HomeMy WebLinkAbout18-19378 CITY OF ZEPHYRHILLS
' �' S335-8TH STREET
, (si3)780-oozo 19378
' BUILDING PERMIT
- PERMIT INFORMATION � � LOCAYION INFORMATION
Permit Number: 19378 Address: 5524 5TH 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: 11-26-21-0010-06400-0220
Improv. Cost: 5,700.00 OWNER INFORMATION
Date Issued: 2/27/2018 Name: DIXON, CATHY& BROWN JOSEPH
Total Fees: 70.00 Address: 401 SCRIBNER HILL RD
Amount Paid: 70.00 OTISFIELD ME 04270-6214
Date Paid: 2/27/2018 Phone: 201-595-4026
Work Desc: REROOF SHINGLES
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
,
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Ins ections Re uired
DRY IN ROOF INSP �
TAPE JOINTS ROOF I� /� �
FINAL i (/
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 properly.. 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
O R SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-?80-0020 City of Zephyrhiiis Nermit Hpp�tcazion �a^-���-�U�-���� ,
� � Building Department ' "
Da#e Rece�ved l � � a� � � � � Phane Contact for Permitting (�.�� !��� __ UJ��:�._ . .
I' ovuner's:Naine � � /��� OwnerPhoneNumber ���:��� IS ���«'�';':�'''•.
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Fee Simple Titleholder Name OwnerPhane Number � �
�Fee Simple Titleholder Address - � , � ,
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JOBADDRESS� �..IS� �J � . . LOT# �, ���.� �
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W,OFi1C;1?ROt?OSEDV ' � NEW CONSTR e ADDlALT � SIGN Q M01/E Q DEMOLISH
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PROPOSED USE .. ,� Q SFR � CONlM ; C}TFiER . ,
TYPE OF CONSTRUCTION � ' BLOC Q FRAME Q STEEI. [� OTHER(�� �--�
DESCRIP.TIQN:iOF.�WORK� �OLi�O f--�- (�e'"�UC}i" ��.,S l.�►`t�� r t� �-t���i�} �S �IUt�1 Q S� ���`'"'`'f e- �,
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BUIL.DING SIZE C_ ..��. ;;;SQ'�F'OOTAGE: I����� HEIGtIT . S` �t� -�44�2
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FINISHED FL.00R ELEVATICINS � � FLOOD ZONE AREA QYES [�NO
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SIGNATURE REGISTEREp�� � Y/ N FEE CURRENT% r Y/N -
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Address � License# �- ' " `�
ELEGTi21CtAN COMPANY `
SIGNATURE REGISTEREp Y I N FEE CUF2RENT 'Y/N
Address � License# � ' �
PLUMBER GQMPANY � �
SIGNATURE � ' REGISTERED Y/ N FEE CURRENT- Y/N �
Address � License# � •• �
MEGHANICAL COMPANY � '
SIGNATURE � ' REGISTERED Y I N FEE CURR�NT Y/N
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Address � ' Lieense#
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t2EStDENTIAL Atfach{2}P[ot Plans;{2}sefs of 8uilding Ptans;{1}sef af Energy Fortns;R-C}-Vlt Permit for new cansfruction,
� , Minimum ten(10)working-days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed,
San�tary,Fac'slitfes&1 dumps#er;Site Work Permit for subdiVisions/large proJects . � ` ; ' � • � . .
COMMERGiAL Af#ach(3}sets of�Building Ptans;(1}set of Energy Forms.R-4-W.Permi#far new canslruction. ��. � ' � �
Minimum ten(10)�working tlays after submittal date. Required onsite,Construction Plans,'Stormwater Plans w/Silt Fence installed,
Sanitary Facitities&'i�dampsker.Sike Work Permit for ail new projecks.Atl commerciaf requ3rerrients must irieet compliance'�
StGN PERM{T Affach(2)sets ot Engineered Ptans.' ' � . ' -
*"*'PROPERTY SURVEY`required far all NEW construction. , ,� " ,' �
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Rirec#ions: , . _ , . _ , ,
FIII out application completely. ,'
Owner&Cantraator sign back of appticafion,notarized �
` tf over$2500,a Notice of Commencement is required. (A/C upgrades over$5040) i
** Agent(for the contrackar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ��
'OVEF2 THE COUNTER PERMITTING (Fronf of Appiica#ion Oniy) � ,• '
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ` �,
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Driveways-Not over.Counter,if on,pub)i�c roadways..needs,ROV11 �!�`=---- -- -••-` � •_ �"'- "`�' `-_- - � � •
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restricti�Ons"
which may be mor.e restriative than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. .'
UIdLICENSED 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 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 Divisiqn—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contracto�(s) sign
� portions of#he "contractor Block" of this appiication for which they will be responsibie. 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 aiso understands, that such fees, as may be due, will be identified_at the time of
permitting. It is,further understood tfiat 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 L"AW(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 lavirs regulating
construction, County and City codes, zoning regulation's, 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 wliat 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
� Lands, lNater/Wastewater Treatment.
- � Southwest Florida Wate�� Management District-Wells, Cypress Bayheads; Wetland Areas, Altering
Watercourses�. �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
I ' � ' � - ' Department of Health .& Rehabilitative Services/Environmentat Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
, - - US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. ^
I undersfand 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 time of permitting wliich is prepared by a professional engineer
li.censed 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 mate�iat 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 const�uction. I understand that a-separate`permit may be required for electrical work;
plumtiing, s.'igns, 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, alfer;�or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereaftei-
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 abandaned for a period of six(6) months after the time the work is commenced._An extension
may be �equested, in writing, from the Bu,ilding Official for a period not to exceed ninety (9p)-clays arid will demonstrate
justifiable cause f.o�the extension. If work ceases for ninety(90)consecutive days, th�job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE.TO RECORD.A N�TICE OF COMMENCEMENT MAY RESULT IN�YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. -IF YOU INTEND TO OBTAIN FINANCING, CONSULT
- --`� VIIITH YOUR LENDER OR A A'Ti'ORNEY BEFORE RECORDING YOUR OTIC COMNIENCEMENT. �
FLORIDA JURAT(F: 11�7 ) _ • _ -
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01NNE.R�OR'AGENT:<- _ - ��-�- , �•='r''CUNTRi4CTOR''��'' �
- Su'`�cri�ed Nnd swor etore tne tI7is Su scri ed and s o med��for��.�ii
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•oI .�7 I".. by 2�l' `'- -Q.f W��Gt o1fo 1 � by �i ( f �
W o.is/ re personally known to me or h s/have produced W o is/are personall��1 to me or has have produced
� a"s identification. as identification.
� �Notary I'ublic C--��\��� Notary Public
Commission No. � Commission No. b� �
Name of Not � � Name of Not
,�"""' AMANDA NOELLE PHILL�PS
• - �"""�� AMANDA NOELLE PFiILLIPS .��""'O'
.Aar Pd'. , o `y''
� �� u B�H=State of Florida-Notary Public ,e �..State of Florida-Notary Public .
�- = � = Commission tk GG 166548 ���a` Commission #i GG 166548
;��'PQ� Commission Ex ires ' �.,;��,�o�, My Commission Expires
- ' , �''����`'�� �Dec'ember'10,-2021 '"����"` December 10, 2027
��_ ' ERIfAN , ._ � y—
��T ����= Ryrnan Roofing, Inco �RES ,� -
�,�.� �, 5/o fee for credit card processing.
�� ,-J �;':�'` A Division ofRyman Construction,lnc.
,(� ��� ���.,�
'1"```h+�-. � � 36413 SR 54 � Zephyrhills, Florida 33541 Proposal#
r/�� ���
�=n-,�;F::� �� Phone (813) 782-6094 � Fax(813) 788-6773 �o•
� �43iy � 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate# 001900
�/O www.RymanRoofing.com
,Q� Serving all of Central .Florida Job#
OwnedPurchaser._Ca.thy DIXOCI Date: 12-4-17
Claim#: InsuranceCompany:
Policy#
�ob Address: 5524 5th. St c;ty: Zephyrhills Z;p: 33542
Mail to Address: E-Mail Address:
Home #: Cell #: 201-595-4026 Business #:
❑✓ Complete tear off of existing ASpflal� SflIC1qI2S AdditionalNotes/SpecialConcerns: InCIUCI2S
$65.00 in wood work
� Secure all loose roof decking as needed according ` Re installation of both satelites
to Florida Building Codes
0 Roof���e��n W�tn Svnthetic Underlaymen�
❑ Install new valley metal with galvanized metal
Q✓ Install new 6 °drip edge color: Whli@
� Install new lead boots
� Install all new general roof vents
�✓ Install new �Shingle ❑Metal �Tile
�Modified Butimen ❑TPO
Q✓ Manufacturer (snin9ie, metal or ti�e) Gaf
Manufacturer RPo or Mod Bitumen)
✓Q Color:(Shingle,MetalorTile) slate
Color:(TPOorMOD.Bitumen)
�✓ All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
0✓ All materials,labor and permits furnished Base Price*$ ��700.o0
0 Provide a 5 V2SC labor warranty
Additional Items:
CL r i � -"1
Payment Method: Check# l��� �Cash �Financing �Insurance Claim
� Gredit Card# Exp. Date CC ID�
Down Payment:$ � �995.00 Amount Financed:$ Approx.Monthly Payment:$
PaymentTerms: 35% down and balance upon completion
Extras:
*Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Ifems"above. cu5tomer���sa�
�Deficient 1/2°plywood replaced at a cost of$ 65.00 per sheei in the roof field,which includes labor&materials.All other wood work/ad-
i ional labor, such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will be a rate of$5.00 per lineal foot plus the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOS AND HEREBY GERTIFY TiiAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTR,4CT.
Purchaser: � . Date:
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pertnft No. - • Parce�ID No I t��V/^ �
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� l r`f 1 �n cdoTlcE oF c�PAPiiEAlc�flA�NT �( ) (�C O . .
Sfate af I V `I� County of � ��J
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TH6 UN�EP.SIGNED.hereby gives noiice ihat(mprovementtivlli be made.to certain raat properiy,end In accordanae vriih Cf�Ptzr713,Fiarida Stalutes, p= •
ihe foliowing in4ortnalion is proyided in Ihis Netice af Coinmencement: � I^'1 J_ ,� } ,U„+O _ �J ��O � �a a� pp—
j. De,,�scripilon oi Prop Pa�cel derttiFlc lidn No.. t Cx l� � V I (p w=
• StrestAddress; ��� 1 S� `�si l`/�f�f��'S ` 3� �-w+�
2, Genefat 0escr7pflan aP Imprgvement /�, , /\�^ �r �''��
�lX.! lX" . ( �-f V� �
' 3, O �er Ini atian or ssea inf6rtnatlon iFih�Lesree contrac for•Ihe improvement: _ —
� C�� �i X v� � ��se� h �r��n. . � .
. �me �C Scc�b2p,� il( ( ��I-r', �-;�ef 'l� ��0 m .
• Address � City ' � Stala � -
, Interest fn Praperty:���� =
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Name of Fee Simple Tit(ehoider; • �
(If d'merent from Ov�ner listed aho�re) _
Cily �
Addre'ss -,n,�Q� • ,� � �(�C Siate _
� 4, Conirzctar. y� I,� _ " -
Name 21_ S -5' Y�t� 5 ����
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Address ^-1��'I .�a Cily stale N Vl A '
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ConiracloPs Telephane No.: � U� ' N ca
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5. Suraty: - ��� •
' - Name N ' ' ' m O W
��t State' � �
Address - y . w
AmauntoiBond:� ielephoneNo.: � �
6. Lender: 1" �H
Name • • -1 iD
Address • . City Siaie ` " n
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' Lende�'s ielephoneNo.: � Y7 •
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7. Per�ons�,vllhtn fhe Stae oi Florida designat�d by t elov er�pon wnom nofices ar o�her dacuments m�J 6a setved as ptovided 6y � p�
Seciiari 713.13(1)(a�(7),Florida Statuies: r . � �
N �" �- O I
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Name • '1
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Addreea City. . State
�� Telepfiane Numhe�oi Designatzd Peron: � -" -
�i 8, In additfan to h(mseli,tha otmer designates � � ' °r�
' � to rceiV2 2 copy oi ihe Lienors Notice as pro+�ided in Seclioni13.13(1)(b),Flarida stalutes. I
' �
Telephone Num6er oF Person or Entity Designated by Oa9ner: .
9, Expiiation date oF NaUce oF Commenceinent(1he expiraifon date may no:6e beiore the completb u consJ �c ian�ynd��in 1 ayment to ine
, i
con�ractar,butvAll hs ona year fram ihe dale of racarding unless a dri�erent dafe is speciiie�: d ,
' WARNING TO OWNER: ANY PAYMEN7S�PAADE BY THE OWNER AF'PERTHE EJ(PIRA'f10N DF E N6T10E OF COINMENCEMEM"
ARE CONSI�ERED INIPROPER'PAYPdEN'f'S'UNDEP. CNAPYER7'13 PART1 SECTION713.�13, FLOF,IDA STATU7E5, AND CAN .
RESULi IN YOUP,PAYING'iWICE FOP,IMPROVEMENTS i0 YOL�Ft PROP�P."fY. A�NOSICE OF COMNIENCEiNENT MUST BE �
WITH YOUR LENDER OP,AN ATfORNEY BEFOP•E COMMENCING WOPh OP.IP•ECORD NGYOUR NOTI�C�O COMAMENCE�NENTSUL'T
Under penalty of perjury,l declara thal I have read ihe faregoing notice of commencemani end 9haNhz fects st:ted iherzin are true to 1he hesi I
of my knowledge and belfzf. � , • f
STATE OF FLOP,IDA _ , I
COUN1'OF PA5C0 �, -�--� -- � ��. ------_• — —-- I
•Signaturz oi Ovm -aP Lessee,ar Oam s ar L�::e's Aulhorrz=_d I
OFi�lpir��ctP�J ��nerlManager i
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, �� Sign2lory's jiile/Ofiiy�e n f - /1 '
S fore "ing fns ument was ac&nowtedged Befo2 me ihi��day oF�Qn ;20%hy w�Y'� ��U 1 `
��� es � - _ •(iype of aulhorit;e.g.,o£cer,itUstee,etlamey[n fact)foc
(na ipartya �ehah�b whaini��niv sexecuted).
Fetsonally Knotm�OR produced Ideniificaiian�.,l Notary Sigtialure �'� I -- .-
Name nnt -�' � G _ wdv
Type of idenfiia�itan Ptoduced . _ � � : �
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,��"t�P'�, ANGELhHAYW00D pau�A.S.o'NEIL,Ph.D Pa5C0 CLERK d COMBTROLLEti �
;,t�• �e
s�°a`�,`�; Notary Pubilc-StaCe of Florida � 02/2�7/2018 10:4�a.m 1 of. 1 • �
° Gommission��FF 912551 (� OR �K ���1� P� ����
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