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Home My WebLink About17-18123 ' � CITY OF ZEPHYRHILLS 5335-8TH STREEf (813)780-0020 181 � BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18123 Address: 37404 NEUKOM AVE LOT 40 Permit Type: RE-ROOF ZEPHYRHILLS, FL. -` Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s):40 Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-0400 Improv. Cost: 5,986.00 OWNER INFORMATION Date Issued: 2/03/2017 Name: KUSHOVICH JOHN & BARBARA Total Fees: 65.00 Address: 37404 NEUKOM AVE LOT 40 Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/03/2017 Phone: 813-997-4514 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES ALAN'S ROOFING INC REROOF RESIDENTIAL 65.00 � ,/ ` Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF INS FINAL 7�'7�0 -�� 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 performed in accordance with i City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ' NO OCCUPANCY BEFORE C.O. (� CO RAC OR S G URE PERMIT OFFI R PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER -� �' � . a�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received a►a 1 ►�-- Phone Cantact for Permittin Owner's Name l, 1 Owner Phone Number Owner's Address '—{ J V G 11/ 1.,�.1� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS � O�"1 'v�UI�V LOT# /W SUBDIVISION �� S FARCELID# �j"I O�S OC` UI�G�� U (OBTAINED FRON PROPERN TA%NOTIC� , WORK PROPOSED e NEW CONS7Re ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK 1 l.S`�1J(, 'i"� � � I ( 1Q ��,t��]1 IJ n . 8U1LD1NG S1ZE SQ FOOTAGE �S,/3 HEIGHT � J �� BUILDING � � q C/� VALUATION OF TOTAL CONSTRUCTION ^ 0 ,i�� (��f' I �ELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. �� OPLUMBING $ ��1 2/"J / � � / Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� -� �'' -fry/��', QGAS ROOFING Q SPECIALTY 0 OTHER � ` FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �,�I� V BUILDER COMPANY �� O � � SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N y 1 r �n /�h Address I U C� yJ �� License# l.�%� ELECTRICIAN CQMPANY SIGNATURE REGISTERED Y( N FEECURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEECLIRREP Y/N Address License# M ECHANI CAL CO M PANY SIGNATURE REGISTFRED Y/ N FEECURRE� Y/N Address License t# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEECURRFA Y(N Address License# � � � � � � � � � � � � � � � � � � � � � � � i � � � � � � o � � � e � � � � � � e � � � � � � � � � � � ii � i � � � � � � � � � i 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 8 1 dumpster;Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-aW Permit for new construdion. Mnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, Sanitary Facililies&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out applicaUon completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades ovar$7500) " Agenl(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW J � „ 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 ihe 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 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 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 89-07 and 9D-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"certifcate of occupancy"or final power re{ease. ff the project does not involve a certiftcate 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 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 certrfy that I, the applicant, have 6een 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 wi11 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 govemment 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,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmentai 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 undecstood that a drainage Qlan 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 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. 1f 1 am the AGEidT FOR TIiE OWMER,1 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 ihereafter 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 Official 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. i• ��, � 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 ;• ,� � N � WITH YOUR LENDER AN ATTOR Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,. ,Z � � • FLORIDAJURAT(F.S.117.4 ), . � OZ � N OWNER OR AGENT CONTRACTOR � Subscribed and sworn[ r a i ed) e re e this ah pO.A� Subscribed and sworn to(or affirmed)before me this �' N � ; 0�- �Ph by n, bY � g � � Who is/are personally known me or haslhave produced Who is/are personally known to me or has/have produced (/� as identification. as idenGfication. .J O X � U t�l - � QJ otary Pubiic Notary Public n ��j Commission No.�� 2--1 �sP Commission No. :�� ba:4 �:� L�s M l .:Q rt o � =,r+,��:... Name of otary lyped.printed or stamped Name of Notary typed,printed or stamped •,�•;•fi�: � s llllllllllllllllf Illllllllllllllllllllllllllllllllllllllll[I 2017015555 Rcp1:1835171 Rec: 10.00 Key No PermitNo. 02I03f2017 E. M7, pp00 Clerk N OTIC E O F C OMM EN C E M EP�lT pAUtp 5 0'NEIL,Ph D pqgCO CLERK & COMPTROLLER _ @2I03/201��1_pm , THE UNDERSIGNED hereby gives notice that improvement wilt be �� K � p� ��45 Made to certai»,and in accordance with Chapter 7i3, F(orida State _ Statues,the follawing information is provided in this Notice of Commencemant: 1 Description of Property: Parcel No � V� �� W�� 0� � � (Lega!descriplion of the property and street address if availabie) 2 enera! Qescription of Improvement: U'� 3 Owner Infarmati n Name 6 i ' Rddress• U�U�'Y1 City 1� State Zip . lnterest in Praperty: Fee Simple Name and Address of Fee Simple Titleholder(lf ofher than owner) � � �. Con2ractor� Narne: Alan's Roofinq Inc Address• 14498 Ponce De Leon Bivd City Braaksville State FL Zip 34601 ' Phone Na. 352-686-333Q Fax Na 352-754-8902 � 6 Sure?t�� "�:�.`,�� Amount of Bond $ `-',�;;ress. City State_Zip Phone No. �'ax iVo 6. Lender: Name' . I A.�clress: City Sta#e�Zip Phane Na Fax No 7. Persons within the State of Florida designated by Qwner upon whom notices ar ather documents may be served as provided by Section 713 13(1)(a)(7} Florida 5tatutes. :`�lame Address. City State____Zip Phone Na Fax Na ! 8 (n addition to him^='.�c� �i�rs�ii, Owner oesignaies iV/R of � '�� ;:czive a copy of the Leinor's Nofice as provided in Section 793.13{1){b), Florida Staiutes 9. Expiration date af Notice of Comrnencernent (#he expiration date is 1 year of recording uniess a different date 'ss specified.} WARNtNG TO OWN@R:RNY PAYMENTS MAOE 8Y 7HE OWNER AFTER THE EXPIRATiQN OF TNE NOTICE OF CdMMENCEMENT ARE CCSNSiDERED iiViPfdt3PE1Z PAYMfNTS UfiDER CHAPTER 7'13,PART 7,SEC 713.15,FLOFttOA STA7UTES,AN[7 GAN RESULT IN YOUF2 PA.YtPoG i�°�ti,E FC1R fMPROVEMENTS TO YOUR PR(?PERTY.A NQTlCE OF COMMENCEMENT MUST BE RECORDEd AtVD PQ5TED ON THE JOB SITE BEFORE NE FIRST INSpECTiQN.iF YOU INTEi40 7Q 0H7AIN FlNANCING,CONSULT WITH YOUR LENC'ER OR AN ATTORNEY BEFOR MME ING W RK R REC i2O1NG YO MOTICE OF CQMMENCEMEN7. � X 5'rgna[ e of C7wner o�Ownei's Au4honxect fJKcer/Director/PaRner/Manayer SignBtory'S Tit(etO�C6 ' ••Stgnaturo Ftcqulred by same below by'X"mark"' n �� .�1Yi(� y �U Stale ot � Count oi The lorgai�g instrument was acknawledged before me this � day of�!,20�by Y{�(] � F��S��V»,,yi , (P�intetl name of person acknowieCging} as for ' (Type authority.e.g., �ce,trustee, ttorney in fac!) {Name o(party on behalf ol who instrument was executedj ��J�f " 4�3 '�� Q� Si e t otary Pri t J Type or Slarnp Name af Notary P rso aity known OR r uced fdentification� ype of identifcation Produced: �}{_„ VeNfication pursuant to Section 92.525,Fiorida Statutes:under Penaities of perjury,1 declare lhat 1 have read fhe foregoing and that the facts stated i it are e to the est f my ncwied and 6eiiei. . X Sign ure ot Natural Person Signing Above .�.wr.� :€;�:,.•-. c.isa��.E�tox - `''�,: MY COMMISStOM ft��227i69 -"r«,�� EJ(PIRES May�05,2019 NCi r 1`.+8•C �] fiurxfallo�•y5mi-a.r.on' . i � � � .��t��L STA�'E 0�'rL.��1�A,�C?UI�TY OF PABCa �`�' �;,. 0 �'�� THlS!S TO GcRT1FY THAT THE FOREGOiNG iS A � • � � ��, TRUE AND CORRECT COPY OF THE DC3CUMENT I � r '::^;,� a:6! ON FILE OR OF PU6LIC RECtJRD IN THIS OFFICE �;,��,��e��r � WITNESS Y HANR A FiCIAL SEAL TNIS ,� ' °i��,'. :.."e'�-: � � r � DAY OF 2__�1...G_ � � . � PA LA S C7'NEIL, L� �CO TRC?LLER ' j��T � BY� DEPUTY CLERK S'�� d � --._,_,�., ��LO��p' � �_ �"' � CONTRACT Hernando: (352) 686-3330 � � ��QF�H�� Commercial 8� Residential {352)754-888� 14498 Ponce De Leon Blvd. - "Home of the FREE Roof Inspection" CItfUS: (352)341-14U0 Braoksville, F!34601 urww.alansraofinginc.com P�SCo:{727}81&9278 LICENSE NO. CCC046942 Toll Free: (800)309-5667 c� �,/ �ax:{352}754-8902 Please Print ��`�� / �� r� �j3—i i7--4i3�'� NAME C�G�,y1 � �J '�i' o�'G�,_ �U,SICO V �� PHONE DATE Z I� ADDRESS 7 C7 L,.✓��,?�+�t CITY �e �"� Y"H!�`� ZIP ,5'� hlI�OMD HOUSE � SAL.ESMAN CONTACT PHONES�S Z��7�I~-- /Z,� OTHER COMMERCIAL JOB# BRAND ANC}DESCRIF'TIOtV � �q OF PRODUCT � �� .1 �. �`�""'"� COLOR G G6 L V V a PITCH � �/ 1. Uli.A Cli'Y dR COUNTY PERMIT ��G� SQ.RENAIL WOOD 2. TEAR QFF: SQ.OF OLD SFEINU'LES SQ.QF FLAT RQ4F r---- SQ.OF OLQ T1LE 3. DRY IN:REINFORCED FIBERGLASS UNDERLAYMENT _1 LAYER � 2 IAYERS � PEEL&SEAL 4. ihiSTAl,t: GA(.V.VALE.EY METAL. LF SELF ADHERING VALLEY LINER L� /2 METAL OVER RIDGE LF 5. INSTAI.l.: �" ALUM.DRiP EDGE LF�.�STEEL DRIP ED�E!�F.��PAN FE.ASHING 1� ..�L.FI.ASNING LF1.�COLOR �� 6. INSTAU.REPLACE. LF OF R.V. PLUGS COLOR 3--,(,p�t,r,cd '7S't� �r FT.VENT SU 7. REPI.A,CE:�1 1/21N. �`21N. �-.. 31N. LEAD BOOTS �'4 IN.GRV'S�101N GRV'S � ELEC.RtSER 8. O STARTER RQl1 STARTER STRIPS CIRCLE ONE 9. lAY SQUARE OF�-3 NEW FIBERGLASS SHINGLES 2" CAP 3-TAB / F / IP&RIDGE 14. INSTAII. "SNI.DEAD VA�l.EY �'�G.DEAD VAl1.EY � MODIFIED �. LIBERTY 11. INSTALL: ''^�PO �---'tAYER OF lNSUlATION �� T9AR!SEAM TAPE 1 . INSTAWREPIACE: �--- 2 �� 2 X 4 — �4 � KYLIGHTS ACRYLIC SFA FIXED GLASS ooMes crn c�assic 13. HAUl.OFFA�i..TRASHAND RUN MAGNETAR011ND�ROlJNDS 14. ALL WOQD WORK WILI..BE IX7RA PER A7TACHED WOOD BILL �,,J� -� � $'I-2��3 od—p� oU� �v^z G lc.� ALAN'S ROOFING HAS MY PERMtSSION TO COM'RACT WlTH AN ENGINEER OF 1TS CHOICE TO 15. CONDUCTANY OR ALL INSPECTIONS 7HAT MAY BE REQUIRED UNDER LOCAL OR STATE LAW 16. SPEGIAL INBTRUCTIONS � t�, s�n tJ r"✓t- t'�rt��c ` �r, ��-fif'a.r'1 TOTAL CONTRA,CT AMOUNT �6 � Price is good far 30 days DEPOSIT ��' ACCESS;Customer agrees to ailow access to ttie pmperty and reafizes that heavy equipment is being used. CoM�adqr shall not be Iiable foG wifhout limitafion,damage to drivevrays,sidevralks,lawns,sprinkler systems,gardens,sepUc systems and any gALANGE DUE UPON � other sttttdttres thereaf,as a res�R ot rooftop arjob deliveries. �� _ DAMAGE E7C..Custamer shalt be responsibte for removat,reinstalta6on and recalbratian of sateliite dishes. Shoutd atstomer became avrare COMPLETiON of darnage to property by Com7actor,his agents,or employees during the course of instailation of the roof,said damage shall be brought ta the attention qf the Cantrador priar to the fime of payment for the roof in quesfion. If Customer hails to notify ConUador of said damage,within 5 wortdng days of occaseTence,then shal!waive att rights against Contractor conceming said damage.Alan's Roofing is not responsible for roofing nails penetrating A7C Hnes in tha atfia CusWmer agrees to secure and pmteG Their assats inctuding shetves,cei2ing fans,tools and other va3uables to avokl damage tmm vibration,breakaga andtor detachment of parts,etc. DELAYS,ETC: Hereby acknaw{edges That CoMrador may be subject to delays accasioned by inclement weather,labor disputes,and material suppiy shortages or Wher puses which ara beyond the control af the Com�acWr and hereby accepts dalays occasianed by ane or all of these citcumstances in the ir�stallation of the rooi, PAYMEN7 OF CON'fRACT.Customer hereby agrees that all amourrts due for this work shall be paid upon comp�etetion of installation.Any amaunts unpaid w�ll bear interest at a taCa af 7 1!2°fo per martth.Cantrador shall be estititSed to a0 costs of coitecSan induding attomeys'fees. R1GHT 74 CANCEL-if this ia a Home Soticitation Sate,and if you do notwant the goods or services,you may qncet fhis agreement by providing wriften notirs to fhe selier in person,by telegram,or by mal.This no6ce must indlcate that you do not want the goods or service and must be delivered or postrnarked before midnight of the third business day after you sign this agreement If you cancel this agreement,the seller may not keep ail or part of arry cash down payment iF TH15 tS HOS A tSOME SOClG(iA71pN CQHTRACT Once ft is signed,you a[e bound to it by the lavrs of the State af Fiorida.!f in the event yots breach or atiempt ta wncet this corsirad me Conhador shalt be enti#led to atI tost p�ftam the ca�rtracL ACCEP7ANCE PROPOSAL,The a6ove prices,specifica6ons and condi�ons are satisfactory and hereby accepted. All contrads are sultjeci to Alati's Roofing,Inc.management approval.Custemer agrees to allow Alan's Rofl4ng,Ina fo use photos,te#ets of sec:ommendation,sa5sfadians fomis,etc.tD be used far adverbsing pu�pnses. In case eny one or more of the provisions co i herein sfiall irnalid,illegal or unenforceabie in any respect,ihe validity, GUST4MER StGNATttRE ,er appli tion lhereof sf7�I not in eny way be af6ected or imparied. SALESMAN SIGNATURE ..._ ...� egality a�enforceabliry ot aining 5jli ertifi /,% ."!��Zs��_DATE-��+��L-�L�,., MANAGEMENTAFPROVAl. Construction Industries R very Fund: Payment may be available from the construction industries recavery fttnd'rf you lose money on a project performed under contract,whera the loss results fram specified violations of Ftorida Law by a State Licensed Gontractor. For infoRnation about the Recovery Fand and filing a claim,coatact the Flarida GILB at the follawing telephone number and address:854487-1395. Flarida Construction Industry Licensing Board,1940 N.Monroe Street,Tallahassee,FL 32389. 1frQ1