HomeMy WebLinkAbout16-17540 CITY OF ZEPHYRHILLS
" � 5335-8TH STREET
(813)780-0020 40
BUILDING PERMIT .
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17540 Address: 5523 6TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-06400-0080
Improv. Cost: 5,565.00 OWNER INFORMATION
Date Issued: 7/05/2016 Name: MARTINEZ DORIS
Total Fees: 65.00 Address: 5523 6TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542
Date Paid: 7/05/2016 Phone: 813-298-7985
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 65.00
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Ins ections e uired
DRY IN ROOF INSP
' TAPE JOINTS ROOF 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 properly. 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.
, 'I� ��
C NTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�.,-..""
� 813-78b-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
. Date Received ��5— I �p Pha�e Cantact for Permitting lJ`� �V� -- ����
�weeer's:Name O'�I S 1 � 1(�..� I n�Z Owner Phone Plumber C��•�j aR�� `� "'�
. ;�- .
'' .`"� "' Sa�j �°�'n �-1-{ee-i- (� (h�II 3�5`Ia owner�hone.i�umber
O,wrie�.s�Address.;,. ,
Fee Simple Titleholder Name ' Owner Phone Number
•Fee Simple Titleholder•Address � ,
JOB,a1DDRES�i 5��3 lY� � h `h i�IS F I 3 3�5�1 a �oT# [�
SUBDIVISION, ' � �� � �1 (hi��S 'PE4fdCEd::ID#, I"��^��— ��I b—�py�b— ��
•, . , " �(OBTAINED FROM PROPERTY T�JC NOTICE)
WORK;PROPOSED:, NEW CONSTR ADD/ALT Q SIGN [� MOVE Q DEMOLISH
� � "` e � INSTALL � REPAIR J
PROPOSED USE . , Q SFR Q COMM Q OTHER e - '
TYPE OF COPISTRUCTIOfd Q BLOCK� � FRAME Q STEEL Q OTHER
�ESCRI.P;•TIONzo�3Wa��, � �ea� � �t�'rcx� I� S �re5 ��4� i ��n hQ.r��� as h�,c� �h i�l � .
BUILDING SIZE; • ,Si�;FOOTAGE' I�� � HEIGHT
Q BUIL:DING . $, ---� ; - ��,,:._..�,.�._ , : • , . „
';.. <r,� ?.VAL6IATION':�F TOtAL.,CONSTRUCTION
.�:���;'��_ ... , v ..... .. •
� ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R,E.G.
� PLUMBING $
' � � . � � p U
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �i�'� � �
� . { ,
Q GAS � ROOFING 0 SPECIALTY Q OTHER � ��I D �
FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA QYES NO
OUIfl.DEi� ' COMPAfdY
SIGNATURE ' REGISTeRED Y/ N , FEE CURRENT � Y/N
Address ' License# '
ELECTRICIAN � . ' COMPANY - �
SIGMATURE REGISTERED Y/ N �FEE CURRENT �Y/N
Address � � ' License#
PLUMBER COii19PANY
$IGMATURE ' REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
MIECFIANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRENT Y I N
Address � License#
OTH�FP�$:� _ - - --CC. � . LI.�U(�'� ;COMP.ANY, � NYIQ� �(��1� �1C� ' � ,
SIG�6VA'�URE�� -- _ - - 'REGI3TER�D / N FEE CURR T /N
,•Addtess �3� � S h (�'111� S f�� 3�5 1 � ��Ucense# �CC-��2 s���
;v • -
RESIDENlTiAL 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,Constri�ction Plans,Stormwater Plans.w/.Sitt Fence installed, .
� . Sanitary Facflitfes�&'1 dumpstet;Sife Wark Permit for subdivisions/large projects ` ' . � , •
COMMERCIAL � Aftach�(3)�sets of�Building Plans;(1 j set of Ene�gy Fomis.R-O-W..Permit for new construbtion: �
Minimum ten(10)working ilays after submittal date. Required onsite,Constiuction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All�ommerciai�requirements must meet compliance� � �
SIGPI PERMIT Attach(2)sets of Engineered Plans. . •
*"'"PRQPERTY SURVEY'requireil for all NEW construction. . . . , --. �
Dlrections: ' ' ' • , ' ' � � �
Fill out application completely�.� , .,
Owner&Contractor sign back ot application,notarized ' �- � ' � -
If over$2500,a Notice of Commencemgnhis required. (A/C upgrades over$5000) -- -=�-- �-`
** �Agent{for the•contractor)•or�Rower,of Attiomey(for the owner)would be someone with.notarized_�etter from owner authorizing same
'OVER tHE Ct�l�N7ER`PERMiTTING`�,��;(Frbnt`of Application Oniy) :' �.:t =: j. .. ; ... -- ..� , . �_I_`
�Reroofs � , � 'Sewer's ' ' 8erviCe Up�rades A/C Fences(PIo�Survey/Footage) � - � . ��
� , , .�,�.. :. , ;;,�,••. � ; , , . �� =��
' T� � '� �.� ';� % �:j.:�6t''�:.` ,1 .6.di
4'„priveways�;Not�ove�,�ounter-if ori:pu6lic.raadways..needs ROW �'� _ _ � _ �_ �� �i. ��''�„�.;.,:�
' . . .� .f, y . _. . i..�o-`e r�-_....a.-u.�.-��... r..-r..s, ,. v..,.,Y��' i. c.w i... .. �
PIOTtCE O�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.
UIdLICENSED CQ(dTRACTORS AIdD COfdTRACTOR RESPONSIBILOTIES: 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 confractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection DivisiQn—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 vvhich they vvill be responsible. If you, as the owner sign as fihe
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. � ,
7R�►PdSPORY�►TIOFd IMPACT/UTILITIE� IMPACT AYVD 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 Fee� and Res�urce Recovery Fees must be paid prior 40
receiving a "certificate of occupancy" or final power release. If the project does nvt 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 oriiinances.
CONS�'RUCTIOfd,LIEPI LAW.(Chapter Y13, Foorida S4a4utes, 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 L�.w—Homeowner's
Protection Guide" prepared by the Florida Departmer�t 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 fo
deliver it to the"owner"prior to commencement. -
CONTld�►CTOR'S10WfdER'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 constru�4ion, 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 pertormed to meet standards of all laws regulating
construction, County an�d City codes, zoning regulations, and land development regulations in the jurisdiction. ( also
. certify that I understand that the�regulations of other government agencies may appiy to the intended work, and that it is
my responsibility to identify what actions I must takP to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads; Wetland Areas, Altering
Watercourses: �
- Army Corps of Engineers-Seawalls, Docks, Naorigable Wa#e�ruays. �
- Departrrienf of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment,
Septic�anks. . .. , - -
- ., .
- US Environmental Protection Agency-Asbestos abatement. �
- 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"unless expressly permit4ed. ,
- If. the fill material is to be used in Flood Zone °A°, it is understood that a drainage plan acldressing 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 AGERIT FOR THE OWNER, I promise in good faith to inform�th�owner of 4he 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_�ie'construed to be a license to proceed with the work and not as authority to.violate; cancel, alter, or
set aside any p�ovisions.of the technical codes, nor shaCl issuance of a permi#prevent the Buildir�g Official from thereafter
requiring a correction of errors in plans, construction or violations of ar�y 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 time the work is commenced. An extension
may be �equested, in writing, from the Bu,ilding �Df#icial for a period not to exceed ninety (9p) days and will demonstrate
__ _justifiable cause for#he extension. If work ceases for ninety(90)consecutive days,the`job is considered abandoned.
!!tlAIZiVING TO OWIdER: YOUR FAIWFZE TO RECORD.A NOTICE OF C�MNIENCE�liENT IVIAl' i��SULY IN Y�Uf�
PAYIWG'fWICE FOR IMPROVEMENTS TO YOUE2 PROPEIaTY. IF YO.l7 INTEPID TO OBTAIN FINANCING, CONSULT
- - WITH YOUR-LENDlER_OR AN AYTORNEY BEFORE REGORDIiVG YOUFt NOTICE O�GOMME.NCEIVIIEI�T. � •
FLORIDA JURAT(F. 11•7.03) • _ //J - ---- —- - - "
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OWtilER�,.QRr%7!:►GENT��.:-._: t.(itJu�� ;-�;��;SW�,�.��l:CUNTRACTOR�'Y.:zii►_I �1.. �� =t.:->�„=�':;
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o is/are personally 4 own to me or has/have produced ho s/are personally kn to me or h /have produced
• as identlfleation. as identiflcation.
Notary Public Notary Public
C' misslon No. C mmission No.
�""""� KELLI B. RYMAN • - ;•`;:�`�;�y KELLI B. RYMAN
Name6fNotarytype ,,'a'•`e'�sta��'�ss�on 9 7
Name of Notary typed,printed or s e �g Commission q
, �, ,; My Commission Expires ;r, o�? My Comnl�ssion Expires
�'%;;toRr��;.`' July 30, 2019 ''a;;���;a: JUIy 30, 2019
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2016104186
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Pertnii No. Parcel ID No I� � C '��. ����— ��� �O ���O
—I� NOTICE OF COMMENCEMENT �/� SC/l
State of �� V l �`�" County of ��� �/
�mv�
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THE UNDERSIGNED here6y gives notice lhet improvement will be meda lo ceAain reai property,and in a�ordance with Chepter 713,Florida Statutes, I �•• � �
the following information is provided in this Nolice of Commencement l
1. Description ot Property. Parcel Identification No. I I ���-a I -o a i� - b��i b a-oogo I ���..
Svea�Add��: �5a3 (�`'r' S�- �Z�h�rrh�lls Fl 335�E � � �mw�
2. Generai Description of Improvsment � � � m
-f.e�� o �e_r . � �
3. Owner Infortnetion assee infortnati if the Lessee contracted for the improvement• I ~
��r i5 �l1��,r-�tncz ���
N�„a55�3 (n� s ��hyrh��'S -� �a � 3��
Address City State � 0��
Interest in Praperty: I � �
Name of Fee Simple Tilleholder. ' � �
(If different from O�vner listed above) n
Address .�r,.y�n^ O .na �n� Ciry State i �
� Corrtractor. 1 � ��w� -
Nam !�y 13 5 f� U''ll l"1`F(��I��S '1 7�5 1�� I �
Address � �3_-�ga� �!\�'j Ciry Stale `
Contractofs Telephone No: v ��
5. Surety:
Name
Address City State - - -�-
Amount ot Bond: S Telephone No. � ��
6. Lender. ' �m D
Name � t11 N
�
Address City Stale � ���
�enders Telephone No. i�/��-+m
�y�r
7 Persons wilhin the State of Fiorida designated by the owner upon whom notices or other documenls may be served as provided by ;r-'��
Section 713.13(1)(a)p),Florida Statules: W�...,�
Name !�~�
w' v
i•�'�U�N
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Address City State I �
Telephone Numberof Designaled Person: I L7�..�
m
8. In add'Aion to himsalf,the owner designates of_ i� �
to receive a copy of Ihe Lienors Nolice as provided in Section 713.13(1)(b),Florida Statules. ����+f p°
Telephone Number ot Person or Entity Designaled by Owner. I N o
3
9. Expiralion date of Notice af Commencement the e iretion date me nol be before the com le' nRF ns t'�°n in1a ment to Ihe i� .-�O{
( xP Y P�l..� �1 ��I�Y �
contractor,but will ba one year from the dale of recordin g unfess a different date is s pecified): � � o
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF 7HE NO710E OF COMMENCEMENT �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713, PART1, SECTION713.13, FLORIDA STA7UTES, AND CAN �
RESULT IN YOUR PAYING TMCE FOR IMPROVEMENTS TO YOUR PROPERN. A NOTICE OF COMMENCEMENT MUST BE `--
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER ORAN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
n @ � d the foregoing notice of eommencement and that the facts stated therein are We to the best
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(.x-�-� r as (rype of euthority,e.g.,officer,trustee,ettomey in fact)for
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Personaliy Known❑OR Producetl Itlentificatiop$ Notary Signature �� � ^ w��
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TKIS IS T�C�RTIFY THAT THE FOREGOING CS A �� �
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TRUE ANb CaRRECT COPY 0�THE DOCUMENT ,,� � ' � = .�„ � „�
ON FILE OR OF PUBLIG RECORD IN TH1S�FFICE m�oQ-we r�r
WITN S MY NAND A 1�OFFICIAL SEAL THIS ,� � � '''"' Q
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Ryman Roofing Inc. �RES � �
- � A Division of Ryman Construction,II7C. 5%fee for credit card processing.
� ' �,`� `J`� � 36413 SR 54 • Zephyrhills, Florida 33541 Proposal#
�'I.Y / �����{ �` Phone (813) 782-6094 • Fax (813)788-6773 N�•
� ` ' � 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate# 0001000
� }``. O www.R manRoofin .com
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' Q� Serving all of Central Florida Job#
Owner/Purchaser. Doris Martinez Date: 6/23/16
Claim#� InsuranceCompany:
Policy#
�ob Address: 5523 6th st c;ty� Zephyrhills Z�p: 33542
Mail to Address: E-Mail Address:
Home #: 813-298-7985 Cell #: Business #:
� Complete tear off of existing Additional Notes/Special Concerns:
Shinqles Main roof with 10 sheets plywood
Q Secure all loose roofdecking as needed according Vinyl soffit @140 If
to Florida Building Codes
� Roof dried in with
Synthetic
Q Install new valley metal with galvanized metal
� 0 instan r,ew 6 °drip edge color. WhItG Price:5300
0✓ Install new lead boots
�✓ Install all new general roof vents Processing fee:265
� Install new �Shingle �Metal �Tile
�Modified Butimen ❑TPO
0 Manufacturer �sn�n9ie, metal or tile) Gef
Manufacturer �TPo or Mod. Bitumen)
� Color�(Shingle,MetalorTile) Weatherwood
Color:(TPO orMOD.Bitumen)
� All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
�✓ All materials, labor and permits furnished Base Price*� 5565.��
� Provide a 5 labor warranty
Additional Items:
Payment Method: �Check# �Cash �Financing �Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment: $ Amount Financed: $ Approx. Monthly Payment: $
PaymentTerms:
Extras.
*Base Price does NOT i ude unforeseen costs as described below unless indicated in"Additional Items"above. customer�nit�a�
�Deficient 1/2"pl o ep ce at of$ 1.9� per sheet in the roof field,w ' includes labor&materials.All other wood work/ad-
ditional labor, such ,bu n limi d ,val y r ilc�h fter replacement, 1x de g, etc.will be a rate of$85 per lineal foot plus the
cost of materials.
THIS BECOMES A DING ONTRA UPON CEPT NCE 0 OP .PU ASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS P POSA ND HEREBY CERTIFY THAT I HAVE RE AND F Y UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser Date. 6/28/16
Purchaser� Estimator ROb StaCy