HomeMy WebLinkAbout15-16463 «.
, CITY OF ZEPHYRHILLS ,�
5335-8TH STREE['
($I 3}780-0020 �164
BUILD�NG PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Perrni� Number: 16463 Address: 38449 9TH AVE
Permit Type: RE-RC►OF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdiuision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0410-08700-0080
Imprav. Cost: 6,850.00 OWNER INFORMATION
Date Issued: 7127/2015 Name: FRUST GARY
Total Fees: 105.00 Address: 15924 E LYNNWOOD CIR
Amount Paid: 1Q5.OQ UVICHITA KS 67230-6402
Date Paid: 7I27I2015 Phone:
Work Desc: REROfJF METAL. ,
CC►NTRACTOR S APPLICATION FEES
L ROO G LL RERO F RESIDE TIAL 105.00
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' tns ect�ions Re uired
DR IN R F IN P
TAPE JOINTS ROOF INSP
FINAL �' �-) p °-���
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ctra inspection
trips are necessary due to any ane of the fallowing reasons: a)wrang acldress b)candemned work resulting
from fauity construction c) repairs or correctior�s not made when inspections calted d)work nat ready for
inspectian when called e) permit nat 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 additianal restrictians applicable to this property that
may be faund in the public records af this county, and here may be additional permits required fram ather governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner: Your failure to record a notice of commencement may resalt in your paying twice for
impravements ta your property. If you intend�o obtain financing,consult with your lender or an attorney
before recording your notice of commencement,"
Comple e Plans,Spec' � ions Must Accompany Apptication. Atl wark shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi Mt�NTHS WITHOUT APPRClVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRQTECT C�ARD FROM WEATHER
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ESTiMATES
. .c,��Mi�tHURS�oe�
o�cE (352j437-407 ��(352�650-7101
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name � w� r I Street �
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SYreet �_�?�h�'� ��� � f f�� S'� City �.
City ��•�/1 I State Zip
State�� Zip I Owner of Property
Phone Number�014 �f�� /d'3 � Fax I Phone Number Fax
We hereby propose to furnish all the materiats and pe orm all the labor necessary for the completion of:
' g1 Remove existing shingle roof ❑Replace bad fascia boards at$_ ��T1�fs� per foot �
O Remove existing built-up roof ❑Install �� feet of ridge vents
�1 Dry-i�with ❑ 15 Ib.�O 30 Ib. ❑Install mod'rfied tiitimen(granulated)torch down roofing
O Install new galvanized valley metal black,white or other color
�]Install new lead boots ❑Install 25 yr.fungus resistant 3-tab shingl�s
'�7 Install new e�hr�5t vents �Install 30 yr.fungus resistant dimensional shingles �
�Ll Install new drip edge, color O Shingle manufacturer color
�l Install new flashing as needed �����,��,���0 Install TPO,white rubberiaed roofing membr,ane
❑Replace plywood at.$ °��E�'�per sheet �lOther: �r�r �'�� �� ! ��U I'
❑Repair rotten trusses $ '�,f !�d per foot •�� �- � �"'�'�
`Woodwork is an additional charge, see pricing above ���� �� � �. �7 5�'� • ��
All material is guaranteed to be as specified,and the above work is to be performed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of$ �� �'r d, t3�
with payments to be made as follows..P�yment due in�full on com letion, unless otherwise noted. Thank You.
Creditcards acxepted,additional2.8%charge.
Arry eReretlan ar devietlon hom above spedHceUons lnwhring eztra costs wlll
be;exeeuted only upon wrilten orders;:and xrlll 6ecome an extra cherge over end
above ttie,estlmete.All agree�meiits corhingent upon sMkes,acdderits or delays Officer/A A�1t
tieyond.'our control.Oxmer to caiiy'fjie,.tomedo end other neceseary Insurance 9.
uPon aeove wonc wor��s�CompensaUon and Pubtic Llebfqty insurence an above Note: This proposal may be withdrawn by us if not accepted
werk to tie'telieri oiit'tiy Ro6Bng Contractar.
'' ''� within days.
Clienf gives�qermission to drive on driveway to deliver matelrials.
ACCEt�'ANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and a�e hereby accepted.You are authorized to do the work as
specified.I have read the back of this ProposaVContract,which contains Florida Statues 713.001-713.37.Payment will be made as
outlined above. I .
Accepted Signature
--Date I Signature
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2015116799
PCey No. Permit No. Rcpt,:1700009 Rec: 10.00
DS: 0.00 IT: 0.00
8�OT9C� �F �O�E�I��lCE�Cf��9,r 07/23/2015 K. R. M. , Dpty Clerk
TFiE UNDERSIGi��D hereby gives notice that irriprovement will e ;i , 2(Q- 2,� _ Ob��°��Z�r ��
Made to certain, and in accordance with Chapter 713,Florida State d
Statues,the following information is provided in this{Uofice of 384� C��k4 �� �e�yQ�,�g
Commencement: � � �
1. Description of Property: Parcel No.: ��a�q. � 10 ,�c.�t,.$�C�z✓o� Zept►�Q�1�tLS
(Legal description of fhe prope and sYree a dress if availa6l�)
2. Generai Description of Improvement:
H .� � ' 'e � - �, 2� �
3. Owne Information: iVame: I �{���tb
Address: 5117 �as- L�.� � e.. City �c,�,-�o.. State 1GSZip ?Z3d ���,�
Interest in Property: wa3.GZ.
Name and �ddr�e-ss ofi Fee Simple Ti�leholder(Ifi ol er fihan owner) : _
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� �. Contractor: i�ame: TLC ROO�I(�G LLC I
Address: PO �OX 1745 I City DADE CITV Sta�e FL Zip 33526 �
Phone No. 352-�73-4073 Fax IVo. 352-473-4073 � o J�
5. Surety: fVame N/� Amount of Bond: � �w�
Address: iT I Cify State_Zip ' ��m
Phone No. I Fax No. �
6. Lender: Name:�/A. � .. � ��
Address: City Sfiate_Zip N0D�
' Phone No. Fax No. w�"�
�~D
7. P�rsons writhin the Stat�ofi Florida designated by Owner upon whom notices or other doc�aments may be 3 0
� s�rved as provided by Secfion 713.13(1)(a)(7) Florida S�atutes. : -o � ,
f�ame: � "�''�
I Address: I City Sfate_�ip ,No��
Phone No. I Fax Rlo. ���o
S Ir� addition�o himself or herself, Ouvner dESignatel's tJ/� or '� �
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To receive a copy of the L�inor's}Votic�as provid�d in Section 713.13(1)(b), FIOPida S4�itJfeS. : m
9. �xpiration dafe of Notic�ofi Commencement(the expiration date is 1 year oi recording unless a differ�nt �
date is specifted.)
Me'ARPlIPdG TO O!R!RlEF?:Eaft1Y PE�Vft9�tUTi S MIaDE BY THE OWRfEP2�FTEi2 THE EXPfRAl70P1 OF TPrOE ft10Y10E OF COEIAM�R9CE{1AENT ARE
CONSIDERED IMPEdOPER PAYIIE1�t�TS US�DER CHAPTER 773,PB,RT 9,SEC 773.13,FLOR1D�a S�ATUTES,.�ND CAN RESULT lN YOUR
PAdYIR1G T4MICE FOR!@APROVEtll1ER1TS TO YOUR PROPERTY.F1 RlpY10E OF COMkl�ENCEf1flEl�fT fl11UST 6E RECORQED.�M�POS i ED Oftl YHE
JOB SITE BEF062E THE FIF+�ST INSPECTIOW.IF YOU IPlTEND TO OBTAIN FIfVAR9C1A1G,CONSULT UHIYW YOUR LENDER Of2 AI�ATTORNEY
B�FORE CO E1� C{P9G 1R! RK OR RECORDING YOUR R10TICE OF COMA9El�CEMEM3.
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Signature of Owner or Ovmer's A ed Officer/Director/Partner! anager Signatory's Title/Office
'°'Sigee�4ure Requieed 6y same below by`X„mark°°"
State of I l C�r1,s�r 5 County of J�t,G�II�c!
The forgoing instrument�was acknowledged before me this l7 day of�,20J�by L�5�,'� � ,��n ,fh
/�/ D / (Printed name of person acknowledging)
as /U d�ir l2./ ! t�(��� " for
(Type of aufhority e .,office,trus4ee,attomey in fact) (Name ofi party on behalf of who i�strumen4 was execute�
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Signature of Notary Print . tam o
Personally known�OR Produced�dentfication Notary Public-State of Kansas
Type of Identification Produced: � My Appt. Expires O8 - p/a.�;S
!le�ca4ion pursuanfi to Section 92.525,Florida S�Yufes:under f�es�al�ies of perjuPy,l declare 4ha4 I have eead the 4oeegoing and 4hat 4he fac9s
s8ated ics it are 8rue to the 6es4 of e�y knowledge and belief.
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e�s-7ao-oozo City of Zephyrh�lls Permit Application Fax 813asaooz�
; '� 8uIldi g Departtrtent
Date Reeetved � � " �1 phone-Cantact for Permlttin -
. � � ,,.. � �a o ��'' • fd'
''i Owner s Name (�i m./" Owner Pbone Nurt�ber
Owner's Address � �G1 da✓ �G'� Owner Phone Numlaer � �
Fee Slmple Titleholder Name ���'�f .�`"b�"�"'' Owner Phone Number � �
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Fee Slmple Tltleholder Addres�
JOBADQRESS �� U ��'�` LOT# [___�
SUBdIVIS10N �— � PARCEL�d#
(OBTAINED FROM PROPER7YTAX NQTICE)
WORK PROPOSED , e NEW CONSTR 8 ADDIAL� � 51GM1f � Q pEMOLtSH
INSTALL REPAIR
PROPOSED USE Q SFi2 Q COMM Q QTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME� � $TEEL Q
DESCRIPTION OF WORK ,�dl u'� `�t'"r"� O p� � �! �,T //�J
BUILDING S1ZE C�� ��� SQ FOOTAGE ���O HEIGHT �_____ry� Y�
D�U��'����' ''������1���,,_ � VAtUATIOtV OF T07A1 CONSTRUGTION 77" '� � '
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QELECTRICAt � � AMP SERVIGE Q PRC?GRESS ENEf2GY Q W.R.E.C.
QPLUMBING �6�� `
QMECHANtGAL $ VALUATION t3F MECHANICAI.INSTAILATlON � ����'v
QGAS Q ROOFiNG Q SPECI LTY � OTHER
FINISHED FLOOR ELEVATIqNS ��� FI.00D ZQNE AREA QYES NO
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BUI�DER CO PANY � / �yr
SIGNATURE REGISTERED Y/ N FEE CURR Y./N
Address � License# � � �
ELECTRICIAN COIMPAHY
� SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N
Addre�s ' � Ucense# �� j
PIUMBER . C�MPANY �
SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N
Address � License# � �
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MECHANICAI. CG}MPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
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Address License# �—� �
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QTHER COMPAt�tY �
SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N.
Address I license# � �
REStDENi7A1: Attach{2}piat Plans;.(2}sets af Building'Plans;{1}set�af�nergy Farrns;R-O-W Permlt for new constructlon,
Minlmum ten:(1.0)woricing'days after..submittal date. Requlred onsite,Constructian Plans,Stortnwater Plans w/Silt Fence installed,
Sanitery Facilides&1 dumpster;Site Wotk Permit for subdiVisionsAarge.projects - -
C4MMERCIAL Attach{3)compiete sefs�isf Su[Idirig Pians ptas a l.ife Safetyr Page;(1}set of Energy Fotms.R O•W Petmit for new canstrucHon.
Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stortnwater Plans w/Silt Fence installed,
SaMtary Facllitles&1 dumpster.Site Work Perm(t for all new proJects.All commercial requtrements must meet compliance
StGN PERMIT Attacli{2}sets of Englneered Plans.
"*"PROPERTY SURVEY required for all NEW const ctlan.
Dlrectlons:
Fill out applicaUan completely.
Owner&Contractor stgn back of applicaBon,notaiized
if over 52540,a Notice af Commencement is required. {NC upgtades over 57500j
" Agent(for the contractor)or Power of Attamey(far the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTING �'(F�oiit of:Applida'tion Only}"°.';;°%';��•��,; ,
Reroofs if shingles Sewers Seivice Upg�acles;A/C'.�' Fence �(PIoUSurvey/Foatage)
; . , r,:' .��:; .,;, �;_, . H
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Driveways-Not over Counter if an pubNc,�roadway`s::need`s`ROW� "' =
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NOTICE OF DEED RESTRICTIONS: The undersigned undergtands.th�t.this.p�tmlt.may be;subJect,to"deed"restrictions" _
which may be�more.r.est�Ictive-than County:regulations:�The undersigned'assurties-responsibility for�compliance witFi any
applicable deed restrictions. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has'hired a conhactor or
contractors to undertake work, they may be:required,-:to be;Ilcensed In accordance.with state.and�local regulations. .If the '
contractor ts not Qcensed as�requlred�tiy law, both the owner and contractvr-inay be-clted for a�misdemeanor violatton
under state Iaw. If the owner or Intended°contractot,are:uncertaln as to what Ilcensing.requlre�nents may:�apply,��or.the
intended work, they are advised to contact the Pasco County Building Inspectlon Division—Licensing Sectton at T27-847-
8009. Furthermore, If the owner has hl�ed a contracto� o�contractors, he is advised to have the contractor(s) sign
portlons of the "contractor Block" of this application for which they will be responsible. If you,-as.the owner sign'a's'the '
contractor, that may be an indication that he is not.properiy licensed and�is not entitled to pem�iftting privileges in Pasco
County.
TRANSPORTATION-IMPACTIUTILITIES�IMPAC7�ANb RESOUitCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may��apply•to°the construction of new bulldings,,change of '
use in existing buildings, or.expansion=of�eXisting'-buildings; as specified.in Pasco County Ord(nance number 89-07 and
90-07, as amended., The undetsigned also�understands, that such fees� as;may be�:due;,:will:be tdentified at the�time of
permitting. It Is furtlier understood that Traasportation impact Fees and�Resource RecoVery Fees must be paid prior to
recefving a �certfficate of occupancy" or flnal power-.release. :If the project�does.not involve,a certificate of occupancy o�
flnal power release,_the.fees must be paid prtor to permit Issuance. Ft�tthermore;�if Pasco.County WatedSewer Impact
fees a�e due, they must be�pald prior to permit-Issuance-in accordance wltlf appllcable.Pasco County ordlnances.
CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes�as amended): If valuatlon of work is$2,500.00 or more, I
certify that I; the applicant, have-been provided with a copy- of the "Florida Constructlon: Lien Law—Homeowner's
Protection Gutde" prepared by the Florida Departme�f of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that I have.obtained a copy.of the above.described docui�ent°and.promise in,good faith.to
deliver It to the'owne�"prior to�commencement: �
COIVTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the-,Inf.ormatlon In this appifcation is accurate and that all work
will�be done in compliance with ail applicable laws regulating construction, zon(ng and.land development. Application is
hereby made to obtatn .a permit to do_ work:.and Installation as IndlCated� 'I certify that no work .or Installatlon has
commenced pr(or to Issuance of a permlt and that.all work will be pertormed 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 u�derstand that the regulations of other government agenc(es may�apply�to the intended work, and that it is
my�esponsibility to(dentlfy�what.act(ons I must•take.to be�in:.corr�pliance; Such agencles include but�are.not Iimited to:
- Department of Environmental�Protection=Cypress.�Bayheads; Wetland Areas and Environmentaliy Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management I�istrtct-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engtneers-Seawalls, Docks, Navigatile Waterways.
- Department of Health 8 Rel�abi8tative Services/Environmental Nealth Unit-Well.s, Wastewater�Treatment,
Septic Tanks:
- US Environmentai Protectfon Agency-Asbestos abatement.
- Federal Avtatlon Authority=Runways. ' .
I understand that the following.restrictions apply to the use of flll:•
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the flll material is to be useil.�in. Flood Zone. "A", it. (s understood that a drainage plan addressing a
"compensattng volume" wlll be submitted at time of permifting which is prepared by a professional engineer
Iicensed by the State of Florlda.
- If ihe fill material is to be used in Flood Zone °A" In�connectlon�with.a permitted building using stem wall
construction, I certify that fill<wlll::b.e used only.to.fill the area wlthtn the stem�wail.
- If flll mate�ial fs to be used in any area, I certify that use. of. such flll wili not adversely affect adjacent
properties. If use of flll Is found to adversely.�ffect ad)acent��propertfes,.the owner may be cited for viofat(ng
the condi#ions of the building:permit issued•under the attached �ermit appl(cation, for lots less than one (1)
acre which are elevated�by flll, aR 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 const�uctlon. I understand that a-separate permlt may be requtred for electrical work,
plumbing, signs, wells, pools; alr conditioning, .gas, vr other installatlons noE,spec,ifically inclu�ied�in.the application. .A
permit issued shall be construed to be a license to=p�oceed with tlie work and not as:authority to,violate,.cancel, alter, or
set aside any provisions of the techn(cal codes;�nor shall Issuance�of a.permit.prevent the Bulldirig Offictal from thereafter
requiring a correction af errors In pla�s, const'uction or violatlons of any codes. Every petmit issued shall become invalid
unless the work authorized by such permlt�ls.commenced•within si�c months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of�six f8)montF�s after the time the�wo�k 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 fot the extension, If work ceases.for ninety(90)consecutive.day.s,.th�job ls conside�ed abaadoned.
WARNING TO OWNER: YOUR.FAILURE.TO.REC.ORD A NOTIGE OF�COMMENCEMENT NFAY RESUlT IN�YOUR
PAYING TWICE.FOR IMPROVEMEN.TS TO YOUR:PROPERTY. IF�YO.U�IN'�END�°T�'OBTAIN•FIHFANCING;�CONSULT
WITH YOUR ND O. AN•ATTORNEY� FORE�RECORD G�� OU ' O �CE�:OF�� �` � E CE NT'
FLORIDA JURA�(F.S.1.17.03) � — `- -�'--� -
OWNER OR A(iENT CONTRACTO '
Subscribed and swom to(or aflirtned)before me thls Subscribed and'swom to(or aflirmedp re me ttiis
by . y
Who Is/are personally known to.me or haslhave produced Who Is/a e p.ers all own to me or has/have produced
as'identlflcatlon. as IdendftcaUon.
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- Notery Public �2 Notary Publlc
Commisslon No. Com lon
a��t'' JACQUELINE BOGES '
•'i��''�.�t
Name ot Notary typed,printed or stamped Name of �� ,p�,@ �q��pp�g
,�, o��,:
,�'i Q �jy`.• Bonded ThN Tray Fain Ineurance BOOJ85-7019
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