HomeMy WebLinkAbout17-18976 r ... CITY OF ZEPHYRHILLS � f��
5335-8TH STREET ��
(813)780-0020 18 76
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18976 Address: 6929 NORTH LAKE
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: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0180-00000-0670
Improv. Cost: 6,400.00 OWNER INFORMATION
Date Issued: 10/24/2017 Name: PETERSON MARILYN
Total Fees: 70.00 Address: 6929 NORTHLAKE DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-0651
Date Paid: 10/24/2017 Phone: 813-713-3124
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O. �
C NTRA O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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NOTICE OF�COMMENCEMENT 10/24/2017 ,l. R. , Dp{y Clerk
THE UNDERSIGNED hereby gives notice that imProvement wiil be PAULR S 0'NE IL,Ph D PRSCO CLERK 8 COMPTROLLER=
Made to certain;and in acxordance with Chapfier 713.Florida-State 10/24/2017 l i:29am 1 of 1
Statues,the following�i�formafion is provided in tliis�Notice bf OR BK 9623 P� 976 -
Commencemerrt: �" " -�
1�. Description of Prop.erty..: Parcel No.: 6 3 ' o��-a� '�O 1. gd - o0Qo0 - U(�� b.
. (Legal description of the property and street�address.if�avaiiable) -
2, General Description.of lmprovement . -
v
3. Owner Infoyrnation: Name- � � . �
Address:. �D q � ity t State.. .�zip . �(�
Interest�in Property:, .
Naine�and Address of•Fee Simple.Titleholder(If otiier than owner):
4. Corrtractor. Name:.TLC ROOFING LLC . �
Address:.PO BOX 1745 . � � � . City�DADE�CITY � ' � State FL�Zip�33526
�Phone No_ 352-473-4073 � � Fax-No. 352�73-4.073
5�. Surety:.N�me Amount.of Bond: $. . .
Address: . City State_Trp
Phone�fVo.. � Fax iVo. � _
6: Lender: Name: �
-Address: Ciiy �State�Zip
Phone No. Fax No.
7. Persons witfiin.the State of Florida designated by Ovmer upon whom notices or�other docuinec�ts may be
served�as provid"etl by Se�#ion 713:�13(1).(a}(� Flonda.Stafutes.
Name:
Address: . City. . $fate._,Zip_ �
Phone No. � � � Fax�No. � �
8: in addition to Himself or herself,Owne�designates � .of `°'
To receive a copy.of the Leino�s Notice as provided in Seation 713:13{1,).(b), Ftorida S#atutes.
9. Expiration dat+e:af Notice of Commencement(the:expiration date is�1 yea�of recorriing unless a diffeient
, dete:is specfied.)
WARNING TO OWNER:ANY'PAYMENTS AAADE BY THE OYYNER:AF7Eft THE EI�IRA710M�OF THE NOTICE�OF CO�fIAIlENCEAAENT ARE
COWSIDEREQ IAAPRORER PAVAAENTS UNQER CHAPI'ER 713;PART�1�SEC 713.13,FLORIDA STA7UTES,AHD CAN RESULT IN�YOUR' -
PAYING 71M1110E FOR 1 OVEbAENTS TO1C0lIR PROPEitTY:A N0T1CS OF COMI6AENC6HENT MUST'BE'RECORDED;AND'P037ED ON THE
JOB'31TE �EFORE � ' RST1P15PECTfON.fFYOUINTEND'TOOB'TAINflNANCING,CONSULY11YI7HYOUR:CENDERORAN•{1TTORNEY _
BEF G WORK OR RECORDING YOUR NOTICE OF CONl1YtENCEMENT. � -
X �
' atwe of or Owner's Author¢ed O(frcer/DireciorlFarbzerlManager ' " Signffio�s:TiflelOffice �
"'SFgnalure Re4utrad.by same belaw bY 7c"mark"'
StateM �lDY/�LL_ . 6ountyof 'C�
The fo�going ins#rumerif.was adairnaledged.befor'e me ttiis�� �day of r.�'1 �20f�by Lt1�21"i1 . . �z7+'1 _
j (Printed:name af�person adcnowfedging).
as �Ol��+� ..tor � �L' �00�l►t 4 '�-- .C�nS-f�rv�-h o r� _
(rype.of aulhority e.g.,otiice.UugOee..attomey in fact) (Name oi partyr on . i'o.who instrumerd was eicecute� .
_�.�����/1� l�=�i O�2 vGLhTt�. �ldYtt R�Z
Signature_of Notary PriM , j- Type or Shdmp Nmne of Notary
Personally Iviorm OR Produced tdentification V
Type of�IdeMification Produced: 7Vi v�P�vc. l i�n�s�e .
VeHRcatlon pqrsuan'i•to 3eetion.92625,Flodda Statufes:.under Penatiies oF.perjiuy.l dectare that t have read�fhe fwegoing and tfiat the facts
sla0ed in itare:true to:the t�est of.my knawledge and bellef. _ � , .
• •:�""'�'= ELIDA SANT�S-MARTINEZ
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•,�;'=- MY COMMISStOfV#GG001339
'�'�;,� EXPIRES June 13,2020
(407)398-0753 FlotkaN 6�Moacam
����������°� STATE QF FLQ�IDA, COUNTY OF P.ASCO
��`Y' � ,� ' �'�1� THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRtCT CQPY OF THE DO(;UMENT
� ` ` � �', � � ON FILE OR 0�PUBLIC RECORD iN THIS OFFICE
� , jnyoQ�'°'`';`A`` � � WI�jN MYHANDA/��0 FI IALSEALTHIS
�^" �� . � C�fP"�- DAY OF l�'C.,�v� 2���
� i.. ti_ ;,,, w PAULA S O'N IL, CLERK&COMPTROLLER
18�% �
� ����������*��� B . DEPUTY CLERK
813-780-0020 City of Zephyrhills Permit Applicatian Fax-813-780-0021
Building Department '
Date Received S Fhone Gontact far Permitting -
Owner's Name � �1 � Owner Phone Number
Owner's Address � 1��t,,,, �' Owner Phone Number � �
Fee Simple Titleholder Name � � Owner Phone Number �� �
Fee Simple Titlehalder Address
JOBADDRESS 1..�-JIX �1� j� Y' S � �� �i LOT# [�
�� SUBDIV(SION � � PARCEL ID# C��J��� ""-�t""C�� �6d " ���� �- �C4�
(OBTAINED RROM PROPERTY TAX NOTICE)
�' WORK PROPOSED e NEW CONSTR 8 AdD1Al.T Ca SIGN 0 Q DEMOLISH
!� INSTALL REPAIR
�j PROPOSED USE Q SFR Q COMIUI � OTHER
Ii TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0
,�
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I; DESCRIPTION OF WORK �, b G � �p. l �.�. S�-� l.S�
� ..
�I BUILDING S1ZE ��� SQ FQOTAGE � � HEIGHT � �
(;
'; �g��lg��� �� ' � =-� VALUATION OF TOTAL GONSTRUCTIQN
i�
�j �E�ECTRICAL $ � AMP SERVICE [� PROGRESS ENERGY � W.R.E.G:
t
�PLUM8ING �> � ��J
, 1� '0
�NtECHANICAI. $ VA�UATI4N QF lU1ECHANICAL IiUSTA��ATION � L
�GAS � ROOFtNG Q SPECIA�TY � OTNER
FINISHED FLOOR ELEVATIONS �� FLOOQ ZONE AREA DYES NO
: BUILDER ______� COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
,i
;i Address License# �i �
t
4
� ELECTRICIAN COMPANY
; SIGNATURE 't REGISTERED Y! N FEE CURRE� Y/N
� Address License# � �
�
i PLUMBER COMPANY
SIGPIATURE RBGISTERED Y/ N FEE CURRE� Y(N
: Address License# �i �
MECHAN�CAL GQMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/IV
Address License#
OTHER �� COMPANY �� � G
� SIGNATURE '' ��'� REGISTERED / N FEE CURRE� Y/N
� Address License# � �
' REStDEtV71�4L Attach(2}Plot Ptans;(2}sets of Bui�ding P�ans;(1}set of Energy Forms;R-O-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&9 dumpster,Site Work Permit for subdivisionsllarge prajects
COMMERCIAL Attach(2)complete se#s of Building Plans plus a Life Safery Page;(1)set of Energy Farms.R-O-W Permit far new construetion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalVed,
Sanitaryr Facitifies&1 dumps#er.Site Work Permif for all new prajects.Atl cammercial requiremerrfs 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 applicatian,notarized
If over$2500,a Notice of Cammencement is required. (A/C upgrades over$75Q0)
" Agant{for the contractor}or F'ower of Attomey{for the owner}would be someone with natarized tettet fram awner autharizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgredes A!C Fences{FlobSutveylFootage}
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 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 Iocal 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 liired 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 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,WaterMlastewater Treatment.
- Southwest Florida Water Managemerit 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 ti(ne 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
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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCERIIEI�T. --- - —�—
FLORIDA JURAT(F.S.117.03)_ ---- -- --- --- - � -" � � ~
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swo t (or `rme,d) efore e this
by d
Who is/are personally known to me or has/have produced Who is/ar ersona I a wn to me or as/have produced
as identification. as identification.
, {
Notary Public C� �v Notary Public
Commission No. Com i ion N �
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
. � � ,
� ��
� STA7E ���
YI�V 1 ,� �G�71��
�..� � G�MMER�4l..
v�• 11t.1 ROOF TYPES
� NSPECTGaN5 ue�e�o.� :•., ._
e�P..�awo. � �a�o a rrmv.p
ESTIMATES
CALL MIIC�THUia�'7'OiV
�ffice: 352-437-4073 Ce11: 352-650-7101
PROPOSAL SUBMIT7ED TO WORKED TO BE P�FiFORMED AT
3me �r� Street
reet � / 02 'lf� ���'� /v�►�� City
ty S'/�c�. 6�f 4. 2��`j state zip
ate Tp Owner of Prmperty
ione�vurnbe�P�� ��3 .�/a � Fax Phone Number Fax
'e hereby propose to furnish all the materials and perform ail the latior necessary for the completion of:
Remove existing shingle roof 0 Replace bad fascia boards at$��'j�.a o per foot
Remove existing built-up roof ❑ Install 'C� feet of ridge vents �d� � �
Dry�in with ❑ 95 Ib. �30 Ib. C]Install mvdified tiitimen(granulated)torch douvn roofing �
� Install new galvanized valleymetal black, white or other color
Install new lead boots ❑Install 25 yr.fungus resisfarrt 3-tab shir�les
Install new e#�H�st vents �Install 3�I(yr.fungus resisia��t dime�nsional-shic��-tes
Install new drip�dge, color ❑Shingle manutacturer �/�� color S�`���
Install new flashing as needed ❑ Install TPO,white rubberized roofing membrane
Replace plywood at$ ��.a�_per sheet ❑Other: fi✓.��1 rc7G�"/Yp S`l�
I Repai�ro4ten trusses at$ �ri 0� per foot
�/�,r
Uoodwork is an additional charge, see pricing above �` � �
II material is guaranteed to be as specified�.and the above work is to be pertormed is accordance with the drawings and specifica-
ms submitted for above work and completed in a substantial workmanlike manner for the sum of$ ��d�. ��
ith payments to be made as follows. Pa�ment due in fuli on completion9 unles� oth��ise n�teclo Thank�f��a�
Credit cards accepted,additional 2.8%charge.
ry alteratlon or deviaflon fram above speclflcatlans Inwlving extra costs will
:executed only upon written orders,and wlll become an extra charge over and
ove the estlmete.All agreements condngent upon stdkea,acciderrts ar delays
' .yond our contral.Owner ro cerry flre,tomado and other necessary insurance Officer/Agent
o�abovewon�.woncers�CompensaUanandPubllcLiebilityinsuranceanahove fVote: This proposal may be withdrav�rn by us if not acc��tec
�rk ta be taken out by RaoBng Contractar.
within days.
lient gives permission to drive an driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are heretiy accepted.You are auth 'zed to do the work as
specified.I have read 4he back of this Proposal/Contract,which contains Florida Statues 713.00�-713.37. ym nt uvill be rnade as
outlined above.
Accepted Signature � '
Date V ����) 6 � Signature
�'L�Roo�finc� �& Cons�r�uc�ion, I�tc.
2D��d Hi�h pvnd Ln
Dacle �'ity, �'L 3.�523
City of Dade City Building Department
14206 US 9$ Bypass
Dade City, FL 33526
To Wham It May Cancern:
This letter is being provided to dacument my authorization for Judy
Irene Thurston ar Laverne Michaei Thurs�an to request and obtain any
required permits on behalf of TLC Roofing&Construction, Inc,, which is
a qualified raofing contractor under my certi�ied roofing contractor's
Iicense (License # CCC1330893�
If you have an�questions,or need additional infc�rmation, please
contact me at(352}-467-2002.
Sincerely, ____�
�
Bra ey B. M� Ier
TLC Roofing&Canstruction, Inc.
1 Ct=t`�:�;., it' .'j,:+�ta�,c:r�u�v�rY oF �usc,a
'!':f�t��re,c:;.:,;���sti�?�',�itt aras acknowiedged
2�b[t14'�;tfe:!ua51��1ay o' .�,�,.,�
Y��,''�j''� REBEKAHMf-.NENUEZ �,��,..''�.. ��� r' ,_
t: t�iy COMNtiSStON#GG08283� Who is persona ly known to me or, ti
_�',.'��i� p(p;gES:Aptp 1Q,2Q21 � Who has produced ��,,,�{,_.�?�C;,�,S'�s
�,�„��� Ba�dad�t�+ut�'��'+�� (dentification.
—°---ri