HomeMy WebLinkAbout15-16047 t
CITY OF ZEPHYRHILLS
�,5335-$TH STREET
�sis)�so-oo20 160
� ' BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 16047 Address: 39676 MEADOWOOD LP
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: �
Square Feet: Subdivision: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0280
Improv. Cost: 4,950.00 - OWNER INFORMATION
Date Issued: 2/26/2015 Name: 'COX JOSHUA H
Total Fees: 60.00 Address: 39676 MEADOWOOD LP
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/26/2015 Phone: (859)494-8078
Work Desc: REROOF SHINGLE 1900 SQFT
CONTRACTOR S APPLICATION FEES
ALVAREZ ROOFING RERO F RESIDENTIAL 60.00
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3 � 3 � � �
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Ins ections Re uired �
DRY IN ROOF IN P
TAPE JOINTS ROOF INS
FINAL � - � '� I�
REINSPEC'TION FEES: ReinspectBon fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following 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 fl 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 properly 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 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete/ 1 s,Sp ,ifications Must Accompany Application.All work shall be pertormed in accordance with
, , City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I
PROTECT CARD FROM WEATHER "
813-780-0020 City of Zephyrhills Permit Application Fax-s�3-�eo-oo2�
Building Department �
Date Received., n�
- ' Phone Contact.for Permitting `1, ._
�
Owner's Name 0 Owner Phone Number Q• �• �
Owner's Address 1 �p Owner Phone(Vumber
Fee Simple Titleholder Name Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS 3�1 l� e , b LOT# �
SUBDIVISION PARCEL ID# �j• • L . D . �
- - �- � � - -- ` - -- - F -- ---(OBTAINED FROM PROPERTY TAX NflTICE)_- _--- - -- - _ � -
HYORK PROPOSED B NEW CoNSTR 8 ADD/ALT 0 SIGiV Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM.� � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q `FRAME 0 STEEL Q
DESCRIPTION OF WORK (' (,�; e,
BUILDING SIZE � SQ FOOTAGE�� HEIGHT
�]BUILDING $ L� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �`�0��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING � SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE 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 License# �
OTHER ..�....... ,. _. ., .. .� _. .. COMPANY - `� :i . .
SIGNATURE REGISTERED N FEE CURRE� Y/N
Address �'� � �Ol 1'S License# �.0 � ��D
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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster;Site Work Permit for subdivisionsAarge 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,Construction Plans,Stormwater Plans w/Silt Fence installed,
San(tary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ail NEW construction.
Directtons:
Fill out application completely.
Owner&ConUactor sign back of application,notarized ,� � '
If over�2500,a Notice of Commencement Is required. (A/C upgrades over�7500) . ,
•• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter�ftom owner authorizing,satiae.�h�~°i °
OVER THE COUNTER PERMITTING (Front of Application Only) , , �_, .� � ''- �� ��•�'a'�"',- , U �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) •• ��=_t;:t � ; '
:�.,
Driveways-Not over Counter if on public roadways..needs ROW "�°' -�° '" �'- _ �°�•-��•��••�-,-�-�.••.�.
NOTICE OF DEED RESTRICTIONS: The;undersigned understands that fhis permit may be subject to°deed"restrictions"
which may be mor'e rest�ictive ttian°County.r.egulations. The undersigned assumes responsibility for compliance with-any
applicable deed;restrictjons. , � . - , , � ,'�-
UNLICENSEb`�CON'�RACTORS AND CONTRACTOR RESPONSIBILITIES:, �If�the ouvner 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 owrie�-anif cantractoranay�6e cited<�for a-rri�isdemeanor 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 727-847-
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. y ` ` ` "
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES': The undersigned understands
that Transportation Impact Fees and.Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing"'buildings, or ezpansi6n o�existing°buildiiigs, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. �he undersigned also understands, that such fees, as may be due, will be identifled at the time 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 final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
e mit issuance in accordance"with a licable Pasco Count ordinances.
fees are due, they must be paid prior to p r pp Y
CONSTRUCTION LIEN LAW(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 witli -a�..copy of.�the�,"Flosida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the abpve described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'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 installation has
commenced prior to issuance of a permit and that all work will be performed 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 understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility 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 addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. .
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem 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 adjacent
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 specificalty included in the application. A
permit issued shall be construed to be a license to proceed with ithe work and not as authority to violate, cancel, alter, 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 i5.;cominenced 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 extension
may be reques,ted, 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 F URE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOURJ J
PAYING TWICE FOR IMP OVEM TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER AN A �ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 11 )
OWNER OR AGEN�� / CONTRACTOR � �
Subscrtbed and sworn to or affirmed)before me th(s Subscribed and sworn to(or afflrmed)before me this
by bY
Who is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced
as Identlfication. as idenUfication.
ry Public Notary Public
ati�s:tty�,, JOE
Commi s u� '�: Commission#FF 137073 Commission No.
� . \ xpires une ,
��P, ��°,F.�` Baded Tlw Troy Fein Insunrxa 800.78ST019
Name of No , r s ampe Name of Notary typed,printed or stamped
ST rt�C TIFIED — LICENSED
ROOFIWG CONTRACTOR BONDED
CCC132��62. A LVA R E Z INSURED
CCC1330485
� � � , -
Tel: 813-986-4527 • Fax: 813-986-4745
10825 TOM FOLSOM RD., SUITE E •THONOTOSASSA, FL 33592 �
EMAIL alvarezroo�ng@verizon.net
j THE COMPANY AGREES to:
(�] Remove roofing to smooth workable deck ❑ 25 Year(3-Tab)
� Replace all rotted decking y sheets 1/2"included. ,�
*Carpentry is additional$ �.,�'D per sq.ft. 1/2". � Limited Lifetime Dimensional Shingle
� Renail Roof Deck to Current Code ❑ Limited Lifetime Premium Dimensional Shingle
❑ #30 Felt ❑ Other:
❑ Synthetic Underlayment � Brand: �e1'�����J��
� Self Adhered Modified Underlayment
� Style: �G�r�m4r�
� Remove All Roofing Debris from Jobsite �, ��
� Color: Go� '
� Replace Eave Drip �FHA/2-1/2" ❑Aluminum
�] 3 Yr.Workmanship Warranty w/Manufacturer's_Product Warranty
Color: A�rn.eno� o�-- a�e�v '
C�( Replace Pipe Flashings with Lead Boots � �ended Warraniy::
❑ Replace Bath 8�Dryer Exhaust Vents ❑ Install FeetAluminum Ridge Vent Color:
❑ Modified Unde�layment in Valleys � Install � � Feet af Shingle Over Ridge Vent
f� All Permitting and Dumping Fees Included ❑� Install Off Ridge Vents Color.
� Above Shingle Roof Portion$ `i 9.��
0 Optional dry in with in lieu of 30#felt will be additional cost of$
Flat Roof Options: � n • e
❑ Modified Bitumen $ .
❑ Hydro-Stop Coating $ � � �d'J
, •
ao�o�'�v�a 1 -�'` ,2 D�=��
� C� ��.�� s
� TERMS OF PAYMENT
10% due at contract Signing. Balance due in FULL upon completion.
Purchaser agrees to pay all costs of collecting or securing or attempting to collect or secure this account including a reasonable attomey's fee,whether the
same is to be collected or secured by suit or otherwise. Service charge of 1 1/2%per month(18%per annum)shall be charged on all accounts which show
I�I a balance owed after thirty(30)days.
ACCEPT BY: Contract Price: $
'�� Signature
Less Down Payment: $
�i Name C� � �
� [� / � 1 _ l _ Balance Due: $
Address ��"l l0�1U �PC,Q�(�Lg�('�'�.('�lA(��QPlus any additional wood repair needed)
2 � `
City,State,Zip_� RespectFully Yours,
� Cj(�' :!��L� - ��? g ALVAREZ ROOFING
Phone .:�
Date � �� ' l,_, By: �D h � e, �'
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PertnH No. Pareel ID No �3'��wC� 'V,���'VLJCJ�.ILJ _O2�
NOTICE OF COMMENCEMENT
su�a ��e�:dm co�y�r�AS�
THE UNDERSIGNED hereby gNes noUce Ihut trnprovenent w10 Ee made m certafn real property,end in acaordmKe vAth Chepter 713,FlorfEa Stetutes, �N��
Cie fdowtnp Infametlon Is proNded in Wa NoUw oi Commmcemant �.. �
1. Desa�tiun aI Property:Parce)ldentif�etlen No. • • • � ; �` e�
S„����:.3�Lb7�o Nlea . , u�c�o L� 2�.nMvc1��11� �l ; N mo
2. Ger�erel DesclpUon allmpovement RQ K�O� � ���
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3. OWnu IiAOrtnaUoa or Lessee IrtlotmaUan II the LPSSee cordreded for Ihe improvemenl: , �
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3a1b7 ,"°"Y�+lectdo�eod��� ����n:l�.s 33 �l� � ` . o
Addresa Ciry � Stete '.��"
Imerest in PmpeAy. �"m F+
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Neme of Fee Simpla Titleholder: '
. .QI Qlfferem from Owie�Iistee above� � i .,n. �
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Addtees � Ciry Stete �
4. Canrector:
.�Q�,��j'�... Fo Is e�t•� R rChcno�osc��o. 3 35 �'(
��ss � a1Sb•WSbt�] Gy 5�a�e
ConUaclnla T a No.:
6. Suinly: �
, Name '
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� Amwnt af Bo�d:S ' Telephrne No,: , - �9•
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6. Lemla: p��
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Add�ess Ciy Steta �N o
Lendete Telephone No.: _ m z
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•7 Peisons ndthin tha Stffia oi FlMda deslpnatad by Ihe axrer uC��m notices or other doamersts may Da cerved es provtded by ��r-
SecJloa T13.13(1)(a)(7).Flwida Slatutes: ���
N?
Neme ' �N v
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� Addresa Gry Steta 3 cNi
Tdephone Number of Dedpneted Pe�am�: � o
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8. In edmUan to hhnself,7�e oxnv desFBnete� o!_ �~�
� to receNe e rapy of lhe Llenorc Notica as prov(ded In Section 713.IS(11(bl�Floride Sletuln. �
Telephone Hianber W Person ar EnUry Ue�lQneteC DyOvmer: ��"�Q0
V■ c�
, 9. E�Irotbn date ol Notka of Commartcammt(Ihe e�iretlon dete mey�ot be be(oro the compktion o(eonsWr�im end 8nel peymeM W the ,..1~�
wntrector,Out w10 Ce one yeer fran the date oi recrnEtng untess e Srtlerent dele is spedfleO): � �
WARMNG TO OWNER: ANY PAYMENTS MADE 8V T{IE OWNER AFfER THE EJ�IRATON OF THE NOTICE OF COMMENCEMENT �
RESULT IN�Y�OI RDPAYINOPTMCE FORNI�ROVEMENTS TO YOURPPROP�T�VC.nA NOTICE� OF COMMETNCET M Ni Musr e ' �
RECOROED AND POSTED ON THE JOB SITE 9EfORE TFiE FIRS7INSPECTION. IF YOU INTENO TO OBTAIN FIWWCING,CONSULT
WITH YOUR LENDER OR AtJ ATTORNEY BEFORE COMMENGNG WORK OR RECOi301NCa VOUR NOTICE OF COMMENCEMENi. ' • •-�
U�er penelty ol perjury,l dedere tl�e!1 hava reed Iha foregWrtp no8ce of comme�cmneM end thet Ihe lecie slelaU Urcmin ero W e to Uu best
of my krtovAedpa end be6et. '
STATE OF FLORIDA l�
COUNiY OF�AS6A Rj��
. otOwrteraLessee,orOwnersarLessee'sAWarized
!D Irecta/PertnedManape r
SFpnatoryn THIrJORtce
Tha torego�ng tnsWment rrav eclmowledgad before me this d �Q�.2d5 by � • �
aa� 4�'V1��1 C (type M aulhairy,ag.,Mflrer,wntee,ettomey In(ed)tor
e w parry on n m wf, msmm,mu vras emaced).
Perconeiy Known❑Q$Producetl IdenBflc►^eU�on Nolery SipneNr
Type ot IdeMtAeaUo�Produad�.\,J� _ � Name(Prinq -
• . , oE�«ii��ou��u�woo � '�" �;.,
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wpdetarocsmatceoamnenxme++t°oos�ae tl3d00.�lr1SJIH.7 �%a �r+;±�
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�� �� `- ���T���FL��I�A, COUNTY OF PA��O
� � THIS IS Tp CERTIFY THATTHE FQREGOING ISA
� ° ,,,c;��„�v�TY,�sr` ,; � TRUE AND CC?RRECT COPY OF TME DOCUMENT
�'°, `"�� �, ON FILE OR OF PUBLIC REC�RD IN THIS OFFICE
�r � y � ,
WIT ES MY HAND A FFICIAL SEAL 7HIS
� � a887 �P � P � DAY OF , 2 �
.O'NEIL CLE . & PTRC�CCE�
'��OF Fl.� _
Bv %
__ PUTY CLERK