HomeMy WebLinkAbout16-17309 CITY OF ZEPHYRHILLS
5335-8TH STREET
` � (813)780-0020 17
BUILDING PERMIT
PERMIT INFORMATION ' LOCATION INFORMATION
Permit Number: 17309 � Address: 38029 7TH 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: 11-26-21-0010-12600-0110
Improv. Cost: 2,460.00 OWNER INFORMATION
Date Issued: 5/05/2016 Name: ARUN CHACKO, PERUMRAL
Total Fees: 50.00 Address: 38029 7TH AVE
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-4055
Date Paid: 5/05/2016 Phone: 813-728-1686
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
FIRST FLORIDA CONSTRUCTION & REM REROOF RESIDENTIAL 50.00
�
\ / �
Ins ections Re uired -
DRY IN ROOF INSP
TAPE JOINT RO F 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.
N C SIGNATURE PERMIT OFFI R �
PE �MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�aasaoozo City of Zephyrhills Permit Application F�-a��-�saooz�
Building DepaAment
Date Received Phone ContactforPertnitting
owners Name ARUN CHACKO PERUMPRAL owner Phone Number ($13)728-1686
Owners Address 38029 7lh AV2 33542 Owner Phone Number
Fee Simple Titlehoider Name Owner Phone Number
Fee Simple TiUeholder Address
JOBADDRESS 38029 7th Ave 33542 �or# � I
SUBDIVISION PARCELID# 11-26-21-0010-12600-0110
(OBTAINED FROM PROPERTY TA7(NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL X REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIP110N OF WORK RE-ROOF 312 PITCH 14 SQ DEM
BUILDING SIZE �ZOO SQFT SQ FOOTAGE 1400 HEIGHT �
QBUILDING $2460.00 VALUATIONOFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J�/ � ���
�J
QGAS xQ ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
1—i��i-7 .—.�L. :-i—:--F-.—.--r�.�-i FO 1 i 1 i 1 1 1 i 1 1 i 1 1 1 1 1 1 1 1 1 1 1 i 1 1 G i 1 1 1 1 1 I..i '�� '...r0���
BUILDER �G�ZG:�s'�/� COMPANY FIRST FLORIDA CONSTRUCTION&REMODELERS
SIGNATURE T� REGISTERED Y/ N FEE CURRE� Y/N
Address 3909 DORAL DR TAMPA,FL 33634 License# CCC032512
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
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)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,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets oi Engineered Plans.
«"pROPERTY SURVEY required for all NEW construdion.
Directions:' ��^
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over b7500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NdTiCE dF DEED RESTR(CTIONS: The undersigned understands that this permif may be subjeat to"deed"restrictions"
wh3ch may be more restrictive Ehan Caunty regulatlans. i"he undersigned assumes responsibltity for compiiance with any
applicable deed restrictfons.
UNLtCENSED CONTRACTORS AND-CONTRACTOR RESPONSIBILITtE3: tf fhe owner has hired a eontractor or
confractors to undertake work,they may be required ta be licensed in accordance with state and loca!regulations. !f the
contractor is not licensed as required by law, both the owner and contractor mey be cited for a misdemeanor violation
under state law. if the owner or infended contracfor are uncerfafin as to what licensing requirements may apply far the
intended work,they are advised to cantact the Pasco Gounty Building Inspectlan Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a cantractor or contractors, he is advised to have the contractor(s) sign
porEions of the"contractor Btock"af this application for which they wilt be respons961e. 1f you,as the owner sign as fhe
contractor,that may be an indication that he is not properiy licensed and is not enkitled ta permitting privileges in Pasco
County.
TRANSFORTATiON iMPACTIUTILI'EIES IMPAGi'AND RESOURGE RECOVERY FEES: ihe undersPgned understands
that Transportation lmpact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-d7 and
90-07,as amended. The vndersigned also understands,that such fees,as may be dus,wlit be fdeMified at the fime af
permitting. !t is further understood that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"ar flnat power release. If the project does not invoive a cerEificate of occupancy or
fine!power release,the fees rrtust be paid priar to permit issuanae. Furthermare, if Pasca Caunty WaterlSewer lmpact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTtON LtEN LAW(Chapter 713,Plorida Statutes,as amended): if valuation of work is$2,500.00 or more,t
cer#iiy that i, the appiicant, have been provlded wikh a copy of the "Flonda Gonstruction Lien �aw—HameowneCs
Pratection Guide°prepared by the Florida Departmenk of Agriculture and Consumer Affairs. If the appiicant is someone
, other fhan fhe"owner",i certify tfiat 1 have obtained a copy of the above described documenf and promise in good faifh to
deliver it to the"owne�"priar to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
wilt be done in compliance with a1i appticable laws regulating consfruction,zoning and tand deve2opment. Apptiaation is
hereby made to obtain a permik to do work and installation as indicated. I certify that no work or installation has
commenced prior#o issuance of a permit and that all work wiil be perfarmed to meef standards of alf laws reguiating
construcfion, Counfy and City codes, zoning regulafions, and fand development regutattons in fhe jurisdictEon. 1 aiso
certify thak!understand that the regulations of other governmenk agencies may apply to the intended work,and that it is
my responsibility to identify whet actions 1 must take to be in compliance. 5uch agencies include but are not limited to:
- Department of Environmental Protection-Gypress Bayheads, iNetiand Areas and Environmentaily Sensitive
Lands,WetedWastewater Treatment.
- SoufhwesE Florida Wafer Management Distric#-Weils, Cypress Bayheads, We#Iand Areas, Aitering
Watercourses,
- Army Corps of Engineers-Seawalls,Docks,Navigeble Waterways.
- Department of Health & Rehabilitafive Services/Environmentat Neattfi Unif-Wefls, Wastewater Treatmenf,
� Septic Tanks.
- US Environmental Protectlon Agency-Asbestos abatement.
- Federai Aviation Autfiority-Runways.
' 1 understand that the fo!(owing restrictians appiy ta the use af fill:•
- Use of fill is nat allowed in Flood Zone"V°unless expressly permitted.
- if the flt1 rnateriat is #o be used in Flood Zone "A", it is understoad that a drainage pian addressing a
"compensaling votume"wil!be submltted at time of permitting whlch 9s prepared by a professional engineer
licensed by the State of Florida.
- lf the fitt materiai is to be used in F(ood Zor�e"A"in cannect'san with a permifted buiiding using stem wall
construction,1 cert'rFy that fill wili be used o�ly to fiil the area within the stem waA.
- If fill material is to be used in any area, t certify that use of such fill will no# adversely affect adjacenf
properties, tf use of fill is foetnd fo ac£versely affect adjacent properties,the oumer may be cited for vialating
the conditions oi the building permit issued under the attached permit application,for lots less than one(1)
acre which are efevated by fltl,an engineered drainage plan is required.
tf 1 am the AGENT FOF2 THE OWtVER,1 promise in good faffh to Infarm the owner of the permittfng condifions set forkh in
, thls 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 installafions nof spec�catiy ineluded in the appticafion. A
petmit issued shaiJ be construed to be a ilcense to proaeed wfth the work and not as aukhar[ty to violate,canoel,alter,or
se#aside any provlsions of the technical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter
� requiring a correction of errors in plans,cansUucfion or vialations of any codes. Every permit issued sha11 become invaild
unless the work autharized tty such permtt is commenced within six manths of permik issuance,or if work authorized by
I the permit Is suspended or abandoned for a period of six(6)months after the time fhe work is commenced. An extension
may be requested, in wrifing,ftom ffie Building Officiai for a period not to exceed nfinety(90)days and witE demonstrate
justifiable cause for the extension. !f work ceases for ninety(90)aonsecutEve days,thijob Is considered abandoned.
WARNING TO OWNER: YO1JR FAt�t1RE TO RECORD A NOTICE QF COMMENCEMENT MAY itESULT IN YOUF2
PAYtNG TWICE FOR fNIPROVEMENTS TO YOUR PitOPERTY. !F YOU� TEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENdER OR AN A'iTORNEY BEFORE RECORDtNG YOU OTiC O�GOMMENCEMENT.
FLORtDA JURAT(F.S.1'l7.43}
OWNEt2 OR A�ENT COHTRACT R � �
Subscribed and swom to{or afiirmed)before me lhis S cribed s d swo , o affl 6 re me thts
Who Islare ersonall known to mas idenN�qttpnroduced Who Is/are e n I kn�e or has 5!v!�(�. .._......
by — Y ..
p y p p e produced
n8fiption.
Notary Pubtic G�� Notary Public
Commission No. Co sslon
.�'`iA@Y"�''
Name at Notary typed,printed or stamped �Name of Notary _ y G�'ksta�g
mission#FF l50422
:��.. ;QQQ�° Expires December 12,2p1g
':�j,f,a�'�, 8m�ed Thne Tro•F•
I em irtsurance 8pp.385��019
� . � 1111111111N1111111111111f11111111�11111111111111111111�1111���
2015057875 •
. - - •
c. • ' THIS tNSTRUMENT PREPARED BY AND RETURN TO: -- -- - - - .
. Step6anie Howard Rcpt:1674826 Rec: 10.00
ALL AB4UT CLOSING,INC. DS: 126.00 ZT: @.00
. 401 E.LAS OLAS BLVU.,Suite 1400 04/14/2015 L. S. , Dpty Clerk
FT.LAUDERDALE,FL 33301 " "
Qur File No.:6244
Prqpecty Appraisers Parcel identification(Folio)Number: 11-26-21-0010-12900-0140
Ftorida Documentary Stamps in the amoncst of St2b.00 have been paid hereon.� .
. f
SFACE AIIOYE IHt5 LINE FOR RECOItD1NG DATA
���'��� . rWARRANT�'DEED .
THIS WARRANTY DEEB,made the 7AW day af March,2015 by Meridian Traat,LLC,a Fiorid�I�mited
Liability Compoay,whose post oftice sddress is 401 E.l.as Olea Hoolevard,q2270,F4 I.�nderdale,�L 333p1 herein called
the Gsantor,W Arua Cbacko Pernmpral,A MArried Mad,whose post offece address is 4141.ske Shor�Ranch Drire,
Seffner.RL 33584 end Thomas V.dacab,A MuerFed Man whase post o�cc address is 16?ChristEe&treet,Leon19,N3
09605 hereinafter caUed the Grantees:
{iY/rercver used hereln ehe tarms"Gmn�or"and"Cranree"lndrule oR rhe parHes fo this irurrwnenl and/he helrs,lega!rep�seruallvec arai
asetgns ojtndivtd�ats,and the succ�ssors and arstgn.aofcorpamtlorssl .
W I T N E S S E 1'H:That the GranWr,for and in wnsideration of the sum of TEN AND 00/1Q0'S(S Ip.00)Dollacs and other
vatuable considerations,�ceipt wherwf is heceby ackaawledged,hereby gtants,bargains,sells,aliens,rcmises,retessas,
conveys and confirtns unto the Grantee all that cerlsin tand situate in PASCO County,State of Florida,viz.:
, Lota 14}l5 ond l6.Block 129,Clty of Zephyrhi{Lv,qs per plat of the TOW N OF ZBPHYRH31.1.S thereot
n�corded in Ptat Baok 1,pxge 54, Fubl�c Reeards af Pssrn County,Florida.
**'�Subject prnperiy is NOT the hamestesd of the grAntor nor t6e grgutor(s)spause aar�S it
coptiguous heret0.Arue Chacko Perumpr�rl,resides at 9l4 Lalce Shore.Ranc6 Drive,Setfoer,FL 33584 and Thamas
V.Jacob,resldes at 167 Chr[stie Strect,Lconfs►,NJ 07605 tegpectively"'"*
Subject to easemenfs,ecgtrictlons And rescrvatioos ot record and tvtes for tLe year 2015 eod thereaRer.
TdGETHLR,with aIl the tenements,heteditaments atsd appurtenances theceto belonging or in enywise appc�taitting.
TO HAVE AND TO HOLD,the same in fce sirnple forever. .
AND,the Granton c�reby covenants with said Grantees that the Grantor is]awfully seized of said Iand ia£ee simple;that ihe
Grantor has good right and lawful authority to sell and convey said land,and hereby warrants the dtle w said lend and will
defend the same against the lawful claims of al I persons whomsoever,and that said land is free of ali encumbrances,except
taues accruing subsequent to t7ecember 31,20]4.
IN WITN�SS WHEREOF,the said Grantor has signed and sealed these presents the day and year fust above written.
Siga seAled and detiver�in the presence of: Meridian t L ,a Fiarida Li� ' iabiiity Comp�ny
, /]� 4
V�
, Wi #t Signature DenielfeStauis
�Q,� � L-. r�,�.i..e_(
Witness#1 PrintedName
��
�jpR� � PRULR S.4'NEIL,Ph.D.PA5C0 G�HRK & GOlMPTROLLElt
�� 04/14J2015 01:18 m I of 1
Wi-"mess t�l Pn"`nted Name , OR BK ',�'1`�� FG '1�'�?
STATE OF FLORIDA ��
COUN`FY f}F BROWARD
The foregaing instrument was acknowledged before me this 24th day of ch, 20I5, by naaa.wlio .
ste:iislaua, secrstary af rtarfaian TO t, who ' pe natly kno me ar has produced
as identafication and did id not take an
t=Q�YF(�,,� • '�LeYj���j ���L . wIWV�� �r,•J'Ki •
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�•�` �*° MYCOMMISS1oN#FFos5168 — NotaryPublic
��t~ �°�� EXPtRES�cLober 22.2017
"''.�o N'+;rf
(ao�)39e-ots3 FloridallotaryService.corn ,
. 1 l/1/YUL(, `' I��..1
� Printed Notaty Name
Our File No.:d244
• �
First Florida Construction & Remodelers
3909 Dael Drlva
Tem�a,FL 33634
(813)?b7.6589
�CCC 032512
Date: Apri128,2016
Estimator: kldl appr.rt. # 16-23989
I Prof ect: Shingle re-roof
Contact: 38029 7'�Ave. � - • -
Zephryhills,F133542
Tele#. ( ) -
Scope of pro3ect:
We progose the following:
1. Provide proger safety standards for job site and storage for all materials for
pmperty and homeowner safety.
2. Remove existing shingle raofing material to roof decking.
3. Inspect and replace rotted wood decking(up to 64 s/fl and up to 20 Uf of fascia
� 4. Re-nail roof decking to code.
5. Dry-in using 301b felt
6. Install new(white)drip edge metai,valley metal and all plumbing vent stack
' lead baots.
7. Install new( )Dimensional shingle( )
8. Clean and remove all debris associated with re-roof and haul away to approved
' site.
Payment Schedule:
50%on agreement,balance on compledon.
�o�t: �4G�
.
Totals include:
All labor,materials and equipment to complete.
• Labor to carry a(1)year warranty and Menafacturer's Warranty on s6�ngle.
• Any changes or alterations from the original specifications or agreement involving extra labor
..____w_aad.,/_or material cost will be executed only upon written change order from owner and will
become au extra charge over and ahove ag�eed amount.
C�tomer V Date ,�'' �:• ���
Contractor ,��e�` ��' Date ��—2 Q �2v/.(�
� �
� AUTHORIZED AGENT AFFIDAVIT
'. ��� r �. � CITY OF ZEPHYRHILLS Date:
"-4' 5335 8TH ST
;;_, t��• ZEPHYRHILLS FL 33542
�,,\ (813)780-0020/(813)780-0021 fax
�, I ROBERT W DOLLAR designate the individuals listed below as Authorized Agents
(Qualifier/Contractor Name)
of FIRST FLORIDA CONSTRUCTION & REMODELERS,to act on my behalf, or on behalf of the prior named
(Company/Corporation Name)
company/corporation in processing permit applications and conducting activities related to obtaining
permits from the City of Zephryhills. The activities include signing all documents required of the Qualifier or
Contractor.
The signature of the Authorized Agent is binding and causes me to assume all responsibilities and penalties
connected to and associated with the AgenYs signature as it may relate to my business. In addition, I authorize the
Authorized Agents to bind me, and/or the corporation,to pertorm any requirement necessary to obtain the permit.
I the undersigned, agree to hold the City of Zephryhills and all employees of The City of Zephryhilis
harmless from any and all damages, claims or other actions that may occur by reason of the Building
Department acceptance of the Authorized Agents signature for permit application activities. I further
understand that is my sole responsibility to designate and terminate authority and to ensure that the
Building Department receives timely written notices of any changes in the AgenYs status.
I the undersigned, being the contractor as either an individual or qualifier of a corporation, do hereby
affirm that all information on this form is true and correct.
���>>������ CCC032512
S�ignature of Qualifier/Contractor DBPR or Pasco County Number
3909 DORAL DR TAMPA, FL 33634
Address
Notary for Contractor's Signature Authorized Agent Printed Name Initlal by
STATE of FLORIDA
COUNTY of HILLSBOROUGH 1) JOHN P ALBANO
The foregoing was acknowledged before me this 4 day 2) ROMAN F ALBANO
of MAY ,20 16 by s) WILLIAM E MOORE
ROBERT W DOLLAR , a�
(name of person acknowledging),who is personally known to
me,or who produced DRIVER'S�LICENSE 5)
` t e of identification)
� I
NOTARY PUBLIC� r
4�pY p(��i
,�•• �; IMWAM E.MOORE
5*� � MY COMMISSION�EE 843509
��. �; EXPIRES:Octaber 16,2016
p,'��h,�• Bonded Thru Notary public Underwriters