HomeMy WebLinkAbout17-18713 CITY OF ZEPHYRHILLS
5335-8TH STREEI'
_ •� (813)780-0020 18713 -'
BUILDING PERfWIT
PERMIT INFORMATION - - LOCATION INFORMATION
Permit Number: 18713 Address: 38529 11 TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05300-0090
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 8/01/2017 Name: CONTRERAS JOSE & CONTRERAS JUA
Total Fees: 45.00 Address: 33330 TAMMY LN
Amount Paid: 45.00 ZEPHYRHILLS FL 33543-4934
Date Paid: 8/01/2017 Phone: (813)714-1069
Work Desc: REROOF SHINGLE 16 SQ
CONTRACTOR S APPLICATION FEES
TB ROOFING & CONSTRUCTION LLC REROOF RESIDENTIAL 45.00
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Ins ections e d
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 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C OR SIGNATURE PERMIT OFFI R
PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � �
PROTECT CARD FROM WEATHER �
sfa-zea-oazo Cify of Zephyrhills Permit Applicatian �'�$��-7e °2�
Bs�i4d[ng Depaztment
i pate Recelved Phone Contact for Pertniitinp —
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Owners Name Jose/Juan Cont�eras Owner Fhona Numher ���'—'' r ' ��p�
Civrner's Addreas 33330 Tammy Lane Zephyrhii{s,FL Owne�Phone Number I
Fee Simple Titleholder Nama Owner Phone Number
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Fee S3mple Titlehoidei Address
JOB ApDRESS 38529 11 th Ave Zephyrhilis, FL Lo:# ���
suaoiv�sioN C� � pnac��.tn# '►1-26-21-0010-053Q4-OQ9Q
(a83AiM£D FROM PftOPEt{TY TA%NOTiCE'�
WORK PROPOSEp e NEW CONSTR 8 ADDlAL7 � SIGN Q � DEMQIl5H
iNSTALI REPAIR
PROPpSEQ USE Q SFf2 Q COMM � OTHER
TYPE pF Cd►3STRUC710N Q BLOGK Q FRAME � STEEL Q
DE5CRIPTiON{3F WpRK ����'$e�Nng antl replace with TAMKO dimensionai Sfiiagtea(FLi9355j over synthetic shield(PLi4884.t)76SQ 4N2 Pitch
BUlLDING 91ZE � � SQ FOOTAGE C„� HEIGNT ��
�BUILD(NG � f}f�� � VALUATiON OF TOTAL CONSTRUCTtON
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QELECTRICAL [$ -� AMP SERVICE Q PROGRESS�NER6Y C] W.R.E. .
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I� QMECHAN CAL � � VALUAT1pN OF MECN,4NIGAL IN$TAS..S.ATlON ��� �� �
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QGAS Q ROOFft1G Q SPECIAI.TY � OTkiER
FiNiSF{Et}FtOOR EtEVATfC1t3S � FLO00 ZONE AREA �]YES NO
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SUIt,DER � COMPANY
SIGNATURE REGISTERE� Y I N fEE CURRE(i Y/N
Address License# �
EIECTWCiAN � � COMPANY
SIGNATURE REGISTEREO Y I N FEE CURREA Y/N
Adtlress l;censex �_,_
� PLtSM8ER �� COAAPANY
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SIGNATtIRE REGISTERE� Y/ N fE£CURREk X i N
` Address Ucense# ��
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MECHAH1CAl � � COMPANY
SiGNATURE REGISTERED Y( N FEE CURRER Y 1 N I
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Address ,_,�� License# �
� OTHER � /� COMPANY TB Roofing&Construction LLC
SiGNATURE l^2fLIZ� REGISTERED N fEE CURREh
Addross 6426126th Ave Largo,FL �icense# CCC13301$9
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RESIdENTiAt AttBch(2}Plot Plans;(2j sets ot Building Pians;(1)set of Energy Forms;R-O-W PQtmit tar new cnnskuctinn,
Ntinimum ten(10)working days after submiktel date. Ftequired onsita.Constructio�Plans,Stormwater Plsns wl Siri Fence insta8ed,
Sanifary Facilities&1 dumpsfer:Site Work pennit foraubdivisionsAarge pro}ects
COMMERCIAL Attacfi(2}compiete sets of Buiiding Plans plus a life Satafy Page;{l�set ot Energy forms.R-4-W Permit!ar new constntctian,
Minimum ten(ttt)working days after submittal date, f?equired Onsite,Gonstruction Ptans,Stormwater Pians wi Sitt Fence instaped.
Sanitary Facilities&1 dumpster.Sito Work Permit for a!1 new pmjecEs,Aii cammerciat requirements must meet compiiance
SiGN PERMIT Attach{2)sets of Engineered Plans.
'""PROPERTY SURVEY required for at1 NEW aonstructtop.
pirections:
� Ei11 out applicatioti camplatety.
Ommer&Cnnttador sig�back tsf eppiication,noterixed
tt aver S25II4,a Notlee af Commencement is required. (ArC upgrades over 57500)
� "' Agent(far the contraoto�)ar Power af Atiomey(tnr tha owner)wmu4d be sameone with�otatized lettar hom owner autriorv.ing same
OYER THE COUNTER PEftMiTTING {wpy of contracE required)
� Reroots i#shingias Sewars Service Upgrades AJG Fences(PIoVSunreylFoatage)
Driveways-Not over Countor if on pub(ic roadways..needs ROW
NOTICE OF DEED RESTRICTtONS: The undersigned understands thai this permit may be sulaject to"desd'"restri ions"
•which mey be mare restrictive than County regulations. The undersigned assumes responsibility for compliance wi any
' appiica6le deed reskrictions.
UNUCENSED CONTRAC70RS AND CONTRACTOR RESPONSIBIUTlES: If the owner has hired a contra ar or
contracEars fo undertake wark,they may be required to be licensed in accordance with state and Iocal regulati4ns. !f the
confractar is not(ic�nsed as required by law, both the owner and contractor may be cited for a misdemeanoE vi atian
under stafe law. if tha owner or intended contractar are uncertain as ta what licensing requirements may apply f r the
infended work,fhey are advised to contact fhe Pasco County Building(nspectian Division--Licensing Section at 72 847-
8U09. �urthermore, if the owner has hi�ed a contractor ar contrac#ors, he is advised to have the cantractot(s sign
p�ftions af the"Cantractor SloCk"of this appticafion for which they wilf be responsible. if you,as the owner sign the
cantractor,#hat may be an indication ihat fie is not properiy iicensed end is not entiiled ta permitting privileges in asco
Caunty.
TRANSPORTATION tNtPACTNTiL1TiES IMPACT ANO RESQURCE R6COVERY FEES: The undersigned under ands
that Transp¢rtation impact Fees and Ftacourse ftecavery Fees may appiy to the construction of new buildings,cha e of
use in ex'ssfing buifd'tngs,or expansion af existing buiidings, as specified in Pasco Couniy Ordinance number 89-0 and
90-07,as amended. 'fhe und�etsigned aiso understands,tfiaf such fess,as may be due,wiii be iden#ified at the ti e of
pem3itfing. 1t is further unders#aod that Transpartation impact Faes and Resource f2ecovery Fees must be paid p or to
teceiving a"cerfificate of occuparicy"or fina!power release, ff the project daes not involve a certifica#e of occupa y or
fir�al power release,fhe fees mus#be paid priar to perrr�it issuance, Furthermore, if Pasco Caunty WaterlSewer t pact
fees are due,they must be paid priar to permit issuance in accardance with applicable Pasca County ordinances.
CONSTRUGTION LIEN l.AW(Chapter T13,Plorida Statutes,as amendedj: If vaivation of work is�2,500.00 or ra,i
certify that l, the applicant, have been provided with a copy ot the "Fforida Consfructian Lfen Law—Homea sr's
Pratectian Guide"prepated by the Florida Departmen!af Agriculiure and Gonsumer Affairs, if fhe applicant is so one
other than the"owmer",!certiiy that t have obiained a cagy of the above described dacument and presmise in good i th ta
deliner it to the"awner"prior to commencsmen#.
CONTRAC70R'StqWNER'S AFFIDAVIT: I certify that ali the infQrmation in this application is aceurate and that a!i ork
wiii be done in cnmpliance with a!I appiicable laws regulating consfruction,zoning and land development. Applicat n is
hereby made to ohtain a permit to do work and installation as indicated. 1 ceRify that no work or installa2io h8s
cornmenced prior io issuance of a permit and that all work wili be pertarmed to meet standards o(a!!laws regu tir�g
consfruction, Coun#y and City codes, zoning regulations, and land development regulations in fhe jurisdiction. t alsa
certify th�t i undarsfand that the regulations of other government agencies may apply to the intended work,and iha "st is
my responsibility fo identify what actions 1 must fake to be in campliance. Such agencies include but ar�not limited i
- Department of Enuironmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sen itive �
Lands,WaterlilVastewater 7reatmeni.
- Southwest Fiorida Water Management Disfrict-We1is. Cypress eayheads, Wetland Areas, Alt ring
Watercourses.
- Army Corps afi Eng'sneers-8eawails,Docks,Nevigabie Watenxays.
- Department of Heaith 8 Rehabilitative Servtces7Environmental HeaHfi Unif-Weils, Wastewater Treat ent,
Septic 7anks.
- US Environmenta!Prateetfon Agency-Asbes#os abatement.
- Federai Aviation AUEhority-Rur�ways.
I understand ihat the folfowing restrictians app�y to the use of fill:
- Use of fill is not a!lowed In F1ood Zarze"V"�nless expressly permitted.
- If ihe fil! xnaterial is ta be used in Flood Zo»e "A", ii is understaod ihat a drainage pfan addressi g a
"compensating volume"w�ll be submitted at titne of permiiting which is prepared by a prafessionai engi eer
licensed by the State of Florida.
- If the fili material is to be used in Flood Zone "A" in connection with a permitfed buiiding using stem ail
construction,l certify ihat fill will be used anly to fi!I ihe area within the stem wall_
- If fiil material is to be used in any area, 1 certify that use o# such fill wi!} not adusrsely afEect adj nt
propetties. If use of fili is found to adversely affect adjacent properties,ths ovmer tn�y ke ci2ed foC viol fing
tfie conditions of the building pe�mit issued under the attached perrnit appiicafian,tor lats less than on (1)
acre which are eievated by fi11,an engineered drainage plan is required.
if i am the AGENT FDR THE GIWNER,i promise in good faith to inform the owner of the perrriitting condifions set fo in
this affidavit priar to comm�ncing canstructian. i understand that a separate permit may be required for electrica! rk,
plumbir�g, signs,weiis, poois, air conditioning, gas, or offier instai(ations nof specificaily included in the appGaatio A
permi{issued shali be construed to be a licanse to proceed with the work and not as authority to violate,cancel,alfe,or
set aside any provisians of the technical cadss,nor shali issuance of a permit prevent the Buiiding Otficial fram there iter
requirir�g a carrection of etrors in plans,canstruc#ion or vioiatians of any cades. Every permit issued shali become in Iid
unless the work auihorized by such permit is commenced within si7c manths af permif issuance, or if work authori2 by
the permit is suspended or abandoned fot a periad af six{6}manths after#he time the work is commenced. An ex#en ion
may be requested,in writing,from the Suiiding Officiai far s period not to exceed nine#y(Sd}days and will demons#ate
justifiable cause iar!fie extension. !f work ceases€ar ninety(80}consecutive days,the jab is considered abandoned.
WARNING TQ OWNER: YQUR FAILURE TO RECORD A N07'ICE OF CQMMENCEMENT MAY RESU1.3 1N Y EIFt
PAYING 7WICE FOR IMPR01lEMENTS TO YO!!R PROPERTY. IF YQU lNTEND TO 4BTAtN FtNANCING,CONS LT
WITH YOUR LENDEt2 OR AN ATTORNEY BEFORB RECOI2DIN6 YOUR I+tQTlGE OF G4MN3ENCEMET+tT.
FLORIDA JURAT(F.S.117,03)
4WNER QR AGEIVT CONTRACTOR ��x�"�
Subscribed and swum ko(ar aflrtned)be(ore me this � Subscribed and sw4rn ta{w afftrmed}befo ie this
bv..._ .�/tt7,p}7 bv 1 i C-^.ltLs t3nko
Who is/are personat(y known Co me or haslhave produced Who islare personeliy knawn to me tli hasthave produced
,.___._as identfication. _,,,_, 8S identification.
_ _ Notery Pubiic ry PuBlic
Cammission No,� Cammission Na. F
�' ANYI�USSELG
T'�f.a.px Russ._ie i +r
` Name af fVotary typed,pdctted or siarstped Name oi Notary typed,printed or stamped r3 ''�n A�15$�#�F�7767
ES:OCf i6,2f119
°'"� 9anded f o�h tsi Sta?e i�sutance
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July 31 st, 2017 �
, Re: Juan Contreras
38529 1 lt''Ave �
Zephyrhills, FL , � ,
, The Following is the scope of work: �
• Remove existing to bear workable deck
• Replace any rotten wood and re-nail decking using 2-3/8" deck nails
• Install Synthetic Shield Underlayment
• Install Tamko Dimensional Shingles ,
Total Labor Price: $2,000,.00 ,
Clarifications and Exclusions:
� • Permit Inoluded
. • Tax Included I
• Dumpster Included � � � � '�
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• LABOR ONLY CUS R�PURCHASED "� TERIAL
� • 1-year labor warra Included j`�
• Standard Manuf cturer Warranty Included --
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Customer Si atu � D te: ��� ' � Q'[ �
TBRC Own r/Rep-rese t e: .Ll.�� �' ate: 7/31/2017
6426 126th Ave,Largo,FL 33773 727-386-5000 www.tbroofing.com
T.,icensed,Bonded,&Insured.License No.CGC1516634 CCC1330189
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