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HomeMy WebLinkAbout16-17655 i; � CITY OF ZEPHYRHILLS i 5335-8TH STREET � (813)780-0020 17655 �� BUILDING PERMIT I' :' � - PERMIT INFORMATION LOCATION.INFORMATION - Permit�Number: 17655 Address: 7350 DAIRY RD Permit Type: RE-ROOF ZEPHYRHILLS, FL. Classpof Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Squ�are Feet: Subdivision: CITY OF ZEPHYRHILLS E�t.Value: Parcel Number: 35-25-21-0010-06900-0020 Improv. Cost: 208,519.00 OWNER INFORMATION Date Issued: 8/12/2016 Name: ADVENTIST HEALTH SYSTEM ' Total Fees: 1,152.00 Address: 7050 GALL BLVD Amount Paid: 1,152.00 ZEPHYRHILLS, FL. 33542 D�ate Paid: 8/12/2016 Phone: (407)975-3000 Work Desc: REROOF SHINGLE 'E CONTRACTOR S APPLICATION FEES MCFADDEN ROOFING INC REROOF COMMERCIAL 1,152.00 I' � ' � �i x � � Ins ecfiions Re uired : � ' DR IN ROOF INSP TAPE JO�NTS ROOF INSP FINAL./, � -r- ��'� N REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Fiorida 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 o� � first reinspection,whichever is greater,for each such subsequent reinspection. ; NOTI �IE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property tha't 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. � � "War ning to owner: Your failure to record a notice of commencement may result in your paying twice for' impr�ovements 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 10 City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � � NO OCCUPANCY BEFORE C.O. ' � � ��' CONTRACTOR SI ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED j'' PROTECT CARD FROM WEATHER , � a - ., , • 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received � Phone Contactfar Permitting Owners Name ) L� Owner Phone Number � i U Owner'sAddress ��f���N�FL ,j27,5�� OwnerPhoneNumber � Fee Simple Titleholder Name Owner Phone Number �� r ' FeeSimpleTitleholderAddress JOBADDRESS ��s() .D�� y Ro�ra LOT# � SUBDIVISION GfiPr�YR�ILLS � PARCELIDlf 3S-a �e2I-UO/O-��.�O-OOZO (OBTAINED FROM PROPERTY TA%NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH B INSTALL B REPAIR � PROPOSED USE Q SFR Q COMM Q OTHER � TYPE OF CONSTRl1CTI0N Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK I��� •Q.�L�h 17PL°.�l)�Q�' S�f�'{�T � re��Q BUILDING SI2E SQ FOOTAGE� HEIGHT � r � QBUILDING $ CD VALUATION OF TOTAL CANSTRUCTION � ao s1 QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ' ��� QGAS ��ROOFING Q SPECIALTY Q OTHER /f�/�� � FlNISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO l� ' � HI-F-6-1-l-i-F-l-FI--1--F-i-�F-N'.T.--.-.-.--� BUILDER COMPANY M e� ,S O l �N� SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address i01/� S 1.(J� (,[}� � �l-3 75'' License# c=.l.0�� � ;� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N II� Address License# i � PLUMBER COMPANY I SIGNATURE REGISTERED Y/ N FEE CURREN Y/N ' Address License# � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEECURREN Y/N Address License# OTHER COMPANY , SIGNATURE REGISTERED Y/ N FEE CURREN Y/N � V � Address License# � � � � i � e � � � � � i � � � � � i � � � ii � iiii � iiiiii � � � � � � � � � � � � � iiiii � � � � ii � i � � � i � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, ' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sandary Facili[ies 8 1 dumpster,Site Woric Pennit for subdivisions/Iarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. P Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,S[ormwater Plans w/Silt Fence installed, � Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance , SIGN PERMIT Attach(2)sets of Engineered Plans. "•'PROPERTY SURVEY required for all NEW conshuction. � Directions:' I Fill out application completely ' Owner&Cont2ctorsign backofapplication,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) •• Agent(for the contractor)or Pov�,er of Attomey(for the owner)would be someone with notar¢ed letterfrom owner author¢ing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW d w e f � ' " , NOTICE OF 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. 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 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 Bloc{�'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 not properly licensed and is not entitled to permitting privileges in Pasco � County ' 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 8&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 Water/Sewer Impact � fees are due,they must be paid priorto permit issuance in accordance with applicable Pasco County ordinances. , CONSTRUCTIOM 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. 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 and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other 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,WateNWastewaterTreatment. �� - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering I; Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Watervuays. " - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater 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: f - 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 "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 pertnitted building using stem wall ° construction,I certify that fill will be used only to fill the area within the stem wall. i; - 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 Ih 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 requested, in writing, from the Building O�cial for a period not to exceed ninety(90)days and will demonstrate � justifiable cause for 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 T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN O OBTAIN FINANC G,CONSULT � 1MTH YOUR LENDER OR AN ATTO EY BEFORE RECORDING YOU OT C F E FLORIDA JUR,4T(F.S.117. ) I^ OWNER OR AGENT CONTRACT � , �bsc�be an bsw r to or affi ed f m is �u ori d and by o or affirmed) fore me thi D � �s(are personal y Imown to me or ha ave proddce per e or haslhave produced (� as ident ca as identifiqtion. i v Notary Public Notary Public Commission No. ��O � / 7� 7 Commission No. ��0��7�7 Name of Notary typed,printed or stamped Name of Notary typed, rinted r N111111 ,1��N1/���, =.�ar.r ROBYN D.BURLESO ���K�!FY,e'�'lF�.,; ROBYN D.BURLESON � Commission#FF 023747 � :.; ,,: Commisslon#FF 023747A ,� �: �p����ptember 12,20a7 � i!9���o�: Expires September 12��M�� '�o;P' BondedTM�TroyFainlnsurercB8003�'7018 %'�'„p�iA;�Q:�' BondedrnruTroyPalnlnt�I6rI�p�R4�3@§�9A1� P,���`� 3@ I I � � � Illlllllllllllllillllllllllllflllllllllllfillllllillllllllll I 2016127388 Permit Na. ParcellD No.�5 a3 S�I-DO/D-D�.�"00���� �N� � �••'p ' NOTICE OF COMMENCEMENT Q n Qq � Nm� Ih S[ate of ���!`-'��t1 Caunty of /�S W �N m� u THE UNDERSIGNED hereby gives notice that improvement wilt be made to ca�in real property,and in accordance with Chapter 773,Florida Statutes, � ,W I the following inFormation is provided in this Notice of Commencement` ,Q 1. Description of Property: Pa�cel Identification No. 3���:�yZ�—������V���—��,"� _ � m ��a�,�d�e55: 73SD �fT/�2 Y RD,��pHYRLfi�C-5, �'� 33S�i0 �� � 2. General Descrlption oT Impmvement��� l�DU F— 3�� • � . P ` m r+ �i 3. Owner InformaGon ar Lessee infortnation if the Lessee corl2c[ed forthe improvement' .p m m 4 �14t1e.� �Rna��n ��RLT1� ('.A�2� Pl�r)t��P_-T�Es 2N� ,� m ��S/�l K£�'�.m�2 h�l �S?�. Z�O /1'R rT�f�'ND �L A I � Address City State � i � � Interest in Property. `��7� � II� Name of Fee Simple Titleholder. . � U pf different from Ovmer listed above) � State I� 4. Ccntracror. �C����N�3 �OD�/1�-�i Z/V�'— � �� Bo�mSo10997 ��116Wona .�� � Address �1 / p p p� City State Contractors Telephone No. �lO�'F�0 4�"/D 0 a"r `�a'75� �b c ;I 5. Surety: ��D � Name W N v, � Address City State 7C�� Amount of Bond: $ Telephone No. (��+m «!�r' "�, 6. Lender. ��.a� � �ame N�' � Address City State �IN� Lendets Telephone No. �`"D D , � 3 0 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by � Section 713.13(1)(a)(7),Fbrida Slatutes: L7...� � � Name p � I�� ��� Y Address Ciry State ` ,�3 a Teiephone Numberot Designa[ed Person: /���� � \N A 8. In addition to himself,the ovmer des�qnates of_ � to receive a copy of the Lienofs Notice as provided in Section 713.13(1)(h),Florida Statutes. � Telephone Number of Person or Entity Designated by Owner. a 9. ExpiraGon date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contrac[or,but will be one year from the date of recordinp unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE O'.NNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAP7ER 713, PART 1 SECTION 713.13 FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROP�RN A NOTIC� OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENO TO OBTAIN FINANCING,CONSULT � WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMFI�G'NG VUORK OR RECORDING YOUR NOTICE OF COMMENCEMENT � Under penaity of perjury,l declare that I have read the fotegoing notice oT commencemen[an t fads stated therein are true to the best 8 oF my knowledge and bel�ef. I� STATE OF FLORIDA � P COUNTY OF PASCO 4 SignaNre of Ovme r Lessee,or Ovmers or lessee's Authorized OfficedDirector/P ner/Manager � � Signatarys TitlelOffics � The foregoing instrument was acknowled ed before me this�ay o�L�2d�,by /l���re...lO��s�/� a5 G'�FO r� (rype of authority,e.g.,officer,Wstee,attomey in fact)for � (name �rty on b�tj�lf who instrumentwas execute�. �/ f/ Persanally Known❑4$Produced Idenyt'd�ica/tlon{d Notary Signature �-!!" � Type of Ident�caGon Produced .l�(� Name(Print) �• U���� � � ;,��:��fY.y�; ROBYN D.BURLESON I� :.: :,� Commission#FF 023747 •• . , � � �'a° Expires Septemti�er i�2017 �`�R�„ �' ema.anwimrarnu+.�iun.eooaB6.ro�o � wpdata/bcslnoticecommencement_pc053048 � � . __ . " �I � ui I i � STl��'�fJF FLOFbIDA,COUPdTY OF PASCO ���6«��� TMIS f5 l'U GERTIFY THA7 THE FfJREG0ING 1S A �� . �, - � o �iQ, TRUE AND C�RRECT COPl"'�F THE DOCUMENl' � ON FI�E fJR�F PUBL{C"REG4RQ 1N THlS�FFICE . �� - �� WI'FNES�4��Y HAND AND FFlClAL EAL TNlS E x„ ' . m � �QAY 4F � .� 2 �/ � �' In CjodlVe?rttst • � PAULA�.O' E(L,CLERK CONiPTROLLER � ' ` =�"o"••�, � . �,�� � / ,: � BY � DEPUTY C�ERK �c �.'� ' � ���7 � �����F�,.��`��' ; - - ---— ------, . ; ,t ' � �CFi�DIg�I�S R�IDF`lt�� `Nr��'#a ad�a�r�e.��er�af � RaoFin and Re a1r 3pecialists •��fe� ��� ��e�� � - P{7.Box 52499?� C.angurood.FL 32752 � 9�07-682-908? � Fax 407-332-?044 � May 25.2ois i Advenfist Care Centers , Attn: JaCK Machise ' 485 A2.Keller Road,SYe,25Q i Maitland,FL 32761 � i947-580-5061;dominlc.machiseC�adventistcare.ara Re: 7350 Dairy Raad,ZephyrhiAs.FL 3354Q P620F'OSAL-COIdTRACT I � WE PROPCISE Td t�dSTAtL A NEUN ROt1P SYST��A AT THE ABOH�LOCATION AS F{}l.3.OilVS: � '6hts praposai msata 4he requtrements iar 5ection 201 of#itie Hanricane Dsmage Mtitigation ptavisions of}iB 7057 adapted by the Ftvrtda Legisla4ues for incius{an]n Sectian 553.844,F.S.,ae�d eSiec4lve October 5,20Q7. A. Tear off and hau!away ttre e�sting shingle raaf system{ane Eayer)a�d ail raof top accessode�to the wood decking. ; V' 6. inspect the raof sheaYhing fasfening system and supptement(r�nail)ko comply with Saction 201.1 r of HS 7057 C. lnspect the coof decking and rapair as necessary on a time and material basis as described below � D. Supply and install a layer of Rriino Guard synthetic underlayment,comptying with section 1507.2.3 of tha Florida Buitding Code as dry-in. E. Suppty and instalf new ruhberized leak barrier!o afl valleys. F Supply and install 556'of nevr shingie aver vent for proper ventilation. G. Supply and instait oew 26 gauge galvanized meta!over the preuioussy insta!!ed rubbesiaed lsak barrier to a!{v8t4eys. H. Supply and instafi nevr galvanized and painted 2 Y�'metai eave drip to all eaves. L 5uppiy and instaii ali new prefabricated lead boat flashings for plumbing stacks. J. Sttpply attd instai!naw Gertain3eec!Swtft Stact a4astsr shinale�to al!esves. K. Supply and install new Certatn7eed Gandmark LE�sUme architecturat asphaltlfiberglass shingies. L. Supply and instatt new CertainTeed Shadaw Rtda�cap sh�nates to atI hips, � M. McFadden's RoaFing wilt obtain and pay tor a permit and arrange for all required inspeations. �ty,l(�p,}-�g�mp��(Q�� N. Upan completion,alt roofing debris will be picked up and taken away �r�r L�-7 4i]R U f Price: CertalnTeed Landmark Lifeflme architectural shingles-5191,d80.00{5 year workmanshlp�aareanry)" I "Prtce Inotudes.1}ftasRring and coa�ttQr 4tasNkng up ta 7p0'of exterior wa1lg;instalUng 356'of new sP�fngle over ven@ 1or ventifation. � "Addi4iona!Cast of�17,039A0 fn ittsL311 fuAy aditered geat and stitk undetlaymenY(secondary wa@er bacrter)over ' entireroof.?15khis{�r�cemClVdec�tn �Iqf+`IY90? , '�raw paymentc and payment schedute to be detarmined upon acceptanog 4f pr�posaE. , `Wote: Tha abovfl saope o[wnrk quatife�for CertairtTeed's 130 mph wind apeed shingie warranty. Any other unfor�seen decking repaits andtar wood rai mpair.vill b�done at a eost nt materlais plus&35.04 per maa�hour tor Iahor. Lead te�t may n�ed to be done by an EPA lead•safe cartlAed techniclan on any property huilt 6efore 187$. Hameo�vtter ls resporssihte for removaUreinstaS[ation of salar a�d sa�tiit�dishee. ? �-�l9 Yt���n��3fi 11 VO�Ic�. � "fitrs pPoposat snay bar 4vithdratYn by us it ttot 3Ctep28d wStriin ib days. Due to materi 1 gdce instabiti[y,this praposal may be withcftaxm by us it not I accepted wilhin 14 days. 1 hove read and occept tha Addmonal Terms end Cortdikions printed on the 4ac#of this paga.The pricas,specifiptiana and condit�ans oi this propasat are satist �ory and are tzareby acceAted antl MOFadGen's Roafing,inc.is authorized ta do the wark as speciFed. Payments � will be made as outG�ed i �s ro sal.Surchsrga vrill be applied with cradit catd paymanis. ACCEPTED: QATE�[O �Ql GP '�_ PRINTED NAME: �C> PCEAS`c StGN 0 E G6PY nNA REi N Rdchard D. McFac�den -s�atQ ot F�ortaa u���s�cccisasaz7 u � � I � � I � i� � ! — ! t f � �cFADDEIYS R�OFIl�I� � Roofing and Repair Specialists P O. Box 520997• Longwood,FL 32752 407-682-9082 • Fax 407-332-7049 Power of Attorney I,,� Richard D. McFadden , license # CCC1326427 hereinafter referred to as the "License Holder," the President (title), of McFadden's Roofinq, Inc. (Company), hereinafter referred to I as the "Company", hereby appoint the following persons as Attorney-in-Fact of the L�cense Holder/Company, in order to (a) sign and submit building permit applications, (b) obtain building permits, and (c) obtain the certificate of occupancy from the City of � Zephyrhills on behalf of the License HoIdeNCompany: �-/5,� Gr�tl�L� �/ G � � LICENSE WITNESSES: ' � Sign� Sign: �" � P'i�int Name: Richard D McFadden Print Name: �` (� ���� �K � Title: President i �C�ompany Name: McFadden's Roofing, Inc. Sign: M�'ailin Address: PO Box 520997 Print Name: �O �cl U. �U�GES ��, g t Y ar , Lonqwood, FL 32752 Tlelephone No.: 407-682-9082 E-mail Address: mcfaddroof aol.com I� Fax No.: 407-332-7049 � � State of Flori C�unty of 4 The foregoing instrument was acknowledged bef�o me this �02 day of 20,�, by�C�ieA 17, /���p-�,��/�✓ who is Vpersonally known to me or ho has ', produced as identification. a,Y'e"�� ROBYN D.BURLESON =���� �:: Commisslon#FF 023747 :;;��, F�cp�res September 12,zo�o�g Nota Publ c � :� "�R`� BotdedTlwTroyFelnlnaua��'�' (Notary S a� ����,� Commission Expires: _ /a�� II I