HomeMy WebLinkAbout16-17405 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
� (813)780-0020 17405
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17405 Address: 5221 RIDGE ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:0
Square Feet: Subdivision: SHAW LAKE RIDGE
Est. Value: Parcel Number: 10-26-21-0040-00300-0061
Improv. Cost: 6,228.00 OWNER INFORMATION
Date Issued: 6/01/2016 Name: POWELL ARLENE DAWN
Total Fees: 70.00 Address: 5221 RIDGE ST
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 6/01/2016 Phone: 813-479-8700
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
� RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS OF I 1SP' J
FINAL — c�`'�
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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencertrent."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
/ f �
a �
C NTRACTO SIGNATURE PERMIT OFFI R
� PERMIT EXPIRES YN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- �- .
� 813-780-0020 Cit of Ze h rhills Permit Appiication Fax-813-780-0021 /
Y P Y
, � Buiiding Department
Date Received Phone Contact for Permitting 1 ��� -- �V��
Owner's Wame 1 1 e�I C�. �J�n�S �.1��1 1 Owner Phone Number V��-���� u�b� ,
Ownei's Address'i, d� � I d�e s�� h h I j(5 ���� Owner Phone Number
Fee Simple Titlehalder Name Owner Phone Num6er
Fee Simple Titleholder Address
JOB ADDRESS� SU��I R�d e S-F. h � h i((5 �� 3 35�f a �oT# C�
SUBDIVISION, ;PARCEL ID# I�-a�'� I 'a��d'"v����^���
� �(OBTAINED FROM PROPERTY TAX NOTICE)
� WORK PROPOSED, e NEW CONSTR B ADDlALT C] SIGN Q MOVE Q DEMOLISH
� �" ' � INSTALL REPAIR j
; PROPOSED USE , Q SFR Q COMM [� OTHER -
� TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER
i DESGRIP,TION OFiWOR�t� � e�� 6� . re-r�' i3�`�9(,�,t(PS �A FC�SD�1�1� �6'li(l�i��S FI`� 10�a`�. �
BUILDING SIZE. SQ FOOTAGE" J� HEIGHT
, BUILDING, $:"��. ;-`�'=�,='�.;`;` -;.�;���.' _��..s`�. ;:VALUATION�OF l'OTAL.CONSTRUCl'ION
� � `Cp - .00 � . .
Q ELECTRICAL $ AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.G.
Q PLUMBING $ ��0�
, � , , � �
t�
Q- MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� Q GAS Q ROOFING 0 SPECIALTY Q OTHER 3�D�
j FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO�
i . �
I Bl01LDER ' COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# , �
ELECTRICIQN � COMPANY �
SIGPIA'�l1RE REGISTERED Y/ N �FEE CURRENT �Y/N
Address License#
PLUMBER COMPANY
SIGPIATURE ' REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGIVATURE Re�isreReo Y/ N FEE CURRENT Y/N
Address ' License#
�OTHERE;},...__. ,�QCX. ��- (,I.�UL �;COMPANY mQn L)O�'i(1 �nC
SIGfd;ATURE_S REGISTERE�D Y N FEE C RENT Y/N •
Aaa�ess ('v �(3SR5 h Ghr��S F� 335yI .'Lioense# �I�ZS�L�
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,Constriiction Plans,Stofmwater Plans w/Silt Fence iristalled,
`, Santtary Facliities&'1 dumpster;Site Work Permit for subdivisions/large projects
i COMMERCIAL Attach(3)sets ofi8uiiding Plans;(1)set of Ene�gy Forms.R-O-W Permit for new construction.-- - - -- - - ------- ---
� Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance � �
SIGN PERMIT Attach(2)sets of Engineered�lans. . �
""PROPERTY SURVEY required for all NEW construction. . , '
Dlrections:
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 eontractor)or Pouver of Attomey(for the owner)would be someone with notarized lette�'from ownerauthorizing same '
'OVEFt THE COUNTER PERMITTING (Front of Application Only) � � ' � �
Reroofs Sewers 'Service Upgrades � •� �• A/C Fences(Plot/Survey/Footage).;.,;.:
Driveways-Not over Counter if on public roadways..needs ROW
, .
NOTICE OF DEED RESTRICTIONS: 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 CQNTRACTORS AND 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 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 T.ransportation 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, wifl 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 WateNSewer Impacf
�fees are due, they must be paid prior to permit.issuance in accordance with applicable Pasco County o�dinance's.
CONSTRUCT�ON,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 �nrith a copy of the °Florida Construction Lien La.w—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 applicatioq 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 �o 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. ( 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, Water/Wastewater Treatment.
- Southwest Florida Wate� Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses: � ,
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment,
Septic Tanks.
- US Enyironmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. ,
I understand that the following restrictions apply to the use of flll:�
- �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 ad�versely 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 on� (1)
acre which are elevated by fill, an engineered drainage plan is required.
If 1 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 fhe 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 wifhin 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 time the work is commenced. An extension
may be requested, in writing, from the Bu�lding Official for a period not to exceed ninety (9p) days and will demonstrate
justifiable cause for the extensio�. If work eeases for ninety(90)consecutive days,th�job is considered abandoned.
WARNING TO OWNER: YUUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY I�ESULT IN YOUL4
PAI�ING TWICE FOR IMPROVEMENTS TO YOUR PROPER'!'Y. IF YOlJ INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A'T'1'ORNEY BEF�RE REC�R�ING Y�UR N
OTICE OF COMMENCEMEN4.
FLORIDA JURAT(F.S, 17.03)- - - -- - -- -- --- --- _ � _,, ;,- . -
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OWNER�QR�%AGENT"+. -- �(.%L '}�:�':,;� . ::GUNTRACTOR�"= �' - ���"':.: I
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S � �ed an bswo to(or.�rrpQd�eror e this f S ��ibed and swo r a ' ed re me thi�
y ��1 N I by �-Z �.. l.�G��1�
o fs/are personally kri wn to me or has/have produced Who is/are persanally kno to me or has ave produced
� • as identlfication. as Identiftcadon.
tary Publlc
,�Y°u Notary Public Stete of Ftorida p'�Y OV� Notary Public State oi Florida
Commission No. � � ��y Commission No. _ " Tamm Verdadero
y,� �� My Commission FF 184019
�c,. ��+ My Commission FF 184019 9jRQF�,O Expires 12/16/2ot8
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Name of Notary typ Name of Notary type , '
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I III I II IIIII III�I IIIII IIIII I�I�I II III IIIII IIIII III�I III�I��I
� ' 2016088051
Permlt No.
Parcel ID No � �-����� _��� ���_��'
NOTICE OF COMMENCEMENT �n CC�
Stale of ����/��� County of uJ
THE UNDERSIGNED hereby gives notice that improvement will be mada to certain real propeAy.and in accordance with Chapler 713,Florida Statutes,
the following intortnatlan fe provided in lhls Natice of Commencement:I Q_��_��_ /�/��J O - pU3 00-�o�I
i �, Descripllon of Property: Parcel Id ntlfi-cIaUon No�.1 q
IJIJ 1
� Streel Address: �� I ��"��� " `-le�-T����I'S �� �J��� _-
I
� 2. General Description of Improvement
' ec;U b� �e-�co
� 3. Owner�R�o J tion or Lessee in rtnallon i(lhe Lessee contracted for the improvemenl:
, ".�" � �-r (ene. �Ou�eil ` L'
I , �/d��me�IdGe S-f LKIJ���111�IJ �I 3�S1�
i Address
Cily State � �. �
' Interest in PrapeAy: ��� •� � �
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� Neme ol fee Simple Tilleholder �4.� , �"� � �C�°�
(If diHerent from Owner Iisled above) � �
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� City State �Q � � °., - ¢�. P �'
� Address ,M�n ��1, TI�� -�A � � o �
� Cantrector: �'•I '�'l' I_ + 335y1 � �
� � Na e���'t�� �]B�1 �l �1I �.� I � " � �
��� State ' ., �
Address g�3- �ea-���� m�� �� �~ • '�
' Contractor's Telephone No.
�
5. Surety: Iy m . �
Name .t�� �
Address
Cily State �
Amaunt of Bond: 5 Teiephone No..
6. Lender:
Name � w Y
� City State (� W LL (��"w W
Address
i Lender's Telephane No. o Ur � � _� J V
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� 7 Persons wilhin Ihe State af Florida designaled by the ovmer upon whom nnllces or olher documenls may be served as provided by � Z � 0 �-- O �
Section 713.13(1)(a)(7),Florida Stalules: � � Q= Q N � a
u. � ~ c�i� aF. o
w
Name � O � QQ O
Address City Stale �� U 1 V
Telephone Number of Designated Person: � = O � �'1' �,�
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8. In addition to himself,the owner designates �t- � Q Q � ���
lo receive a copy of lhe Llenors Notice as provided in Seclion 713.13(1)(b),Florida Slatu[es. = V V J �
Telephone Number of Person or Enllty Desfgnated by Owner. � r V m � �U �
�- w � Z OJ ��
g, E x p i re l i o n d a t e o i N o t i c e o f C o m m e n c e m e n[(l h e e x p i r a l l o n dale ma y nal be befare the completfon of conslruction and tlnal payment to lhe �,)
o � � � ¢ r W
conlraclor,bul will be one year from the dete of recording unless a different dale is speclfled): J w � O = � Z
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN V' U U � � O
RESULT IN VOUR PAYI(JG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE u- Q p Q �-�� �
WITH YOUR LEN ER R AN ATfOR EB BIEFORE�COMMENf,ING WORK OR RECORDI�NGIYOUR NOTICE OF COMMENCEM NTSULT � f--- Z W C�
Ll1 � QJ W
Under penalty of perjury,I declare Ihat I have read the toregaing notice of cnmmencemenl and that the facts slated Iherein are true to the besl � � � z � � }
ol my knovAedge and 6eliel. /1 n �
nuX_ � � � 0 � d CO
STAT'C F 0 D (. /W�v�
NGEIA HAYWOOD Signe ure of Owner or eas e,ar Owner's or Lessee's AuthorYzed
:t�a`�°�e�•.
�+� o°� NOt➢!y PObIIC-State ot FIO�Ida p{ficer/Dirr.ctor/Partner/Manager
Commission I FF 912551
;`��.d�My Comm.E�pirei Aup 21,2019
•„Fa�g;,� �����ypsg� � Signatory'sTAIeIOKee
�/��� r�ert.� J o��os D�el I
The/f\o;egoing inslrument was acknowledged betore me this�day of 'I�.20I�,by
� i�i�w� as �� pype of authorily,e.g..oHicer,lmstee,atlomey in fact)for
(n e of part on be If af whom insl umenl was execuled).
Personally Known�OR Produced IdeR ll(ice'on I� Notary Signalure � �" ��
Type o(IdentlllcaUan Produced��' _ N�me(Prinq � 0.� � �
Rept:1775388 Ree: 10.00
DS: 0.00 IT; 0.00
06/01/2016 J. R., Dply Clerk
Fi7ULR 5 0'NEIL,Ph D.PRSCO CLERK & COMPTROLLER
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� - -- Ryr�an Roofing 9nc. D�RES • c�� �
� 5%fee for credit card processing.
� � -hr� �'�� > ADivision ofRyman Construction,Inc.
�; Jj`.e � 36413 SR 54 •Zephyrhills, Florida 33541 Proposal#
���j�^�r `�`�`�r'�!i��` Phone (813)782-6094 • Fax(813)788-6773 N0.
", �y �� �C Estimate#
i � �'`=�` O 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505
�O www.RymanRoofing.com
� �' Serving all of Central Florida Job#
I OwnedPurchaserArlene jones 5/20/16
Date:
; Claim#: InsuranceCompany:
; Policy#
i Job Address: 522� r�dge St �;�y: Zephyrhills Z;p. 33542
� Mail to Address: E-Mail Address: '
i Home #� Cell #: $13-479-8700 Business #-
� Complete tear off of existing ASphalt ShI11qIeS AdditionalNotes/SpecialConcerns:
Q Secure all loose roof decking as needed according i
to Florida Building Codes
� 0 Roofdriedinwitr, 2 layers of synthetic UDL
�
' Q✓ Install new valley mefal with galvanized metal I
❑✓ Install new 6 "drip edge color: Whlte �
, 0 Install new lead boots �
iQ Install all new general roof vents
! � Install new �Shingle �Metal �Tile
� �Modified Butimen �TPO
� Q Manufacturer �Sn��gie, metal or tile) GAF
Manufacturer �rPo o�Mod. Bltumen)
' �✓ Color:(Shingle,MetalorTile) Driftwood
Color:(TPOorMOD.Bitumen)
� All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
O✓ All materials, labor and permits furnished Base Price*$ ��00.00
� Provide a 5 V@al'S labor warranty
Additional Items: � �
� �n�'�, 1I ��1ti 5�.;--�.� �- r;� lonn �
1`rc1v5.� L(� ;-C� ' (`�`1 � l� `�,�1� +���'r-{'� ..
Text to et in touch faster „ /I �� r� � � ;� �
, � �`' 2.� `�i �—� � .�C_.// �� _�' �1��.� �� �,i•`�'�'
�
Payment Method: �Check# 1585 �Cash �Financing �Insurance Claim
� ❑ Credit Card# Exp Date CC ID#
�own Payment:$ 1575.00 Amount Financed: $ Approx. Monthly Payment: $
PaymentTerms: 35% down balance upon completion
Extras:
*Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"abOVB. Custome�lnitial A�
�� Deficient 1/2"plywood replaced at a cost of$ �.92 per sheet in the roof field,which includes labor&materials.All other wood work/ad-
onal labor,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking, etc.will be a rate of$5.00 per lineal foot plus the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL A HEREBY SERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
P u rchaser: _/1 Date: 5/2 0/16
Purchaser: Estimator AaCOtI