HomeMy WebLinkAbout14-15879 ,
f
CI OF ZEPHYRHILLS �
� - � 5335-8TH STREET'
($zs)�so-aozo 1587
B �LQING PERMIT
i
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 15879 � ' Address: 37347 WEDGEWOOD DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Ciass of Work: ROOF REP�.ACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE " Lot(s): Block: Section:
Square Feet: ' Subdivision: WEDGEWOOD MANOR
Es#.Value: Parcet Number: 10-26-21-0120-00000-0700
Improv. Cost: 6,600.00 QWNER INFORMATION
Date Issued: 1 2129/20 3 4 Name: CRAVEN WILL.IAM A& LC}RRAINE W
Total Fees: 70.00 Address: 15 LA GRANGE RD
Amount Paid: 70.QQ DELMAR NY '12054-3712
Date Paid: 12/29/2014 Phone: 352-588-7663
Work Desc: REROOF SHINGLE
CGINTRACTOR(S) APPLiCATION FEES
S OTT BLACKM ROO I G TN� R�ROOF RE ID TIAL. � 70.00
�3°�� ,
. ��
c.-�`' '-'`' ;
�� ,
�
In ectians Re ' d
DR IN R F IN
TAPE JOI TS O F INSP�
FINAL � .. �
REINSPECTXON FEES: Reinspection fees will amply with Florida Statute 553.80 (2)(c) when eactra inspection
trips are necessary due to any one of the foi owing reasons: a}wrang address b)condemned work resuiting
from fautty construction c) repairs or corr ctions not made when inspections cailed d)v�ork not ready for
inspection when called e) permit nat po ted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, there may be additianal restrictions applicable to this property that
may be found in the public recarcls of this caunty and there may be additional permits required from other governmental
entities such as water anagement, state agencies or federal agencies.
"Warning to awner: Your failure to record a natice vf commencement may result in your paying twice for
improvements to your property. If you int nd to abtain financing,consult with your lender or an attorney
before recordi g your notice of commencement,"
Complete Ptans,Specifications Must Accom any Application. All wark shatl be pertarmed in accordance with
� Ci Codes and Or inances. NO OCCUPANCY BEFO C.O.
� CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS 1NITHOUT APPRUVED INSPECTION
CALI. FOR INSPE TION '- 8 HOUR NOTICE REQUIRED
PRCITE CARD FROM WEATHER
�
Il�lll�ll�llllllllillllllfl��lllllllllllllllllllllllllllllll Rcpt:1667675 Rec: 10.�00 -
+ � 2015040662 03/17/2015 B. MT, Dp00 Clerk
' � 5� 1 �
Pertnit No. Pareel ID No l�— Z-� --Z� •— 0!z- d' L�D c� O (.)•-O�D D
i
NO ICE OF COMMENCEM T
Sfaleoi �U lt,� � Countyof ��SLe
i
7HE UNDERSIGNED hereby gives notice that improvemen vnit 6e made to certafn real property,and in axordance with Chapter 713,Florida Statutes, ��
the fdlowing infortnetion is provided in this Notice of Comm ncement
1. Descdpfioo at Property:Parcel Identification No. � Q '—I Z-� "Z ^ d j Z� 'V O O O O '—O�O C3
StreetAddress: � /-3 ,� ('J � O"� �r z vl r ��( I 5 ��3 S �Z._.
2. General Description of Improvement V
3. Oxmer Infortnation or Lessee iniortnaqon(f the L see contraded for the improvement:
'V� /G!r�ti G'./"�.� .
' � t ame � •��I wl �lr --+ �Z�.� �
Address ; Ciry State
Inlerest in Property:
Name of Fea Simple Tideholder
(If dittere�t 1ro Owner Iisted above)
Address ` /�C/' .U / . .CI1�C_ SWte
4. Contractor. l� L !� TT '
, O Neme 1 fG;•H /�J+,)�V h/O ��
Address City Stale 3 3 S� �a
Contrac[ors Telephone No. .
5. Surery:
Name �ti
W D
Address City State ���
��..n
Amount of Bond: $ Telephone No.. ���++
0
6. Lender. X m z
Name �'m
� �N�
Address Clty Stata ��
Lenders Telephone No.: ~�7
, ��o
T. Persons within lhe State of Florida designate by lhe owner upon whom noUces or other documents may be served as provided by N�+�
Section 713.13(1)(a)(7).Florida Statutes: � 3 �
0
Name ro
�N r
m
�
Address Cily State �p �
Telephone Number ot�esignated Person: A�Q0
■r+ �
8. In addl0on to hlmself,the owner designates at_ ~�
to recelve a copy of the LJenors Notice as provided in Sedion 773.13(1xb),Florida Statutes. �
Tetephone Number of Person a Entity Designat by Owner. � �
m
9. Expirallon date of Notice af Commencement( e euplralion date may not be before the completion of construction and final payment to fhe �
conVaclor,but will be one year from lhe dete of ecording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS DE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENT UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR I PROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMEKi MUST BE
RECaRDED AND POSTED ON THE JOB SIT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BE ORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare lhal I have re d the forepoing notice of commence ent end that the facts stated therein are true to tha best
of my knowtedge and belief.
STATE OF FLORIDA �aZ� —�—
COUNTY OF PASCO �
Signature of Ovmer ar Lessee,or Oumers or Lessee's Authorizsd
O(flcedDirector/Partner/Manager
��Signatorys 7iUe/Office G�.a.�`R�(%
Tne foregoing inshume�rt wes acknowledged before me t is�day of � G�� 20�l,by f/l�Ct N�. i��(/C� � e e
�
as (type of authority,e.g.,offlcer,tnistee,aflomey in f
•
(name ot pa on behalf of whom InsWment was execut � �,
��_j�'� t
Personaily Knovm��R Produced Idenliflcation❑ Notary Signature � `��"" C� �(i`�,,,
/ 6 �
Type of Identification Produced Name(Print) �0� [�_�nL� �a�.� , *
,� ��
STATE OF FLORIDA,.COUNTY�� �'o�SC ' g1 Q,��
THIS IS T0�CERTIFY THAT THE FOREGOIN 15 A SCQTT C BLACKMAN �$ � �
;��;��P��.,, , . o
TRU�AND CORRECT COPY OF THE DOCU ENT ' ;�` °<<:'t Notary Public-.St�te ot flatda � ' �@�
ON FILE OR OF PUBLIC RECORD IN THIS 0 FICE ?My comm.Exp�rea oct 15,2018 *. STA�
WITNE�����6��'nF_b�'e�aeSEAL T�;S �;� �� Commisslon#�EE 8437T8
'�f;;��}�•`� Bonded Throuph Natiaul kolaty btn. �
��_DAY OF'CY1��C..F1 2 S , . , _ ,
PAULP,S O'NEI�, CLERK&COMPTROL ER � -� -- -
g��.,�o C�AC�,"�(1C„� DEPUTY LERK
, '
,
�
s��� Prop sai/Contra�t �
sC�� � i� ' , �rzc. -.
. P.O. Bo 1188 •�33010��5�
•
San ntonio; FL 33576 ��eC�d�d,
� (352) 588-ROOF (7663) • (813) 782-1330 �s�c� dr
Fax 352) 588-9763 9,�d�zE,�
www.scott lackmanroofing.com
�°°��°�� email: blac manroofing@aol.com Date � Z'°� -/ `�
L�LG�05?45? � .
i
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name • s` �r- v�►v �Street
Street � r� ; City
City �-� i State Zip
State � Zip � Owner of Property
i
Phone Number Fax � Phone Number Fax
We hereby propose to furnish all the materials and p rform all the labor necessary for the completion of:
�Remove existing shingle roof •�`Replace bad fascia boards at$ �° � � per foot
❑Remove existing built-up roof ❑Replace 1x decking at$ perfoot
�-in with ❑ 15 Ib. � Ib.�+��'ry ���ye�
��j � p ey� ���nstall �� feet of ridge vents
❑D ry-in with a full y adhered underla yr`fient$ ❑ I n s t a l l m o d i f i e d b i t i m e n (g r a n u l a t e d)t o r c h d o w n r o o f i n g
❑Install new galvanized valley metal additionel
� black,white or other color
Ca'Install new lead boots ❑ Install 25,yr.f� gus resistant 3-tab shingles
�fnstall new exhaust vents L��'h�
� �Install�jr.fungus resistant dimensional shingles
9Tns II new drip edge, LSI!� I �-• color ❑Shingle manufacturer �14F color 1 •����n.
;
Install newflashing as needed ❑ Install TPO white rubberized roofin
, membrane
� 9
�Replace plywood at$ �� � � per sheet �� ����, ..�' y
� ❑Other: �r`.v w► . •�— v
�Repair rotten trusses at$ 3��� per foot j„��y��,`r��;� C �:9 r�, �,.� -� G��.v�
r r
*Woodwork is an additional charge,see pricing above �,�I����r��
I All material is guaranteed to be as specified, and the ab ve work is to be performed is accordance with the drawings and specifi-
, cations submitted for above work and completed in a su stantial workmanlike manner for the sum of$ �i �v��s C'�
with payments to be made as follows: Pa ment due in full on com letion, unless otherwise noted. Thank You.
, ,
� �
Credit cards accepted, additional 2.8%charge.
*Not responsible for satelite signal when satelite is reinstalled Not resp'onsible for C&electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs ill �
be executed only upon written orders,and wlll become an extra charge over a d , `��'����
above the estimate.AII agreements continge�t upon strikes,accidents or del 5 ' � Officer/A ent Scott Blackman Roofin
beyond our control.Owner to carry fire,tomado and other necessary insuran e � g g
uponabovework.Workers'CompensationandPublicLiabilityinsuranceanab e � Note: This oposal may be withdrawn by us if not accepted
work to be taken out by Roofing Contractoc Extreme caution should e
used during and after construction for debris and nails missed duri g ' within days.
cleanup. �
ACC PTANCE OF PROPOSAL
The above prices,specifications and conditions are s tisfacto'ry and are hereby accepted.You are authorized to do the work as
specified.I have read the back of this Proposal/Contra t,which contains Florida Statues 713.001-713.37.Payment will be made as
outlined abov . �� g' s permission to drive on riveway to deliver materials.
Accepted 'CG ' Signature
Date l .� /� Signature
_._ .__ ___,. �,,��y or�ep ymms rermit Appllcation Fax-813-780-0021
ultdirtg Departrnent
; • _ ` �
Oate Received Phone Con ct for Pe�tnittln �5"Z- -�� — ?f°�° -�
Dwne�s Name �i ���'t v�tn.1 � Ctwner Phane Neember
D+nmers Address ! � [.9 G- Gr E � F�P��'''G` 1 �� � Gwner Phone Number �� �
Fee Simpie Titleholder Name I Owner Phone Number � �
1
Fe�Simple Tttleholder Address I
108 ADDRESS 7.,��I 7 �C' � tN v o��J rr Z t �, r���I!I T f .7 S~�Z LOT# �,_�
I
sugQnr�s�mN �— � P RCEL IQ# ��� Z� -Z!-a/2 0�-a vd a a- d-7c� �'
i (OBTAINED FROM PROPERTY 7AX NOTICE)
WORK PEtOPOSED � NEW CONSTR� A DlALT �� SIGN �] Q DEMOI.ISN
iNSTALL R PA1R
PROPUSED USE [� SFR Q C MM ',�� OTHER
TYPE QF GONSTRUCTIONi Q BLOCK CJ• F ME �� STEEL Q
DESCRIPTit}N OF WORK � G v! 2- 7 G� i �i �f9 r" /e.n �t y ft..�
BUILDIN(i SIZE � � SQ FOOTAGE � t!E{GH7 �,��
1
[�BUILDING $ I' ���r U� VALU IQN OF TQTAL CQNSTRUCTIt?N
lC3
[�ELECTRiCAL ($�� AMP S RVICE � � PROGRESS ENERGY � W.R.E.C.
�
QPLUMBtNC3 �� �', � ��
5�
QMEGHANICAE $ VA�UA ICiN OF MECHANICAL INSTALLATION 1
[�GAS � ROO�lNG [� S ECtALTY'� OTHER
=1NISNED FLOOR ELEVATtONS F OD ZONE AREA QYES NO
� � (
I
3UlLDER � � COMPANY
itC�NA7URE � REGiSTERED Y J N PEE CURRE� Y/W
Address � Ucense# ( ��
�� ,
�
`eLECTRIGtAN COMPANY
�IGNA7tJFtE REGtSTERED Y/ Id FEE CURRE� Y 1 N
Address License# � � �
�LUMBER � COMPANY
31GNATUFtE REGtSTfRED Y t N FEE CURRE� Y J N1
i
Address Llcense# � �
I
AECHANtCAL COMPANY
i1GNATURE REGiSTERED Y/ N FEE GURRER Y!1d
Address � l.lcense# �� � �
i
�TNER ��� COMPANY �Cr�j�,�'lrr e�c�•,��,- �o�i..�, �c
iIGNATURE �'i REGI37ERED Y/ N FEE CURREA Y 1'+i
Add�ess 3 �1� �'1�- �2 {�p�ta�r JtP� �`'y,�1�, ,,,a GI 3S�L' ltcense# �CC�.S'7�/S"7 �
tESID�NTlAL. Atkach{2),PlotPlans;(2)sets of BuNding Plans;(Z set af Energy Fotms;R-O-W Permit tar new constructEan,
Minlmum ten(10)working days after submittal_dat . Requlred onsite,ConstrucUon Plans,5tormwater Plans w/Sllt Fence insta4led,
Sanitary Fadltttes 8�1 dumpster,8ite Work Permlt or.subdfvlslons/large projects
:OMMERGlAI. Attach(3)cx�mptete sets af BuNding P#ans plus a ti fe Safety Page;{1)set o€Energy Farms.R-t?-VU Permit tar new construcNon.
Minimum ten(10)workfng days after submittal dat . Requlred onstte,CanstrucQon Plans,Stotmwater Plans w!Sfkt Fence instaHed,
Sanitary FaclliUes&1 dumpster.Site Work Permtt or atl.new;pro)ects.All commerclal requirements must.meet.compliance
�lGM PERMIT Attach{2)sets of Engfneered Platts.
"'"PROPERTY SURVEY required for all NEW co strucdon. ,
�irectlans:
Fill out applicadon completely. !
Oumer 8 Contrac#or sign back of applica#ton,notaHzed
!f over�Z540,a I�otEce of Commencement Fs tt�quCred. (AIC• pgrades aver 57600)
' Agent(for the contractor�or Pawer of Attomey(for;the ovvr�er}wo td�be'someone with notar#zed letter from owrisr auttiorixing,same� =L ��, .Y y�.� . '
1YER Tlt�,CdUMTER PERM1'1TENG • �' `� ` , . �=, ' .� .
{Front of Appticat#on Onfy �� ,.
;eroofs if shingles Sewers Service Upgrades.QfC..,,, ,Fe ces tPIoUSunrey/Fookage} ' � � � ' �
- _.>� ;.x : � -
Dr}veways-Not over Counter if on pubtia roadrnrays..needs ROW ' '_ ' ` � ��- - - -� �. a��.,,,��
�
;
,,
� � w
NC}TICE OF DEED RESTRiCT10NS: The undersfigned understands that this permit may be s�tb)ect to"deed"restriotions"
whlch may:be.more,resUictive than.County regulations. The understgned assumes:cesponsibliity.far compliance with any
appllcable deed restrlcttons. '
UNLICENSED CONTRAGTORS AND CONTRACTOR RESPON�IBILITIES: If the awner has hlred a cantractor or
contractars to undertake work, they may be requPred to be licensed in accordance with stafe and tocat reguiafions. if fhe
contractor is not licansed as required by law, both the owner and contractor may be cited�for a misdemeanor vtolatidn
under state law. if the awner or intended contractot ace trncertain as to what licensing requirements may appty fiar the
intended work;they are advised ta contact Ehe Pasco County Building Inspection D'nrlsEon—L:icensing Seotlon at 727-84?-
80Q9. Furthermare, If the owner has h(red a corit�actor or contractors, he is advised �to have the contractor(s) sign
portians of the "contrackor Block° of this application for which they wiq be responslble. (f you, as the awner sfgn.as the
cantractor, that may be an indication that he is not properiy Rcensed�and is not entided to permitting privileges.in Pasco
County.
TRANSPORTATtON IMPACTiUTIL-ITlES IMPAGT AND RESQURCE REGQVERY FEES: The understgnec!understands
that Transpartation impack Fees and Recaurse Reaovery Fees may apply to the canstruction of new buildings, change of
use in existing buildtngs, ar expansian of exlsting buildings, as specifled fn Pasco County Ordinance number'89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may 6e due, will be identified at the time of
permitting. it is further understood fhat Transpo�tation Impact Fees and.Resource Recavery Fees,must be paid priar to
receiving a "cert�fcate af occupancy" or final power.ceiease. If-#he projeat does not�invoive a certificate of occupancy or
finai power release, #he fees must be pafd prior ta permit issuance. Furthermore, if Pasca County WaterlSewer Impact
fees are due,they must be pald priar to permlt issuance�in accordance witFi appllcable Pasco'Caunty ardinances.
CGINSTRUCTION LIEN LAW(Chapte�713, Florida Statutes�as amendedj: If valuation of work is$2;500.00 or more, I
certify that I� #he applicant, have been prov(ded with a copy of the °Fiorida Consfructlon Lien Law--Homeowner`s
Protectton Guide° prepared by the Florida�D.epartment of Agricultur� and Cansumer Affairs. If the appiicant is someone
other than the"owner�, 1 certify that 1 have abtained a copy of the above desci�ibed document and promise In good fal#h to
deliver it ta�#he"owne�"priar to commencement.
CONTRACT4R'S/4WNER'S APPIDAVIT: ! certify that a!I the-tnformatton in thPs application is accurate and that all work
will'be done In campliance with all appllcable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do. work and installatian as indlcated. 1 certify #hat no work or insfaila#ion has
commenced prior to issuance of a permit and that alt work will be performed to meet standards af ali laws regulating
canstruction, County and City cades, zaning regu4ations, and land develapment regulatians in the jurlsdictlan. 1 also
cert�yr that 1 understand that the �egulations of attier government agencles may apply to the intended wark, and'that it is
my responsibility to tdentify what actlons!must take to be in compliance. Such agencles include but are not limited to:
- Department of Environmental Protectian-Cypress Bayheads, �Wetland Areas and Environmentally Sensifive
Lands,WaterlWastewater Treatment.
- Sauthwes� Ftorida Watet Management District-Wells,. Cypress Bayheads, Wetland Areas, Altering .
Watercourses.
- Army Corps af Engineers-SeawaltsT Docks, Navlgable Vifa#erways,
- Department of Health � Rehab!lita#ive. Services/Envira�nmental Health Unit-Wells, Wastewater Treatment�
Septia Tanks.
- US Environmental Protectlan Agency-Asbesfos abafement.
- Federai Aviatlon Authority-Runways.
1 unders#and that the following restriations apply ta the usa af flll;�
- Use af fi41 is not aliowed in Fiood<Zone"V"unless expressly perm9tted.
- !€ the flN matecial is ta be used in Flood Zone "A", it fs understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
Itcensed by the State of Flortda.
- If#he fitl material is to be used in Flood Zone "A" in connectian with a permitted bu�iding using stem wal!
� consfruction, 1 certify tha#�fi0 wi8 be used only to f�N the area with[n the stem wall.
- if fill materia4 is to be used fn any area, 1 certtfy that use of�such fil! wl!! not adversely affect adjacent
propertles. I#use of fill-Is found to adversely affect adJacent prapertles, the owner may be cited for violating
the conditio�s of the buiiding permit Issued under the attacfied permit application,#or lofs less than one (1}
aare which are elevated by fltl, an engtneered drainage pian is required.
If I am the AGENT ROR THE OWNER,-1 promise in gaod.fisith ta inform the owner of khe pem�itting conditions set forth in
thls affidavit prior to commencing construatian. 1 understand that a separate perm4k may be required for elect�ical work,
plumbing, signs, weits, poots, air conditianing, gas, or other installations not speci�aally inciuded in the application. A
perm{t issued shat! be canstrued 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 e�f a permit preven#fhe 8uitdirig Officiai ftam theres#ter
requiring a•correction of errors in plans, construction or violafions of any codes. Every pernitt issued shali become invalid
uniess #he work authorized by such permi# is cammenced within=s�C months of permit Issuance, or�work autharized by
the permit is suspended or abandoned-for a periad of..slx{6)months afke�the time the work is commenced. An extensian
may be requested� in writing, from the Building �ffialal for a perlod not to exceed ninety (90) days and will demonstrate
just#fiabie cause for the extension. If work ceases far ninety(90)consecutive.days,.th�Job is considered abandoned.
WARNING TQ OWNER: YOUR.FAIL.URE TO�RECt?RD�A`Nf3TICE t?F COMMENCEMENT MAY RESULT IN YOUR
PAYING TINiGE ROR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IPITEND TO 08TAIN FINANCING,CONSUl.T
�"IT ,11i3UR LENDER OR AN A1TC?RNEY BEPQRE RECORDlNG YOUR NOTICE l�F COMMENCEMENT
F�.ORlDA JURAT{F.S.'117.Q3} �J
-..� ��.�.�_�__..�_ ..__ __' _.�// ` �y -_.'---__.�..._ _.._.-.-- _ .. __._`"__.__ ... _'__
OWINER QR AGENT�f���'e�'_" CONTRACTOR,
Subsccibed artd swom to(or affirmedj before me thls Subsalbed and b�om to(or afflrmedj,befare ms thts
by
Who(s/are personaily knawn to me or haslhave produced Wha Istare personally lcrtown to me ar haslhave produced
as IdentlBcaUon. as IdentlficaBon.
,,,�, ,, EL � N
";"' JO otary Public �". ' ' #FF ' Nokacy Publlc
��,�1 Y :a; Expites June 29,
=«: �..: mmESS on 37073 - � �,�.�g
Cammf Ar ExpiresJune29,2U18 Commiss b� �••�"•' W7hruTarfFeintnaue�+
��i�N P N �OYFB�IIII1311f8RC0BIX,�BS��Of9
Name af Natary typed,printed ar stamped Name of No¢ary typed,printed or stamped