HomeMy WebLinkAbout17-18824 ,, CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)78o-oozo 18824
BUILDING PERMIT
� PERMIT INFORMATION � � LOCATION INFORMATION
Permit Number: 18824 Address: 5449 10TH ST
Permit Type: RE-ROOF _ ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 6,275.00 OWNER INFORMATION
Date Issued: 8/31/2017 Name: CALOHAN LINDA MARIE
Total Fees: 70.00 Address: 5449 10TH ST
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-4255
Date Paid: 8/31/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
BRAD MCDONALD ROOFING & CONST IN REROOF RESIDENTIAL 70.00
( `
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOI�OOF 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 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.
CO TRACTOR S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
. Building Department
DateRecelved .3 �'��, phoneContadforPermitting Z� sb - 766j
1 1 1 I 1 1 I 1 � � � � �
Owner's Name L 1 n�q � �D h dl Owner Phone Number 1 Z 7� S�y' y�S3
Owner's Address
� ���� ����$"� Z �f T1`l�s r L ,Owne PhoneNumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 5 ��'I �I IQ n ST��2'�' 2e�h t�)��S F� 335�� LOT# 7 � ��
SUBDIVISION �i� G� 21,i��s PARCELID# �I-�6-2I- Do1a' )1'joD -l�090 I,
(OBTAINED FROM PROPERTY TAX NOTICEj
WORK PROPOSED e NEW CONSTR e ADDlALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIP710NOFWORK 1 rQT Ot� 4Y1G� rp �4�{ r0o�` OU�S tn/r1iAs �G �O(7' PLaQ ►7Sta)
BUILDING SIZE SQ FOOTAGE� HEIGHT � F� g77�
OBUILDING S f �"7 VALUATIONOFTOTALCONSTRUCTION
iJ
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
IOMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
I
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
� PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
II OTHER /�/y� COMPANY �� ��VJOI1 fI�GI �� �nS
SIGNATURE �/�'• REGISTERED N FEE CURRE� Y/N
I Address (�y2 S/" �Y Nr� c. 3'l6 tS License# ��� )3z 5�33
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(t)set of Energy Forms;R-O-W Permit for new construction,
Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciliGes 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcGon.
Minimum[en(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All commercial Yequirements must meet compliance
' SIGN PERMIT Attach(2)sets of Engineered Plans.
� ""PROPERTY SURVEY required for all NEW construc[ion.
Directions:
Ffll out application compfetely.
Owner 8 ConVactor sign back of applicaGon,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500)
•` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (copy of conVact requiredj
Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CQNTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are 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 application for which they will.be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07,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 Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees 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
certify 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
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that all the information in this application 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 indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fiil:
- 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 the State of Florida.
- If the fill material is to be used in Flood "1_one "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license tu procesd 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 prevent the 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 permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 O�:AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.117.03) a
OWNER OR AGENT �� CONI'RACTOR � �
scnbe and swom t (or affi ed)before me this Su cribe and swom to r aKrtned)before me lhis
3 D by s�e m �o-t''�li�aal�rctmn�►.1 d 3 7 by� c Dono�
Who islare personally known to me ar has/have produced Who is/are personally known to me or has/have produced
as identification. as iden[ification.
�!y�/�� � /�Notary Pubiic /�--���c.� /� � Notary Public
Commissian No. Commission No.
Name of No ped,printed or stam ed Name of Notary typed,printed or sta �E'v�
20�'���.� UNDSAY G�IUZLEWSKI a`�;•••.B�io LINDSAY GRUZLEWSKI
* * MY COMMISSION#FF 175955 * * MY COMMISSION#FF 175955
� EXPIRES:December 12,2018 �,� � EXPIRES;December 12,2018
�A�OFF��\o BondedThruBudgetNot3ryServkes "rFaF��e-`O Bandedihru8udgetNolaryServites
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� 2017133011 , i
! NOT'ICE OF COMMENCEMENT Rcpt:1889212 Rec: 10.00 �� �
DS: 0.00 IT: 0.00 , �
PemutNa. 0812212@17 C. F. , Dpty Clerk j ;
PpULR S.0'NEIL,Ph D PASCO CLERK & COMPTROLLER ;
TaxFaliaNa. ��'�'6 t1 "d01 D- �!"�00 - C9o90 @$122/2017 12•30 m 1 of 1 �
. OR BK ���� PG �,�� (
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THE UNDERSIG��D IleieE3y giVeS 2i4ttCe t.�23t iiiipiOVe211CnTS wS�he maCle t4 C�1#2in mal propecty,anc!in accordance with Section �
713.1.3 ofthc Florida Statirtes,the following information is provided in this NOTICE OT+'COM.MENCEMENT. �
1.Descripfion of proPei'#�'(Xeb'a!desc twa): C ry�y C�� � �v,��r�,1�}5 �� � �ts �� L D�.S 9 k )p ;
a)Street(jab)Address: ���°ii f9 �'n S,l- 7�h y r�+'o'�1� �'t� 33 S N t I
2.General descrip6on ofimprovoments:��e��ac2 1200� !
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s:3.,•_Qwne�Infatmatinn=:_ . i
� -���-.��..�:,��:,.�.,�r�.���r��,� _1 t�NAh� �'4��/�(�-f�r S�. ZeA�t�u�L/Lt,s. �1 ;
a �,.:.., �
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b)Name and addmss of fee simple titlehplder(if ather than owner) ,
c)Interest in properiy D�n Pr" �
4.Conhactar Information '
-.----_ _ ----.--.a)N�zmeand�dres:.; __'Q!'tl�l r�c�ana�d r¢��,',n� Z/9s se�'. �y ,Ne� Pc{f I�,c►.ey Fc 3uer.s
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b)TeleghoneNo: ?Z 7- &Sb- 7t�3 Faac Na(flp�} �
S.Surety Information •
a)Name and address:
b}Amount af Bond:
c)Telephone No.: Faar No.(Opt)
6.I.ender
a)Name and address: ,
Phane No.
7.Identity of person within the State nf F�'lorida designated by awner upon whom notices ar ot6er dacnments may be served:
a)Name and address:
b)Telephone No.: Fax No_(Qpt_)
B.In additian tc►Limself,oivner desigaates fhe faiiawing person to receive a copy of the Lienor`s Natice as pravided in Section
713.13(1)(b),Florida Statutes:
a)Nacne attd address: '
b)Telephone No.; Fax No.(C)pt.)
9.Expiration date ofNotice of Commencement(the expiration date is ane year from the date af recording unles's a different date
is specified}:
WARNING TO O"WNER: A1YY PAYMENTS MAUE EtY TIIJE OWNER A.�'TER THE EXI'IItA'L'dON UF THE NOTICE OF
CdM1VVIENCEMENT ARE CONSIDERED IMI'ROPER PAYli�iEN'I'S�[JNUER CH.A.PTEIt 7I3,PART T,�EC'I'�ON 7�3.23,
FLORIDA STAT[.l'I`ES,AND CAN RESI7LT IN YOUR PAY]�TG TWICE T+"OR II�ROVE1ViEN'Y'S TO YOUIi PROPEYiTY.
A NQTICE i3�COI1I14�IENC�MENT MUST B�RECORD�ID AND POSTED QN T�E JOB��'I'�BEF(�RE THE�'Et2ST
INSPECTTQN. I�YOU INTEND TO OBTAIN FINANCING,CONSULT XOUYt LE1��R OR Al\T A'A'd'�RN�Y BEFORE'
COMMENCING WORK(7R RECORDING YOUR NOTICE OF CC1MI��TQCEMCENT.
SfATE OF FLOR,II)A
CBUt�TY dF fIILIS80ROUGH �4
� Signafure of.Owner.or Qwnci'-`s Autiroii2ed=> erTDir'eefriclFactneTlManager
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PrintName
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� The foregoing instrvment was aekuowledged befare me this �C� day of �tia,�t�s.r� ,20 1�',by �---1 Yl c�, c�.
�
M� C�...�0�1C�.`c'1 as �W �1 P✓' (type otautharity,e.g.officer,hvstee,
attarney ym fact)for {uame of par[y on betcalf of whom 4testrnment'tvas executed).
Personally Known�OR Produced Tdentificatian Notary Sig�iature ��1 x..i'i�-�-- _�`.�0.���
Type of Ideutification Produeed - Name{Print} �'t--��-�-� �1�Q,-�"c,
»::�j:�';----
Verifieatian pursuant to Section 92.525,Florida Statutes.t7nder penalties petjury,I declare that I hav read the foregoing and that
the facts stated in it are true to the best of my lrnowledge and belief.
fonMsmroc.�awa7 . �
Si�,mafu�e ofl�talinat Pezson-Signing.(ia line#iQ)Aba�•e
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THIS IS TO CERTIFY THAT 7HE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMEtvT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
" WIT �HAND AND 0 AL SEA�TH„�S y
1i'� AY OF ��
PAULA S.O'NEIL E & O
LLER
BY p�PUTY CLE�K
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�ebra Crah
From: scott tillett <fihesman@yahoo.com>
Sent: Tnursday,August 10, 2017 8:13 AM
To: Debra.oxfordpiace@gmail.com
Cc: Scott Tillett
Subject: re-roof proposal - Groh-Calohan
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Atfi: Debra Groh �
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5449 10'�`Street
Zepliyrhills,FL 335�k2
813-842-U277
Debra.oxforiiplace�v��►riaiLcom �
Bid Amount: $6,275
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Scope Of�7Voric
s Re-Roof Permit 5
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a Teac off the existing sliingles,flashings a�ici felts and di'spose of trash. i
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o Dry In: t��e�eel a�7�1 slick uf�cic�i�lavmer�/ I
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o Shingles:30 year(.Lifetime) dimeusional design; Owi�tgs Corazii�g Durations Series j
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m New lead boots around the piE�e penetrations
s New 6"4vhite eave drip
o. The existing tlat roof area r��i(1.be a three ply self adhering rnodified bitumen mefnbrane system with a 15 year Mfg
Wa�1•anty
o We have the current ttivo l�oles cavered in (his proE�osal. Any�dditiuual�vood will be invoiced at$5 per lii7eal foot
on the woodwork.
a We will remove the existing chinule}�do�vn to the roof level oniy.
a We will renlove the e�isting gutters. No ne�r-�utter�vorlc is included with tl�is proposal_
• 5 year Labot/Craftsmanship warranty
Pavmenf Terms
1�0%upon completion
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(Signature of Acceptance) (Uate)
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