HomeMy WebLinkAbout17-18763 \
� ' CITY OF ZEPHYRHILLS
5335-8TH STREEf
(813)780-0020 187
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION �
Permit Number: 18763 Address: 39047 BLUEJAY 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: 13-26-21-0100-00000-0230
Improv. Cost: 2,300.00 OWNER INFORMATION
Date Issued: 8/10/2017 Name: MADEIRA CAPITAL FUND LLC
Total Fees: 50.00 Address: 3812 N TAMPA ST
Amount Paid: 50.00 TAMPA FL 33603-4744
Date Paid: 8/10/2017 Phone: 813-361-0001
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
DURBIN ROOFING &WATERPROOFING I REROOF RESIDENTIAL 50.00
1�
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL „
,�yJ\ `
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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 property 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.
NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0027
Building Departrnent ,
Date Reeeived Phone Contact for Pertnittin
Owners Name �'�\�Q � ��` ` !.-�E 1 � � Owner Phone Num6er � - -
3 S 12 N�'ca. T�r�
Owners Address •1M �J� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOB ADDRESS �� �� I�i�� V� Z � `1'�1I���1 G LOT# ��
SUBDMSION ' �S Ci.LC�� PARCEL ID# � J �Z-I"'a���C�`-Cl V
(OBTAINID FROM PROPE[ZiY TAX NOiiC�
WORK PROPOSED e NEw CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER 1-.- �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ���s IV �' v` l�\ 1 \ �IXY�'l 1� �
�� � c�-3
' BUILDING SIZE SQ FOOTAGE HEIGHT
�
QBUILDING $ �� 2 `�a
� VALUATION OF TOTAL CONSTRUCTION z-� J�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING 5 � �� 2
' Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( J
QGAS � ROOFING Q SPECIALN � OTHER
r�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGi5rEREn Y/ N FEECURRB� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FFECuwiFt. Y/N
Address License#
PLUMBER COMPANY
SIGNATURE a�clsr6tm Y/ N FEE cURaEn Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N �Cuaae. Y/N
' Address Llcense#
o�rriert ,�,,,_��� coraP,nNv p ' `�Y'oO�F�vt t��' R��'t^
SIGNATURE �✓'��'����1� ReGlsre�o Y �Cut�n Y/N
Address �J�U 1 �C` �f1�' Q�, `�� � Q, -� License# 1������2
IIIIIIIIt111111111111111111111I11111111111i1111illtlllllilllllt1111
RESIDEN7IAL Attach(2)Plot Plarts;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submithal date. Required onsite,Construdion Pians,Stortnwater Pians w/Silt Fence instaped,
Sanifary Faalfies&�dumpster,Site Work Pertnit for subdivisions/large projeds
COMMERCIAL Attach(2)complete sefs of Building Plans plus a Life Satety Page;(1)set of Energy Forms.R O-W Pertnit for new construction.
Minimum ten(10)working days after submittal daLe. Required onsite,ConsWcbon Plans,Startnwater Plans w/S0t Fence inshalled,
Sanitary Facilities 8'I dumpster.Site Work Permit for a0 new projects.All cammertrtyaal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ail NEW construction.
DlrecUons:•
FII out application completely.
Owner&Contractarsign badc of application,notarized
If over 52500,a Notice of Commencement ls required. (AIC upgrades over 575D0)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notar¢ed letter from owner autho�g same
R T�PERMIT17N6 (copy of contract required)
Reroofs if s i les Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
��C�RC�S-1 `c��--C�e- �r�, ► �.�'5��1�� IC�C�..�`t1
��� C�`'���e�.�r � �,cc�.��-n �°�11r��� ��S `��I(�� ��7
c��e�- �i� ���c��n�.��
�
� Karan E.Korson
* ,* Notary Public,Steto of Florida �,^ , �����2�
Commission No.FF 93830 � � ��
�"'�MyCommissionExpires:02/i8/18 - �
��IR�I1V I�00�'ING & W�4 T�EI�PROOFING INC.
Lic#CCC1331029 Bonded&Insured
r?`- ` �� r" \ �.��- � /�^`�`'��,`
�ate: ` ` > Customer: �
�[/ 1�-'�-\
Street Address: ��l�� �7/l,� ���f
�it�v/State/Zip: - Z�t� Home#
�eli# Email•
Shio�le Roof (Tamko,GAF,Owen C.ar CertainTeed) Flat Roof
�'j 4-�:���� O�� 5`n��r�a,�-� _ _ .
Underlayment: � -- -
First -�sheets of plywood free,Additional plywood is:$50.00 a:sheet. Fascia`.$5.00 ft
. Additional notes/worl� = - , - - �
This contract includes but is not limited toc=; _ , - �
m Contractor will obtain and post local�roof permits�(in accorda'nce with local laws)
o Completely remove existing:roof to'bace v+rood _- `
o Thoroughly inspect�he roof"decking
m Replace rot�en decking at$50.00:per sheet=�plywood
s Re=nail-entire roof decking per Florida';building�code w/proper fasteners
o Install requested'underlayment over entiFe roof deck per Florida building code
0 Install Rlew Drip Eiige�=-Natu"ral�White=6rovi►n-Gray-Black-Beige for added water tightness
nailed and sealed witN asphalt roof_cement
e Install new valley metal in ualleys
o Install new�lashings for all;plumbing stacks and GRV vents,nailed and sealed with asphalt
roofing cement ; - ,:
B Install standard Ridgeverif for attic ventilation L.F.
m Install Premium Nigh Definition Shingle over vent for attic ventilation L.F.
� Hand Clean and haul away all job related debris to an approved disposal facility
o Hand clean and magnetically sweep job site for nails
o Call in all Roof Inspections with local permitting i
o Ensure your roof passes a final roof inspection '
TFae Contractor proposes herby to furnish material&la6or with above specifications for�sum off
($ ����� )Payment schedule as follows: upon �
� down&2-' �
completion of the job.����t(�-`���Cjp�(1�r'-�-Q\'n.e--�1�'1'l�, ��G'je�• �-S�
�� ��� ��
- ��7_r.��' � � �1��-��'
, '
NOTiCE OF DEED,RESTRICTi0At8;,The underslgned,undet��nds;,th�t:ihlszp�c�ni�may.be:subJect.to.'deed",tesUlation's" _
,> :,.. �x ,� .� �, .�-� -
whlch may�tie=inore:i'esfi�lctive-tliart C�iuply��f�ie�grilatforts:-'T#ie r�ntlerslgned�a�sume��res'ponal�ltttyfor`compllarace`viwlth`ariy"' '`' "
app}tcahte.dead resMctions. .. .� , . , . �
UNLtCENSED���ONTRAG'YORS AND C0111TRAL`'FOR�RE�PORiSIB1EtT1E8: •�t fhe•owner has��filred a'�contrector ar
contractor§to undertake work,they.m'`ay,be.r,rtiqulseii�to:be�llcens�d:ln.accordance.w(th state:.and;lccs,�l�regutat�ons:=1f-the� � �
contractor Ig not tli�nsed:as requl�c!`tiy taw, tioi#i the owner arnl>cchfsaotor mey De°°clfed�for g�misileirieanor vtola0on
under stata Iaw. Ff the awner or tntended�ca�strass#or:are;;�trn:ertetn as to what ttceneing.reyuiremerrts;,mey.�eppiydor�ttie� ° ��
' Intended work,they�re;advlsed to contact;tFia Pasca County,BuIIdI'ng'Inspedlon_dCvlslon--�.tcensing�SecUon et 727-847-
8009. Furthermore, It the owrier"Fias hfr�il'a coiilt'at�ii�or contractars, he Is advtsed to have ttte contractor(s),sEPn h. ,,�.,;
portloas o#the:'con#rectoc 8loctc.of th[a�applica�on for.,which,tFsey wlll-be:tesponsltale,-:if.:you:as�#he owrier s(gn„as``ttie
contractor,that�neybe�an Iiidlcatlon tt�at h�Is�oYpirbperly Ilcenserd`and`f§`not enNded"to pamillting�prNiflege's In P�sco
Counly. . . _. _ � � . �
TRANSPt}i�FAT14N.tMPAC7NTiE.i'�iE9�CMPAL•"1='a6��1�E�{lUItCE RECOVERYfEES: 'i�ta undeislgned unders#artds
thatTrensportetlonlmpactFeea:and.Rec;outseRecaVery.Fees,mey,applyato�the�construcdon.of.nev�_bulldings,=chanae�'of` "=� '
use In exf`s`Nog bulldlags;or�eicpan�i�dri�of'"�+ei�l§tt�:tialldings,as apgalfled.ln Pasco Ctiunty Otdlnance number 89-07 and,
gff-07,as amend�d.�,T;ha undersl�ned also�e�cterstaods;ttfait-suoh fees„as,may�,be<due,.wi111::C�e Ideiitifted at the�#ime��if't- =�'
permlfling. It fs furtlier understood thet Trai��portatlan Impai��Fees and Resouree,:FtecoVerry-Fees must be pald prlar to
r�ceWing a,'certiFlcate=of ocoupancy"�orflnal�power_,:celeaser",I�ths project�:does;not Irnolveaa,certNtcat;s of occupan�t'Gf'-`�-: '
po Felease;�=t�e;fee�'t)�i��#tie"peti3,pi�cr-#o�p�r3n�t Iss�aFice. F�tftie�no�,-t�-Pasco;Gour�#y'Water/Sewer�lmpact :-
F1C
_f, .
fees are due,;they,must.be:pald.°,prloC,to:parmlC:IssyanCe:ln..accordance.HrltFi�:appllcatite Pasco�Gounty,ardlnances. �
CONSTRUC7I�N"CIEN'LAIIV(Ciiept�r T73,Ftortda Statulee�,aa amended�; If valuaUon af work Is$2,500.OD,or more,� � 5
aertify that i� #he appllcant;:-haue,been.pt;ovided��wi#h-�~copy�.of;tbe°.:'_Flothfa�'�onstftscllati-Llen Caw—Ftomecwner's
Protechon(3ulde"prepared by tFie�loiida DeperfineAt of Agrlculture and Conaumer,Rffatr's. If the appllcant Is someone. � . .
other�than the owner",1 certtY�i.fh�t:l:h�ve,o�.te�ine�:a`�copy,nf,the abpya,des,ci�lti�cl;tlocti�ient.and;ptomiseln,goosl:falth�to
dethrer it'to:.ttie='owaer,`apiior`tia i�mriieiiic�iiieri�,`�.� .`'"," � _.- ,, r _-
CONTRACTOR'S/OYVNER'S pFFIDAVIT: 1.ceittfy:;thi�tall.the.lnformeflorr:l��thl�appllcaNan fs accurate.and that sll wark
will'be done fn compllence wlth all.appllcable lawa regulatlng constructlon,xoning and.land�developmenG Appllcatton Is
hereby made to obtatn_a.permit�#o;do3;wof��and�tfisEallattan as tnd{�Fed�,..°I c+�l1!`Y�that no vaoik ycr.tnstatlallon �ias
commenced p�lo�to issuancs�oi a perinif'a'rtd thatcallwork wlll be pertormad Qo meet-sFandeMs�cif all laws regulating-
• conatrucUon, Counly and Cfty codes, zonln� regulatlons, and land develapment re�ulatlo"ns`In tlie jurlsdlctlon:- ( al'so�
certi€y Ehat 1 understend fhat the regutatlons aF other g4eremment agenctes maY�$PP�Y�to#he..tntended work,and that it ts
my responstbitity to tdentKy•what.acUans 1 must•teka:to be.ln.cwmpllar�ce,,Such;agencles Incfude buf are,not Ilmited to: ,
- department oi Etivlronmental•�t�Hntectton�G�ipre��:'Bayfiead�;�V�1eNend I�reaa.and�Envlronmentally Se�stt(va
i.ands,WaterMtastewater Treafinen�. . �
- Southwest Florida Waker Management:Dtsiirlct Vbells, Cypres.s.`Bey�ead�; Wetland Areas, Altering
Wateraourses. �
- Army Cotps o€EngtaeetsSeawatls;Docks,Navlgabte Watarways,
- i7epartment o.f,Heaith�:8� Ftehat��iitativa;Seriices/Ernrironmentat.Fteattb Unit Welts,.1Nastewrater-Treabnent;
Septlo Taiiks: . -
- US Envlronmsntal Protectlon AgenGy Asbsatos abateme.nt �
Fedetat Avietlon:Autho�r:fturnuay���
I unde�stand that thexfollowing-"resUlcdons aqply to tii'e use of flll:•
- Use offlll Is not aAowed In.FlpodrZone'V"untess e�ressly permltted
- tf the:fili mateilal ta to be use�`I:tri:flood 2one °A', tl ts nnderstood #hat a dratnage pian addressing a
°compensatlng valume'will be submltted at Ume of pe�rnitting wfilch Is prepared by a professlonel englneer
Ilcensed by the State of f�lioHda:� `
- , (f#h�i�p mafertal-�.#o be-used tn Flood�one°A"ir�i¢onnecfion�wtth s pemiiNed bnitdtng ustng stem wail
canstrucHon,I certffy.that flll:�lll:be used only.to.�lll the ar.ea w(thln:the stem vvall.
- If flll materlal Is to be ueetl�ln..aay ar�:�, ! cettlfy that.use of such till will r�ot adversefy aPfect adjacent
propertles. If itse of�tl.ts,founct�#o advets�$r:�Fed ad}aEetit�prrtperfies,.#he owner may be cited ior.vtoteUrtg
, the cond�lons:of:the.bt�lldtng:permlt Issued�.andar tHe atteched,�aermlt appticaUcn;for lats less ihan.one(1)
acrewhlcfi are ielevated�tiy flll;��t englneerad dralnage plan Is requlred..
If#am the At#ENF FOR.THE�OWNER;el�pioiitise-1n good falttt to lttfattit the owner of the permltttng condlNons set farfh 1n !
thls aflldav)t prlor fo�comrrieiacing consUucUon. f unrl�erstani!thet a:separete permlt may be requlned for elecfrlcal.work, I,
plumbing,,.signs,wells�,pools�,alr oondltloning;,gas,.ar•otheK Instal�#dons nal,spec�lcmlly Ineluded•In.the appllcation. .A
permit Issued'shalt be coi�s�ed ta'deja'11ce�se#o_piviceed wtth 1h�it�oik ani!not as�ant��i'ta.vlolat�,caricel,aiter.flr
set aslde arty provlstons of Niie.tecFioli;at codes;nor shall Issuence�of a.permlt.prevent the Bulldlrig Qfllclal irom thereaftec
requlring a correcUon�erro�s:ln:pla�ns;con�tivctlon or vlolatfons of any codens��very permlt=lssued"shall-become Irnraltd
unless the wotk authorized:by such perr�lt:�.cofnRsencedwtthin sGt..mon#hs of permlt[�suance,or If wark author�zed by
the permit Is suspended-or;abe�doneci.for-sr;pertod,af six(8)montCis,�Rer'ik�e tlm�the work��e comMenced. An extenslon �
may be requested,In wrltlrig,;nom tFie;Bul(ding,Offlcl�l for a perlod`�not=to ex'cci�ed�nlnet"y(90)-days eird wIIC demonstrate
just�iabte cause for.�lhe e�enslor� !f work c�ases.ior niRe#�r.{90)�nsecu#ive daysrtGte�oh�taconsEdered abando�sed. -
WARNING TO OWNER: YOUR..FA�UIRE;TO.R�CqRCl,/,l�.,N47'�C�:OF�COMMEMGEMEt�t'F.MAY�RESUkT IN YOUR
PAYING TWICE,FOR-!MF!RO�fEMEfi��_Ttl.afQl:tL�PRQ�'ER�:1f..�IF°X�U?lt�F�'EI�Q�7�Q���AIN'�FIN#CNEi(�E3:'C{3NSUlT
WITH•YOURCENDEt4O12�AteFA�t'C►RNE1F�FdR�z�ORf1t�1�;1fQ11ti�`•Flii'FtC�"��,iGtFur��I�rrr� -� `
FLORIGAJURA'f-(F.S�t1T.Q3). _ , ; � „ - .- . , - . �
� OYMPtER OR Ati�l7i-. Ct#HTRACfOR .
' SubsalG�artd awam to(or afNrm�d)6eforo me fhta Subsaiked end'mxam lu(or ef�rtnsdrbe(ore m�iM��
� by .�,... � ,
� Who Is/are personalfy wiown to.me ar�hasTheve prpduc�d VlrtroJel�re p.ersonallylmown to me.arl�adhave pmduced
- ae IdenHftca86a. aa td�tNflcaUon.
Notary Publta . Flotacy Pubilc
Commisslon No:" Comr�Isalon.Na.
Flame ot Notary typed,prtntad or atsmped Ftame of Notery typed,pdnted or atemp�d
. �
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