HomeMy WebLinkAbout15-16683 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
� (sis)�so-oo20 166
' BUILDING PERMIT
" � PERMIT INFORMATION � LOCATION:INFORMATI -
Permit Number: 16683 Address: 38819 6TH AVE
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: 11-26-21-0010-14100-0120
Improv. Cost: 9,000.00 � OWNER INFORMATION
Date Issued: 10/22/2015 Name: KUNJUMMEN, BABU &ALICE
Total Fees: 80.00 Address: 33819 6TH AVE
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/22/2015 Phone: (813)782-7281
Work Desc: REROOF SHINGLE
CONTRACTOR S � - APPLICATION FEES
MITC ELL ROOF TEMS L REROOF RE IDENT A 80.00
C'� � � �- l � -�l S
� �
� i�
_ - - - Ins ections Re uired ' - - -
DR IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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 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 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 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.
CONTRACTO IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Mitchell Roof Systems LLC 10/19/15
3015 Whispering LN •
Wesley Chapel, FL 33543
(813)312-2126 ,
tmitchell@mitchellroofsvstems.com -:
State Certified Roofing Corrtractor LIC.#CCC1329714
Proposal ,
Proposal Submitted TO:
38819 6th Ave.
Zephyrhills, FL 33542
' (813)297-6334
WE HERE BY SUBMIT SP�CIFICATIONS AND ESTIMATE FOR: � '
Reroof of approx.3,600 sq.ft.asphalt shingle %'
1. Remove all existing roofing material, roof shingles,drip edge, roof vents,flashirtgs and haul
away all job related debris. �
2� Replace any damaged plywood and 1x6 fascia, (2)4x8 sheets of plywood and fascia repair '�
included in proposal.Additional wood replacement to be completed @$50 per 4x8 sheets of%"
CDX 4 ply plywood and$4.00 per board ft.of 1x6 upon approval.
3. Re-nail entire roof deck with 8d round head ring shank nails 6"o.c.
4. Install self adhered/self-sealing shingle underlayment as a secondary water barrier to prevent
wind driven rain from entering home.
5. Install chimney flashing.
6. Install GAF 30 YR Dimensional Shingles. (color;To be specified by home owner) ��w� F�„��-�
7. Install adequate roof ventilation to reduce heat build-up and insure maximum roof
performance.
� �b � �i e. C��w,F t-F�� � 1.�'c�`�� � �
���� �� ���,� ��� Total $9,000.00
• All grounds to be cleaned up on a daily basis. All bushes, shrubs, and flowers to be
protected.
*All labor guaranteed 5 full years*
Price includes all labor and specified materials to complete job,clean up and disposal of all job relate
debris and any permitting and inspections required.
Acceptance of Proposal: ,
Home Owner � Date .- � �� , ,
Contractor Date�
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11l1212015 K. G. , Dpty Clerk
F'AULR S 0'NEZL,ph d Pq5C0 CLERK 9, COMPTROLLEh
NQTICE OF COMII�NCEM.F.NT 11p�2BK�1�'�Q1/��PG �,�
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THE L3NDERS�GNED hceby give inSotms yon that the imptovemenf wi7l be meda W ca'tam rtat propetty,ema Ia exordence with
Section?13.13 of tLe Flortda 3tadrtes,tha follawia$infonnetloa!s provided in thiv N07'ICE OF CtiDMML+NCF.14�Nf.
' 1.DcscrIpti�►afProgertY(l�ga!dacriptton:) � O� 1`1 i�`4� ��� �C',�,��'�hi� ���� ��,��j t-�,l,.,
' a)Strece Address:
2.i}atserai dsseripttan af impravemeats:_�,2 F`
3.Ocvnera�Nemeeadaddcass: �'�a�0��. �O �' . �_ �tuYlki�f2+.l�r t�.. 22S'�t�, t�9`�t„) f*�riS�Ie�rmQr1 �
� b)Nnme ahd addrese of fee simplo titleholder('if mher thaa owner)
o}Intcn.st i¢s P=aPr+tiY ,
' 4.Con�acrorinfom�atiun ..._ {{ p�„ '� � „,(ttr,� 3'3�'t��
� e)Neane mid addnsa: I o� .ir��1,), ��i S {�.y�'l`S� �ri� �_.5�,�e���,,,�, �
b)Toleghaae No.: � . �,�(y,,,_ Fmc No.{Opt)
5.S�aety Taformetlan
' a)Name mid'sdderss:
b)Ar�toupc ofHond;
c)Toleghane No..: ' F.ax No.(Opt)
i 6.I.ender
' e)Neme and ed�ess:
Phoiu No. '
7.Idanttty ofpnisoa wid�in the State of Florida deadg�nated by owner upop�whom notices or othu documeata may be aerved:
s)Nalae and address:
b)Telephone No.: ' Fax Na{Opi,)
8.In eddifion ro himsel�awacr deaigaates t6e followidg per�on to naiyo a c.opy of the T.ifeaor'e NoNee es'provided in Section.
,' 713.23(I){b�FTorida Ssadrtes: • . .�
a)Neme end addre.ae: '
b)TetephoaeNb.: t� � FauNa.(Upk} • ' �`x•
, 9.Eupfcadon date oPNodce of Commencemdu2(the eaepaetion date is one yeac frat�4 iho data of recordtng�asless a dif£einnt date!s .,}'
specl6ed): .
WARPtBYti'TU OWNI�fL• A�TI'PAY[K�1V't'S14fADB BY 2'HE OWNER AFTER T$E�XPIRA170Pi OR Tt#'L NBTtCE OB
COMMEIVCEM�NT K.RB t'.ONSID,�+TlED I&xPR4PER PI�.XbI`@�II'S i1YVDLR CHAF'TER 713,PART I,SSGTI4lV��3.13.
PtORTDA STXT[TTSS�ttNA CAN RESCTLT IN YOIIIt PAXING TWICE B'OR IIYII'RO�TO.YOxTA PROPERTY.
A PIOTiCE Q�COMMEN�BMENT MUSF BE RECQRD$II�,ND PQSPED OPi THE J031 S1TE BFFORB THE FlRST
INSPECA'XON, IP YOU IN1'END TO OHTAl3K FIIVAt!rCIIYG,CONSULT YOU�i LENDBR OR AN ATfiOR1�iEY HEFORE
CONtMENCII�tG WOBK OR RECORDBY6 XOIIii HQTIC�OF COMMENCEMENf. ,
STATE48Ftd3R2DA ���yLj�.,,A y
COUPtIY OI+PASCO a 7C7 W� '
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The fongotng insaument wa+nelmowlcdged beforo ma th(s�day of�Al,CMb CT' 20,��by �a-b�1.
_�tz utt+t/ri�'-it � t9Z�'iJ1�t" (type ofasrtfinrtty,a�of6c'at.twtee,ettoraaY
����r C��'�`-- (neme ofpacty oa bahalf of whom iastrument wa�
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PeesonallyKnown�ORPtoducedIdentSHcation� NotazySigaaftue —Z!' y►S�p t:tl
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Type ofIdeatification Produead��-�� �Xtl 1 t-�.�=�7 N�u(�rtnc>�"a GCe-� crt . � '� pti►Y e,�^�r�
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Verificatlon pursuant to 5ectiort 92.525,Flodde 5tswtrs.Under pemtties af pajury,I daclern t1�at I heve resd tha fonBu�� Gp�'11�• �16 M
the fezts stsud in it are Gua w the best of my kaowledge end belie£ �r �,�„��}t�Z� r"�►i.
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STA3'E�3F FL�RIbA, COUN'fY OF PASCO ,�� � � ° ���
THIS IS TG C�RTIFY THAT THE FOREGOING IS A ��. �' ��
TRUE AND CORRECT COPY OF THE DOCUMENT �
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �, -0�
WI NE MY HAND A��,o OFFICIAL SEAL THIS � � r"c,°`r�"e�"�` .
AY OF I�av'2�n 1�r� � �l i� � ' � ;�� '�
PAU A S O'NEIL, CLERK&COMPTROLLER � ��
� �s � 2887 .
EPUTY CLERK ���� °� °����
813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021
�
Building Departrnent .
Date►�ecelved ��G %� phoneContactforPermittin —
Owner's Name ���'ti'�,�'����'�� � �l�J l�l��ce 3qb� pw�er Phone Number ���3 ��7 -�33
Owner's Address �b l �D�� P`�e" Owner Phone Number
Fee Simple Tltleholder Mame Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 g�'� i �"�`� /��� Ze � ^C� 3 3.S— Z LOT# �
SUBDIVISION PARCEL ID# < <�Z� ' 2 f— Z p
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
� B INSTALL 8 REPAIR
PROPOSED�USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � Q BLOCK ° Q FRAME Q STEEL Q
DESCRIPTION OF WORK � r0 D � /�CS � �� S�� n ' �'S
BUILDING SI2E SQ FOOTAGE 2���Sg HEIGHT . S�f
QBUILDING $ �y ��� VALUATION OF TOTAL CONSTRUCTION
/
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATIOId OF MECHANICAL INSTALLATION
QGAS ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COAAPAWY� �L��� $�� L LC-
SIGNATURE REGISTERED Y/ N FEE CURRE Y/N
Addres� Ctcense# c-e- � �97�
ELECTRICIAN COMPANY
SIGNATURE Fs REGISTERED Y/ N FEE CURRE� Y/N
Address � License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
Address License# •
MECHANICAL COMPANY
SIGNATURE REGI57ERED Y,/ N FEE CURRE� Y/•N
Address ' License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N , FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2),Plot�Plans;(2)sets_of Building'Plans;(1)set of Energy�Fortns;R-0-W Pemilt for new construcUon,
Minimum;ten(-1.0)working,days;after submittal date. Requlred onsite,Constiuction Plans,�Stormwater Pians w/Silt Fence installed,
Sanitary Facilittes.&:1,dumpster;S(te Work:Pertnit for subdivisions/la►ge 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,ConsWctlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 8 1 dumpster.Site Work Permit for all new projeots:All commercial requlrements must meet compllance
SIGN PERMIT Attach"(2)sets of Engineered Plans.:,, �-°
""PROPERTY SURVEY required for ail NEW_construction.
Directlons: '
F(II out applicatlon completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over y2500,a Nottce of Commencement isrrequired..�(ALC.upgrad�:o�rer$7500)
" Agent(for the contracto�)orPower of;Attomey;(fo�tt%e:owne�)iwould.tie'�omeone with notarized letter from owner authorizing same
r: �.�;.
OVER THE COUNTER PERMITTING ' (Front of;Application;Only)' ; ,�:a
Reroofs if shingles Sewers Service Upgrades �A/C.;: � Fences•(PIPUSutvey/Footage)
.,..,.., , _.� v y.,,�. .,a.a. . ..,,....<
Driveways-Not over Caunter if on public roadways..needs ROW
. , � .
y �. , � � � p. . : Ybe rsubJect to"deed",restrictians" �
NOTiGE OF DEED R�STRICTIONS: The undersigned undergtands<.that;this:p�rmif�ma
which ma �be.more�restrlcttve:than�Couri""=°r�guratrons.�The undersl'ned-`assumes cesponsitiility-for`compfiancei-with any
appticabie deed reshtctions. , . �; �
UNUGEMSED GONTRACTORS AND"CONTRACTQR RESPONSIBILlTlES:`=tf�the orivner has--hired�a can#raotor or
contractors ta undertake work, they may be;req�aired.:ta:,be;itcensed In accordance.with state.snd�local reg�lattons. �tf the
contractor is not Itaensed as'r.eqWred`by lativ� both the awner and coritractor�may, be-cited-fur a�misdemeanor vtofatton
under state law. If the awner ar intended contta,ctor;are u�ceMaln as to what Itcensing:requlreKnents�`may apply�ior�-the
intended work, titey are advised to corifact the Pasca County 8ulldiing-tnspecfion Dtvlslan--Licensing$ectlon at T27-847-
8009. Fu�thermare, if the owner�Fias`tiired a confractof o� conEractors, he is addisad ta have #he cantractar(s), sign
portions of the "contraator Block" of this appltcettan tar which they wlll..be responslbie., if ycu,-.as-..�he oiivner"sign"as Ehe
cont�actor, ttiat�iiay be an indication�that he Is not.prope�ly licensed and°is�not entltlei! to petiriftting�privileges in Pasco
Counry. '� '
TRANSPnRTATiON�IMPACTiUTiL-iT1ES IMPAC'i'•AF�b�RESQURC�RECOVERY'�FEES:��The�undersigned�understands
that T�anspar#akion tmpact Feas and.Recaurse Recove.ry.Fees majr:-appiy5to�the consfructian af new buildi�gs,.�change of ' =
use 1n existing bu3ldings; or�.expansion�of=�ezlsti�ig�tiuffi�ngs, as specifled.in Pasco County Ordinance number 89-07 �nd
90-47, as amended.:, '�lis undersigned �lso,understands, that such fees�=as rmay_;�e�=dwe,,wf1l��be identif�ed at the�=tiriie��of�
permitting. It Is further understood that Transportatian (mpact�ees attd�Resaurce RecoueiyAFees�.mu�t be paid priot�to
recetving a °cerfl�cate.�of-occupancy" or flna).pawer-release. :If the project,does no!Involve:a:.certificate of accupancy,�ot�
finat powerretease;,the fees must be paid prtar to permit Issuan'ce. Fu�thermore,:�if:_Pasco.County�lNate�lSewer�lmpact
fees are due,they:must be:paid=p�ior ta permtf-issuanee={n�ccoedance witti appiicable Pasco County ordinances,
CONSTRUCTIQN LlEN t,AYV{Ctiapter 713, Elerlda S#a�tutes,as.�mende�): If.vafuatian of work Es�2,500.00.•or more, 1
certify that l, �he„appltcant,. ,have-been provlded wi#h a--copy af=the "Florlda Construction_Lien;Law=-Hameawner's
Protection Guide" prepared by the Florida Department of Agric.ulture and Consumsr.�Affairs, !f the �ppl(cant is someone •
other than the"owner", i certifjr#hat i h�ve.obtained=a`copy.of the:above.described dacument��nd:p.r.omise�in.good falth to
detiver it#o th�,°owner."pdor to>commencement: ' ' � � "" �
CONTRACT+DR'S/OWNER'S AFFIDAYIT: 1 certify..:ttaat�.atl�the,,information in�this applicatian is accurate and that all wark
wiU'be done in compliance with a!I appltcable laws rogulating construation� zoning and�land�develapment. Applioation is
hereby made tn abtain .a permit to do.work.,�and installation as ind[cafed:�,..`I cer�ify°"tliat no uvark�.or inst�atiatton has
commenced p�la� to issuance af a permit"and that:al! work will be performed to meet standards of al! laws regula�9ng-
constructian, County and City codes, zoning,regulatlons, and land development cegulatlons�ln the jur(sdtctton: ! al'so
certify that i understand that the reguiations ofi other gove�nment agencies may�apply�ta the lntended work, and that it is "�
my responslbil�ty#o identtfy�what.actions i must take:#a be�in:.campl{anca. S.uch agencies inciude but�are.not Ilmited to: ,
- Department of Er�vitonmental�Protect�on-Cypress.'�aytieads; Wefiand Areas and Er�viranrnentaliy Sensifive
Lands,WaterflAlastewater Treatment.
- Southwest Fforida 11Vater Management .Distrlct-Vllells, Cypress.� Bay_heads�, Wetland Arees, Altering
Watercourses. .
- Army Corps af EngMeers-Seawatis; Docks, iVavtgatile Waterways.
,- Department.of Nea1#h � Refaabifltative ServiceslEr►vironmental Health Ui�rit-VVelts� Wastevrrater Treatment,
SepticTanlis: � ' ,
- US Environmenkal Protectlon Agency-Asbestos abatemen�
- Federal Avlativn AuthoMty�Runways. �
t understand that the foitow�ng�restrictians apply to the use of fl8:�
- Use o#fill is riot aEicwed in Fload;Zope"V"unless expressiy permitted.
- If the-flll material�is to be used: fn Fiood Zone "A°, it. is understood'that-a dra�nage pian adcfressEng a
°oompensating volume" will be submltted ak time of permi�#ing wliich ts prepared by a professiona! englneer
licensed by the State of Flor(da:
- tf the fii) materia).is to be used in Flood Zbne �A° tn+connection�wlth.a�{�ecmitted builtling using stem waA �
� constructian, i certify th.at fili:witG:b.e used oniy.to fiq the area within the�stem�wall.
- !f #iif material Es to be used in any area, 1 aertlfy that .use. af euch fili wilt no# adversely affect adjacent
praper#les. !f use oF fiA ls foand to adversely_.�ffect adJa�ent properties,.the awner may be cited for vi€�iating
the condltio�s of the bull�ing:permit issued•under the�atEaahed pormit appiica#lon� for=1ots less than ane (1)
acre which ar8 elevated by flll,an engtneered drainage p4an ts requtred. •
if i am fhe AGENT FOR THE OWNER, I;:�►romise In gaod faith#o inform the owner of the permltting conditlans set farth!n
th+s affidavit prfor fo cammencing canshucflan. I unders#and that a�separa#e perm(t may be requtred for etectricai work,
piumbing, signs, welts� poals; atr canclitioning, ,gas� or ott�ec ins#aitations nof.spac�icatly included�in.#Me apptication. .A
permlt Issued shall be aonstrued ta be a llcense to-proceed wlth the work and not as.authority to,violate,cancel, atter, or
set aside any provisions af the technical.codes; nor shalt lssua�ce�of a.perrnit_prevent the 8ulldlrig Offtcle!from.therea�ter
requiring a correation af erirors In pians:, cons#ructlan or violatlons of any codes. Every perm(t Issued shall becume invalid
untess #he wa�k avthorized by such permit�is.ciammenced•within six m.onths of permtt lssuance, ar if work authorized by
the permit is suspencled or.abandoned.for a perfod of six{8)months.after the#ime the�work ie commenced. _An e�ctension
.:may be requesked, (r�wrlting, ftom the Bulfding,C}fflcial for a perlod.not to exc�eed_nine�,r_(90)_da�rs_and=wiH-demor�stra#e------ --
—just�able�cause tor.the exiension:If woik ceases-fo�nlnety(90)consecutive days,.-the job=is considered aba�doned.
WARNiNG Ta QWNER: YOUR.�AIt,URE�TO..REC.C��tD.A.NQTIGE OF��COMMENCEIVIEMT�MAY�RESULT IN�YOUR
PAYING TWiCE.�OR iMPROVEMENTS TO Yt1UR PR�PERTY.�IF�YO.U�i�i�E�i1D�?T'C'�`CiBTA1N•�IIrFANCING;'C.4NSULT
WIT QUR D Q� A 'iTt) N � O E� ECO �YC1U �� �� �OF= -' E C N �
FLORIDA JURAi"(F.S.1.17.03} _ � � /� ` °.
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OWNER OR At3EN7 COt�tTRAGTO �
Subscribed and swam to{or a�irmed)6efore me thls 8 �sctibed and'swo -to(or aflltmed)�before me�t��
by r� Z��S •b ;.ti � •C�-�.C
Who lsiare pe�sonafiy knowr�to me or ha�tltave produced Wtxa ts/are ers ktz •Ea m. or heslh�ve�produced �
as Idendflcatlon. L � ' n.S2. as ldentl�cadon.
Notary Pubttc . Plotary Publtc
_'�� "__ Commission# F 50422
Commisslon No. Comnni � _ •
s�' oQ,; � .
.
�.�Rj���,�.` Bonded Tlw Troy Fain Insurance 800-385�7019
Name of Notary typed,printed or stamped Name of Notary typed,printed or slamped