HomeMy WebLinkAbout15-16420 _ . CITY OF� ZEPHYRHILLS
�' ° 5335-8TH STREET
(s;is)�so-oozo 16 0
BUIL�ING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16420 Address: 5015 SUMMERHILL DR
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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0100
Improv. Cost: 2,350.00 OWNER INFORMATION
Date Issued: 6/30/2015 Name: GADDIS KATHERINE MARIE & BEHRING
Total Fees: 50.00 Address: 10424 SWERLING WAY
Amount Paid: 50.00 RALEIGH NC 27614-7445
Date Paid: 6/30/2015 Phone: 919-931-1010
Work Desc: REROOF SHINGLES
CONTRACTOR S APPLICATION FEES
T&A ROOFING INC REROOF RESIDENTI 50.00
�
�? ^ � - ` S.-
�
�"% i
Ins eckions Re uired
DRY IN R OF I SP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION 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 followi�g reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or correctio�s not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site t) 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 mana ement, state agencies or federal agencies.
"Warning to owner: Your failure to record a n tice of commencement may result in your paying twice for
improvements to your property. If you intend�o obtain financing, consult with your lender or an attorney
before recording y ur notice of commencement."
Complete Plans, Specifications Must Accompan �Application. All work shall be pertormed in accordance with
City Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
C CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
LICEN ED -BONDED -INSURED
� ' TATE CERTIFIED
- 813 Robe a Ave Brooksville, FL 34601
� 352.7 4.7219/352.398.5988
- Licen e Number-CCC1327047
f�00 F 1 N G, I N C. FREE ESTIMATE
PROPOSAL / CONTRACT
DATE/ �����
�p
PROPOSA�/L SUB ITTED TO�- / PHONE PERMIT
Tjl�1 //--� (,��/G ��S'
STREET �-+ � _ j CITY,�NqZd�CODE Brooksville
V�� O �i'��Q�yL. %L� �i.,.i
TEAR OFF 2- SQ OF OLD SHINGLES CAP: Z PITCH:�2_ NOTES:
SHINGLES TILE METAL
RE-DRY IN HOUSE OR FLAT SYSTEM WITH: 15LB 30L8 X 90L6 /
REPLACE ALL BOOTS&VENTS 1 1/2"_2" Z 3"_4",�10" 11� ,�l 's�f P� ��
RIDGE VENTS�FT DRIP EDGE�� FT
INSTALL ONE LAYER OF RUBBEROID TORCH OR ADHESIVE SYSTE : �r�(j/� ('j�(JL ,
ROLLS COLOR:
INSTALL ONE LAYER OF 75L6. FIRE RESISTANT BASE SHEET WITH
TORCH DOWN SYSTEM: ROLLS
INSPECT ROOF DECKING:ALL WOOD REPAIR IS EXTRA
2X4 SPRUCE FASCIA AND TRUSS WORK$5.00 PER FT
2X6 SPRUCE FASCIA AND TRUSS WORK$6.00 PER FT
1/2"PLYWOOD$50.00 PER 4X8 SHEET
5/8"PLYWOOD$60.00 P:R 4X8 SHEET
ALL FLASHING AND RE-FLASHING OF CHIMNEYS,RISERS AND DEA ALLS IS NOT INCLUDED
ALL LABOR HAS A FIVE YEAR WARRANTY
All Materlals is guaranteed to be as specified.All work to be completed in a wor manlike manner according to standard practices.Any alteration or deviation from above
specifications involving extra costs will be executed only upon written orders,a d will become an extra charge over and above the estimate.All agreements contingent
upon strikes,accidents or delays beyond our control.Owner to carry fire,toma(io and other necessary insurance.Our workers are fully covered by Workmen's
Compensation Insurance.
ACCESS-Customer agrees to allow access to the property and realizes that heavy quipment is being used.Contractor shall not be liable for,without limitation,damage to driveways,
sidewalks,lawns,sprinkler systems,gardens,septic systems,and any other structur s thereof,as result of rooftop or job deliveries.
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR-COMPLETE llil ACCORDANCE WITH
ABOVE SPECIFICATIONS, FOR E SUM OF$ .3,�d DOLLARS
NOTE.THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED
AUTHORIZED SIGNATURE iams WITHIN DAYS
PAYMENT TO BE MADE AS FOLLOWS: HALF OF BALANCE IS DU UPON SIGNATURE OF CONTRACT.BALANCE IS DUE UPON COMPLETION OF
THE JOB.ALL UNPAILI AND OUTSTANDING BALANCES DUE HE EUNDER SHALL BE SUBJECT TO A SERVICE CHARGE OF 1.5%PER MONTH
BEGINNI G FROM DATE DUE.
ACCEPTANCE OF PROPOSAL-The above prices and specifications a d conditions are satisfactory and are hereby accepted.You are authorized to do the
work as specified.Payment will be made as outlined above.
��SIGNATURE DATE OF ACCEPTANCE
, ' 813-�so-oo�o City of Zephyr ills Permit Application Fax 813-780-OQ21
r'• . " Bui1 ing Department
� _ •
Date t2ecelveii � ". ., -_._ ....,_.�a .�.>-._ . :- Phane Gantact r Permittin - '�� - — -���
� � . `n�, n J � = :`.':»,;3,C,:.:�. ..)�...;':�.3.�,,�j�_� 1 �
OwnePs Nacne-� (-�t. 't����� • �OwnerlPhane Number . ,Rt.�� � �
Owner's Acldress z t��`-�G...�„ �-»,►..J:.��`��'r � `1 � � SL�wine`r;Phone`Numtier '��t- �
,j ,k ` . ; i' ...
. h,J . � �. ., , ('� �
Fee Slmple,�TitleholdeF Name ��3 �Owner�Phone�Numbe�, I
t
Fee Simple Titleholder Address
JOB ADDRESS �o� '....7 �U 1 ► !��� � �.� �`�—�' LOT# ��
SUBQIVISION �l,J r l.Y��L` I PARC L ID# 2 � ` I�V �AJ�1�
(OBTAINED FROM PROPERTYTAX'NOTICE)
WORK PROPOSED NEW CONSTR ApD! LT• � SIGN [� [� DEM�I.iSH
� e INSTAI:L 8 REPA R
PROPOSED USE Q SFR [� COM C� 4THEFt
TYPE OF CONSTRUGTION [� BLOCK [^] FRAM � STEEL �]
° DESCRIPTION OF WORK `'`Lr�W� �R1 N L"
BUILDIMG SIZE �i�.a�✓ � SQ FOOTAGE HEIGHT C �
QBU1LDiNG � ��� �. � VALUATI N OF TOTAC CONSTRUCTION
QEI.ECTRICAL � � AMP SER CE Q PRC3GRESS ENERGY Q 1N.R.E.C.
QRI.UMBING � � ` �
QMECNAlVICAI $ VALUATt N OF MECHANICA�tNSTAtLAT#ON
�`�OJ�'V
QGAS � RQOFING Q SPE IALTY Q t}THER
�
FINISHED FLOOR ELEVATIONS �—� FLO D`ZONE AREA QYES NO
BUiLAER OMPANY
SICiNATURE EGISTERED Y/ N FEE CURRE� Y/N
Address License# i I
ELECTRICIAN �OMPANY
SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N
Address Ucense# �^ �
PLUMBER pMPANY
SI(3NATURE EGISTERED Y/ N FEE CURREA Y/N
�ddress I,icense# � I
MECHANlCAL QMPANIt
SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N
Address� License# � �
OTHER � �cOMPANY � '� �-'�'C't��, ���,
SIGNATURE �tEGISTERED Y/ N FEE CURRE� Y/N
Address t`��it;.,�"A' !�►�" 4icense# �-k-�����{�-7 t �
RESIDENTIAI: �Attach(2}Ptaf Pisns;.(2}set`s.of:Bulicling'"Plaas;{1} e#of Energy-Fonns;R-O-W Perinit far new consbvc�on,
Minimum,ten.(•10)working'days aftec,submittal date. Required onsite,Construction Plansr Stamnwater�Plans w/Silt Pence i�stalled,
Sa�ttary��acilittes&;1,dumpster;Site Wor1c Permit r subdivisto�s/large projects
COMMERGIAL Attach(3}coinplete set�of Suili3ing'Plans plus a Lt Safeiy Page;(1)set of�nergy Fo�rr►s.R•O-W Permit for new construc�on.
Minimum ten(10)working days'after submittal date Required onsite,Constructlon Plans,Starmwater Plans w/Silt Fence installed,
Santtary Facilitles&1 dumpster.Site Wark Permik r all�ew proJects:All commerctal requlrements must meet complfance
StGN PERMiT Attacti"{2)sets of Erigineered Plans. �� �
""'PROPERTY SURVEY required for all NEW con trucUon.
Directtons: °
Fill out application completely.
Owner&Contraator stgn bacic af applica�on,natarized
tf over�2500,a Nottce of Cammenaement ts requYred. (AIC u grades over�75d0)
'" Agent(for the contr'actor)o�Power of Attomey(for the owner)wo Id be someone with notarized letter from owner authorizing same
DVER THE COUNT.ER,PERMITTING (Front of Appllcation Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fe ces(Plot/Survey/Footage)
Drtveway�-NaR over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned under.stands that thfs.p�rmit.may be.subject to"deed"restrictions°'
whlch may be:more.restrictive than County regulations. �The undersigned assumes responsibility for compllance with any
applicable deed restrictions. -
UNLICENSED COfdTRACTORS AND CONTRAC70R RESPONS181LITIES: If the owner has hired a contractor or
contractors to undertake wrork, they may be required.-to be Ilcensed In accordance.mrith state.and•local regulations. If the
contractor is not Itcensed as requlred by law, both the owner and contractor may be clted for a misdemeanor viotation
under state law. if the owner or fntended�contractor are uncertaln as to what Ilcensing.requlrements may apply�for the
intended work, they are advised to contact the Pasco County Bullding Inspectton Divislon—Licensing Sectfon at 727-847-
8009. Furthermore, if the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of thls application for which they wlll be respo�sible. If you, as.the owner sign as the
contractor, that may be an indication that he ts not.properly licensed and is not entitled to permftting privileges In Pasco
County.
TRANSPORTATION IAAPACTIUTILITIES IMPAC7 AfVD RESOURCE RECOVERY FEE3: The undersigned understands
that Transportatfon Impact Fees and.Recourse Recove.ry.Fees may�apply to the constructfon of new buildings, change of
use in �xisting buildings, or.expansion�of•ezistirig'buildings, as speclfled.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees,.as;may be due,:.wlll be tdentified at the time of
permitting. It Is further understood that Transportation Impact Fees an.d Resource Recov.ery�Fees must be paid prior to
receiving � "certificate of occupancy" or flnal pawer release. .I�the project doe� not involve a certificate ofi occupancy or
I- ��i�F�OWeP-PiH�e�Se;the-fe�s-mus4 be-paid priorto-permit-issu�nce. FurtherRnare;if:-Pasco-County 1Nate�/Sewer Impact- – -
fees are due, they�must be_paid prior to permiE issuance-In accordance with applicable Pasco County ordinances.
CONSTRUCTION LLEPI LAW(Chapter 713� Florlda Statutea,as arraended): If valuadon of wrork is$2,500.00 or more, I
certify that I, the applicant, have.been provided with a copy of the "Florida Construction Lien Law—Homeowne�'s
Protection Guide" prepared by the Florida Departmenf of Agriculture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that I have.obtained a copy.of the above.described document°and promis�in,good faith to
deliver it to the°oewne�"prior to-commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT: I ceetify that all the Inf.ormation in this appllcatlon is accurate and that all work
will�be done in compliance with all appl(cable laws regulating construction, zoning and land development. Application is
hereby made to obtain .a permit to do wock and Installatlon as indic�ted: 'I certify that no work or installatton has
commenced prior to issuance of a permit and that all work will be pe�Formed to meet standards of all laws regulating
construction, County and City codes, zoning regulatlo.ns, and land development cegulat(ons�in the jurisdiction. I also
certify that I understand that the regul�tions of other government agenc(es may apply�to the intended work, and that it is
my responsibility to identify�what actions I must take to be,in:.cortlpliance: Such agencles include but are.not limited to:
- Department of Env(ronmentai Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewrater Treatment.
- Southwest Florida Water Management District-Wells, Cypress. Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-S�awrails, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmenfal Health Unit-Wells, Wastev�rater�Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatlon Authority-Runways.
I understand that the follow►ing.restrlctions apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expressly permttted.
- If the fill rtoaterial is 4o be used in Flood Zone. "A", tt is understood that a drainage plan addressing a
°compensating volume" will be submitted at time of permift(ng which is prepared by a professional engineer
Ifcensed by the State of Florida.
- If the fill material is to be used in Flood Zone °A° in�connection�with.a �ermitted building using stem wall
construction, I certify Qhat fiil�:wlll:b.e used only.to.fill the area withln the stem wail. �'• ,.
- If fill material is to be used In any area, I certify that use. of such flll will not`'adver'sely affect adjacent
properties. If use of fill is found to adversely �ffect adJacent�properties,.the owner may be clted for violating
the condi#ions of the building:permit issued under the:attached�permit application, for�lots less than one (1)
acre which are elevated�by flll, an englneered drainage plan is requlred.
If I am the AGEPIT FOR THE OWNER, I,�promtse tn good falth to inform the owner of�the permitting conditions set forth fn
this affidavit prior to commencing construction. I underst�nd that a-separate permit may be requtred for electrical work,
plumbing, signs, wells, pools, air conditioning, .gas, or other in�tallatfons no� spec(flcally included in.the application. .A
permit lssued shall be constcued to be�a Iicen§e to proceed wfth the work and not as.authori�r to,violate,cancel, alter, or �
set aside any provisions of the.techn(cal codes; nor shall issuance�of a permit prevent the Bulldirig Ofilcial from thereafter �
requlrin a correction_�f errors In la�s constructlon or violatlons of an codes.
.9 P � y Every permlt issued shali become invalid
unless the work authorized by such permit.�is.commenced�wlthin six months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a.period of six�(8) months.afte�the time the�work is commenced. An extension '
' may be requested, In writing; from the Building.Official for a perlod=not to.exceed nlnety�(90) days a�d will demonstrate
justifiabfe 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.NOTIGE:OF•COMMENCEMEI�T �lFAY RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMENT$TO YOUR•:PR�OPERTY. IP YO.0 INTEND�T��OBT141P1•�FIPFANCING��CONSULT
WITH YOUPt'I,ENDER OR AN ATTORNEY BfFOR��RECORt71MG.YAUR-NOTICE�`O�`COMIWENCE(IIIENT�
FLORIDA JURAT(F.S.. 03) �
OiNidER OR AOE COPITRACTO
Subscribed and sv�o�-t r aHirmed)before me this Subscribed and' or aflirmedpbefore me'ttii�
by •bY
Wtio Is/are personally k owm to.me or has/Fiave produced Who Is/are personally known•to me ar haslhave produced
as IdenUflcatlon. as IdendflcaUon.
Notary Public � Notary Publlc
Commis o �g Commission No ,,=�"�Y`��•:, �OEL E.BACON
.�{::;;� nr�
_:���;:���IB� 'M: : : � '
,,,, .,,_ Commission#FF 137073 ;�a. :,<: Expires June 29,2018
- :+- .v,:
Nam Nota ' t ����y1,g,�,,,�Beooaesaa+s Name of Notary ty
a,P,�„��`'
� .