HomeMy WebLinkAbout16-17161 /
CITY OF ZEPHYRHILLS
, • 5335-8TH STREET
(813)780-0020 17161
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17161 Address: 5250 TANGERINE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Sulidivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00400-0180
Improv. Cost: 5,150.00 OWNER INFORMATION
Date Issued: 3/14/2016 Name: GABRIELE ROSEMARIE
Total Fees: 65.00 Address: 13100 GRAND TRAVERSE DR
Amount Paid: 65.00 DADE CITY FL 33525-8285
Date Paid: 3/14/2016 Phone: 813-918-3205
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
FOSTER ROOFING INC REROOF RESIDENTIAL 65.00
C
Ins ections Re uired
DRY ROOFINS
TAPE JOINTS RO�INSQ� r
FI NAL (/!1G
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 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.
� '" v� Z_.
C T CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
a,a-7ao-oozo City of Zephyrhills Permit Application Fax-et3-7so-oo�i I
Build'mg Departrnent
, __i�Received Phone Contad for Permitfin 3 2 19�_
o ���—��
Ovmers Name V���.C`(� ,'Q� b'T� Owner Phone Numher � ' 1� �` a 'r-�
Ownet's Address J Oirner Phone Numher
Fee SImRle Titlehdder Name O�wr�er Phone Numher
Fee Simple Titlehdder Address
�og�o�� ��S�D�T �c e Or• 2e — �� LOT�t 0
SUBDIVISION PARCEL IDM
(OBT�INED FROY PROPFRiY TAl(N0T1�
WORKPROPOSED e NSTALL RB REPAIRT Q SIGN � Q DEMOLISH
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �'m�JQ an {�� �i�'� ��,n��"C� w� ��m��t��
BUILDING SRE SQ FOOTAGE HqGHT �
QBUILDING $ VALUATION OF TOTAL CONSTF2UCTION ,�y ���SO,��
�1
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE_C.
OPLUMBING $ ��(_ /
t' _ r �! �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �!,� I /^ 1
t ��S .�
QGAS � ROOFING � SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS ROOD ZONE AREA �YES NO + /L /
�; .� �
BUILDER �J((�1L �� �_ CONPANY Fv51'�vS Qpb'h`rl' �y. .
51GNATURE I " � � rtE��rtEo Y/ N �ctut�n /N
�d� ��# C.L �3 c�I b�
ELECTRICl/Ul COMPMIY
SIGNATURE rtEG�srERE� Y/ N FEE curtREn Y/N
Address �iaense#
PLUMBER CONPANY
SiGNATl1RE REGISTERED Y/ N FEE CURF�� Y/N
Address License#
MECHANICAL CONPANY
SIGNATURE r�uier� Y/ N rg cuw�n Y/N
Address Litense#
OTHER CONP/WY
SIGNATURE rtEc,�srEa�o Y/ N �ctra�n V!N
Addrcss License#
i1i1111111111111t1111111111111t111111111111111111111111111111111111
RESI�EHTIAL Attach(2)Plot Plans;(2)sets of Buildng Plans;('I)set of Energy Fom�s;R-O-W PrJmit for new construcUon,
Minimum ten(1U)warking days aftersu6mittal date. Required onsi[e,Construction Plans,Stormwaler Plans w/Sift Fence installed,
Sanitary faca7ides 8 1 dumpsta;Si[e Work Ppmit far subdrvisims/large projeds
COMNERCIAL Attach(3)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fotms.R-O-W Permi[for new canswction.
Minimum ten(1a)work'u�g days aftv submittal data Roquired onsi[e,GansUuctlon Plans,S[ormvrater Plans w!Sd[Fer��e installed,
Sanitary FadGties&1 dumpstef.Site Work Pertnit fw all new proje4s.All commercial requ'vements m�at mee!compiiance
SIGN PERNIT Attach(2)sets of Engmeered Plans.
' ""PROPERTY SURVEY required far all NEW construdion.
Oi2ctions:•
Fill out applintim mmpleteJy.
Owner 8 Contractor sign badc af application,nolarized
tf over 52500,a NaUce ot Comm�canmt ts requlred. (AfC upgrades over S73Q0)
" Agent(for the contrzctor)or Power of Attomey(for M�e owner)wauld 6e somenne wilh notarrzed letter from w�n�authariang same
OVER THE CUUNTER PERRIfTT1NG (Front a/AppGqdon Only)
Re�oofs if shingles Sewers Service Upgrades A!C Fences(PbUSiuvey/Footaye)
Driveways-Not over Counter i(on public roadways..needs ROW
� - Nt)TIC�OF DEED i2ESTRIC710NS: The undersigned understands thai ihis permit may be suhject to"dsed"resVictions'
•,ti�hidi may be more resirictive than County reguiations. The undersigned assurnes responsibility for compiiance with any
applicable deed restrictions.
41NUCENSED CQNTRACTORS AND CONTRACTOR RESPONSIBlt.!'CtES: !f the oumer has hired a contractor ar
contractors to u�deftake work,they may be required to be Iicensed in accordance with state and locai reguta6ons. if the
contractor is not licensed as required by law, both the owner and contract.ar may be ated for a misdemeanor violation
under state}aw. If the owrser or intended con2ractar are unceriain as to what licensing requirements may appky fflr the
intended work,they are advised to oontact the Pasco Gounry Buit�ng Inspectian Division—L'+cerrsing Section at 727-847-
8009. Furthermore, 'rf the owner has hired a contractor or contractors, he is advised to have the contradar(s) sign
portions of the"coniracior Btock°aE this application for which ihey witl be responsible. ff you,ss the owner sign as the
co�tractor,that may be an indicatian that he is not properly i+censed and is not entiNed to permitting privileges in Pasca
County.
TRANSPORTATlON lAIPACTMIL171ES IDtPACT ANd RESOURCE RECOYERY FEES_ The undersigned understands
ihat Transportation Impact Fees and F2ecaurse Recavety Fees rnay apply to the construt�eon of new buildings,efiange of
use in existing buildings, or e�qaansion of ezisting buildings,as specified in Pasca County Ordinance number 88-07 and
9�-07,as amended. The undersigned also undeistands,that such fess,as may be due,will be identified at the time of
permitting_ tt is turther undarstood that Transportafion Impad Fees and ReSource Recovery F,e�.s must be paid prfnr to
receiving a`certificate of ocwpancy'or final power release. If the project does not involve a cerlificate of occupancy or
fi�al power release,the fees must be paid priar to permft issuance. Furthennore,if Pasco County WatedSewer Impact
fees are due,ihey must be paid prior to permft issuance in accorrlanr,c with applicable Pasco County ordinances.
�ONSTitUCT1QN UEN LAW(Chapter 713,Flprida 5tatutes,as amended): If valuation of work is$2,500.00 ar more,1
certify chat 1, the applicant, have been p�ovided with a copy of the "Florida Construction Lien Law—Fiomeowner's
Protection Guide"prepared by the F#orida Deparimeni af l�gricu3ture and Consumer Afhairs. !f the applicant is someone
other than the"ownel',I oertify that t have obtained a copy of the above desaibed doeument and promise in good faith to
deliver it to the"owne+"prior to commenCement
COMTRACTOR'3tOYYNER'S AFFIDAVl7': I certity that a11 the irifarmation in this application is accurate and thai all work
wili be done in compliance with alI appiicabte laws regulating construdian,zoning and land development. Application is
hereby made ka obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior io issuance of a permii and that al!wak wip be perforn�ed to rri�t standards ai a!1 laws reguiating
construction, County and City cades, zoning regulations, and iand development regulatians in the juri�ction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsihili2y to itlentity what acti�s f must take to be in comptianc�. Sttch agenries inclttde but are not Iimited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenta((y SensiGve
Lands,WatedWastewaterTreatrnent.
- Southwest Florida, Water Management Qistrict Wdls, Cypress Sayheads, WeUand Areas, Rltering
Watercourses.
- Army Corps of Engineers-Seawalls,pocks,Navigable Waterways.
- Departrnent of Neaftn 8� Rehabilitative ServicestEnvironmeniat tiealth Urtit•1Nells, 'Ntastewater Treatment,
Septic Tanks.
- US Environmental Protectian Agency-fLsbestos abatement.
- Federa!Aviatian Authoriry-ftunuvays.
!understand ihat the follawing restrictions ap¢ty to the use of fitt:
- Use af fill is not allowed in Flood Zone M unless exprassy parrnitted.
- !f the fill materia! is to be used in Flofld Zone "A°, it is understood that'a drainage plan addressing a
"compensating volume"witt be su6mitted at time of pertnitting which is prepared by a professionai engineer
licensed by the State of Florida.
- If the fi0 material is 2a be used in Flood Zone"A"in connectifln with a permit[ed buiiding using stem wall
construction,l certify that fiI!un'tI be used only to fiII Ehe area wiihin th9 stem wati.
- If fill material is to be used in any area, I certify tfiat use of such fill will not adversely affect adjacent
propeKies. If use of fill is faund to adversety affect adjacent properties,the owner may be cited for violating
the condifions oi the buitding permit i�ued under ifie attached petmit appficatiot�,for IoLs Iess tttan one{1}
acre which are elevated by fill,an engineered drairtage plan is required.
If I am the AGENT FOR THE OINNER,I promise in good taith to inform the owner of the permitting conditions set forth in
ttris affidavit priar to commenang const�etdion. 1 understand that a separate petmii may be required for e}ectrir.a!wosit,
plumbing, signs, wells, pools, air candilianing, gas, or ather installations not specifically included in the application. A
�ermit issued shall be consVued to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of fhe technical codes,nor shalt issuance of a permit prevern#he 8uilding Officia(from thereaRer
requiring a correction of en-ors in plans,construciion or violations of any codes. Every parmit issued shall became invalid
unless the work authorized by such permit is comment�d within six months of permit issuance,or'rf work autharized by
ihe permit is suspended or abando�ed for a period ai snc(6)rnonths after the time 2he waric is cammenced. M e�ctension
may be requested,in writing,from the Buitding pfficial far a period not to exceed ninety(9d}days and wi�l demonstrate
justifiable cause far the e�ctension. If work ceases for ninety(90)consecutive days,the job is considered akrandoned.
WARNIN6 TO GIWNER: YOUR FAiLURE TO RECORD A NOTiCE OF COMlf1ENCEMENT 141AY RESULT IN YOUR
PAYING 7'WICE FOR IMPROVEMENTS TO YOUR PRdPERTY. IF YOU INTEND TO OBTAIN FINANCING,CbNSULT
YUli'H YOUR LEPID R OPt A"tTORNEY B FORE RECORdlNG YOU OTICE GOMMENCEHENT.
r-ior�nn,ruRa;t�.s. 7.oa}
OWNER OR AGEHT CqNT OR
�r�sw� r is ��t��x�����r}d a afii� � -
by � � -�
h srare persona known to or hasfiave produced u tsle�personaly known tp me or haslha e produced
as itlenttCicaum. as idenoficarim.
,�, o �c �1��������„` ry F'u41ic
C,ommissia�Na. Commi�i�r No.
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„�ot* °e��s HEATHER D.H4SFELD �a�� o o a c Notary Public-State of F�orida -
r 20 "e`�' Notary Public-State of Florida ,,a _ :�;My Comm.Expires Mar 21,2016
;�,q :�'fNy Comm.Expires Mar 21,2018 i�OFft�44�, Commission#FF 72365 ,
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'�•,',FOFF��;�'� Commission#FF 72365
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WARf�iKi�MpNI�ER:ANY PAYI�MS MADE BY TFIE OWI�R AF7TE�R T,�Fl,E EXPIRATION OF 7tE NOTICE OF OOM�NEM ARE CUN51dERED IMPROPER
A�Oi° WNWMiB1CB�lT ���ANQ P�OSTED dd iHE JOB S�I7E BEPO�RE'HE F�YPA�P C� IF�YOU C END�OBTT�A�FINfUdC�IMGERTY.
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STATE OF . /+��%�O� f�fTY OF /'"GIS�D /
T1,e ror�egoir�g�nsMxneM was advww�edged b�ae me u►is 8'aay of /j'la�c zo.�,by l�osP�9 Qi,P Gq�rj�/
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Verifi tD Sec�on 92. ,Fbri�a Stffiutes:under pena�ties of periury,I dec�are that I have read tlte iaregarsg and that the facts sYated ir it are
true to t •
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s� fiM��������t�TIFY THAT THE FOf�EGQING IS A
� . � 1'RU�AN�CORRECT COPY aF THE�OCUMENT
InGod'itr�T�,; � � ON FILE OR OF PU�UC RECORD IN THIS OFFICE
T� � -8 �,�S'+, e� WIl'j ESS MY HANd AND OFFICIAL SEAL THiIS
�z � � , �DAY OF ��,I�U/�- 2 C�1�
•, a3�,� � PAULA S.O'NEIL, CLERK&COMPTROLLER
�����F�0���� BY i����� DEPUTY CLERK
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. - , '`�"ER""`�""' p.0.BOX 10553 �. �
� DfPRE55 ,�` � : r�:..,,. . ,..P _.,.., s.: ,:
_ . ____ 5�11 BROOKSVILLE,FL 3460
D1SC°� �//SA �B� 727-848-6600
ME�BER 352-799-0045 / �
. CCC1327265 Date: ���= .��
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Name �•.�'��irj'—�r -,-�.�/� S- � � ;��'�b Name
�- f
'� Address .=%l.%� fu��F?�i;�;� %�� Job Address
._.;
City, State,Zip �'�. :�.�f.i�' �► City, State,Zip
, .
Phone :?:� ' "�%�`�- =.2c: :� �b' 3�' �0�� Phone
� �4'��! /.r'i-t�i/u'�
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Speciai Order -�--� Gaivanized Vailey ----
Life Time Ultra --� Angle Flashing --�
Life Time ;f �� 't1�"- �T:rr► ���� � Aluminum Drip -�-���
3 Tab Shingle - � Galvanized Drip �� �,✓t�
3 l "-� •-:�f�., ..�, - Plumbing Boots: 4" �-"� 3" �
Peel'N'Stic r�r� .�-"� 2n � 1 1/2" `°�'� .
90 . oll Roofing �--�--- GRV Vent :�
� TPO ---� Range Vent -��
SBS --- Ridge Vent �
Cement/Adhesive � End Plugs
Plywood: ��, r�Per Sheet ��G2 6 fas ia�''per n. Truss tails 2x4 `�.5� per ft. e��-nail Plywopfi`}�
-j-�-'�3f•_ns� 3�;-�rlS� lnc ao7f a/ f.✓� s�a� � '.�cfr,��l �o�P�il �
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a.�By signing this proposal you are giving me per � 'ssion to change and charge for �
any bad wood that is required by law. Workmanship is guaranteed for a period of <5� years. Price
includes all taxes and permit fees. P�ie ' ' ' .Any legal fees pertaining to
this contract or for the collection thereof shall be paid in fuli by contractee. Homeowner must provide
access thru driveway or yard to the roof.
We propose hereby toa furnish material and labor-complete in accordance with above specifications, for the
sum of$ �� 1 u�o � . Payment to be made as follows: In full upon job completion.�1-39�a-el�e-�nfi�4-
ds.
All material to be specified.Any alteration or deviation from the above specifications involving extra costs
will be executed only upon written orders, and will become an extra charge over and above the estimate.
All arrangements contingent upon strikes, accidents or delays beyond our control. Our workers are fully
covered by workers compens o insurance:ti = ',
Authorized Signature � ��'.�� , Note:Thisproposalmaybew'dhdrawnbyusifrrotaaceptedwithin='�-�days.
- � E --
Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are hereby
accepted. You are authorizing to do the work as specified. Payment will be made as outlined a ove.
Signature: � Date of Acceptance: 3 �