HomeMy WebLinkAbout18-19385 (
CITY OF ZEPHYRHILLS
5335-8TH STREEC
� ($:�s)�sa-oo2a 193
� BUILDING PERMIT '
� PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 19385 Address: 39600 MEADOWOOD �P
Permit Type: RE-ROOF _ ZEPHYRHiL.LS, FL.
Class of Work: ROOF REPLACEMENT Township: Range. Book:
Propased Use: NOT APPLICABLE Lot(s): Btock: Sectian:
Square Feet: Subdivisian: MEADOWOOD ESTATES -
Est. Value: Parcel Number: 13-26-23-0'140-00000-1050
Improv. Cost: 6,300.00 OWNER INFORMATION
Date [ssued: 2128/2018 Name: MCINTYRE TAMMY �YNN °
Total Fees: 75.00 Address: 39600 MEADOWOOD LOOP
Amount Paid: 75.00 ZEPHYRNlLLS, FL 33542
Date Paid: 2I28/2018 Phane: 813-546-7127
Work Desc: REROOF SHiNGLES
CONTRACTOR S APPLICATION FEES
PJ ROOFING INC REROOF RESIDENTIAL 75.00
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Ins ections Re uired �
DRY NR FI
TAPE JOINTS ftOOF INSP
FINAL
REINSPEC7'ION FEES: (c)With respect to Reinspection fees will comply with Flarida Statu#e 553.80 (2)(c)the
local gavernment shall impase a fee of four times the arnount of the fee imposed for the initial inspectiort or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this praperty 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 recard a notice of cammencement may result in your paying twice for
impravements to your property. If you intend ta abtain financing, consult with yaur lender or an attorney
before recording your notice of commencement."
Complete Plans,�pecificatians Must Accompany Application.AII work shall be pertormed in accordance with
Ci Codes and Ordinances. NQ OCCUPANCY BEPORE C.O.
� NC1 OCCUPANCY BEFt3RE C.B.
' � ,
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�
' CONT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MCINTHS 1NITHUUT APPR4VED INSPECTIBN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR{�TECT {;ARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
' Date Received Phone Contact for Pertnitting � �� /s'��I
� -1-1-17-i �n I-1 fp
Owner's Name 1 Vl` Owner Phone Number �J"'`1� :�
Owner's Address Owner Phone Number
Fee Slmple Tltleholder Name Owner Phane Number
Fee Slmple Titlehalder Address
J08 ADDRESS V� U LOT# �
SUBDIVISION �L nV W,V��s PARCEL ID# e�'�ly`�✓V�� � v V� � �
(OBTAINEO FROM PROPERTYTAX NOTIGE�
WORK PROPOSED NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK `Y ��C) TI � 1"� I �� �� 1� � ��I��?`�
BUILDING SIZE SQ FOOTAGE� HEIGHT � `�'r�l'�-Il�/7+�vI��.
i
QBUILDING VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER � COMPANY �/ i\�I '�`•
SIGNATURE REGISTERED Y/ N FEE RRE� Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
IAddress License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� 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#
IIIIIIIIIIIIIIIIIIIIt1111111111111111111111I1t1111111111111111i1111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Woric Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
I� Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
I SIGN PERMIT Attach(2)sets of Engineered Plans.
"'PROPER7'Y SURVEY required for all NEW construction.
IDirectfons• • • • • • • • • •
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a NoHce of Commencement is requlred. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required) �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
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 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 Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired 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"owne�',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 pertormed 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
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8� 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 time 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 COMMENCEMENT
FLORIDA JURAT(F.S.117.03) (J
OWNERORAGENT CONTRACTOR �J ���I�"1 I��• ���'"��
Subscribed and sworn to(ar affirmed)before me this �ri`b d d swo tq(or �rt,n�gd efore rpe thi
bY �d� 1� by �vi�.� W�rn,c���:
Who islare personally known to me or has/have produced W o is/are personallv known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commis
,.•;��vP�e.; KRISTINANNHOSFELD
.o �:
Name of Notary ped„p�nPer�or stamp���STIN ANN HOSFELD Name o cjta t �r�te o m ed
;.•o�as+ o�.; ;•. •; �ommi�s�on;GG 124462
r��.o: Notary Public-State of Flo�:cz ,; ;9• oe: My Comm.Expires Jul 16,2021
' •= Commission:GG'2»=6: � '•.;�oF�.��;�'
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• 2018034275 �
Rcpt:1935694 Rec: 10.00
DS: 0.00 IT: 0.00
02�28/2018 K. R. M. , Dpty Clerk )
P@ffT1lfNUfilbef PAULR S 0'NEIL,Ph D PASCO CLERK & COf9PTROLLE
Key Number 020R8BK01�02�9pm PG �f_1_ I
- -- - - - --- - - -
B�90TtCE OF COI�IIIIUiE �➢ � E �dEN '�' —.�---� _ �� �
State of Florida
County of Hemando
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.of the
Florida Statutes,the following information is provided in this NOTICE OF COMNiENCEflflENT. d� f+r� ���nc. bc},�ve�n
1.Description of property(legal description): �Q��Wp�d QS�0.,�2�._ . �$ _�C�_In(D_.lQ}' )OS �i' � �f t�2 o+s It�S dr d�v
�-- - �P-�ctowod�c.�-t• DC�r,.i4S:
a)Street(job)Address:
����o Me�d�.v�or�oo� �.�,- -Z�Qhy�h-i-�-�S�,�-Fi-1--�����-----._. -- --- .
2.General description of improvements: r�-rQ.�--r- - ----- --- -- ------- ---- .------------._.._. .-------- -- -
- - - - --- - --- -- - ------- -- --- -- —� -� --��------------------------------------ - �- -
3.Owner Informafion or Lessee information if the Lessee contracfed for the improvement:
a)Name and address: � }"�1� ' '
��,►��.(�c.�Y' ► �._ 3°I1�00_Me��'o1Nd.G__ .. �,. Lep��y�l�►1.i�._�I 33��1Z
b)Name and address of fze simple ' ehold r(if different than Owner listed above) � `
_..--- ----- �----------- ---------------�------- --
c)Interest in property' Q���r _.___ __.___ ____
-- - -- --_. ._ _.
-----. ..------ ---------- --�-- ---------- --
4.Contractor Infonnation p0.u.1 1N[fn iCi�t
a)Name and address: PJ ROOFING INC PO 60X 10553 Brooksville FL,34603
- - - - ...� •- - -- -
----- -----------�-_. -------- - - ---�-----�---- -
b)Telephone No.: 352-397-2213 Fax No.:(optional} 352-544-1003
_ ._ ..- - -- ---- --------_ _ _- �---- --
5.Surety(if applicable,a copy of the payment bond is attached) -
a)Name and address:
. - --- - - - - - --- ---- - - �
- ------- ----- ----- - -�- ------
- -�- - -
b)Telephone No.:
- - - --- - - �-- -- - -�-- -- -- -- ---. ._..------ -----------�-- ------
c)Amount of Bond: $
- - -- �-----
- - -
6,Lender -- - ----- --------- -- ------�------- - -
a)Name and address:
- - - - -- --- -- ----- -- - --�--- -----------
b)Tefephone No.: --------- -- ----- ----- -
7.PeTsons wifhin tGie State of Florida designated by Owner upon whom notices or ofher documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
- -------- ------------� --- ----- ----------- --.._..------ ----- ----�- -�--------
b)Teiephone No.: _ ___ _ Fax No..{op6onal)
8.a.ln addition to himself or herself,Owner designates of ���
- -- -- -- ----- ---- --�------ ------ ----- --- �--
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
---�-- ------------------��--�------�---------- ----
9.Expiratiun date of notice of comm�ncement(fhe expiration date may nof be before the completion or construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified): ___ _ ,20
WARNING TO OWNER: AP1Y PAYMEfdTS MADE BY THE OMJIdER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT�ARE�
CONSIDERED IWiPROPER PAYMENTS UNDER CHAPtER 713,PART I,SECTIOP1713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR '
PAYI G TWICE FOR IMPROVEPAENTS TO YOUR PRQPERTY. A AIOTICE OF COMMENCEMENT MUST BE RECORDED AlVD POSTED ON
THE J SITE BEFORE TH T INSPECTION. IF Y�U INTEND TO OBTAIN FiNANCING, CONSULT WITH VOUR LENDER OR AN ;
A OR Y BEFORE COMM CIN WORK OR RECOR[21NG YOl7Et NOTICE OF COMMENCEMENT.
- � - - - -- -- - -.._.. - - ---- - ------- -------- --- --�- -----------------�----- -- -- -
- - -
_.._ . � - I u�m I�c -�-i r
��Si nature of Owner r ssee,or Owners or�assee' umorized OfficedDirectodPartnedMana er ��--���------�--"—"--�'�"- �— -�
� 9 - . 9 1 (Print Name a Provide ignat�rys TitlelOffice)
State of �I b'(I G�.O._. --- �ounty of �'e r.Y].Cl,iil.�C) - -- - `
The foregoing instrument was acknowledged before me this ..o�Q. . day of �'e L�r��ry_______ ____ ,20 ��_
(�llc rlti ve- - ------ -
by T'c�mmy y_`. _._ =- as Ovvne_.�
(Name of�'ersor)� � . ([ype of authority,...e.g_ofricer,trustee,attomey in fact)
for ` (name of arly or benalf of whom instru ent was executed).
Personally Know ❑ ProId�uced!D C� � ,
T e of 1D f�ota bi nature �}.;� �
YP � �5 3 ��_ l0�� �4'� �l ^9 __. . rld�.1=�,<t-V 4 - - _ .. - � - - --- ---- --
Prir.t narne
- - ---- --- ---- --
- ----- --------- - _..._._.
.•i�ir'P�'••,, KRISTIN ANN HOSFELO "
i°f�„�`n=: NotaryPublic-StateofFlorida
. Commission#GG 124462
=� oT_ M Camm.Ex IresJu116,2021
."�OFFl;°�'�, Ba dedthroughNatlonalNotaryAsin.
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I � m � ° �° STATE OF FLORI�A, COUf�'fY OF P,4�C0
�� �� A THIS IS TO�CERTIFY THAT THE FOREGOING IS A
� ' TRUE AND CORRECT COPY OF THE DOCUMERT
" .' � " �• � ON FILE OR OF PUBLIC RECORD tN THIS OI=FICE
� �� In�P��e��t � WITNESS MY HAND FF4_ �IC�AL SEALTHIS
_^d..,'.,
� ` � O . � �'C/'� DAY OF —�I�r���a 2 �`'
y�8� �'r P ULA S.O'NEIL,CLERK&CO P ROLLER
� �� • �����► BY �[�-�/" —� DEPU7Y CLERK
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Op Ip
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�" � L'' �� Date: �2aj2a18
P.O.Box�0553�rooksville,F'185604
800-3$�-1139 License #CCC13�o9��
� � Licensed,Bonded,Insured
Name: Tamrnv Mc.yntire Phone: 81,�-g4,G-�i2�
Addresss gc�600 Meadowoad Lu. City,Zip;Zephy�rhills.Fl
Scope of Work:Strip off and reroof with:
Pitch a/�.2 I.ayers i Squares 2a.,3�s�,6ca�lstarter
Installation of: Coior: Charcoal gre
II�t3 Limited Life Time $6,0�8.00
�nstalI stmthetic as ner F'I�rrida b�cildin�„cades
Peel N Stick in place of synthetic$ ��o.00 additianal �
Lnstall Drip Edge,GALV Aturn X Cotar White
Install all new bullet baots x �/2" 2 2" 3" a. Power Pole '
Install new GRVJRange Vents 4" za„ 1
Insi�all ttew L-Flashing(i,ftteeded)
�� Install new R�dge Vents �o ft./Cobra II ft. j End Plugs�i. ,_
All valleys wiil have galvanized metal and peel n stick installed i rolls
, �er FZorida code aIt decking uritt be re-nailed
All roof related debris will be hauled away. ,
All Wood Repair is E'a�tra Plywoad$Go.00 per sheet�t� .5 0o per f#. 2ac4 .00per�.
,First two sheets of rotten woad replacement included in contract.
'r PJ R4UFING WILL NOT SE RESPONSISLE FOR.ANY SATILIGHT I}iSHES,SOLAR PANELS,SOLAR
TUBES AND ANY'I`HING N01'RELATED TO ROOFING. ,�;-
By si�ning this proposal,you are giving PJ ltoofing Inc.permission to change and charge for any rotten waodthat is required by law.Workmanship is
guaranteed for a period of S �rears.Price includes all ta�ces and permit fees.Prices are subject to change without notice.Any]egal fee.s pertaining to -
tiiis contract for the colieetion thereof shall bc paid in f��ll be the coniractee.Hame owner must pmvide accass through dtiveway or yard ta the roa£
Payments are to be made in full upcm job coxnpleiian.A 3%charge will be apglied for pracessing all eredit cards.All materiaLs ta be specified.Any
alteration or deviatian from the above specificatians invotving eactra r�sts will be e�ceeuted onty upan written orders,and wiII beec►me an extra eharge
over and atwve the esiimate.All anrangements contingent upon strikes,accidents or delays beyond our control.Our workers are fully oovered by
worktttan's c�znpensation insuraace.
We propase hereby�furnish material and labar-complete in accordance with the abc�ve specifications,for the sum of
� I�'. �� �i-
` Authorized Signature PJ Wernicke Note this proposal may be withdrawn by us if not accepted within,�days.
Acceptance of F op sal-The a6ave prices,specifica#on and conditions are satisfactory and are hereby accepted.Yau are authorizing to �,
do the work as ec ed.Payment ' be ade as outlined above,and the additional terms and conditions on page a are part of this '
contracL
Signature: � Date of Acceptance: � � �� ' � �
�
� P! ttcdcafi��6nc,
, Phprt�;3��-39�-�2,13
F��;352-544-3,QQ�
A,�, f�c��1.Q55� �rca�l�s�ti�le, F!. 346Q�
Lic�n��#CC��.��R9�3.
I hereby authorize, Desiree Southall, of PJ Roofing Inc. to sign her name on my behalf to
apply for a building per ' in he cit of yrhills building department.
Licensed Contractor:
State of Florida,
County of Hernando.
This foregoing instrument was acknowledged to me this 28th day of February, 2018 by
��U_( rI�I�I�I� I CIC�L who is pers nally known to me.
,
Notary Signature:
,,•;��sira'�••.,, KRISTINANNHOSFELD
e°„�`��=, NotaryPublic-5tateofFlorida
' Commission�GG 124462
';q oP:' MyCamm.ExpiresJu116,2021
�••�oFFl.�•'
Bonded through Na6onal Natary Assn.
Notary Stamp: