HomeMy WebLinkAbout17-18992 CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (813)780-0020 18992
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18992 Address: 6124 19TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):19 Block: Section:
Square Feet: Subdivision: ZEPHYR BREEZE
Est. Value: Parcel Number: 02-26-21-0190-00000-0190
Improv. Cost: 2,450.00 OWNER INFORMATION
Date Issued: 10/27/2017 Name: HAUS LLC
Total Fees: 50.00 Address: 1406 N DALE MABRY HWY STE 300
Amount Paid: 50.00 TAMPA FL 33607-2506
Date Paid: 10/27/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
R L BUILDING CONTRACTORS REROOF RESIDENTIAL 50.00
�
�;�-�� ��
Ins ections Re uired
DRY IN RO E INSP
TAPE JOINT �O�IfS�l�t/� �
FI NAL �J U
REINSPECTlON 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.
CONTRACTOR SIGNATURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�saeo-oozo City of Zephyrhills Permit Application Fax 813-780-0021
Building Department - `
i -
Date Recelved � d�7 l' 7 phone=Contact for Permittln ' �� ' �
�-
Owner's Name �W Owner Phone Number
Owner's Address �� /v• ' �Tle � Owner Phone Number �
� �Fee Simple;Tltleholder Name % � Owrner Phone Number
Fee Simple�Titleholder Address
, -
JOB ADDRESS ` '�z . � � LOT# �
i
SUBDIVISION PARCEL ID# °
i - , , , (OBTAINED FROM.PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH
; INSTALL � REPAIR •
PROPOSED+USE SFR. Q 'COMM Q �OTHER " - �
TYPE OF CONSTRUCTION �� BLOCK " FRAME [�� STEEL
DESCRIPTI,ON OF WORK , �d-� � � Do � J� �3 �(S�, � C�, C j a-d
�UILDING$IZE � � SQ FOOTAGE� . . .,,HEI,GHT�� . �� � �
QB,UILDING $ � VALUATION;"OF�TOTAL CONSTRUCTION ^ '
QELECTRICAL $ ' AMP SERVICE [� PROGRESS ENERGY Q W.R.E:C.
QPLUMBING �$ '
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� �� �q�
QGAS Q ROOFING .Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
SIGNATURE COMPi4NY� "�-� LZ%� � �` �,�
REGISTERED Y/ N fEE CU A Y'/N
Addres� Q v�(� �t r Cicense# � y���y
i
ELECTRICIi4N:. � � :`COMPANY ' -
SIGNATURE � REGISTERED Y/ N FEE CURRE�" `Y/M
Addre�s " ' , - Ucense# .
PLUMBER=� , , �. COMPANY . . ��
SIGNATURE' _ t , REGIST.ERED Y/,,•N; ;•.'�;FEE CURREA Y/N ,�
Addre$s . , `- � . . .Ltcense�# . -
MECHANICAL` . • �, COAl1PANY '_� ` . � ' , �
SIGNATURE � • "`` ' ' �
�.. , .. ., . . .
� �� R . ISTEftED , ,,Y,/ N
,EG � FEE•CURRE�, .. Y:/-N .
Address-" ' _ ,° � " ' � Cicense# ' � -
OTHER ' � � .. • -;COMPANY, �, ` _' .
SIGNATURE �. • �>>• ' ^ - • ' ' "' ' REGISTERED Y/ N.,.- �FEE CURRE� Y/N-
Address, ._ � - ' ' �� ' " - � ' � �License# _ . . ; � '� , ,
RESIDENTIAL;;; Attach'(2),;Plot P.,lan's;.(2)sets=ofBuilding�Rlans;(1)-set of Eneigy�Fortns;R=O=W�Perrriit for new constniction, '
;, :,,� ;Minimum�tenr(:1.0).wo,rlcing,days�after„submittal'date.�:Required onslte;�Constiuctlon�Rlans,'StoRnwater Plans-w/SIIt�Fence installed,
SanitaryFacilfUes,:&:.19dumpster.•_Site;Worlc;PerrnitfarrsubiliVi5lons/large:prnjects.�__:-:_�:�- ' " " ` ' `
COMMERCIAL Attach(3)�eomplete sefs ofBuilding`Plans�pius�a�Ufe Safety Page;(1)set of Energy Forms.R-O-W�Permit for new construction. -
Mlnimum 4en(10)working days after submitt�al date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Pertnit for all new�projects:All commercial requlrements must meet camplience �
SIGN PERMIT Attacti(2)sets of�Engineered;Flans:�� •-, -. .�. ",= .� _ - -
""PROPERTY SURVEY raquired for_all NEW_constructlon.. _ .
Directlon�: � .. - - - �
Fill out appiicatlon completely.
Owner 8 Contractor sign back of applfcatlon,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500) , ,
„�:":Y:'T„'::' .
" Agent(for the cantractor)`or'Powe�of"Atfomey(fo�tFie ovmer)would be someone with��notarized�letter from owner authorizing same
OVER THE COUNTER.PERMITTING-- -•-,(Frontof�Application Only)-- � �
Reraofs if shingles Sewers Service Upgrades A/C.` 'Fences(PlodSurvey/Footage)
Drlvewaya-Not over Counter if on public roadways..need§ROW' '
�'
' r
. �
,
Y II ' . �•
,:n . .,
NOTiCE OF DEED RESTRICTIONS::The undersigned,undecgtands�;th�t�thls:�p�rmlt�.mayFbe;subJect.,to..,deed,.._restr,icttons"�._;:.;`„`;;:�i,k
which may�be�more�r.est�Ict(ve-th�n�County�+regulat(ons.'�The'underslgned�assumes�re§ponsibiltty''fo�Ycompllance w,itli`any�` ` � ��'""
applicable�.deed restrictions. ,. :_ :, �:,:-; :. - � � � t•�-� : � :•�=
UNLICENSED• CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: --If�the�ovmer�has�`htred a��conhactar or
contractors to undertake work, they.may,be�cequlred:to..�be�licensed.in.accordance.with state.and_local_regulatl,ons:;lf the� � � -�
contractor ts-not�I(censed=as�required;tiy law, both the owner and�contractor��may be�clfed for��a�misiiemeanor violation
under state law. If the owner or Intended;�con,tractor,are.uncenaln as to Hrhat Iicenaing.requirements"mayF-epply:��for:�the`��-•��-� '��
, : � _,.-_ . . . .
intended work, they are'advised to coritacf�the�Pasco Counly Bullding'Inspection.,Divlslor,i�-Ltcen,"sing Section et 727-847-
8009. Furttiermore, If the owner'has�hlred� contractor or coritractors. he is advtsed to have �the contractor(s); sign_ ,
portions of the.,°contractor,.Block° of.this,_application.,for which they.will.b.e.r.esponsible.�.-1f::you�=�as.the owne�sign'�as�`the�' - � `
contractor, that�may be an indication that`Fie�is not:properiy Ilcensed"and��is"nof"entiNed'to permitting'prii�ileges In Pasco.
County. � : .:.; �:.,.,. �
TR�INSPORTATION.IMPACTIUTILITIES'•IMPAC�ANb I2E30UItCE RECOVERY�FEES:� The understgned understands
that Trensportatfon Impact Fees and.Recourse.Recove.ry_Fees m`ay�.apply_to�tF�e,constructton_of new,buildtngs�::change��of"�r '' � �
use in existing bulldi�gs,-or�expar�sio�r�of.�ezisti�i�g°�buildings, a§ specifled.in P�sco County Ordinance number 89-07 and.
90-07, as amended.,,.:The undersigned alsosurtderstands, th�t:�such fe�s��:as,majr�e�..due;,wlll.,be.tdentified at the��time�of` �- � '�
perrt�itting. It is ftirtlier understood that Transportatlon impacf'Fees and'=Resource_.Recovery�Fees..must be paid prbr to
receiv(ng�a °certiflcate.,of�occupancy" or:flnai��powerrelease: :If�the.project::doestnot involve:a�.certfficate of occupanoy,For=�'-������"� '�
flnal power-release;.,tFie-.fees�mu�,t�tie paid;p�ior to;permlt issuance. Ft��thermore;if:Pasco,C.ounty`1Nater/$ewer�;lmpact � -�����•�-_
. : � ,. .
v�._ :.
fees are due,,they�.must:be�paid,prlor to,.permit_-1'ssuance:in accordance:wltFi:applicable�Pasco�-•Gountji ortlinances. -
CONSTRUCTION'LIEM�LAIIV"(Ciiaptir 713� Florlda Statute�,a�amended): If valuadon of work is$2,500.00:or more,:.l� - �;3. .
certify that I, the.applicant,.have�;been-provided �with--a=copy- of�.the_�"Florida�°ConstPtiction� Lien.:Lav+F—Homeowner's
Protection Gutde" prepared by�tFie"Florida Depertment�of Agric.ulture and Consumer;Affair`s. if the appllcant is someone:: ,
� �• -
�-:
other than the°owner", I certffjr.-that..i,;h�ve,.optalned°a-copy.of the above desc�itied`�iocuii�ent�and:p,�o,mise:;in,good:faith�to . :..
deliver It to.the."ownec":piio�`to cornmencement•:'� ' '� = - - �; , . �
CONTRACTOR'S/OWNER'8 AFFIDAVIT: I.ce�tify:..that�all�the�tnformatlon:in'-this appltcation is accurate.and that all work
will'be done in compliance with all appitcable laws regulating constructlon, zontng and��,land��development. Appltcation,is
hereby made to obtain-.a .permit:.to_do�:worlc:,and installation as ind[�ated:-::.>°I, certffy that no work':or Installafton Fias
commenced p�lor to Issuance of'a perrriif antl that.all �►ork will be pertormed�to meet-standards-of all laws regulaxing-
construction, Caunty and City codes, zoning regulatians, and land development regulatlons�in the Jurisdlct(on.� 'I»�al's;`o�
certify that I u�derstand that the regulattons of other government agencies may�apply�.to the.tntended.work, and that it fs
my responstbility to tdentity�what.actlons I must�take_to,be,in.compllar�ce:..S.uch.agencles include but-are.not Iimited to:_ ;
- Department of Ehvironmentai��Protectton=Cyp�e'ss''Bayfieatls,�lNeNand Areas and Environmentally Sensitive
Lands�WateNVllastewater Treatment.
- Southwest FloNda Water Management:Dtstrict 1Nells, Cypress.r�Bay�eads; Wetiand Areas, Altering
Watercourses. • � -
- Army Corps of Engtneers-Seawalls, Docks, Navigable Waterways.
- Depanment of.,Health�;.8 ReY�abilitati.ve� SenticeslEnvtronmental,.Health Untt Well.s�.Wastewater,Treatment,
Septic Tanks:_` � � � � - _ �
- US Environmental Protectlon Agency-Asbestos abatement. _
FederaFAv.lativn_Aulhority-Runweys: �'
I understand that.the.following:�estNctlons apply to the use of flil:
- Use of flll is not allowed`in;Flood;Zone"V"unless expressly permttted. •
- if the flif.material-is to��be used_'ln �flood-Zone. "A", It is understood that a drainage plan addressing a
°compensating volume" will be submltted at time of,permift)ng wh(ch is prepared by a professfonal engineer- ' ,
iicensed by�he State=of�Flo�ida: � �
- If 1h� fill material°.ts�to-be:used In Flood Zone 'A" (n�connection�with:a��permitted bullding using stem wall
� conatruction, l certify that fill.wall:b.e-used oniy.to.fill the area within�the�stem�wall:
- If flll ma�te�lai is to be used in any area, F�certify that use. of�such flll will not adversely affect adjacent
propertles. If use of.fill Is found.to adversely:�ffect adJaEent��propertfes,.the owner may be cited for viofating
the condi#ions.of_the b�ilding�;permit is"sued�under the�at�ached permit application;�for_lots:less-ihan.one (1)
acre whtch are`elevafed��by flll,a�r engineered drainag�plan is requtred. .
If i am the AGENT FOR.THE OWNER, I;.�r`omise In good faith to inforrta the�owner of�the permitting conditlons set forth In
this affidavit-prior to'comrrieracing construction. I understand theta-separate permlt may be required for elecMcal work,
plumbing, signs, wells,,pools;.alr cond(tioning,..gas,, .oc other. Install�tioris nol�speclflaal�y included�in.the appl(cation. .A .
permit Issued shall be construed to be�a'libense�to--proceed with'tNe work and•not�.as:authoHty to,vlolate,�cancel, alter, or
set aside any�provistons of tFie.teclinical codes;•nar shall Issuance�of a.permlt.pcevent the Bulldirig OfFicial from thereafter
requiring a correction af�errors�in:plans; constructlon.orviolattons of�anycodes. Every�•petmit Issued sfialFbeaome�fnvalid
unless the work authorized.by such permit:�ls-commenced�wlthin_sfx�months of permit Issuance� or if work authorized by
the permit is suspended or;:aba�doned•for:a;period:of six;($)�monfFis.:after the,time the�work�is commenced. An extension
may.be requested, In writing,-�from the;�Building,Oiflclal-for a period�not.to exceed'�'nlnety��(90)=days and=will demonstrate
justlfiable cause for:the extension�. If work ceas�s.for ninety.(90)cons.ecutive�day.s...the job�ts.considered aba�doned. ��
,., - • . , -� ._
WARNING TO OWNER: YOUR:.FAILURE.;TO:,:RECOltD,A-:NOTiCE:.OF-COMMEMCEMEMT-.MFAY•RESULT IN�YOUR
PAYING TWICE;:FOR-IMPROVEMENTS�.TO,YOUR;:PROPERTF.��IF°YO.U?IN'�END�T�=�OBTAIN�FINAt�E1NG;'C.ONSULT
WITH YAUR L,END@R�OR AN°ATTORNEY�EFORE+RE�OR�ING`jYOU�'N077CE'OF�CdM1111ENC�EN�fENT' '
,_, .. .,- .:..... . . . .. :.. ....,..., . .. .
FLORIOA;il7FiR��(r.S:'i 1 Y.03j--- --: .- __ _ - ' -- - - - .- - -_ -- - --- ,- _ . - -- -•-
OWNER OR AOENT CONTRACTO �
Subsalbed and swom M(or aftirtned)before me thls Sr�s�ribed and' aRi ed)�b' me flil�
bY z�� a��u
Who Isfare personally knovm to.me-ochas/have produced ar�pe �nallyknown•to me or#�eslhave:p duced •
'� as IdenBflcatlon. ��•l�2i�rs G ce�s.�- as IdentlflcaUon.
� r
Notery Public _ a--�. � Notary Publlc
Commisslon No: Comrn lo .No. ,
,•ti'�����• JACQUELINE BOGES �
'�.�sr��,
Name ot Notary typed printed or stamped Name of pt��,ty "
� -,; i 2,2018
' '•;�����?.�`s BondedTlwTrayFeinlnsuranceB00�385-7019 �
4
' IZ.L. Building Contractors Inc.
�...,�..���`��"� .
Florida Certified Roo�ng Con#ractor CCC 1328792
47t?1 E. Hanna Ave. Tampa, Fl 3369 5
Cell: 813.516.fi489 Fax: 8'13,20�.8145
rlbuildingcontractars�yahoo.com
PR�PQSAL
Proposal Number: 0176124 Date: 10/16/2017
Fotio: Permit:
Client Proposal Location: Location of work to be performed:
Name:HAUS LLC Job Site:
Company: 6124 19th St Zephyrhills,FL
Address: 1406 N DALE IV�4BR�HWY STE 300 T.AMPA FL 33607
Email�
Phane:
Scope of Wark:
Complete installation of square roof with TAM;KQ shingles Florida State 2014 Building Codes. In addition all codes
reflect current wind mitigation requirements.
Division 1-Generai�Zequireme��s
a. Permits as�d Fees
b. Inspections
c. All Debris Removal
Division 2—Roof lYY�aterial
a. Roof Color TBI�
b. Roof Metal White ,,,i
c. Roof boots an:d vents �"'�j
Divisian 3—Additional Work �li � � �
a. l/2 plywood$40.OQ p�r s�eet a:fter 2nd sheet.
��',��,y�
Bases af Compensa�ion:
Total cast of Project Services: ;�2�50a00
Payznent Sfructure: 100°10 Campletion
Estiznated time: 3Days �tart date: TBD
Any deviation from above speci�cati4ns invatviz�g extra costs,will be executed only upon written orders,and will
become an e�ctra charge over and a�,ove the estirfaate.All agreements contzngent upon delays beyond our contral.
I�espectfully Submitted: R.andy Randolph
Note: This propos�l may be withdrawn by us if not accepte@ within-1 Q-days.
ACCEPTANCE OF PROPOSAL
The abave prices, specifications and conditions are satisfactary and are hereby accepted.
Signature: c�'.�.�-�'",? Date