HomeMy WebLinkAbout15-16535 , � CITY OF ZEPHYRHILLS
�' S335-8TH STREET
(si3)�so-oozo 1 35
BUILDING PERMIT ,
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PERMIT INFORMATION ' ' � LOCATION INFORMATION �
Permit Number: 16535 I Address: 6403 FT KING RD
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: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number: 03-26-21-0010-07900-0051
Improv. Cost: 6,450.00 ; OWNER INFORMATION �
Date Issued: 8/24/2015 ' Name: FELLOWSHIP BIBLE CHURCH OF I
Total Fees: 70.00 � Address: 6407 FORT KING RD
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-2537
Date Paid: 8/24/2015 � Phone:
Work Desc: REROOF SHINGLE �
CONTRACTOR S � 1 APPLICATION FEES
TLC ROOFING L C RERO F RESIDENT AL � 70.00
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TAPE JO'INTS�QQF IN3P,� �
FINAL �'L � �
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater�for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 6r an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE ! PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD�FROM WEATHER
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a�s-�so-ooao City of Zephyrhilis Permit Application Fax 813-�80-OQ21
; ` Building Department
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Date Received �
Phane�Cantact far Pormlttin � �b�- ! �
Owner'a Name �t= v t.,� �n.� 't c ���.� � � Owner Phone ldumber
��-_...,
Ownor's Addresa � F o t� t� � �. �� Owner Phone Nutnber ��, �
Fee Slmple Tltleholder Name Owner Phone Number �i,\� �
Fee Simple Tttleholder Addres�
I � ��f
JQB ADDRESS �e��?� � r� � dl, tl�.� Z. �� ` LOT# �__�
3UBDIVISION � PARCEL ID# 1;�I3�-- 2G- - O I D �c77 OC� - U QS
, {08TAlNED PROIYI PROPERTY TAX NOTlCEj
WORK PRQPOSED NEW CONSTR AQDiA1.1' Q SIGN Q Q DEMOLtSN
e INSTALL 8 REPAIR !
PROPOSED U3E Q SFR [� COMM � OTHER
TYPE OF CdNSTRUCTION • Q BLQCK [� FRAME [� STEEl. C]
DESCRIPTION OF WORK � � G..� S ` ' ;n, 4J ' � '� �,��-.
BU1LDlNG SlZE �� � SQ FOOTA{iE �� iiE1GHT � �
QBUILDING (9S j�� VAIUATlON OF TOTAL CONSTRUCTION
L � G,-°�
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING �S_�
QMECHANICAI �—� VALUATION OF MECHANICAL INSTALIATION
QGAS Q ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD xONE AREA QYES NO
BUILDER �, COMPANY �� i d►. �� C-
SIGNATURE � REGISTERED Y/ N FEE RRE� Y/N
Add�ess Cicense# � �
EI.ECTRICIAN COAAPANY
SiGNATURE REGISTERED Y/ N �E cu�REn Y/N
Address Licertse# �� �
P�UMBER � COMPANY
SiGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N
Address License# � �
MECNANICAI. � COMPANY
StGNATURE t� REGiSTERED Y/ N FEE CURRE� Y/IV
,�,_„,_„
Address Ucense# �� �
07FiER COMPANY
SICiNATURE �.,.,: REGISTERED Y/ N FEE CURRE� Y!N.
Address ; l.icense# � � -
RESFDENTIN: Attach(2)Rlot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0=W Permit for new construction,
Nllnimum.ten(1Q)waticing.days after.submitta4 date. Requlred o�site,Canstruotion Ptans;3tarrnwater Pians w/Silt Fence installed,
SaNtery FaciltUes 8�1 dumpster,Sita Work-Pertnit far subdivlslons!large proJeGts
COMMERCIAL Attach(3):complete sets of Bui�ding P�ans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construcUon.
Minimum#en{10}woticing days atter submlttai date. Required onsite,CansttucNon Ptans,Stormwater P1ans w/Silk Fence Ins#atied,
SaNtary FaclltUes&1 dumpsler.Site Work Permlt tar ali ngw projectis.f1ll cammerciei requirements must meet compiiance
StGN PERMIT Attach(2)sets of Engineered Plans..
'*'•PROPERTY SURVEY required for ali NEW cons#ruction.
Dlrectlons:
Pi!!out applicaUon completely.
Owner 8 Contractor slgn back af appllcaflon,natarfzed
If ov�ar a250p,a Notice of Commencement la required. (A!C upgrades ovir�7500)
" Agent(for the contractor)or Power af Attomey(for the owner)would be sorneo{e with notarized le#ter from owner authorizing same
DVER THE COUNTER PERMITTING (Front of AppllcaUon Only)
Reroafs If sfiingles Sewers Service Upgrades A!C Fences(P1otlSu�eylFootage}
priveways-Not over Counter if on public roadways..aeeds ROW �
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NOTICE OF DE�D RESTftICTIONS: The undersigned undetstands°that this.p�rmit.may.be.subJect to tldeed"restrictlons"
which may be;rnore c�strictive th�n County regulatfons. �The undePSign�d assumes respDnsibHtty for compliance with any
applicable deed res�ictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPAf�SI@ILI'TIES: If the owner has hired a contractor or
contractors to undertake work, they may be required�to be-llcensed in accordance with state.and�local r�gulatlons. If the
contractor ts not Iicensed �s requlred by law, both the owner and conUactor may be cited for a misdemeanor violatlon
under state law. if the owner or Intended�c�ntra�torare uncertain as to what Ilcenstng.require�nents may appiy�for the
inlended work, they are advised to cont�ct the Pasco County�uliding Inspection Divislon—L•icensfng Section at 727-847-
8009. Furtherrnore, if the owmer has hired a contractor or contractors, he is �dvised to have the contractor(s) sign
portions of the "contractor Block' of this application for which they v�ill be responsibie. If you, as.the owner sfgn as the
contractor, 9hat may be an indication that he is not.properly Iicerased and is not entitled to permitting privileges in Pasco
County. I
TRANSPORTATION-IMPI4CTIUTILITIES IMPACT ANb RESOURCE�RECOVERY�FEE3: The undersigned understands
th�t Transportatfon Impact Fees:and.Recourse Recove.ry.Fees may��appiy to:the constructlon of new buildings, change of
use in existing buildings, or expansion,of;ezistin,g�buildings, as sp�clfied.in Pasco County Ordinance nurrober.89-O7 and
90-07, as �mended. The undersigned also.understands, that such fees, as�may�be�.due,.wlll�be�identified at the time of
permitting. It Is further understood that Transportatlon Impact Fees and°Ftesou�ce Recovery-Ee�s must be paid prior to
_ receivin� a"cerfificate of occupancy"or flnal_power. release. _:If_the project.does not inval_v_e a cettificate af occupancy ca��, _
final power relea'se, the,fees must be paid prior to permit Issuanc�. ���tk�ermore,�if Pasco County Water/Sewer Impact
fees are due, they�must be-p�id prior to permit-issuance�in accordance writh�appllcabte Pasco'County ordinances.
CONSTRUC'i'ION LIEN I.I�dV(Chapter 713� Flor�da Statutes�a��m�nd�d); If valuation of vuork ls$2,500.00 or more, I
certify that I, the applicant, have-been provided with a copy of the "Florida Constructton Llen Law—Hom�owner's
Protectfon Guide' prepared by the Florida Department�of Agric.ulture and ConsumarAffairs. If the applicant is someone
other than th�"oinrner", I certify that I have.obtained a copy,of,the above..descrlbed�docur►�ent�and.promise in,good faith to
deliver It to the`owner"prior to�cotnmencement. •
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all-the Informatimn In thi�application is accurate.and that ali wrork
will be done in complfance with all applicable laws regulating constructlon, zonin�and land�deeetopment. Application is
hereby made to obtatn .a permit to do wotk,and installatlon as Indicated.• 'I certifjr that no wrark or installat{on has
commenced prior to Issuance of a permit and that.all work �nrill be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and lar�d development regulations•in the jurisdtction. ( also
certify that I understand that the regulatlons of other government agencies may��pply�to the intended work, and that it is
my responsfbility to identify�what,act(ons I must take tm be,in:.corr�pllar�ce: Such agencies..ir�clude but are..not Iimited to:
- Dep�r#ment o6 �rtvironmental Protection-Gypress.�Bay�eads, Wetland Area� and Envlronrr�entally Sensitive
. Lands, WaterMlastewraQer Treatment.
- Southwrest Florida Water 11Aanagement .i�istrict-Wells, Cypress. �ay.heads; Wetland Areas, Altering
Watercourses.
- Army Corps of EngEneers-Seawalls, Docks, Naetgable Vilaterways.
- Department oB Health 8 ReMabilitatfve Serv(ces/Environmenfal Health Unit-Wells, Wastewater �'reatment,
Septic�'anks. ,
- US �nvironmental Protection Agency-Asbestos abatem�nt.
Fede�al Avfatlon Authortty-Runways.
I undersQand that��the follow►ing,restrictions apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expr�ssly permitted.
- If the flll material ts to b.e used in_�Flood_Zone "A°, It. (s understood that a drainage plan addressing a
acompensating volume" will be submitted at time of permitting which Is prepared by a professfonal engineer
Iicensed by the�tate of Fiotida. �
- if the fiil material is to be used (n Flood �one °A" In>connectton�with.a�permitted building using stem wall
construction, I certiry that flll�:wlll:b.e used only.to.fill the�rea wtth(n the�stem�wall.
- If flll material is to be� used in any area, I certify that .use. of such flll will �ot adversely affect adjacent
properties. If use of fll6 Is found to adversely:a9fect adJaeent��properties,.the own�r may be cited for violating
the condi#ions of the building,permit Issu�d�under the �ttached p�rmit appl(cation, for�lots less than one (1)
a�re which ere elevated by flll,aR engtneered dralnage plan Is required. • .
If I am the/�GENT FOR TH�OWNER, I,�prorvdse In good fatth to iaform the owner of-the permitting conditlons set forQh In
this affrdavit prior to commencing constructfon. I understarod.that�-aeparate permit may be requtred for elecMcal work,
plurvabing, s6gn�, welis, pools, alr condlt(oning, .gas, or other instaill�tlons not.speclflcally included�in.the application. A
permit lssued shall be constcued to be�a�licen�e�to.proceed with the'�work and not as:authority to.violate;cancel, alter, or
set aslde any provisions of the technical.codes;:nor shall Issuance�of a.permit.prevent the Bulldf�ig Offictal ftom thereafter
requ6rBng�correction af enors In.plans,-construction or violatlons of any codes. Every permlt Issued shall becom�invalid
unless the work authorized.by such permit.�s-commenced�wtthin sCx months of�permit lssuance, or if work authorized by
the permit is suspended or.abandoned for a:period ofislx(9)montfis.after the:time the�work�ls commenced. An extenston
may be requested, In writing, from the Building,Official for a perfod not to.exceed nfnety(90) days a�d�will demonstrate
justifiabie cause for.4he extenslor�. If work ceases:for ninety(90)cons.ecut(ve�day.s,..th�job ts.considered aba�doned.
WARNIfdG TO OWId@R: Y�U�.FAIL'URE�TQ.R�EC.ORD..A-NATIGE>�F-COMM9EI�CEMENT IIIIAY RESULT IN YOUR
�AY9NG TYVICE FOR IMPROVEMENTS T�.YOUF�PROPERTY.-IF�YO.U�IN'FEMD�'T��O�TAIN�PIIV�ANCENG�'CONSULT
9PVIT UR D O N ORN � � FO.E� ,, CO E;', .ll ;' ��; �:O r� `,.' � E .
FLORIDA JURA'�(F.S�1.1 .03) � " ' `
OWNER OR 9►t3ENT � � CONTRACTOR_ "
Subsaibed an b�wom to(or aNirmed)before me thla Subscribed and'buvom-to(or aHirmedpbefore me'ttits
� y
1fIR10 is/are personally Imowm to.me or haslhave produc�d Who fs/are personelly#cnovm tc me•or has/have�produced. •
i as Identlflcatlon. as Identlflcatlon.
' Notery Publlc . Notary Public
Commisslon No. � Commis�lon�No.
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Name of Nolery typed,p�inted or stampad Name of Notary lyped,printed or stamped
a
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� I IIIIII IIIII IIIII IIIII IIIII III�I IIIII IIIII IIIII IIIII�III IIII I
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2015335790 '
Key IVo. Permit No. Rep!:1707593 Rec: 10.00 !
D5: 0,00 IT: 0.00 �
08/24/2015 E. M. , Dpty Clerk
NOTICE OF COMMENCEMENT
TWE UNDERSIGNED hereby gives notice that improvement will be ppULR S 0'NEIL,Ph D Pa5C0 CLERK & COMPTROLLEF
Made to oectain,and in acxordance with Chapter 713,Florida State 0g/24/2015 09:51am PG $���
Statues,the following information is provided in this NoUce of OR BK 9245 1
Commencement
1. Description of Property: Parcel No.: D�- 2�-2l - D'�_l�_-_c�'lqL1b- b a5.I
(Legal description of the property and street address if available)
2. General Des. ' ' n of I provement: ,
c ; ,,�; � •i � ,a ��G 3-� 5�,��.
3. Owner Information: Name: '� '�+C,
Address: _ � or '�n City I ,���„r � s $tate � Zip 3�;�4 Z
interest in Propecty: � ,
Name and Address of Fee Simple.Titleholder(If oti�er thlan owner) :
. Contractor. Name: TLC ROOFING LLC I
Address: PO BOX 1745 City DADE CITY State FL Zip 33526
Phone No. 352=473-4073 Fax'No. 352-473-4073
5 Surety: Name � Amount of Bond: $
Address: City I State_Zip
Phone No. I��10.
6. Lender: Name:
Address: City I __ __ State_Zip
Phone No. Fax No.
7. Persons within the State of Florida designated by Owne,r upon whom notices or other documents may be
seroed as provided by Section 713.13(1)(a)('n Florida Statutes.
Name:
Address: City I State_Zip
Phone No. ' Fax No.
8. In addition to himself or herself,Owner designates � of
I
7o receive a copy of the Leinor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of Nbtice of Commencement(the expiition date is 1 year of recording untess a different
date is specfied.)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE N0710E OF COMMENCEAAENT ARE
CONSIDERED IAAPROPER PAYMENTS UNDER CHAPTER 718,PART 1,SEC 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A N0T10E OF COINAAENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRS7INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONBULT WITH YOUR LENDER OR A!1 ATTORNEY
BEFORE COMMENCIN6 WORK OR ECORDING YOUR N0710E OF COMMENCEdIEWT. I
.1/�P G �/V /�c�1��]�' V!CDd
' atms o r or orized OfficedDlrector/Pa►trterlMar�ager Signa ry's f�tle/Office
"'Sig eture Requlred by seme below by'X"maric""
State of f �0 Y i C� County of �QS C O �
The forgoing instrument was acknowledged before me this�j,�day of�20�by_,SG�rI rt �P.C_Yl�11�C� ,
Printed na of pewan a nowfedgtng) I
as ���o (��1p�Pn�niP ��ervv�soY �or ��11n���1r,'r,� ���le �h�.��6� i�?.��nt_�_.,vY��I S
(T of authorlty e. ,office,trustee,attomey In fact) (Name of party on�ehatf of who Instnunent was executed)
��,uX ,,u,�.�Q �V►ta� Un kQ_� — ,
5' nature of N ry Prirn �Type or Stamp Nart�e of Notary
Persanal{y known_OR Prod ced Identification�
Type of Identification Produced:�,;�17Y�j't�s Ct,'11�5(
Verifieatlon pursuant to Seetlon 92b25,Florlda Statutes:under Penakles of perJury,I declare that.l have read the foregoing and that the faets
-- 's�d In(t are true to the hest of my knowledge and bellef. �� �� �
; 0 STA�-Fi.-6RiB�,COURITY�F P�,� � �
�,,,�p,, �°� $ • CG THIS IS TG CERTIFY THATTHE FURcC301NG IS �
' :��^" °B�•,, NANCY KUNKEL �' ,��► TRUE AND CORRECT COPY OF THE DOCUMEN I
�;� `c: Notar Public-State ol Florlda
' ` ` :•= Y � � � , . ON�'I -OR OF PUBLIC ECORD IN T IS OFFIC
; ;u;� ta�c My Comm.Explres Oct 15,2017 � � , � �
I ���EU11;OP���, Commisslon#FF 063160 * ' InGo�flYe7rust � . WI� S MY HAND A � F CIAL S LTF�I�S �
' e ••, � DAY OF 2 �1�
�r � _ _� . P. _S. O'N.�IL, CLER C SB_4LLER_. �
� . I 1887 �
P BY DEPUTY CLERK
s���AF Fl.����
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� ESTiMATES
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o�cE (3521437-�073 ��f 352�50-7101
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PROPOSAL SUBMfiTED TO WORKED TO BE PERFORMED AT
Name � W 6 ���� Street
Street a- City
City 'L�i��/ �ate zip
�ate ,�� Zp Owner of Properiy
Phone Number Fax Phone Number � Fax
We hereby propose to furnish all the materials and perform all the latior necessary for the completion of:
�Remove existing shingle roof ` O Replace bad fascia boards at$ � �c� per foot
�❑Remove existing built-up roof O Instail feet of ridge vents
�Dry-in with ❑ 15 Ib. 0 30 Ib. �,gC�� ��� D Install modified tiitimen (granulated)torch down roofing
� nstall new galvanized valley me black,white or other color
Install new tead boots � � ���� �Install 25 yr.fungus resistant 3-tab shingles
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�Install new exk�st vents �+ � 0 i�stall 30 yr.fungus resistant dimensional shingles
Install new drip edge, color 0 Shingle manufacturer color
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Instaii new flashing as needed �w� y;��E� 0 Install TPO,white rubberized roofing membrane f �;
�Replace plywood at$ G��i,b�9 per sheet �1 Other. � �c� .�►�a r
❑Repair rotten trusses at$ 1�. ��� per foot 5 ' '� � '
`Woodwork is an additional charge,see pricing above
y� ��� �e�����
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All materiai is guaranteed to be as specified,and the above work is to be performed is accordance with the drawings and specfica- �
tions submitted#or above work and completed in a substantial workmanlike manner for the sum of$ �� l�'�d a �v
with payments to be made as follows. Payment due in full on comptetion, unless otherwise noted. Thank You.
Creditcarcis accepted,addfionai 2.8%charge.
Arty aMeraUon or deviaHon from ebove speciflcetlons invohring extra costs will
, be executed only upon written ordere,end arlll become an extra charge over and
above the estlmete.All epreements ooMingent upon sMkes,accider►ts or delays OffICB�/A 8�t
beyond our control.Owner to carty flre,tomedo and other necessary Insurance ' 9
�onabwewonc.won�BB�CampensationendPubl�Lfabfqtyinsuranceanabove Note: This proposal may be withdrawn by us if not acceptec
work to be taken out by Rooflng Contractor.
within days.
� Ciient gives permission to drive on driveway to deliver material I. ,
ACCEPTANCE 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 ProposaVContract,wrhich contains Florida Statues 713.001-713.37.Payment will be made as
outlined above.
Accepted � Signature
Date �r � � � Signature
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