HomeMy WebLinkAbout17-19014 . CITY OF ZEPHYRHILLS
tl 5335-8TH STREET
(813)780-0020 19 14
Bf1ILDING PERMIT
PERMIT INFORMATION � - � LOCATION INFORMATION
Permit Number: 19014 Address: 5610 1 ST ST
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: 11-26-21-0010-03000-0105
Improv. Cost: 4,890.00 OWNER INFORMATION
Date Issued: 11/07/2017 Name: TRUST#332521156101ST HINCHMAN F
Total Fees: 60.00 Address: PO BOX 669
Amount Paid: 60.00 ZEPHYRHILLS FL 33539-0669
Date Paid: 11/07/2017 Phone: 813-928-5006
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 60.00
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C��6��, v
� Ins ections Re uired
DRY IN R OF INSP
TAPE JOINTS RO I
FINAL - Ul ,
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.
�
CONT IGNATURE PERMIT OFFI R
R IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� • Building Department
Da4e Received Phone Contact for PermitNng --
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Ovuner's Name � L l � Ow►ner Phone Number .�� ' ���
Owner's Address Ow»er Phone Number
Pe�Simple Titleholder Name Owner Phone Numbe�
Fes Simple Titleholder Address
JOB ADDRESS �C9 I U � L�T# ��
SUBDIVISION � PARCEL ID# �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION �� BLOCK Q FRAME � STEEL Q
� �
DESCRlPTION OF WOR1C � �
BUILDING 51ZE SQ FOOTAGE� HEIGHT
�BUILDING $ �D /('� VALUATION OF TOTAL CONSTRUCTION
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QELECTRIGflL $ AMP SERVICE Q PROGR€SS ENERGY Q W.R.E.C.
[�PLUMBING $
QMECHANICAL $ VALUATIOPJ OF MECHANICAL IfdSTALLATIOfV
QGAS � ROOFING Q SPECIALTY � OTHER
FINISWED FLO�R ELEV�TI�SV FLn�OD ZDiUE ARFA �YES NiU
■ •.-■. ■ ■ ■ � i i � �-i P� G 7 i � iLY ��S�i MiiL�
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BUILDER COflf1PANY
SIGNATURE REGISTERED / FEE C EA Y
Address License#
ELECTRICIAN COfWPAtdY
SIGNATURE REGfSTERED Y/ [V FEE CURREA Y/N
Address License#
PLUM�EF2 CORIiPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address LiCense#
i1ilECHAIVICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/IV
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/Id
Address License#
1111111111111111111111111111111111111111111111117111111111111111111
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. Requlred onslte,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects -
COfY7M�RCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submlttal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facitities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMI� �4ttach{�)sets of Engfneered#�{at�s.
`*'"PROPERTY SURVEY required for all NEW construction.
' ■ �
Directlons:.
Ffll out applicatlon completefy.
Owner&Contractor sign back of appllcation,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrade�over$7500)
''' Agent(for the contractor)or Power of Attorney(for the owner)would b�someone with notarized letter from owner authorizing same
OVER THE COURfTER PERMITTING (copy of contract required)
Reroofs if shingfes Sewers servioe Up�rades A/C �enc�5(PIoUSurv�ylFootage)
Drlvewaye-MM over Coun�er if on publSo roadweye..naecle AOV�6
�9�TIGE OF ���� ���TRIGTi�6�5, The und�r�ign�d und�rs�ands th��thi�permit may be subj�ct fo"de�d"r�stric�ons"
wf�ic�m�y bt�more restrictive�h��County regul�tion�. 1'he urtde��gned assucn�s respq�n�Eb�Ei#y fof c�tmpli�nc�wi2h any
applicable d�ed resfirictions. #�
�9�1�����l�E� ����'�,�"�'O�� a��b ����°[�A�'�C�� ���P�iV�t�9�.lYl��: if the ou+rn�r has hired � cantractor or
contractors�o und�r�he woric, #hey may�� required to be fic�n�ed xr� �ccardance with staf�and lac�i regufations. 1�the
contractor i� na4 Bcrnsed a� rQquired by law, both th� owner and contractor may b� cit�d for a misdameanor vial�tion
under s#ate iaw. 1f�#�� own�r or�n4t��d�d corttrac#or art� urtc�rfi�in as to vvhat {icen�i�g requ9remeni�s tnay app4y far�e
intanded work, th�y are advis�d ta cont.�ct fhe Pas�a County Building fn5p�c�ion Division—Licon�ing ��c�on at 72'�-847-
�QQB. Furthermore, if the own�t has hired a contractor ar contrat�iors, he is adv�s�d ta have the oontr�cfar(s} s9gc�
portio�s of#h� "c�ntractor Blac�" of this applicaffon for which fhey will be respor�sibie. i�yau, �s fh� owner sign �s th�
con�rac�or, 4ha4 may b� an indication 4hat he is no� prop�riy lic�r��ed and is not �n#��I�d to p�rmit#ing privileges in P�sco
Goun�y.
�'�,6��6�0�'fA'Pl06� If���C�'/BJ�'!U?'i�� IM�'�C��AI�D R�SOURC� ��COb��I����S: The under�ign�d undersfands
th�t�'r�n�portation impac4�'�e��and 4ecourse Rscovery F�es m�Y�aPply to the�onsfiruc�ion o�nevt+buiRdings,ch�ng�of
use in existing buildings, or oxpansion ofi existing buildings, as specifi�d in P�sco Caur�ty Ordinance numb�r 89-OT and
9Q-07, as amend�d. The ur,der�ign0d also undersYands, that such fieos, as may b� du�, will b� identified at th� tim� of
�t�rmitting. It is f�rtFter unciors400d �hat Trans�or�afiior� Impact F�es ar�d Resaurcc i�ecavc�ry F��� must b� p�id prior�o
reaeiving a "certi�cate of occupancy" or fin�I power releasc. if#he proj�ct dn�s no�in�olve a certificatc� of occup�ncy or
�in�l povuer rel�a�e, th� ��s mus�be paid prior ta permit issuanc�, Fur�hermare, if Pasco Caunty Wat�rlSevtrer lmpacfi
fr��5�r�due, they must b�paid priar ta permit i�suance in accordanc�with appiicabi��asca Couniry ordinanc�s.
���tl�'TE���"Cd��i L���9 L��!!(�'ha�a��N�'13, �'E��td� ��$tn�o.� ����ro��rod�s��: If v�luation of worl�is�2,50D,00 or more, I
c�r�ify tha� f, �hc� a�p[#cant, hav� �i�en provid�d w"ttE� � copy o# th� "�iorida Corts�ruction �ier� ��w Momeownec's
Pro�c�ction Guide" pr�par�d by th� Florida D�parfinent of Agricuiture �r�d Consumer Affairs. If the applicant is someono
o�hef that�the"ouvn�r", #r.�rfit�y th�+t! h�v�obtained a cop�o#th�above d�scrifaed do�us�ent and promi�e in good fai�h to
deliv�r it ta th�"awn�r"prior to commencamenfi.
�O�fTF�CYOR�'31C>'6RfN��"� A�C�ID�iIIT: I c��ttfy that a!I the tnformatian in this appllcatfon is a�curaYe�nd that all work
wili be done in compl�ance �ri4h all app3acable l�ws regulafing constr�cfian, �oning at�d 3and developmont. Applic�tion i�
hereby made 40 ob4�in a pormit to da worl< and ins4allation as indicatied. I cerfify th�t no work or insi�ilation has
co�nmenced prior #o is�uancc� of a perrni� ar►d tt�a4 a!! worlc wi!! be per�ormed �o meef s�andard� of a!i [�ws regul��ing
construction, Coun4y and City cod�s, 2oning regulafiions, and iand d�veiopmen# reguia4ior�s in the jurisdicfion. 1 aisa
certify that I undorstand tha4 the r�gula#ion� af ofh�r gov�rnmen#agenci�s may apply to �h� intended work, and th�t it is
my respor�sibili#y tc�€den#ifiy vuhat ac#ions 1 mus#taEcs#o be in com�liance. Such ag�ncies include but are not lim€��d to:
- Depar�m�n4 0�' Envira�nmanlal Prot�c4ian-Cypress �ayh�ads, Wetland A�as �nd Environm�nf�lly Sensitiv�
Lands,W,�4erM(astewater Trea#m�n4.
- Sout�w��t Florida UUafi�r M�n�gem�nfi �istric�We(i�, Cypr�ss Bayheads, Wet��nd Ar��s, Al�ering
Watercourses.
- Army Gorps aF Engirr�ers-S�auvalls, Dacks, �3avigabie Wafenn��ys.
- Depar�ment of Meal�h � f�ehabllitative �erviceslEnvirQnmeng�f Heal#h UnEt-We!!s, W�stewater Treatrnent,
Septi��'anic�.
- U5�nvironmenfial Prot�cfian Agency-Asbestos abat�ment.
- Federal Aviatian Authonty-Runw�ys.
1 und�rsfand#hat the follawing restrictions apply to the use of fii1:
- Uso ar flll is not allowc�d in Fiood�'one"V"unless expressly p�rmftted.
- If 4he fiill materiai is fo be ussd �n FSoo� Z�ne "A„ i� is understood th�� a drairtage plan addr��sing �
"compen�ating volum�" wiil be submiit�d at time of pormitking which is prepared by a professianal �ngine�r
licensed by 4h�Sta#�o�Flarlda.
- If fhe fili material is fo be used in Fiood 2ane "A" in connec##a� with a psrmifted buiiding �sing stem waff
cansfruc#ion, I certify that fill will be us0d only�a fill the area within th�stem w�lt.
- €f fi14 maferia! is to be us�d in any are�, 1 c��tifiy 4ha� use o# such fil� will not adv�rsely �f#cct �djac�nt
proper�ias. (�use of fill is faund to adv�rs�ly a�fiac#adjacent properties, �he own�r m�y be cited for violating
the condifiions of the building perrniY issued under the a4t�ch�d permiY appllcafior�, for l�ts less 4h�n an� (1�
acr��rhich�rc,eCeva�ed by fill,an engineered drainage p(an is required.
i�I �m�he A4��6�Y��R�'0�E Olt�lf�R�R, I promise in good f�ith ta inform the owner of Yhe permitting canditior�s set forth in
thi� affid��ri� pr�or to commer�clr�g canstruction. 1 underst�nd t�tat a separa�e permit rs�ay be r�quired fior electr�cat wor€c,
piumbing, signs, w�Iis, poois, �ir conditioning, gas, or other ins#ailations not speGificaily included in th� application. A
permit issued shalt b� cans�ru�d to be a ficense to proceed with the worEz and not as authc�rity fo violate, cancel, �If�r, or
sef aside any provisions vf fihe#echnic�!codes, nar shafl isst►ance of a permit pr�v�n�the 8uitding Official fram 2hereafiter
r�quiring � correction of errars ir� plans, constiruction ar viol��ion�af any code�. Ev�ry permit issu�d si�alfi b�come it�vaiid
uniess the work auYP�ori�ed by sueh perm9t i� comm�naed wi�hirt six months oF p�rmit i�suance, or i�work authori�ed by
the permit is susponded or�to�n�oned far� p�riod oF s(x(�)months a�er the kime th�work is ccrmmonced. �in�xt�an�ion
may be requested, ln writing, fram Yhe �uilding O�cla! for a period not to �xcesd ninety {90} d�ys and wi!! demonstrate
jusfi�sbt�caus�for th�oxtension. Ifi wor3t ce�s�s for nin��y{90)can��ctafiiv�days, the�ob is consider�d abandoned.
���d�3�t�tf� �'� �@�9i�S��: �fta�9J� FAPE.�1t�� "�'f� R��fi��t�S � t���f�� Q� ���t���R��€���t°� ��AY ���LJ�.�` 1�# ���lR
��fi(i6Yt�'�tf�1C� �0�, (iIf1P��l/�k���i�'�'�O 1f0�lR IPROP�t�°TY. iF 1(C919 1�9T�i�D�'���'T�IP� F(6�e��9�CI�14�,COR'!:18�T
!4!lIT4i Yl� R L D� AR A OR �Y���OR�R��QRD�1�1ft�4J��c4C? !C� �GC9 � G�
F�.ORiDA Jt3Fi}�T{F.S.1 3�
U4f1f6�7�R CbR AG'�114T � CCF45T�P�'�O� % � y,,,r��
Sutsscsibed a�d swarrs ta(or affirme efar�me this Subsetibed and svfram fo{ar af�rme fo�hi
by by
Whn is/are personaliy knawn to e or has/have�rraduced Who islare personally known to m or haslhave produced
as idenfification. as identificafion.
Notary Pubiic Notar�r Public
Camtnission No. Comm3ssion No.
Name of Notary typed,printed or stamped Nama of Notary typad,printed or stamped
� ��. �������� �:��€��� : � ������� ,�'��.����� ����
C/O Richard Bartlett �.�e�+f��z���Q
38408 3rd Ave.-� Zephyrhills, FL 33542 �������,
(813) 782-5585 ' (352) 523-1944 � (813) 973-7737 � FAX (813) 780-1805
�r�ai� ra.o�ingricharcf�ya�oo=.com �ic. ���� 1�25��
�'�Y�V� 6Y�iLVV� 1L'�Y�v'7'ly a���� �����G�l'i/tSfQ�J`�11,h5.l�WJ��-�.,��i�dJd�va77"riV �,Y�����������
Specializing in Mobile Home VI/hite Commercial Rubber, Shingles & Co/or Metal Roofing
RESIDENTIAL • COMMERCIAL • MOBfLE HOME
.�IC,�t�S.�E� -:�I���J.F��D -.���1D.�E�
• MEMBER OF THE CHAMBER OF COMMERCE& BETTER BUSIIVESS BUREA(l •
��e dc���r�rythir�g ���e�.r�t �� m�ir�t�'r'rt�.c�err�- rati�tt��frarrr�tf�e B�tf�r B'c��ii���ss-B�Jr�a��
Serving Zephyrhills, Dade Caty, Crystal Springs, Quail Hollow, Wesley Chapel, and Surrounding Areas.
We have re-roofed or repaired more roofs(20,000)in the past 44 years, ihan the four local leading roofing companies combined.
We do not charge extra fees for credit card purchase. Most companies cioarge 3 to 5%.
DatelO/9/17
Name �rank Hinchman
Address 5610 lst Street , Zephyrhills , F1 .
�,�Q�e 313-925 — 5006
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.:.�, - -,m�,. :s.��' _�j y{ n _ � �ae - ..��rv 2 �_ /$�,y�/7
_r�vvy'�" '-:fi n+ 'c- t':��":_ .IYI�- ,���SWf� -�� S_ _'.-k .��.���:_-� _ '!OF�-
.,"w^�55.� A,"4- �4 �3 x � 1 =*-�._F �zz-�✓4- et -�ti " �uN«�:x.t,�.sc,at���s.f,a ,�,�i.,...� -n14 i �Yc,�'�§ � .g., et,�s°'�., 'Cr. -�3-, �l�:�...x, �'�h'T %- H,a;,
„v. .N�..,. .1�. ,.!`._. .�x, �.4'...;'ar. ,;a`.� �,jf,�M„a ,.r.,.. �t-. ,�m.. �-_� .{' .r,ty .�. - .r.`3 .k.:r ,,,�h�
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Remove complete shingle roof both levels , complete haul
away . Replace rotten plywood , 2 sheets of plywood in bid .
�.�.�ra�. z:.s .. .3:5�.:Q{� _>.e_x. ��h;ee�:tC. �:a.�ro:x� &� raa:t.�.�ia1�., ��.s�:a��
e�
� � 'ti;a�s:e s� e'i-. ��n�t,a�1_�. �r_� -or �a.'hi't�e �as-d-e dr�� - --
I edge . 'Vail on a 25 year 3 tab shingle. Install 40' of
cobra rid e vent . New lead boo�s over vents. Permit
3�.c�.�u..,�•d,. 10 �e>ax �..eak warr,aa.t, . 4890.00
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Richard C. ett, reside Owner A Bart(ett Roofing of Centraf FL,Inc. (
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Your Business is Appreclated. ; '
Payment upon completion uniess previous arrangement made.WarFanties pertain to original owner.
All arrangements wntinger�upon strikes,accidents or delays beyond our control.Owner to�arry fire,tomado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable�for any charges incurred in collscting this bill.
Rotten wood is an extra$35.00 per sheet(4-ply).R�tten fascia is$2.00 per linear-foot. TOt81 4 8�0 .0 0
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INOTiCE OF COMAAENCEMENT
Ste[e of �DY'� (H�_ County of �����
THE UNDERSIGNED hareby givds nat�e that unptwement w�be made to ceRain real propeny,and in acco�dence with Chapter 713,Ftoride Statutes,
the foAowing infom�etion is provided m tAts Not�e of Canmencement
1. Qesc�tian of Pmperty:Parcel Identlfication No.� � ��0 r�� C�» O �.�(�C1(\ (�l��S
Streel Address: �� �� ��+ �T�2-�
2. General0escriptian oflmprovement,1�2�.1 e %!2(�-c_. �'d g� (,�1/�/ ��21�r ni�t'
3. Owne�inioanation arLessea mfoimetion ff the Lessea cantractetl forthe improvement:
�Y"nn�� �-�.,n c�n man '
naa lQ 1� � 8��- _S�^!'�.-�.k ���}�„���1Z I� S �
Interest in Proparty: �[-� ��^-i'�'i 1-e .rQCS'r (tl(7Y( �-2 Q G �� S��Z
Neme of Fae Simple Tdlehalder.
(if tl7fferent hom Owner listed ebove)
~ AGdress City Stete
4. Coc�trador.
ame �.p.p IL.It_'`h�\`\S �
� Atldiess t� � Cfty r' � Stete
I CantreGorsTelephone No. O 13���a ^ ���,S, �¢Z
- 5. Surety: �
Piame '
Address C�y State I
Amount of Bond:$ Telephone No;
8. Lender.
Neme ��� �--� �
� Add�ess City - Stete Q � �� (n��..�W J
Lender's Telephune No,. �.3 Z� O F J }
, 7 Persons withe� the State of Floride designated by the owner upon whom rwtices or other documents mey be served es provided by � Q U � -� N � �
Section 713_t3(1xe)0I,Floride Stetutes: �' � 0 � W L I- W
Neme
� � _ � � � �
9- � F' o `L O
F-- � � � U U
', Addiass City Slate � � O — � �
� TeleDhone Numberof Designeted Person: � � � LU O � �
S. 1�flddition to himself,the ownerdesignetes of, C� Q � � � �
to receiue e copyolthe L�rwr's Notiee as provided in Section 713.13(1)(b),Floride Statutes. �t-1- � � ��J
� Teleplrone Num6er of Person or Entdy Oesigneted by Owner: � � U �� n � U�
— Iil �
� O J
' 9. Expiretion date of Notice of Commencement(the enpiretinn date may na!be befo�e the completion of constraction and finel peyment to the O � � � _ ¢ � �
cont,eeta�,n�a wict te ec�e yeac amm ene aatnoccawcai�g unuacs a aioacec�c ar�ais specicvaa)•. -� W O p Q
WARNING TO OWIdER: ANY PAYMEPITS MADE BY THE OWNER AFTER THE EXPIRATiON OF THE NOTICE OF COfiAMENCENlENT � U U � � b
ARE CONStOERED BY4PROPER PAYMENTS UPlDER CHAPTER 713 PART 1 SECTION 713.13 FIORIDA STAMES ANO CAIV � � � O
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOT{CE OF COMMENCEh1EN�MUST BE � � Z �
RECOROEfl AND POSTED ON THE JOB SCi'E BEFQRE THE FIRST INSPECTION. IF YOU 1iJTEND TO OBTAIN FINANCIPIG,CONSULT �yJ C� Q J w Q
WfTH YOUR LENDER OR M!ATTORNEY BEFORE COMMENCiNG WORKOR RECORDING YOUR NOTICE OF COMMENCEMENT.
Urtder penstty of pequry,I daclere that I heve read fhe foregoing ot�ice of cammancement end that the fects stated thaiein ere tme to the be� �-�- _ � Z F—` Q
of my knowled9e end DeGet. f� F- 1- O � Q. 00
STATE OF FLORIQ0. �;�•'� CINTHIA M JEYYELL _ /''�/r
COUNFY OF PASC ;�MY COMMI9310N N G�OYS899 " � �i
EXPIRES Aiiqust 2g,2p2p Si eWre of amer or Lessee,or Owners or lesses's Aulhorizetl � ,e �
A OificedUiBctodPartnedManager e� 6,
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