HomeMy WebLinkAbout17-18288 CITY OF ZEPHYRHILLS
� ' S335-8TH STREET
(813)780-0020 �8288 I
BUILDING PERMIT I
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18288 Address: 38921 5TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14500-0070
' Improv. Cost: 4,125.00 OWNER INFORMATION
Date Issued: 3/21/2017 Name: SWAIN, TERRY& DIANE
Total Fees: 60.00 Address: 38921 5TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/21/2017 Phone: (813)842-1943
Work Desc: REROOF SHINGLES '
CONTRACTOR S APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 60.00
�' `
Ins ections Re uired
DRYI ROOFINSP
TAPE JOINTS OF SP
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 properly 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.
�
CONTRA SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a���eo-oozo City of Zephyrhills Permit Application Fax�13-780-0021
, . Building Department
Date Received Phane Contact for Pertnitting 813 713 _ 1313
TI-7Tl—(-i-1 7-T-
Owners Name Owner Phone Number
Owners Address �'1 V E L F Owner Phone Number
Fee Slmple TiOeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 38921 5th AVE ZEPHYRHILLS FL 33542 LOT# 7 8&9
SUBDIVISION COLONY COMPANY pARCEL IDt� 11-26-21-001 Q-14500-0070
(OBTAINED FROM PROPERTY TN(NO710E)
WORK PROPOSED e NEW CONSTR e ADDlALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIP110NOFWORK REROOF EXISTING ROOF WITH NEW GAF SHINGLES
BUIIDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ 4125.00 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING � SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER • _— �� / COMPANY TLC ROOFING LLC
SIGNATURE �+Q�vW/ REGISTERED N FEE cURREN �N
Address 20736 HIGHPOND LN DADE CITY FL 33523 I.icense# CCC1328205
ELECTRICIAN COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# �
MECHANICAL � COMPANY
SIGNATURE RECIstERED Y! N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N �cURREN Y/N
Address License#
IIIIIIIIIYIIIIIIIIIIIIIIIIIIi11111111111111111111111111111111i11111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new canstruction, I
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, �
Sanitary Facilities&1 dumpster,Site Wodc Pertnit for subdivisions/large projects �
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Sefery Page;(1)set of Energy Forms.R-O-W Pertnit for new consUuction.
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Sitt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion.
Directions:'
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over a2500,a Notice of Commencement is required. (AIC upgrades over E7500)
" Agent(for the contractor)or Power of Attomey(for lhe owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs 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 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 the
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
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 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 WaterlSewer 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 Lav�—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant is someone
other than the"owne�', 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
will be done in compliance with all applicable laws regulating consVuction,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 wiil 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 appiy 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, Wetland Areas, Altering
Watercourses. a
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health E� 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 fiil:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fiIl 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�rrith 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 buiiding 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 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 Buiiding 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR I PROVEMENTS TO YOUR PROPERTY. IF YOU INT�ND TO OBTAIM FINANCING,CONSULT
WITH YOUR LEND R AN ATTOR EY BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT.
FLORIDAJUR,4T(F.S. 17. ) � L /
OWNER OR AGENT �' CONTRACTOR A�
Subscribed and swo (or affirtned} is Subscribed and wortS to(or affirm e this
� bY bY
Who is/are personally known to me ar has/have produced Who is/are personally known to me or has/have produced
�� as identificaGon. as idenUfication.
Notary Public Notary Public
Commission No. Commission No.
� Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� C u State Certified#CCC1328205 Phone:844-TLC-ROOF
J� (844-852-7663)
U
Email:ticroofingllc@aol.com
TLC Roofing
Licensed •Bonded •Insured �I
Free Inspections &Estimates
Jeremy Hooks A+ Residential •Commercial •All Roof Types David Lycans
30 Years Experience
(813) 312-4895 [�e. ' ' www.TLCRoofingFL.com (813) 713-1313
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
� r � � ��J ��
Name /'�!^►''l-! ��_.�nl t rl ___ Street r� �� I � �",rv�—
Street City Z-��1°�ti 115
City State �L� Zip �� S��/✓Z
State Zip Owner of property
Phone Number Fax Phone Number�/3�'�2-/'��13Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
�emove existing shingle roof �eplace bad fascia boards at$ vci �� per foot
❑ Remove existing built-up roof Install ��o feet of ridge vents
f�ry-in with �ynthetic ❑ Peel &stick ❑ Install modified bitumen (granulated)torch down roofing
❑ Install new galvanized valley metal black,white or other color
Install new lead boots ❑ Install 25 yr.fungus resistant 3-tab shingles
, ❑ Install new exhaust vents _ nstall 50 yr.fungus resistant dimensional shingles
�stall newdrip edge, � color �hingle manufacturer���f"r color �`` •��� �
�stall new flashing as needed ❑ Install TPO,white rubberized roofing membrane �
,J�eplace plywood at$ 4��� per sheet ❑ Other: � ��S�, .SGZ�iIc�l��
Repair rotten trusses at$ ��� per foot
'`Woodwork is an additional charge, see pricing above
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and
�
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of$ ����
with payments to be made as follows. Pavment due in full on completion, unless otherwise noted.Thank You.
Credit cards accepted, additional 4%charge.
My alteration or deviation Uom above specifications involving extra costs will 4�
be executed only upon written orders,and will become an exVa charge over
and above the es6mate.All agreements condngent upon sVikes,acddents or OfficeNAgent
delays beyond our control.Owner to carry fire,tomado and other necessery
insurance upon above work.Compensation and Public Liability Insurancs on Note: This proposal may be withdrawn by us if not accepted
above work to be faken out by Roofing Contractor.
within :3� days.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specif inent will be made as outlined above. �j
, Accept�yd� ��� � � ���, � Signature ��
Date Signature
�l�s% P- `9'.��` = �r 7s, �� ,�q �6���_
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2027040372
Pe�mit No. Parcel ID No ' -� ,
Nd'TtCE OF GOMMEMCEMENT
State ot FLORI DA - County of,,,���"��
TriE UNDERSlGNED hareby gives notice that tmpravement wit!he made to cedain reat property,acsd in aocordance wiih Chapfer 713,Fiaida Statutes, W N�
the follpwing inlonnation is proviUed In this Notice of Commenc♦emyent:
t. Desaiption of P�operty: Parcel IdentifiwUqn No. //��'�.��'"'0�7 C7��"�,���" ��7B N �"
►+B •
SKest Addtess:
2. Generelpesufptionollmprovement ���..�Q^� ��'i1J �� ,aD�� ��`7�'� ��J
I YC�� .J1�'f 1��.F�i�.! � W
� p'�
3. Owner tnCormalion or L�ssee infortna[ion H Ihe Lessee contraUed far Ihe improvement; �
`��'1t�2�.+>I.1.NE SIt��S,/'t/ '�—{m
��'-�a.l .S`Tti ,�VE �',E,�i�,r,�,'�J��1.z.s F1�. v�"
Address �y Cdy State .� .
tn#erest in Property: ���{�K+ 'r`���'�`
K e�
Name of Fee Simpls Titleholder. � ($1
(If d'Jfcrenl from Ovmer Gsled above) r 6i
t0
naaress TLC ROOFING LLC c�ry ss�e �
Conhactor.
Name p O BOX 17�45 DADE CITY FL.
3' Add`�� 813-713-1313 c�n sr�t�
Convactor's Tetephone No..
5. Surery:
Nama
O Z'
Address Ciry Slate Q W�
AtTtOt7R20�g0(Itl:$ 7C�Cp�tOttER�}Q.: .,��D
I-��}
6. Lender. W�o
Name 7��Z
Address Gity State t A.��j rm�.,
Lender's Telephone Mo.: �`i+�,,�
�F.a S
7 Pe=sons within the Stats of�todCa tlesignstetl by the amer upon whom natices ar other dnwmenls may be sernd as provided by
Section 713.t3(i}(a)(T}.�Iotida Statutes: ���
Na �
• Name 3 Q
i 'p
Address Gry ��e ��m
Telephone Number ol Designaled Person: �O ac
�f -ts uo
8. tn addition to himsait,ihe owner designates �
to receive a copy W fhe Lierwrs No6oe as pravlded in Section 713,13(1J(6),Florida SlaWtea, MMMW�"''�
TelepRale Number ot Person or Entity DeSignaled by Qwner. � �
0
9. E�i26on date of Nalice ai Commenoement(the e�iration(late may not be batore Ufe compietion oi conStrudion and finat payrneni to the �
contractpr,but wiil be one year from Ihe date of rewrting unless a drtlerent date Is apedfied): �
WARNlNG T4 OWNER: ANY PAYMENTS MADE 8Y'[HE OV4R/ER AF7E12 7NE EXPIRA'tiQN OF THE NdT10E OF COMMBNCEtviENT
ARE CONSIDEi2E0 tMPROPE42 PAYMENTS UNDER CFNP'IER 7t3, PRRT t. SEC-t10N 7t3.i3, FIORIDA STRTUTES,AF3D CAi`3
RESUI.T IN YOUR PAYING 7WICE FOR IMPRQVEMEN7S TO YOUR PROPERTY. A NO1tCE p� COMM@NCEMENT MUST 6E
RECORDED ANp POSTED ON THE JQB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND Tp OBTAIN FINANCING,CONSUL7
WlTH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECOR�ING YOUR NOTICE OF COMMENCEMENT.
Under penaity ot peRury,[dadare ihat i have read the faregoing notice of Commencernent anC thai!he fads statee therein ere Uve ta!he 6est
ol my knovAetlge and belief. /\
V
` SSATE OF Ft6Rt0A 1 14....,�
COUNTY OF f�AS{,t7 �t�r�,
(gnature of 6wner or t,essee,or qwnefs or Lessee`s Authorized
icer/DirectarlPartneqManager '
r?Lt,/�.�Q–
Signato�s TMelO�ra ''�
The foregoing insuument was acknovAedgetl betore me this�,,�aay m�,zol�ny�/ �F� ��la/6 j nl
as„_C.7Whl�� type of auihority,e.g.,ofiicer,Watee,attamey in taci}tar
{nam o party an,pehalf ot m inswmenl was ex te�.
Personalty Known[7 Q�Pmducee IdenUtleallon{� Natary Signature
Type of�Oentiftcation Producmcj��6a��l"'.�d�?�L Name(Print) aAV{C}W:LYCAN$
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��ro ��
,��•W'"!�,'`'� DAVID W LYCANS I
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