HomeMy WebLinkAbout17-18590 I
CITY OF ZEPHYRHILLS
r � -� �� 5335-8TH STREET
(813)780-0020 18590
BUILDING PERMIT
- PERMIT INFORMATION � L-OCATION INFORMATION
Permit Number: 18590 Address: 38643 CAMDEN AVE
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1180 '
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 6/21/2017 Name: 38643 CAMDEN AVE FL LAND TRUST �
Total Fees: 50.00 Address: 28728 JOHNSTON RD
Amount Paid: 50.00 DADE CITY FL 33523-6133
Date Paid: 6/21/2017 Phone:
Work Desc: REROOF SHINGLE
' CONTRACTOR S APPLICATION FEES
VEGA'S ROOFING LLC REROOF RESIDENTIAL 50.00
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Ins ections Re uired
DRY IN ROOF NSP
TAPE JOINTS ROOF ;�� 2
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 performed in accordance with
I City�Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O. ,
I CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION .
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ,
PROTECT CARD FROM WEATHER �
5
813-��-� City of Zephyrhills Permit Application F�x$��-�aaooz�
Building Departrnent
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Date Received phone Contact for Pertnitting -
� � � � 1 � � 1 � � 1 7 �
Owners Name L •� 1 C Owner Phone Number
Owner's Addr�s `� 11 h Owner Phone Number
FeeSimpleTiUeholderName � L " e OwnerPhonePJumber
Fee Simple Titleholder Address
JOB ADDRESS q Y� �{ . LOT# �
SUBDNISION ~ '��4 PARCELID# . CJ- 'Z "OQ '-GGO C�""I
(OBT/UNID FROM PROPERN TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADDJALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK c
BUILOING S12E SQ FOOTAGE HEIGHT �
QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �
QPLUMBING S 1���
� �-Q�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�T ��.� � �.�^ ` —
U� n _
QGAS Q ROOFING d SPECIALTY Q O7HER � n,�-,���Qi`
w d I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ���_/l�C J�'
V 6
BUILDER � COMPANY
SIGNATURE REc�5TFrtEo Y/ N FEE WRREN Y 1 N
Address License#
ELECTRICIAN COMPANY
SIGNATURE RE(31STERED Y/N FEECURRFN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISfERED Y/N FEECURREN Y/N
Address License#
MECHANICAL COMPANY
SICiNATURE REOISTERED Y/ N FEECURREN Ylld
Address Liceree#
OTHER � COMPANY ��S S.G U'T I 1n�
SIGNATURE REGISTERED N FEE CURREN Y/N
Adtlress 3 5 Z St'. �icense# l� �'d� �
� � eti � toi� � � � � � � � � � � � � � � � � � �� � � � � � � � e � � � � � � � � � � � � s � � � � � � � � � e � � � � � � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for newconsUuction,
Minimum ten(10)working days after submittal date. Required onsite,Cor�sWdion Plans,Storrtnvater Plans wl Sift Fence installed,
SaniNary Facilities&'I dumpster,Site Work Permit for subdivisionsllarge projecLs
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sei of Enargy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Car�struction Plans,Stormwater Plans w!SiR Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projec[s.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Poans.
•"•PROPERTY SURVEY required for all NEW consWction.
Directions:•
Fill out application mmpletely.
O�nmer&ConUador eign back of ap�'�cation,nohar¢ed
If over$25�,a Notice of Com mencement is required. (A1C upgrades over 57500)
•• Agent(for fhe contractor)or Pov�er of Attorney(for the ovmer)would be someone v.ith rrotarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (copy of contrad required)
Reroofs'rf shingles Sewers Service Upgrades A!C Fences(PIoVSurvey/Footage)
Driveways-Not wer Counter'rf on puWic roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned.under�tands�th�t.�tds:;��rm�t:•..r�ay,;be�sub�ect:to"deed",restrictlohs", ' ' �
whlch may�'tie<niore:r.�stttct�reft4���`Coui�ty:�i9agulatton`"sS'TFie underslgned�Fas'sumes�responsltihlty�'�fo�`comp0anc`e'`iwl'tFi any". -'�"�
appllcable deed resMctlons. .:;� >; .<,_.:_ .,::.� � . -: _�-� . :. =
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UNLICENSED�.CONTRACTORS :AND CON�RAC�'OR RESPONSIBIGTI�S:� �lf=tlie�•oumer has��htretl��LLa"contractor or
,-,
contractors to undertake work, they may.:be:�requlred:fto:��be�lfcensed:In:accor.dance..wlth state�.andvlocal:regulatlons:��If�the���-� ��-°���
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contractor�Is-not llcens'ed=as°�requlred:tiy lativ, bottt the owner and°�iiontrectorFinay�be��clted�for a�mis'demeanor.vloladon
under state Iaw. If the owner or Intended;�con,trac6to�:ere��ncertaln,as to what`Ilceneing.,requlrements;'may�lapp�ys�for=tbie'�.�.�{z; � ='
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intended work�they are`advlsed`to coritact:tlie�.Pasco County,Bulliling�Inspectlon Dlvlston:-t:lcensing Sectlon at 727-847-
8009. Furthermore, It the owner'has�'hlred a�contrector o� conUactors� lie ls advtsed to have :the'contcactor(s); slgn„ ,
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portlons of the�"contractor Block".of:,thls�appllcatlonwfor;whlch.they..wtll,.b.e:.tespons)ble._:,If.:you;��asr#he owner.sign'as''tlie` - ��
contractor� that��rnay�be an indlcatlon that'Fie°Is�not:prope�ly Ilcensed"and`�is`not�entlNed fo�perml�ing'privlleges In Pasco r.
County. = � �,��'��_, _�
�TRANSPORTATlON=1MPACTNTILfTIES�rMPl4C'I��AMb�RE50UitCE RECOVERY�FEES:�The�unde�slgned'understands
�thatTransportatlon Impact�Fees:and.Reco.urse Recovery.F�es m'ey�;apply;to�t[�e�construcUon;of new�.b.ulldings,rchan�e�`of����"'^� `'�
:use In existing bulldings, or�;ex�anslan�of3exlatin��bwlldings� a§ spectfled.in Pasco County Ordlnance number 89-07 and;
�90-07. as amended;:�,The undet§Igned also�urtderstands� that'�such fees;;as,�may;be•�due;�wlll:tbe.Ideriiffied at the�time'of.>�'� ��•"�s
` ermittln It Is fu'rtfier understood that Tra�sp�ortatlon Im act Fees ani�;Reaource'Recovs��`��Fees.:muat be ald rlor.to
P 9• P �.��, rY` P P
receEv(ng-a_'certfflcate:of�occupaFlcy"-or°flnal„poweri,Gelease:-:If=the.proJect�.;does=:not Invclve�a';certfficate of occupancy.�o�T�"��:=:-•;�.=..
'�flnal power.�release;•#he�;fees�mus�t;`tie°pald:;pe�or to:permit Issuance. F��ermore;-lf:.Pasco;CountylNater/Sewec°;Impact�� � �
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'fees are due�:they,mus,t�bespald�p.�rior to_permlt>:Issy:�ince,�n.aacoi�dance.w1th,:appllcatite:Pasco'>County��ordinances. •
�CONSTRUCTION'LIEN'LAW(Cfiepter 718� FloNda Statutes�as amended): If valuatlon of work Is$2,500.00;oc more,.:l-� ,= :�,-.
�certify that I, Rhe:-appllcant;-have=been..provlded��wlth=a-copyt�of-•the��'Florlda-Constructlon� Llen.:Law:Homeowner's
'Protectlon Guide" prepared bythe Floi�lda Departme�t�.of Agrlculture and Consumer�Aifairs. If the appllcant Is someone:��-:.�- - ••_,
;other than the'owner", I certffy;that l�.h�ve.obtalned�a"`�copy;of:the�above:�fescrlbed:�focument-and;promt��:lc�.good�falth�to .. .
ideliver It to�.tlie.'ownec"'.prior�to��commencement�•' ' . ' ' � -. ,-. . � - ..
COPITRACTOR'S/OWNER'S AFFID/1VIT: I.certffy,�:tt�:at�all:.thg�,lnfiormattbn::l��thl�appllcatlon is accurate.and that all work
�will'be done in compllence with all.appllcable (aws regulating constructlon, zoning and�(and�development. Appltcatlon Is
;hereby made_to obtatn.;a .pecmit;:to do.;;wori��and`�Ifistallatlon as indl�afed:->=.=�I• certifyi that no work°or Installatton has-
commenced p�to� to Issuance of�a permlfand that�.all work wlll be pertormed�to meet�standards-of all laws �egulating•
,constructlon, County and Clty codes, zoning regulatlnns, and land development cegulaUons�tn the jurlsdlctton: I al'so.
'cer�fy that I u�derstand that the regulatlons of other government agencles may�apply,�to_the_Intended work, and that it ts
my responsibll(ly to Identlijr•what,actions I.mu�t•teke:to be,In,,compllanc,���,Such�agencles lnclude�but-are.not Ilmlted to: �� •-
- Department of E�vlronment�l'Protectiorn-Cyprees.'Bayfiead§; We��nd Areas and Envfronmentally Sensittve
Lands,WatedVNasteweter Treahnent. �
- Southwest Florlda Water Management'�.I�isfrict-Wells;' Cypress:��Bay�eads;� �Wetland' Areas, Altering
Watercourses. _ - -
- Army Corps of Englneers-Seawalls, Docks, IVavlgatile Waterways. _
- Department of.,.Health.�8:.Rel�abllltativ.e>.,S.erviceslEnvitonmenlal�Healtt���Unit Well.s; V1Fastewater,�Treafntent,
Septlo Tanks:. �� ' � � .
- US Envlronmental Protectlon Agency-Asbestos abatement.
- Federal AvlatlonAutho�fy=Runways� ��
I understand,that the..followln�g::�estrlctlons apply�to ttie use of flll:•
� - Use of fill Is not allowed In'�FloodrZ.o,ne"V"unless expressly permltted.
- If.4he�flll mateHal-Is to `be used`In.��Flood-Zone. "A", It Is understood that a dralnage plan addresstng a
� °compe�sating volume"will be submltted at#ime of>p�r�lfting whlch is prepared by a professfonal englneer � -
, Ilcensed by'.the.�tate of floflda: � - -� � , .
- If ih� flll-meterlal��ls`to:be� used In Flood Zone 'A" In�connec�lon�wlth�a permitted building using stem wall
� conat�uction;�I certify that flll:wall:b.e used only.to f111 the area wlthln�the�stem�wall:- _
- If flll materlal Is to be used In any a�ea, I �certlfjr tfiat .use of�such flll wlll.�ot adversely affect ad)acent.
� propertles. If use�of flll ls.found�to advereely.�ffect adJacent'�prctpertl�s�.the owner may be clted for viorating
the cond�lons..of the bullding�:permlt•Issued-.u�der the.�.atfacfied�ermlt'appllcatlon� for_:lots.fess;than.Tone (1)
acre whlcfi ere elevated�tiy f111,��r.englneered dralnage plan Is requlred. • •�
'f I am the AGEN.T-;FOR:THE OIMNER,_I;promfse In good.f.alth to Infor�the o.wner ef�the�permltting conditlons set forth In
hts affidavltJpMor to commencing constructlon. �I understaniJ thet a=separate pemnit may be requlred for electrlcal`work. .
�lumbtng;:signs, wells�.:pools;,alr condltloning;�.gats,.:or otl�e� Install�tlons not�spec�leally lncluded-tn.the�application. .A
�ermlt Issued shall be conshued to 6`e^a"Ncense�-to`'proceed wlth'ttie;iivo�k and.:not-as.:authorlty::to:vlolate;�;cancel; alter, or
�et aslde�:any provlstons of tfie.technlcal.Ycodes;inor shall Issuance�of a.permtt.prevent the Bulldlrig Offlclal irom thereafter
•equlrtng a._coRectlon ni errors:ln�,;plans; eonstivctl.on..oc vlolat(ons of•any codes:�.Every-p�ermlt�lssued-sliall become invalid
inless the work authorized.by such permlt:�is-cammenced•wlthln,sf�c.�months of•permlt Issuance� or If work authorized by
he permtt.is�suspended�or;abac�doned;;,f,or-a�:perlodn;of:�slx;f6)�montT�s.after_the tlr�e Ehe�work��s conimenced, .An extenston
nay be requested�.In wrltln`g;:,�-f�om_�tHe,�Bullding,O�clal'for a pertod;:not<to exceed'�ninety�(90)�days�a�d-wlll�demonstrate
ustlfiable�cause for.�the extenslon_. If work:ceases:for nlne�r.(90)cons.�cutive�day.s...the�ob�ls consldered aba�doned.
-, , .. . . ._.._. .. .,.. . :.: _,..:: . . _.
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NARNING TO OWNER: YOUR�.AILIJ.RE_;Tt3...R�C.OltQ;A:(�OTICE:OF}COMMENCEME1�fT:MFAYrRESULT�IN°YOUR
!i1Y1NG TWICE4FOR�_IMPRO�IEMENTS;T�;O.�YQUF�Y�.P�PERTY:��:I��:YO.tJ{l�'.�E�ID�T���bBTA1N�="FINiAMEtN�;'C.ONSULT
NIT �O N a.L�. -O �! f:�� �OIJ s �C _ �" ..
'LORIDAJURA�;(F.S:=t17:03} ' � . ' '� . = � , . � - : � -� .-- .- • �, .,.__ , . _.
IWNER OR AOENT ..� � - C�M'RACTO � , .
�ubs bed nd awom,to(or affl �d)aef re me,thls Su scrlbed' 'swom�6Q(pt afflrtned)� efo , e�tFit�� . '
b _�rk t��_ l e�sz; �b. �•�� Nf G�t2[7.� • --- -�G e
s/are personally knovm lo.me:or;haal,h . _,pr�duc�d Is/are p.e onelly�Cnown;tn,trte:or,tia�/have: du ed .• � . �
ae Id'enBAcatlon:"' ' as Identlftcaflon. �
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�� � ` t�t►�Publlc . Notary Publlc
om Isslon No:�� �� C mnl+lsslon•No.. �
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ame o o ry typed,pMnted or stam Name ot Not�ry typed,printed or stam "
,��•,,, pEB4?P_'��!������FE�'� � ,os�:Y'�;�;,,pEBRA ELAINE RUFFELL
.;�::J4:h.,, _ E
:�• ,=�a�miss}o,�.� Oa53 23�' ;;' ;�:Commission#GG 045343
'''�;o;�X��tes I��Yem�er 7.2Q806.��7019 =;;��a;.Expires November 7,2020 �
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�'-� VEGA'S ROOFING�LLC.
�t • ` ' 9838 Sholtz St.
New Port Richey, FL 34654
License#CCC1330546
Phone: 727-647-0040
s` PROPOSAL AND CONTRACTOR AGREEMENT WITH OWNER
THIS AGREEMENT made this �i� day of ,���� ;�.-� , 2p i'� ,.
by and between V GA'S ROAI�'I�TG, 1tOOF/�NG CONTRACTOR, hereinafter called the
"Contractor" and_ ;+/l�+��...-� (��l���i �� I�t�/f�i1�(� _� �C..-�
- - . . �
hereinafter called the "Owner."
WITNESSETH,that the Contractor and the Owner for the considerations named agree as follows:
ARTICLE 1. Scope of the Work
, The Contractor shall furnish all of the inaterials and perform all of the work shown on the
Drawings and/or described in the Specifications entitled Exhibit A, as annexed hereto
as it pertains to work to be performed on property at: �
f:�%G �f' � Ca�-,��� e � Q-ve ��� `,�, u � .�Ii�}-=1
� �
ARTICLE 2. Time of Completion �
The work to be performed under this Contract shall be commenced on or before
�
, 20 / , and shall be substantially completed on or
before � � , 20 . Time is of the essence.
.
ARTICLE 3. The Contract Price ,+
The Owner shall pay the Contractor for the material�and labor to be performed under the
contract the sum of �- _ --1 ;,,,..,,j�.,.,�� �I w�. %v{� �i- n,� dollars ($ � 7 n� P� ),
subject to additions and deductions pursuant to authorized change orders. �
ARTICLE 4. Progress Payments
Payments of the Contract Price shall be paid in the manner following: .
� �� C': -�� � ( r� ,�.,
ARTICLE 5. General Conditions
1. All work shall be completed in a workmanship like manner in compliance with all
building codes. "
2._ Contractor will remove all debris and leave premises in broom clean condition.
3. Contractor shall not be liable for delays due to circumstances beyond its control.
4. Contractor warrants all work for a period of :� Y�a. �=� '
following completion.
� � 5. Contractor retains the right to withdraw proposal if not accepted within days.
�
Signed this C�"'.� day of -��u�n� , 20 /i'.
r�
By: n r,...-�:�
� / � Cont ctor
By: ��:��-� ( ��'
� � Owne
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