HomeMy WebLinkAbout16-17958 il
, i � CITY OF ZEPHYRHILLS
�
5335-8TH STREET
(813)780-0020 17958 �--'
�
! BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION �
Permit �lumber: 17958 Address: 5328 5TH ST - ' ,
Perri�it Type: RE-ROOF ZEPHYRHILLS, FL. I
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: 11-26-21-0010-12300-0190
Improv. Cost: , 10,814.00 OWNER INFORMATION
Date Issued: 11/28/2016� Name: GILBERT BRIGITTE
To$al Fees: 90.00 Address: PO BOX 2213
Amo�unt Paid: 90.00 WILLINGBORO NJ 08046-6313
D�ate Paid: 11/28/2016 Phone: 856-470-6317
Wo,;rk Desc: REROOF SHINGLE
� CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 90.00
�
C'��`�-^ -
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�I Ins ections Re uired
DRY IN RO F INSP
TAPE JOI�ITS ROOF INSP
FINAL II
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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
'I 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 b�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.
"Wa�ning 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."
Comptete 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.
�
l' ,��C/, �
C TRACT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I . .
E ___
- � - - - -- - ,
� a��=�ao-oo2o Ci#y of Zephyrhills Permit Applicatian Fax-813-780-0021
Butlding Deparkment
I
( Da#e Recei i ed �`�� � '� � Rho�e Confacf far Permitting �� ��� -- �� ` j -
Io,nra�er'aN�me �!. (�t� V i t �T {twoer Phone Number C}�K..� '��U '�cJ��
Owner's Address;�, '�• d� a�J UUs�� t vC� �"v �C.l�y Owner Phane Nurimber� �
Fee Simpiel 7itleholder Name Owner Phone Number�— �
�
. .
Fee Simple 7itleholder Address •
JOB ADDR�ES��, �J�O►(J � Cl� � 1 �1� ���J ��cJ 7 fX LOT# C�
SUBDIVISI�pN �1.���- �"� �--�`i�� S � rPARCEG:ID# I t r��"CY�r'��?�� ' �dJ�� '— �� 1�
j � �(OBTAINED FRQM PROPHRTY TAX NOTICE)
WORFC:PR�,POSE[), NEW CONSTR ADDIAl,7 � SIGN MOVE Q DEMOLISH
��I ���� " � � INSTALL � REPArR 1 �-
PFZOPOSE�D USE . Q SFR C� COMM Q OTHE12 '
TYPE OF CONSTRUCTION � BLOCK [� FRAME Q STEEL C] OTHER
DIESCRIP,,T�ON_OFSWORK4 ��d��i'" �e��d��1 .� U�`�'S ►�X�1� I ���
� " � � ,
BUILDING SIZE. -,SQ FOOTAGE�� HEIGHT
� �
�' UtIDING $�"� �"� TIO 70TAL S UCTIO �
i:� "�' '� �VAL4JA . N`OF. . CON TR N
� � �p���'����_ ,. � , � , �_ . -
� Q E�ECTRICAL $ AMP BERVtCE � PROGRESS ENERGY [� W.R,E.G.
Q P�Ut�181NG $ �
. � � ��
�EGFiANlCAL $ VA�UATION O�{t1fECHANlCAL IiVSTAl1AT10N � �
� � -�� `
�
Q GAS Q ROOFING � SPECIA�"f'Y Q OTHEi2
, FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO 'G, y" �� �
� I- � � , �
, . . ,
8U1H.€1Ei�; ` COMPANY
SIGNATURE REGISTERELl Y/ N FEE CURREN7 Y/N -
dddr�ss ' Lioense#. � �
ELECTRI�IAN � COMPANY �
SIGNATU E REGISTEREp Y/ N FEE CURRENT Y/N
+i ,
Address License# � �
PE.UMBER� CO�tiPAP1Y .
SIGNATURE ' REGISTERED Y/ N FEE GURRENT Y I N
Address License# � �
M�CFiANtyI AL . CCiMPANY .
SIGMATU�E REGISTERED Y/ N FEE CURRENT Y/N
Address License# '
I ---, � _�-_-_� `� �l}C_ ,
aTH�i�=`. /�'\ COMFAtdY �C}
SIGNA'�U�E`S � w�. REGISTER�D N FEE CUR EN7 /N
� Adiir�`ss � �� � ��}!�t .5 t'� 3���� i`License# ���Z:�J��
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RESIDE�2'f1A� Af#ach.{2}Plot Plans;(2}sets of Building Plans;{1}set of�nergy Farms;!2-C}-W Permit for new consfn�cfion,
-Minimum ten(10)working days after submitkal date. Required onsi#e,Construotibn Plans,5tormwater Plans w/Silt Fence iristalled,
!I ' Sanitary FactlfUes&1 dumps#er;Site 1Nork Permit for subdiVlsions!large proJects , , .
COMMERI IAL Attach{3}sets of Buildirig P}ans;(1}sef of�rietgy Farrris.R-O-W Permit for new constructian.
� Minimum ten(10)working days after submittal date. Required onsite,Const`uction Plans,Stormwater Plans w/5ilt Fence installed,
E SaNtary Facilitles&1 dumpster.Site Work Permlt far a!!new pro]ects.All commerciai requlrements must ineet campliance �
I SIGN PE IIMIT Attach(2}sets ot Engineered P1ans. , � '
*"'PRQPERTY SURVEY required for all NEW construction.
Direction�: '
Fill o�i t application completely.
Owner&Cantractor sign back of appltcation,nota�ized
If ov�Ir$2500,a�Natice of Commencement ts requPred. (AiC upgrades aver$5008) .• ,� ���, . , , F
*" Agent(for the.cantractor)or F+ower.of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same
'OVER THE COUNTER PEi2MITFING �{Front'qf Appltca#ion Oniy) � '`_ ' "
�:i.
Reroofs Sewers� , S,erJtce'Upgrad�s A/C �ences(PIoUSurvey/Footage) - �, � � � � Y
1` ��.".�.4,'.. .. - .y '
IDrivi�ways-Nof over Counter if on pubiic roadways..needs ftOW � �
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i
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 CQNTRACTORS 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 regu�lations. 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 Sectic�n at 727-847-
' 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conl;ractor(s) sign
portions of the "contractor Block" of this application fior which they will be responsible. If you, �s the own��r sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privile�ges in Pasco
County. � .
i 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, chan e of
9
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 Fee§ and Resource Recovery Fees must be paid prior 40
, 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 WateN3ewer Impact
�fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasco County ordinarice's.
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—IHomeowner's
Protection Guide" prepared by the Florida Department of Agriculture dnd Consumer Affairs. If the applicarit is someone
other than the°owner", I certify that I have obtained a copy of the above described document and promise irv good fiaith 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 ancl that all work
will be done in compliance with all applicable laws regulating constru�tion, 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 in:�tallation has
commenced prior to issuance of a permit and that all work will be pertvrmed 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�imited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environment;ally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Wate� Managemsnt District-Wells, Cypress Bayheads; Wetland Are�as, Altering
Watercourses: �
- Army Corps of Engineers-Seawalls, Docks, Navigable Watennrays.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewate�r 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:�
I - �Use of.fill is not allowed in Flood Zone"V"unless expressly permit�ted. _
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan ��ddressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professicmal engineer
licensed by the State of Florida. � �
- If the fill material is. to be used in Flood Zone "A" in connection with a permitted building usi�ng 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 afi`ect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be citecl for violating
the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elev�ted by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform�th�e owner of fihe permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for elE;ctrical 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 p�ovisions of the technical codes, nor shall issuance of a permi#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 au4horized by such permit is commenced within six months of permit issuance, or if work��uthorized by
the permit is-suspended_or--abandaned_for_a-period of six(6) months after_the_time_the_w.or.kis_commenced._.An_extension _ ___ _ __
may be requested, in writing, from the Building �Official for a period not to exceed ninety (9p) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)cansecutive days, th�job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C�MMENCEflfIENT IVIAY FtESUI_T IPI YOUI�
PAYING TWICE FOR IMPROVEMENTS TO YOEJIR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINC;, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N�TICE OF COMMENGEMENT,_ •
FLORIDA JURAT(F.S. 17.03) ____
_ ,t. .Y�j � - . �.f�°,�.�'L".G :jF.`,h�f':`o`:i�t•.?'riti��F+':�i7`; - ..
�. l� _.;_��..x::,,;::-: � � Y��==�._;,�:
OWNER•tiQR�AGENT'.:�:J�'.z' 1 -��-`'' •..'~.;,,--��GON7`RACTOR�>�;-'' _ -_
,: _y� y,�..� -
S b��Iti d and swq��t,o,,(or ' rr� d�)betore this Su and swo o a e befor e
�� ol t� 1�D by IT�K:I l�Q�/WL?�� _ � �� �� by � —
o Is/are personally k wm to me or as/have produced Who Is/are personally kn to me or h /have produced
as idendfication. ` as identiflcation.
o "� Notary Public
COffIffllSS Of1 NO. ��°� Natary Public State of Florida Commisslon o.
;� . Tammy er a ero :, e� ry u �c a e o on a
4 < My Commission FF 184019 . Tammy Verdadero
Name 6f Notary ty d, d o Name of Notary typed,print of� edExplres 12/16/2018
. , ----- � __,_ _. ---- �
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I ' ��u -`{ .
� ERICAN `r'�h 7, �+n
� •1;.;-. Y�J/y.
-;.�� D�RES ' �z.^`�'' -
�`�T - Ryman Roofing Inc.
� 5%fee for credit cazd processing.
� �-�,. �'p :�;`` A Division ofRyman Construction,lnc.
'°�'�� �ir Pro osal#
`� 36413 SR 54 •Zephyrhills, Florida 33541 P
�i`', �;��� 4.�` Phone(813) 782-6094 • Fax(813)788-6773 N�•
�" �C Estimate# 003100
�'S� '�f``�y'� 1-855-Go-Ryman (1-855�67-9626) • Lic.#CCC 1325505
���QO www.RymanRoofing.com
Q� Serving all of Central Florida Job#
oWne��P���nase�Brigitte Gilbert / Carlos Sanchez Date: 10/20/16
�
Claim#: ' InsuranceCompany:
Policy# '
�ob Aadre�is: 5328 5th st c;ty: Zephyrhills Z;p: 33542
Mail to Address: E-Mail Address:
Home #: I ceii #: $56-470-6317 Carlos Business #:
� Corrjplete tear off of existing ASpI1aIt Sf1111gI@S Additional Notes/Special Concerns: �
�� Includes 3 sheets of decking
� Sec�re all loose roofdecking as needed according �/�/ind mitigation form
to Florida Building Codes
Q Rool�dr�ed inwitn Synthetic Underlayment Golden Pledge warranty
Eliminate chimney
Q✓ Inst�ll new valley metal with galvanized metal Reroof 10,814.00
❑✓ Inst�ll new 6 ��drip edge color: Blege Financing 540.00
❑✓ Inst�ll new lead boots
Q✓ Install all new general roof vents
0 Install new �Shingle �Metal �Tile
�Modified Butimen ❑TPO
0 Ma iufacturer �snin9ie, metal or tile) C�AF
Ma ufacturer RPo or Mod. Bitumenj
� CoIQr�(Shingle,MetalorTile) shakewood �
Color:(TPOorMOD.Bitumen)
� All roof related debris removed from job site, pick-up loose
nail�I using commercial grade magnet
�✓ All rjhaterials, labor and permits furnished Base Price*$ � O,814.��
�✓ Pro i ide a 5 Veal' labor warranty
Additional Items:
II
Re deck entire house $7,500.00
�� �
Timberl�ne Ultra HD shingles $14,300.00 - 10% $12,870.00
II
Payment I�lethod: �Check# 3075 �Cash �Financing �Insurance Claim
❑ Credit li ard# Exp. Date CC ID#
Down Pay ent: $ 5000.00 Amount Financed:$ Approx. Monthly Payment:$
PaymentTerms: 5k down and the balance upon completion T
Extras:
*B se Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. customer�nitia�
✓ Deficieint 1/2"plywood replaced at a cost of$ 65.�0 per sheet in the roof field,which includes labor&materials.All other wood work/ad-
i ional labor,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will be a rate of$5.00 per lineal foot plus the
cost of ineterials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL D HEREBY CER Y T AT I VE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchase5: � .� Date. 11/21/16
Purchase�. � Estimator:Aaron
� � � . Illllllllllllilllllllllfllllllllllllllilllllllllllllllllllll ��
2016187158
� - --
Pertnit No.�
P�l���o i(-a� �al -be�b - �a3ao -�� �o
� N�n
N0710E OF COMflflENCEMENT � �� �
N e�'
I/� /�r> OD B.-
�l V�� �� County of � `� �� �''
State of � ` fJ�OD
B m N
THE UNDPRSIGNED herehy givas noUcathat improvement will he made to certain real praperty,and In accordance with Chapter 713,Flo�ida Stalutes, �+ po
the following InfoRnatlon Is provided In lhis Notice ot Cammencem nt: '] (� � ~
L IesaipUon of Praperty: Patcel Identification No. I��� u I - 6�10����d 6���� 7� � v
Street Address: �`-' � `-�' (�� I�S " ' � �F+
I • ��
2, li eral DescrlpUon o[Impravement 3" n
I Q� b�� ��.'�UU , �..
i3. I er Intarmatian Lessee fnfortnalla iF the essee contracted tar�lhe trnprovement: 0�a
; ��""' �r� ��t�e. �,' 1�+ � m
: �I '''a"' .�.D f��� aa I l,l�;i!�� o�a " �`-/� �
Aaaress � ciry • s�ate �
lnterest in Property: . 7c
II me of Fee Simple TiUeholder.
(If d'rffe[ent from Owner Ilsted abave)
Addre'ss 'M� 'n �,� �nY State
4. Contractor. �'� l� ¢ 2C�/
II Name 2J 1f�� S� 5l 20� �rhi� J � �JJT� �-~►a
�U1 p�Na
Address �]f� I, � Ciry State
i antraclors Telephone No: ���^ I v���v� �
��jo
5. SuretY� �m
Name �C1�
State
Address . C(ty ,��j�v,
I�Amount of Bond: $� Telephone No.: �N D
6. Lender. � ��
Name 3 0
�Address Cfty State �r�
� Lenders Telephane No..
m
I • �
�
� 7, Persons within the 5tate o1 Florida designated by lhe �upon whom notices ar other documents may he served as provided by A�p,
Section 713.13(1)(a)(�,Flarida Statutes: w ' , +
�v N~3
�
Name - �.,,,� �
�
0
r
i Address Cdy State m
�
Telephone Numher of Designated Persan: " i
8, In addition to himselt,the owner designffies 1`� ' of�
' to recefve a copy of the Lienors Nollce as provided fn Sedlan 713.13(1)(0),Florida Statutes.
Telephone Numher of Person or Entlty Designated by Owner.
g, ! Exp'iralion daie of Notice of Cammenceinent(the expiratlan date may not be before tha compi on of co s i n d fl yment to the
conVactor,but wiil be ane year ftom the date of recording unless a diHerent daie is specifie�:�Qrr���i���
WARNING TO OWNER: ANY PAYMENTS MADE 8Y THE OWNER AFTER THE EXPIRAIION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 7, SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTIC� OF COMMENCEMENT MUST BE
' RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. iF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LEN�ER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOROING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I declare that I have read the toregoing notica cf commencement and that the fads stated therein are We to the best
o(my knowledge and betief.
STATE OF FLORIDA _ �
' COUNTY�F PASCO �
Signa ure of `r ar ea,or e s or lessee's Authorized
Officed0irector nedManager
� Signatory's TitlelOHice � /1 t ( r(nA ��
J ,�I � i /., � ►Jx 1
Tha t�g{�Ing iqsVument was acknowledged hetore me ihi�l day of,v� ,�by � a � v'
f�,1( ag �(type ot au ority,e.g.,oificer,tnistee,attomey in tacl)tor
D i� (ne af party�� �hom Instrum t was executed). �
�'i Fersor�jally P u d nf 1" Notary SignffiUre
1� ��
T e of Id t� ��� ced � Name
� YP :°� �':; Notary Public-State oi Florida ,�.;`;�'r'P�a�,,, ANGELA H OOD
,�� .�; Notary Public-State oi Florlda
_• :•c Commission #FF 912551 . _
�U'� OQ,�� My Crn�i.�� Exp��es Aug 24;20�9' - = Commisslon�FF 912551
• ��;. =; ,��= My Comm.6tplrea Aup 2�.2019
9nr.�, . . .�•r�p,�:ttyASSiI. �i�piM1�,� �������A3111.
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STAT���' FL�RlDA, COUNTY QF P,�S�t� ��`�������
THIS IS IG C�RTfFYTHATTHE FOR�GOING ISA �.`� � � ��y
TRUE AND C�RRECT COPY�F THE DOCUMENT � • � G
ON FILE OP,OF PUBLIC RECORD IN THIS OFFICE ; �• ;�' � �
WITN MYHANDA OFFICIALSEALTHIS � ' lnGr,d"H��':rn«t � �C
DAY OF 2 � '
PA LA S. ' EIL, CL K&COMPTRO� �' 6 ' o
�c n :�, \,.`�� T�
� BY DEPUTY CLERK '. i8�✓ •�
�'�FQ d m ¢.
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