HomeMy WebLinkAbout16-17370 , CITY OF ZEPHYRHILLS
' S335-8TH STREEi'
(813)780-0020 � 370
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17370 Address: 5021 SUMMERHILL DR
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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0110
Improv. Cost: 10,974.00 OWNER INFORMATION
Date Issued: 5/20/2016 Name: CHRISTOPHER, BRUCE & JULIA
Total Fees: 90.00 Address: 5021 SUMMERHILL DR
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/20/2016 Phone: (813)782-0156
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
� RYMAN ROOFING INC REROOF RESIDENTIAL 90.00
�
��
Ins ections Re uired
DRY N ROOF INSP
TAPE JOINTS R OF 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� �
T CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- _ � • f
s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Dato Received �–a Q� ,� phone Contact for Permitting ��� �� v� �� ` 1
Owner'sName rU�� UI10.li��IV� �le� OwnerPhoneMumber r3' / �`�_�"� I
Owner's Address SUQ�I S��1�e� I�;I I �r' I I ���� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS l_Jv�� c�mmer hl)(I QJ�. h {h��I S F� ,3�� 1 1 LOT# �
- / D - T n
SUBDIVISION PARCEL ID# � ��^�1 '��� ��V ^���V
' (OBTAINED FROM PROPERTY TAX NOTCE)
WORK PROPOSED e NEw CONSTR e ADD/ALT 0 SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK -ectr g-�� �e-�oo� 33s u��s C��F7�mber���e a s ha,l� 5h�(� Jf S
' BUILDING SIZE SQ FOOTAGE I� �v HEIGHT
QBUILDING $ J� � �LJ� VALUATION OF TOTAL CONSTRUCTION
I /
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 1 � J L �
OGAS Q ROOFING Q SPECIALTY � OTHER / ?j� �/
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO (
BUILDER COMPANY
SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA 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 a �fj19i �� COMPAMY ��� U�n �nG
SIGtdATURE �Y��`'`' REGISTERED Y/ N FEE RRE� Y/N
Address ��3 �� 5 h ✓rl!I�S ��S License# l.�l�l.���G S�� J
i i 1 L L 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 ! 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1
I 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,
I Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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,
Sanitary 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 all NEW construction.
. . . . . . . . . . . . . . . r. ._._.�
Directions: ' ' � � -
Fill out application completely. , _
..�.Owner&Contractor sign�back of application,notarized
i '� �r'i;��',',�'r.lf oveF$2500,a Notice�of:Commencement is required. (A/C upgrades�overg7500),������-�`�'�' �-" -- "'-��
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[-:r t z• I; ;�,i�
`t-�•-�" ��A ent for�the:contractor or POwer of Attome for the owner would be someone with,notarized letter,from owner.authori�in same
a� g ( ) _.. , Y� ) , ; . _��, 9
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� ,..OVER,THE COUNTER PERMITTING (Front of Application Only) t; � �" ' �' � ' ' "" "�" • ,��.aF�'r = j u
ii �.,. . ,t . �;,i, � . ' ,�,
�: , . ' : y . Service U • �� � � - `
1, f2eroofs.if.shingles_.. . Sewers", pgrades A/C Fences(PIoUSurvey/Kootage)'`__' • •�� �
\r-..,-.:_�..>.,� . .� v_ s ,..n... ._. . :�>,..._ -,� _..._. � . _o.�..ev^cur.:.+. -ui�-. ...:t�.�G:,..r,v,e�l�,ii:a . "'n
Driveways-Not over Counter if on public roadways..needs ROW
� — -
,
, � ,
NOTICE OF DEED RESTRIC710fVS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AfVD CONTRACTOR RESPONSIBILITIES. If the owner 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 owner and contractor may be cited for a misdemeanor 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 w�ill 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.
TRANSPORTATION IfVIPACT/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 expansion 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
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
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEfV 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 with a copy of the "Florida 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 above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all worlc
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, WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses
- Army Corps of Engineers-Seawalls, Docks, fVavigable 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 specifically included in the application. A
permit issued shall be construed to be a license to proceed with the 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 is commenced within six months of permit issuance, or if work authorized by I
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced An extension �
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate �i
justifiable cause for the extension. If work ceases fdr ninety(90) consecutive days, the job is considered abandoned. I
WARNIfVG TO OWiVER: YOUR FAILURE TO RECORD A NOTICE OF COMMEfVCEMENT MAY FtESULT IN YOUR I
PAYING TWICE FOR IMPFaOVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT �
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEfVIENT.
FLORIDA JURAT(F. .117.03)
OWNER OR AGENT �/'� � �v�O\ CONTRACTOR W' ' �G� � '(�(�U�U�
-- � p d and swg�p Q�(or ir�Q�befor rr�this S scr¢ d and swo to or ffirmg� bef e m this
1� by (`t�l"I � IM�/WCt�(�t � — 0 1 by n Q j�l� LI�GQ� — - — -
Who is/are personall_� n to me or as/have produced o is/are personally kn n to me or as/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Com ission No.
"""" """"'� KELLI B. RYMAN
�\`M1�P41�i KELLI B. RYMAN .�`'.��°�%,
Name of Notary typed,prin 'e r� Commission N FF 90501'h�a of Notary typed,printed or stamped =� ^_ Commission� FF 905017 I
=� �- _; �= My Commission Expires I
:,��� 'o`��? My Comnussion Expires ,�:
%.�o.�.;o �"%a'Eof��°:� Ju1 30, 2019 �
'��������,.� July 3Q� 2019 ��,���,,.,. Y
,:� � .-�1 ERICAN ���-� y�
� , f D�RES �°` -
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� � � � �/� 5%fee for credit card processing.
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A Division of Ryman Construction,Inc. N� �.9 7 4 Proposal#
36413 SR 54 • Zephyrhills, Florida 33541
INC. phone 813 782-6094 • Fax 813 788-6773
� ) � ) Estimate#
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505
Serving all of Central Florida - �ob#
OwnedPurchaser. ��'u�c ���`i 5�v0��'� Date: �"�"T y1 G
Claim#: / InsuranceCompany:
Policy#
Address: rJ�'�2 1 SvM��r- f r��'/� d�;' City: ��fJ/�H r�.�t, '��S Zip: .�3�`��
- r -
Home #: Cell #: v G�' 7G 2 — Z��'� �j Business #:
E-Mail Address:
O�omplete tear off of existing �n l��, �f Additional Notes/Special Concerns:
�r?�1+�� �z,� J J
r ��'�[i �, Ti�C' � %L-C'�I C/'��t
O�Secure all loose roof decking as needed according -�
to Florida Building Codes
��oof dried in with ��,���7-�iL �G (J/JL
O�Install new valley jmetal with galvanized metal .
O��stall new C� "drip edge color: �
O�fnstall new lead boots
OTstall all new gene�al roof vents
�
0�nstall new 1�;e 7-� ,�n,� j;�,.`,��ns•.�,�t� /
s�;',��/r' S
�Manufacturer:
� 6A-5=
❑ Color:
O�AII roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
i
� All materials, labor and permits furnished
D�Provide a ��/�'�r— labor warranty � cr c, `=�
� Total Investment$ ��. ! � �:-
Additional Items: �
Payment Method: ❑ Check# ❑ Cash �F ain ncing ❑ insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$ Amount Financed:$ Approx. Monthly Payment:$
PaymentTerms: �c.,,.✓t r;G•v�.�/ '
Extras: ` �
O�eficient 1/2"plywood replaced at a cost of$ �y� per sq.ft. in the roof field,which includes labor&materials.All other wood work/ad-
ditional labor,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will be a rate of$ �}"� `` per man hour plus the
cost of materials.
THIS BECOMES A BINDING CONTR`�CTj UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIr_��I�OSAL R '�Y T Y THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: ' v Date: �`�j �— ��
Purchaser: Estimator: '�-;-n�c1'��1
a ' � � ' - iiliiilllllN11111111f11111l1111141{I!lIIIIIIiNilllll411111
2016078289
ftcpt;1772416 Rec: 20.00
,DS: 0.00 IT: 0.00
051I912016 K. R. M., Dpty Clerk
Permlt No. Parcel ip No +���`�''�t ���40 4��� ' �}��
/'' NQTICE OF COMMENCEMEN7
Stale of l ���f�� Counry at �5�Cl
THE UNDERSIGNE4 hereby gives nbUce that(mpravement will 6e made ta cartain reai praperty,and tn accordanee with Chapier 7t3,Fiorida Statutes,
the tottfluhng inforsnatton is pravlded in this NaUce n(Camme�cement:/�,�7 _-�y�_ b�b��Od�?�}��(� 1 Q
1 4escdplion ot Properly: Paroel entiticalfon No,/ r tp oJ ,
SVeetAddreas: S�� �mdt1�� �Y-11� ►.l�• ii�l��t�{S �� 33�J�oZ
2. Generai Deacrtption ol Im vement
�af �e-r�o
3. Ownar tnfo�matf9�or�essee informstion if the lessee contracted for the Improvement:
U�OG! ��Uti 0. ('�ff�fa�l?e f_
c14t7t1��1Yl�ef(�r�� ��• ��t���f��� �� J�S��
Address Clty�r State
lnteresi iri Properiy:
tJame of Fee SimpiB Tittehotder.
pf diHerent from Owner listed above)
Address �m���(X�a �G Cfty State
4. Conttecfo�' ���� 'r
� Na e'�zP't�� � S T ZeOhy�ht��� f� 3�S�{�
Address (���_��� ,/ �yQ„ Clty State
ConUactor's Tetephone No,. �� t�V r `t -
5. Surety: � � .�{
Name _`�
�.�� � I"• 2�
Address City Sfaie !�y _ ,g�
Amount of eond: 5 Tetephone No. G � � � a
4 � D . � .i1� ,r.9
B. Lender. �dr
Name �,. � '' � s �,,
Address Clty Slate � � '� � a, ��
LentleYs Teiephone No. Q p ' �tm �f
� ti • ��
7 P e r s a n s w i t h i n t h e S t a t e o f F t o r i d a d e s t g n a t e d b y t h e o w n e r u po n w ha m nott ces or aiher docvmenis ma y Ge s8rved as praviUe6 b y �
Section 713.t3{1)(a)(7),Florida StaWles: d.
_j,�
fJama � �'
� � �
Adtlress CIty State
Telephone Number af Destgnated Persan:
8. tn addlRion to htmselt,the avmer designates of!_ �
ta receive a copy of the Llenor's Nolica es provided fn Section 713.13(1)(b),Florida 51aWtes. ��� � �u.,
Te�ephorte Numbar of Person or Entity Desigoated by Ownee t3.1 tt-U3�-L(!
�1
� Ur � _ �, � C.3
9. Expiration date of Notice af CommencemeM(tRe expiratton dete may nat 6e before the campte n of���on ap��f al payment ta the � 2��J -�.`� O �
contractar,but wii!be one year iram the date ctf recasding unieas a ditterent date ia spectfied): �� l� . ,Q Q� � � N � �
WARNING TO OWNER: ANY PAVMENTS MAOE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �- � �3 F.... W F- W
ARE GONSIClERED IMPRtSPER PAYMENT3 4.lNDER�CHAPTER 713, PART f, SEGT70N 713.f3, F�ORtDA STATUTES; AND CAN �y„ W � (/) d. p
RECQRDED AND POSTE4 4N TME JOB SiTE BEFOREETHE F!ST NSPECTlUON.RIF OU NT�END TO 48T�AIN F NA C NG,CONSULT � O � � ¢ O
WITN YOUR�ENpER OR Arii ATTORNEY BEFORE C4MMENCING WORK OR ftEC4RDING YOUR NOTtCE OF COMMfiNGEMENT � W � �� U
llnder penairy of pequry,I dectare that I hava read the foregaing notice at cammen nt and that the facts stated iherein are true to the best z =C' C� (y�
of my knrnNeNge and 6elief. � �. y` (,� �}„
STA t�T,�nw � ANGEUI fl�YWO00 , U �� � dZ, W �
�F ��Not�ry`PnDib-�$tRU ol FlmtCa Si e af Owner pr Lessee,or OwneYs or Lessee's Authorized Q � �Q —�
Cdriinftsfl�f!ff 412551 OKcedOirector/PaAneUManager �q_ V I
<Mp Comm.EKplra Aup 2�,2q18 , � � � �a� O—i
������� S[gnatory's TittetQf(ice Q� a �^�- � Q Z
The fore�ngJnstrument was atknawtedged before me this�day of�,�_,,2��,by ��U� ��U�� '�� }� �Q � � a Q
�W f a s (l y p e o l a u t h o ri l y,e.g.,o�c e r,tr u s te e,a ttom e y in fac q tor (1- (7 0 � ,,,, , �
_(na�oMf party n beqa�t of vfiom Instrument was executedj. � � � V j� �
PersonaS K�own Q OR Prodnced Identitfcation W" Q- t r � � � � �W� � I
h' �/'� ff� Notary Slgrssture �— 1,I �, � �-�,4. i
Typa at tder�tiffcatton Froduced +""� ��^- Name(Ptint)_,_,,r J Q (Y..�_ (j, F^1_ Q� Q. C�
PRULR S 0'NEII,Ph.D.P415C0 CLERK & COMPTROU.ER
, � 0508 EK 193f 9m PG 2��2
wp datalbcslrwticecommencement�c063048
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