HomeMy WebLinkAbout16-17837 �
� CITY OF ZEPHYRHILLS
� ; M ; 5335-8TH STREET
(8�3)780-0020 17837
�� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
� Permit I�lumber: 17837 Address: 5645 5647 20TH ST
Perrrbit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
' Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squac�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11000-0011
Impro'v. Cost: 5,500.00 OWNER INF.ORMATION ' � ` � �
Date�lssued: 10/18/2016 Name: TURGEON SAM
Total Fees: 65.00 Address: 5527 16TH ST
Amo p nt Paid: 65.00 ZEPHYRHILLS FL 33542
Date Paid: 10/18/2016 Phone:
Work Desc: REROOF SHINGLE DUPLEX
CONTRACTOR S ' APPL-ICATION FEES - -
TLC RO'OFING & CONSTRUCTION INC REROOF RESIDENTIAL 65.00
,� �
� �
��
' �Ins ections ' e - - -
DR I ROOFINSP
r
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
N 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.
"Wapning 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
A 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.
p NO OCCUPANCY BEFORE C.O.
�CO IGNAT RE PERMIT OFFI R
PERMI ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
�
813-7�0-002o City of Zephyrhills Permit Application Fax-813-780-0021
� p; � , Buiiding Departrnent
Date Recelved ji, � . - P..hone-Contactfor:Permittin ' -
_ �
Owner's Name Owner Phone Number �
Owner's Addre�s �S"-�(m`{�� � � 3'3`�j�1` Owner Phone Number
Fee Simple Titleholder Name � � � Owner Phone Number
� . � -
�I -
Fee Simple Titleholder Address °
JOB ADDRES� �tv�J�5�c.�1 ��'`�" Z�S � 335 ti LOT# �
SUBDIVISION PARCEL ID# �l'o� "02 " (�df0 -!!GC°a -66//
, _ „ (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP�SED :NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
�:8, INSTALL e -..REPAIR •
PROPOSED U%SE Q SFR [� �COMM ' Q OTHER �
TYPE OF CONSTRUCTION - Q� � BLOCK " Q FRAME Q STEEC Q _
DESCRIPTIO�OF WORK � CS� �V�j`
' BUILDINGSIZE � � SQ FOOTAGE '� . ..,HEIGHT � _ -
� UI�DING $ VALUATION�OF'TOTAL CONSTRUCTION
� � � � ��� -
ELE�CTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ '�
� � �7
QMECHANICAL ' $ • VAI:UATION OF,MECHANICAL INSTALLATION I�
�
Q�� Q ROOFING Q SPECIALTY _� OTHER�
0 33�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY�S ;NO
� - . � . - ^ .
, _ �BUILDER COMPANY= �� ��(,l�1- �1
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N� .
Address License#
ELECTRICI,, :_ . COMPANY ` - �
SIGN�►TURE ' REGISTERED Y/ N FEE CURRE�^- Y/-N
Address � License# �
PLUMBER ' COMPANY - �
SIGNATURE- ; REGISTERED Y./.N :FEE CURREK ` Y•/N �
Address License,# _
MECHANICAL � - COMPA,NY
SIGNATURE � � - ` � REGISTERED Y./. N FEE CURRE� Y hN .
i � ,
Address;f' � � � � .. ,. _ � . � .. #, „
u License
_ -
OTHER �. r � • ` �`COMPANY ' � ' � �
SIGNATURE .. - • • � '� +' = � ' RE�isTEiiEo'' � Y/ N _' FEe Cu�n Y/N
Address � - . - � -- � L''lcense#
RESIDENTIA�:•;•-;Attacfir(2)�PIot�P,lans;..(2)sets:of:Bullding��Plans;':4 set of:Ene' Poim.s;'R=`O=VU`Pertnit for new construction, '
AL � ) nJY':
"� �. .Minimum�ten;(�.1A),wo,rking;days;after,;submittal date.~R'equlreil onsite;�Constiucdon:Rlans;=Stormwater Plans w/SIIt Fence installetl,
��'�����'Sanitary Facil(tles;8=1,dumpste_r,_-31te�Work;P,,ermit,for subdiy(sions/large'projegfs'; ,,� ' � � � ' � _
COMMERCIAL Attach(3)'complete sets of BuildingxPians plus a Life'Sefefy Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submlttal date. Required onsite,ConsUuction Plans;Stortnwater Plans w/Silt Fence installed,
Sanitary FaGlides 8 1 dumpster.Site Work Pertnit Tor all new:projects.All commercial requlrements_must meet compllance �
SIGN PERMIY AttacFi"(2)sets�of Engineer.ed.Plans.� -:.���-•-,. :, � -
' ""PROPERTY SURVEY reyuired for all_NEW construcUon. _
Dire'ctlons: � ,-. , ,.. , , �
Flll out appAcaUon wmpletely.
Owner&I,Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencament is requlred. (AIC upgrades over 57500)
" Agent(f�the contraotor)or PovueF of.;i4ttoiney°(fo�'tFie�owner),would be'someone with notarized letter from owner authorizing same
,� ,
DVER THE COUNTER.PERMIT7ING-•--; -(Front.of�Applicatlon:Only)�� �- - ` '
Reroofs if shirigles Sewers `, . `Service Upgrades;A/C� -Fences(Plot/Survey/Footage)
Drivewaya-Not over Counter'if�on"public roadways::need`s ROW
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NOTICE aF DEED RESTRICTIANS;. Tt�e undecslg�ed.nnder�tands�;th�#,tht�;��rmif�.may.be;subject.,to,..deed,,.restrlctlens.:_..._ .,.,,•4
which may tie:more�restFtctive`�tlia�-County reg�lattons.��=The"underelgned'�a§�umes�responsiblllty�'-fo�conipliance viritli``any�"�� ' �'�
appNcabte:deed restrlctlons. . • � � ,,. . - -- -; �=N .- - --
UNLICENSED�CONTRACTORS AND CON�RACTGIR RESPONSIBILTt1ES:� -•If�ttie�owner`has�'�hired n�a�`ci�ntractar or
contractors to undertake work, they may,bewr�qulred�ta.<be:,llc�ansed!n=:accardance.v+rikh.;state.and�local,regulatio,ns:��lf=the=���' ":�s�=�
..�.:_.r:�
con#racto� ts not dicc�nsed:�as�requited=tiy 18w, tiotii�#he owiter and=�conttactoT��may��benctted-for=a�m1`sdemeanor vtolatian
under state law. If the owner or Intended34con,.tr,actor;;ace;uncertaln as to what Ilcensing.requirements�may��apply:�iiiru`tlie;<� ����� � ���'
,..,. .,r...,.�,., .: � .
�ntended dvork,they are'a�fv(sed to c�air��ct:the�Pasco County;Buitdiiig;lrt"spectlon Dtvtslon--t.lcensfng Sec#lon at 727-847-
8008. Futttiermo�e, tf the awrier�has��filred a cont�acio�"oi-'contractors� he Ts advlsed ta have �the aantractor(s),,,sign, ,,..,.;;;
.�., r�.t ». ✓ +� ...�...x.`
portions of the "contractar Block" of.fhis;appltcatlon_torrwhich:�they.wlt(._be.r.esponslble.-._If yoe�,�as:the owrz}er:stgn"as"fhe ` �
con#ractar, that�may be an indic�tion that`he°is nat:proper3j+ llcensei!-`aiicl��Is n6#eritl�eci tc permitting pri�iileges in Pasca ,,, .
County. � 4��--, ..,, �_ ....
TRANSPURTA'flQN==iNIPACTlUTILtT1ES t�IPAC�'��lNa�RE�tt?�f�CE l�ECOVERY FEES:�T�he�undersl�ne�uriderstands
that Transportatian impaat Fees�and.Reca.urse.Recove.ry_;Fees may.�:appiy��to�tf�e;construction:of new.buildings,:change�of"���`�����w
use in existing bultdings, or�,expanst���of=��extsting:�butl�!ings� as speclfled.in Pasco Caunty O�`dlnanae n�mber 89-07 and
9o-OT, as amended.,f.The underslgned a1sa:understands, thait'�such fees,�as�-may:�e:<due;rwtll'.be identified at the,fi'rrieiof�� �� ` ��
permitting. It Is turtFier understood that Transpo�tatlon Impact Fees and�Resource,:Recovery�Fees,:must be paid prior to
reaetving-a�'ce�#i�cate�of occupancy"or flnal�powe,r.-�elease:��:1€the.pro�ec#_daes,not.lnvolve�a::c�rt�icafe af occupa�tcy=o��::=",..M,:-
final power releaee;,:the=;fees�mu�t,�be pai�,prior#o.pecmit Iss�ance. Ft��thermore;�if:Pas.ca,-County"V►/ater/Sewer,,lmpact - _: �
,..
fees are due,,they.must be=paid-prfor,�o.permit=lssuartc�Y.in_accordance+uttti:appllcabte.Pasco'�.County ordtnances. �
CONSTRUCTiON�LiEN'LA1�V"(Chapter 713� Flor�da Statut�s�as amended): tf vatuation o#work is$2,500.00;or mpre,:1� �. :�_�.
certify tFiat I, the. appiicant,. have-:been .provided��wlth-a-copy-of.the "Florida� Consttuctlon� Uen :Law=Homeowner's
Protectlon Guide° prepared by tlie Flo�da Depa�mer�t�of AgrlcuEtu�e �nd Cansamer.,-Affairs. ##he appt{cant is.someone-,. �_,. �:;
other than the"owner", I certify„that I;;,have,abtaiined�afc'opy.of.the=abQve.�ies,cribed;document=and;p,romise�:ln,goad:_faith�to � ..r
delivec it to.fhe.'owrier.";p�or�#a�co�mencementc�' . � � ' � �_ . _ �.
CONTRIICTOR'�/OWI�IER'�AFFIDAVi1": i.cer#I�jr:�,that�,ap�thellnf.ormatldn:ln•thl�appllcation is accurate,and that all work
w111'be done in compltance with all.appltcable�laws regtilating consteuctlon, zoning and��land�devetopment. Appltcatlon Is
hereby made to abtain .a per.mit;:to:da;war,k;:;and=tnstaltatian as indt�ated:-•��:1 cectify that no work`or tnstaiia#ion has
commenced prior to Issuance of 'a permtf and that.atl work will be pertormed�to meet standards-of all laws regula�ing•
construc#ion� Cattrt#y and Ctty codes, zaning ragula#ians, and land developnterr# r.��lat�oris��n the-jurisd#ction.� 1 al'so .
certify that I understand that#he regulattons of akher government agencies may�apply:to the intended.work, and that it(s
my responsibifity ta identify�what,actlans!must�t�ke.to beJn:.canlp!lance;,,Such:agenctes�lnai�ade but=ace..not limltect to:
- Departmen# af Efivtronmentat.�Protection'=�yp��88.'88yh9ad�� Weaand Areas and Ern(ronmentaily Sensitive
Landsr Water/Wastewater Treatment. � � �
• Southwest Florida V1��ter Management�:i�lstrict:Wells; Cypress.��Bayheads,� Wettand Aress� Altering
VVatercourses. �
,,,,
• Army Carps of Engtneers-Seawafls��flocks,�Vsvlgatite Waterways.
- Department of.,Health�:,�&;.Ret�abilltative;,Sen+ices/Environmenfai�-Heatth�Unit Well.s, Wastewater�Treatment, •
Septic Tanks:_` . � . � - ' --- . .� V :
- US Environmental Protectian Agency-Asbestos abatement.
Federal Avlativn_Authority=Runways:µ� � .
t understand.th�t the.followirig.:resUtctlons appiy'to the use of fllt:
- Use af flil is not allowed in Flood;Zone"V"unless expressly permitted.
- If the fll!` materlal�(s to.b.e used:'In��Flood Zone. "A"� it. is understood that a drainage plan address[ng a
"compens�#ing vatume"will be submitted at#ime of.permitting wttich 1s prepared by a prafassianal engineer
Iicensed by�the State of�Flo�ida: � ° "
- If th� ffll material�is to:be used tn Ffiood �one "A° tn�connec�ion-wlth�a permitted bultding ustng stem wati
� construction, i ce�ify thatfUl>vi�ll:be-used_only�to.flli the area within the�stem�walt: �
- !f fill materlat Is to be used ln any area; t�certify tha# use. af such flit wiH not adversely affeat adjacent,
properties. If use of flil i.s found�.to adversety:�ffect adjaeent pr�pertles,.the owner may be cl#ed for vtolating �
the cond�lons of the-bullding'�:permtt Issued�under the'attached.permit app![catian, fa��lots�.less;than.one (1)
acre whtcii are etevated�6y fiil;��t e�gtnser�ed dratnage plan ts requit�ed. . ..
If I am the AGENT EOR THE OWNER;_I;promise in good fatth to Infarm#he owner of•the permitting conditlons set forth in
thts aff�davit'prlar to comrrter�cing constr�ctfan. �i undersfa�nd that�a�,separate perm!#may be raqalred#or etectrtcal work, ,
plumbing,..signs, we0s,;pools;, alr candltioning,.ga�s� or.ott�er Instali�'tions not.spec�taally included�in the application. .A .
permit tssued shall be canstiued to�be�a�lii�einse�to proaeed with tNe�work and not�as:authority to vlolate;�cancel; alter, or .
set aside eny provlsbns ofit�e.techiitcal.cc►d��;�nar shal#issu�nce�of a.permit.pr.event th�8ulldi�ig t�iclal from thereafter
requlring a co�rection af eRors in-plens;constructlon or niolations of-any codes. �very��p'etmi#'issued shall become�invalid
un4ess ihe work suthorizecl�by sttch permi#:�fs.commenced�within sfiX�months of pertnit lssttance, ar If wark authorfzed by
the perm(t is suspended�or...abandoned-for.a;period,_of�slx�8)monfiis:aiter'the tinte the�work�is commenced. M extension
may be requested� In writlrig,.from ttie.�Buildtng,Gtflclal for a period.nok.to exceed ntrieiy�{g0) days a�d-uvill demonstrate
justHiabie`cause for:�the extension: If wark ceas�es.for ninety.{90)cons.ecutive day.s..-the�Ja6-,is cansidered aba�doned.
1NARNING TO O1NNfR; YCiUl�_FAILURE,Ttl.,RE.G.t�ltD A NOTIGE�:OF.�COMMEMCEMENT;MAY�RESU�T IN YOUR
PAYING TWICE:�OR:IMPROVEMEI!ITS�TCi:YOUit:.PRLIPER�'IY:��I�°YO.U�IN�'�EWD:'TG'�OBTAIN•�F1NiA1��1NG;�C.ONSULT
WIT D A � O N Fl�R�� � - ��i OU ' , ;�C ' : '- °�.� � '
__FLOitIDAJURA3_tE.5�9.'1T.03} _ -- _ .-`. . . . �-�..-_ _— -
OWNER OR At3ENT . CONTRAG .
Subscrtbed artd swom ta(or stftmsed)bafcre me thts Subsai ed nd'suuc �#a 'afi! trie'#tii�>
by 'P� -r 6 ... � . . � .
Who Is/are personaliy known to.me or has/have produced Who Is/are p. anally�Cnc •kty me; r haslhave�pmditced •
as Rd'entlRc�iB�n. as tdenttficaUon.
Notery Public . Notary Publlc
Cammisslon Nar."- Com�iis anN ���:":e's�;,, JACQUE BQGEB . .
'a< ;Q,; Expires pecember 12,2018
Name af Notary typed�Printed o�stamped Name ai Notary ty��ed,'p. � o° .�. .
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ESTIAiA'!'F�
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�' �ffce: 352-43?-4�73 C�IQ:'352-�50-?1�1
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� PRC?PC)SAL SUBMITTED TO WOF�KED TO BE PEFI�ORMED AT
n,�me � "'-- � s��et 5t,�� - .5�y� ���` S���.
S�r+eet � � � `G o� :St`��t� cFtY ._�..��,1 Js
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City � � `d�f' Sta#e �C- Zip - 33�Lf2-
�te � �� T� 3 3`.�y 2.- Ov�ner of Property �. � de cr�-�
F'hon�iVu�r� t�` � Fa�c Phone l��mber 2[�-��3-77q� Fa�c
U�e�O�reby�rapos�to#umish ai�th��ater�als and�ae�#orc�all �te tatisir necessac�r f�r tt�e compl+�tie�ra s�f: �
!�I Remoee e�iist3ng shingi+�roof C1 Reptace bad fasc�a t�oard�at$ �� � pe+r faot
�Ffemove existing built-r�p roof `'0 Install �4 fest of ri�ge vents
1�Dry-in�with .C115!b. 0 30 Ib. 0 Ins#all modifi�+d ti�itimen(granula#ec�torch down roofing
1�!ns#al1 new gaivanized vailey met�! black,wrhite or ather colar
�Ins#aU.nea+t�ad boa�ts ❑instali 25 yc fungus resistr�nt 3-tab shingles
"F3;lnskail_new-ex�ti vents �Insta(I 30 yr.fungus tesistar�t dimensional shingies
�!nsffili new drip,edg�. caiar O$hingle manufacturer color
�Ins�ail new fiasho�g as needed \O instel!TFC3,wfiite rubbe�zed raot'sng membran�
�9 R�plac:�ply, w�at$ � � per sh�et 1�Other. ��'�, ���f�
❑Repmir rolten trusses�t$ �_'��_ per foc►t
*�Joodvtr�rk is�n 2tdditi�onal chacge,s�e pricing a�ve
. � �
All material�s gtaarante�c6 tca be as sp�ec�fied;arrd the above wark is ta be pecformed is accordance with#he dravuir�gs and specifica-
t9or�s submitted for above wor#c and�ampleted in a substantial uuorkmantike manner for the sum af$--��� C1�
with paymerits to be made as follorr�s. P�vment due in ful�or� c ►q_m�t�an.ur�1�,��thennr�se n�t+��Q 'Thank Y��o
II �r�dit cands acc�epted,addfianat 2.8°lo charge.
Any alteratlon or deviatlon from�bov0 s�reallcatiarts inwlWng axtr�co�4s,will
be e�cut�d anly�uppn written ardmra.,end wiN becams an extr'a charge over and
a6o.ve the estimate.AR agreements,coMingent upan svike�,acctderits cr delays
beyona our comr"a.o+M,er co carry-�r�,:�o�c�a�rna.ome�n�c�asry.��su�ar�e UfficerlAgen#
uaon aaovev►�nc�wancer��co�neanon aesd rue��c��r u�urance�n aeo�g l�ate: This propasal may be withdrawn k�y us if not acce�#�d
wark 4a be t�ke out by Rooiing Condacror.
� withln days.
Client g6ves ermission te drive on driveway io defiver mater�ais.
ACCEPTA�iCE OF�AQROS,4�
The abov��rices,spec�fications anc!conditians are satisfa�tory and are horeby accep#ed_'Y'ou are authoriz�d#o do the work as
�pecfied.�l have read 4he back of thrs F'roposal/Contract,which contains Florida Statues 713.U0�-7 .37.Payment wiil be�nade as
ou4lined above.
Accepted� �Gt.M. �t.�� 8ignatur� c�'
�
Da�e � ��` /��C`� ;� ��� � Signature �
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- • � � - � 11111111111111111111111111111111111111111lIIIII�IIilllllllll
� 2016164366
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Key,l�fo. Permit No. Rcpl.:1809027 Rec: 10.00
DS: 0.00 IT: 0.00
.3110TICE.OF COtiAME[110EIIAEENNT . 10/18/2016 J. R. , Dply Clerk
TH�.UMDERSIGidED hereby g'nres notice that impro��:+��'�hs PAULR S.0'NE IL,Ph D PASCO CLERK & COMPTROLLER
Ma�e to certain;and in:aaiordarice with Chaptef T13,-Flotitla.S4ste - . 10/18/2016 2/:� m 1 f 1
p{ 9�'T� P� �—
Statues,'thefollaiuir►ginfomnation�is�provid��inttiis:Notice.aF OR BK 1��
Cortiriiencemer►t - .
1. Description a�f�Properfy::Parcei No.:: /.�l -.�¢ '" �-.�.'. 6..4�.v ".l.l�� oO —. 6.0 / l . . --
J �(�at descxiPtion�attt�e�property�and str�t:address if a�railable) � :
` 2. C�;�.-ai.C�tion.of:Improvemer.� f� ` I1 ,i - .
� Icbf)� f lP 0�OL�2 NIr�M•
3. Ouuner Infoimation: Name: S�C}� T�1Rcuc� _ '
Addr�ss: _5�,ys==,.S y� . ��.. .5�,�,__ , ��,. y�1tS _ , Sfa� FL�n 33syi -
. �,7�„ - , �`I .. . - � —
�nter�est in.P�oper�ty:� c��.+tiF� - � -- --- - ---- .- -
��_�..._.::a Ka.a-.r:..c.,;f.� 'c: -��y�}���y�j�� p ;j�'^/���
.. �r.:'"'� 'L•^.f"'�Jt'=J1 �f: r!'./.'�fl�A�i.•��•{Li/1�Y�11G1.���ti�Y IGlI7.V1«�+��.-
�.'Cor�tracaor..Name;,�TLC�ROOFING[_LC ._. .. �
�
. . . . .. ... . .
P►ddress: PO BOX 1.745 � Ciiy DAI3E�CiTY �:� � State FL �p 33526 �
.�Phone�No_ 352-�.73-4U73 - � � �� �� Fax�No..=352=4:73=4073 � � � �
b_�Surety_�Name- - - Amount of 8ond_$� _ . -
Address: .. .. _ . Citil/: .--.. S#�fie"....._T--�p.,_
"Plione.No.. . - .. . �aoi.�lo. _ - . . .
6:�L"ender:Name: .... . .. . . - . - � � - .
A.ddress: City Sfiate_Ztp
Phone Na. � Fax��No: _..
1_Per�ons��erithin:the S�e-c�F�Florida designated by Owrier upon wnoin notices ai ot�ier documer�is inay.be
setved�as praitiid�d by Section 713.'!3(1)(a)�(n Florida�S�arirtes. �
Name:
Addre.ss: . . . .. CitY� . . . . . .. . �`'tate•_�Z�.�P. . .. .. _.
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