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Home My WebLink About14-15837 k , CITY OF ZEPHYRHILLS - � 5335-8TH STREET : ' �' � �sis��8o-oozo 15 37 BUILDING PERMIT � � PERMIT INFORMATION LOCATION INFORMATION ' Permit Number: 15837 Address: 38509 38515 9TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-08600-0111 Improv. Cost: 4,200.00 OWNER INFORMATION Date Issued: 12/11/2014 Name: US BANK HOME Total Fees: 60.00 Address: 4801 FREDRICA ST Amount Paid: 60.00 OWENSBORO KY 42301-7441 Date Paid: 12/11/2014 Phone: Work Desc: REROOF SHINGLES 1200 SQFT CONTRACTOR S APPLICATION FEES SCOTT ALLEN ROOFING LLC REROOF RESIDENTIAL 60.00 � �� Z — Ib �S G � �0 _ � �r� Ins ec'tions Re uired ' DRY IN ROOF INSP TAPE JOINTS ROqF INSPo- FINAL �'�.- -� (3 '�l� REINSPECTlON FEES: Reinspection fees will com�ly with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the follow�ng 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 re uirements of this ermit� there ma be additional restrictions a licable to this ro e that Q P Y PP P P �Y � 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 properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Spec�fications Must Accompany Application.All work shall be performed m accordance w�th i City Codes and Ordina�ces. NO OCCUPANCY BEFO C.O. � � `--� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHEft � � I i � I o�riou-uv�u C;ity ot Zephyrhilis Permit Application Fax-813-760-0021 B'ildfng Department [93te Received Phone Contact tor Permittin �.So2 ��( -- � ? � Owner's Name � Owner Phone tdumber Owner's Address Q� �� QCJP�$ /� �C Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number � I Fee Simple Titleholder Address { JOB ADDRESS � g�Q �� 7'�� C 3�� 5 ��! �2-�C LOT# 6 C� �v'� SUBDIVISION C i P �! PA�CEL ID# � . �ro ' Oa� C�I _ _ � (OBTAINED FROM PROPERTY TAX NOTICE) �_ _ j' ^ WORK PROPOSED NEW CoNSTR ADD/ALT [� SIGN Q Q DEMOLISH B INSTALL e REPAIR PROPOSED USE Q SFR Q COMM � OTHER ' - TYPE OF CONSTRUCTIOR! Q BLOCK Q FRAME 0 �TEEL Q DESCRIPTION OF WORK �2e rQO� c � �Od S BUILDING SIZE SQ FOOTAGE � - HEIGHT , �BUILDING $ ��y�o� VALUATION OF TOTAL CONSTRUCTION" V QELECTRICAL $ i4MP S �RVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ 5�,�� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� QGAS ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FL�OD ZONE AREA QYES NO - BUILDER COMPANY SIGNAITURE REGISTERED Y./ N FEE CURRE� Y/N I Address License# ELECTRICIAN COMPAMY - �IGNATURE 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 I License# p! � OTHER �— � � COMPANY �eC G(P� �`�i/� SIGfdATURE L REGISTERED Y/ N FEE CURRE� Y/N Address �� C ti�'PG Cr {rn� � r'�� License# �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)working days after submittal dat . Required onsite,Construction Plans,Stormwater Plans w/Siit Fence instailed, Sanitary Facilities 8�1 dumpster;Stte Work Permit for subdivisions/�arge 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,Conshuction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Facillties&1 dumpster.Site Work Permit�for all new proJects.AII commercial requirements must meet compNance SIGN PERMIT Attach(2)sets of Engineered Pians. _ "'••PROPERTY SURVEY reGuired for all NEW corstrucUon. Directions: Fill out application completely. , Owner&Contractor sign back of application,nota�ized If over 52500,a Notice of Commencement Is required. (AIC f pgra�es over 57500) •' Agent(for the contractor)or.Power of Attomey(for the ownec)wlul�be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING v (Front of Application�Qnly,) p Reroofs if shingles Sewers;;� ��S�enilce llpgrades;,A!C ' ;,.Fenc�s(PfoUSurvey/Footage) , , ..�.;- ,._ �,.,.;,:�_,: Driveways-Not over Counter if on_putilic.[oadway.s..needs ROVII.. :� . � 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 v��ith any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTIZ�►CTOR 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 72'7-847- 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/l1TILiTIES�IMPAC'T AND FtESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, ch�inge of use in existing buildings, or expansio� of existing buildings, as specified in Pasco County Ordinance number 89-I)7 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the �rime 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 frnal power release. !f the project does not involve a certificate of occup�incy 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 writh applicable Pasco County ordinances. COFVSTRUCTION LIEPV LA►W(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 soineone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good lfaith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWPIER'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 installaticm has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws reg�ulating 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 th�at it is � my�esponsibility 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 addres�;ing a "compensating volume" will be submitted at time of permitting which is prepared by a professional en�gineer licensed by the State of Florfda. - If the fill materia) is to be used in Flood Zone "A" in connection with a permitted building using stern 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 ad,jacent 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, al�ter, 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 exte;nsion 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 NO7'ICE OF COMMENCEiNENT MAY RESULT IPI 1�OUi2 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT VUITH.YOUR LEMDER OR AN 14TTOFZMEY��FOR� REGORDING YOI�R NOTICE OF�OIIAI!lIENGElVIEM�. - FLORIDA JURAT(F.S. 117.03) � � . � OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me thls Subscribed and swom to(or affirmed)be ore me this by bY Who islare personally known to me or has/have produced Who Is/are ersonally known to me or has/have produced as Identlficatlon. as idenUfication. Notary Public ,�� Notary Public Commisslan No. Commis io R' Commission#FF 137073 _ ;� � � � ��R��°��`j Bonded Tlw Troy Fdn Insura�rce 800385•7018 Name of Notary typed,printed or stamped Name Notary typed,printed or stamped �.�_ -. ... . _: ... - .. . ,. .. . . - _ �.-.:: .... _ _ ..... �_y� . , � . , .. � . . _„' "° ' ' - „ " ':\ "!_I 4 ' ` : ._ ` _ . � . . � . . � , � � i � i . I. . . i . . . �� • _ • � �Eicensed&Insured . .' LIC#CCC1328873 S C OTT L L E N : ROOFING . 352'795-2276 PROPOSAL SUBMITTEDTO DATE Vt } � � STREET PHONE ��j C� °� � v-E'_ . CITY/STATE/ZIP EMAIL' z��l��r � ��1�5 - s JOB LOCATIO SIZE We hereby sumbit speci c,tions and estimates for: , Remove Roof:One Two Roofover` �New Construction Clean out all existing gutters and hall away tr fro � tear ofE • - • _ Dry in Roof Synthetic � Peal&Seal Other --� Nail Deck: Yes /No Install New Valley Flashing:Yes /No Install New Eave Metal:Yes / ` . Color G� � �� - Galvanized . � � Aluminum r� Install Shingles ��') U P G� Metal Otl�er Brand �� °�� Color - - , Replace All Vents:4"GRV 10"GRV , � ' Replace Lead Boats: l 1/2" 2" ( 3" � Replace Rotten Wood: includec� __ $ Per Additional Foot $ � Per Additional Sheet �- . Other.: ' 1 � •� � ' -�: Workmanship guaranteed years agajnst leaks. All the above work to be completed in substantial an�d workman-like manner for the sum of Dollars ($ �'�n�-�0 ) Payments to be made as follows � � � All agreements contingent upon strikes,accidents,or�delays beyond our control.This proposal subject to acceptance within days and is void thereafter at�the option of the undersigned.This price includes all license,� insurance,permits, bonds,and taxes.Approved by C ty,County,and State.Scott Allen Roofing is not responsible for satellite dish alignment.Scott Allen Roofing is not re�ponsible for A/C lines damaged by deck nailing. / , Submitted By: � f i � Date: �� /� '�C� Signature of Sales Representa�tive : , , Acceptance of Contract ' .. You are hereby authorized to furnish all materials and labor required to complete the work for which we agree to pay the amounts itemized above. . �., Customer Signature Date: � - � I fllll�lllll lllll lllll llfll lllll lllll lllll lilll lllll lllf llll ' '� 2014182004 o� . � ,� , Reco;d and Re1um to: Fi1eNa �Rcp4.:1642439 Rec: 10.00 D5: 0.00 IT: 0.00 PermitNo. 11/17/14 S. Peters, Dpty Clerk Key No. Tax FofiolParcei iD: i�lQTICE O COMM�NCEMEi�1T State of��' COUr,ty of_`�? �� I THE U►JDERSIGNED heraby gives no?ice that improvement �vilt•be rrjac� Ec certain, and in accc:dance vaith Ct�,apter 7i3, F4orida S�te Statues, :re oolloN�ing in{ormation is provided in this AoGce of Commencement, I ' (;,�jL�.G� 1 r s�i� � � �=-1-�a S°1" 7✓,�D '� !� �-t� i� w t� 5.Descriotion of PropeRy:Parcel No.; ��? p�� -:' � ( � (Legal descripiion of the ptop��y arid sireet sddress if available j j PAULA 5 0'NEIL,Ph D PASCO CLERK & COMPTROLLEi �e� ��, � 11/17/14 02:45 m 1 of 1 2.Generai Description of Improvement:_ OR BK �1 �°� PG �� 3.Chvner iniormafiory Nz e: l� � f� f '�� Ad�ress: � • t City � State Z�p Interest in Property � ( i yame and Address ot Fee Simple Titleholder(1f other,,han owner}._ I ' i 4.Conir�c or.Name:��Q TTI��.� f�%L�1�t't I Address: ' (?'� �C. y��—City �Y111 5��, St2te _ Zio - - - � Phone No.� - - Fax ho i �' --- ---=.-O.a�;J.�.�..,---- ------ - -- —f nmoun[oT nono:� ------- ---- --- i �,ddress: City f StatE Zip Phone No. Fax No. I 6•Lender.Name: - � Address: City Stafe Zip Phone No. Fax R'o. f 7 Persons within the&tate of F{orEda designated by Owner upon±nrhom nl tices or other dccuments may be seived as provided by Section 713.f3{t)(a)(7), F)or(da Statutes_Name: f AdQress: City I State Zip Phone No. Fax No. I 8.in addit+on to himsetf or hersetf,Owrter designafes" of � � to reoeive a c�py of the Leinor's Notice es provided in Sectio��3.13(1 j(b),�=iorida Statutes. I 9. ExpiraUan date of Notice of Commencement {the expi:ationl date is 1 year of recording uniess a differeni date is specified; I � � WARNltdG TO OW�fER:AtdY PAYMEhfTS MA�E BY THE QWNER AFTER THE EXPIRATIUN OF 7HE 1VQ710E OF CONfA7ENCEiV1Ei�T ARE CO�ISlCtERED l4ViPROPER PAYME�ITS UPfDER CHAPTE}�713,PARi'1,5EC 713.'13,FLORlDA STATUTES,AtdD CAN RESi1LT IN YUUft PAYING TU4l10E FOR INiPROVEMENTS TO YOUR Pf�20PEF2TY. A NOTtCE OF COMPdIEM�EMEFdT MUST BE RECOR�E�3 �� AP� OS'fED Oid TFiE.10B 51TE BEFORE Tti� FIRST {NSPECTION. IF YOU IhlTEP1D TO OSTAIN FINAfVCiNG, GOiVSU�T WITN RI R OE2 AN 'iT E BEFORE COMMEPlCIhiG V1�ORK QR REC�RDfPIG YOUR P(OTICE OP COMflREhlCElitlENi'. Si ature of er or O�v rs Au ' ed O�ceriDinctadPartneNManage� �C�� Signator�s Tt1elOffice State o or� �LNl l vLF�� County oi-Si�a4 �� The forgoing instrament was acknowledged 6efore me th' �Q�' day of ��• ,2��by KJl r"L � .as 1�1�n� {or �•C• � � Nar,ie o Person v� l ll� � � �j�� `( r�. (Type of .,office,trustee,atto;ney in tact) (Name cf partf on b2ha1,of who i strume a ecut�d) "'"�� L✓��`��V( • Si t122Ur8 ` �� ' �� 9 Print,T}�e or Siamp Nam2 ofNotary PersonaUy known (�R Proouced tdenYificafion �`"J+' '''`'`""`� `'- , f OFFICIAI SEAL Type of Iderttification Prbduced: �-I�L ��ti�"_o� r�,. .�r� JESSICAFORD , � �� NOTARYPUBLIC-KENTUCKY �cation pursuant to Section 92.525,Florida Statutes:under o � STATE-AT-LARGE P i of per�ury,1 declara that i have rea@ ihe fnregoing and J '+,..�•' �` My CAmm.Expifes Nov.9,2014 t t stated in ii are t e to the best ofi rriy knowledge and belie;. C9MM,#431553 I Si tu[e of Natural P rsan Signing�0ove �e� ,�� `�� =:taHARcB'�DDSV UlLDING5u€lang lormsibuYding fo:mo;rro;.,pdf � �� '�'�'� �S�G i �.��._ ,_ __L u_ ��S�.Q P-,�-� P 3 '��