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Home My WebLink About13-14352 • • CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo �4�2 BUILDING PERMIT �- ',�� Permit Number: 14352 Address: 7204 APPLEGATE DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Biock: Section: Square Feet: Subdivision: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-0050-00000-0170 Improv. Cost: 5,150.00 Date Issued: 7/12/2013 Name: REPASS, JOAN D Total Fees: 65.00 Address: 7204 APPLEGATE DR Amount Paid: 65.00 ZEPHYRHILLS, FL Date Paid: 7/12/2013 Phone: Work Desc: REROOF SHINGLE ` W 1 o�� -i3 , N _� , �� Q� � � � , � � 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 foliowing 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,Specifications Must Accompany Application.All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. �a�� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 06/22/2913 15:05 3525889763 SBR RDOFING PAGE 01 II�IN��1��1��U�N�� ;2E131217i �Rep!s ls'Jd014 �+Rae: 3A,e0� � pS: e.e0 IT: O.eO ' ! 0�/12/13 K. GKOi�, Dp1.Y Cl�rlt PartN 10 Ne,y�y "��~�•��Oa~ p�nfl No. d�� NOTICE QF CQMMENCEMENT ��.d�� co�v a �.�Q suee a � n�e uHOE�c,riso hxwv o�^�a�wnwa«r«�wa a m.es w�.ar aownr.«w��.aoro.�.wnn c��,a,�a.au�e., en�w�owrw�m+.a«+�.wo�aw w,w.Noue.ot c • � *�`S. 2-��–00�S O � O�O ' O{r1�` ,. oeeap�n a rroo.ro: r«w�aa+ar�eaao�r+e. �, Lc (�f 3 3 �S`o sv�aea�e: �Z� �e r s. oenmsl oe.a�pGnn a�mprove�m ' � . �. ONnK Inf0lm.dai w LaesN YAOn1lWeit 111he lsfK!OO��WO Ie/Mt�M oa. N a � 2,�,�,,�. /(s�_.��.--_ � Aderes. ° a��r 33s�o In1�st Mt PrapertY: NMne d Fee SMnPk TIIMho�er: �NR��aM Ra�Own��RttlO sh0YS1 CaII' StaM MMln � O.�N � .1. Gra�aada: ' — � T'O �3 n�X� �y h �� 3sZ'�'�rd G 33�'7L oenbP�er�Tdepho�No,� 5. S��eIY' NM�e � .*� * * • � Sule G • � Addrn� AmOU�t d Bo�d: S TaNphons No.: . ��Fy y 8. Lenaer `' ,�•• apw •r Nams SIaU � � � Addron � �� ' tlIlOCrs TNephMM NO.: ��. '^ • ,� •� 7 P�ene w111Nn ths 91�1e Ot FloelAa 4elµp�a�°4 dY tha w�ner uY��'o'^nol�es w oM�x doeirnad�nwY MB urvl0 w MONtled 4y ' Bedlen y13.19f�1C�1(�,RIaWa�e1Wea: � • • � NM�e * * CiH S1N9. AdOrass T�I�p�p�e N1Me�be+eT WslpnM�d Psn°rv or,,,,^ a. �n�dwtien a wm�t+ne a�ner a.qn�e■ �o Reaw.r�vr oru�.i.knors Neae�n ao�eea�n s.eaon»s.�9l11�D).florltl�S�elules. ��LL N � w TdpN�pr�a Nvnser d Pena�a£MNY Ds�q�ule�bY�71°� O ��4�S U of eaNNucbon uW Mal O�Y�^�u�o w0 � Z�� ►y- 9. EqN�M�d.la of Nella d Convnsnoa�srM!�s+��e^daM nW not p.befae ihe aanpNU°^ y —U tn ,,,,� N Q oenu�da'.uu�w�n o�ens r�som tl�e a.le o��aaPw�•ar�erenl u.l�a.veaMmc aoo� � WMNING TO dNMER; /1NY PAYIJI�NT6 AAADE BY THE OVYI��A AFTER 7MH EX�RA110N OF TNE NOT10E GF CW.1MENGEMENY a �� " AI�E CONS�OEt1ED 1MPROP�R PAYMENTS UNOER CMAPTER 717. PAR'f 1� 9EC�T19.79 FLO�DA BTATU7ES.ANp GW V' � �� nE��nµo a��a+��TE e�E�ar�E r�FIRST��cno�K. IF vai N�r a�4�r��tr c.c�suir � a � I�a, NMTH YOUR LENOER QR AN A1TOpNEV 6EFORE COMMENCING YVORK OR RECOROIIdO•YOVR NOTCE OF COMMENC6MENT. ��y��() U ueda a�b�vM�Y I eeawe ew1�h�w�e�a tne renga�p e�o�c.a eo�.n.no�+�»nl.�e x�a u�e a�d.eulw Mfn•n na�nw m aw evu �� ol my W�owledpe.wd O�lef. , (O,��CJ � STAtf OF i�ORID+� �C.?U 2 � COUNTY OF PASCO �' A AMe�Or Lp1M� Own�rs a Liilas't AuMWllted 4� �"�J 4 � wcda/PS�h�srnulsnpx 0�� 4 J� I � �� u_� aW • �,�,1. S�y,n�a,�r,*mdanee � �� Ua C?p�,. o� TM�tWuM�9��we�iddlovN�d9��e me MIM_J„�,day o1�J.SG��,�q�C SY�fh s s � O t3 Q„�, �� aa�� "-��''V - r (lype o1 wAl+ohb�e.p.,o�Fex.ln�s1N.dlaney in rep>� ��¢ �`j j� Q (n�ms et vl'y p�beM1�l1 M whem MYUw�xnl w►a rKaCVla d). � �,► J �f � �� _ � Peroan+M��P'oeuad wsnq6cedon❑ Net�rY£�i 7rmiir�r� �S a�� fJ.i �ryys or�daw�c+iwn Proeu�ee Neme t�)...,SGb t/` /'e5 wa e.. ��nu�n'�:o�iK ii�w�o:Fnsco c�it i c0�Tk6��E� �0 KAOMMAM a��sK�� r1�4 • •� �4w�aai� ..__. . _ . __ — , e�..�...�ee�n � r+rr wpON�roeeMdkeeanm��e . . . � , . , I 813-780-002� City of Zephyrhills Permit Application Fax-813-780-0021 . Building Department Date Received I i � 1 2-- Phone Contact for Permittfn ,� __ �(7� � ..-." � Owner's Name Owner Phone Number Owner's Address a-� L � � 2–�S� p�er Phone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 1 �'1 f–t e �/' , LOT# C� SUBDiVISION PARCEL ID# ��' 2S��-� �'Q�� 'C�b O(�-- �/'� , (OB7AINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR 8 ADD/ALT C� SIGN [� Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM C� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME [�� STEEL Q DESCRIPTION OF WORK ��►^nt��.,.t� � S�' ` r� S . BUILDING SIZE SQ FOOTAGEC� HEIGHT OBUILDING a VALUATION OF TOTAL CONSTRUCTION �j �� QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING � SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRIGIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP Y/N Address License# �— MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address license# OTHER COMPANY N�.. SIGNATURE "'" � REGISTERED Y/ N FEE CURRE� Y/N Address CnU � �� {�.,�,> 334-�d 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 Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permft for subdivisionsAarge proJects COMMERCIAL Attach(3)complete sets of Buildtng 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 8�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 construcUon. Directions: Fill out applica8on completely. Owner 8 Contractor sign back of application,notarized If over S2S00,a Notice of Commencement is requi►ed. (A/C upgrades over 57500) "' Agent(for the contractor)or Power of Attomey(for the ovmer)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(PIotlSurvey/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 appficable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to unde�take work, they may be required 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 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 Buiiding 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 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, 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 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, 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 Depa�tme�t 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 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 flll 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 ihe 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 adve�sely 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, 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, �ne ext nsion. Ifhwork1celases�or'ninety(90)rc n ec tive days,thejob is�ons'dered ba'ndonedstrate justifiable cause for th WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR PAYING TWICE FOR�MP AN ATTORNE Y EFORE RECORDING YOUR NOTICE OF COAME 'NEMCNT.' CONSULT WITH YOUR LEN�ER� FLORIDA JURAT(F.S. 117.03) �A Q��. CONTRACTOR � �`"�-- � ��'Q'` "'s OWNER OR A(3ENT �L'-��--- �--�""�-�_—�- Subscribed and swom to(or aHirmed)before me this Subscribed and swom to(or aHirmed)before me thls b bY y Who Islare personally known to me or haslhave produced Who islare personally known to mas fd ntl a��duced as idendfication. Notary Public Notary Public Commisslon No. Commfssion No. Name of Notary typed,printed or stamped Name of Notary lyped,printed or stamped h s�� Proposal/Contract .�c� �ea,clz�a� � �<y, �I�c. P.O. Box 1188 • 33010�2 � San Antonio, FL 33576 .l'�ce�r.�ea', � (352) 588-ROOF (7663) • (813) 782-1330 ��d& 1-866-407-0559 • Fax (352) 588-9763 ��,� www.scottblackmanroofing.com �°°�`g e°"�""`�'" email: blackmanroofin aol.com G�GG�os?95? g@ Datq� V v�P 1� �oJ 3 PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT Name - ��'� � ,5 Street Street � p/ �Z C '�' /)_ �' f . � CitY— /°L(.�U �I� S " l.�� l�� l I N�bc G�„( City_ �, � � � State �� Zip State Zip Owner of Property Phone Number Fax Phone Number Fax We he propose to furnish all the materials and perform all the labor necessary for the completion of: emove existing shingle roof Z ��'".f q,R�place bad fascia boards at$ �r�c. perfoot ❑ Remove existing built-up roof ❑ Replace 1x decking at$ er foot P ry-in with ❑ 15 Ib � ❑ Install feet of ridge vents C] Dry-in with a fully adhered underlayment$ ❑ Install modified bitimen (granulated)torch down roofing ❑ Install new galvanized valley metal additional black, white or other color �^ �Install new lead boots ❑ Install 25 yr fungus,resistan 3-tab shingles ' I�� ❑ Inst II new roof vents �nstall L i ��%��e� �� ^"-��",-L- fungus resistant dimensional shingles nstall new drip edge, ��h .�ivw�✓ color ❑Shingle manufacturer c �� color �� o ❑ Inst ew flashing as needed ❑ Install TPO, white rubberized roofing membrane ep�ce plywood at$ �J�'� per sheet �]Other:_ 2 ,b �,y�� j, �G�� ,' i �epair rotten trusses at$ 3.o J 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 drawin s and specifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of$ ��,�, � !� with payments to be made as follows:�/117er1t dUe In full On C01'1'1DIetlOn, unless otherw'ise noted. Thank You. Credit cards accepted, additional 3% charge. 'Not responsible for satellite signal when satelite is reinstalled *Not responsible forA/C&electrical lines too close to roof decking Any alteration or deviation from above specifications involving extra costs will be � " 3�� executed only upon written orders, and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or dela s G v Officer/Agent Scott Blackman Roofing beyond our control. Owner to carry fire,tornado and other necessary insurance upon above work.Workers'Compensation and Public Liability insurance an above Note: This pf OSB� may be withdrawn by us if not accepted work to be taken out by Roofing Contractor. Extreme caution should be used during and after construction for debris and nails missed during cleanup. W�th�n days. 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. Accepte�t/i�y�,v �,E:- �� .o./ � � � Signature Date�"�y-y_ j� ' �' Signature ` ��.�.��:�� ..,�� F �� F� I ��' � ��.� 1� a�TF�� {�� . I � l_��VV 1{ ��'4�d�z 8*-.�•�$�etr� S 6 �.�.,fi 4..d� "'�� ,� t y E Ro..�.A A \6 6w'f 0 '�wJ�t 4� �b.d�y 6 i 1!J�� e 4�-f t �J� �� `��! �'F�C.�€��F�TY ��FF� PF��!/IC�� .�IAL� ��J� �F�� 'A�1� �� I�� H�''�� F�I�HT �C� ��FC�R.C;� THEI� �.��_.,�� F� �.f�`� � � ,P�C��I��1� Y�t�R P'R��T�'. �THIS ��n�� `�; � C�TRAC�� IC}�.l�� J��TR�1��I�l� �.e.l�l�a I� Y��k� � �� J �� T��"C� � �A � �.� �� J ��NTF�.A�� 1E3-�� C��f"�A�� , �� ,i��.��6�. �tJP�'�.I � � � �F� � �C�L�C�� {� 1\/��FC� �TH�� .EC��.�.1� F��C�.�JlR.I�C� �'AY��T��. �H� ��t� �� !/H C� A�E CaW�D M{�N��r` �°� �.��C�K �� :��.�� C�P�� R. 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