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HomeMy WebLinkAbout18-19174 CITY OF ZEPHYRHILLS 5335-8TM STitEE7- (813)780-0020 BUILDING PERMIT. PERMIT INFORMATION - LOCATION INFORMATION " -Permit Number: . 1'9174. Address: 5019 16TH ST Permit Type: .RE-ROOF. . ZEPHYRHILLS,_FL. -Class of Work: ROOF REPLACEMENT . .. . . . .Township; Range: Book:. Proposed Use: :SINGLE FAMILY RESIDENTIAL Lot(s): Block: . . Section:. .. Square Feet: Subdivision: CITY OF ZEPHYRHILLS. Est. Value: .. Parcel Number Improv. Cost:. ,. . . 2,420.02 .. OWNER INFORMATION Date Issued.:. 1/05/2018 Name: " COPPER PENNY DELAWARE LLC:- Total:Fees:. . 55.00 Address: 1406.N DALE MABRY HWY.STE:.300.: Amount Paid: .: : 55.00 TAMPA FL 33607-2506 Date Paid: 1/05/2018. Phone- -Work Desc: REROOF.SHINGLE : CONTRACTORS APPLICATION FEES R:L.BUILDING:CONTRACTORS REROOF RESIDENTIAL 55:00 Ins ections Required .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.tiines.the amount of.the fee unposed for.the initial.-Ins pection or . first:reinspection,.whichever is greater,.for each such subsequent reinspection. NOTICE: In addition to the reouirements of this permit, there maybe additional restrictions applicable;to this property that may-be found iri 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: erfored in:accordance�with City.Codes and Ordinances. NO OCCUPANCY ih p BEFORE.C.O. . NO OCCUPANCY BEFORE, C.O: CONT RA�� CTOR SIGNATURE :PERMIT OFFICOR PERMIT EXPIRES IN.6'MONTHS WITHOUT APPROVED INSPECTION' CALL'FOR INSPECTIONr 8.HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ® DATE(MMIDD/YYYY) A� CERTIFICATE OF LIABILITY INSURANCE 1/05/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT A.KILBRIDE INSURANCE INC. NAME' 1401 W.Busch Blvd. PHO WC.NNo,E . 813-931-7467 AIc No): 813-932-7336 Tampa,FI 33612 E-MAIL SS: certificate@akilbride.com 813.931.7467 Phone INSURERS AFFORDING COVERAGE NAIC# 813.932.7336 Fax INSURER A: United Specialty Insurance Co INSURED INSURER B: R L Building Contractors Inc 4701 East Hanna Avenue INSURER C Tampa, FL 33610 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ✓ COMMERCIAL GENERAL LIABILITY DAMAGEISESS( RENTED Eaoccurrence) $ 100,000 A CLAIMS-MADE ❑✓ OCCUR 234393 01/04/18 01/04/19 MED FRCP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ✓ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N IQBY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Certified Building Contractor& Certified Roofing Contractor. License Qualifier: Randarell L. Randolph Contractor License #: CCC1328792 - Roofing License#: CBC1252508 CERTIFICATE HOLDER CANCELLATION City of Zephryhills Building Department 5335 8th Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ze h hills, FL. 33542 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ry ACCORDANCE WITH THE POLICY PROVISIONS. 813-780-0021 Fax AUTHORIZED REPRESENTATIV ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 Building Department Date Received �,_ C• rP t.Phoneitontact for Pernilttin : Owner's(dame 6J ' ,dr•c < /1-0f L �iG Owner Phone Number �� v Owner's Address //D �•. ,_c+� �@ -Owner Phone'Numbs . Fee Simple;Tltleholder.Name / G '`� '�� Owner Phone Number Fee Simple?Titleholder Address JOB ADDRESS `7 �f� G ` � G C �t ,✓ 1 7; �G LOT# SUBDIVISION PARCEL ID# '. f'-�!��. . L`='�SL/,�a&5,� � (OBT/VNED F.ROM,PROPERTY.TAX NOTICE) WORK PROPOSED NEW Ct1N57 R _ ADD/ALT SIGN Q- Q DEMOLISH e. INSTALL 8 REPAIR PROPOSED,;,USE 0. SFR• COMM' `. - �OT.HEW • TYPE OF CONSTRUCTION; ,- 0.. BLOCK FRAME L 'STEEL .0 DESCRIPTION OF WORK yCs/w DT� E i fL , 13UILDING�SIZE` SQ FOOTAGE; .E HE =BUILDING 1 VALUATIOW-b`F TbTAL'-CONSfR'UdTION QEI ECTRIt AL $ AMP SERVICE: Q PROGRESS ENERGY [� W:R.E:C. � t OPt:UMBiNG $ MECHANICAL $ VALUATION OF$MEGHANIF4L`'-INSTALLATION =GAS ROOFING Q SREC1AlTY{, __::;.:OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES. NO BUILDER . COMP;a�NY`=. t SIGNATURE REGISTERED I Y/ N FEE CUPtN Y/N Address License ,ELECTRICIAN COMPANY•` SIGNATURE= REGISTERED Y/ N FEE CURREN • s Address License PLUMBER ' :,COMPANY SIGNATURE` REGISTERED, _ Y,/,:N.,z FEEaCU12RE�K �Y:/N. t Address MECHANICAh' SIGNATURE FEE CURL3En.: .Y,/N` Address'! Lit;erise'# Fx..,.. — OTHER ;COMIPANX SIGNATURE ' "REGISTERED" Y/"N.::_.:' '=FEE CURRE� Y7 N Address' .. License# ' Worki ' • = T +'RESIDENTIAL c :Aach'2,;Plo#;Plains;s(:2}ie�of� dirg,?a (1) etE o ms;'".R Femt orrw:iorsctioor, ng;dayafrnla`d � R Oka'r rk r wansw 2 SIItiFence Installed, "Sanitary Facllitiest3�1:,dumpster?Site'Work`Permif.#graubdivision5/iarge,'FpioJects= +: COMMERCIAL Attads{3)i cing!®te'sets•`af Bvilifllig=Plans phis a'tafe Safetp Page;{1)set of Energy forms.R-d-ryW Permit for nia.-construction. tion. Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new<proJects:.All commercial requirements-must meet compliance SIGN PERMIT Attach(2y.sets of t~riglne rid Plans::,;:. ,r- -;>::;r .:•: ""PROPERTY SURVEY required for all„NEW=constructlon. Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the,00ntractor)'or'Power.of"Attorney(forth-owner)would-be�someone with notarized letter from owner authortiing'sime OVER THE COUNT R•P.:ERMiTT1NG (F fcnt of Application:Only}.. Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Nat over Counter if am pubila.roadways:iieadsS ROW .' :, DTICE.OF DEED RESTRICTIONS::.The.:undersigned„understands,lhatlhls.p.,My .,,be.sub)ect, -7do 0—,restrictions">> �... itch may.•tie mole°`r.®stflctive'thert Gorinty`ilegu atCons;`The'undersi n6 13ssumerresponsitililty°tor"compilanciai'wlth°arty rplicable-,deed restrictions:, +ILICEN#M,'-CONTRACTORS =A 1D Cilii TOR ItESPONotam''tea ` if ate oumer°tras °hired',a contractor or. ntractors.to undertake..work,,.they,may;b�e teq"It ttr;bejlcisnsed;in::sccordance:with state:andylocal.re ulations, jlf the = x..,.....� ., , ntractor is-n6VIlbertW aa}requirerl,:Sy taw.°tiott the'owner.arid'-�contr 66Finay iioe'c#fed'°for �rrtls'demeanor;violation ...:. .- der state law. „If the owner.,or.Intendedcontr. "64" are ncertaln:as:to.what licensing:requirements mayti appiyw ohe ended v�ork;:tiiey►.are:adrl§erlfo=auntact;the Pasco-County.BulldirigInspectlori D(vilon--lccensing Section at 727-847- __. . ._ .. .-_. -.. w.........._ _-., .,.,.. D9. Furthermore, .ff.the owner'his'-ilred a contractor or contractors, he Is advised to have}the .contractor(s).:;sign; rtions.of.;the_°contractor,:Block"..,of�,thisrappiication,for,.which,whey.._.:wilt.,be,responslblef;.:;af=.you;yas.,:#he-owner�sign"as'ffie ,tractor, that-may'be-an Iriaf icatlon that`he=ts not'propenjr ltceiised aiitl'is"runt eritltled to permltt#Ih liftihre'alaa In Pasco r . unty. ANSRORTATI6N•1MPACTICITILITfE [Ml AC"T-ANC RESOURCE RECOVERY FEES:-Tfte undersigned-understands it Transportation Impact:Fees_and.Recourse..Recovery.Fees.may'applyto:the{:construction of:new:building%itchange+'ofY In existing buildings, oc:::expaatisiecrro'i>iitis�ttra tiulldirtgs; its sp®ctfied.to Pas -County Ordinance-number 89-07...,and LL Q7, as amended:r Ttie undersigned alsorunderst6nas; ill fUsuch fee*'.as;tnajr;bey.d a 4wlILibe Ideritifled at then#t�iie�f, -mitting. It Is further understood_that_Transportation impatct.Fees an.Resourtse,Rec°oVely*ees„must be paid prior to. ;elving a"certtficate:of.occupancy"or final=powec»Eelease' =tfi`the_pro) t does�nof•Invoiveta:certlfli _te of occupancy oi• a - `7 `' , ai power-release _tie;fees mtist tie paid pr- tof_ermlI Issuance. F,�t ermoto if::Pasch;County lNater/Sewer�;lmpact �s are due;ahey must be paltl prior to permit 19suancean..accordance wvith:appllc ;tile Pssco':Countj,'dinances. iNSTitti TION`UEN"LAW'(Ciheptair 713,Florida Statutes,as amended): If valuaflon.of work.ls$2.600.06,or more;:t ;t iffy that 1, the;i�pplicertt;: lavebeen;:provided with a-a+opy of the;°Florida-Oonstivction:Lien;`'Latin-=Homeowner's )tection Guide" prepared by the'Fri rtt#a Department;of Agriculture and Consumer;Ati'alrs.- If the..applicant.is;someone: . Ier than the:owner", I.ce °,. Y' "` ```�„iffy'#hat ht%avea ineda copy;of.. e:ab lescritied !` ;p ln, i%adfai! to. tits th ova. ocuiment;and-, mriR i>ae Aver It t .i a.`, _ g. h'. o. h owner":priorao'yi�rnirrericemeiilA;,.....:.r_,; 4 ►NTRACTOR'SIOWNEIVS AFFIDAVIT: I.-+j rt y;tl at alt�:tho;iriformaflowIn-this application is accurate.a�nd that all work ''be done in compliance with all.applicable'1a�irs regulating construction, zoning and:land'•-development. Application lk eby made to obtain:..a.pert;it:tondo wot ,and r11`fs allatlon as indicated: =I ceKlf1r that no work>:or. tnsmNaition I1as; nmenced prior to Issuance'of':a perniit-bad that ail'work will be performed'to meet.standards'.of-.all laws regulating; istruction, County and City codes, zoning regulations, and land development regulations°in-the jurisdiction' `I'=ais& tify,that 1 understand that the regulations of other government agencies may-apply to the.intended work, and that it is responsibility to identify what.actlons i mUst ske:to beiin<.compilance:.:Such agencies Include but ere.not limited to: ; Department of-Environmeritat =Cypress'Protect#oii :`Ba jrhsad';�; v'4 bgind Areas and-Environmentally Sensitive; Lands,Water/Wastewater Treatment. Southwest Florida Water Management•.i)lsbiot Wells, -Cypress Bayheads;- 'Weiland Areas, Altering; Watercourses. Army Corps of Englneer"eawalls,Docks,Navigable Waterways. Department;of,;Heat th 8::RehabliifatTve Sertilces/Envitonmeirtal .Health-Uhit W611 s;..Wastewaterr Treatment; . . US Environmental Protection Agency Asbestos,sbatement,._., Federal.Avlat(ontAuthority-#runways.- derstand that the,foAowing restrlctivns apply'to AM use of fill:- Use of fill'is not all6wed1n 0lbod Zone"V"unless expressly.permitted. ; If`the flil:ma teital'is'`to'be use>i:'Irt-:flood done. "A", it Is understood that a drainage plan addressing ..I' "compensating volume*,will-be submitted at time of,pemtitting which Is prepared by a professional englneejr-(,` licensed-by=the,St Me—bf F1!stid-;: if tho fill materlalls'to:be=.used In Flood Zone 'A" ins connection-with a permitted building using stem wail construction, l certifya.at:,flil ill ilPba :t-jsed only-to fill the area within_the-stem wall: If fill material-'is'i be`used in.any area, F certify.that .use of-such fill will.not adversely affect adjacent 1- properties. if use-of.fill Is,fount to adversefyasffect adje69h��propertles,.the owner may be`cited for•viotating the condkionssof;the:.batliding:permit faasued under iha "attache>i,.permit application,:foc:lots-less-than.one (1)I acre which are elevated tiy:flit;,att engineered drainage plan is required:. im the AGENT:FOR.THE^OWNER)',—"inise in good,faith to inform the-owner cf1he permitting conditions set forth in affidavit''prior to cornm®ncing constructton. 1 understand that,wggparate permit may be required for electrical'work. ? y,P. -srs k. ibing,..signs,:wells,,,pools;.afr:.6onditioning,-..gaas;:;or other.. Installations not.specifically Included.In.the-application. .A i ilt issued,shall be construed;to;be;a 1lcenseSto-proceed with-the-work and_-not-as:authority:to violate;,,'concet, alter, or i { aside any'provislons'of,the.techntcal:codes,-nor shall Issuance of a,permit.prevent the Buildfr>g Official from thereafter !firing a correction of,errors in ptens constnictlon..or.vlolatfons of,any'codes:-'EveryTpormit.-isOsued shall"become-invalid so the work authorized:by such permit.1s-commenced:withim-W.,.months of-permit Issuance, or if work authorized by )ermft Is suspended-or.;sbandoned-for:.-a peNod;of slz(S)-months=:a*the:time the,work4s commenced. An extension; be requested,:an writi.`ng.from.thei;'Bullding.'00161-ai'for a pdriod�not.to exceed"'hlh*-(90)'*days and-will demo'nstrate lable�cause forthe extension: If work-ceps.es.for n1nety(90)consecutive:day;,..theijob4s considered abandoned. a MING TO OWNER: YOUIII_FAILURE;;7C1„EI6OEtD•.A::N!?TIGE:.OE:'CQMMENCEMENT:MAY RESULT iN::YOU� '4 iNG TWICE FOBIMPItOVEMENTStT�i YEf►DR':PRtQPEERM V -IF,YO.U41w'. ENO."TO;i08TA1N-sFINOkNEfNG,-CONSULT 1 O1,,AN ATMRNgy.41EPOIR � _O_ O E ER OR AtaENT ' CONTRACTOR ,- _ ,''z`e — Abed and sworn to(or affirmed)before me this $u crib d'snd's nrto( t'aMrmedybWr-el me giF , by -1 ,,by...::= Vare personally,.known tome or healhave.produced. VYhols/are pemonallyknown•to:me!or#taelhave•prodimd as Id`emf hdon. as Identilloallon. Notary Public Notary Pubili:. Isslon No:° Coanailsslon No. i3 ,_ e_ of Notary typed,printed or stamped Name of Notary typed, ri DEBRAELAINE RUFFELL Commission#GG 045343 Expires November 7,2020 BondedThru Troy Fain Insurance 800-385.7019 R.L. Building Contractors Inc. Florida Certified Roofing Contractor CCC 1328792 4701 E. Hanna Ave. Tampa, FL 33615 Cell: 813.516.6489 Fax: 813.200.8105 -ribuildin-qcontractors(&-yahoo.com . - PROPOSAL Proposal Number: 0185019 Date: 01/02/2018 Folio: Permit: Client Proposal Location: Location of work to be performed: Name: COPPER PENNY DELAWARE LLC -Job Site: Company: 5019 16TH STREET ZEPHYRHILLS,FL Address: 1406 N DALE MABRY HWY STE 300 TAMPA FL 33607 Email:; Phone: Scope of Work: Complete roof installation with 3tab 25yr shingle meeting current Florida State 2014 Building Codes.In addition roof meets wind mitigation requirement. Division I-General Requirements a. Permits and Fees b.. ,Inspections c. All Debris Removal Division 2—Roof Material a. Roof Color TBD b Ro(6f Metal WHITE C. Roof boots and vents Division 3—Additional Work a. 1/2 plywood$40.00 per sheet after 8th sheet. Bases of Compensation: Total cost of Project Services: $2,420.00 Payment Structure: 50% Start/50% Completion Estimated time: 6Days Start date: TBD Any deviation from above specifications involving extra costs,will be executed only upon written orders, and will become an extra charge over and above the estimate.All agreements contingent upon delays beyond our control. Respectfully Submitted: Randy Randolph Note: This proposal may be withdrawn by us if not accepted within-10-days. ACCEPTANCE OF PROPOSAL The above prices, spec' cations and coWitions are satisfactory and are hereby accepted. Signature: Date /A�//7