HomeMy WebLinkAbout16-17576 .%f,-
CITY OF ZEPHYRHILLS /
5335-87H STREET .''�
�. . (813}780-0020 �.7'576
BUILDING PERMIT �
PERMIT lNFC?RMATION � LOCATIQN INFORMATION
Permit Number: 17576 Address: 37334 NEUKOM AVE LOT 44
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Baok:
Proposed Use: MOBILE HOME SUBDIViSION Lot(s}: Black: Section:
Square Feet: Subdivision. GRAND HORIZONS
Est. Value: Parcei Number: 34-25-21-OQ90-OOQ04-Q44Q
improv. Cost: 8,150.OQ OWNER 1NFQRMATIQN
Date issued: 7/14/2016 Name: HUBBARD WESLEY R & NANCY C
Tota! Fees: 80.00 Address: 5203 BRUNELLO TER
Amaunt Paid: 80.00 FORT WAYNE IN 46845-8813 -
Date Paid: 7/14/2016 Phone: �260)615-2706
Work Desc: REROOF SHINGLE HC3ME AREA
CONTRACTOR S APPLICATtt3N FEES
RYMAN R04F1NG INC RERO(�F RESlDENTfA 8Q.00
, �D�'-;
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� Ins ections Re uired
DRY IN ROO I P
TAPE J41NTS 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#imes the aenaunt of the fee impased for the initial inspection or
firsfi reinspection,whichever is greater,for ea�ch such subsequent reinspectian. �
NOTICE: In additian to the requirements of this permit, there maybe atiditianal restrictions appiicable to this praperty that j
may be found in the public recards of this county, and there may be additional permits required fram ather governmental '
entities such as water management, state agencies or federa{a�encies.
"Warning to awner: Yaur failure to recard a notice of camcnencement may result in your paying twice for
improvem�nts to your property. If yau intend ta obtain financing,consult with your lender ar an attorney
before recording your notice of commencement."
Camplete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO t3CCUPANCY BEFORE CA.
NO OCCUPANCY BEFORE C.O.
�.. � '�
C TRACTOR S NATUR PERMIT OFFI R
PERMIT EXPIRES IN 6 MUNTHS WITHQUT APPROVED TNSPECTION
CALL FOR I1115PECTIQN - $ HQUR NQTICE REQUIRED
� PRQTECT CARD ERt}M WEATHER
i., ..
813-780-0020 City of Zephyrhills Permit Application
Fax-813-780-0021
Building Depa�tment
` ''-i -� � � � �i3 � �a _ (�oqy
Date Received I Phoc�e Contact for Permitting -
�5I e d.! NQ�1C �U�' ( Owner Phone Number (J��t'� ���� '�?� T
Owe�ee's.Name .
Owner's�Address;�. ����� �Un"���� '�'(� ��' �0. �e Owner Phone Number
. , � ���S Owner Phone�dumber
Fee Simple Titleholder Mame
Fee Simple Titieholder�Address . � ��
.DOB,ADDRESS`�. J l �� 1 �� u�-�i m �{���. . h r h�i I 5 .Fl 3 3 5�+�� �.�T#
S�Bd��,s�o�� . �d o��-��S ,P�����:��� 3�-a s-a� - c�9a�oo�o� - d y:�r o
, , " �(OBTAINED FROM PROPE6iTY TAX NOTICE)'
WORK;PROPOSED�, NEW CONSTR ADD/ALT Q� SIGN Q MOVE Q DEMOLISH
� "' B � INSTALL � REPAIR J
PROPOSED USE , Q SFR 0 COMM 0 OTHER
TVPE OF COf�STRUCTIOPI � , BLOCK � � FRAME Q STEEL Q OTHER
DIESCRIP�.,T•,ION;OIF�wota�c; � Q�0� (e-ro� a`I s �.��s A F�f m h����rl.Q �l� � oI a�� � Q ' ��' Sh� '�
BUILDING SIZE; , ,- ,<SQ,;FOOT/4GE �LI�� ' HEIGHT
� BUILDING $�-,;:(���-`;-�;;�';�:;',��.`��;;'` , ;;�/AL9JATICQN�:OF=TQTAL,CONSTRUCTION • .
'�'�;. , ;,
0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R,E.G.
r,�,_'�"
Q PLUMBING $ ���� �'
� � f(��p 3
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�
GAS Q ROOFING � SPECIALTY Q OTHER �P� ��v /�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO ��l �j �
BUI�D@R ' COfllIPr4�dV
SIGPIATURE REGISTERED Y/ N FEE CURRENT Y/N
Address ` License# '
ELECYRICIAN • COfYiPAtdY - �
SIGNP,TURE REGISTERED Y I N �FEE CURRENT Y/N
� - -
Address � • License#
PLUMBER Cm119PANY
$IGMATURE ' REGISTERED Y/ IV FEE CURRENT Y I N
Address License#
MECii/AP�ICAL COflflPp,fNY •
SIGNATURE REGISTERED Y I N FEE CURRENT Y I N
Address ' License#
ATIi�R''s,k;-- /; ��,y� ;COMPAPIY. (nQf1 ��� —�'�G � . ,
SlG�1�►TURE!!� _ l�l. � ,'wl/�� - REGISTER�D Y N FE URRENT - IN
�►aa�ess ���'��J s� 5y (hil�S F( 335y� �'�icense# `G�./tj�:v��(fi�
RESIDEWTiAI. • 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 subrrmittal date.' Required onsite,Cbnstruction Plans,StoRnwater Plans.w/Silt Fence iristalled,
' ' , Sanitary Facilitfes�&'1 dumpster;.Sife VVork Permit for subdivisionsllarge projects ` . •
COMMERCIAL �"Atfach"(3)sets of�Buildirig Plans;(1)set of Ene�gy Forms.R-O-W.Permit for new construction:
Minimum ten(10)working tiays after submittal'date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&�1 durripster.Sfte Work Permit for all new projects.All commercial�requirements must ineet compliance�
SIGf�PERMI'� Attach(2).sets of Engineered Plans. . •
*"'*PRUPEFtTY SURVE`(`required for all NEW construction. • . . , �
Directions: � ' �
Fill out application completely.
Owner&Contractor sign back of application,notarized
Yf over$2500,a Plotice of Commencement is requi�ed, (A/C upgrades over$5000)
'* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
'OVElZ THE COUNTER PERRAITTIP9G (Front of Application Only)
.....r.•,..•
,,Reroofs ,_, -�•�--Sewers=` "' ='�Service.�lpgrades A/C Fences(PIoUSurvey/Footage)�•° � ` � • •'� � � ` '�` "`��
-, • - . ,_ . ..• ;t :� .., .
� ., - . ; �- ' • � 'E
�`,; Driveways=Not over Counter:if on<publi�roadways..needs ROW ' � �• '
, , , � � •`;�S��.i'�' " `! , . , � _ :� , ;.5;,: ;J
� . �.. , ' .,.. , „� .� i'1
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iVOTICE OIF DEED RESTRIC�'IOMS: The undersigned undetstands that this permit may be subject to"deed"�estrictipns"
which may be more restrictive than C.ounty regulations. The undersigned assumes responsibility for compliance�with any
applicable deed restrictions.
IYNLIC�N�ED COfiITR�►CTOFtS APJD COMTRACTOR RESPONSI�ILiTIES: If the .owner has hired a contractot� 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 fvr 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 applicafiion for which they will be respor��ihle. If you, �s 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. . ,
TRAN�PORTATIORI IMPACT/UTILITIES IMIPACT AR1D 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 icn 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
permitfiing. It is further understood that Transportation Impact Fee� 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 Count�r Water/Sewer Impact
�fees are due, they must be paid prior to permit.issuance in accordance with applicable Pasca County ordinances.
CONSTRUCTION,LIEiV LAYV(Chapter'P13, Florida S�atutes, as amended): If vafuation of work is$2,500.OU or more, I
certify that I, the applicant, have been prbvided with a copy of the "Florida Construction Lien Law—Flomeowner's
Protection Guide" prepared by the Florida Departmer�t of Agriculture �nd 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 fiaith to
deliver it to the°owner"prior to commencement. •
GONTId�4CTOR'S/OWPIER'S AFFtDAVIT: 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�tion, zoning and land development. Application is
he�eby 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, Coue�ty and City codes, zoning regulations, and land development regulations in the jurisdicfion. I also
_ certify,that.I understand that�he•regulations of otfier government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must tak�to be in compliance. Such agencies include but are not limited to:
-� Depar�ment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, INaterNVasfiewater Treatment.
- $outhwest Florida Wate� Management District-Wells, Cypress Bayheads; Wetland Areas, Altering
Watercourses: -
- Army Corps of Engineers-Seawalls, Docks, Navigable Wa#enrvays. �
- � Departraient of Health & 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 permitted. _
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
rcompensating:;v_"�lume" 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 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 fo 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 fhe�1GEWY FOR TFiE OlNNER, I promise in good faith to inform�the owner of Qhe 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 shaEl issuance of�permit prevent the �uildi�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 authvrized 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 Building Of€icial for a period not to exceed ninety (9p) days and will demonstrate
justifiable cause f.or the�extension. If�work ceases for ninety(90)cansecutive days, th�job is considered abandoned.
lIIfARNING TO OWidER: YOUR FAILU@tE TO RECORD.A NOTI�E OF C�dNiN1EMCE�IIENT IViAlf R�Sl3L'T IN 1(�UR
PAYI�dG�VVICE FOR IMPROVEflflENTS TO YOUF:PROPEI3TY. IF YO.0 INTEND TO OBTAIN FINANCING,CONSULT
WIpH YOUR LEPJDER OR AN AT7'ORNEY BE�ORE REGORDIiVG YOUIZ N07'IC�OE COMMENGEI�EI�T. •
FLORIDA.JURAT-.(F.S 11�Z.03)____ _ _ • _ . _ _ _ _
�f _ ;i.. ' �'Y�rk:i�'�1i:`� �;.'y-1�,iti,i�L`:y. .�... ,�i_—'___'� - ;^.:. � — _—
_ :�2;i:;. ��y��Q�' • :":r,`.f ,�`.'i'+.;;,ti� �.�;T.i�s`<;�;'N':.d:'ii y�, .
OWR�ER;QR'IsiGENTV' _- C(- IV (.'`.v`�`�`�.;:: `:.���.''���^;: ' ��:_ .�• ,(iQQ- (I. - �.?if=°��'�° .
� z , ���.�n�,.•-- CO��TRACTOR� •'� �`
� -a�
S� cri d and sw- n to.(or r ed)betor e.this Su scri ed and swnm or a rtned be �e me is
� I� by�t14�-� l�0 V WU 14 I by C e !� uxx�� -
Wh ls/are personally kn wn to me r has/have produced W o(s/are personally kno to me�or h /have produced
- • as identification. as tdentification.
Notary Public
o ission No. �� Ission No. �F�w�
Name of Notary i, Name of Notary typed,printed or stam
������� KELCI B. RYMAN
LLt B. RYMAN �`°�•"�''
. `ao��p���a���' ,o� ���,��
Commission N FF�J06017 =. ;=. �ammission# Ff 905017
• =�.�,: MY Comiiiission Expires :� a�,� MY Commission Expires
�,����fOFF����, July. 3.0, 2019 �'•�°"`°;: July 30. 2019
�a„���,r� �,n,��.,.
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.=�. � AMERICAN t��#� 7��
�n .',: � . - � �' y
�� Ryman Roo�ing lnc: �RES �
� y��f j 5°lo fee for credit cazd processing.
� ' ,,�:,,�. r X�r.�r !K A Division of Ryman Canstructivn,fnc
y'Y�n= '�"-��" V 36413 SR 54 �Ze}ahyrhi!!s, Flarida 33541 Propasai#
/f�� �, =£�_
' "" �� Phone (813)782-6p94 • Fax(813)?8�-6773 N�•
"f,����'�`'���C Estimate# �Q�QQ25QOQ
' 1-$55-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505
�/�� www RymanRoa�ng.com
Q� Serving ail af Central Ftorida Job#
Owner/PurchaserWes Hubbard Date: 6�2$��6
Cla3m#: InsuranceCompany:
Policy#
Job Address: �7�34 NG'UICOfi'Y'i AV@ G;�y: Zephyrhills Z;�; 33541
Mail to Address: E-Mail Address:
Home #: 260-615-27Q6 G��� #; 260-615-1628 Business #:
�Complete tear off of ex9sting ShIC1gILS AdditionalNotes/SpecialConcems:
Peel and stick on entire roof
Q Secure all loose roaf decking as needed according 3 pieces af piywood
to Florida Building Codes
�Roof dried in with
Peel and stick
[�d Install new valley metal with galvanized metat
0 Install new � "drip edge color� Vuh��B
0 Install new iead boats
Q Install ail new general roof vents ,
� Install new �f Shingle ❑Me#al ❑Tile
�Madified Sutimen ❑TPQ
� Manufaeturer �snin�te, meta� or ttle) C��f
Manufacturer {5Pa or maa. eitumen�
� Color:(Sh'sngle,MetalorTile)
Color.(TPOorM OD.Bitumen)
� All raof related debris removed from job site, pick-up loose
nails using commercial grade magnet n
[�✓ All materials,labor and permits furnished Base Price*$ �� �O.vQ
✓�] Provide a 5 labor warranty
Additional Items:
Payment Method; �Check# �Cash �Financing �Insurance Claim
❑ Gredit Card# Exp,Date CC lD#
Down Payment:$ Amaunt Financed:$ Apprax. Monthly Payment:$
PaymentTerms:
Extras: i '
*Base Price dQes NOT include any unforeseen costs as described below unless indicated in"Additianal Items"2bqve. customer�nitia�
� Deficient 1/2"plywood replaced at a cost of$ 1.95 per sheet in the raof field,which includes labor&matarials.All other wood woriciad-
di ional labor,such as,but not limited#o,valiey rebuilding, rafter repiacement, 1x decking,efc.will be a rate af$85 per lineai foot plus the
cost of materiais.
TH1S SECOMES A BiNDING CONTRACT UPOtV ACCEP7ANCE OF PROPOSAL.PURCHASER ACKN4WLEDGES RECElPT QF A COPY OF THIS CQNTRAGT,
1 ACCEPT THIS PR4POSAL AND HEREBY CERTtFY THAT 1 HAVE READ AND FUI.LY UNpERSTAND THE PROVISlONS OF TH1S CONTRACT.
Purchaser: Date.
Purchaser: Estimator:ROb St�CY
V` _
�Iillll IIIII IIIII IIIII II�II IIIII�IIII IIIII IIIII III�I IIII IIII
' 2016109933
. � . • . --. ,
! � ' 'y�,u:.-�.r V 'i � 3�-�5-ai - vc�qo -ovoc3o-6yyo
k " Pertnk No. Pared ID No
r 1
� •. � , NOTICE OF COMMENCEMENT ,
; ����, �I�r�c�c� �,,� t�QSc�
� i,,.,,-,;•t. .THE.UNDERSIGNED hereby gives notice that trnprovemenf wi0 be made to certain real property,and In a000rdance x4th Chepter 713,Florltla Stahues,
i;.„1. . the fullowt�9lidorrriatloif Is provlded in Wa Notka ot Commencanent /���Q /�U T
''' ' _" '1. � DesalpUon M PrOpeAy. Pe�cel IderHtBcatlon No. �Y��S'��' Vv I U� ���V '�V 1 y V
5,�,��,: 3733 O��uKom ve ?.nph�rh�ll,s fl 335�i1
2 General Deealptlon nf Impnvemerd
-f-ear a�� �e- ru�'
3. Owner Informatlon or I�ssee tr�fortneUon Nfhe Lessee arAratled for Ihe bnprovement
�1Q�C .� I.t)e51 c Nubbct�o�
�aU N �ufle.I I o �Te t Fv/� U,t���c. �'"r�1 y (v8y S
. ada�ess aty s�e �
fMereat In PropeAy:
Name of Fee 31mple Tdlefioider:
pf dNfeneM irom Owner Ilsted ebove)
� 4. c��,� �an oc� Tn�- � �"� s�
�R s ?�ph�rh�r�s �� 33siJ
��T��Na: 4�13-��a��09 y T� � ��
. B. S�nery;
Name
Address �Y S�
� MeouM oi Bon� S Telephore Mo.:
8. Lender:
NemO
q��gg Cily State '
Lendera Tetnphone No.:
7. Peraore wltMn the Stefe W Flo�ida destgnebed by the owner upon w/wm notices or dha dnn+neNa mey he served as V+ovided bY
Sectlon 713.13(1)(a)(7j.Florkfa St�utes:
Neme
Address �KY �e
TelePtrone NunOet oT Deslgnated Person:
� & In addttlon to h4naelf,tRe owner deslgnetes uf_
to reCehre a copy oithe lJennrs NoUce as poNded fn Sattlon 713.13(t)(bj,Florida StahAes.
' ' Teiephone Nunber of Pelsm or EnUty Deslgn3ted bY Owt�er: --
8. F�Sration date M NoUce of Cammencert�eM(the e�iratlon date may rmt be before Ihs comp on 1oi co c�,�on atd final paymt�nt tn the
ca�tractor.eN,wm ee one,rear ua�,,ne eate of tecardfn9 ur�0 a msf�aM aem Is spe�r�: (��1 ��� �b I l�
WARMtdG TO aWNER: ANY PAYMENTS MADE BY THE 6YVI�R AFfER THE DWIRA710N OF THE NOTiCE OF COMIIENCEMH�fT
ARE CONSIDHRED IMPROPER PAYMENfS UNDER CFIAPiER 713, PART 1, SECTtON 713.13 FLORIDA STAMES, M1D CAN
RESULT 1N YOUR PAYINt3 71MCE FOR IN6�ROVEMENTS TO YOUR PROPERIY. A NO710E OF COMMENCEMENT MUSf BE
RECORDED AND POSTED ON THE JOB SITE BEFORE 7HE FIRSf INSPECTION. IF YOU INTEND TO OBTAIN FlWWCING,CONSULT
WITN YOUR LENUER OR AN ATTORNEY BEFORE COMMEkCING NIORK OR RECOR�INO YOUR NOTiCE OF CAMMENCEMEAIT.
Undet penaEy of Pe►NY.I dedare that I have reatl tl�e(oregWr�rmlloe o!�+mner�fri arfd Ihat Cte faCta s ere tlia beat
of rtry I�Owfedge and belief. r
I COUNiY OF��66� ��I
��)b S�rrehue of Oaner ee.ar ere or aea'a Auttiortze0
O(ficel/DitectorlPertn .
SlgnBt0ly�B TiUelOfliCe
Tha foregoin9 hstrumeM was admowledged befine me thta 3�day of u� 20�by rc �v� j��,s,'�c����
es nvFav��/ �tnbl►C (h�pe of aWwiNy.ag..of6cer.ttustee.aaon�ey m�ady ro� .
�1,�tSlt��lA{OI7LLrOI (nameaipartyon ofrRmm vra�e�aaaRe�.
Personaly Knowrl O QS Producad lderrtificelloR�. � No�y SlgnaLae
�rypeotlder�uncmtm�aroaueed SVn1Z.t�rIVL!`5- .., Name�n� ��111111f////
uc�r+se�.�. ' ' . , ``e �� K 3GyU��,',i
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07/.14/2016 E. M,-; Dpty Clerk' ��� �.7�L z�
� � ; . - , �_ - - - = :c� Pusuc g-`
� �a�������e PRULR S 0'NEIL,Ph.D.PRSCO CLERK 8 COMPTROLLER ',��j�, �(�,��,`
� 07/14/2016 01:08 m 1 of 1 ��STA ��
OR BK 93g� p� �!Zq, ���f11111N�
�,���������
� � � �s �T��� a� �LQ131D�, COUNTY OF PASCO
��
� y � G TH1S IS T�CcRTIFY THAT THE FOREGOING IS A
-• TRUE ANC1 CORRECT COPY OF THE DOCUMENT
'� , f�3O`��''eT„u.� � � ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
-� �����.; �. * WITN MY HAND CIAL SEAL`TH-IS-
r8 O DAYO 2D/�
``�'�y'��,� a 8� � • � P U A S. 'NEIL, L COMPTROLLER
' � i�
��������� BY ! PUTY CLERK