HomeMy WebLinkAbout17-18106 � � CITY OF ZEPHYRHILLS
5335-8TH STREET ��
(s13)7so-oo20 18 06
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18106 Address: 39437 LINCOLN AVE
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: LINCOLN HEIGHTS
Est. Value: Parcel Number: 12-26-21-0280-00000-0340
Improv. Cost: 2,469.00 OWNER INFORMATION
Date Issued: 1/26/2017 . Name: HAUS LLC
Total Fees: 50.00 Address: 1406 N DALE MABRY HWY STE 300
I Amount Paid: 50.00 TAMPA FL 33607-2506
Date Paid: 1/26/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
I R L BUILDING CONTRACTORS REROOF RESIDENTIAL 50.00
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Ins ections Re uired �
DRY IN ROOF INSP '
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
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� R.L. Building Contractors Inc.
�.�� �. �. :. ��..,�� �.�
Florida Certified Roofing Contractor CCC 1328792
4701 E. Hanna Ave. Tampa, FL�33615
Cell: 813.516.6489 Fax: 813.200.8105
rlbuildingcontractorsCa�vahoo.com
INVOICE
Proposal Number: 01619628 Date: 1/21/2017
Folio: Permit:
Client Proposal Location: Location of work to be performed:.
Name: Haus LLC Job Site:
Company: - 39437 Lincoln Ave Zepherhills ,FL
Address: 1406 N Dale Mabry Hwy Ste 300 Tampa FL
Email:l
Phone:
Scope of Work:
Complete roof installation with 3tab shingle roof ineeting current Florida State 2014 Building Codes.In addition all codes
reflect current wind mitigation requirements. .
Division 1-General Requirements
a. Permits and Fees �
b. Inspections
c. All Debris Removal
Division 2—Roof Material
a. Roof Modified Color TBD
b. Roof Eve Metal White
c. Lead Boots 3-2" , 1-3"
Division 3—Additional Work
a. Repair all plywood
Bases of Compensation:
Total cost of Project Services: $2,469.00
Payment Structure: 100%Completion
Respectfully Submitted: Randy Randolph
ACCEPTANCE OF INVOICE
The above prices, specifications and conditions are satisfactory and are hereby accepted.
Signature:��7�. ,., �� �--- Date . /,��.y��`7
� e�3aso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
_ »- ' ' �• • Building Department
, Date Received � 2Cp l� phone Contact�for Permltting —
� Owne�'s Name �� �� Owner Phone Number
OwnePs Address v�� � e �"(�-�r w �i'C 3� Owner Phone Number
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; Fee Simple Titleholder fdame Owner Phone Number
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Fee Simple Titleholder Address
� JOB ADDRESS 3�y3 7 ��1� �{ � l2c'l(� ��� 33� � LOT# �
' SUBDIVISION st o n !�r F PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED. �` � NSTALLSTR e REPAIR � SIGN Q Q DEMOLISH
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PROP.OSED USE Q ' SFR Q COMM 0 OTHER :
TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME � STEEL Q
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DESCRIPTION"OF WORK � 7�'-r✓^ d r �E'r��� �`L�-� �� (Z � S
BUILDING SIZE SQ FOOTAGE ( r��� HEIGHT •.
OBUILDING $ � ( � o�v VALUATION'OF TOTAL CONSTRIJCTION
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� QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� QPLUMBING $
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� QMECHANICAL $ VALUATIOIV OF MECHANICAL INSTALLATION
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j QGAS Q ROOFING � SPECIALTY 0 OTHER
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� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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i -BUILDER COMPANY
� SIGNATURE REGISTERED Y�/ N FEE CURRE� 1(1 N
Address �License#
ELECTRICIAN . COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � � �
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PtUMBER,,, COMPANY- �
SIGNA'TURE REGISTERED Y-/ N� FEE CURRE� ` Y/N
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� MECHi4NICAC � COMPANY
j ' 'SIGNATURE' REGISTERED Y/ N FEE CURRE� Y/N .
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�`'SIGNATURE�$��= .^ N "� - � REGISTERED . Y/.N . F CURREK Y/N
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" Address� , � •,�.,c�G..-: .` a.�c c; �.,3�3 G.<c� = License# C��C ��a--�?p�—
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j;_°;RESIDENTIAL?;;: ':Attach`(2)sPlot;P.lan's;'(2)�sefs�ofi:Building=Plans;(1�)°sef of�Ene�gy`Fomis;R;O-W Perm.it,for new.construction,��
� �=��:.,�:�:;>;.-�Minimum„ten,(;1Q)yworking,clays'afte�sutimittal:date.`Requireii'onsite;'ConstriiCtion Plans;Stormvirater Plans w/Silt Fence installed,
`s.�� _ .. ,::, _� .. . _
�� Sanita.ry.;Facilities,&��.r1zdumpster;,,S,ite:Wor,kFermit-fonsubdi4isiops/large:projects
`<�`..C:OMMERCIAL Attach'"2'`com` lete'sets'of'Buildin Plaris lus a Life Safe Pa e; 1 sefiof Ene Forms.R-O-W Permiti for new construction.
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" . Minlmum ten(10)working days efter submittal date. Required onsite,ConsUuctlon Plans,Stormwater Plans w/Silt Fence installed,
=`` Santtary FacillBes&1 dumpster.Site Work Permit fo��all-new p�ojects.All commercial requirements must meet compliance �I
�r=;'SIGN:PERMIT �AtNacFi(2)sets::of;Engineered�Flans.;�° : �. �
i :;';<,�� "'""PROPERTY SURUEY required foc aII,NEW.construction: ,
... ._ ._.. . . I
; �'�Df�e'ctions: :�z=�<<�_.� ,. .. �I
� :: "''� Ffll-:out application completely. �
! , 'O.wner&ConVactor sign�liack of application,notarized
�If,over$2500;a Notice�.of:Commencement ts required. (AlC upgrades over$7500) _ , ;,
,Y'°" i4gent'(for4tie�co`nt�actor)`orPowerof'Attomey(foYttie ovmer)vuould'tie someone with notarized letter from owner authorizing same '
' ��;:OVER�.THE COUNTER�PERMI'I'T,ING._ (copy-of-contract-.required)��' '' -� � �
; ;:`Reroofsifsliingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
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Driveways-Not over Counter if on public roatlways..need§ROW
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, Nt3TiGE OF DEEDRESTRICTiONS: The undecsigned undecstands:that,this,-pefmit may be subject to�.deed. re"sfnction{s°_
< t , _ ..�:�,,V::��.>,:..:.;r. , _�..��-.�:.•:�,,:,���.>�-::....,;,.,,,.�,.��;<.::::��b::i.j
which;.may�be.more-restrictive�th�n Caunty eegulations:=Tfiesund��signed'��assumes-r�sponsibility:`for�compli,ance wfth::any.,.:;
` aPplicable deed restrictions• - '" : _f,R',j:�Y't�'(yj,„tq'�..
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' UNLIGENSED. CQNTRACTORS AND� CONTRACTOR RESP:ONSIBiLiTlES:=� if�tF�e°:awner�-has�Fi'ire'd�'�a���contractor�or_ ;
contractars to undertake woric, they may.be required�to be,licensed in accordance_with state;and�local;.regulations,::�=1f.'tiie:��<'�
�.:.. .. ... ..:. ...�.._.�,--. =...,�.�_.:
contractar is nat.(icensed•as required`by'law, 6oth,the owner":and',contractor:may=�be--eited=far=a�'misder►ieanor iriolationx .=�.;
under state law.� If the owner or intended,contractor. are�uncertain as to what l9asnsing cequireiiaents.-srna;'y>xappEy:for;tti`e;:.Jr;�
intended work;.they.are�advised tci contacf''tlie`Pasco County Buiiiiing.inspectiari`Division--Cicensing Section at Z27='847�` ��`
8009. Furthermare, if the owrier has'hired�a contractor or confraators, he is advised to�have the, contractor,(s);_sign�.,;, ;
�„,.t.�::���e.::.:.:..•� ::�:.s
portions of the "confractor Btock"of this application,.for which.they,will be cesponsble. :!f�you, as�`the'„owrier"s�gn�as��the:" `�;
contractoc, that may �e an"indication thaf"he�is not�praperly licensed�and�is not"entitled to permitting pr.ivileges:in,aFasco:,+v;Y�
County. _ _ ._,..,�: , .« ' � ;
TRANSPORTATlON-fMPACT/UTiLITiES�IMPACT AND RESOURGE REC�VERY FEES:"The'unders�igned undecstands,-��;�
, ....;�.;.*,-•,,:.s,n
that Transportation Impact Fees and Recourse Recovery Fees::may�apply to:the construction.of new,buildings,.°eliange;of`?:'���_�
use in existing�buildin�gs,{or�expansion 'of.existing buildings, as specified in Pasco Caunty Clydinance number 89�47�and ;� ,
90-07, as amended. The-u�dersigned also understands, that such fees, as°may;b.e_due, wilt;,:be;iden#ified'at�tlie3�tirnie�:ofi`='v�`�
permitting. �It is further understood that Transportation tmpact Fees=�and Resource=FReeavery.Fees must be paid prior to' �'
receiving a "certificate of occupancy" or final:power release. If the project does not_inuolve a ce�tificate of occUpancy=or;{::=-�`� ,
fina! power release,_,the.fees must�be.paid prior#o permit issuance,_,,:Furtliermore, if Pasco County Watec/Sewer:=;im,pact;:�-�=;{
fees are due,they must kie paid prior�to:permlt issuanee in accordarice wi#h�applica�le Pasca County ardinances.
CONSTRUCTItJN LtEN�GAW(Chapter 713;Fiorida Statutes,as am�nded�: ff valuatian of work is$2,50U;O.Q�or,mor,e;�l,;.,;f��
certify that `I, the app(icant,..have been� provided_with a capy_-of,the "Florida Constr.uction.TLien .Lavir--'Homeowner's' ,
Protection Guiden prepared tiy tfie`Florida Department af Agriculttire and Consumer Affairs. if#he appiicant�is_someane.,;;,; �
other than the"owne�', I;cerkify that i.ha�e obtained a.copy of the abave tlescribed dacument and.promise�in good`faith:fo',_�`r.;
deliverit.to:the:`;ownec":prior.�to,commeneement. ` � � � �
CONTRACTOR'S%OWNER'S AFFIDAVlT:, ;.I.certify that aA the inforrnation in#fiis application is ar.curate and'ttiat alf inrork '
wil! 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 instaliation as�indicated, i certify that no work or.ins#aliation�has
commenced priac to is`suance of a permit and�that all work will be performed to.meet standards of al! laws regulating
construction, County and City codes, zoning regulations, and land development�regulations"in the jurisdiction: ° 1-also
certify that I understand that the regulations of other gavernment agencies may apply ta the intended work, and that it is
my responsibility to identify what actions i must take ta be in comptiance. Such-agencies inc(ude,but are not limited:to: '
- y,Department of Environmentat:'Protection-Cypress Bayheads, Wetland Areas and EnvironmentaAy Sensitive
Lands,WateNWastewate�Treatment. ;
- Southwest Florida Wa#er Management District-Weiis, Cypress Bayheads, Wetland Areas, i4ltering }
Watercaurses. >3
- Army Carps of Engineers-Seawalls, Docks, Navigable Vlfaterwaps. ��
;
- Department of Health & Rehabilitative Serv�ces/Environmental Health Unit Welis, Wastevuatec Trea#ment; �-, ;,
Septic Tanks. � �
- US Environmental Protection Agency-Asbestos�abatement. -� �; �
- Federal Aviation Authority-Runways. , �
I understand that the foAowing restric#ions apply to the use of fili:
- Use of fill is not alfawed in Flood Zone"V"untess expressty permitted.
- if the fiii materiaF is to be used in Fiood Zone "A", it is understood that a d�ainage plan addressing a
"compensating vo(ume"will be submitted a# time of permi#ing which is prepared by a professional engineer �' .
licensed by#he State of Florida. � �
- If the fili material �s to be used in Ffaad Zone "A" in connection with a permitted buiiding using stem wal)
canstructian, i certify that fiit wiit be used only to fiii fhe area within the,stem wall.
- (f fill materiai 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 vialating -
the sonditians of.the buifding�permi# issued under the attached pecmit.application, for (ots less than ane (1 j
acre whichware elevated by fiN, an engineered drainage plan is required.
If i am the AGENT FOR TNE OWNER,.I promise in good faith to inform the owner of.the permi#ting canditions set forth in -
this affidavit.prior to cammencing c6nstruction. 1 understand that a separate permit t�r�ay be required for etectricat work,.
plumbing, signs, we!!s, pools, air canditioning, gas, or otii'er installations not specifically included in the application: A -
permit issued shatt'be construed to be a license=to proceed wi#h tfie 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 C?ffcial from thereafter
requiring a carrection of errors in planst canstruction or violations of�any codes. Every permit issued shafi become invafid
unless the work authorized by such permit �s eammenced within six rrtonths of permit issuance, or_if work authorized by �
the permit is suspertded or abandaned for a period..of six(6}months after the time the work is'commenced. An eactension � '
may be requested, in writing, from #he Building Official for a period not to exceed ninety (90) days and will demonstrate ;
justiflable cause for the extension. If work ceases for ninety(90)cansecutive days,the job 9s cansidered abandoned.
WARNING TO CIWNER: YOUR.FAILURE TO RECQRD A NO.T.tCE OF C,QMMENCEMENT MAY�RESULT IN YOUR
PAYtNG TWICE FG1R tMpROVEMENTS TO YOUR::pROPERTY.. IF YOU:.INTEND°TO�OBTAlN��FINANCING,CONSU�T
� WiTN YOUR°CENDER OR AN ATTQRNEY BEFORE=RECORDING YOUR NQTIGE OErCOMMENCEMENT.
- ---ftORIDA JURAT(F:S:117.03) - --- - - - . _ -- --� - � � � -� Y- - — - __._.__. --
OWNER OR AGENT C4NTRACTOR K %��'-""-'-`------
�
Subscribed and swam to(or affirmed)before me thls Subsoribet!and s om ta{or affitmet!)before me ihis, -
by by
Wfio is/are personally known to me or haslhave produced " Who islare personally known to me or has/have praduced
as identification. Y�,• as identification.
Notary Public Notary Pubtic
Commission tVo. Commission No.
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� Name of Notary typed,printed or stamped Name of Notary iyped,p�inked or siamped