HomeMy WebLinkAbout18-19213 CITY OF ZEPHYRHILLS
�. � 5335-8TH STREEf '{
($�s��so-ao2o 19213 f
BUILDING PERMIT ;''�
-- - -PERMIT INFORMATI4N -- - LOCATION`"INFORMATIO(V�� " `� i'�
Permit Number; 19213 Address: 38924 5TH AVE 1`
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: RQOF REPLACEMENT Township: Range: Book:
Proposed Use: S(NGLE FAMiLY RESIDENTIAL Lot(s): Btock: Section:
Square Feet: Subdivisian: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 1'1-26-2'i-0010-17400-0010
Improv. Cast: 5,015.00 OWNER INFORMATION
Date Issued: 1122/2018 Name: SANTA CRUZ, THOMAS DAVID
Total Fees: 70.Op Address: 38920 5TH AVE
Amount Paid: 7Q.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1I22/2018 Phane: (813)783-2085
Work Desc: REROQF SHINGLE 7 SQ
CONTRACTOR S APPLICATIt�N FEES
BAYSIDE ROOFING PROFESSIONAL REROOF RESIDENTIAL 70.00
�� � + l
� �
� , �J
��
�
�(,e..�-3�<
Ins ections Re uired
D I R F IN P
TAPE JOINTS ROQF INSP
FINAL
REINSPECTION FEES: (c)Wi#h respect to Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the
loca!governmenfi shaU impase a fee of four times the arnounfi of the fee imposed for the initial inspection or
first reinspecfiion,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, fihere maybe additiana! restrictions applicable to this property that
may be found in the public records of fihis county, and there may be additional permits required from other gavernmental
entities such as water management, state agencies or federal agencies.
"Warning to owrter: Yoar failure to record a natice of commencement may resuEt in yaur paying twice for
improvements ta your property. If you intend to obtain financing,consult wi#h your lender or an attorney
before recording yoar notice af commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertarmed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BE�ORE C.O.
� NO OCCUPANCY BEFORE C.O.
��
CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MCINTHS 1NITHOUT APPRQtfED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR{3TECT CARD FROM WEATHER
s�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
. Buiiding Department
Date Received
Phone Contact for Permittin
Owner's Name /n 0 � San � C 2Gc Owner Phone Number ��3 yl 9-9G y�
Owner's Address 3�9 a c� 5'�' f}uf'. 335�/0� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder'Address
JOB ADDRESS �"J�o2� S� U['. F � �J J S �L 33S�a LOT# �-3
SUBDIVISION ��f7o�zFp� 2},;IfS PARCELID# ��'aG-al-oolU- 1��/ov- ool�
(OBTAINED FROM PROPERTY iA%NOTICE)
WORK PROPOSED NEW CONSTR, ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q
DESCRIPTIONOFWORK 2E�o L �.a�1S5 c,. �� c L� �03 �-��rifrc� 5h'^���5
BUILDING SRE SQ FOOTAGE� HEIGHT C� LFG��������
51��r- /�ia
BUILDING $ C�/�,G U VALUATION OF TOTAL CONSTRUCTION
(ZOOF J
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � ^ ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� (� �
QGAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ,�� COMPANY � �' �003�I1r, O c`SS� .-� IS
SIGNATURE D��`'�� REGISTERED Y/IN FEE CURRE� Y/N
Address ✓�,3�'/�i � �c� L 3�1G5'o l.icense# GCGJ3d�7a?O
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
PLUMBER COMPANY �—
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111
RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aker submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set oi Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instailed,
Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•••'PROPER7Y SURVEY required for all NEW conslruction.
Direct�ons:•
Fill out applicaUon compietely.
Owner 8 Contractor sign back o(application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgredes over y7500)
•' Agent(tor the contractor)or Power of Attomey(for the owner)would be someone with notarized lerier from owner authorizing same �
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades.A/C Fences(PIoVSurvey/Footage)
Drlveways-Not over Courrter if on public roadways..�eeds ROW
I Ililll IIIII IIIIIIIIII III�IIIII II�I IIIII Iilll Ilill IIII IIII
2018002695 �
v.rr,�r�o, ��ra L^���r�•�.L-.[?r�Js:- �7v�—ocrr C�
Rept: 1921926 Rec: 10.00 -
NDTICE dp COARIwENCEM�tJT p�; o.oo xT: o.o0
�� ;�d.02.'��j{$ _ �y� __�Iq_�GC U1/05l2018 � eRecording
n+e�xn+m rtora�y�,na rtdka md imarowm+ni vra!b+mrd�taeeAmn raol D�A�b�and�ecqmd�Rte w+'�fi11ePt�'7'E3,F�ide StetOtarr.
Mn ta�tMng t�mlaHan Js�m 111�i�ofka a(C�amene��
t. Dvsc�ylc+�ofl4opoctr:Paroelid�rttMaNtonlb.,,�,�,�,:_�1•�O_t Ls- 1'?'°�Ol�G)�'!1 ty
9arN Ifdd�fer_��'��.x`�v ,'��' I-1 t/1r. � ..a/t w n�,l t a y �� > 3�
�, LiisesaN p�srtplm�W�r�i �'�-��c'�`�c�T-
�
a vw�mr a,ram+ena,a E�.�non u aw Lsaaee arrareaed ror Ifw+Ma�ve�ne�
��1 L?n'f r� � /'
— �`'� .�C.r �.G. C /2��'7_
� ��d�'�,�,t� .�,,�„ ���.,��•.�;,��� '.�
krc�mum t�aaaar. �+ ,f+f.� c��^'� aun�
----.-�.•�.
Neme ofFee 9t�n@M�+Id�n
(iI mrtu�anCNam RK'A�t$tk4 0`J�9)
� �10
�. c�,aoc�r:_f3 ra s�s=�G !�i ac���+,��� �'�o r�''Ess�.,a,s.►r�[�s
. .��1�3� ���7'].3.4L� �9"Rc'TGH b R �t?L 2 b R S� "'�,—
�.t��o,: 7a 7 �� ���� ��� _ s�
a �:
�. -
„ ��ty — -— �
�orao�s T.���Ho�
s. �
�
e�a oltY 81etr
Load�lm 7�➢hau Na:
7. Pa�xn�sln Me 8teta a7 FEa[d�dea�gnelad 6y fha ovme uRon wtram rwtlaa or aShw dawme�ls msy ha se+ved�e pravld�l bp
w�ao�nrta.;ai��sgzy Ftana�s�ew�ea
Ad�cas �
Telepha�►t�n�r otOailp�mu�pet�;
/. 1n�d�o ro htr►spir,id4 orA%r deBSy� • of
.«.._
- �rocch��a copy of un ltuia'a r�lloe re orovid.a irt£rdmn 71a13tl�hh F�ofida�atuw�.
Ti6yf�(�qxnhrd Ra�aan or E�y Caciyaded by o�r;
0. 1i�.Wn diM aP tW�oe od Cammenrama►n gIp�tmVe moY asW ds befaa lfte eaP�iaBw!�t�iednn apd�I pspenpt�t�a tlw.
�,6cd w91 E�ane ri�r imrn flte Eat�o(ce�rt�n6 uN�u�fAr�M doN k�P��
WAfit+BNG 0 OV� A�Nq1pF AAYld6H6ff8 9Y TF�aWNER AF3',1F'i1i'�g EXPiRATiQN{}F1 T1iqE,tloti7C6��gC�F E�iCEM�Cl�P�
AE6�7�{Y�au�R PAY3Np� E7wiLp'E�yfO�R RO r�MENt�YOUR P�Pi�$S�NNO�iC�E`9Fj�h�ENA���T� CAN '
CE Mi3.9T Qg
AEtCRi7Elf�t�F0 PDSiEL16tt 7N8 JCB SITE BEFORE TtiE,F1RST tNSPP.GTI4N. EP YOU tM�Np Tp�p$TA1N FIAUWCITIQ.pOi�i$,T
l�tfNY�I.iRLENAERORAN lilTpQiNEY 6EFQR8 C�CiYYQiiktGR RECQRD1hl4YWii N4TIG�0�C�IC�M�'£.
a�mr���u�DegsL�w thet I hna read tlfs tose0d�w natlt+of e�tne�un�t�pd U�at tl►o ��ted��:illl�fo.iiw t�a►�
a'PIITE OF FLORt�A � . �
Cat�tiY 0�PAffi)d _
Qor aa Eeaeee,a
. QdICerlDk�tadPatls+afAdm�ag0r ' '
0:.,�s�r
- .,.�.».
'ih.tOropad+Ip In�Yu�o�nl,r..rdafoW.a{�ed eotnn n�.� '� at,�,�,,..r�0;;h!f ��+n.,-,a ���� �rx l���7 - �
. "—�(d�Sr"I��n —_� �dts,borEY�a.�,.o�cer.k�a�.�In tp�f0e -
OF M�Oqi I�N{�{�i rll�.
p,�,p������ � i� ya Patrck.�Htoske
—�'�'Y/ � o Y Pt16LIC
�Yp�Olfd�I�oaPr�ad F�1�.�,-9� �F�-� �� ���C_ h I'{`I!�S. ��' � �,�OF•ELORIDA
PAULAS.0'NEIL,PhD.PASCO CLERK 8 COMPTROLLER ',`� �?C�rri�GG'1�g12g
` � � 01/05 f 2018 10 e 55 AM.1 of 1 �y. �51�' Eicpjres�6l281202t
OR HK �6�� PG 25�1D i
;`;��;��;`����>��� `V.��isco: 7�7-�-"?�3 t�� i
, '� `��'�'l�t��rr €''rnellaa: 7t7-723-7fi��{�E��T+3
4�'�'"'''���'�"�?�� �� ��� "„)-� H�Isb�retugh:f�t3-XZ9-765i3(l14�i�}
�"��''��^`�2���`#� fi ern�ndo:352-7950-7�1')9 li
��idt�!&.Y,�sured � �, 1�Qx: 727-9�6-S��1f I
��a�ar:�tarr'r�#1'a�}uaEiry" ������� E,riaii:traysic�erot�fie�g�'rJ[ive.earn i
At�$ic�'s�ist. �Ips�1� Evw�v.bRysi�eroo�a�gpros.com I �
� p�c�►^o.x+c�.sFas�rtsr�ez:U-ro / f �z f � y I!
PI10�E f ` . �,. �r elj nATE
._. " ,a �, r":.^ :.S ;�i�! ;u; ., �; 7� , I�
� sratx��' . � ' �` �i.ti �.ocnna� , j I
� �
(:ITY,Sth"I'E,ZIP t E\7AIL
; �e �'� `r� ?.�`*`�� �
i SHINGLE ; �,
� �"F���.YEas'SC?B,ifITSP6ClF/C:4TIOA'S.d:VUES7Zl1.-0TESFOR.
' � M�x'�•�,.�c'!/L'CA".lLL T!lATAPPLF' Gw 1�=�,.F' ' '
'� O iP'l ,Obtam and post lecal roof permi[s(in accordancc�t-iih local la�v) O P�,Sns�oll nzw 16"vallcy metal in�•alleys ;
�} `��Completelv rcmove existing roof to hare�rood U O� Inst�ll ne�5•Aashings for ail ptumbing stacks and GRV�•enu,nailed �
, d �Thor�uehlp impccr ruof decking, ,and sealed�eith asphalt roofing cement j
r »s
� � Replace mncn deckin nt S u`-+ er sheci I}nvoad ancUor O O .Inslall a Ciass A fungus resistnnt shingle,(6 nails per shingle)
S ts rcr L.F.of de�}.ing an�ather u•oodwork Initi�l O ��Install st�ndard Ridge��ent for attic ventilalion i N-' L.F �
' '� �Re-f�ail entire roof decking per FioriJa buildi�ie code��•1 proper fasteners O--� Install Premium HigL Definition Shinele over��ent for attic
O '3"r Ins�a11 a self-adhcrinc peel f�stic�ovcr entirc roof dcck per �}�entilation L.F '
Florida�5uilding code O O Hand dcan a�d haul au•ay all job related dcbris to an appro��zd
43--�'�° Irut�ll 15�_La��ei(sl 30�_la��cr(s)felt for moistwe barricr ,disposal faciliry
� �,,�nd dn•-ln o(roof for a complete water tight system. O C7�Hand clean and magnetically s«•ecp job sitc(or nails
O 47' Install�en�Drip[:dgc- Natural-\1��1e i Bro�vn-Gray-Black-I3cige O O"f('alI in all Roof lnspections with local pertnitting
Cor ad�led�va[cr lighmcss,nailed and sealed�vith asphalt roof cement O b'inat inspce�inn�ri�h bome un•ner/s)m rnsure compleresatisjaerior �
�1��D --;-�, B�'�� 1
sr�•u: srne _.C..,�l,v���-=i�«.:���vf1 `
COLbR COLOR 3 � �
\t.i\Cf4CTl'ftER5lV'ARRA\'1}' \fANUFAC.TURCR'SIVARFL\Nll' "r'��:;�' ,
PRICE PRICE :<. '
�e. '
r
FLAT (LOW SLOP�+) j``'``''`'`1
Q�� �`� GlGCRALL TIl1TA/'P!I' �^a �
O O nbtain and po_t local rooPpzmuts(in accorclana«'ith local latv) O O Install d�ickness of insulation�v proper fasteners
O O Completely removic esisting roof to bare O O Instali mm TPO RooP System
O l7 Thocoughly inspect roof deeking O O lnstall a maintenance free cap sheet,installed��•ith hot tar
O O Rrplace ronen dcckine��S��ershect plywood and�or granulatcd finish( ).
' S per L.F oCdecking and all odter���ood�vork—Initi�l O O Ins(alI on parapit walls
O O Replace mctat.cuncrcle and!or g}�sum deck at S O O Make proper tie-in to sloped roof �
Q O Re-nail encire roof dcckine per Florida building code�e!proper fastcncr�O O Instal!ne«�coping cap flashings on walls I
O O trutafl a sclf-adhering peel fi stic}:over entire roof deck per O O Cle�n and liaul a�cap all job related d�bris to an approced
Elurida buildingcodc disposal facility
O O Instal!a 75 lb./�13 Ib.b�se sheet secured�vith(astener O O Hand cic.an anJ magnetically s��•ecp job site for nails
� O Inseall neu�Drip Ldgc- Natutal-�Vhite-Eiro��m-Gray-Black-i3eige O O CaII in all Roof lnspcctions��•itli loca]pzrmitting
O O ]nstatt a modilied roo(svstem Smooth / Granulated O O �Ve recommend a tapered rooFs�•stero for the cicvation of
O O Ins�all ply�of fioerglass felt,install��•ith hot�ar ponding watcc Add O Accepted O Refused
� � Ins��ll an aluminum coat finish O I'inal i��.r�rcdnn�rirh hane a�rner(.�y to ensure coo�ptetr satisJ'acrion ,
GOOD BEST
, srti�i.r: STl'LE
COLOR. COLOR
' :.1,1�UPACTI'Rf:R'SP.i\RRA\Tl' 1tAhUFAC.TURER'S\Ve1RfL\NT7'
' PR7CE PRICL•
� y.,F��f�. i N"�: it 6JS;�:1 }'�/�✓-»+�°r 7, , i�:1(7�_� .'��.?t 1}9 s/+ e�..� ��(Y'i'�,r .� �,i.FN'�'':�'-•`
ac"" . } , �' f 1 'J f' � 'f r L f
� • .. - �'�'. . . -`-'' !1 `� L�}.'� . �. ._ t h`i
.. �!i�° _. . ' " .� / . - !. in;�. f r`1� lC: -•-t
_1 { '/} 'r F � .) ' J- �'r� `rf/ l�� r� t`Iia..) 7'�.��{�.�= i n ,� �� : �
` ( t �'�r f t =t + 1 r�� - � �� � �� ��,'1�':�i!< � .. �� ri�;, '��r;...�
r ii •.»j:p� �'r,;�,✓ ` _:✓j r� ,: . ��i� i ,
i:, J � i " �'_
We Pf'opose hereb��to fumish material and labor-cmnplete in acwrdance�t�ith abo��e speciGcations,fo the stun to be paid according to lhe p�yment
achcdule sei fonh bclo�v,unless job is not complcted.
�UIIBCS(S � ,
k'aymcnt to be macle as lollows: Down['aymcn(
) .-+7 j ) (
` f" l. ' Bi1�8I7C1
' jy�Ft�i'�.1d`9.�,�� �^i , v� d.'��,. e�i�i,�t,�,G✓'I't r/'i:;`.; r�: .
--1-c,.'"1 • -- �,Y f�f��"���,f,�� ,
4tNhorrZedVr : �. ( �
-"_- Si,4ieilture /\ �r .�' .Y".)�� ,
All un�tid and oi�tstanding balancca hcreundcr sl�all bc subjcct Not�•T{ns pr�posal may bc,' �",
lo a scn icc charge tit 1.54v per month bcginning(rom ihe duc dztc. �yithdrawn by us if not�cceptcd�ti�ithin �, ' days.
� �
� ,4cc�epfunc�e of Proltusu! -"flu zibove pnccs.specificatians and TLRMS AND CONDI710NS()N RLiVL1tSE SI1�E i
j cunclitinn.5 3re 53[iSf'acror},•nd arc hereby accepted.l'ou ure autht>ri�ed .
� to d�5 the tivo • + Lci °d.I�rvment w� c t�dc as outlined abave. �
� �, Dule o �Icee rarrcc� A � ��'" �l� '
: Sigxura�re^ , f � --- ;
+— --- ---- --- - --- ----- — - ----�--- ---- ----- --�
i"�.F�a,co:737�}4�1•7663(FtOOF� �� �2aB�Ceati��eafln�Cantrac4ar
Pirtellas:T27-T23-7683(ROOF) _ �'�= t
4�91�taa,wots�h:�1�=�9-�5gg d���� ��. : �-� �_ Lic.#CCC1328T20
Hemando:352-79J=7939 �e�d e�trasurod
'r `' ' Fax#:T27-943-5121
�,������
To Whom It May Concern:
The following are authorized to obtain permits and considered agents for�ayside Roa�ng
Arofessionals,Inc.:
Patrick Hloska Sr.
Patrick Hloska Jr.
Jill Hloska
Brian Hloska
Andrew Shuhart
Jessica Pfeilsticker
Anybody who is not listed in the above should be removed from obtaining any information on permits.
Thank You
Patrick Hloska
Roofing License#:CCC1328720
T�e,forgoing was aqk�owle�lged before me this�day of -�� /`� by
����cd'i �G a slGft as�„fJi1� for
�•` '!'�., EiENr".0 Oi;N4f�Tl
' 'Stete of Flor'de.Notary'public
- � •� Commlgaio� �dCi 123949
,%,, � My�smmiaslon Explre�
�
Signature o Notary Pr �- � -
, ,
Personaliy Known or Produced ID Type of ID Produced
w>.._..,__ .__._ -�--- - .__--- ___...-- �� -- ..
- - - . _-- -. ..--- -....._ . . _- ---- --
- - - - -� - --- ...-.
f , _ , _ - -- - _- �-- - - -_--- .- -.
I - � ' ; � � ,,' � - • , - , ,..,
L � ,_. . . ; ..