HomeMy WebLinkAbout13-14691 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 14691
BUILDING PERMIT
Permit Number: 14691 Address: 37434 CASTLEBERRY 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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0610
Improv. Cost: 7,625.00
Date Issued: 11/01/2013 Name: JERRY DANFORD REVOC TRST& MARY
Total Fees: 75.00 Address: 37434 CASTLEBERRY AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/01/2013 Phone: (813)782-9470
Work Desc: RE-ROOF W/OWNENS CORNING SHINGLE °-°r�' A1 =T1/�1/
N' 75.
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TAPE JOINTS OF I SP
FINAL �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ctra 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 performed in acxordance with
City Code and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATU E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�3-�8o-ooao���,���I City of Zephyrhills Permit Appiication Fax-813-780-0021
t Building Department
Date Received
Phone Contact for Permittin _
Owner's Name L°✓l f� Owner Phone Number � � �$�v- 9 y7O
Owners Address 37y � G�s� // Owner Phone Number �
Fee Simple Titieholder Name 1 Owner Phone Number —�
Fee Simple Titleholder Address
JOB ADDRESS 3�y3 S erl �, W .� ..r �� 33SyZ LOT# �
SUBDIVISION �L° qr? �/p /�/f�I' PARCEL ID� ��'Z(��Zl����_f��Q�Q���
' (OBTNNED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONS7R 8 ADD/AL7 � SIGN Q Q DEMOLISH
INSTALI REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK 1 fb� {vi �175 �m�'' ,S ;� � ' e �n..,f j� �
BUILDING SI �--� gq FOOTAGE L ��D HEIGHT
BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE PROGRESS GY
0 ,.,--�ita:E:C:-_
PLUMBING $ �
o g �
� �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
l �
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f
OGAS � ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO .,__
BUILDER �/� � COMPANY � r Q�j ^
SIGNATURE y REGISTERED Y/ N FEE CURRE� , /
Address Ucense#
E�ECTRtCIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/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 onsfte,Construction Plans,Sto►mwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"""PROPERTY SURVEY required for all NEW consVuction.
Directlons:
Fili out application completely.
Owner&Co�tractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgradas over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (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 contractor or
contractors to undertake 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 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 wilt 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 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 spec�ed 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. Fu�thermore, 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'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 1 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 8 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
prope�ties. If use of flll 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 commenci�g constn.�ction. 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 IMPRO A�ORNE BEFO E RECORDING YOURNOTICE OF CpA'N NNANCINT, CONSULT
WITH YOUR L NDER OR AN _
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FLORIDA JURAT(F.S.11 . ,,�) , r ; ;� .
OWNER OR AGENT CONTRACTOR
Sub bed and s 'to(or ed)b Is Subs /�nd bwo or aiflrmed)b \ me s
!I�1�� bY Who s/are ersonalt nown to me or aslhave roduced
Who Is/are person�llv known o mas IdentlfmicaUo�roduced as identlfication.
� �� ���� Notary Public
f Notary Public ��f-"TiL--'�"
t�CT�F.Y P�, _ � "`�"``� CommissionNo.
Commiss on No. -� �� , ' .- .. " �
"�;�_�', ,I.��.oa�, �'a4�1�r ,.�5
` .� y. ', ., ..�� r F �„ ��,A _— ed,print. ._ 201!
���– Name of Notary typ r';lY 20,
Name of Notary tyPed�pnrfi�d or s'tampEq . ,,,, .. , �--� - - �.;�
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��S ��// � 7Z7-5-�S�y/7/
CONTRACT Hernando: (352) 686-3330
Commercial 8� Residential (352) 754-8880
lAN' "Home of the FREE Roof Inspection" Citrus: (352)341-1400
S www.alansroofinginc.com Pasco: (727) 816-9278
ROOFING,�NC. LICENSE NO. CCC046942 Toll Free: (800)309-5fi67
14498 Ponce De Leon Blvd. F1X• (352) 754-8902
Brooksville,FL 34601 �� �,. ��
Please Print
NAME �'�1�r L/o a/U PHONE `'J�d��° �G'`i T �-� DATE � Z. /�
ADDRESS �� /L /l � l CITY ������//h<�//-r ZIP ���� �
l �// M.HOME OUS '�
SALESMAN r�;i✓�' CONTACT PHONE��!�-�-�/< �� OTHER C MERCIAL JOB# �/'��/
O PRODUCDESCRIPTION w J � � N COLOR S�QS� W�1��� PITCH � Z
� 1 PULL A CI7Y '—"�— OR COUNTY PERMIT SQ.RENAIL WOOD _
❑ 2. TEAR OFF SQ.OF OLD SHINGLES Z GI SQ.OF FLAT ROOF '�'� SQ.OF OLD TILE _ � ,�_� L r�-
� 3. DRY IN:REINFORCED FIBERGLASS UNDERPAYYMENT PEEL&SEAL=1 LAYER=2 LAYERS --� SQ.TILE �--� ��' -�
� 4 INSTALL.GALV VALLEY METAL LF � SELF ADHERING UNDERLAYMENT LF '—METAL OVER RIDGE LF
❑ 5. INSTALL.ALUM.DRIP EDGE LF=STEEL DRIP EDGE LF �� PAN FLASHING LF "— L.FLASHING LF -�' COLOR �
❑ 6. INSTALL�2EPLACE. LF OF R.V 2�� PLUGS — / "- FT OFF RIDGE VENT QTY_" COLOR _
❑ 7. REPLACE:1 112 IN. 2 IN. 3 3 IN.� LEAD BOOTS 4 IN.GRV'S �— 10 IPJ GRV'S -' ELEC.RISER_"
❑ S. STARTER ROLL CIRCLE ONE
❑ 9 LAY SQUARE OF NEW FIBERGLASS SHINGLES 7 7�3 CAP I �3 3-TAB I PERF 1 HIP 8�RIDGE
❑ 10. INSTALL.SM.DEAD VALLEY "�� LG.DEAD VALLEY ''�- MODIFIED LIBERTY �-"� _
❑ 11 INSTALL TPO '�_ LAYER OF INSULATION TBAR 1 SEAM TAPE=
❑ 12. INSTALUREPLACE. 2 X 2 ��� 2 X 4-- 4 X 4 — SKYLIGHTS ACRYLIC sFa FIXED GLASS
DOMES CM CLASSIC
❑ 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS
❑ 14 ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL �nG/ S 2 S�r's�� � �" i.✓Sc��Y
ALAN'S ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF I S CHOICE TO
� 15� CONDUCTANY ORALL INSPECTIONS THAT MAY BE REQUIRED UNDER LOCAL OR STATE LAW
❑ 16. SPECIAL INSTRUCTIONS �Q `f/� ` 1Y1IT�[� ��r-Er�M .�.� �
.� Zfl;? �
TOTAL CONTRACT AMOUNT �j� ��
Price is good for 30 days � `'
DEPOSIT � �;�� �
ACCESS.Customer agrees to allow access to the property antl realizes that heavy equipment is being used.
Contrador shall not be liable for,without limitatlon,damage to driveways,sidewalks,lawns,sprinkler systems,gardens,septic systems and gALANCE DUE UPON 0
any other structures thereot,as a resutt of rookop or job deliveries ��� '/�
DAMAGE ETC. Customer shall be responsible for removai,reinstallatlon and recalibration ot satellite dishes Should customer becoine aware COM PLETION
of damage to property by Contrector,his agents,o�empbyees during the course of installation of the roof,said damage shall 6e brought to the
attention of the Contractor prior to Me time of payment for the roof in question. If Customer fails to notify Conhador of said damage,with�n 5
wofking days of occurrence,the�shall waive all rights against Contractor conceming said damage.Alan's Roofing is not responsible for roofing nails penetrating A/C Ifnes in the attic. Customer agrees to secure and
protect their assets induding shelves,ceiling fans,tools and other valuables to avoid damage from vibration,breakage andlor datachment of parts,etc
DELAYS,ETC. Hereby acknowledges that Contractor may be subject to delays occasio�ed by�nclement weather,labor disputes,and material supply shortages which are beyond the control of the Contractor and
hereby accepts delays occasioned by one or all of these circumstances in the installation of the roof. Further agrees to pay Contractor an amount to equal�0%of the total contract price should this contract be cancelled
for any reason pnor to the initiation of work on roof,but after midnight of the third business day aRer signing
PAYMENT CONTRACT Customer hereby agrees that H the amounts due and owing hereunder are not paid when the roof is�nstalled,also shall be liable to pay all cosls of cancellation,including,but not limited to,
reasonable attomey's fees and costs,which amounts,together with all sums and owing hereunder,shall bare interest at 1 1l2%per month. We accept MasterCard antl Visa credit cards
RIGHT TO CANCEL. "VOU,the buyer,may cancel this lr ction at any time prior to midnight of the third business day aRer the th�rd business day after the d is�ansaction. See the atta� notice of
cancellation form for an explanation ot this right"
ACCEPTANCE PROPOSAL. The ab e p ices,sp ifiwtions d conditio are satisfactory and hereby accepted SALESMAN SIGNATURE / .�'��
All contracts are sub�act to manage t a�proval,.
� �� zq 1�
CUSTOMER SIGNATURE � DATE ANAGEMENTAPPROVAL
Construction Industries R v F' : Payment may be avail ble from the construction industries recovery fund'rf you lose money on a project performed under contract,where the
loss results from specified vi n f Florida Law by�State censed Contrector. For information about the Recovery Fund and filing a claim,contact the Florida CILB at the following
telephone number and address. �87-1395. Flonda C truction Industry Licensing Board,1940 N.Monroe Street,Tallahassee,FL 32399.
�
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2013187347
ftept:ig60570 Ree: 10.00
Key No Permit No DS: 0.00 IT: 0.00
11/01/13 B. MeBee, Dpi.y Clerk
NOTICE OF COMMENCEMENT .We lyp W�/l�q�o� /��Q�j,� �",��
THE UN�ERSIGNED hereby grv¢s notice that improvemenl will be ���� �/ / 1
Made to certam, a�d in accortlance Nnth Chapter 713, Flonda State l� ���y �n7 �j/ O�
SWtues.the foliowing information is provided in this Not�ce of y6�` P��
Commencement
1 Description of Property Parcel No 1�Zb�ZI-���ZD '��0�—Q61D
(Legal description of the property and street address if available)
2 General Description of improvement���
ob �
3 Owner Information Name / ol —
Address C / /, C�ty � � ; State Zip�S�,Z
interest in Property• Fee Simple
Name and Address of Fee Simple Titleholder(If other than owner) —
Contractor Name Alan's Roofino, Inc —
Address 14498 Ponce De Leon Blvd C�ty Brooksvilie State FL Zip 34601
Phone No 352-686-3330 Fax No 352-754-8902
5 Surety Name Amount of Bond $
Address City State Zip
Phone No Fax No —
6 Lender Name —
Address City State i Zip
Phone No Fax No —
7 Persons with�n the State of Florida designated by Owner upon whom not�ces or other documents may be
served as provided by Section 713 13(1)(a)(7) Florida Statufes.
Name
Address „ —
Phone No C'ty PRU�A 5 0'NEIL,Ph D PRSCO CLERK 6 COMPTROLLER
Fax No 11/01/13 2:� i of 1
8 In addition to h�mself or herself, Owner designates N/A OR BK �9�� P� 3548
To receive a copy of the Leinor's Notice as provided in Section 713 13(1)(b), Flor�da Statutes
9 Expiration date of Notice of Commencement (the expiration date is 1 year of recording unless a d�fferent
date �s specified )
WARNIkG TO OWNER:ANY PAYMENTS MAOE BY THE OWNER AFTER THE EXPIRATION Of THE NpTICE OF COMMENCEMENT ARE
CONSIOERED IMPROPER PAYMEN7S UNOER CHAPTER 71�,PART 1,SEC 71J,1�,F�ORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING ICE FOR IM VEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTEO ON ThiE
JOB 51T EFORE TH FI $T INSP CTION.fF YOU INTENO TO OBTAIN FINANCING,CONSULT WI7H YOUR LENDER OR AN ATTORNEV
9EFOR C M E 1 G W RK O ECO OING YOUR NOTICE OF COMMENCEMENT
X �
S�gnpl I Owner or Owner's ulh ntaC OM�Cer/O�reG�or/P�rtner/Manage� S�O���ory's Ti11e/OKicE
Ignature Requlra by s m�b�tow by'X"m�ik•••
s�ai r
Counly of �,SCp
The forgoing instrument was acknowledged before me this�day of �G� 20�by v PI�r�/ ��n�j��—
(Pr�n�etl na e ot person acknowiedg�ng�
a5 � fOr
(7ype ol a on e g oKc¢ tr ct allorney in laCl) (Name ot pa Ifb'��A/no��hslr xeculed)
Douo Ciow�s
S�gnalure of NOI Pnnl : � . B11CS1SmBJ�1a�G,Mp�ry �—
Personally kn wn OR ProduCetl Identi(i�rt�n� %•,, ,,,,•• xviies 1v1t�i �� [Vi
Type of Ident�ficat�roduced `' BOA"D'cpTf?RI't":.?�iCBM'pI2�GC0.,INC.
verlf{c i n purs nt to actlon 4 .626,F riaa St�tutoe unaer Pa�altiee of parjury,I declare that I have read the foregoing antl that the tacts
statad n t�rrtr e to th bsst of y kno ledg�and bsllsl.
X �• Q�Ci��'
Sign iu of n�alur Person S ning bove : �
�'�� � • �'G STATE C�F F���i�}A, CG�3Jl�TY�F�AS��
�jj . • �► THiS IS TO CERTI,°�'�'THAT THE F(�1�E(�(�1RI(� !S A
. TRUE AN�CORRcCT COt�Y G�F�'FiE pbCUMENT
* • J„yo��tve7,,,sr � * OP+i F(LE OR CF pU�L�C RECpR� IN TI-iiS OFFICE
* WIT ESS Y NA�JC;AN FFIC i��SEqL THIS
* • �J '* P �� DAY OF �
�
� _ 1gg� AU S O'NEIL. C� RK 8 COP�IPTROLLER
��A����'���P Y _ DEFUTY CLERK