HomeMy WebLinkAbout18-19468 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19468"
BUILDING PERMIT
PERMIT INFORMATION' _ - LOCATION INFORMATION =
Permit Number: 19468 Address: 6112 SILVER OAKS DR
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: SILVER OAKS
Est.Value: Parcel Number: 03-26-21-0120-00000-0030
Improv. Cost: 14,470.00 OWNER INFORMATION
Date Issued: 3/26/2018 Name: RAYMOND MCKINNIN V TRUST#96
Total Fees: 115.00 Address: 4936 E. ASHELFORD DR
Amount Paid: 115.00 BYRON, IL. 61010
Date Paid: 3/26/2018 Phone: (813)788-3264
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 115.00
Ins ections Required
DRY IN ROOF INSP
TAPE JOINT O IN
FINAL
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 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.
1641��
CONTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received F Phone Contact for Permitting I-316111 1B
............... .... ................ 13 z7=1
Owner's NarneL. 0Mdid fflc I innon . . ..........7 Owner Phone Number 3
Ownees Address owner Phone Number
•
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB AD.DRESS ...... 3 35 q LOT
M ,
SUBDIVISION* 1W OQics Vhq-c_bcLt PARCEL 1D#1 03 - blao -WL L036
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 MOVE Q DEMOLISH
INSTALL REPAIR I I ()
PROPOSED USE SFR Comm Q OTHERTYPE OF CONSTRUCTION BLO?K 0 FRAME STEEL OTHER
bw a i� I
DESCRIPTION OFWORK� I
BUILDING SIZE, b V SQ FOOTAGE HEIGHT 5loo-0-
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ AMP SERVICE L_J PROGRESS ENERGY Q W.R.E.C,
PLUMBING
fl 41
MECHANICAL VALUATION OF MECHANICAL INSTALLATION
GAS Q ROOFING SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r1YES =NO
2 m 1 2 N 6 1 2 a i a I I I
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENTY/N�
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# F
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N - FEE CURRENT
Address F_ License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT L_.YL/N 1.
Address License# F77
OTHER ', COMPANY �(,nco 60 ro� 0
SIGNATURE REGISTERED N FEE CURStNT I(YJ N
94 4 4 9
Address 1364TIM ( t-) h 3339 5 565
License#
RESIDENTIAL Attach,(2)Plot Plans;(2)Sets of Building Plans-,(1)set of Energy Forms;R-O-W Permit for new construction,
Minimurh ten(16)working days after submittal date. Required onsite,Construction Plans,Sto. rmwater Plans wl Slit Fence installed,
Sanitary Facilities I&I dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL. Attach(3)sets of-Building Plans;(1)set of Energy Forms.R-O-WPermit:for new construction.
Minimum ten(10)workin'g days after submittal date. Required onsite,Construction Plans,Stormwater Plan's w/Slit Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"•PROPERTY SURVEY required for all NEW construction.
.............................................
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$5000)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
'OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage).
Driveways-Not,ovetCounter 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. i ;
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"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 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 & Rehabilitative Services/Environmental.Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
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.violatei 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,th 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 OB AIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATT4DRNEY BEFORE RECORDING YOUR NOTICE OF/COMMENCEMENT.
FLORIDA JURAT(F.S. 17.0
0V4NE,RQRAGENTr,, - . — CO,T CTOR:,,..
u (' ed n bsweyn„ oWgtet l� Su s�ri e and by (nf ( abe before me s
Y J t (:G v CX Ci
o is re personally known to me or ha /have produced o Is are personally known tome or h slhave produced
as identification. as identification.
Notary Public r Notary Public
Commission No. Commis o No.
C4 jq �+i j /I Ct r
Name of Notary typed,printed or stamped Name of Notary typed,printed or starfiped
AMANDA 7=NOELLEPHILLIPSLIPS AMANDA NOELLE PHILLIPS
��,, ,State of Flublic ;,esYoos�,Commis548 ;_J �1,=_State of Floridallotary Public
My Comes _^ Commission # GG 166548
Y ° My Commission Expires
Dece "F.,.
°�„u, � December 10, 2021
Perini Na Parcel ID No U-1
-a tP-a ^(�� a 0 .pooh b" W3()
NO i iCE OF=11111EMEMWIT
_
state of County of
THE UNDERSIGNED hembygIviss iriqlIcalhat Intpravement will be made to certain real property,and in accordance v&h Chapter 713,Florida 6--lutes,
the following kdormallon is provided in thid Notice of Commencement
() a) 0
1. 01*criptIon,of Property:Parcel IderrEcalldn No, 03- -Ora o -0660 - 3
VC( QQK
P- General Description of Improvement
tkCC-A4 cc -
a. Owner Information or Losses lnfarmaGan lithe Lease rave�.,t 1<04 MOnO C, Mon
a contracted for-1he Irrij
-o 11-9 5�iver 0 CL
"am" h I I I
Address CRY -,late
Trrterost in Property t)uj nu r
Name of Fee Simple TitlehcIden
(W differgintliurn OvincriMed above)
Addrds City State
4. Contractor.
Nam 0 3(0q c3 S t2 '(j2ZW- F[f '
Address - C"' I state
Contractor's Telephone No- 8(3 7�<) -(PDTq 0
won
5. Surely:
Name fqto t9
Address CRY state
Amount of Bond: Telephone No.,
OD IG
s. Lender.
Name .
Address City State
Leridees Telephone No.,
7. Persons within the State of Florida deslgns�d by upon whom notloss or other documents May be served as provided by
Sedicii 712.13(i)(a)(7),Florida Statutes: {j
-Name
Address city- state
-telephone Number of Des driated Per.=-
M
ln addition to himself,the omerdesignates of
to receive a copy ufthe Lfartors Notice as provided in Section 713.13(1)(0),Florida Statutes.
Telephone Nurnber of Person or Eniftk Vss!gnated by Owner
of co
S. Expvtaton date of Notice of Commencethent(Me e4firdlon date may not be before the aamplet' and final yment to the
corqvictor,butwill be one year from the date of recording unless 'led): _U 3ro
,1
R-113.13 FLOEDA STATUTES, AND CAN Pa D
A NOTIC9 OF COMNIENOMENT"T Be 1 2 U3 U)
YOU INTEND TO 0 FINANCING,CONSULT
EMOURESMYOURNO-110 OFCO ENE
z
Under penalty of perjury declare that I have readte faregeing notice of commencement and thattie facts sided ther.-In am live toihe beat A"M
of my Rnowledge and belief. f(DOD P
STATEOFFLOPWA,
COUNTY OF PASCO 2-2�
Signature of Owner or
Les pap,or awnes or Leswes Authorized
C)
V
SIgnatarifs Tille101acecr
M
was acimowledged before me tMO_day of 20 b 0 y
P"bo
as (We of authority,e.g.,itaer,intstee,aftarfiey In fart)for
n of party e a NhomInstrum v=executed),
V
Personally Known MOR Produced Identilloat! Notary Signature
(— C AA91-,10, LkAA gibod
Type ofidenlificallon Produced Name(Print) t
M
'4'Pty A&e' ANGELA H= 01)
t; Notary Public-Iae.0f F• lorida
4; Commission#FF 912551
Y COMM,ExPlres'Aug 24,2019
9ortded through National Notary Assn.
STATE OF FLORIDA,COUNTY OF PASCQ ��$
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
JUlTNESS MY HAND AND OFFICIAL SEAL THIS
__ors DAY OF -&A&-u 2_12ZOlp
0
PAULA S O'NEIL,CLERK&COMPTRO LER
BY i DEPUTY CLERK
EXPRES �`� Y'JN.
Ryman Roofing, Inc. o
5/o fee for credit card processing.
A Division ofRyman Construction,Inc.
36413 SR 54 • Zephyrhills, Florida 33541 NO. 2341 Proposal#
�® Phone (813) 782-6094 • Fax (813)788-6773
��®® 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate#
www.RymanRoofing.com
Serving all of Central Florida Job# i
Owner/Purchaser: �(A ' 'n Date: /A 7/1
Claim#: Insurance Company:
Policy# I I
Address: V i ) xr OA,_i D r City: /e, o f 0 5 Zip: 541
Home#: Cell #: D3- ! yy li"' 5 L M usiness #:
E-Mail Address: nn II
Complete tear off of existing /1.5 pin al f 5 k i q e_3 Additional Notes/Special Concerns:
IYSecure all loose roof decking as needed according IS
to Florida Building Codes I (0,M,jge_ k-&u 9 _/N kA ,+ 4 oof c r P al)ej�
Roof dried in with 4
6 4 i c. V n )(J N iA t J U
./
Install new valley metal with galvanized metal
Install new 6 "drip edge color: yJ
[�Install new lead boots
Install all new general roof vents
® Install new
Manufacturer: GAF 1* M4,P .i In
❑ olor:
All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
II materials, labor and permits furnished
.rr
Provide a 2�%k labor warranty Total Investment$ , �9 % (� 0
Additional Items:
Payment Method: ❑ Check# ❑ Cash ❑ Financing ❑ insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$ C)OO Amount Financed:$ Approx. Monthly Payment: $
PaymentTerms: _ c.,Ic.nE� V
7Ext 's: / � L(6
eficient 1/2"plywood replaced at a cost of$ Gs per.sq-ftrin the roof field,which includes labor&materials.All other wood work/ad-
ditional labor,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking, etc.will be a rate of$ tea' per•MaR-hour-plas-the
cost of materials. N,
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchas ui ��_1���� T; a Dat
Purchaser: Estimator: �----
v
0
City of Zephyrhills
alit R 5335 81'St
Zephyrhills FL 33542
(813)780-0020
•
Q I ROOFING INSPECTION AFFIDAVIT
Permit-No.:
I, k�u(( L .�� mo n licensed under Chapter 468, Florida Statutes as a(n):
Contractor✓Engineer_Architect_Building Inspector_
License No. .1,�
On or about did personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt-" Peel and Stick Other(List)
At the following C ((��
address: I o� SI IV t?( OCS5 Dir .
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes).
Signat
STAT
gi�Z���
COUNTY OF PASCO jJ
Sworn , and subscribe before this d y
BY:
a ��
Notary Public State of Florida
`11.11I,IIPI,II
m
ANGEIA HAYWOOD
Notary Public-State of FloridaCommission#FF 912551oi„o��;� My Comm.Expires Aug 24.2019 t
Bonded through National Notary Assn. 1