HomeMy WebLinkAbout16-17557 CITY OF ZEPHYRHILLS �l
5335-8TH STREET
' ' ' (813)780-0020 ' 557
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
� Permit Number: 17557 Address: 5520 21 ST 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: 12-26-21-002A-00100-0020
Improv. Cost: 6,484.00 OWNER INFORMATION
Date Issued: 7/11/2016 Name: SIX FEET UNDER LLC
Total Fees: 70.00 Address: 31448 REED RD
Amount Paid: 70.00 � DADE CITY FL 33523-7444
Date Paid: 7/11/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DRYI ROOFINSP
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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(,'� �y U:.�/
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
� - _
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building DePartment
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Date Received � �f �� Phone Cootact for Permitting
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�,we�ee's'Name lJ�� i. U� I ��� ��'e� ��n—�I��"Cz-�-��1(�.ur L(,(�Dwner Phone Number I,.J— l 1 /��5�� ,�
,. • I � yy�3 eed Rd c� C�� .3Sa� OwnerPhonefdumber
Owner:s�Addre.ss�;,. ,
Fee Sim le Titleholder Name
Owner Phone�fdumber
P
Fee Simple Titleholder Address � ,
J�s,��oREs��,. SSo�d o�� 5f S-kezt h �hi I�5 �l 33sy�- �o�# C�
S�Bo���s�o�'., P�����:�D� l a�-a�-a� -a�a A - ov�oo - ooa a
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I � (O B T A I N E D F R O M PROPEftTY TAX NOT I C E)
V1[ORK;P..ROROSED � NEW CONSTR � ADD/ALT Q SIGN Q MOVE [� DEMOLISH
� � `" � INSTALL REPAIR J
PROPOSED USE , Q SFR Q COMM Q OTHER 0 � �
TVPE OF CONSTRUCTION [� BLOCK � FRAME 0 STEEL Q OTHER
' � � � -�eC�s 0-�' ��e-�a�-� c?� S ��s �A T m ;��� �I'�,I� Sh�� �les 1�►a�o I
�IESGRIP,,7'I.OM O�xW,ORK� ,
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BUILDING SIZE; :SQ;FOOTAGE o��D � � HEIGHT
BUILDING $• ',`i^;':�� (�"'-+-:=�,,,;-� - ;=.UALUATION`:OF'TCITAL'.,CONS]`RUCTION .
'�,�:: - _ • .
'�'-C . - _- ,. :� .
I 0 ELECTRICAL �$ �I AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.G.
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� PLUMBING $ /J����
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C C L VALUATION OF MECHANICAL INSTALLATION `
� ME. HANI A � _
Q GAS Q ROOFING 0 SPECIALTY Q OTHER I j��Z�
FINISIiED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO
BUI��ER ' COflflPQ.�dY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address � License# '
EL.ECTRICIAN � COMPAMY �
SIGRlA'TURE REG[STERED Y/ N �FEE CURRENT Y/N
.
Address , � ' License#
PLUMBEIi COiNi'ANY
$IGMA iTURE ' REGISTERED Y/ N FEE CURRENT Y/N
Address License#
ME�FiANiCAL COMPP,fi�Y •
SIGNATURE REGISTERED Y I N FEE CURRENT Y/N
Address � License#
OTIiEF�r;,---:-_. �1 COMPAWY. ��' L1� n� �—r7C� � .
SlG9!lA'�URE:�� _ �� ` ' ��� REGISTEt2�D Y N FEE CU ENT /N
Acidress �(�7�-3 �J� 5Y � ( h����.5 �� 33 S`% �`License# ����=5��
� R�SID�W"fiAL Attach;(2)Plot Plans;(2)sets of�uilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
I ; -Minimum ten(10)working days after submittal date. RequirecJ onsBte,Construction Plans,Stotmwater Plans w/Silt Fence installed,
Sanitary Facilities�&'1 dumpster;Sife VVork Permit fbr subdivisions/large projects
COMMERClAL Attach(3)sets of Building Plans;(1)set of Ene�gy Forms.R-O-W Permit for new construction.
Minimum ten(10)�working days after submittal date. Required onsite,Constiubtion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial�requirements must ineet compliance � -
SIGPI PERMI�' Attach(2)sets of Engineereil Plans. , • �
`"**PRC�PERTY SURVEY'required for alf NEW.construction. . . , �
Directions: � ' - �
Fill out application completely. �
i Owner&Contractor sign back of application,nofarized
If over$2500,a Motice of Commencernent is required. (A/C upgrades oveP$5000)
** Agent(for the contractor)or Power`of Attorney(for the oViine�)would he someone with notarized letter from owner authorizing same
'OVER tHE COUPITER PERMITTOP96's (Front of Application Only,) � . � -
Reroofs Sewers Service Upgrades A/C' : � Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..n�eeds ROW , _ �
NOTOCE OF DEED RESTRICTIONS: The undersigned undecstands that this permit may be subject to"deed° restrictior�,�"
which may be mote restrictive than County regulations. The undersigned assumes responsibility for compliance�with any
applicable deed restrictions. �
UMLICENSED CQidTRACTORS AfdD CONTRACTOR RESPONSIBYLOTIES: If the .owner has hirecJ a contracto� or
contractors to undertake.work, they may be required to be licensed in accordance with state and local regulations. If the
con4ractor is not licensed as required by law, both the owner and contractor may be cited for a rnisdemeanor violation
under state law. if the owner or intended confractor are uncertain as to what licensing requirements may apply for the
intended work, 4hey 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 vuhich.they wil!�be respon§ihle. 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. � ,
TRANSPOR7'�►TION iMPACT/UYILITIES IMPACT APID 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, will be identified_at the time of
permitting. it is further understood that Transportation Impact Fee� and Resource Recovery Fees must be paid prior 40
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. �
COMSTRUCTION,LI�PI LR►IN(Chapter 713, Eoorida Sgatutes, as amended): If valuation of work is$2,500.00 or more, I 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 to
deliver it to the"owner"prior to commencement. •
GONTR�►CTOR'�10WNER'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 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�he•regulations of o#lier 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. �uch agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterNVastewater Treatment.
- Southwest Florida Wate� Management District-Wells, Cypress Bayheads; Wetland Areas, Altering
UVatercourses�. �
- Army Corps of Engineers-Seawalls, Docks, Navigable Watennrays.
- Departrnenf of Healtli & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
, Septic Tanks. �
, 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 permitfed. .
- 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 Flood Zone "A" in connecfion with a permitted building using stem vvall
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 fll 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 co�ditions 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 6�►GEiVT FOR THE OlNRlER, I promise in good faith to inform•the owner of Qhe permitting condttions 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 shaEl issuance of a permit prevent the �uildir�g 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 withirr six months of permit issuance, or if work authorized by
the perrr�it is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be �equested, in writing, from the Bullding �OfFcial for a period not to exceed ninety (90) days and will demonstrate
justifiable-cause for.the�extension. If�work ceases for ninety(90)cansecutive days,the�job is considered abandoned.
VIPAR�111NG TO Od1l�7ER: YOUR FAIL.UiZE YO RECORD �► NE�TOCE OF C�MNf�NCE�IIEIdT IWA�f iZE5l1LY IPI Y�UI�
PAYING��WICE FOR IMPROVEi1�ENTS TO YOUR PROPERTY. IF YO.0 INTEWD TO OBTAIN FINANCING, CONSULT
I�IITH YOUR LENDER OR AN ATTORNEY BEFORE 6ZEGORDIf�IG YOUlt NOTIC�OF COMMENGEI�IENT. •
FLORIDA JURAT(FrS.- 1:7:03) - • _ _ _ __ ___ _ _
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01�RdER�QR.AGENT�,,: �_._. Cl. .. .. . I.Wdf�..•G ';::..;:;;.«,�=:� 4 ,
S �rc �ed an bswd to o� �e beto�re� this �u �jc ij ed and b�u o(or Q r�r�ead �f�� e this
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o is/are ersona I .kno to me or as/have produced o is/are ersonally . to me or has/have produced
,��^,_�,� as identiflcation. ;��• � as(dentification.
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' Com/ si
Commiss�on No,
�: � • :;�:�.ey&;. JACQUELINE BOGES
,�T;,r:y�,,, JACGL ;� �:'= '
Name of N �y etJl� 't�m��1ed. ' Name of �f��1'lpt�B@��1�,2018
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�� Ryman Roofing Inc.
� 5%fee for credit cazd processing.
"' 'p� F�-`` A Division of Ryman Construction,Inc.
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"'�`:�"=' Pro osal#
�� 4 `� 36413 SR 54 •Zephyrhills, Florida 33541 P
��rAM} ��'`�� ��` _ Phone(813) 782-6094_Fax(813)788-6773 No•
��...<j�`
1 855 Go Ryman (1 855-467 9626) • Lic.#CCC 1325505 Estimate#
��/tOO www.RymanRoofing.com
Q' Serving all of Central Florida Job#
Owner/Purchaser.Matt Hurlbert Date: 6/28/16
Claim#: InsuranceCompany�
Policy#
Job Address: 5520 Z'I St St �;�y: Zephyrhilis Z;P: 33541
Mail to Address: E-Mail Address:
Home#: Cell #: $13-997-2598 Business #:
Q Complete tear off of existing ASpI1aIt SI11CIg12S Additional Notes/Special Concerns:
Includes 116 In. Ft. Of 1x6 fascia
Q Secure all loose roof decking as needed according
to Florida Building Codes
�Rootdr�ed�r,witn Synthetic underlayment 5 sheets of 3/4 plywood
❑ Install new valley metal with galvanized metal
❑✓ Install new 6 °drip edge color: �Nhlt@ Remove chimney
�✓ Install new lead boots I
�✓ Install all new general roof vents
0 Install new �Shingle �Metal �Tile
�Modified Butimen ❑TPO
0 Manufacturer �snin9ie, metal or tile) Gaf
Manufacturer RPo o�Mad. e���me��
�✓ Color:(Shingle,MetalorTile) �riftwood
Color:(TPOorMOD.Bitumen)
0 All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet $6 484.��
Q✓ All materials, labor and permits furnished Base Price"$ �
�✓ Provide a 5 VEBf labor warranty .
Additional Items:
Payment Method: �Check# �Cash �Financing �Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment: $ 2269 Amount Financed: $ Approx. Monthly Payment: $
PaymentTerms: 35% down balance upon completion , ' �
Extras: �• '
*Base Price does NOT include any unforeseen costs as described beloVv unless indicated in"Additional Items"abOve. customer�nitia�
�Deficient 1/2"plywood replaced at a cost of$ 61.00 per sheet in the:roof field,which includes labor&materials.All other wood worklad-
i ional labor,such as, but not limited to,valley rebuilding, rafter replacem�rit, 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 PROQbSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOS ND H CERTIFY'THAT f HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
� Purchaser: Date: 6�28��'t J�
Purchaser• � Estimator A8I'OCl
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. ' ' • - - - - -� -
Pertnft No. Parcel ID No �� ���a1- b�a q-6°'°b- �da° '
NOTICE UF COMMENCEMENT �n�CQ
State of �I"' '�-` County of ���
THE UNDERSIGNED herehy gives natice that Improvement will be made lo ceAain real property,and In accordance wllh Chapter 713,Florida Statutes,
lhe fallowing intormation Is pro�lded in Ihls Nolice of Commencemi�_a�-a�- b oa A- 60��o� (�a�
1. Oescripflon oi Property: Parcel IdenUficatlon No. �r -
StreelAddress: �SO'V p��si �-I- 2�hyrhi�l,5 �' 335y�
2. General Description of Imprevemenl
7PCcr p-FF �e-ioo�F -
3. Ovmer Inla on or Lessee infortnatlon i}the Lessee contracled(ar the improvement:
�r r�e-� Und:�r LLC, 1 - J
��� �fC� !l� QLU' Cf �l 3 � State
Address ���y
Interest in Prope�ly:
Name ol Fee Simple Tilleholder
(If different from Owner Ilsted above�
Addfess D �n ��G ���Y Stale � z V � w
� Contractor. mQn �/ i- G
Nam �yi3 5R 5 (S�f1J��i��.5 f 1 335yJ V C� � � = J U,
Address Clly Stale N Z � �.- �
Confraclor's Teiephone No. �I�^���'�O�� Q � � � Q N � _
n' Wp � W 1- W
5. Surety: — 0 R' = Z J � �
Name Q �„_ Q Q
City Stato � � �
Amdounl 01 Bond: $ Telephone No. � _ � � (� �
OF— o- W � Y
6. Lender• V Q Q � �
Name = (,� V Z
Addresa Clly State Q � F-.. J Q V `
p >- Ufnp ti
Lender's Telephone No. � � � � Z � J
7 Persons wllh(n the Stale of Flotlda designaled by lhe ovmer upon whom nolices or other documents may be served as provlded by 0 � � � Q Y (j�
Section 713.13(1)(a)(7),Fiorlda Slatutes: --� LLl Q Q = a Z
LL U U � � �
Name Q � z � (/)
Cil State � � uJ =� W �
Addreas y - � u-
Telephone Number o1 Designated Person: z ~
�
8. In addillon lo himsell,lhe owner designales
ot_ f/� f-=- � � � � m
ta receive a copy of Ihe Lienol's Notice as provided in Section 713.13(1)(b),Florida Slalutes.
Telephone Number of Person or Enllty Designated by Owner:
g. Ezpiration date o1 Notice of Commencemenl(lhe expiratlon date mey not be before Ihe complellon o1 construction and flnal peyment lo lhe �
conlractor,but will be ane year Gom lhe dete of recarding uniess a differenl dale Is specified): � . �� -`'�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT JO • , �,
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 7, SECTION 713.13, FLORIDA STATUTES, AND CAN G • �J
RESULT IN YOUR PAYING NNCE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE 1 t ��
RECORDED AtJD POSTED ON THE JOB SITE BEFORE THE FIRST INSPE ION. IF YOU INT D TO OBTAIN FINANCING,CONSULT ` _t„ / �
WITH YOUR LENpER OR AN ATfORNEY BEFORE COMMENCING WOR O RECORDING U NOTICE OF COMMENCEMENT � � 4�i 3� e
Under penally of perjury,I declare that i have read the foregaing notice ca ent an th s stated Iherein are true lo the best ' � � ��
01 my knovAedge and bellef. � •• p
6 �
s � lon AlWEUHAYWOOD ' ) �' � .`��
c S�pry PuDIle•Slria ot Fbrk� �-.. - •
CoI1ltNsalOtl I FF 912661 � Signat Owner or Lesse ,ar w`ner's oi�Lessee's AiAfiorize'd �
OKcer�Dlreclor/Partne ana r �
_� � My Comm.Eapin�Aup 2�,2018 �jw� �X �ee-E- U/►c��LLC �
w�t• ������Y�' Signeory'sTitle/OKce ���� ,� , �
The faregoing instrument was acknowiedged before me this�day o�U� .20��by A ��e� ������
Ow(�( es (lype of aulhority,e.g.,oKcer,lrustee,attorney in lacl)for
(na of pady , behaJl�f/pf whom instrument was execuled).
—/ /Y� Cl. I � L'-'UX ll
Personelly Known❑O$Produced Iden/llficatio�/n�I� Notary Signature
Type olldenlilicaflon Produced !'L �✓�' Name(Prinq n L w�
" - , g Ree: 10.00
Repl.178504 IT: 0,00
DS: 0.00 Clerk
07/11/2016 J. R•, �PtY
'ppULR S 0'NEIL,Ph.O PRSCO CLERK & COMPTROLLER
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OR BK ' ,