HomeMy WebLinkAbout17-18725 ; CITY OF ZEPHYRHILLS
5335-8TH STREET
(8i3)7so-oo20 18725
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18725 Address: 39663 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0450
Improv. Cost: 7,500.00 OWNER INFORMATION
Date Issued: 8/04/2017 Name: NATO HOLDINGS LLC PMB 170
Total Fees: 75.00 Address: 35246 US HIGHWAY 19 N
Amount Paid: 75.00 PALM HARBOR FL 34684-1931
Date Paid: 8/04/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
MY ROOFER LLC REROOF RESIDENTIAL 75.00
,-::
Ins ections Re uired �
DRY IN ROOF IN P
TAPE JOINTS�OOy,N��P;. '`f
FINAL �'� �f'-� I
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 properly. 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.
O TRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIR MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• � e��-�ao-aozo Ciiy of ZephyrF►ills Permit Application Fax$��-�8ao°2�
Building DepertmeM
oata Rece�eod Phone Contact tor PertnNHn'
Owne�s Namo �n ��..r� Owner Pho�re Number
Owners Address , 7' �� r Owner Phonz tdumber
Fee Simple TiBeholder Name Ormeu Phone Numher
Fca Slmple TitleholderAdtirasa �
JOBADDRESS Qu1�(s� F��G.��O C.CJCOO(,.K LOTB �
SUBDIVISION �) PARCELIDf1 r� �`�� `��`c�a�`1.J�C,�J�
(OBTAINED FR069 PROPERfYTAX NOTiCE)
WORK PROPOSED B NEW CONSTR 8 ADDlALT Q SIGN Q Q DEMOUSH
IfVSTAIL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTIOM Q BLOGK Q FRAME Q STEEL �
pESCRIPTION OF WORK �`l� j� QI—' � C- j
BUILDING S� Sq FOOTAGE� HEiGHT ��
�BUILDING $ H�'j�,/� VALUATIQNOFTOTALCONSTRUCTION
/�AJL.J
QELECIRICAL $ AMP SE{tVICE Q PROGRESS ENERGY Q W.REC.
QPLUMBING $ �^ I �^ ��
��� I
QMECHANICAL $ VALl1ATION OF MECHANIGAL INSTALCATION
QGAS � ROOFING p sPEcu��rv� OTHER ����_ �
FINISHED FL��R ELEVATI�NS FLOOD ZONE AREA QYES NO
BUILDER COfiAPANY Y .
SIGfdATU � r�cisreaeri Y/ N F�cuaa�n. Y!N
Address � h- � License# � ' G
ELECTRICIRN COMPANY
SIGNATURE ReGlsrer�o Y! N �cuaRe� Y/N
Rddress L(cense#
PLU0.IBER Cp(V�ppNy
SIGNATURE ���srenEv Y/IV r�ctmaEn Y/N
Address License#
MECHAMICAL COG9PANY
SIGNATURE rt�cis�o Y/N �cuRaEn Y 1 N
adaress ucer�se u
OTHER COMPANY
SIGNATURE REGISTERED Y/ N F¢cuaaFn Y/N
Address License#
111111lI1 � 11A91E11t111iiB9111Y1EB110s@IllillillllLIB11lIA6111'1l1101
RES{�ENTiAL Attach(2)Plot Pla�;(2)seis of Building Plans;(1)set of Energy Forms;R-O-W Perinit for new corahuctlon,
Minimum ten(10)�vorking days after submittal date. Required onsite,Gonstruction Plans,Stormwater Plans w/Sit Fence(nstaAed,
Sanitary FadliBes&1 dumpsler,Site Work Pertnit fir subd'rvisions/ler�projects
CORCtAERC1AL Atiach(2)camplete sets of Building Plans pius e Life Satety Page;(�)set of Energy Forms.R-O-W Permft for new construction.
Minimum ten(10)working days aftersubmitlai date..Required oruite,Construclion Plans,Stortnwater Plans w!Slt F�ce Fnstalled,
San(tary Facilities&1 dumpster.Site VUork Permit for aIl new proJects.All commerGal requirements must meet compfianca
SIGA1 PEFt6RIi AHarh(2)sels of Engirteered Plans.
""PROPERTY SURVEY requirad for ali NE1N canstruction.
DlrecUons-• ' �+1 e 1 1 � Q i 1 � i.l�&d." ' • 6t�d ��i.a ' .
Fill aut application rnmpletaly.
Owner&Conlractw sign hadc of appfiwlbn,nolarized
If over$2500,a Notfce of Commencament is raqui�ed. (AIC upgrades over 57500)
" /\gent((or the contractor)or Power of Attomey(far Ihe owrler)would 6e someone wifh notarized letter fr�n owner auihorizirg same
OVER THE COUNTER PERf1AITTItdG (copy of contraG required)
Reroofs if shingles Se�vers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counler it on pu6fic matlways..needs ROW I
NlOTlCE OF DEED RESTRICTIONS: The undersigned understands that this permit may he subjeCc to"deed'restrictions"
which may be more�estrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabfe deed restrictions.
UNLICEMSED COtdTRACTORS AIdD CONTRAC'fOR RESPOfVSIBIL(TIES: If the owner has hired a contractor or
contractors to undertake woric,they may be required to be ficensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor rrmay be cited for a misdemeanor violation
under state taw. If the owner or intended contractor are uncartain as to what licensing requirements may apply for the
intended work,ihey ar�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 applicalion for which they wiil be responsibte_ If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is�not entiUed to permitting privileges in Pasm
County.
TRkWSPORY�7fORi 1MPACT/UT1Ll'fIES IMPACT AND 6ZESOURCE RECOVERY FEES: The undersigned undetstands
that TransportaGon Impact Fees and Recourse Recovery Fees may apply to tfie construction of new buildings,change of
use in exis6ng buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
9Q-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 fteoavery Fees must be paid prior to
receiving a"certificate of occupanc�'or final power release. If the project does not involve a certificaie of occupancy or
final power release,the fees must be paid prior to permit issuance_ Furthermore,i�Pasco Countq WaterlSewer Impact
fees are due,they must be paid prior to permft issuance in accordance wifh applicable Pasco County ordinances.
COAISi'6ZUCTIOR!LIEN Lf411it//(Chap4er 713,Florida Statutes,as amended): If valuation of wo�ic is$2.500,00 or rriore,I
certify that 1, the applicant, have been provided with a copy of the "Florida Constructibn Lien Law--Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicarit is someone
other.than the"owne�',I certify that I have obtained a copy of the above described document and promise in good fafth to
deliver it to the"owtie�'prio�to commencement.
CONTRACTOR'S/OWNER'S AFFIDIlVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulafing construction,zoning and land development Applicafion is
hereby made to obtain a pertnit to do work and installation as indicated_ I certify that no work or installation has
commenced prior to issuance of a pertnit and"that all work wi11 be performed to meet standards of afl laws regulating
construction, County and City codes, zoning regutations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulatiorts of other govemment agencies may apply to the intended work,and that it is
my responsiblity to identify what actions t must take to,be in cnmpliance. Such agencies include but are not limited to:
- Departinent of Environmental Proteciion-Cypress Bayheads.WeUand Areas and Environmentally Sensitive
Lands,VVater/Wastewater Treatment
- Southwest Florida Water ManagemenQ District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawatls,Docks,Navigable Waterways.
- Department of Heatth & Rehahilitative ServiceslEnvironmental Health Unit Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avialion Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unfess expressly permitted_
- tf 4he fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensaGng volume"will be submitted at time of permit6ng which is prepared by a professional engineer
licensed by the State of Fiorida.
- If the fll material is to be used in Fiood Zone"A"in connection with a permitted buitding u,sing stem wall
construction,I certify that fil!will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
pmperties. If use of fill is found to adversely affect adjacent properties,the owner may be dted for�iolating
the conditions of the building permit issued.under lhe attached pertnit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is reyuired.
If I am the AGEfUT FOR TH�OilUldER,I promise in good faith#o infortn the owner of the permitting conditions set forth in
this affidavit prior to commencing consVuction. [understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas,or other installa6ons 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 preventthe 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 perrttit is commenced within six months of permit issuance,or if work authorized by
the pertnit is suspended or abandoned for a period of six(6)months after the time the worlc is commenced_ An extension
may be requested,in writing,from ihe Buflding Official for a period not to exceed ninely(90)days and wi11 demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecuGve days,the joh is considered abandoned.
YNARNli+lG TO pU1fNER: YOUi2 FAiLURE TO RECORD�1 NOTICE OF COMMERICENIEEVT NiAY RESULT 16d Y013R
PAYING 7WICE FOiZ IMPROVEPflEElTS TO YOUR PROPER'PY. iF VOU INTEND TO OBTAIN FIIdANCOWG,COPLSULT
WITH YOUR LE R OR AR1 dTTORNEY BEFOFPE REC062DING YOUR MOTICE OF CONAMENCEMENT_
FLORIDA JURf�.T'(F.S.1 7D 3)
OWNEROR�(� COtdT CT
Sub 'bed and swo to(o affirtned)before me{ is u6scn, a�d swo o ��rmed)before me tht
�f�� '� ' � � )� � - p�
W e aS now me or have pr ccd ho is( personally knorm o me or has/ha produce
'd nf Go
��� Notary Publi¢Shate oF Florida � Plotery publie Stete of P�ofi�}p
Heather D Strouse Heether D Strouse
• �- e ►WY Com�GG 1� 2756� otary Pubttc "' �� r Notary PubGc
mi o.
El�lrea 07/2412021
"� /
ame of Notary typed,prin or stamped Name of Nofary typed,printed or stamped
� � �.,,e:� ► � _ �- � �
� a:a���_� � ,.:�-�.:;.��
Eeg� `_���,:%'; �, `1,�
!^.�,-,-^�-•`:;' �z,/` / 3
� - �-��--,�':y// -^��i 4.,�� ` J���/�1ri
- -� I ,• �-_ 'e:.l.f/l fl�j t
� �" �IY I� FEi� ��� ---�' - � , �
, : � ��
` Licensed&tnsured � - - - ` �
_._ � � _
11804 Pine For�st Dri�e CCC1329139 Phoree: 727-992-9413
New Por� Richey, FI 34�54 727-869-8460
Submitted To: Phone: Date:
F � R BLOCI� 813-545-9881 AUtsUS'�'i, 2017
Street Contact Location_
39663 ME�0184100D l2ERIAl"L�
City,State: Email: REFERRED:
ZEPHYRHILLS f'rf�lockhoenes@grrr�ail.coo�n V99At�DA
WE HEREBY SUBMIY SPECiFICATIOWS A��ID ESTIMAT'ES FOI�:
1. FllRNfSH COUPITY OR CITY PERNIIY REQUIRED FOR REFtOOFING.
2. TEAR OFF EXiSTIN('s ROL�ED ROOFING AND HAUL AWAY A�L DEBi21S.
3. REMA6L USING SD RING-SH/�IdK�D NAILS, EIdSPECT DECKlI�G Af�!!D iIAAFCE
NECESSARY EtEPA1RS�AT$50 PER SFlEET.(ESTIMAT��►BOUT 90 SHEETS)
4. ttdSl'/lL.L NEIfV#30 9J�9DERl�4Yf�E1VT,6 IfUCI-! EAd/E DI�IP,LE14D PIPE FLe4SHINt9,
COOSE NEChC EXNQeUST VEi�TS,A�1D F�UfWBNdlINi RIDGE VE(�T SYSTEM.
5. IddSTALL TWENTY-FIVE YEAFZ, 3-TAB, FUNGUS RESIST�ET StiIRlGL�ROOF
LDSl�IG S9�f N�,ILS P�R SW@NCLE.
fi. MY 9�OOFER WILL Wf�Rf2AP�`fYlN0129tMQe11�SHIP FOR SE19ER1 FIJLL YEAI2S.
SUNi FOP�THE e4BOVE: SEVE9d THOUSAND FIVE HUNDRED DOLL.QRS �7500.
PAYMENTS AS FOLLOWED:
IJPGf2ADES:
/! THIF��I YE1�e62 DIMEIVTIOPIAL SHINGi.E ........................................................ $ 450.
� PEEL�AIdD STICK UNDERL.AYiM�ENT.................:..........................:................. $ 450.
TOTAL $
ACCEPTANCE OF CONTRACT-THE/lBOVE PRICES,SPECIFICATIONS ARlD CONDISIDNS ARE SATISFACTbRY AN�ARE HEREBY ACCEPTED_YOU ARE
AUTHORIZED TO DO THE WORK AS SPECIFlED.PAYAlIENTS WILL BE MADE AS OUTLIMED ABOVE AND I UNDERSTAND WOODWORFC IS AN EXTRA AND A PART
OF THIS CONTRACT.N!Y ROOFER IS UOT RESPOPlS18LE FOR REMOVAL OR REPLACEMENT OF SOlAR PANELS OR SATELLITE SYSTEMS.ESTIMATE IS
SUBJECT TO CHANGE AFTER 30 DAYS.
�
AUTIiORIZED$IC9NATURE ! �%���
DANIEL H.STROUSE
SIGfVATiJ12E: DATE OF ACCEPTA�VCE� f �
� � � 1 IIIIII llllf IIIII lllf l(IIII lllll IIIl1 Illll IIlII IIIII Illl llll �
2017223784 �
P�tnit;Na: -Paccel'Ip.IVn�`�'"'��"`�•f"`�/�.���'-`"(.rF�'�-.vC_J`�.J"'Ci���
�,g t�IO Cft�t}F,Ci�I�ENCEif�E-[�'t'
s�re'd �,_��/�3�''�::,::,; , cour�,ao", '�'�=�� .
�:uHo�si�i�y,-�.r�-arat:i���i,�nr�o�a�,��i vr�ty,a;��a��cev�r;.c�r�a s��.
_, . . ... . . . ..
,.
B�e tol�r���-�'�nded tn nos t�oF canmencen,esi�.
, , .. .
,.
--• .. ,
; ��,�:���,,- ;�,�a 1�;:-���x��+�i��d� z�c���
, � � « ����
..
�ri�:��� 3�'��'�r3`:t��� ;L..b.:r�:� ... .. . . . . _
_..
. . ,,.
I Z �aeD�i�,ot,bnpmven,eM :�;:•srYi��.�- �,.-_�'�.....�`� a�'�"-
:� r
` _ . Rcpt:1$84935 Rec: 10.00 ;
. ;.. _ ......_ _ . • 0
a: ONrtt�.tJamgtioriorLBsiceaitdomra0onfftheLe�ie.a6iitrac�d.far}tiegiiprbveiner�',_ . • . , T, Dpty Glerk
,�,. . . ;. . .._.
08 4 2
/0 1 0i7 C F
_�_,.:.- .:::;a . - .. . . - -.
. �. . .�
.
_ ...
, - ..� _
,..,::::,
� i`�
.
,::� .
...:.
.. ...
,
., h ... ..
-..,. ... . '�
:. ' '-
� ,-__.. . .._ _... _ .. .__ � .. � � ��
,_ .
����pro � ,; ,� .;' " ` �AULR S.4'NEI�,Ph D PflSCO C�ERK & C4MPTROLLER
� ��"���� 0$/04/2017 01:09 m 1 of 1
�a�.���,-�: . .. . ���� ��� �
= t��s��.��:�p OR BK FG
4.. ;Cdinti`sab�r:y ,�,,"' ��?' . � ��._
_ ';�,�� - � . - ? - � ����������- � �
. � .. , ....., . . . .
� . ,. , ,h,
. �:�.-�i=g� ��c>
� �
corf#aciars:'[ele�phane yc:: ' �
5.. SUfety;_.. . . .... - - .
.N8t11@ . . . , .. . . . . -
�I .. .._. ._ . . . . . .. .. . .
` AdcfABS§ {:ilY' SEBie
,Attiittmt'aF.Bati3;�' TciaphoneNa.:
B,; �l0yi�- _.. . .. -
_ Nazcitr ... _..
Acidiess ' . .� ,. . ' C�tp,� 6iete
Ler{�si'elephone.�Rl&;, .. - - . - .
7: P,.�i�sori�.Nn'thFii the 3t�ta`bf Florida ilasigrsated by:ihe owner.upoq wTtiom�no�ce3 ot other documertts may'be serveil as provided by
Siedion,IKa;t3�lj�a�7},'Roiiaastatiites:_ . .
� �� - . . ... .
.
ttiddress._, . G'ity' SEate
Tr�!'Aphone hl�pnber;nFi7esignated f�ersotr.
8:. frs'sddikortto.te�nsel(:Sheowt�erdeslggates. . .....- _ ot�
to i+eceive g aopy d Ute taesro�'s.Noiice.as ProviUeO in Section 718:18(1�{b).�tosida S#afutes.
Teleplidne.tJumbei�MP,p.rsflnor'Eritity�esigrrated byC)wner.
S. �ipSration dake.c€.Na6ae af Ca�irectcemard.{fhe ee��iration date st��Y nof be'befo�e the mmi�tion.of co�icSicsrt and 5nai paymeat to.the.
dartlractor,hut.v�i be one yeax ftom-the dale of recnMing unle�e diHeripit dale is spera'fieil): '
. _.. , ,. ...
.
N/ARt�tFtJG_70:�YYNERz.ANY.PAYN.ENTS ME4QE Sl''THE OWNER Ah-!'ER 7HE EXPlRA710N:OF'(NE 1VOTICE OF:COMMENGEMENT� .
fii2E`GONSIG�t€'—.ccD'�ifirS�Ptt�s�R?-A4tvi�4a'i��i.:YE?E"rc.'...''H�tt?a'cti7ia.:P�3: S£�tcCHY`7:��3,..fr.,LCa.�.7�A'..^3'.,.':`�3'�.,T:SS,.,At�.� ^fi.ti
f2ESUCT'IN'YOUR.i�A'Y1NG-TWtCE.FOR It�AP.ROVEPdENTS TO YOURpROPBFItY. .A;i307SCE OF Gt}Nllt�T1CF.{V{ENT MUST':8�.
RECOR�D.#1I�:BdS'[ED ON'fHE.J08 SITE BEFC7F2�.THE`FFRST INSPEC�ON.IF'YOU 1N3EMp:°70 087A1IV FINANGI(VG.GONSULT
WlYtt Y�IiR LENOER OR�ATt A"CTnRNEY;�EFORE COh'QAENCIIVG'WOk2K OR R�CDRpI{�3ty YOUR NDTIC£OF CO(UIMENCEMEM'.
Lfitdet peneftY cfEp?s1thY:Fd'eatare ihac i t�tie zead the:fo�ec�oing cm6ce.�f commencementarsd'tt}st,tlie.ta�ts statEd Umleizt are true ta.ftiabes#
, rit+mylcnowled9eand"belief'
SY1kTE�OF.'�Lt3filDA;
C.t)i.tt�t'SFP.4SGtp' -
s reM.C1„ eir '�tCt3v_e�se'sae�sN,J�flioiRvd
�OE}iG�rJDi�ettarlPs�tr�er/ anager
,�I+�!!9.'t'a� _
�,,, ,.; rurar�a.-,;-,�
-.
�� �'_�.�,__.,..... J►
� 'i'!te , Iry�iastt:mi' iiras acknowledged befdse m6 ihis�day of�����by 1�`�Gd'V PS{ tt ��������' -
� (r„I:_--����� {tyX+e of.auttt ,e.g.,afficer,t�ustee.attomey ks iect}for
` . ( p on aif f.v,rtmm', `e�recu
Per"s�ify Kriowii,L��B Pioi3ticed.2dentil'icali�nr�' - Nofary s;gna:vice
�
jype of.�due�t7ea�on'I'toduced fVa:rie(Psiirt) .
�� ,,` �lICHELE�.SAKSA .
� �. Plokary PubliC,State of Fbdda
Cammission#FF 75643
PAy comm.exp(res Jan.23,2018
v�datathcslnolicecmnrr�ricemr.nE_pzCl5:3Q48 � -
I� . _ -
� w • I
II
�
�
�
�
� •� ���'�
� ��
; xn
� _ ? � . :� `��..��
���� ��� ���:�.,��
�„ �, �; ..
� - �� � ��.;�z�.a}
�, � `.� ,'; ����_x,,;. :,����,
. 1�y',��g .�'���%j ;��?�``S'�.
\4T'� e"�(v...��x��,a���.
ry;,;;�t��;.
,�TATE�J� FLCERI�A,�C�UN'('Y�t'PASG�
THIS IS T0�CERT(FY THAT THE FOREGOING 18 A
T�UE AND CORRECT C4PY OF THE D�Ct�MENT
ON FILE R C7F PUE3�iC REC4RD IN THIS aFFICE
Wi7N MY NAND AN F G AL SEAL THI �
DAY QF 2�
PAULA S C?'NElL, �K 4NiPTROLLER
�Y DEPU?Y CLE2K