HomeMy WebLinkAbout17-18891 1
CITY OF ZEPHYRHILLS
3 " � 5335-8TH STREET
� (s�3pso-oo20 �$$9 �
BUILDING PERMIT
PERMIT INFORMATION � - - LOCATION INFORMATION '
Permit Number: 18891 Address: 4745 SILVER CIRCLE ,
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: CHALFONT 1/ILLAS ��
Est. Value: Parcel Number: 15-26-21-0�190-00000-0120 ',
Improv. Cost: 7,250.00 OWNER INFORMATION -
Date Issued: 10/02/2017 Name: THACKER, ROBERT & LAURA-STOP WO
Total Fees: 75.00 Address: 4745 SILVER CIRCLE ��
Amount Paid: 75.00 ZEPHYRHILLS, FL 33541 �
Date Paid: 10/02/2017 Phone: (765)617-6078
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
CHARLIE'S ROOFING &WATERPROOFIN REROOF RESIDENTIAL 75.00
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C�?D �3
� Ins ections Re uired
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
G?�,N�
G�����n/ �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, � a�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
` Building Departmenl
Date Received Phone Contact for Permitting -
n /��[/J /_ /.�
Owner's Name o ��rT C. V/� Owner Phone Number �(�� V
/'''' �p i � n �
Owner's Address J �. /l. tS Owner Phone Number /
Fee Simple Titleholder Name �^�� Owner Phone Num6er � � � Q-/
�—=
Fee Simple Titleholder Address
JOB ADDRESS 7 5�i v r �lC.li �% LOT# �
SUBDIVISION I I •� � PARCEL ID#I.S� (Or��✓OI D'O��DD�O�L.D
(OBTAINED FROM PROPERTYTAX NOTC�
WORK PROPOSED e NSTALLSTR e REPAIR � SIGN � Q DEMOLISH
PROPOSED USE Q SFR Q COMM 0 OTHER �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK '� • OD/'m�il, (QI O L ` •N� � �'^�
� �,�5 � c��,e 5
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDINGlR(�JQr $ SD.00 VALUATION OFTOTALCONSTRUCTION
�cX•Vi
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE RECISTERED 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
IAddress License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N FEECURRE� Y/N
Address License#
. � � /�� ///�•,_,/ ,�
OTHER COMPANY 3' • IJ����jY V
SIGNATURE REGISTERED Y/ N FEE CURRE� Y i
Address �7 � V O � � ' �7��I� License# l�l� / ✓ �I
Iltlllltlllllllllllllltlllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomtwater Plans w/Silt Fence installed,
Sanitary Facilities 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 Pertnit for new construction.
Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.Ail commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*"•PROPERTY SURVEY required for all NEW construction.
Directions:• �
Fill out application completely.
Owner&Contractor sign back of appiication,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner auchorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
r
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. 1 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,WateNWastewater 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 the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
I 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 COMMENCEMEN MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS YO R PROPERTY. IF YOU NTEND TO OB FIN CING,CONSULT
WITH YOUR LENDE O T R B RE RECORDING YO OTICE CO NCE ' NT.
FLORIDA JURAT(F.S.1 .
OWNER OR AG CONTRACTOR
S b ib an b�wo t e efor me this S s r' ed �b�orn�p(iqr affirm )befor e Ihis
c�r
o is/ p onaily wn to me or aslhave produced Wh is/a personally known to me or haslhave produced
� � • � nifc i n��J� asiden' tion.
�`a-c�o���3
a blic ���'�l�i�- ���Public
Commission No. �/- �J / �� Commisslan No. / � �J �
�«v��1 L• � a�� ��r � ��vn�- L. d���,�—
" Name of Notary typed,printed or stamped Name of Notary�e�uprinted or stam ed
�1�,RY P�B�� LINDA L.POTTER ao�`;...,��•o LIPl�A L.POITER
� �'�''• ° MY COMMISSION#fF 137439
MY COMMISSION�FF 137439 * �
* ' * EXPIRES:October 30,2018 EXPIRES:October 30,2018
�JA�OFF���\o! BondetlThruBudgetNotaryServiees N�4>Fpp�.OP��F BondedThruBudgetNolaryServices
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� .:� �harlie�� oof�n aterproof�� , lnc.
� CCC1327673
September 29, 2017 . '
To Whom It May Concern:
This is to stand as a Letter of Authorizatian to the City of Zeplhyrhills, Florida,to allow
David Richards or Charles Richards
to act as my agent on behalf of ine personally and Chaxlie's Roofing&Waterproofing "
for all things related to signing for and relating to permits. ,
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, -
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Charles Richards/Owner of harlie's Roofing& Waterproofmg, Inc. � ',
-�.. - II
Signed before me on this�day of , 2017.
No y Signature Comm' ion Expires ,
�t�Y PV6�� SOPHIA M MOSKALUK -
; �� ..�� c Commisslon#GG 101307
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Nr o4 Expires May 3,2021
' 9rFOF FL�P` Bonaed Thru BudgetNoferySorvkes �
�
Stamp �� .
,I
2506 M. 58t�' Street, Tampa, Fl 33699
813-621-6347 a Office
893-629-6542� Fax ,
wwwi.charliesroofingnow.com
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2017150953
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Permi[No., ParcetfDNo J�''��G�l"d! 70�V�Q�d'Q�c�-�
NOTICE OF COMMENCEMENT
Staie of_ ��,�(",�,�" County�of w
'iHE UNDERSlGNED hereby gives notice ihat improvement wili be made to certain rea!propetty,and in accordance with Chapter 713,Florida Statutes,� I
the foitowing infottnation is provided in this NoGce of CommencemenC / M
1. Description of Property: Parce!I entificatio No. N '.�.f" V �`"� �Q�d r' �
StreetAddress: �� � . � 5% �
2. General Description of Improvement �`' �p�. ��. 1@ ��
' DS: 0.00 IT: 0.00
09l2612027 C. F., Dpf.y Clerk
3. Owner 1 fortnaGon ar Lessee t ation Itthe lessee contracted forthe improvement __
! �" - e ��e� �
Address p � ��� j� City � State
inte[estinPto e / r'RU4P S 0'N&IL,Ph.D PASCO CI.ERK& CQMPTROL4Eft
Name of Fee Simpte Titiehaider. 08/26/2@17 02:53pm 1 af 2
{ifdifferentff�f�wner�l�dabovea �R �� `�'�`r� �G �"��
Address ' 7% �p,}�Ci�ty� � ' Staie
4. Contractor ,��• ��-�`� / 1.��.�(.Q� �rc
,�S�'a�/�,1• 5' �'�' �• �l�,�r►z..�r,ti —� �
Ad�c ress �- ��� Gity State
Contractor's Telephone No.: "
5. Surety. /!/
Name
Address Ciry Staie
Amount of 8ond: $ Telephone No.:
6. Lender.
Name
Address � Gity State
Lender's Telephone No.: . -
7. Persons within the State of Florida destgnated by t owner upon whom notices or other documents may be sarvad as provided by
Section 713.13{1)(a�(n,Flarida Statutes: �
Name
Address ' City State
3etepfione Number of Designated Person:
8. ln addition fn himseif,the owner designates o{=
to receive a copy of�tie 4ienor's Notice as prav�ded in Section T13.13(1}{b�,Rorida Statutes.
Teiephone Number af Person ar EnGty Designated by Owner. `
9. Expiration date of Notice of Commencement(the expiratian date may not be be'ote the compietion of consWction and finai payment to ttre
contractor,trut wiii be ane year from fhe dffie of recording untass a dififerent date is speaified):
WARNING TO OWNER: ANY pAYMENTS MADE BY'fFiE OWNER AFCER 7'HE DCPtRATtON OF TFiE NOTtCE OF COMMENCEMEtVT
ARE CONSIDERED 1MPROPER PAYMEN7S UNDER CNAPTER 713, PART 1, SEGTl4N 713.13, FIQRlDA STATUTES, AND GAM
RESi1LT IN YOUR PAYING 7WICE FOR•,}MpROVEMENTS TO YOUR PROPERTY. A NOTlCE OF COMMENGEMENT MUST 8E
REGORDEd AND POSTED ON 7HE JOB S1TE BEFORE THE F�RST INSPECTION. IF YOU WTEND TO OBTAlN FlNANCING,CONSULT
WlTH YOUR lENDER OR AN ATFORNEY BEFORE COMMENCtNG WORK OR RECdRDING Y U ICE OF COMMENCEMENT.
Under penalty oi perjury,l dedaze that I have read tha taregoing noti f n#a th aci ed therein are true to iha best
of my knowladge and 6efief.
STATE OF FLORIDA .
COUN'fY OF PA5C0 ao�;Y;.eLc LINDAL PdTTEfl
MY COMM(SSION f FF 137438 �a ot O r L sa ,or e s or Les e's Rothorized
�t * QfftcedQirec NPartnerlManager
EXPIRES:actoqP,r�30,2018
���sF�F,�x-�°t BondadThNBudgetNupryS:rvtces
S� a ry's TitSefOSfi� � A�a� �
" The foregoing Instrument was acimowledged before me this�,d�t 2(�,,by �"'��- `��%"'��
as -� (typ of authority,e.g.,o cer, tee, o ey in fact)for
(na rty on beha oiwh e e e ed).
Personatly Known Q dR Produced'Identifica n �.�,Notary Slgnature
Type of identification Produced ! L Name(Print) � ' U
�',� 4�-��?3- y �- 6�y t�
wp data(bes/noGcecommeneQment�ac053448
. . � . PROPOSAL
.� . � Mailing Address:
`�� �,l�arlie s I�,00fing � 2506 North 58th Street
�'�7' Tampa, FL 33619
' � VV `�.�e�����fing, Inc. Phone:(813)629-6347
� Insured • Licensed Fax: (813)621-6542
�,,r�, CCC1327673
PROPOSAL SUBMITTED TO PHONE. DATE:
'�o ✓c-T • T . c,��.� WORK# ��S— � � 7 —6 U �� �-Z r/ �
STREET JOB NAME
7�, J�!L If'� �!/��C L E
CITY,STATE AND ZIP CODE JOB LOCATION
Z,c ` . �. ��s �� 3 s s'`-1�
SALES PERS �I DATE OF PLANS C.,�,� [ JOB NUMBER
�;� ,����.� �« ,�z?- �'3-/ - g'y.3""�
SCOPE ��F WORK: #STORIES_�PITCH�Z
• Tearoff existing �-��,��� fOOf. #LAYERS MANSARD
• Replace rotted wood at attached woodlist pricing is extra. HiP ��r,�'--r`—GABLE ✓
w�rin�
• Install ❑'15# ❑30# �Peel & Stick Secondary Water Barrier Underlayment.
� New b " Edge Drip_ r,1H� � color.
• Install: 3 tab Dimensional shingles Style %,�--r�,�d �(!.��2-��� '�S�,r�f � /'-,�d r°����
_ .3<5 year shingles C'!��-y .�. � s % color. ���„���
� Install �y'��.g�e'��n�.q��Ptl���' ventilation color, rP.�"Tr`���
� LOW SLGPE: Install base sheet and modified bitumen. �T�P't;h �Td Map- �� ��.T-,2���
• Note: If mare layers are found during installation, there will be an additional charge of$25.00. per layer, per square
PRICE IWCL.UDES:
�.�v� year�abor Warranty (Non-transferable).
• Material (except wood) and labor, including lead boots & goosenecks.
• 6 nail all shingles, roof cement on all perimeters.
• Hau( away�old roof and debris, cleanup, and run nail magnet.
• Permit (if f�equired).
0
SPECIAL INSTRUCTIONS:
We Propose hereby to furnish material and/or labor--complete in accordance with above specifications,for the sum of•
dollars ($ � Z 3`a �� ).
Payment to be made as follows: G'�fi �/� y��c��Sr7 ��-��r� v�a,✓
� �!�L�' �Q�t,/ G — � /no s�GL• T��-�-�
All material is guarameed to 6e as specifietl.All work lo he completed in a workmanlike manner according Authorized ^—�— �
lo standard practices.Any al�eration or devialion from above specNcation involving extra costs will be Signature ��' '�- �L�,�rt j�,�
executed only upon written orders,and will become an extra charge over and above the estimate.All
agreements contingenl upon slrikes,accidents or delays 6eyond our control.Owner lo carry fire,tomado
and o[her necessary insurance.Ourworkers are fully covered by Workmen's Compensation Insurance. NOtB:ThIS pfOPOSB�fll2y b2
withdrawn by us if not accepted within �6 days.
Acceptance of Proposal--The above prices,specification `�
and conditions are satisfactory and are hereby accepted.
Si nature
You are authorized to do the work as specified. Payment 9
will be made as outlined ab ve.
Date of Accept ance Signature