HomeMy WebLinkAbout16-17280 CITY OF ZEPHYRHILLS
; 5335-8TH STREET ' i
' (813)780-0020 17280 'i
BUILDING PERMIT �'i
PERMIT INFORMATION LOCATION INFORiUTATION � ' ��
Permit Number: 17280 Address: 5907 AVOCADO ST '
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: COLONY HEIGHTS
Est. Value: Parcel Number: 12-26-21-0260-00200-0200
Improv. Cost: 7,625.00 OWNER INFORMATION
Date Issued: 4/21/2016 Name: MAST CURTIS
Total Fees: 75.00 Address: 5907 AVOCADO ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-3866
Date Paid: 4/21/2016 Phone: 813-415-7771
Work Desc: REROOF SHINGLE
' CONTRACTOR S � APPLICATION FEES �
' AFFORDABLE ROOFING SYSTEMS INC REROOF RESIDENTIAL 75.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS�O�QIN O
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 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 Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
i����� �
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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
e�a-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
, ,
Date Received ��^��j, phone Contact for Permittin J
Owner's Name V S (it„ Owner Phone Number ,,J�
Ownar's Addresa � �� � - Owner Phona Number
Fee Slmple Tltieholder Name Owner Phone Number
Fee Slmple Tltleholder Address
JOB ADDRESS � O O LOT# �
.��
SUBDIVISION l.,d d S PARCEL ID# 1 L,� ' 1"' � V'vo/-l.�J'� �G3Ju
(OBTAINEO FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Y��O �` , ✓�_�" E' i ��
BUILDING SIZE SQ FOOTAGE� HEIGHT
�UILDING $ ���'� VALUATION OF TOTAL CONSTRUCTION I
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �E%"
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �
� QGAS Q ROOFING Q SPECIALTY Q OTHER . ^ ,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
I ! v
l �-
BUILDER COMPANY TT'iTVYG�yJ�{�, � ����
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address M � ,- (� � ���1�License# �l�2�(j���i
ELECTRICIAN COMPANY
SIGNATURE REOISTERED Y/ N FEE CURRE� Y!N
Address License#
PLUMBER COMPANY
SIGNATURE REaIS7ERED Y/ N FEE CURREn Y/N
Address License#
MECHANICAL COMPANY
51GNATURE REGiS7Eaeo Y/ N FEECUw�n Y!N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add►esa Llcense#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111t1t1111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon,
Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facllltles&1 dumpster;Site Work Parmit for subdlvislons/large proJects
COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Fartns.R•O•W Permit for new construction.
Minimum ten(10)working days after submfttel date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fance installed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercfal requirements must meet wmpllance
SIGN PERMIT Attach(2)sets of Engfneered Plans.
"`•PROPERTY SURVEY required for all NEW canstructfon.
Directlons:•
Fill out applicatlon completely.
Owner&Contrector sign back of appllcation,notarized I
If over 52500,a Notice of Commencement is requlred. (AIC upgradas over 57500)
'• Agent(far the contrector)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
COUNTER PERMITTING (Front of Applfcatlon Only)
oofs If shing es Sewers Servlce Upgrades A/C Fences(PIoUSurvey/Footage) �
Drlveways-Not over Counter If on public roedways..needs ROW
, ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"dead"restrictions"
which mey be more restrictive than County regulations, The unders(gned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES; If the owner has hfred a contractor or
contractors to undertake work,they may be requfred to be Ifcensed In accordance wlth state and local regulatlons. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law, If the owner or Intended contractor are uncertaln as to what Iicensfng 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, ff the owner has hirad a contractor or contractors, he is advised to have the contractor(s) sign
port(ons of the "contractor Block"of thfs application for which they will be responsible, If you, as the owner sign as the
contractor, that may be an indicetion that he (s not properly Iicensed and is not entitled to permittfng privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the constructfon of new bu(Idings,change of
use in exfsting buildings, or expanslon of existing buildings, as specified In Pasco County Ordinance number 89-07 and
90-07, as amended, The undersigned also understands, that such fees, as may be due,will be identified at the time of
permltting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prlor 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 permlt issuance. Furthermore, if Pasco Counry Water/5ewer Impact
fees are due,they must be paid prior to permlt fssuance fn accordance with appiicabie Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuatlon of work fs$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Gulde"prepared by the Florida Dapartment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prfor to commencement,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certffy that all the information in thfs applicatfon is accurate and that ali 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 installatlon as indicated, I certify that no work or Installation has
commenced prior to Issuance of a permft and that all work wlll be performed to meet standards of all laws regulatfng
construction, County and City codes, zoning regulations, and land development regulations fn the)urisdictlon, 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 actlons I must take to be in compliance. Such agencies include but are not limited to;
- Department of Environmental Protectlon-Cypress Bayheads, Wetland Areas and Environmentaily Sensftive
Lands,Water/Wastewater Treatment,
i - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
I - Army Corps of Engineers-Seawalls,Docks,Navigable Watenvays,
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Sept(c Tanks,
- US Environmental Protectlon Agency-Asbestos abatement,
- Federal Aviation Authority-Runways,
I understand that the following restrictions apply to the use of fill:
- Use of fill(s not allowed in Flood Zone"V"unless expressly permitted.
- If the fli material is to be used in Flood Zone "A", it Is understood ihat a drainage plan address(ng a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the 5tate of Florida.
- If the fll materlal Is to be used in Flood Zone "A" in connection with a perm(tted building using stem wall
construction,I certify that flll will be used only to fill the area wlthin 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 flll is found to adversely affect adJacent properties, the owner may be cited for violating
the conditions of the build(ng perm(t 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 fn
this aftidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditloning, gas, or other (nstallations not spec(fically included in the appl(cat(on. A
permit Issued shall be construed to be a Ilcense to proceed with the work and not as authority to violate, cancel, alter,or
set aside any provis(ons 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 vlolations,of any codes, Every permit fssued shall become invalfd
unless the work authorized by such permit is commenced withln sfx months of permit Issuance, or if work authorized by
the permit is suspended or abandoned for a period of slx(6)months after the time the work is commenced. An extension
may be requested, in writing, from the Bullding Official for a period not to exceed ninety(90) days and will demonstrate
Justiflable cause for the e�ension. If work ceases for ninety(90)consecutive days,the job Is considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROV,�MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR ANIATTOR EY BEFORE RECORDING YOUR OTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117
OWNER OR AGENT � ,c.�C� CONTRACTOR
S scrl6 d end swor (o befo e thls Su cribe end swor o(or eKrmed)b for e hl
by -� �O � by
W Isla er nown to e haslhave produced Is/are personally known o me or has/heve produced
4 Identlficatlon, as Identlfication.
Notary Public , V 1� Notery Publlc
Commission o, U O Commission N , "�'���l�C/J
Neme of Notery�e�l��rinted or sta Name of Notary typed,prinled or stamped
�01: ,.�.� `��A.VITO
� ;..iv"�� •';�ION#FF 039560 2o�:a::;'e�.�, JOY A,VITO
'�' ?�r ' �.;. ' Ati(�US13,2017 � .� MY COMMISSION#FF 039580
�'� �'1 EXPIFiES:August3,2017
���TFOF Fti��`J, E0Q*fi�'"""°0"''i Notary ServiCCS �C�r��� ��<,°P Bc�dad Thru�99�et Notary 5erv;ces
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2016@61374
J . Rept,:1764917 Rec: 10,00 I ,
DS: 0.00 YT: 0.00
ThislnstrumentPreparedBy; �q/20j2g16 C. F. , Dpf,y Clsrk '
Affordabie Roofing Systems,inc,
12573 US Highway30l PAULA S 0'NEIL:Ph D PRSCO CLERK & COMPTROLLER'
Thonotosassa,FL 33592 Q�q12�j2�j�,g �t};Qg � 1 cf 1
NOTICE OF CQMMENCEMENT OR BK ���� PG ���"�
Permit Number Tax Folia Number ����`"r���-t�""��"'���
Parcel ID Number �
State of Flarida
County of ��
� THB IJNDERSIGNED hereby gives natice thaT improvements wili be made to certain rea!property,and in accordance with Chapter 713,
' Florida Statutes,the following information is ptovided in this Notice of Commenaement;
1.Descrlptlon of propert (legal descriptiQr�): �l.JI -�-t �_� �L-�. �
' a}Streat Qob)Address: f"' O[:. Z
2,General descriptlon ofi Smprovement: iReroaf
3.pwner Informatlon or Lessee Inform��tion 6f the Lessee contracfed f r the Improvement;
{a)Name and address: 1���('�- ki�(�� ��(,7"'f �}},lp�f�{(,�j'} �-�j�,{,��r�k�I,�,�_��" '�j�'jC�2..
(b}Intarest in properryt G»wT,�lPhi
(c)Narne and address of fee simple titleholder('tf other than owner);
', 4.Contractor information; � -
, (a)Nama and Address;Affordable Ronfing Svstems,Tne 12573 N Hwv 301 Thonotosassa FL 33592
(b)Phone number; ($13)986-6683
5.Surety
(a)Name and address;
(b)Amount oPbond
i (o)Phoae nurnber;
b.i.ender
(a)Name and address;
(h)Phone number;
7 Persons wlthln the Stafe of F(orida degCgnaEed by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes; �
'i (a)Name and address:
ii (b}Phonc number:
8.in addltion to hlmself,Owner deslgnates the following person(s)to receive a copy of the I,ienor's Notice as provided in Suotion
7I3.13(i}{b},Florida Statutes:
Ij (a)Name and address;
(b)Ahone number:
9,Explratfort dafe of ttotice af commencement{the exgirakion data is I year from the date of recording unless a ciifferent date is
' specified};
WARNING TQ QWNEft: ANY PAYMENTS�MADE BY THE OWNER AFTER TNE EXPIRATIflN OF TNE NOTICE OF
COMMEhlCEMEN7 ARE CONSfDERED IR�fPROPER PAYMENTS U.NDER CHAPTER 713, PART I, SECTION 713,13,
FLORIDA 3TATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR`IMPROVEMENTS 70 YOUR PROPERTY,A
. NOTlCE QF CQMMENCEMEN'i MUST BE�REC4RDE�AND POSTED ON TH�J48 SITE BEFORE TNE FIRST
(NSPECTiON,1F YOU INTEND T'0 OBTAIN FINANCING, CONSUI�T WITH YOUR LENDER OR AN ATTORNEY
� BEFORE COMMENCING WORK OR RECbRDING YOUR NOTICE OF COMMENCEMENT,
�i Under penalty of perjury, I declare fhaf!I have read the faregaing notice of cammencement and that the facfs stated
� therein are 9r,u�to the st of my kn �edg d belief
�l�.l ��_ ( ��� �.� .��--._�._;_.,.,,_..�:-:
�tid�UlB�Qf aWtt$t-Oi'G8$599�Ot'�Wt1L'!'$02'��8�58$��-{/?�Ut�iO(�Z$a fl�IGB('1��t86t0(l�dt�(t$(/�att899t'} (Print htame and Provide Signafory's Ti11eiO�ce)
' .. The fo/ egoing instrument was acknawledged before me this�day of_,���� ,2016
�I gy 1.����� C:�• 7 1 as . v(.xr/�-�"�'�
(lYpe of authorlly,e.g,officer,Irvslee,allorney In fad)
�r;��or P�� �:�i as
II ` —�.{Neme ot Person}- ..... .---—� �—— ' � ---� � (tYPe ot fluthodty,.,,e.g.oPocet,Wstee,aBorney In(ed}
! Fof (name of party on behall of whom Instrument was executed),
Personally Known Produced ID� ,
Type of ID
� ' ;.t� , Nofary Signature "" L/�G��
Prinf name � c C"�' ��SG�'�-$�^
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; (i r r �
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� ��ari�ara�iw
�C?t����i� �i"fCi t O��Ts�{V�
� �'�'� �'�= MY COMMISSION�FF 9D0343
I �k: �%
:�•�:'a: EXP{RES:November 16,2�19
I � .';a;.f.°'�� 3onde:.'hr�hk�tary s'ubtic Unde�ers
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/ /�(Tl•GJ '�w . ��i� w vr�r�♦ �r i.vc.-vi(ivi
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� � �'�nt��c�` �ne� .A �ee�ent
RooFir�s srsr�Ms �
Affo�dable Roofi�g Systems, ���o COWTRACT AMOUNT 2 T
12573 N U.S. 301 Toll Free (888) 397-ROOF DEPOSIT AMOUNT 2�,
Thonotosassa, FL 33592 Phone (�13) 986-6683 BALANCE AMOUNT `� �i �da ''DATE � ���
License No. CCC1326722 Fax (813) 986-6779 -
No. CGC1517188 BALAMCE DUE IN FULL UPON COMPLETIOfV
I/We the Owner(s)of the premises mentioned below,hereby engage and hire you as Contractor,to furnish and install all necessary materials and
labor,to install, construct and place the improvements according to the following specifications,terms and conditions, on and in the premises
below described which we warrant and represent that we have good record title as to Owners in our own name.
OWNER'S NAME(S) � G'�1�-77 S M �S� PHONE 563--��� ���I
ADDRESS .�9a� A-✓oC�}-�o .�� CITY ���yr�L�S STATE � ZIP 33S�Z
Contractor agrees to furnish all labor and materials according�Q�fol�ing specifications:
1. Furnish County or City permits required for reroofing. f�
2 Tear off existing S�? � roof to a usable surface and liaul away debris.
3 inspect decking, renail to code, and make necessary repairs at an extra charge as outlined in wood work sheet enclosed.
4. Install r�f�(.� underlayment. /��— '� ���ls ��'2� 5 �ir/�� ���
5. Install new eave drip,valley reinforcement, lead pipe.flashing, goose neck exhaust vents, and aluminum ridge vent system.
6 Install fungus resistant shingle roof with six nails per shingle.
7. Affordable Roofing Systems, Inc. will warranty workmanship for � years.
A.) 25 Year Three Tab shingle $ N�2
B.) Dimensional shingle ��' $ N��`
C ) Lifetime shingle��� �Mf��/J� ��'r" '�'T'1 h�G,T���/�,� �� �/vG�li1�'�_
D.) Enh�ed Cove�e Warranties ��'� --Sr� P�s w��2r�•�fy � �!'�G�-Z1G�'� _
E. Shingl over ridge vent � ���� "— ���" �'� '��� � �lJLLtiID�� _
F.) Leak Barrier- Self Adhered Modified Are ���/�O� ��:�'zG��/�JJd✓ � ��'`��'�=���_
G ) TPO single ply roof system _ $ �! � _.
H ) Roof Color sL�� Drip Color bN w�1� Ridge Color -��'l�/4� �
D�SPos� oG(�-) (�� iu�n��S t�—f'i't.c. wl7}1 W� �r� 2'NG�t� `' (ZcP�t.[� ��z" Pc-y�.�lao�
f��-�Lo 2no� 7b � !�"3'►'►�?� I�/lY �-�2� �f,7v B �y G�.6'�i �o �i�c�A,�-�'
/�G�'�2o9-r3c.�' r.v i��-sl�- W�-.v� P.�-nv .z,�s�r� r�y O� T��-z�v �-a��fl- _
�'� ���v � � .�.tsu��hr� � c
The undersigned Contractor agrees to sell and the undersigned Buyer(s)Qointly and severally,if more than one)agrees to purchase the above described goocis
and services which are to be furnished or used in the modernization,rehabilitation,repair,alteration or improvement of real property located at Buyer's address
given above. Final paymeni shall not be withheld due t punchout or inspec�ions.
APPROXIMATE START DATE y r 1 "��� APPROXIMATE COMPLETE DATE � � 2 D�4y
(Material supplies and weather permitting)
NOTICE OF RIGHT TO RESCIND CONTRACT
Either party of this Contract may cancel the Contract by giving written notice to the other party by certified mail or registered mail on or before midnight of tYie
third business day following the execution of the Contract. Buyer's notice to Seller musi be mailed to: AFFORDABLE ROOFING SYSTEMS, INC. 12573 I�
U.S.301,Thonotosassa,FL 33592 and state the Buyer does not want the goods or services.
NOTICE TO THE OWNER
Do not sign this home improvement contract in blank.You are entitled to a copy of the contract at the time you sign. Keep it to proiect your legal rights.
This home improvement contract may contain a mortgage or otherwise create a lien on your property that could be�foreclosed on if you do not pay Be sure yau
understand all provisions of the contract before you sign.Any monies not paid at completion will incur a 1'/:% per month interest rate.Any costs incurred by
Affordable Roofing Systems,Inc.for litigation will be paid by non-prevailing party
ACCEPTANCE
The prices,specifications and conditions are satisfactory and are hereby accepted.AFFORDABL ROO ING SYSTEMS,INC,is authorized to do the worl<i�s
specified. Payment will be made as specified above
�
(_L� Q���y �S--�So3 Buyer _ � Date O � �Sl��o
Agent 3��-a�s��,� Date O�i�S`� � Co-Buyer Date
BUYER ACKfdOWLEDGES RECEIPT OF THIS CONTRACT IMMEDIATELY UPON EXECUTION THEREOF.
NO VERBAL AGREEMENTS WILL BE HONORED. ITEMS ORDERED MUST BE ON CONTRACT.
This is a legally binding contract.If not fully understood,seek competent advice. RRc'i`