HomeMy WebLinkAbout17-18249 , . CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18249
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18249 Address: 5250 19TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-17600-0050
Improv. Cost: 7,200.00 OWNER INFORMATION
Date Issued: 3/14/2017 Name: HONEY BADGER ENTERPRISES
Total Fees: 112.50 Address: 5250 19TH ST
Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/14/2017 Phone: 813-758-6611
Work Desc: REROOF RUBBER
CONTRACTOR S APPLICATION FEES
A DEAL ROOFING INC REROOF RESIDENTIAL 112.50
� 1
�/
Ins ections Re uir �
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.
NTRACT R S G URE PERMIT OFFI R
PERMIT PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
C LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8��7aaoozo , City of Zephyrhilis Permit Application Fax 81&780-0021
Building Department
Date Received phone Contact for Pertnitting
-rr� �T�-rrr - - - - - - -rrrr� -
Owner's Name Q �u}�U ��Owner Phone Number
Owners Address � l7 p� I �I'Owner Phone Number
Fee Simple T7tleholder Name Owner Phone Number
Fee Slmple TiUeholder Address
JOBADDRESS �/" y�(J. � ���S LOT# �
, SUBDIVIStON PARCEL IDJ� - —Q (Q
(08TAINED FROM PROPERiY TAX NOTICE)
WORK PROPOSED e NEw CONsfR� ADD/A�.T 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �S�n � l� �'Y �i (S � p�4' cS��(�,•w
p �1
BUILDING SI2E SQ FOOTAGE �3 HEIGHT
QBUILDING S� � �F7� VALUATION OF TOTAL CONSTRUCTION I
(�/V
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � ���
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�` �
OGAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
n � �?COMPANY � 1/ -
SIGNAT E L��11 I �� REGISTERED Y/ N �c Ren Y N
Address � License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N �cutx�n Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N �curtaen Y/N
Address License#
OTHER �"�� COMPANY rl � �J �G
SIGNATURE REGISTERED Y/ N �cuaRen Y/
Address -�'O 6 �' I W ���mS License#
IIIIt111111111111111 111111i101111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-0.W Permft for new construction,
Minimum ten(10)working days after subm"dtal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Fortns_R-O-W Permit for new construction.
Minimum ten(10)working days after subm"dtal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence instailed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commerclal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"'PROPER7Y SURVEY tequired for all NEW construction.
Directions:.
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is requlred. (A!C upgrades over 57500)
" Agent(for the contractor)or Pawer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of wntract required)
Reroofs ff shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..�eeds ROW
, .
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 locai 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 the ,
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- I
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 IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
I 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
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 Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupanc�'or final power release. If the project does not involve a ceRificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer 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
certify that I, the applicant, have 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�,I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to 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 construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed 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,Wate�/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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 Environmental 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 understood that a drainage plan 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. I
- 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.
If I am the AGENT FOR THE OWNER, I 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 thereafter
� 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 author'¢ed 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 ni�ety(90)consecutive days,the job is considered abandoned.
' 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.
FLORIDA JURAT(F.S. 7.03) .�
OWNERORAGENT � CONTRACTOR �'^� ! /.� I
S s ' ed an bswom to r affi�d)befo e t ii Sub rib d and swom tosgyaffirmed�before th'� I
/v
o i /are rsonally own e or has/have pro ced Wha is/ personally known to m`e o has/have produced
' as identifipGon. as identification.
�,�ST
.-�— v eu Notal���S,S pN�Ff 101496
S�N������ a:,.... M�COrv��n, � 12 2018
Cammission No.�•..���ON����a Commissian No. * # �gudaetiNo�servk�
""�� G Ma
��� M� � �g•,Ju�`1 $ecv1� c`' aondedmry
Name of Notary typed,�ri� �mpe�dfi�yBu Name of Notary typed,printed or stamped A>f Of�'
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City of Zephyrhills
BUILDING PLAN REVIEW COMIVIENTS
Contractor/Homeowner: f`i " �J-�(�.' ��� •
Date Received: c� -- a � j�
Site: �02 SD l g�' U`^�
Pennit Type: � ��(��
�` '�--�-� .
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This coanment sheet shall b kept with the pennit and/or plans. '
I
l�-J7
Kal ' Sw' - Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� . i iiiiii iiiii iiiii iiiii iiiii isiii iiiii iiiii iiiii iiiii iiii iii� �
7bia s{mce for use by Clerk of the Circuit Court only. Z017029045
. Rep{,:1842259 Recr 10.00
, DS: @.00 IT: 0.00
03/02/2017 J. R. , Dpt,y Cle�k
'NOTICEOT�'COIVI�MENCENIENT pAULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
Permitrt�nber: 03/02/2017 11:1 am 1 of 1
T�Foroxo. OR BK g5�� PG 2$�9
'ihe uodersigned hereby gives notice tLat improvemenLv wilf he made to certain real properly,and io aecordance with Sectiou 713.13 ot the '
Flocida Statntes,.the�Tollowiag.infnrmatiou.is;pmvided.in,ffie.NO�[CB OF COMMENCEMENf.
...., . 1 [,e�D�cri 6onofpro erty(stceeteddressre ui�ed)_ ��26-29-001Q-97600-0050
52501��th St.�ephy�hd.ts„FL` �3354 - � o; ep yr � s . • o s •
5 6 7 and.North 1 Uft of Lot 8 Biock 1�76 OR 869'I_PG 3886
, 2. General description of improvements: Re-roof
3a. O�mer Name: NOTI@y B3C}9GF EF1t�fIS@5, inc. "
o��naa��: P0-BO�27494.Pa�ama-City, FL 3�4t 1 7494
3b. Owner's interest in site:, owrte�
3c. Fce Simple Tide hol8er(of other than owaer) �a
Address:
� 4. Contractor'Name: A-Deal'Roofinq Inc
Address: 4507 Sleenv Hollow Lane Plant Citv FL 33565 Phone: 813-655-5560
S. .SvretyName: n/a Amount.ofbond:
Address: Phone:
6. Lender Name: �a Contact:
pd��; Phone:
7. Person wiihin the State of�F.lorida�designated by owner.upon whom notices or other documenLs may be served as provided by
Section 713.13(l�a)7,'FloriBa Stawtes.
.i Name: n/n
Address:
Phone Number.
8. In addition to himsel�Owner designates 1fie following person ro receive a copy of the Lienor's Norice as provided in Section
7.13_.13(�I.)(.b);F.lorida.Stahrtes.
Name:. ►I/a Address:
Phoue Number•.
9 Expiration date of Notice of Commencement(expiration datc is one(1)year from date of rewrding unless a different daie is
specified)..
WARNING TO OWNER: ANY PAYMEiVTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTiCE OF
COMMENCEMENF ARE CONSIDEBED IMYROCER PAYMENCS UNOERCIIAPTEA7�13;,P,AR'F 1,SEGTION.713:13,FLORJDA
SfATUTFS,AND CAN RESULT 1N YOUR PAYiNC TWICE FOR IMPROVEMENI'S TO YOUR PROPERTY. A NOTiCE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SfCE BEFORE TEiE FIRST INSPECS'ION. IF YOU
iNTEND TO.OBTAW.F.INANCING,QONSULT W1TH a'OUR.i.ENDER•OR.AN.A'i:fORPIEX:BEF(3RE COMMENCING WORK�OR
RECORDIIYG YOUit NQTICE OF COMMENCEMENT. 6
�/�� ///�/� ,,{��- ���q.��� (�f� ����K��
� r r l • ����/�''�'"l./y�YKii2� �'�J-`��--f"(/r'v_ V! _ �"::r;
Signature of Owner or Owner's Authorized �cet/DirectodPartnedManager
STA"TE OF FLORIDA �-vr��c� i3 4c�G,��v �/'�7'�-�'���S�S
�'=•�• CUDNTY"UF'HI�LLSSOROUGH -
The faregoing insttumeat��vbs aclmowledge before me this,��y of_,� :20
by i � _ far I `�^/�����fJ�,
' Persomlly Known ORI'cnduced Ideatification
chnstinTa'R�I�fai4e�G�„r�oa�,��a�_j,,,.��.�JY�--- -)�_—
Notary Public '
', � State of r�- o�„�,e��
My Carnmission 1211212020
i �
Commissl�in ��,I 1 a read the foregoing end that the facts stated in it•are We to Ihe best of my lmowledge.mid belief.
SI�N.;�9�1�;>
� Si�at of Naeural Person.Signing Above
� (A copy of any bond m�at 6e ettnched et the time of fecordation af this Notice of Commenamrnt) Updalcd February 2008
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�� � e �c�� STATE OF FLORfDA, C�UNTY OF P�1SC0
�' ° �j, THIS IS TO'GERTIFY TH/�T THE FOR�GQING IS A
�� TRUE AND CORRECT COPY OF THE DOCUM�NT
' �' �� �, � ON FILE pR OF PUBLIC RECORD IN THIS OFFICE
��,.�t a
� tGoQ-we WITNES MY HAND A D OFFICI
� n `�`���-..� � P � ,� l �{ AL SE 2L TM�
' ��_DAY OF h� �
�� �" .�r ULA S. O'NEIL, CLERK& COMPTROLLER
r 16$1
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� e BY
�r��m �
�����'� DEPUTY CLERK
; , -.
A-Dea I Roof i ng� �nC. Tim Fultz, owner
4507 Sleepy Hollow Lane Lic#CCC1326874
Plant City, FL 33565
(813)655-5560 Fax (813)659-9069
March 1, 2017
I, Tim Fultz, give permission to Janise Fultz to obtain permits for A-Deal Roofing, Inc. in the
City of Zephyrhills, Florida.
0
�
Tim Fultz, President
State of Florida
� County of Hillsborough
Sworn to and subscribed before me this ( day of _�n� 2017 by
I vn Pn i G �t.(.�-,-�_,who is personally known to me and who did take an oath.
� ro��;`:�;��i� PAM SCHFiECENGOST
� . * MY COMM�SSION#FF 10149fi
EXPIRES:July 12,2018
' ���OFFLOP\�! Ba�edThruBudgetNotaryServkes
� Signature-Notary Public
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�=���� _�t3���t'� =�` : '�f b���:.
�, ��.
�FJU% JleerJy I'tUIIUW L"dfle Tim Fultz,Owner
�fai'1� CI��/, �L 33565 Lic.#CCC1326874
(�1�l�S�,_���l1 �ax (�1����q-�3�?f�
'Y� 'YVY `
Roef Esta r�at�
C�,sto�rn.er �a�e: �eE[�€VRf����a-�--
Joi�a�c�Fess: 52�Q����`5��. Date�� Fe�bruary 14, 203�
Zephyrhiiis, �-� 3�5�z
Phone�+: 813-661-2475 (Cheri)
't�e•��r.e�i?y pr�opo�tt�`'fu{ni�h�t�r�is�t��l��t�bflf��ce�-aryfflrthe f�lifla+ving:
* �P�Il�p�er=t�it
� �����x1s#ar�g�:g�v�l:.�ri�s�t'lovwa��ta�{�k�i�g ALL WORK�HpLL C�M�LS�i�rl�,�
p �e=���.ol�x�g rica��[�.r,�+e�#�b�i�g.cc�de5�.��ec��ee1��n+��n�8d:t��5 PREVAILING CODES
� ne iace an roifen wood af��a �n °' ��ORIDq BUILDING CODE,
p y r�s fnrY raies l�stecfi beiow :VA'�'IONAI ELECTRIC COpE,AND
a Ir�stall new Jead boots, v�r�ts, pipe covers ��n'OF ZEPHy�H��LS ORDIN
� . • .�nstal�2�i g:a�cge 6"cfFi�edg�e (�a�or. whi�� }, �iICEs
o Ir�stall aself-adhered base sheet and aself-adh�red graerulaxed mErdified cap.sheet
(colac: wla�e. �;- �
� Putt magnet ardund�QE�t��ick crp-an�toase�rraits - �
� �:e2�;;��l�:Z�u�ulrliar w�i�i'v:3a'"'��'�.F'iii-.=, REV���/
e SA Nlodifiiecf carries a i2 year rnanufiacturer war��anty CIIY Q� �A�� ✓���17
PLAfV E �EPHyRH1 �
• Roof will c�r�,r a 5.�ear labor v�t�ar�-an�r from A-Deal�Roofing �MI�E��
�`�ar#��r��=�a#��: $�5:1�a;p��`st��ae-t�f��aw�t�1
,�3;�0�-��oot�or any�x or"2x��umbe.r
, Tn3�a9 6�ir1 nr�ro fi7 9(ldl (t�D fAe�v}�rn�ri nQ��e�i 9��i�� �ia �� ar�{�g:inn?j �etf at *��p�antrTi ra:ac
r• T-,----- . f
�:S.o� �����0 1 �0% ��„I� L������M fr�r�n�i�:�M•+�.'.i rl r���irn��i�.�..
, .� ... .. l :. v� N �. .
Pa.yment�cftre in fiu�&upan campfe�ion o��oof. H'orr�eowner wf#�-receive a��f�me o€payrner�f,capX of
paid invoice,copy af fina�contractor's�affidavit a:€�:d vwar:r:an�y pa}�e�work and a�capy of th:e closed
- -.---permit. _
TF�e above prices,specifications anct concGtions are sagFsfactiocy and�are heret�y accep�ed�: You are
authorized to do the work soecified. A-DEa(Roofirg; fnc_sha(f not be respansibfe��r sate(fite dish,
imoroper nlace,rnent of a/c,electric,nlumbine or anv unforeseen conditions not visible from
ca��p. �C o�C.�
� 4 �
�r;�.�� ...�,°Ru���i��- � l��f�
1'�tike.€ar�c��x.E�tima�or �ccept� i��t: Dat�.
�etT: �8�.3�7�E��Q82