HomeMy WebLinkAbout17-18965 CITY OF ZEPHYRHILLS
5335-8TH STREEf
- (813)780-0020 �$���
� BUILDING PERC�iIIT �
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PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 18965 Address: 4821 'E 7TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book;
Proposed Use: NOT APPLICABLE Lot(s): Btock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Es#. Value: Parcel Number: 14-26-21-0010-02100-0080
Imprav. Cost: 5,985.00 OWNER INFORMATION
Date tssued: 1012012Q17 Name: TRUfJNG DAVID
Total Fees: 65.00 Address: 18122 CANAL POINTE ST
Amount Paid: 65.4Q TAMPA FL 33647-3311
Date Paid: 10/20/2Q17 Phone: 561-628-3897
Work Desc: RERUOF SHINGLE
CONTRACTOR S APPLtCATtON FEES
R L BUILDING CONTRACTORS REROOF RESIDENTIAL 65.Q0
�
Ins ectians Fte uired
DRY IN RO F IN P
TAPE JOINTS Rt?O INSt'���
FINAL ' '" •
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
laca!governrnent shatl impase a fee af four times the amount of the fee impossd for the initial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, fihere maybe additiona! restrickians applicable to this property that
may be found in the public records of this caunty, and there may be additiana( permits required from other governmenta(
entities such as water management, state agencies or federal agencies.
"{Narning ta owner: Your failure ta record a notice of cammencement may result in your paying twice far
impravements ta your property. If you intend to obtain financing, consult wifih yaur lender or an attorney
before recording your notice of commencement."
Complete Plans,5pecifications Must Accompany Application.All wark shall be pertarmed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE CA.
NO OCCUPANCY BEFORE C.O.
NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MC>IVTH5INITHt}UT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRBTECT CARD FROM INEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department >
Date;Received ` Phone Contact for Permitting —
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Owner's Name L'�'�` �i !67~��- Owner Phone Number
Owner'`s Address ! \aC �� (�Q��< t^-•�Y- S� ��'ZOwner Phone Number �� ����� ''���
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Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
L / �JOB ADDRESS ��I 7f s� �C � y''7�/G(� LOT#
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�'� SUBDIVISION - PARCEL ID#
;; i �(OBTAINED FROM PROPERTY TAX NOTICE) `�
+� WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
? INSTALL REPAIR
PROPOSED USE Q SFR _, Q COMM 0 OTHER
�( TYPE O,F CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
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�# ; �� /
j} DESCRIPTION OF WORK �P.�i-E�,f� ✓� 'rvo � �d � `'P �G� ��. � �
;
�j BUILDING SIZE SQ FOOTAGE� HEIGHT
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OBUILDING $ ��n/�/' VALUATION OF TOTAL CONSTRUCTION
$ ( ?5
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DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C:
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� QPLUMBING $ , ��
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{ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �` „�
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° Of GAS Q ROOFING Q SPECIALTY 0 OTHER
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � a��
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a BUILDER J/ COMPANY O�-C- �uc(,��� h. d�'G o•/s
� SIGFIATURE � REGISTERED Y/ N FE CURRE� Y/N
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� Address ,, 7 Z�l 'v� ✓�C. otr*- � License# �� l.�Z �� �
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�� ELECTRICIAN COMPANY '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
,
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� Address � License# -
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I PLUMBER COMPANY � '
� SIGNATURE , REGISTERED . Y�/`N . FEE CURREK • "'Y/•N` -
� Address • License# .
' MECHANICAL. COMPANY -
� SIGNATURE , ReGisTEReD Y/�N -�FEE CURREI� �; Y,/N-- •,.
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Address License#
OTHER � COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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�' Address License#
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'�� RESIDENTIAL- �Attacfi',(2)Plot Plans,'(2)sets of Building Plans;(1)set of Energy Forms;;R=O-W.Permit'for new consUuc6on,.
;-.�. , . -
Minimum ten�.(.1.0)':working days'after sutimittal date. Required onsite;-ConstructiomPlans,Stormwater Plans w/Silt Fence installed,
'- Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects - �
�''' COMMERCIAL Attach 2 com lete sets of Buildin Plans lus a Life Safe Pa e; 1 set of Ener Forms.R-O-W Permit for new.constcuction.
� ) P 9 P tY.- 9 � ) 9Y
_ Minimum ten.(10)working,days after submittal dafe. Requi�ed onsite,Construction.Plans,Stormwater Rlans w/Silt.Pence lnstalled.
`� Sanitary Facilities�&1 dumpster.Site Work Permit for all'new p�ojects.All commero'ial requirements must meet compliance
'4" - SIGN PERMIT Attach(2),sets of Engineered Plans. -
,;
, ""'PROP,ER'fY.SURVEY required for all NEVV construction.
i Directions:
Fill out application completely:
Owner.&Contractor sign back of application,notarized
If over$2500,a Notice�of Commencement is required. (A/C 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 PERMITTING (copy of contract required) _
Reroofs if shingles Sewers Service�Upgrades�A/C - Fences(PIoUSurvey/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",�estrictions°
which may be more restrictive than County regulations. 7he undersigned assumes responsibility for compiiance:witFi�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.cegulations. If�tlie
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`th'e cont�actor(s) -sign
portions of the "contcactor 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 T�ansportation 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 Fasco 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 documenf 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. Applieation 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 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
L'ands,WaterNVastewater 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: - ?
- i I ' I wed in Flood Zone"V" unless ex ressl ermitted. '
Use of f I is not a lo p y p
- 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
construotion, 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 applicatio;n. 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 techhical 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 isl*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 COMMEMCEMENT MAY RESULT IfV YOUR
,
PAYING TVVICE FOR IMPROVEMENTS TO YOUR PROPERTY. .IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO E OF COMMEfVCEMENT.
-------FLORIDAJURAT(F:S.-117.03)-- —__-- _ ------- --� --- —_ - ----- - -- ----- - - -
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and om to(or affirmed)before me this '
bY Y a
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. � as idenGfication.
,
;
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed.or stamped
1
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+ Permit No. Parcel ID No / / �tl ^L/�O/�O z��Q—���`-'
.�^ NOTICE OF COMMENCEMENT ^
Stateof /' `����� Countyof / /'"/d e�
THE UNDERSIGNED hereby gives notice that improvement wlll be made to certafn real property,and fn accordance with Chap[er 713,Florida Statutes,
the following infortnation is provided in this Notice of Commencem/en't:
1. Description of Property: Parcel Identiflcation No. ��^��j Z�G���-^QZ�Q(�•(��'1�
StreetAddress: _ 7 d`� �� ��;S� ���y2,��� F� �3�Z�G'OZ�
2. General Description of Improvement /1���D�
3. Owner Infortnation or Lessee infortnation if the Lessee contracted for lhe improvement:
.?� !�'/ �O,v
11�"/Z 2 ���v�� P �� � �3�'li°� 336 y�-��i/�
Address City State
Interest in Property QLG�✓'Y�
Name of Fee Simple Titleholder
(if different from Ovmer listed above)
Address ����,7 y ���D�L p� c;ty State
4. Contraclor
7�/ e�' �'NN�- /9�� �/ �/' i�v� � ��� �L
Address a / DQ City State
Contractors Telephone No. O �� ���C9�p/
5. Surety:
Name
Address City State
Amount of Band: $ Telephone No.•
6. Lender.
Name
Address City Stale
Lender's Telephone No.
7 Persons within the State of Florida designated by Ihe owner upon whom notices or other documents may be served as provided by
Seclion .13�1)(a)(7),Florida Statute�
��/sv1��v i�7� �-�/i`l�R/�
Name
���9 P�c�i ��� G�'������L �3�i,�' �
Address (� �7 /�C�/ y � State
Telephone Number of Designated Person: __ fJ �_7 `7 �,�C/.j�
8. In addition to himself,the owner designates o�
to receive a copy of Ihe Lienor's Notice as provided in Section 713.13(1)(b),Fiorida Statutes.
Telephone Number of Person or Entity Designated by Owner
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I declare that I have read the foregoing nolice of commencement and lhat the facts stated therein are We to the best
of my knowledge and belief.
STATE OF FLORIDA �
COUNIY OF PASCO
Si n re af Owner or Lessee,or• ers or LeS e's Aulhorized
O cer/Direclor/Partner/Mana r
Sig{�atory's Title/Office ,/�
The fore ping instrument was acknowledged2_��efo e me this��of !l, /1.��2p L�byT1/l���{�`r��
S I v (type of au[hority,e.g.,officer,trustee,attomey in fact)for
(name o y on b�half of whom instru ent s executed).
Personatly Knovm❑OR Produced IdentificatiorlE� Notary Signature
Type of Identificalion Produced� �����'(�'�/�eG(Prinl) �('��GL
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Rept:1901852 Rec: 10.00
DS: 0.00 IT: 0.00
10/17/2017 K. D. K. , Dp4,y Clerk ,.•;�:�P��,:• DEIDRARODGERS
��. .� NotaryPublic-StateofFlor(da
• Commission�GG 079102
''q oe:' My Comm.Expires Maz 5,2021
�AULR S 0'NEIL,Ph D PRSCO CLERK $ COMPTROLLER "':'•`O,cF�.°�;,'�
10/17/2017 09:24am 1 of 1 Bo^dedfhroughNationalNolyeypssn,
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' R.L. Building; Contractors� Inc,
.
Florida Cerkified Roofing Gontractor GCC 9 328792
4701 E. Hanna Ave. Tampa, FL 33615
Cell: 8'!3.516.6489 Fax: 813.20Q.$1 Q5
rlbuildingcontractorsCa7y,ahoo.com
PR(JPOSI�L
Proposal Number: 0176205 Date: l0lOS/20I7
Folia: Permit:
Client Proposai Location: Locatian of work to be parformed:
Name: David Troung Job Site:
Company: 4$21 I7th st Zephyrhills, FL
Address:
Email�
Phone:
Scope of Work:
Complete roof installation with TAMKO shingles Florida State 2014 Building Codes. In addition all eodes reflect current
wind mitigation requirements.
Division 1-General Requirements
a. Permits and Fees
b. Inspections
_ c. All Debris Removal ,
Divisiou 2—Roof Material '
a. Roof Cotor TBD
b. Raof Metal White
c. Raof boats and vents
Divisian 3—Additionai Work
a. 1J2 plywaad$40.4Q per sheet aftar 4th sl�eet.
Bases af Compensation:
Tatal oost of Project Services: $5985.00
Payment Structure: 10Q°lo Campletion
Estimated tizne: 3Days Start date: TBD
Any deviatian from above specifications involving exira costs,will be executed only upon written orders, and will
become an extra charge over and above the estirmate.All agreements contingsnt apon delays beyond our control.
Respectfully Subnnitted: Randy Randolph
Nate:This proposal tnay be withdrawn by us if not accepted within-10-days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted.
.
Signature: Date �� ��-' t
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