'I'GNI')'fO OHT/�IN FINANCING,CONSIIL"I'Wffll YUt,H I.I:NI)I:R nR AN A7TORNPY [3CFORf COMM;NC(NG WORK UR RGCURDIN(�YOUR NO'I'ICE OP COMMENCIiMGN'f Undcr penalticz pl per�ury,I declare Oial I have read Ibe foregoing Nouc�of C�Hnmencemen�and Ihat the facts sta�cd m i�arc wc to ihe best of mv knowledge and beGef. i r��' � � '---- (S�grA�re4� ^c4ner,or I.esscc,or Ow�r s or I.ossee's Aulh�fri-i_cA OIT'icer/DirectodPanner/Mannger) S ignalury 5 lll le/OI fice ti'fn'I'L OP ( �-- - -- - --- ('cIUNTY nP�_ • I'hc I'o�cgomg mstniment wae acknowled�ed before me�us �day ol" ,Zp�' hy����`y� for - � - - - -- - �. �1n18ry Pu 0.$IAIC o Priqte�Namc Personally Known OR Produccd I enulicauun� �'�b(_��Q�/_ Typc of IdcMifica�ion Produccd.��j( �_ �� MyC.'ommission F.xpucs. �_ I�Q_��� S ,��� ;��'��•`'�;: HOLLY H1�6����r "�' `= MY COMMISSIOl�•�E,s;,; ,,.�6� �"''•'±'or�n;�` EXPIRES May i�;,i��, (407)398-0153 FloHdallota, e;vt�,y,r.�,m y:; �,gCU:T. * ,�� � .� * ,� STATE OF FLORIDA,COUNi71'p1�p,�SCO � . ,, TNIS IS TO CERTIFY THAT THE�C�I��pp�NG 1S A ;�� . ��;`�� t TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBUC RECORD IN 7H15 OFF►CE r � � •�, W�T SS MY HANDAND OFFICfAt SEqL tryMs �� � •�� �aY a� ;� � . •��,�' P a��►�• z—s-�_`,y C�iwP"i'ROLLER �t �r gY < _ 6�PUTY CLERK ERICAN D�RES � v�SA � ��i(�f'�a,(� �(j,•GJ�-G•�� /�(�s 5%fee for credit cazd proCessing A Division of Ryman Construction, Inc. p� 36413 SR 54 Zephyrhills, Florida 33541 Proposal# u � 2 � �NC. Phone 813 782-6094 • Fax 813 788-6773 � � � � Estimate# /� 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Serving all of Central Florida Job# , OwnedPurchaser• Lc�r,�,� ; �� yyl,,,y� _Date: � � //i � Claim#: InsuranceCompany: Policy# Address: _ r'J�� � j 7 '� City� ����'.�`' �. /,�� Zip• 33��%� Home #� �I 3 � 7�3� 3(v C� 9 Cell #� ��1 �-7� ��- �a ���f Business #• E-Mail Address. �Complete tear off of existing �J �-Qt b t'JS�����' AdditionalNotes/SpecialConcerns. .�=;- �,/e�J�� �"— Secure all loose roof ecking as needed according � L1> /Yl r��,'�j�t �c�:-.1 -res-�r`>'i � Florida Building Codes ,� + r� Roof dried in with �yr��ti���- U¢�L � �� I n T-f� � � ;�+>c ,��t —� ('3� 2�i �� ,�-� �� � -F��e�� is%���� I�nI stall new valley metal with galvanized metal � � stall new�_"drip edge color r�."vc,�Y) ' ,��m���� /�� � �,stall new lead boots f�l stall all new general roof vents , � Installnew � tr���/»� l✓� f✓tG/75 .Ci.�hyl � y'�j��,�r ��,_��,� tf'�`_ --•'..� i'yi� � �. _ � :..' . - ' .,' jh,`n�-l�' anufacturer /-�Y ���' �� d�"`'�� �'�y��``�fl:� f�olor: 1,�J 1-,r�!'�,e�"" �a� �'o All roof related debris removed from job site, pick-up loose f�Aails using commercial grade magnet ll materials, labor and permits furnished •' L f�4�rovide a __ c,L��i� labor warranty Total Investment$ � �-='C_� rJ Additional Items. L � / t ' � 1 T � t(�-(� � n?i� ✓� i'Yt��x �Y'r� .4j . � T��4A���- 7 �w'f E.i,l)�' � �� �) � CJ 1 '�/� I t �J Lj �)t%,_� r�7c, ,� �t., ��-. •e f L /'^ � r � i ,.)�°' �Ii�' ��'7 �)C.�',. �1 L''�� �1-`��7 r c'1 Lr'E�f� �"tf'�- + ,r n I � _ � � ,�_, � ::y��-- J i Payment Method: Check# �, "'=-� ❑ Cash ❑ Financin g ❑ Insurance Claim ❑ Credit Card# Exp Date CC ID# Down Payment: $ { ��%C:� �"`� Amount Financed: $ Approx. Monthly Payment:$ Pa mentTerms: ' r � -. � � �_, j �r��,,,ti 1 ,'` �-� y �t-,. (C .b:^.zi r� li;;t �r�,t-Yt,''i.' � �<' , ,^ �/r�' � Ex as: , �� Deficient 1/2"plywood replaced at a cost of$ per sq. ft. in the roof field,which includes labor&materials.All other wood work/ad- c� ditional labor, such as, but not limited to, valley rebuilding, rafter replacement, 1x decking, etc.will be a rate of$_'J'S s---per man hour plus the cost of materials. THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT. I ACCEPT THIS PR POSAL AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT. Purchaser �' � r� �.: _ Date: ti':��--'L�� ZC�� � �--