HomeMy WebLinkAbout18-20226 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20226
BUILDING PERMIT . 9029
PERMIT INFORMATION LOGATI INFORMATION
Permit Number: 20226 Address: 3903�5TH AVE
Permit Type: RE-ROOF �ZEP YRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00300-0030
Improv. Cost: 10,535.00 OWNER INFORMATION
Date Issued: 9/11/2018 Name: MASON MARTHA ANNE
Total Fees: 95.00 Address: 22 RIVERSIDE ST
Amount Paid: 95.00 BINGHAMTON NY 13904-1620
Date Paid: 9/11/2018 Phone: 813-312-1820
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 95.00
,/
(84 D `
Q�2
v
DRY IN ROOF INSP Ins ections Requirecr
TAPE JOINTS ROOF INSP
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
tiunaing uepanment rrll L
Date Received` ( ( j Phone Contact for Permitting
Owner's Name l�➢ �'V `� aso n Owner Phone Number �`3 D-D �:�8 a
Owner's Address r �. 1 v�c�sl �I� m+�� N\ Owner Phone Number
.Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address p (,� `
JOB ADDRESS R b�v Ov 7 (y`�` 5 LOT#
SUBDIVISION Z Wr5 - PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED- NEW CONSTR ADD/ALT SIGN Q MOVE 0 DEMOLISH
B . INSTALL e REPAIR j
PROPOSED USE Q SFR 0 COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL OTHER
�. re-/��>c r�`( S GI�F shin les I.bla�l..l on
DESCRIPTION OF WORK
BUILDING SIZE.
a l UU 5 SQ FOOTAGE HEIGHT
BUILDING $ OSTS
, VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.G,
PLUMBING $
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION b '
0 GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA AYES QNO I
_BUILDER.-. .: COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT YI /N 1
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY'
SIGNATURE REGISTERED ' Y/ N FEE CURRENT Lyl N
Address License
#
OTHER COMPANY
SIGNATURE (� 1 REGISTERED Y N FEE CLTNRENT /N
Address (pt{13 Sf- S y I `S J License#
RESIDENTIAL Attach,(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit 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 Work Permit for subdivisions/large projects
COMMERCIAL• Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit 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 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 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 maybe 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 bylaw, 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 Blbck" 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 "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 A Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, .
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Ruriways.
understand that the following restrictions apply to the use of fill:-
.'Use of fill is not allowed in Flood Zone W" 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
ith the work and not as authority to,violate; cancel, alter, or
permit issued shall be construed to be a license to proceed w
'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 OBTAIN FINANCING, CONSULT.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.11.7.03)
- _
b tore me this r,= Y;>
OWNER`OR;�AGENT-�•-- _ ���v�-=•'CONTRACTOR r '
S ' cn d and swgr to(or a�firme ) tig Su scn ed and sworr�two a rmed before me.this
I I j by i1�u11Cit1 G �r\�l by U t ►�CS.�
Who.is/are Who Is/are_personally known to me or has/have produced
personally known to me or has/have produced
as identification. as identification.
Q I� Notary Public 0)_MN`�jtary Public
f
• i � C` � ' Commission-Noll.
Comrrtission,No ANGELA
ANGELA HAYWOOD �41,
,auuiu. P ;�ParP(.
•tppY P(,ei, ��� ,��-. Notary Public-State of Florida ,
Name` r�r „ �sim"912551 . Name of of prin@idrwbisl npiSc�F 912551
"rr YP;c My Comm.Expires Aug 24,2019` ="�9, p�' My Comm.Expires Aug 24,2019
°� Bonded through National Notary Assn.
°; ,�` Bonded through NationaIN otary Assn.
i
c — ERIGaIV _f?r, y—
EXPRES —
Rym a n Roofing, Inc. 5%fee for credit card processing.
A Division ofRyman Construction,Inc.
36413 SR 54•Zephyrhills, Florida 33541 Proposal#
*(` �` Phone(813)782-6094 Fax(813)788-6773 No. 002400
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate#
www.RymanRoofing.com
F Serving all of Central Florida Job# �D
owner/Purchaser Martha Mason Date: 8/23/18
Claim#: InsuranceCompany:
Policy#
Job Address: 39028 5th Ave city. Zephyrhills Zip: 33542
Mail to Address: 22 Riverside St. Binghamton, NY 13904 E-Mail Address:
Home #: 813-312-1820 Cell #: 607-723-3658 Business #: 813-782-4752
Q complete tear off of existing Asphalt shingles Additional Notes/Special Concerns: Includes
One layer included Install new GAF Timberline hd dimensional limited
Q Secure all loose roof decking as needed according lifetime shingles
to Florida Building Codes
Roof dried in with Synthetic
Rhino roof synthetic underlayment double layer
❑✓ Install new valley metal with galvanized metal required per code
�✓ Install new 6 "drip-edge color: White
�✓ Install new lead boots
❑✓ Install all new general roof vents Eliminate broken cupola
d Install new Shingle ❑Metal Tile
Modified Butimen ❑TPO Re-flash along pan roof where it meets shingles
Manufacturer (shingle, metal or tile) C-3AF Patch drywall in master bedroom 3'x2' section
Manufacturer (TPo or Mod. Bitumen)
�✓ Color:(Shingle,Metal orTile) Birchwood
Permit and scheduling of inspections
Color.(TPOorMOD.Bitumen)
n✓ -All roof related debris removed from job site,pick-up loose
nails using commercial grade magnet
00
n✓ All materials, labor and permits furnished Base Price*$ �,535.
[✓ Provide a 5 year labor warranty
Additional Items:
Payment Method: Check# ❑Cash Financing Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$ 31700 Amount Financed:$ Approx.Monthly Payment:$
PaymentTerms: balance due upon completion
Extras:
*B se Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. cusromertnitiat
Deficient 1/2"plywood replaced at a cost of$ 65.00 per sheet 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
1 PROPOSAL
,AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVI(SIONSS�(OF THIS CONTRACT.
Purchaser. 1 V IM r{' o_ o U 1na i di, Date:
Purchaser: Estimator:
Ed
Permit No • ID No I- 00 3 0 t) u) C)
NOTICE OF COMMENCEMENT P
State of Vr I County of
THE UNDERSIGNED hereby gives t1mraimn1 wilt be made to cedaln real properly,and in accordance with Cbaplar713,Florida Statutes,
nq' .1'o.or
the following information is provided In this Notice Commencement:
ff Go-
1. DeacriprionafPcoperly: Parcel Identiffcatfiin No. 3.6 D-60a C)
�n LVI
9 N
• CD
2. General Description of Improvement
5F7
TOU C4 I
S. Owner formation or Lessee information ifthe Lessee contracted for-the improvement:
cttWasoo
Name DI 5_' b1nc;,, hP(,n�of)
Address City State
Interest in Property:
Name of Fee Simple Titleholder
(if differ-ant from Owner listed above)
A city state
Q. C A -T-0 C'
Names
Address 0 City 1 0;0
Contracloes T elephicrie No. (A 0
S. Surety,
Name
IJ
Address k City State
AmountofBand.S TelephonsNo., .00
8. Lander: r1i
Name
Address city late -n
• M
Lerider's Telephone No.:
7. Persons within the State of Florida designated by the qwner upon whom notices or other documents.mel he served as provided by
Seartori 713.13(1)(a)(7),Florida Statutes;
V
C)ame Im
Address city.. state X
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of—
to receive a copy of the Lfenors Notice as provided in Section fl3.13(l)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
S. Expiration date of.Notice of Commencefirent(the explirdilon date may not he before the comple)on o�Cf cony r4an and final payment to the
coffgactor,but will be one yearfrom the date of recording unless a different dataa specified): arHE NOTICE 017*00MMENGEMENTi
WARNING TO OWNEP: ANY PAYMENTS-MADE BY THE OWNER AFTER THE EXPIRATION OFT FL R1 STATUTES, AND CAN
ARE CONSIDERED IMPROPER PAYMENTS,UNDER CHAPTER7JS, PARTI, SECTION 0 DA
T -MEN- -NOTICE Or COMMENCEMENT 6-1 En
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A MU � BE
RECORDED AND POSTED ON THE Joe SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO ORAIN FINANCING,MME E NT
WITH YOUR LENDER ORANAI TORNEY BEFORE COMMENCING WORK OR RECORDINGYOUR NOTIC[i OF C N
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that'he facts sWed therein are true to the best Go-
of my knowledge and belief,
4&;G
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owner or Lessee,or Owner's or Las,,ee!s Authorized iJ M
0 F,I a a rl 111 r a C to d P a Cm a d M a n a g r r^a3 cn
C>
Signa q's7ftlefolffas r rn
74 T :0
The foregping instrument was aoRnowledged before me this —day or C', b by _cd 4, L( "
()uz-,tar, as
d •{type of authority,e.g.,off�cer,tusies,stiorhey In fact)for Ro
(name of party aribehafflor! am initrumerittvas executed).
Personally Known El OR Produced Identification F1 Notary Slgnature.
Type of Identification Produced Name CkN U_)X%6(_
M
ANGELA HAYWOOD
jai rn, Notary Public-State of Florida
k
I .-'-NO •s Commission#FF 912551
(..
PAY COMM.Expires Aug 24,2019
Bonded through
Natlo nal Notary Assn.
cry STATE OF FLORIDA,C6UNTY OF PASCO
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
' .. WITH. SS MY HA (VD OFFIC! L SEAL THI
`�`-
�DAY Q 2 C _
Jd w` PAULA 'NEIi ,CI_ K&COMPTROLLER
Y TA DEPUTY CLERK
f
City of_;Zep,hyrhills
p Q flIp`Fl `w :' 5335 8"St
it Zeph,yrhills FL3`3542
(813)7SM0.20
ROOFING INSPECTION AFFIDA_ w
Permit,No.:. O.a
kz L) (11Ct n licensed under Chapter 468, Florida Statutes'as,a(n)
Contractor ✓ Engineer_Architect_ Building_ Inspector�
License'No. CC .3 a Ss 65
On or about 3 I U - - did personally inspect the:
Check: Roof Deck Nailing. / .Dry in � Flash ing=and:Drip edge
Check Which was used: 30#felt �'-- Peel'and Stick Other'(List)
Vc
At the following �-40
address: -
•Zen114f h II .�
Based upon that examination, I have,determined the installation was done accgrding to the.:Hurricane,
Mitigation.Retrofit Mpi u.al (Based on Section 558.84.4, Florida Statutes).
,
I
Signature•_. "
STATE.O,F PLOR
,• am a:.
COUNTY OF.PASCO �`=°tµa Notary Public-Stato of rlorlda I
1 sNa .0 •ommission#FF912551. '
Sw
or. to and`su ser'i_be_ d before this day �. 9rF� oN°�' My coinm:'Erpires,Aug 24,2oas
Banded.throught<'ational�N6tlnjAssn
BY:
u ,
Notary Public:State.offlorida