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Home My WebLink About15-16464 - — - -- 1 -T CITY OF�ZEPHYRHILLS �� 5335-8TH STREET (sa3}�eo-ooza 16g64 t � BUILDING PERMIT ,,.��'� ° PERMIT INFORMATION � ( LOCATION INFORMATION Permit Number: 16�64 Address: 5'I17 SUMMERHI�L DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: RQO� REP�ACEMENT Township: Range: Book: Proposed Use: SiNGLE FAMiLY RESIDENTIAL Lot(s): Block: Sec#ion: Square Feet: Subdivision: SUMMERHILL Est. Value: Parcet Number: 12-26-21-0100-00000-0180 Imprav. Cost: 10,200.00 OWNER INFORMATION Date Issued; 7127I2015 Name: FRC}ST GARY Tatal Fees: 225.00 Address: 15924 E LYNNWOOD CIR Amount Paid: 225.Q0 WiCN1TA KS 67234-6442 Date Paid: 7I27J2015 Phone: Work Desc: REROQF META� ' CONTRACTQR S APPLICATION FEES TL ROOFING LC� R O RESI NTIA 1 5.00 TER E F T 90.00 �..N ' " �� .� Ins ec ions.Re uired DR IN R F IN � TAPE JOINTS ROOF INSP F I NAL REINSPECTION FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c)when eyctra inspection trips are necessary due to any one of the following reasons: a)wrang address b�condemned work resulting from fauity canstruction c} repairs or correctior�s not made when inspections called d)work not ready for inspection when called e) permit not posted on job site� plans not afi 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 recards of this county, and�there may be additional permits required frorn other governmental entities such as water manag,ement, state agencies or federal agencies. "Warning to awner; Your failure ta record a natice of commencement may result in your paying twice for improvements ta your property. If you intend�o obtain financing,consult with your lender or an attorney befare recording your notice of commencement." Campl e Pians, p cific 'ons Must Accompany�Apptication.AII wark shall be pertarmed in accordance wi#h City Codes and Ordinances. NO OCCUPANCY BEFO C.O. ,.-�. CONTRACTOR 51GNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MCINTHS WITHOUT APPR4VED IN5PECTION CALL FOR TNSPECTION - 8 HOUR NOTICE REQUIRED PRUTECT G�ARD FROM 1NEATHER � � �o ��iTAiE , �i ' : �TiF�� c, �� ,, �� 1aG�71� , Y�ff� �C� �RWr�ES d � � � �E �Ot�i N�D ESTIMATES ' ca��.�n,��iuRSTOe� o�cE (352�437�401Q G�(3521650-7101 PROPOSAL SUBMIITEDTO WORKED TO BE PERFORMEDAT I Name�st r�y� �y� rr� Street Street„� � �� `�''��!�/��!' G<�� _ CityY C�y �� State Zip � �ate �� Zip � Owner of Property Phone Number �o�C� ��l J. /1��1 Fax Phone Number Fax � � We hereby propose to fumish all the rnate�ials and perform all the lapor necessary for the compietion of: 0 Remove existing shingle roof ❑Repiace�bad fascia boards at$ pe�foot � ❑Remove existing built-up roof ❑Install feet of ridge vents �Dry-in with ❑ 15 Ib. O 30 Ib. ��A'` �a�� O Install modffied tiitimen(granulated)torch down�oofing 0 Instail new gaivanized vailey metal black,white or other color O Install ne�d boots �J 0�� , O Install 25 yr.�fungus resistant 3-tab shingles �EI Instail new exhaust.vents 0 Install 30 yr.fungus resistant dimensionai shingles � �Install new drip edge, color O Shingle manufactu�er color �El Instali new flashing as needed ❑:Install TPO,wrhite rubberized roofing membrane �Replace plywood at$ t"7'�.�� per sheet ��ther. d.. J � J1�(��'�r �� - ❑Repair rotten tn.isses at$ per foot *Woodwork is an additional charge, see pricing above All maferial 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 substant�al workmanlike manner for the sum of$ ,��. .��. � with payments to be made as follows. Payment du� in full on completion, unless otherwise noted. Thank Yo�o Credit cards accepted,additional 2.8%charge. Arry afteradon or devietlon hom above spedHeatlans InvoNing extra costs wfll , be executed only.upon written orders,er►d vrlll become en exve cherge over and above the estlmate.All ageeements corningent upon sMkea,acefdeMs or deiays - beyond our control.Owner to carry flre,tomedo and other necessery insurance OfficeNAgent� upon above wonc.wo�cers�Compensatlon and Pubiic LlebiUry insurance en above Note: This proposal may be withd rawn by us if not accepted woAc to be teken out by Roofing Corrtractor. writhin days. Client gives peRnission to drive on driveway to deliver mate�ials. I ACCEF�TANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.I have read the back of this ProposaUContract,which contains Florida Statues 713.001-713.37.Payment will be made as outlined above. ,t Accepted Signatur� �1�,� k-' � t �-,/ Date � Signature � ' � rionaa tsuiiamg t,oae unime Yage 1 of 3 I �. - �-.�- - t - :n:� ,�«„p„ _ - __ �0i�' . �. ` e F{� :�"' � :.�... .:, � .�e � i�a �Sf ' � . e � B Ili a 6 t r� � � ...�r:. •.. �':"-;: �-•�. �j � I'. ' ?.� ... _ —_ �c,_ -;,r� ...7 `'-+.,-. ��`I.``.�;s-�'".��,---;� `i''s``��I �' �: �• '}r• Florida Departrr�ent� �BCIS Home I Log In j User Registratlon ( Hot Topi6 � Submi[Surcharge 3 Stats&Facts � Publicatlons p FBC Staff I BQS Slte Map �•LIn16 � Search � Busines Professi � I � -�_�'_ Product Approval �, USER:Publlc User Regulation Produc[Aooroval Menu>Product or Aoolication Search> Iicatlo List>Appli�ation Detail a ro. FL# FL7271-R3 " ' Applicatlon Type Revision Code Version 2014 Application Status Approved Comments Archived _� Product Manufacturer UNION CORRUGA7ING COMPANY Address/Phone/Email 701 S.KING ST FAYETTEVILLE,NC 28301 (910)483-0479 6ct 256 J sUeby@u nioncorruga tlng.com Authorized Signa[ure ]ohn Stfeby / �� js[leby@unfoncorrugating.com Technfc pre ve Address/Phone/E '� �y`�� `�t �� t]�V,"� ��iTdf�A��ceR��enta e ,. i�j,�� O d��/��p��mai pLP�s��90 r�� Rooflng Subcategory Metal Roofing Compilance Method j Evaluation Report from a Florida Regis[ered Archftect or a Licensed Florida �L (� Professlonal Engineer CO�`��YS t��v J Evaluatlon Report-Hardwpy Recefved y Ly�J c��titi (�� P� t j �Od�F¢i4��9'�j�it'ectNerr(e,��J�oped t e Bala Sockalingam �baT =u�,�� .�� Av",T^��I,�ice ��'�� O,�C�� PE-62240 '4�v Cr'�at{��u�n i�5 �Y Keystone Certificatlons,Inc. �O�}�Q li ontrad Explration Date 12/31/2020 ��'� BY Yoosef Lavi,P.E. �; Validation Checklist-Hardrnpy Received CertiFlcate of Independence FV 271 R3 COI Certificatelndeoendence odf Referenced Standard and Year(of Standard) Standard vear ASTM E1592 2001 FM 4470 1992 `UL 1897 1998 UL 1897 2004 UL 580 1994 UL 580 2006 Equivalence of Product Standards I Certified By Florida Llcensed Professional Engineer or Architec[ � FL7271 R3 Eouiv Tes[Eouivalent 7271 UL odf � FL7271 R3 Eauiv TestEouivalent C1999 19.odf � Sec[ions from the Code http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvtEeYw06E10... 7/27/2015 r�londa t3uildmg (;ode Unline Page 2 of 3 . � Product Approvai Method Method 1 Optfon D Date Submltted 03/23/2015 Date Validated 04/OS/2015 Date Pending FBC Approval 04/13/2015 Da[e Approved 06/23/2015 Summary of Products I � FL# Model,Number or Name Descrtption 7271.1 2-1/2"Cortuga[ed Panel Min 26 ga.,24"wide through fastened panel with rnverage width of � 21d/4" � Limits of Use Installation Instructions ' Approved Tor use In HVHZ:No FU271 R3 II EvaluationReoortC1999 9.odf �I Approved for use outside HVHZ:Yes Verified By:Bala Sockat(ngam PE 62240 Impad Resistant:N/A Created by Independent Thfrd Party:Yes Deslpn Pressure:+N/A/-129.25 Evaluation Reports i Other:UpIiR load of 129.25 psf @ fastener spacin of 24"o.c.over FV 271 R3 AE EvaluationReoortCi999 9 odf 19/32"thick plywood � Created by Independent Third Party:Yes 7271.2 SV � Min 26 ga.,24"wide through fastened panel over 15/32'[hick plywood Limlts oP Use Installation Instructlons Approved for use In HVHZ:No FV271 R3 II EvaluationReoortC1999 10 odf Approved for use outside HVHZ:Yes ' VeriFled By:Bala Sockalingam PE 62240 Impact Reslstant:N/A Created by Independent Third Party•Yes Deslgn Pressure:+N/A/-66.3 Evaluation Reports Other:UpIiR load of 66.3 psf @ fas[ener spacing of 12"o.c. FL7271 R3 AE EvaluationReoortC1999 10 odf � Created by Independent 7hird Party:Yes 7271.3 SV I� Min 29 ga.,24"w(de through fastened panel over 15/32"thick plywood or 7/16"thick OSB , Limlts of Use Installatlon Instructlons Approved Tor use in HVHZ:No FV271 R3 I[ Evalua[ionReoortC1999 ii.odf Approved for use outside HVHZ:Yes Verified By:Bala Sockat(ngam PE 62240 , Impact Reslstant:N/A Created by Independent Third Party:Yes Desipn Pressure:+N/A/-52.5 Evaluation Reports Other:Upllft load of 52.5 psf @ fastener spacing of 12"o.c. FV 271 R3 AE EvaluationReoortC1999 11.odf I Created by Independent Third Party:Yes 7271.4 SV Min 26 ga.,24"wide through fastened panel over 19/32"thick plywood ' Llmits of Use Installatlon Instructlons Approved for use In HVHZ:No FL7271 R3 II EvaluationReoortC1999 12.odf Approved Tor use outside HVHZ:Yes Verified By:Bala Sockalingam PE 62240 Impact Resistant:No Crea[ed by Independent Third Party:Yes Desiqn Pressure:+N/A/-120.9 Evaluation Reports Other:Uplift load of 120.9 psf @ fastener spacing of 24"o.c.for FL7271 R3 AE EvaluationReoortC1999 12 odf Fastener Pattem 1.Upiift load of 85.8 psf @ fasten@r spacfng of 24"o.c. Created by Independent Third Party:Yes ' and 113.1 psf @ fastener s acing of 12"o.c.for FaStener Pattem 2. 7271.5 SV I Min 26 ga.,24"wide through fastened panel over 15/32"or 19/32"[hick plywood ' Llmits of Use Installatlon Instructions Approved for use in HVHZ:No FV271 R3 II EvaluationReoortC1999 13 odf Approved for use outside HVHZ:Yes Verifled By Bala Sockalingam PE 62240 � Impact Resistant:N/A Created by Independen[Third Party:Yes Deslgn Pressure:+N/A/-150 Evaluation Reports Other:Uplift load of 150 psf in 19/32"thick piywo d for Fastener FV271 R3 AE EvaluationReoortC1999 13.odf Pattern 2 Created by Independent Third Party:Yes 7271.6 Advantage-LOk II I Min 26 ga.,16"wide concealed fastened panel over 7/16"thick OSB& 15/32'&thitk plywood Llmits of Use Installation Instructlons Approved for use in HVHZ:No FV271 R3 fI EvaluationReoortC1999 S4 odf Approved for use outside HVHZ:Yes VeriFled By:Bala Sockalingam PE 62240 Impact Reslstant:N/A Created by Independent Thfrd Party Yes Design Pressure:+N/A/-112.5 Evaluatfon Reports Other:Upl(R load of 52.5 psf @ fastener spacing of 6"o.c.and uplift FL7271 R3 AE EvaluationReoortC1999 l4.odf load of 112.5 psf @ fastener spacing of 6"o.c.wlth�struc[ural sealant. Created by Independent Third Party:Yes 7271.7 Advantage-Lok II I Min 26 ga.,16"wide concealed fastened panel over 15/32"&19/32" thick plywood Limlts of Use Installation Instructlons Approved for use in HVHZ:No FV271 R3 II EvaluationReoortC1999 SS.odf Approved for use outside HVHZ:Yes Verified By:Bala Sockalingam PE 62240 Impact Resistant:No Created by Independent Third Party Yes Deslgn Pressure:+N/A/-107.9 Evaluatlon Reports Other:Uplift Ioad of 59.4 psf @ fastener spacing f 6"o.c.in 15/32" FL7271 R3 AE EvaluationReoortC1999 15.odf plywood.Uplift load of 97.5 psf @ fastener spacing of 6"o.c.with Created by Independent Third Party:Yes s[ructural sealant in 15/32"plywood.UpliR load of 07.9 psf @ fastener spacing of 4"o.c.with structural sealant in 19/32" I wood. 7271.8 MasterRib � Min 26 a.,36°wide through fastened anei over 19/32°thick lywood Llmits of Use Installatlon Instructlons Approved for use in NVHZ:No FV271 R3 II EvaluationReoortC1999 16.odf Approved for use outside HVHZ:Yes Verified By:Bala Sockalingam 62240 Impact Resistant:N/A Created by Independent Third Party•Yes Design Pressure:+N/A/-1143 Evaluation Reports Other:Upiift load of 61.8 psf @ fastener spacing Qf 30"o.c.and 114.3 FL7271 R3 AE EvaluationReoortC1999 16 odf psf @ fastener spacing of 24"o.c. I Created by Independent Third Party:Yes 7271.9 MasterRib � Min 29 ga.,36"wide through fastened anel over 15/32"thick piywood Limits of Use Installatlon Instructions Approved for use In HVNZ:No FV271 R3 II EvaluationReoortC1999 17.odf Approved for use outside HVHZ:Yes Verified By•Bala Sockalingam PE 62240 Impact Resistant:N/A Crea[ed by Independent Thtrd Party Yes Deslgn Pressure:+N/A/-113.1 Evaluatton Reparts Other:Uplift load of 45.0 psf @ fastener spacing f 24"o.c.&113.1 psf FV271 R3 AE EvaluationReoortC1999 17.odf @ fastener spacing of 12"o.c. � Created by Independent Third Party:Yes http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvtEeYw06E10... 7/27/2015 r�lorida�3uilding C;ode Unline Page 3 of 3 7271.10 MasterRfb Min 29 ga.,36"wide through fastened panel over 15/32"thick plywood or 7/16"thfck OSB • Llmlts of Use Installation Instrudlons � Approved for use in HVHZ:No FL7271 R3 II EvaluationReoortC1999 18.odf Approved for use outside HVHZ:Yes Verified 8y:Bala Sockalingam PE 62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-52.5 Evaluatlon Reports Other:Uplift load of 52.5 psf @ fastener spacing of 12"o.c. FL7271 R3 AE EvaluationReoortC1999 18.odf Created b Independent Third Pa :Yes 7271.11 MasterRib I Min 29 ga.,36"wide through fastened panel over nom.1"x 4"furring and 15/32'thtck plywood or 7/16'thick OSB Limits of Use Installation Instructions Approved Tor use in HVHZ:No FV271 R3 II EvaluationReoortC1999 19.odf Approved for use outslde HVHZ:Yes Verified By:Bala Sockalingam PE 62240 Impact Reslstant:N/A Created by Independent Third Party Yes Deslpn Pressure:+N/A/-114 Evaluation Reports Other:Uplift load of 71 psf for Fastener Pattem 1�114 psf for Fastener FV 271 R3 AE EvaluationReoortC1999 19.odf Pattem 2 � Created by Independent Third Party:Yes 7271.12 ML200 I Min 24 ga.,max 16"wide standing seam metal panel with doubte lock seam over metal deck. LimitS oT Use Installatlon Instructlons Approved/or use In HVHZ:No FV271 R3 11 EvaluationRe�ortC1999 20.odf Approved for use outslde NVHZ:Yes Verified By:8ala Sockalingam PE 62240 Impact Resistant:N/A Created by Independent Third Party:Yes Desipn Pressure:+N/A/-116.0 Evaluatlon Reports Other:Uplift load of 71.0 psf @ cilp spacing of 36"o.c.and 116.0 psf @ FU271 R3 AE EvaluationReoortC1999 20.odf cli s acing of 12"o.c. I Created by Independen[Third Party:Yes 7271.13 PBR � Mfn 26 ga.,36"wide through fastened panel over 15/32"thick I ood Limits of Use 2nsta1lation Instructfons Approved for use In HVHZ:No FL7271 R3 It EvaluationReoortC1999 21.odf Approved for use outside HVHZ:Yes Verified By:Bala Sockalingam PE 62240 Impact Reslstant:N/A Created by Independent Third Party:Yes Deslgn Pressure:+N/A/-52.5 Evaluatlon Reports Other:Uplift load of 52.5 psf @ fastener spacing of 12"o.c. FL7271 R3 AE EvaluationRe�ortC1999 21.odf � Created by Independent Third Party:Yes 7271.14 SL175 I Min 24 ga.,max i6"wide snap-lock standing seam metal panei over metal deck. Limits of Use Installation Instructlons Approved for use In HVHZ:No FL7271 R3 II Evalua[IonReoortCi999 22.odf Approved for use outside HVHZ:Yes Verified By:Bala Sockalingam PE 62240 Impact Reslstant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-86.0 Evaluatlon Reports Other:Uplfft load of 63.5 psf @ clip spacing of 36"o.c,and 86.0 psf @ FV 271 R3 AE EvaluationReoortC1999 22.odf clip spacing of 12"o.c. Created by Independent Third Party:Yes � �^�` ConWCt Us D North Mon e Street Tallahassee FL 32399 Phone:B50-487-1824 The 5[ate of Florida is an AA/EEO employer.Copvlloht 2007-2013 Sta[e of Florida.::Privacv Statement Accesslbllitv Statement::Refund Statement Under Florida law,email addresses are public recoNs.If I ou do no[want your e-mall address released in response to a pubifrremrds request,do not send electronlc mail to[his entity.Instead,contact[he office by phone o by traditional mall.If you have any questlons,please contaG 850.487.1395.�Pursuant to Set[lon 455.275 (1),Florida StaNtes,effiec[ive October 1,2012,Ilcense Ilcensed under Chapter 455,F.S.must provide the Departmenc wlth an emall address If they have one.The emalls provided may be used for offlcial communlcation with the Ilcensee.However email addresses are pubilc rernrd.If you do not wish[o supply a personal address, please provide the Departmen[with an emall address wf�lch can be made avallable to the public.To determine if you are a Iicensee under Chap[er 455,F.S.,please click here. Product Approval Ac�pts: � � �� SCC71TIiV Dt3•:T)Ui:ti � + http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvtEeYw06E10... 7/27/2015 a 813-7$0-0020 City of Zephyrh;lls Permit Application Fax 813-780-Op21 BuiEdi�g t}epartment Date Reaeived y f Q� Phone-Cantact fpr Fermittin — Owne�'s Name C�� +, Owner Fhone Number � �� y'�''�'„�„Ld 3 I Qwner's Address � � 7�--"`—"�'�� f�1'�G�'I G�.+ Owner Phone Number �- � Fee Simple Tltleholder.Name �— � Owner Phone Number � � i Fee Simple Titleholder Address �--y t JOB ADQRESS ��r ( ��-�'� '� LOT# i SUBDiV�SION �i � PARCE 1D# (OBTAINED FROM PROPERTYTAX NOTICE) W4RK PROPOSED NEW CONSTR ADDlALT � SIGN � Q DEMOlISH e INSTALL 8 REPAIR PROP4SEO USE Q SFR Q COMM � 0 o�E�t TYPE QF CONSTRUCTION Q BL.00K [� FRAME , � STEEL Q DESCRIPTION OF WORK G� '�� °� � �f�" �� "'i.r5f'�Y � '� C.-._� �� .. BUiLDtNG SIZE � S4 FOOTAGE �� , HEIGHT �B�«�� )+ �� v� VALUA710N 4F TOTAL CONSTRUCTION f��' � QE�ECTRICAI. �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPlUN€BING � � ` QMECHANIGA� � � VALUATIO OF NIECHANICAI.INSTALlAT1{�N � QGAS Q ROQFING Q SPEC1 3l.'FY �� t}THER FINISHED FLOOR ELEVATIqNS FLOODI ZONE AREA QYES NO � BUi�DER v CC�MPANY f�� fT DiLf '�'r SIGNATURE REGISTERED Y/ N FEE CURRE�� ,Y/N Addr�ss � Gcense# r— � ElECT121C1AFt C MPANY SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N i Addre�� License# �� PIUMBER C �MP.A1�lY SIGNATURE Re�aISTERED Y/ N FEE CURRE� Y/N Address License# � i� MECMr4l+i1CA4. COMPANY SIGNATURE RE�ISTERED Y/ N FEE cuFtRen Y/N Address � License# �� OTFiER CONIPANY SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N Address � License# �` � RESIDENTIAI. Attach(2)Plot Plans;.{2}seis of Btiilding Plans;{1}se�of Energy Forms;R-Q-W Permlt tor new constsuction, Minimum ten(10)wpricing:days aftersubmlEtal date.• equlred onsite,Constructian Plans,StoRnwater Plans w/Silt Fence instailed, Sanitary FaciliUes&1 dumpste.r,Site Work;Rermit for subd(visionsAarge proJects COMMERCIAl. Attech(3}camplete se#s of Bu9td#tig Plans plus a t,ife Safety Page;(1}set of Energy Forms.R O-W Permtt for new construct�on. Minimum ten(10)working days after submlttal date. i�equlred onsite,CansVucUon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilides 8 1 dumpstar.8ite Work Parmit tor 11 new proJeots.All commercial requlrements must mest complfance SIGN PERMIT Attach{2}sets of Eriglneered Plans.,, ° ..««�,ROPERTY SURVEY required for all NEW const ctlon. Dkeatlans: FIII out applicatlon completely. Owner 8 Contractor sign back of appticadon,notarized tf over�2500,a Notice of Camrnencement is raquired, (AlC upg des over:67500) `" Agent(for the contractor)or Power of Attamey(fo�the owner)wauld be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMtTi1NG `(Front`df'7�ipplication:Only)'� �;'��;�,,.�-' Reroofs ff shingles Sewers Service Upgrades�..A/C„ „ Fen'ces.(PIoUSurvey/Footage) , � .. :,, . ,, ,, =;i � Driveways-Nat over Counter if on pubiic roadways..�'eed's,ROW ; ;� .�. , .. . . ■ ' ,. NOTIGE OF DEED RESTRlCTIQNS: The und�rsigned.under�tands�:t�t lhls.p�rmltmay be,subject to"deed"rest�lctions" � which may be�mare.rest�ictive�than County�fegulattons. 'The�undersigned'assumes responsibitity far°compiiance witii any ` appAcable deed resnictions. , • UNLICENSED CONTRACTt►RS AND Ct?N'iRACTOR RESPONS1BtL1T1ES: tf the owner has �hired a conhactor or contractors to undertake work, they may be:cequlred-:to:be:licensed in.accardance.with state,and�local regulations. �If the contracto� �s no# IEcensed as°req�#red`by law, both #F�e awner and contcaator�riiay be-cited-for a mfsdemeanor vtotatfon under state law. If the owner or (ntended�contraetor are uncertaln as to what Ilcensing.requlrements may apply.�:,for:the - intended work,they are advised to contact the Pasco County Building lnspectlon Qlvlslon�—t,.lcensing Sectlon a#727-847- 8009. Furkhermore, if the owner tias hired a cantractor or contractors, he is advised to have the cantraatar(s), sign portions of the "aontractar Block° of thls application for which they will be .responsible.. If yau, as.the owner sign'�as the conttacto�, that inay be an indlcation that Fie fs not�.pr�perly licensed and Is�nat entltlsil to permitting_prhrlleges ir� Pasco County. TRANSPORTATI�N-IMPACTlUTIl:1TlES�lMPAC7'-ANb RESQURCE REGOVERY FEES. The unders(gned understands that Transportation impact Fees and.Recaurse Recove.ry.Fees may�-appiy°to�the consbvctfon of new bulldings, change of use in existing bulldings, or.expansion-of��existin,g'�buildings, as specifled In Pasco Caunty Ordinanae number 89-07 and 90-07, as amended. 7he undetslgned also undetstands, thait such fees�•�s;may��e�due;,:wltl be Ideritified at#t�e�time of . permikting. It Is further understood that Transporkation Impact Fees and Resource Recove'ry''Fees.must be pafd pria�to recelving a°cerfificate of occupancy" or flnal powar. release:-:I�Ehe project does not invotve:a.certi�caie of occupancy or fina� power release, the.fees rr�ust be paid prior to permit lssuance. FuHhermare;lf Pasco Couniy�iNa#erlSewer-Impact fees are due,they must be�pald prior ta permit�issuance�in accordanae with appliaable Pasco`Gounty ordinances, CONSTRUCTION�lEN 1.AW(Chapter 713� Elorld�Statutes�as amend�d): if vatuation af work is$2,50d.00 ar mare, i certifiy that I, the appiicant, have-been provided wi#h a copy- of the "Florida Construction Lien_.Lav►F—Hameowner's Protectlos� Guide" prep�red by the Flor�da Departtnent of Agrtc.ulture and Consumer�Afialrs. If the appttcant ts someone , oth�r than the"owner", I certify that I have,obtained a capy.of.the-above.described doaur�enk and.promise in,gaod faith•to deliver it to the`ownec"prior to��commencemerit: CflWTRACTOR'S/OWNER'S AfFIDAVIT: i certity.that aii th�Information in thi�spplication is accurate and that ali wark will�be done in campliance with all applicable laws regulating cons#ruction, zoning and land develapment. Appiica#lo� is hereby made to obtain .a permi# ta do. work and Installa#lort as indf�eted.. °I certlty that no woric :or tnstalfation has commenced prior to Issuance of a permit and that.all work will be perFarmed to meet standards of all laws regula�ing- constructian, County and City codes, zontng regulations� and land developmettt regu#atlons�in the jurisdlctlon. ! al'so certify that I undersfand that the regulations of other gavernment agencles may apply�to the intended work, and that it is my responsibility to identify.what.acttons I must t�ke:to be,ln:.co�pllancs S,uch agencles include but are.nat Itmited to: - Depa�tcnen# af Erlvironmental�Protection`=Cypress.`Bayheads, Wetland Areas and Environmentally Sensitive Lands,WatedWastewa#e�Treatment. - Sauthwest Ftorida Water Management .#�istrlct WeHs, Cyptess. Bay.heads; 1Netland Areas, Altet�ng Watercourses. - Army Gorps of Engineers-Seawalls,Docks, Ne�i�abie w�terway5. - De a�tment of Health & Retiabllita#€ve Sen►icesJEnviranmenfal NeaRth Unit Wells, Wastewater Treatment, , P , Septic TanKs. . - US Environmentai Protection Agency Asbestos abatement.. � Federal Avlatton Aulhority-Runways. !understand that the to!lowing:restrlcttons appty ta the use o#flll: I - Use af fifii is not aHowed in Fload Zone"V"un{ess expressty permitted, - If the fiil materfa) is ta be used In-:Flood Zone. "A"� It. is understaod #hat a drainage plan addressing a I "compensa#ing volume"will be submttted a##ime af petmttting which ts prepared by a professianai engineer I Ilcensed by the State of Florida. - !f the fi#1 maEeriai is to be used fn Flood Zane °A" in�cannec�fon�wlEh.a permitted bulldtng ustng stem wall � construction, i certify that flil wlli.be used onty�to.fiil the area within the stem�wait. - If fill makerial is #a be used in any area� I certlfy that use. of such flll will �ot adversely affect adjacent properties. if use af filt is fa�nd ta adversely.�ffect adjaeent��proparties,.the owner may be aited for uiolat{ng the conditions of the building:permf# issued under the at�ached�ermit application, far:lots less than.one (1) acre whlch are elevated�by fllt,�n engtneered dralnage plan is required. � If I am the AGENT FOR THE OWNER, I4promise in gaad faith to infarm the owner of�#he permttting conditlons set forth In this a�davit prior to commencing constructlon. 1 understand thet a�separate permlt may be requtred#or eleck�ical worki plumbing, signs, weNs, poots; air condit�oning,.gas, vr other install�tions nat.spec�icaity inctusied�in.the apptication. .A permit Issued shall be constcued to be a Iicense#o praceed with the work and not as:authoNty to,vlolate, cancel, al#er, or set aside any provisians of the.techntcal codes;�nar shail issuan��of a.petmit.prevent the 8u11dirig Q#ficial from thefeafter requiring a correcllon af errors In.plans, canstructlon or violatlons of any cades. Every permit issued shall became invalid unless the work authorized.by such permit�Is_commenced�wlthln sfic months of permlt issuanceJ or If wark authorfzed by the permit is suspended or.abandoned for a.period of�six�f8}months:after the tlrne the�watk is commenced. An extension may be requested, in wrtting, ftom the Building,Offic(al for a perfod not ta exceed ninety(90�_days and vuiil demonstrate_._ ___. _�ostl�iabie cause fin.the extension-1�worli ceases.foi nlnety{90}consecutive dayst_the job�is considered aba�doned. . WARNlNG TO t?WNfR: YOUR.�AILURE�TO.s REC.t'JRD A N4TIGE OF�GOMM�NGEMENT MAY RESUlT!N�YC►UR 'i PAYING TWiCE FOR iMPROVEMENTS 1fl YOUR�:PROPEi�TY. 1��YOUKiI�t�EwD`TQ�OBTAIN•FIIV�ANGING;'CONSULT WIT O DE AM ATTORNEY�B FORE . ECO. �� G: OU '- O � C °O • � E E N � FLORlClA JUlZA�(F.S.1.iT:03j ' . � .� . OWNER OR ACaENT CON'1'RACTO Subscrfbed and swom M(or afflrmed}befare me this Subsc�Ibed stu!'swom#a{ot afiictned)'b re ttte'tfil� by Who islare personally knovm to.me or has/have produced Who Isla ersonelly kn wm me or has/have produced • as IdenUflc��on. as EdenB�catton. Notary Pubilc Nofary Public Commiss#an No. Gommts •��iY:ri�•. JACQUELIIdE BOGES ' :iA•" Fi IVame ot lVatary fyped,prfnted or stamped Name o -ar es dE�p1l��tieA#�Pil�2018 � '�,R��`�•' BonaedThm7royFeintnsursnueW�3B5�70f9 i iiiiii iiiii iiiii iiiii iiiii iiiii iirii iiiii iiiii iiiii iiii iiii - 2015116800 Rcpt:1700009 Rec: 10.00 !Cey i�o� Permit No DS: 0.00 IT: 0.00 07/23/2015 K. R. M. , Dpty Clerk ��'�� F �� 'pRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER 07/23/201��m 1 �� _ THE!D�lDERSIGW��hereby gives notice that improvement will be OR BK PG Made to certain, and in accordance with Chapter 713,Florida State Statues,the following information is provided in this iVotice oT �l�_� ._2�_ p iDD� DllX�vo��'� Commencement: St{7 g�'►r��Q.H<<.�.. 17CtAV E, 1. Descripfion of Property: Parcel IVo.: l,art'�$S,��w�ct.��Sv60►v�sw.� - Ze�y��+-S,F�- 3'S�t2 (Legal description of the property and street ad ress ir available) 2 General Description of improvement: / ] � IZe -_' - �- c� �« 2 t�� R.�1'1��z-cl �ad� 3. Owne Information: Name: � Addr�ss: 1 Cifiy c Stafe_Zip (o�p lnterest in ProperEy: Oc.�a� �S �lame and,�ddress of Fe� Simple Ti�leholde�r(Ifi olh�r than owner) : St�r�r. ws Ac3wn... 4. Contractor: �lame: TLC ROOFI�9G LL.0 I Rddress: t'O BOX 1745 I City DADE CITY State FL Zip 33526 Phone No. 352-473-4073 Fax No. 352-473-4073 5. Surety: Name� Amount of Bond: � Address: I City Stafie_Zip Phone No. I Fa;c No. 6 Lender: i�ame: N/pk I Address: —� Cifiy State_2ip Phone fVo Fax No. 7. Persons�nrithin the Sta��of Florida designatec3 by Owner upon whom nofices or ofiher documenfis may be served as provided by Sec#ion 713.13(1)(a)(7) Florida Stiafu��s. Narne: � Address: I City State_Zip Phone fVo. Fax No. 8. fn addition�o himself or herself, Owner designafe$ ��pF or' I To r�ceive a copy oi the Leinor's Nofice as provided in Secfion 713.13(1)(b), Florida Sfatutes. 9. �xpiration da�e or Nofiic�€�f Comrnenceme�t(�he�xpiration dafe is 1 year ofi recordie�g unl�ss a dififerent dafe is specirtecE.) � U'dARMIt�fG TO O!flffiUER:ARlY P,4Yt69EiUTi S t�7ADE�Y 7HE 011ilRfER AFTER T9iE EXP(RfAT10N Or=TF4E NOTICE OF CQfil�M�ft10EMEAJT�.RE COtUSIDGRED I�1t�PROPER PAYM�{UTS URIDER CI-0A1PTE42 713,PART 9,SEG 793.13,FLOR1DRa STlaTUTES,d.ND C,4N RESULT IM YOUR PAYIRIG NIlIC�FOR Ifl9PROVEIL7�RITS TO YOUR P620PERTY.A RtOYICE OF C�N1�1ffiEtVCEfL7EN7 MUST BE IdECORDED�,P1D POS i�D O�1 THE JOB SIYE BEFO E THE FIRST 1{USI�ECTIORf.IF YOU I�fTEfdD TO OBTR�IN FIAIAWCIPiG,COMSULT 1fUli'F�9 YOUR LEtVDER�02 AtU ATTORPIEY B�F01?E COfi41iU1 �IiUG Ot@W 062 iSECORDIMG YOU6t 6ltOi7CE OF CORf1t1AE6JCE@liEPlT. � ` Signature of Owner or er's Auth �zed OfficedDirecfodPartner/Manager Signa4ory's TitlelOfBce '"°Signatu�e Require belovr C�y'X"anark�"'" State of ��ir]S 9 S County of �zr{.c,�✓i c,� The forgoing insYrument was acknowledged before me this�day of�1,� ,201$by ,�_P,5/.-� L�rn,-�� n I j � �� (Printed name of person acknowledging) aS 1V Ot�i/L./ �U,��L f (Type of authority e. .,office,trustee,attomey in fact) {Name of party on behalf of who instrument was executed) .`�" �L�n� Signature of Notary Print °lflottary�'u�+c- tate of -nsas Personally known�OR Produced Identification Type of Identifir,�tion Produced: I My Appt. Expires p g 3v/��5 bea�cafion purss�an@ to Section 92.625,Florida S4a4aa42s:under Pel alEies of Perjury,f declare 4Na4 I hade�oad fhe foregoing and 4hat 4he fac4s s4ate�in it are true 4o the bes4 of eny{cnowledge and b�lieS. - - -- - I � . i . • ._ I � I I