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Home My WebLink About17-18841 I CITY OF ZEPHYRHILLS �- � 5335-8TH STREET (813)780-0020 18841 i BUILDING P@RMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18841 Address: 5203 GALL BLVD 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: 11-26-21-0010-16600-0080 Improv. Cost: 15,000.00 OWNER INFORMATION Date Issued: 10/18/2017 Name: 5203 GALL BLVD LAND TRUST COUGAR Total Fees: 165.00 Address: 3519 UNIVERSAL PLZ Amount Paid: 165.00 NEW PORT RICHEY, FL. 34652-6259 Date Paid: 10/18/2017 Phone: (352)508-7368 Work Desc: REROOF SHINGLE AND TPO CONTRACTOR S APPLICATION FEES SC SIGNATURE ROOFING CORPORATION REROOF COMMERCIAL 165.00 �� Ins ections Re uired DRYI ROOFINSP TAPE JOINTS ROOF I SP 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 Accs�mpany Application.All work shall be pertormed in accordance with City Codes d Ordinances. NO OCCUPANCY BEFORE C.O. O OCCUPANCY BEFORE C.O. � I C T OR SIGN TURE 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 , ' Date Received Phone Contact for Permttting Owner's Name 1( y !�` �L Owner Phone Number � �� Owner's Address �� Owner Phone Number Fee Simple Tltleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS � LOT# � SUBDIVISION PARCEL ID# � �/�{0��1 �w Q� 'W 11J (OBTAINED FROM PROPERTY TAX NOTIC� WORK PROPOSED e N W��NLSTR e REPAIR � SIGN Q Q DEMOLISH � PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OP WORK b � � �'1� \S BUILDING SIZE SQ FOOTAGE� HEIGHT � �BUILDING $ � VALUATIONOFTOTALCONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO 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 CURREA Y!N i Address License# OTHER 1 COMPANY ..xi� �— SIGNATURE� { GISTERED Y/ N EE CURR Y/N Address License# Ch� 111111111 111 1 1111111111111111111 1111111111111111111111111111111 I RESIDENTIAL a (2)P o lans;(2)sets of Building Plans;(1)set oi Energy Forms;R-O-W Pertnit for new constructlon, � ini um ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, a tary Facilities&1 dumpster;Site Work Pertnit far subdivisions/large projects COMMERCIAL ach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 81 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMff Attach(2)sets of Engineered Plans. ••"PROPERTY SURVEY required for all NEW construction. Directions:• Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement Is requlred. (AlC upgrades over b7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of conVact required) Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW _ _ I a�saso-0o2o City of Zephyrhills Permit Application F�-a�s-�eaoo2� Building Deparlment � ' 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 CONTRACTOR 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 pertormed 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 government 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, Wetland Areas, Altering , Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & 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 fill: - 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 Zone "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 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 prevent e Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every ermit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit'ssuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the ork is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed nin (90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the o is considered abandoned. WARNING TO O�ER: YOUR ILURE TO RECORD A NOTIC F COMMEN E NT MAY RESULT IN YOUR PAYING TWICE FO IMPROVE TS TO YOUR PROPERTY. IF O INTEND TO OB AIN FINANCING,CONSULT WITH YOUR LENDE OR AN A RNEY BEFORE RECORDING O NOTICE O CO MENCEMENT. FLORIDA JURAT(F.S.117. 3) / OWNER OR AGENT /CONT CTOR Subscribed and swo to r d b � s ' s to d b oi is by Who i/are pereonal or as h ve produced Wh s a e pe all i< as/ha e pro as identification. as(dentification. � blic Notary Public o�mi�s n o. .s��6sion No ,�:0'(PR�PVB� =r°. a�� Not r ublic-State ot Florida 'r N•taryt•L�I7RAi's��5�8�s��i�31664 :N�► �QTota 84p'rfi�t�e�sft�IGk?11664 N�,+ _ a v: '•.;,F p; My Comm. Expires Jan 2,2021 ."%FOFF��P�, My Comm Ex ires Jan 2,2021 ��OFF�� AondetlthroughNationalNotaryAssn. P nnn�a` '��` Bonded through National Notary Assn. � NOTICE OF CO�NCEMENT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII , 2017152574 � Permit No. - Rcpt:1897497 Rec: 10.00 Pro e Identification No: 11-26-21-0010-16600-0080 DS: 0.00 IT: 0.00 � P rh' 09/28/2017 J. G. , Dpty Clerk i THE LTNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this N.OTICE OF COMtVIENCEMENT. 1.Description of property(legal description):ZH MB 1 PG 54 LOTS 8&9 EXC W 25FT LOT 9 BLK 166 OR 8836 PG 3550 ' a) Street Address: 5203 GALL BLVD.ZEP�iYRHII,LS,FL 33542 2. General description of improvements:RE-ROOF I � 3.Owner Information � � a)Name and address: 5203 GULL LAND TRUST/COUGAR MNGMT 3519 UNNERSAL PLZ.NPR FL 34652 I� b) )Name and address of fee simple titleholder(if other than owner): c)Interest in property: Owner li 4.Contractor Information a)Name and address: S C Signature Construction and Roofing 8530 Oreto Drive Port Richev,FL 34668 � b)Telephone No.: 727-842-5163 Fax No. (Opt.) 727-474-0008 5. Surety Information PqULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER� a)Name and address: NA �i9/28/2017 02:33 m 1 of 1 ' b)AmountofBond: OR BK ��'�� PG 1�44 c)Telephone No.: Fax No. (Opt.) 6.Lender a)Name and address: NA Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and.address: NA b)Telephone No.: Fax No. (Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section I 713.13(1)(b),Florida Statutes: a)Name and address: NA b)Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement(the expuation date is one year from the date of recording unless a different date is specified): R'ARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF ' COMMENCEMENT ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, ' , FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MCTST BE RECORDED AND POSTED ON THE JOB STTE BEFORE THE FIl2ST INSPECTION.IF YOU INTEND T(��(��(J'j FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE GOMIVIENCING WORK OR�� TR NOTICE OF COMMENCEMENT. ��` '�;........�� i �� .• 1551 :� �i. � � �M �w .F y � STATE OF FLORIDA � `;��0��9 � �OUNTY OF PASCO `,�:� �+L s �'� ��= Signature of Owner or Owner's Authorized Officer/Director/Pariner/Manager .- • — . ^ :,�,,,: ��s�w :�`" Ja�,,,t �-eiS Y�Z t�' '!r''�'ti�'Giy.°'^��`',a�;�o: I ��,� Po�kU� �� .'rj��!/�lCr�$TASE��\��\\ Pr�ntName The foregoing instrument was aclaiowle�dg�a��efore me this �$�day of��Q,N1�1.t,�1' ,2017 ,by ��,,� �-Q�$1(�C,P` as �p�� Yy��,�.(,Y' (type of authority,e.g. officer,trustee, attorney in fact) for. �l,�q Ol}'' I nves-I�m;e.vsk VYl awtd- (name of party on behalf of whom instrument was executed). Personally Known�OR Produced Identification Notary Signature , � Type of Identification Produced Name(print) I�.f 1$� �rl�'_�G��- Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are hue to the best of my laiowledge and belief � ��'��° � �' �, � ° � s�ar�o�Fc.�s�r�� C9 ,� ., :..� � '�� p �`. THIS IS T0 CERTIFY TN�OU�TY�F��SCO �, � �,,J TRUE qND CORRECT CppyHE FOREGp�f�C IS A '� : � �'"�,� '� m �!;` ON FILE OR OF PUBLfC RECORD HI�rb�S�M`NT '' s� WI . �,� SS MY HANp OFFICE ��„�A• � ' ��'r �AY�F �OFFICIAL SEqL T};IS � � '� �Z PA LA S. 'NEIL, C 2 �I� . & COMPTROL EL R BY ' �EPUTY CLE�K Debra Ruffell From: Paige Matissek <paige@scsignatureconstruction.com> Sent: Thursday,August 31, 201712:54 PM To: Debra Ruffell Subject: Roofing Permit- Gall Blvd 5102 - Signature Roofing Attachments: Gall Blvd -5203.pdf Good Afternoon, Attached is the roofing permit application for a reroof with flat deck. We will have the NOC when we come to pick up the permit: If you could please start processing the permit. If you have any questions or need any otner , paperwork please let us know. Thank you. Regards, � �au�iMat�� SC Signature Construction and Roofing Corp 727.842.5163 www.SCSignatu reConstruction.com '� � `SIGti�TilR .,■. � C6Q-0STRU[71QN, Spp. "��.s.,�,��.«,,,a'�I-' L7i7 1 Q_.,;rC�J o '�1� f;LIl111ufl . • �� ?\►-. e�.�:, -�. e..l ' City of Zephyrhills BUILDING PLAN REVIEW COMIVIENTS ' �Oc� n Contractor/Homeowner: I Date Received: �1� I �� Site: �c2�� u�C_ �6�11� Permit Type: 0 , Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. � J G — — I / � r� /� Kalvin S itzer Plans Examiner Date Contractor and/or Homeowner '� � (Required when comments are present) 1 � � 8530 Oreto Drive Port Richey, FL 34668 � �� P: 727-842-5163 F: 7�7-474-0008 ��'�� Established in 9990 IC � q P O fl /�T 1 � N I Name:Cou ar Investment M mt LLC Date:8/31/17 Address:3519 Universal Plaza Re lace Flat Roof&Mansard Ci :New Port Riche FL:34652 Address of'ob:5203 Gall Blvd Phone:352-508-7368 Email: Kristen cou a m.com Prepared by:Joe Matissek Ceil Phone:727-514-2211 _ Provide proof of all required licenses and insurances. Obtain permit as required by county. , Remove existing iayers of Mod'ified Roofng ; . � - , _ ; Install ISO Board. � � Install new drip edge. � � - ` Install TPO. , � ��v/�� .. . � � - : � . .. ��,�� _ , . - , Remove Shingles on°.Mansard,:Roof �p �� . • `'�. Install Synthetic Underlayment �'� � , � _ I �} � �i�;�� `� Install GAF Timberline HD Shingles �+Ct I/y �� '`<,c:� �� _ ', _ -� Clsan up and haul away debris. ' ��6�r � � - ,� '��r��' � -, :- �!Vi}��'��/�� - - ,�..-. �� .��,��,�a`�,. ��y��i�/��`�C�s ��fYr,��,. � .•�';,,+/r� �(�/ry} , `��!'�,� �� ""'�' �t�:F�J �' �d�,.:°: All other wood additional: Plywood$55.00 per sheet Board lumber$5.00 per��foot. '"' ACCESS:Customer agrees to allow access to the property and realizes that heavy equipment is being used.Contractor shall not be liable for,without limitation,damage to driveways,sidewalks,lawns,sprinkler systems,gardens,septic systems,and any other structures as a result of rooftop or job , deliveries.Damage shall be brought to the aflention of the Contractor prior to the fime of payment for the roof.If Customer falls to notify Contractor of said damage within 5 wo�king days of occurrence,they shall waive all rights against Contraotor conceming sald damage. We Propose—hereby to furnish material and labor—complete in accordance with above specificatfons,for the sum of: Fifteen Thousand and 00/100 Due u on Com letion $15,000.00 This proposal may be withdrawn by Authorized Signature: �� us if not accepted wfthin 30_days. A!!v�ork wl116e compfeted In a prolessfonaf manner according to sfandard buqding practices.A'rry alterations or deviafions from above'specifrcations involving extra cosis wil! be executed only upon wriNen order and wil!be an extra charge over and above the eslimate. This agreement is contingent upon s(rikes, accldenls or delays 6eyond our control. Owner agrees to cany Cre, tornado and other necessary insurance. puc workers are lully covered by Workman's Compensatio»lnsurance. Our workmenship is uaranleed foc 12 monfh from the date of frnal a mant:Afl materials are wananted b manulactuier.No other warrenties,eifher express or implied,are vafid. Acceptance oi Proposal—When accepted thls proposal becomes a binding contract between the customer and SC Date of Signature Roofing Corp.By signature ihe customer agrees that the above job speclflcations and payment terms are acceptable and SC Signature Roofing is authorized to perform the work as stated.. ACC@pt8flCe: ' Signature: $ignature: General Contractor CGC1514332/Roofing Contractor CCC1328842