HomeMy WebLinkAbout17-18350 ; CITY OF ZEPHYRHILLS '
�` • 5335-8TH STREET
; (8i3)7so-oozo 18350
BUILDING PERMIT ��
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18350 Address: 539��10TH 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: 11-26-21-0010-16900-0015
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 4/10/2017 Name: MARTINI ASSOCIATES
Total Fees: 50.00 Address: 4200 W CENTURY BLVD
Amount Paid: 50.00 INGLEWOOD, CA. 90304-1618
Date Paid: 4/10/2017 Phone: 310-674-5885
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
TRIPLE CROWN ROOFING INC 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 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 f nancing, 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
/� G�-�A"
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o��-���-��u C:ity of Zephyrhills Permit Application Fa�c-a�aaao-aa2�
Building Departrnent
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Date i2eceived �-^�/�`".f 7 phone Contact for Permitting �3 �3 �'S 3 — ��`?���
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Ow»er's Name �rZ�-t'�yyQ/ srSDG/.�1�'�� Ownar Phone Mumber �� "' �7 7 "��t��
Owner's Address ' .ap�' ���it''in'� ���./''� �tw���`�' �D�Owner Phone Number � �
Fee Simple Titlehotder Name Owner PhonQ Number � �
Fee Simple Titiehalder Address
Jaa Aoo��ss ��`��� -� '7 !6�"`' S'f" �o�r# C_r�
sue��v�sto� � � �at�c�L��� 11 -.�1�r�1 �'D/D/6�oC,—l.�(�ls�
(08TAINEO FRQM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDlALT � 51GN Q Q DEMOLlSH
iNSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF GON$TRUC7tON Q BLOCK [,� FRAME Q STEEL Q
QE$CRIFTIBN QF WORK l Z.tL! C�� c c zS f�i S7�2vlf �'f�'tc.� G7��Q'tatx�trzs�d.✓�a.l �"�jrrt ��1` .
BWLDING SIZE �: � SQ FOOTAGE (� HEIGHT �^��
QBUILDING $ a��� � VA�UATION QF TOTAl.CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING � �� L�r,r��
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[�MECHAMCAL $ i VALUATION OF MECHANICAL INSTALLATION -���� . {�
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QGAS � �ROOFING Q SPECIALTY �� OTHER
FiNISHED FLOOR ELEVATIO S FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SiGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# � —�
ELECTRICIAN COMPANY
SIGNATURE REGISTEREQ Y/ N FEE CURRE� Y/N �
Address l.icense# r` �
pLUMBER � � COMF*ANY
SiGNATt1RE ( REGIS7ERED Y/ N FEE CURRE� Y/N
Address license# � �
MECHANiCAL � CbMPANY
StGNATtlRE REGISTEREO Y/ N FEE CURRE� Y/N
. Address license# r` �
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OTNER _%'� " /��"�'�"' CQMPANY �/i � .�Dr.cl� /•�r , ,t�'G
StGNATURE REC,IST�RED - -`(/ N- FEE CURFtE{� Y/N�
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Address / (�� �. ! � � a�1�, �33 �'License# �G'�Dy'!`��?�
I' RESIDENTIAL Attach(2)P(ot Plans;(2)sets of Buiiding P�ans;(1)se#of�E�ergy Forms;R-O-W Perrnit for new construction,
Mintmum ten(10)worlcing days after submitEal date. Required onsite,Construction Ptans,Stormwater Ptans w/Sitt Fence instatled,
Sanitary Facllt8es&.1 dumpster;Site Work.Pemtit for subdlvislansllarge proJects
COMMERCIAL Attacfi(3}complete sets of Building Plans plus a Lffe-Safety Page;(1)�set of Energy Fortns.R-O-W Permit for new constructian.
_ Mlnimum ten{10)working days affer submittat date. Required onsite,Constnaction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit foc all new proJects.Ail cammercfai requirements must meet cornplEance
SiGN PERMIT Attach(2}sets of Engineered Plans.
""PROPERTY 5URVEY required for ali NEW construction.
Dirdcttans: .
Fiit out applicaBon campletety.
Owner&Contra�to�sfgn back of application,natarized
If over a2500,a Notice of Commencsment is required. (A/C upg�ades over�T5Q0)
'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wikh notarized letter from ownev authorizing same
DVER THE COUNTER PERMI7TING (Front of Applicatian bnly)
Reraofs if shingles Sewers Service Upgrades AJC Fences(PIot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs RQW
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�OTICE OF DEED RESTRICTIONS: The undersigned understands°�.that this:p�rm[f.may be subjecf to"deed"restrictions"
vhich may be5more-rest�ictive<than County regulations. �The underslgned assumes responsibility for compliance with any
ipplicable deed restrictions. •
1NLICENSED CONTRACTORS AND_.CONTRACTOR RESPONSIBIL-ITIES: If the owner has hired a contractor or
:ontractors to undertake work, they �nay be-requiredMto.be:licensed in accordance with state.and•local regutations. If the
:ontractor is not Iicensed as required-by law, both the owner and contractor riiay be cited for a misdemeanor violation
inder state law. If the owner or intended°contractor are uncertatn as to what Itcensing.requirements may apply for the
ntended work, they are advised to contact the.Pasco County Building Inspectlon Division—Licensing Sectlon at 727-847-
i009. Furthe�more, if the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
�ortions of the "contractor Black° of this application for which they wlll be responslble. If you, as.the owner sign as the
;ont�actor, that may be an indication that he is not-pPoperly licensed and is not entitled to permitting privileges in Pasco
�ounty.
�RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands
hat Transportation Impact Fees and.Recourse RecoYe.ry.Fees may apply�to the construction of new.buildings, change of
ise in existing buildings, or.expansio��of existing`buildings, as specifled in Pasco County Ordinance number 89-07 and
30-07, as amended. The undersigned also understands, that:such fees,.as�may°be due„will,be identified at the time of
�ermitting. It is further understood that Transportation Impact Fees and�Resou�ce Reco�ery Fees must be paid prior to
•eceiving a "certificate of occupancy'° or flnal power release. .If the,project does not involve a certificate of occupancy or
•inal power release, the fees must be pafd prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
`ees 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
�ertify 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
I �ther than the"owner", I certify that I have.obtained a copy of the above.described docurr�ent and promise in,good faith.to
delive�it to the"owner"prior to�commencement. 4
� CONTRACTOR'SIOWNER'3 AFFIDAVIT: I cectify that all the information in this appllcatlon 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 indPcated.. I certffy that no work or installation has
�ommenced 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 regulatians, and land development regulations�in the jurisdiction. I also
certify that I u�derstand-that the regulations of other government agencles may apply�to the intended work, and that it is
my responsibility to identify what:actions I must take to beYtn:.compliance. Such agencies-include but are not limited to:
- Department of Environmental Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WatedWastewrater Treatment.
- Southwest Florida Water Management- .District-Wells, Cypress. Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmenfal Health Unit-Wells, Wastevirater Treatment,
Septtc Tanks. .
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following.restrictions appiy to the use offill:�
- 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#he State of Florida. �
- If the fill material is�to be used in Flood Zone °A° in�connectfon with.a permitted building using stem wall
� construction, I ce�tify that fill will:be used only.to.flll the area within the stem wall.
- If fill materlal is to be used in any area, I certify that use. of such fill will not adversely affect adjacent
properties. If use of flll (s found to adversely:affect adJacent propertie5,.the owner may be cited for violating
the conditions of the buildi�g.permit issued under the attacfied permit application, for lots less than one (1)
acrs which are elevated by flil,an engtneered drainage.plan is requlred. .
if I am the AGENT FOR THE OWNER, I,�promise tn good faith to fnform the owner of the permitting conditions set forth fn
this affidavit�prior to commencing construction. I understand that a separate permlt may be required for electrical wrork,
plumbing, signs, wells, pools, air condit3oning,.gas, or:other installations not spec�ically included-in the application. A
permit issued shall be constr.ued to be a Iicense to p�oceed with the w►ork 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�uildirig O�ficia!from thereafter
requiring a correction af.errors In plans, construction or violations of any codes. Every permlt issued shall�.become invalid
unless the work authorized by such permit is-commenced within six months of permlt issuance, or if work authorized by �
-- the permit is suspended or abandoned_for a_period�f six{6)_mont��after the time the work-Is commenced: An extension
� may be requested, in writing, from the Building.Officfal for a period not to exceed ninety'(90) days and�will demonstrate
justifiable cause for.the extension. If work ceases,for ninety(90)cons.ecutive days,.the job�is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TQ..RECORD A MOTICE OF..COMMENCEMENT MAY�RESULT IN YOUR
PAYING TWICE,FOR IMPROVEIiAENTS TO YOUR:PRO�ER-TY. IF YOU1INTEND:T�`OBTAIN•FINFANCING, CONSULT
WIT lf tit�-CEPYDER-O AI�h�4'9"TORM - FORE-R COR�ING� OUR D � C ':O C��' � E E T�
FLORIDA JURAT(F.S.117.03 ' _--
OWNER OR AGE � G�`"�"' CONTRACTO �
Subscribed and s to(or aflirmed)be(a me thts Subscribed a swom to(or a(flrmed)b re me thfs
by -by .. .
Who Islare personally knovm to me or haslhave produced Who Is/are p.ersonally known to me or�has/have�produced •
as Identlflcatlon. as IdenBflcafion.
Notary Public Notary Public
Commisslon No. Commission No.
Name o(Notary typed,printed ar stamped Name of Notary typed,pdnted or stamped
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T1�;IPI.,� �RQtiY� 12.OQ�'Il�T� INC.
39246 ���.TTH AVE � ZEPH�'I�;HILL�, FL 33542
813-715-4617
F�x 813-715-4619
STATE LICENSE CCC0493'70
WWW.TRIPLE-CR(JWN-ROOFING.COM � LNAULT1963@A(JL.COM
SPECI�4LIZII�G INALL T�PES OF METAL R�OF SYSTEMS
NAME PHONE DATE
��c�,�,��� � �sdci�� 31p �' �'7�ci$ �-'�'1�
STRE�T CITY STATE ZIP
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SRLESMA[�
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We hereby submit specification and work description: � ,
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THE ABOVE D CRIBED W�ftK W{LL BE COMPLETED ACCORDlNG T�SPECIFfCATlONS, FOR THE SUM 0�
($_����G� ). PAYMENT T BE MADE AS Ft7LLOWS:$ ��2 D!'.�. AS D4WN PAYMENT
BALANCE 4F$ /�? D� QUE UPON COMPLETION.
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***ANY ROTTED WOOD DISCOVERED WILL BE AN EXTl��ARGE AT A COST OF$ �� PER 1/2"SHEET OF
PLYW40D$ . '�U Lin. Ft. Lum6er.
N� �R�L AGREENIENT� HAVE �EEN GIVEN C�I� ACGEPTED. THI" WRITTEN C�NTRAGT !S TNE
ENTiRE AGREEMENT GOVERING ALL THE WOFZK TO BE PERFORMED ANDIOR MATERIALS TO BE
FURN{SHED, THE WRITTEN PORT[ON AB4VE IS THE ENTII�E CONSI�ERATION FC}R THE AMOUNT
�F THE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY TIME PRI�R TO MIDNIGHT
OF THE TH162D BUSiNESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT.
1T IS AGREED:
Contractor will tlo all said work in a gaod and workmanlike manner and in strict accordance with the ordinances, rules antl requirements
4f the city, Town or Village, wherein the above mentianed property is located. Ifi purchaser should cancel this contact after time s#ated
above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to emplay an attorney to
colEect any sums due the Contractor pursuant ta this contract, then the Purchaser shali pay a!f reasanable attorney's fees incurred by
the Contractor. This contract shall not be binding upon Contractar until accepted by them. llpon such acceptance by said company,this
contract shall be binding or� me/us without any fu�#her notification ta me/us, 1'he undersigned prope�ky owner agrees that this contract
may be assigned for the performance of the work and labor required by the description of the work to be performed. Upon assigned fhe
parties hereta consent to the perfarmance of the work by and payment to such assignee of the ainount of this contract. Ariy Alteration or
deviation from above specifications involving extra costs will be executed only upon written>arders and wili become an extra charge over "��
and abave the stated contract amount.
N�TICE TO THE BUYER : (1) Do not sign this contract before you read it or if it contains any blank spaces. (2) You
are entitled to an exact capy of the cantract you sign. (3) Under the law yau have the right to pay off in advance the
full amount due and under cert�in circumstances to obtain a partial fund of the time charge. Owner acknowledges
receipt of a true copy of this CONTRACT.
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� PURCHASER DATE
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BY:Triple Crown oafing, Inc. DATE PURCNASER DATE
This contract is enfarceable only when aa:epted by management of Triple Crown Roofing,Inc.