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Home My WebLink About15-16791 CITY OF ZEPHYRHILLS / 5335-8TH STREET (sis��so-oozo 167 �1 ; BUILDING PERMIT ..� ' PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 16791 Address: 5612 CYPRESS 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: 12-26-21-006B-00000-0270 Improv. Cost: 11,220.00 � OWNER INFORMATION Date Issued: 12/02/2015 Name: HUMPHRIES JOSEPH E &KILEY BARBAR Total Fees: 95.00 Address: 2628 S TORONTO AVE Amount Paid: 95.00 TAMPA FL 33629-6520 Date Paid: 12/02/2015 Phone: 352-206-6302 Work Desc: REROOF SHINGLE CONTRACTOR S ,. � � APPLICATION FEES RYMA R F NG INC REROOF RESIDENTI L 95.00 � �, 12 - � � r � � �J� � - Ins ections Re uired " DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL I Z �17"[ �� 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. �� C �NTRACTOR IGNATU E PERMIT OFFI R I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED - PROTECT CARD FROM WEATHER 813-/SU-UUZU lrllY UI LG�,JII�I111u�o � �.��i��. .�+�+��+�.••�•• Building Department ;• �l Date Received ; � Phone Contact for Permltting �� -= � '•�- 1� Owner's Name �Se 11 �{. (W�1 CC li(Y� �1 eS KI�'� Owner Phone Number - �l�V�� f .. _ ; Owner`s Address a g S Ta�on+o �� a F� 33�a 9 Owner Phone Number ` i� _ ,. , . . . ;I ,; Fee Simple Titleholder Name Owner Phone Number �� _ ;�. Fee Simple Titleholder Address ' JOB ADDRESS � � � �s 5 �: r h�I I S - ( 3 3 Sy� � �oT# �� SUBDIVISION 1 PARCEL.ID# �—�w"�� V�� 0��,��.��U -: , ,� � � -� �(OBTAINED FROM PROPERTYTAX NOTICE) , WORK PROPOSED NEW CONSTR ADD/ALT SIGN � MOVE [� DEMOLISH � - """ -` ' e INSTALL e REPAIR �� - PROPOSED USE ' Q SFR Q COMM �THER � � TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER - DESCRIPTION OF WORK, , ��-� bT ' (e-`o� �y 3� u��S ��'� `-b�n�� S �� ' , BUILDING SIZE -SQ FOOTAGE HEIGHT " , � BUILDING $ !, �VALUATION OF TOTAL CONSTRUCTION , � � • � i�I �ao . - . . ,. Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. Q PLUMBING $ ��` � Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 0 GAS � ROOFING 0 SPECIALTY Q OTHER • FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO - ;.. —BUILDER— -- � ------ - - -- -_------- -— _ _COMPANY.--� ' -:. - , • -- , SIGNATURE � REGISTERED Y/ N . FEE CURRENT 'Y/N "' Address _ ,License# ' ' � ' ` ELECTRICIAN COMPANY � � SIGNATURE REGISTERED Y/ N FEE CURRENT `Y/N Address � License# ' ' PLUMBER COMPANY � SIGNATURE • REGISTERED Y/ N FEE CURRENT Y/N Address License# - MECHANICAL COMPANY " SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address ' License# - OTHER ��/�(� COMPANY �Q� �Q�n �C-',,' �_ SIGNATURE�� GL � �"""- REGISTERED Y/ N FEE CUR ENT' Y I N Address y SK 5 f �fli��5 r� 3 S 1 I ��License# C�I:3 Z S�(�� 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,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects - COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W.Permit for new construcUon. Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must ineet compliance � SIGN PERMIT Attach(2)sets of Engineered Plans. , � ""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 contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same �OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW '' _s-_ _....... ._. ''._�_.. ...__ '_"` _ ,_ .' _ ' - .^.'.� _`'� ._-. " "' t �'1•,Y �� . r( ,t� �'!i., .� .. �.. . 1 . � ('� � , :� � �t . � � � =1l• '' ' . � ,_ _ ^ '{� , l� � ., , •'. � ��£t,{ '�. . . � . . .'�i�'�ik,',;��, - _ Ci. 'yit. ' i i', }` � ( 'i: �.;;. .. . ,_-,_ - _ _..,::.. �. ..: .........�-.q .,�n� -, ._: �.,�.. .:.- : ,.-�...-.._.�_�.. _. .-„ • .,.r.��.-,.�.;a : � � ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed",rest�ictions" ;' which may be mote restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS 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 Divisipn—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 nof properly licensed and is not entitled to permitting privileges in Pasco Counry. � , TRANSPORTATION IMPACT/UTILITIES IMPACT AND 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 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 Impact �fees are due, they must be paid prior to permit.issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION,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 with a copy of the °Florida Construction Lien Law—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 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. 1 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;'�ounty and City-codes, zoning regulations, and land development regulations in the jurisdiction. ( also . certify that I understand that the•regulations of otlier 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, VI/ater/Wastewater Treatment. I - Southwest Florida Water Management District-Wells, Cypress Bayheads; Wetland Areas, Altering VUatercourses�. � � - Arm Cor s of En ineers-Seawalls Docks Navi able Waterwa s. Y P 9 . , , 9 Y ' � Department of Health .8� Rehabilitative Services/Environmental Health Unit-Wells, W�stewater. Treatment, - - Septic Tanks. � - � � - US Environmental_Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. � I understand 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 � n 'com ensating volume will be submitted at time of permitting which is prepared by a professional engineer P , 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 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 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 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 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 within six months of permit issuance, or if work authorized by the permit 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 Building Official for a period not to exceed ninety (9p) days and will demonstrate justifiable cause f,o�the extension. If work ceases for ninety(90)consecutive days,the`job is considered abandoned. 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. � FLORIDA JURAT(F:S 11.7.03) • . r /I{ _ � -.s � ts.r:��, ,i:i - =''.�;,f;'r,�rl"�`v5c'3tC.��i;i;;?;i:' .;c_. :,r�--- yI�I y�A/��1\ ,. „_ �N.��:K.�.�'^.'� ��;�. I I��Y�,- �.��i , w u ..�r. /� �V I,,�'1✓ `.+_�'��;��T'v�i. OWNER QR;AGEN,'f;;- G�l 1'� -� �� '�t,.,_:'�"-;'`GONTRACTOR'�•^-' `,`- ��--t� :.�.,: . Suti'sari6ed�and swom to(or ' rmed)betor me this �f Subscribed and swom to r a rmed be ore me this , 'S b Y a DO� i.� �. 1� by 1 0 I , —�—�� jWho is�/a p rsonally kno to me or h /have produced Who is/are personally kno to me or ha lhave produced i' • a`s identification. ' as identification. .,; i: Nota Public Notary Public �' . '� Commission No. � Commission No. I! I � Name 6f Notary p;a� d o�s . Name of Notary typed,printed or �� ,�,, KELLI B. RYMAN f� n :+° `^% COR1miS51on tl FF 905017 ' ;•+o�� o<i''y � � My Commission Expires g, ^ ,_ Commission q FF 905017 �; ;•,� A.; My Commission Expires ° '%;;fo,��:`�� July 30, 2019 :•.'°��°'; July 30, 2019 f` huuH�� hum�� 1' I lillll llllllllll lllll lllll lllll lllll lllll lllll lllll lill llll zei�is2iis Permll No. • Parcel ID No, � "'_�^`�' �I v""`�-O�"�-"'^�O � NOTICE OF COMMENCEMF�VT� State of � I��`1 Camly o} I� sc.o THE UNDERSIGNED herehy gNes nolice Ihat Improvement wHl be made to certaln real propeity,and in accardance with Chapler 713,Florltla Statules, �o A the fdlowing Infarmat{on Is provided in this Nodce of Commencemen• ^11- 1. Descriptlon ol Property: Parcel IdentlticaUon No. I��a�p��1-b��p� �-�1� �N w ' (da C Q�ess �+• Ze�Dh.rrh�lls Fl 335�ta N�� Slfeet Addfess:,s N m J , mmw ►+ .� ' 2. General Deacripllan of Imp vemeni �p � -�2ar�F-F fe'To� rn .. 3. Owner Infamallon or lessee infartn Oon ii Ihe Lessee conUacted i the Impravement: 3-"'�i� f�tS f�bc0. �L�{U� �OSe �. Qp,r �a lG(� � Jm ri o m° e"'� na$ 5 Tdron�o �� Zmp� Ft 33(�aq ��m� Addresa City State n m Interest In Prope�ty: '- m n � Name af Fee Slmple Titlehalder: F (If dif(erent tram Owner Ifafed above) Address n .n Tn� City Stete • 4. Conlractor: �l- i3 S 5 7�h.��ln;ll5 —( 335�1 Addreas �) -7 pa_��y Cil Slate N c ConlradaYs Telephone No..D I 3� 1 U ' A m D F �1 Y 5. Surety: _ x►�a o �W LL � � Name m� ��c�� U Address Clly Stale ��,� � �(=j O� !-y- Amounl of Bond: 5 Telephona No.. �A o a ��O� W 'N � a 6. Lender: Na N � 2�' W z � a � Neme g � O = —. J � o �, Addrees Cily Stale �►�m � W L�- � U U Lendefs Telephane Na.: � z = � � � � (/1��o, � F-- } U lL, '0.� , 7. Persons wlihln the State of Florida designeted by the owner upan whom notices or other documents may be served as provided 6y ��,,e o �— Q- � � SeUion 713.13(1)(a)(�,Flarida 5lelutes: � � (,� = 0 U � ti Z Name � m � � W � Q LL � � � � � Z O J Address � Clry State � � � � Q } W Telephone Number of Designated Person: � U O Q } p z I 6. In edditian to himaelf,fhe owner deslgnates of �'1' � p � � O to receive a copy of ihe Lienofs Nolite ea provided in Seclian 713.13(1)(b),Flarida Statutes. W � Q � � ¢ Telephone N�m�ber W Person or Enlity DeslgnFited by Owner. Q �j � z j 9. Expiratlon dale of Notice of Commencement(111e expiralion date may not be 6efore llie compl I' n of conslrudion aInd-flnal payment to tha � 2 � Z F— a m �av 3oaa cn � � o �'- ' conlraclor,but wlil be one year trom the date of recarding wiless a dlfferent dale Is specified): �{ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 0�O7'ICE OF COMMENCEMENT II ARE CONSIOERED IMPROPER PAYMENTS UN�ER.CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES; AND CAN RESULT IN YOUR PAYING IWICE FOR I��IPROVEMENT5 TO YOUR PROPERTY A NOTICE OF COMMENCEMENT ML1ST BE RECOROEO AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF VOU INTENO TO OBTAIN FINANCING,CONSULT ' WITH vOUR LENOER OR AN ATTORNEY BEFORE COMMENCIN6 WORK OR RECORDING YOUR NGTICE OF COMMENCEMENT ' Under penalty of perJury,I declare that I have read the foregoing notice of cammencement and lhat lhe far,ts stated there(n are true to the best � � ' ot my knowla8ge and bellef. � �� ' STATE OF FLORIDA ' ). y��..�, � ' , 1.A� \�S,��i..�_.fl�`121�.r j�'l �'�i M �, �� Signature o(Owner or Lessee,or C�Prs or Lessee's Aulhorized !a � OHicerlDirecladPar1ner/Menager � � � '•�, . � o �-t,u�$� a � Signatoys Title/OHice �,� • � The foregaing Inslrummt wea adcnawte0ged be(ore me Ihis O aey af L/u%• ,yp IS by_ Vf'Y�J�f7�. K�� _ � ,� ' � � /d ag 't e ot aulhoril e. . oRicer t ee ettom in fa �f . � (f P Y� _9. , _ ey U, or � (name ot art o he of Irotrument was execut � ••� e . . P � Personally Knawn OR Produced IderNificauon� Nolary Slgneture ��1 { �r � Type of Idenlification praduced Name(Print) `°z � •1°1 ,pYp�� Notary Publb State d Fbrda �' Temmy Verdadero � My CanlNSeion FF 184019 �'►a�d�° expms�vte�zoia wpA elalbcs/nallcecommencemem,�ep53048 , I I i� ��r»/ � ,�� r i� '��y-� ,' � . f � o��'�.`�� a" ERICAN -.-r , .5 v� D�RES .�=„�, .I, --��,- i � �� D ��0 5%fce for credit card proccssing. A Division ofRy„�a��co►►sn•«aro,�,Ltc. �� ; �• �?� P�oposal# 36413 SR 54 • Zephyrhills,.Floricia 33541 INC. phone(813)782-6094 • Fax(813)788-6773 Estimate# -1.:•':•';�:�_��_� 1-855-Go-Ryman (1-855-467-9626)• Lic.#CCC 1325505 Serving all of Central Florida �ob# OwnedPurchaser: ,A�:zi;�.:..r �`y; /r: ��. Date: �� =-' �� •• - - a • - -- Claim#: � InsuranceCompany: Policy# Address ->�a i %� i ` .1. - + �`i' City: -- - �,;�-�r✓r,-�: i� � -- Zip: s"` `"r Home#: `;••5��t'- '�- - ��j�i�'';' Cell #: '/ �Business#: E-Mail Address: p'Compiete tear off of existi�g •.5%��..�z..��-..S _ Additional Notes/Special Conce�ns: 0-'Secure all loose roof decking as needed acce�rding - _. _. to Florida Builcling Cocies f�'`-� '�"-'�! j," '�~`%''' .'•'�'`"'j"r"^' /, 0'Roof dried in with l�'•�� I / �_ l-�� rv � � [4:»(��'r'�- Orins4ali new valley metal with galvanized metal � ��Install new 1.::� "clrip:edge color. �.�w'+��,�r�•'- 0�I'nslall new lead boots 0`'�nstall all new general roof vents f]-.,liistall new �7�i:�s..�c, '�5"" ��['L 's`_-r-��, � p-�'Manufacturer: �_,7�..r�,l�:r•. - ❑ Color: �'All roof related debris removed from job site,Pick-up loose . nails using commercial grade magnet _ : 0'PJI materials,labor and permits furnished p•-Provide a 5^� �.r=�'Gc,;:� labor warranty Total Investment$��- : � ''-� `' '-' Additi�nal ltems: - Pa/ment Method: ❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim ❑ Credit Card# Exp.Date CC ID# Down Payment:$ Amount Financed:$ Approx.Monthly Payment:$ � PaymentTerms: Extras: 0•'Deficient 1!2"plywood replaced at a cost of$ �;1 per sq.ft.in the roof field,which includes labor 8�materials.All other wood work/ad- ditional labor,such as,but not limited to,valley rebuilding,rafter replacement, 1x decking,etc.will be a rate of$ �� per man hour plus Ihe cost of materials. THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PWRCHASER ACKNOWLED�ES RECEIPT OF A CUPY OF THIS CONTRACT. I ACCEPT THIS PROPOSAL AND FIERE ERTIFY THAT 1 HAVE READ AND Ft1LLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT. Purchaser. Date: � � ' 0�5 - ��d� �"'3 `/ •:1/.g Purchaser E�timator: C .�tr, °' i r !a,-<!-��:, r;