HomeMy WebLinkAbout17-18242 CITY OF ZEPHYRHILLS
�- " 5335-8TH STREET
(813)780-0020 182
BUILDING PERMIT
PERMIT-INFORMATION LOCATION INFORMATION yr
Permit Number: 18242 Address: 6367 TIMBERLY LN AREA B #1 8
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: EILAND PARK TOWNHOMES
Est. Value: Parcel Number: 03-26-21-0250-00000-1380
Improv. Cost: 975.00 OWNER INFORMATION
Date Issued: 3/08/2017 Name: JOHNSON EILEEN VIRGINIA
Total Fees: 40.00 Address: 6367 TIMBERLY LN
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-3299
Date Paid: 3/08/2017 Phone: 954-319-7071
Work Desc: ROOF REPAIR 120 SQ REAR EAVE
CONTRACTOR S APPLICATION FEES
BAY AREA ROOFING INC REROOF RESIDENTIAL 40.00
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Ins ectio uired
DR 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 properly. 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 SIG TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
+ Building Department
Date Received phone Contact for Permitting
Owner's Name �'/ �F }• �n Owner Phone Number / 7
Owner's Address Q � �✓n �` i'( Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS '(�J �j / I�G LOT# �
SUBDIVISION � � ��, PARCEL 10# V./'��^�� � �S�"D��Q�� �
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED NEW CONS7R AD ALT 0 SIGN Q Q DEMOLISH
' INSTALL e EPA
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK /v �M� � 16�L , / � (,(J �/(� Q(�,�
BUILDING SIZE SQ FOOTAGE I� HEIGHT �
�BUILDING $ ,. � VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
.�� ���
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
t
II OGAS Q ROOFING � SPECIALTY 0 OTHER .��/ �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO �
BUILDER COMPANY•
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
� SIGNATURE REGISTERED Y( N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License#
OTHER COMPANY / � � �6
II SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �� License# � !�� ��
IIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllltllllll
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&1 dumpster;Site Work Permit for subdivisionsflarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
II Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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 application completely
Owner&Conlractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
•• Agenl(for the contractor)or Power of Attomey(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 Upgredes A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
M� y
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be mare restrictive tnan County regulations. The undersigned assumes responsibiiity for compliance with any
app(icable deed restrictions.
UNLICENSED CONTRACTORS AND CONTF2ACTOR RESPONSIBILITIES: If the awner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accardance with state and locai regulatians. !f the
cantractor is not licensed as required by taw, both the owner and contractor may be ci#ed for a misdemeanor vio(ation
under state law If the owner or intended contractor are uncertain as ta what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building lnspection Division—Licensing Section at 727-847-
80Q9. Furthermore, if the owner has hired a confractor or canfractors, he is advised to have the contractar(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
Caunty
TRANSPOR7ATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse F2ecovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco Gounty Ordinance number 89-07 and
90-07,as amended. The undersigned aiso 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 fina[power release. (f tne project does nof involve a certificate of occapancy or
final power release, the fees rnust be paid priar to permit issuance. Furthermare, 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,Fiorida Statutes,as amendedj: !f va(uation of work is$2,504.Od or more,!
certify thaf I, the applicant, heve 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",!certify that i have obiained a copy of the above described document artd promise in good faith to
de3iver it to the"owner"priar ta 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 construckion,zoning and land development. Appiication is
hereby made to obtain a permit to da work and installation as indicated. ! certify that no work ae installation has
commenced prior to issuance of a permit and that all work will be perFormed to meek standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! alsa
certify fhat 1 understand that the regulations of other govemment agencies may appty ta the infended work,and that it is
my responsibility to identify what actions I must teke to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
�ands,WaferlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawa!!s,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmenta� Hea�th Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmentai Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Ftunways.
I understand that the following restrictions apply to the use of fill:
� - Use of fili is not afiowed in Flaod Zone"V"uniess expressly permitted.
' - If the fill maferial is #o be used in F(ood Zane "A", it is understood that a drainage p(an addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
� - tf the fiil materiat is to be used in Ftaod Zone"A" in connecfion with a permitfed bui(ding using stem wall
� construction,I certify that flll will be used only to fill the area within the stem wall.
- !f fill material is to be used in any area, I certify that use of such fill will not adversely affect ad}'acent
properties. If use of fiI!is found to adversely affect adjacent properties,the owrrer may be cited for violafing
the conditians of the building permit issued under the attached permit application,for lots less than one (1)
apre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,(promise ia goad faith to inform the owner of fhe permitting conditions set focfh 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 tt�e work and not as authority to viotate,cancei,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
unEess 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 wark 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
justifiabfe cause for the extensian. if wark ceases for ninety{90)consecutive days,the job is considered abandoned.
WARNING TO OWNER' OUR FAILURE TO RECOF2D A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR P OVEMENTS TO YOUR PROPERTY. !F YOU 1 TEND TO Ol3TAIH!FlNANCING,CONSULT
I+VITN YOUR�EPID AN ATrORR1EY BEFdRE REC4RDING YOtlR F COMMENCEMENT.
FLORIDA JURAT(F. 117.
.`"'—
OWNER OR A�E CON7RACT0
o is ere ersonell knowr-�p ,as denCifleationraduced ho i are ers II kno f �fo me t's
c k� and s o,or a�rmed b or me this s nb d and sw �r ffi ed be
/ b i✓
p y p p y sfiave produced
� as identification.
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� (/�-�" Nofary Public C ' Notary Pubiic
Commissian N ����, ommission No.
-'�q1,..v�'�',. �1Y CQMM{S�lQN�FF 238396 :��Y°`�;-„ 'r"'.''� .
U �551QN�EF 238396
Name of Notary g 'Dr star�i}��(R� :�lltl9 9 ame of Notary typed,print 3y;s �; ��'piRES:JiiRe 8,2Q19
�'F',,���� ��`� Bandpd 7hru Na1Ary I�utlll0 Undl3tw�tE�s o-
"�%�;oF��;,°�'' Bonded ThN Notary Public Undervmters
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� DISCOUNT 4261 112°'TERRACE NORTH�Clearwater FL 33762
PINELLAS HfLLSBOROUGf-i BRADENTON SARASOTA
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� VE[�110E CHARLOTfE URLANDO
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STATE CERTIFSED ROOFING CONTRACTOR #CCC057604 FUL�Y INSURED
STATE CERTIFIED RESI�6AITIAL CON7'RACTOR �CRt;C2629Y FREE ESTIMATES
PFiOPOSALSU�P+11TfEDTO C� PHON ..�- DATE ��
S7fiEET ( � CELL PHONE ' ~,�—�
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CITY,STA , ND ZIP ❑E EMAII
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We here6y su6mil specilicalions and estima�os tor SHIPIGLE REP�tiR OADER FORM -
t �
1 Remove existing( 1� � �Z q�down 3_Suppty ali labor and materiafs
to bare wood. � 4.Cfean and haul awsy de6ris
2.a. 7J12 to 4/12 pilch 2 ply's of 151b.felt paper. 5. ( � )year labor guarantee
b. t layer of 30 Ib.Felt paper if above 4/12 pitch 6. Coniractorto pay and pull permits and make necessary cails for
c. New metai eaves drip-i(needed inspections. �
e. Install new fi6erglass shingles to match existing Price:
shingles as close as possibfe
Weherehysubmilspealicallonsandeslimatesfor MOBILEHOMESki1FIGLEROOF
1 Remove existin ( }down 3.Supply labor an matarials
to bare wood. 4. C;ean an haui ay debris
2.a. 2/12 to 4/12 pitc 2 ply's t 151b.felt paper. 5. ( )yea la rguarantee
b. 1 layer of 30 Ib,fe ap r if above 4/12 pftch ( )year anufacturing warrenty on shingles only
c. New metal eaves dr if needed 6. Contraotor t y and puli pertnits and make necessary calis �
d. New lead boots over• vont pipes for inspec' ns.
e. Install 18"mineral p per rler strlps al ali eaves Price:
before installing sh'iglos
f. Instaii new fihergla shingles( )color
THIS CONSRACT D�ES NOT INCLUDE THE COST OF FOTTED,DAMAGED OR DETERIOflATED WOQD,UNLE°55?ECIFfCALLY SfA7ED 1N EXTAAI"7GFA(SECTiON OFTHIS
CONTRACT IF ROi i c�,DAb1AGED OR DETeFIORATE�WOOO!S OISCAVEAED OR WALL FLaSHING P7EE�S TQ BE AEPIACED,TFtE REPLACEMENT COST WfLL Bc
FRICcD BY THE SUPERVISOR ON SITE ANO A CHANGE ORDER WILL HAVE SO BE StGNED BY THE OWNER.CONTPACTOR BY LAW IS NOT A11�WED TO IGNOflE OR
GOVEP UP FOTTED,�Ah1AGED OR OETERIOFA i ED WGOD THE REPAtR ARE4 DESCRIBED IS TF!E ENTIP.E?Y OF TF!E R�O�REPAIR.THE WAARANTY EXPRESSED IS
FOa THAT REPAIR OPILY
� EXTRAWORR:
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W�PI'OpOSC hereby fo IurniSh maleti2l and lahor-comp!ete in accordance with ahove speciticatiors,far!hz sum of lo Co Raid according!o the payment
, sch�dut lorth�elcw. "`^ �3 j
�j �� ����f�/� ,��_�y 1 �� /1�� dotlars(S��_a 1
�,�_�.e /��
rayment to be made as�
S . ��� �awn Paymart r �
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� C'�(t� ���' Q�j�i �:h-�� lance��c
Autharrzed X � �
p Signature �� �'—'
� � An unpaid and ou�standinc�halunces tlue nerauntler shail �ole:Th�s preposal may be `
be_u�ject!e a s^rvics charge uf L5°6 por monlb beg�nr•inp wittdrawn by us ii not accep[ed vrilnin �� days.
mm date due
r �
ACC��S�aIIC�Og PT0�30S'ciI-The above prices,speciflcalions
TERMS AND C ITtONS N�ERfiE SIDE �
ana conditior.s ara sahstaciory and are hore6y accapted.You are authorized Signalur�x
lo do!he worK as specifietl.Paymon iil ba made as oulfined ubove,
Oafe af Ar.ceptance_±� I Slgnatute�
THE L1NDF.R51GNE0 ACKkOWLEDGES TEFMS AND CON6ITIONS ON REVERS[Si�c t017G
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,8 4 YAR�A R0�0�'i1VrG'�NC.
426d 112TH 7'Ed2R. 1V.
C��Adl T�q�'ER�'L. 33�62
727-579-4348
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To �'hom It May C'orrceriz:
I, Joseplz Peter I�iSa/vato�•e, rdo lier�eb���aeatlr.oreze tlieJ''al�owrfrg peopde to pecld
and obtai�a permits i� my narrze.
Antlzony Berry D�# 860�-006-57-221-0
Brandor��ro�atley D�#.�65�-072-�0--9�?(�
Aanny 14arrie D�#B'600-�72-80-���0-0
1Vlike Fdelds I)�#�'430-��73-59-12T 0
RiclzaYrl AIlbritten I�L# A416-456-82-390-0
Izncndy Buckner I3�# �256-736-52-�5�9-0
.Davionrea Di�alvatore ��# I)241-�61-91-,�52-0 �, I
Alyssa,S'clzmaltz d)E#5543-012-89-SG9-Q I
For Licen�e# CC�O�7609. A�!pe�•rrits�re t� be paicl for wet/r n contpany i�suetl Llzeck.
SincerePy ur ,
Jo lr ete iSalvicetore c�
wo z �nd subscribed tm me on ` o�f � ,�/�.
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`,��1�y Ipl1�� SHARON FA.ST JEAN
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;,_ ,�: MY COMMISS�ON�FF 238396
EXPIRES:June 8,2019
otary Public � ��;R�,�;;�' Bonded ThN Notary PubGc Undenttiters
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