HomeMy WebLinkAbout16-17385 CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (813)780-0020 17385 �''
BUILDING PERMIT ,-� �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17385 Address: 38102 12TH 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: 11-26-21-0010-05900-0011
Improv. Cost: 6,000.00 OWNER INFORMATION
Date Issued: 5/26/2016 Name: KINCAID, JACK & SHARON
Total Fees: 65.00 Address: 38102 12TH AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/26/2016 Phone: (813)782-1279 -
Work Desc: REROOF 24 SQ SHINGLES---NOT DOING FLAT ROOF
CONTRACTOR S � APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 65.00
��
Ins ections Re uired
DR IN ROOF INSP
TAPE JOINTS OOF 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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�. � y �
CO� TRACTOR GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
�- -- - - �
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Building DePartment
Date Received 5-a�p-` � Phone Contact for Permitting � �� �v -- "'0�,.�
Owrter's.Naine C:(C�°4 ara� �nca� Owner Phone Number ��-�8a �a�.�.
O,,wner's Address;�., �u� . �� �� � ��( �� S Owner Phone Number
Fee Simple Titleholder hlame Owner Phone Number
Fee Simple Titleholder Address '
JOB;ADDRESS'� �l>I v� I�� V�- V�fT' '`i����IS I 3���� LOT# �
SUBDIVISION, ��n � f) 1 fli�C 5 ;PARCEL'ID# I I �a 6 -a I - �D�� -b S�r bd ���,�
- • (OBTAINED FROM PROPERTY TAX NOTICE)
W,ORK PROPOSED- B NEW CONSTR e ADD/ALT �] SIGN Q MOVE � DEMOLISH
��� INSTALL REPAIR J
PROPOSED USE , Q SFR Q COMM � OTHER -(v
TYPE OF CONSTRUCTION Q BLOCK � Q FRAME [� STEEL Q OTHER
D�SGRIPTION OFsWORK; � C'Ce�� 6� �e-�o�' c? 5 U��'�S l.ls �'Lf�T h�!1 I�5 �`' �b+.d�;n . -�'.fa� deck-�
BUILDING SIZE, I �, ;SQ:FOOTAGE� �I�� HEIGHT �
.,
.j(.��
Q BUILDING, $; ��� VALUATION OF,TOTAL CONSTRUCTION ' �
._ `�d�0'D sd�d' , . - .
�-�
0 ELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.G.
' LUMBING �
� P $ 2��S
Q . MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION `� "
� , %'v v
Q GAS Q ROOFING 0 SPECIALTY Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO �
�
BUILDER ' COi1fl�ANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address ' License#
ELECTRICIAN � COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREtJT Y/N
Address License#
PLUMBER COMPANY
SICxNATURE ' REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL ' COiNPANY �
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N I
Address � License#
OTHER'�._._..._. �`�` COMPANY /han r� �c�� �
SIGNATURE,4 � � �U� REGISTEf2�D N FE URRENT Y I N
�daa�ess I3 S R S 1 ( hi (�5 � 3 5 j '`License# ���Z:S�C:�
. ,... � .
RESIDENTIAL Attach.(2)Plot Plans;(2}sets of Buiiding Plans;('E)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 iristalled,
Sanitary Facilities&1 dumpster;Site V11ork Permit for subdivisions/large proJects - .
COMMERCIAL ��Attach(3)sets of�Building Plans;(1)set of Ene�gy Forms.R-O-W Permit for new wnstrubtion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storm�vater Plans w/Silt Fence installed,
Sanitary FaciliBes&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. •
Directions: ` , .
Ffll out application completely.
Owner&Contractor sign back of application,notarized
' If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
°* Agent(for the contractor)or Powerof Attomey(for the owner)would be someone with notarized letter from owner authorizing same ,
'OVER THE COUNTER PERMITTING��, (Front of ApplicaUon Only) � � , ,
Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)' ,`
Driveways-Not over Counter if on public roadways..needs ROW � ' '
NOTICE OF DEED RESTRICTIONS: The undersigned understands thaf this permit may be subject to"deed"`restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPUNSIBILITIE$: 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 ovu�ner 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 af 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 will 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that l"ransportation Impact Fees and Recourse Recovery Fees may apply to ti�e construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specifoed in Pasco County Ordinance number 89-07 and
90-07, as��mend�d. 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 prir�r to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy �r
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact
�fees are due, they must be paid prior to permit.issuance in accordance with applicabie Pasco County ordinances.
CON$TRUCTION,LIEN 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.
COfVTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all 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 installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work wiil be pertormed 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 complia�Ge. Such agenc6es include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environrnentally Sensitive
Lands, Water/Wastewater Treatment. .
- Southwest Florida Wate� Management District=Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses: �
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic'Tanks. -
- US Environmental Protection Agency-Asbestos abate,ment.
- Federal Aviation Authority-Runways. ,
i undersfand that the following restrictions apply to the use of fill:�
- Use of.fill is not allowed in Flood Zone"V"uniess expressBy 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. ta be used in Fl�od 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 01NNER, I promise in good faith to inform�the owner of the permitting cond6tions 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 installatians 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
the permit is suspended or abandaned for a period of six(6) months after the fime 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
justifiable-cause for the extension:-If work ceases for-ninety-(90j-consecutive days; the�j�b is-sonsid�red abandoned. -
WARNING �'O OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEiIAENT MAY RESULT Y�1 1(OU1Z
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU iNTEND TO OBTAIN FINANCING, CONSUL�
WITH YOUR LENDER OR AN ATTORNEY BEFORE RE�ORDIId�G YOtDR NOTICE OF COMMENCEMENT. •
---FLORIDA JURAT(F_S. 11�7.03)- ---— ---- - <, - - - - -- __- - -- - .--- — • -----
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OWNER;�QR=AGENT'�:� ,�--�`:'CONTRACTO�`y''`: ' CZ y "' ., _
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S sc'bed and swo to a� ed beta�r e this S �ri led and bwom ( C a�d bef ine is
�5 I by Z1G'� G wa�G� V�_ y '1�1
Who.is/are personally own to me or has/have produced o is/are personally kno to me or h s/have produced .
as identlfication. as identification.
Notary Public ' Notary Public
Commisslon N ar P �p„�i• Commission No. r r° •
�^.-Temmy Verdadero ? ;, Tammy Verdadero
� a mission FF 184019 a � �
� Name of Nota ty nte�cpr��h�P�B Name of Notary typed,pri e ` .,�npe�ires=rti�sno�s
.
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' ERICAN �E� �
- D�RES � ����
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_ ������ ��m�9 ��a 5%fee for ciedit card processina.
A Division of Ryman Construction,Inc. Proposal#
36413 SR 54 •Zephyrhills, Florida 33541 NO.
i �NC' Phone (813)782-6094• Fax(813)788-6773 Estimate# 024�
, 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505
���-�o�� ��9 0� ��n���G ������� Job# �b��—
owner/Purchaser. Kincaid, Jack �ate: O5/24/20�6
Claim#: InsuranceCompany:
Policy#
Address: 38102 12 AVe c�t : Ze h rhills . Z; ; 33541
Y p v p
Home#: 813-782-1279 ceu #: 813-579-7425 B�siness#:
E-Mail Address:
�omplete tear off of existing Shin les only AdditionalNotes/SpecialConcerns:
� Not removina flat deck
ure all loose roof decking as needed according
to Florida Building Codes - ,
Roofdriedinwith Synthetic underlayment '
I$]/f tall new valley metal with galvanized metal ,
I stall new 6 "drip edge color: W I'llt@
I' tall new�ead-bee�s BU��2t �i00tS -
I
Install all new general roof vents ,
G] Jastallnew Timberline HD shingles
��
anufacturer. GAF
o�: Slate
All roof related debris removed from job site,pick-up loose
Is using commercial grade magnet
�AI materials, labor and permits furnished
rovide a 5 �ar labor warranty Tota� �nvestment� 6000.00
Additiona[ftems:
Payment Method:, ❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$ Amount Financed:$ Approx.Monthly Payment:$
PaymentTerms: Ba�aC10E Ui�OCI C0171EJ�@t1011
Extras:
�Deficient 1/2"plywood replaced at a cost of$ �•g 5 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$ �J.�� per �ab� plus the
cost of materials. •��
THIS BECOfNES A BIidDING CONT CT UPO AC EPT MCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL AND R B C TIF T I HAVE READ AND FULLY UPlDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: f! Date:
Purchaser. Estimator: C.R�/CTIaCI
__ _____
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2016082522 ' 05J26/2016 K. D. K. , Qpty Clerk
Perrnit No. Parcet tD No�L~� "' _�� �`"'tJ�� —���41.T "` l./�+ ` �
� NtJTlCE OF CQMMENCEMENT ���hy�
( State at �( � County of ` `�'
i THE UNDERSIGNED herehy gives rtoBca thet improvement w[!t be made to certaFn reat property,and in accordance with Chapter 713,Florida Stalutes,
the fotiowG�g intonnsibn is provided tn this Nafice ot Cqmmencement: //'�/ ��� � /�^� O r/��(��� ! �C�f l
7 aescription af Propetiy: Patcel ldentiticatlon No. I I to t�t.� C1 � e� r r
StreetAddress: � �d� it7� ��-" T�'LlS�S i 33s�ia
� 2 General Description a(i provement
� ��Ctd ������!'UD
`�z� �
3. Ownsr tnform n or lessee information II the l.esese conlraded for�th Improvement: �6ry��� y w �
:�'Q c IC_ .� 5 hc���o n [�� �c� ,����,� ; �
Name 3��oa � a� J�. Z� �r�s �FI 335�t ��o���a �
Address �rtY $tate ��(� (._.. t�Lt E— W
Interest in Property: � �t!!z � �- CS
p� - -� �
Nama of Fee Simple TittehaSder. r LL �` � ¢ (.�
(N dkfer�nt trom Ovmer Ilsted above) � W O O� �
Addre'ss City State � 1— � V W �
a. Cantractor � �G U Q�� p�� r
he �t�3 S � Z�.c�h�,�ht�(s � 3 3 s�c I � � �z �
Address yr�� /.(\ 1y t Cft� State � � � m Q �
I Contradors Telephone No.. U�� ��� ^w v� ` �r V-w � Z (�_j
h � � y 4 —
� 5. Surety: Q_tr tY � -
Name • u..U Q�� �O
Address Glty State LL'� Q Q
CJ7:
Amount of Bond: $ 7etephone No.• � � ,� W U7 �
� s. �ander: ~ �/} w t�"Z
I Name [/� hh� 0�"'S Cdl. m
Address Cily State
iLenders Tetephone No. �
� 7 Persons within the State of Flarida des(gnated by the owner upon whom notices or other documerrts may be served ss pro»ded by „� � �
i sea�on��a.is����a�tr7,Fiorida Siatutas: �b "o .�
G► • � '�',�
Name �� �+`����� ��
Addrass City Stata � � �'"
L9�.
7etephone Number of Designaied Person; +'��',� � �{�p�
� ' � �a� 2'�' ' d�+:
8, in sddition to himseif,the awner designates of_ �� � � , Q„
to receive a copy ot the ltenor's Natice as provided in SecUon 713.13{1�(b),Florida Statutes. � �
Tetephone Number of Person or Entity Dasignatad by{hvner. �
9. Expiratian date ai Notice flt Gommenceirtent{the expiration date may not be beTore the compl n of cons ction^a�nd finai paymeni io the �� • � �
contractar,but uiti be one year from the date ut tecoNNg unless a diHerent date!s specified): ����� tX�� �� � , �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE QWMER AP1'ER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE GONSIDEREO lMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 7t3.13, FLQRiDA STATUTES, AND CAN
RESULT IN YOUR PAYING 'fWICE FOR iMPROVEMENTS 7d YOUR PROPSRTY A N4TtCE OF COMMENCEMENT MUST BE
RECORdED ANO POSTED ON THE J08 SiTE BEFORE THE F{RST lNBPECTlQN. !F YOU INTEND TO QBTAW FINANCING,CONSULT
W1TN Y4UR l.ENDER QR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDWG YOUR NOTiCE OF COMMENCEMEN7
' Unde�penalty o1 perjury,i deciere thst t have read the toregoi�g notice af commencement end ihat the facta steted therein are Uue to the best
� ot my knowledge and beliet.
iii�� "� c.
S ' �x�Eu►H�vwoao
U��'� ��+,�G�!�PY�IIC•8ttt�ot flarlda SIg re of er or L se or Owners or Lessee's Authnrized
� r Off etlOirectorlPartnerlManager
s• �� CclMrtl��ic�*ff l/2551
�My Comm.£xEdnl4 Aup 2�,241 s
� , • ��y�����,�. � SignatorysTdie�Oirce �
7he taregoing instrument was achnowie ged afore me th s��day of j!�,2��,by �tX L.� +�t� f l�t
/
f)�{},�,.kiY as �� (type oi authorlty,e.g.,officer,ttustee,attamey in taet)tor
(name of party n beh�K,nt wfiom irt ent was executedj.
_�/' 1.�
Personai{y Knawn[�O�Produced Identifice2ion�( Notary Signature a- �V _ T�
Typa of Ident�calion Produced f'""� Vl..� Name(Prin#} (.�
PAULA S 0'NEIL,Fh D Pq5C0 CLERK & COMPTROCL£h
05126I201 11: 3am 1 of 1a
OR BK �37�3_ �G. 7�7 ___