HomeMy WebLinkAbout18-20240 CITY OF ZEPHYRHILLS ;
5335-8TH STREET
(813)780-0020 2024
BUILDING PERMIT
PERMIT INFORMATION LOCATION:INFORMATION-
Permit Number: 20240 Address: 38635 SOUTH AVE
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: 11-26-21-0010-21100-0120
Improv:Cost: 5,600.00 OWNER INFORMATION
Date Issued: 9/17/2018 Name: LEWIS CODY
Total Fees: 70.00 Address: 38635 SOUTH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/17/2018 Phone: 813-312-7936
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
CHARLIE'S ROOFING &WATERPROOFIN REROOF RESIDENTIAL 70.00
amk
Ins ections Required
DRY IN ROOF INSP
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 OFFItYR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
TtAMJ�1-7%%-`
' City of Zephyrhills
F °r 5335 811 St
. Zephyrhills FL 33542
(813)780-0020
f°
ROOFING INSPECTION AFFIDAVIT
Permit No.:AC)@-140
I, chaf—V5 zchny-ds licensed under Chapter 468, Florida Statutes as a(n):
Contractor✓ Engineer Architect Building Inspector`
License No.= IS%-4 a3
On or about C)q 1'9"1 J did personally inspect the:
Check: Roof Deck Nailing y' Dry in Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick_Other(List) Zor-y
At the following
address: S CP3 rD Snui1h t �C , �� rh► 11 - ��
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).
Signature: l(STATE OF FLORIDA
COUNTY OF PASCO //��
Sworn t and subscribe be'fo�e t 's ay
N ary ublic State of Florida +Pv JENNAMWALMRON
& * Carnm3sstan#GG1�112T
`ot EzpI es February 1,2o22
�aFF10� 80tW9ilTMYStadQ#�giYggpkW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name U06N Lw� Owner Phone Number
Owner's Address 3 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS F a>(JIV LOT#
SUBDIVISION PARCEL ID# C` 2 -2-1- 61)10 2G(6C)-,.,a .2-0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE EA SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Eq FRA E = STEEL =
DESCRIPTION OF WORK
___TBUILDING SIZE F SQ FOOTAGE HEIGHT
9@LDING $S(_ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
C
BUILDER TV COMPANY ot L C
SIGNATURE /R'EEGISTTERED Y/ N FEE CURREN N
Address Jl) 6 Q '3 3 /q License# ce- C-13,7-747,31
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 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(2)complete sets of Building Plans plus a Life Safety Page;(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$7500)
" 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 (copy of contract required)
Reroofs if shingles 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 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 li
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"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.
I 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 tirne 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 walls
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 extensioni'
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate;i
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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 11 3)
OWNER OR AGENT CONTRACTOR
u cri a andbsworyti,to(gr affir gtj b`05 me this S Ibsc i and bwoy�1tAo�or'a-fit�,ed)�#o�e this a p -
y (`k� 1't`'t,V `I y K�Zllsl (JIJa�_
W is/a ersonally known o me or has/have�produced Who is/are personally known to me or has/have produced
as identification. - as identification.
Aolission
Public Notary Public
No. om ssion No. ��L{{
(A aid /�,^ W l;t " gip• JENNAMWALDROM
O , ' - 18172T
am of Notary typed,printed or stamped Na a Notary typed,printed or stamped ` \o ps ft0Gy1,2022
4050 JENNAMWALDRON �°of�.V 9onaednweKI991b"11W601as
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Commtss 4111leG1817V
Expires February 1,2022
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2018157012
Permit No. Parcel ID No d-d& -C)o1 -,t2 111)~y1,,�Py
i
NOTICE OF.COMMENCEMENT
State of da County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement://--__/n� r► �7
1. Description of Property: Parcel Identification NO. II OL LU oG I-DOI0 '0ql/00 r0%� 0
Street Address: 35 S b e z l I S FL 5
2. General Description of Improvement /j/ /i✓ /---Qa
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
/BCD/d,,y;/kw i's
Sn, 6/_ /1
Address O City State
Interest in Property:
Name of Fee Simple Titleholder: 404
(If different from Owner listed above)
Address (+ T /+ ity_ State
4. Contractor:
IF L01
Coness
tractor'``s/Telephone No.6V I )&P I-b 3 q City State
5. Surety: N//a
Name
Address City State
Amount of Bond: $ Telephone No.:
II 6. Lender: dynr
Name
Address City State!
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documen served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. in addition to himself,the owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature o Owner orlLessee,or Owner's or Lessee's Authorized
Rcpt:1990581 Rec: 10.00 Officer/Director/Pan /Manager
DS: 0.00 IT: 0.00
09/17/2018 K. D. K. , Dpty Clerk �tildtlly-�
Signatory's Title/Office /� -f ' 1
The foregoing instrument was acknowledged before me this day of bn20&by 0-d CA u I"e L A)1S
�—
as �(,,1�QlZ ( of authori , g.,officer,trustee,attorney in fact)for
(name arty on �halfofom' st e t was executed).
Personally Known❑OR Produced Identificatio ;111Notary Si ture
Type of Identification Produced )O�=L 0 L Name( rint) fai
Lak6- 110-9 i Sa"t® ® JENNAMWALDRON '
� � Commisafon�GG 181727
Eq ntbru Feary 1,2W
PAULA S.0'NE I L,Ph D.PRSCO CLERK & COr9PI ROLLER SM, spy $�yby
09/17/2018 11:28am 1 of 1
OR BK 9788 PG 2315
wpdata/bes/noficecommencement_pc053048
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PROPOSAL
Charlie's Roofing .&PROPOSAL-
Mailing Road,S
a 2501 Orient Road,Suite F
Waterproofing, Inc. Tampa, FL 33619
�
Phone:(813)621-6347
Insured • Licensed Fax:(813)621.6542
CCC1327673
PROPOSAL SUBMITTED TO PHONE: DATE:
COD L �f.r/s WORK# 8`!3" 31 Z — 7 93 6 ! 9
9- 7-
STREET JOB NAME
376 aj s-o4j7"# IVE A /,Ma•, 7479 / d ao/. «—
CITY,STATE AND ZIP CODE JOB LOCATION
ZEPt/y.E' s
SALES PERSON DATE OF PLANS C C JOB NUMBER
PG rF ,e c�.,,Esc 7 z
SCOPE OF WORK: #STORIES PITCH 9 Z
•Tearoff existing Stf I^f c-LE roof. #LAYERS MANSARD
• Replace rotted wood at attached woodlist pricing is extra. X HIP GABLE
• Install Er15#❑30# ❑Peel &Stick Secondary Water Barrier Underlayment.
• New 6 " Edge Drip Ar#I color.
• Install: 3 tab Dimensional shingles Style a " .srnnlcs /3,a
�3o year shingles Ps}�ar7x�, OE SEZ T color. w/ ,�cR�+TtAr c
6,..J6"nrS
• Install vE.tff' -VyX7:&^ ventilation Color.
• LOW SLOPE: Install base sheet and modified bitumen. Tor,-fi Cord Map �Wkl F&T Ra&r wu4,A-_
• Note: If more layers are.found during installation,there will be an additional charge of$25.00. per layer, per square.
• Re-Nail deck to code using 2 3/8"8 D-ring shank nails
PRICE INCLUDES: do7-/ /Z,�5:p 2
• S year Labor Warranty(Non-transferable). 2 o V �?
• Material (except wood)and labor, including lead boots &goosenecks.
pF
•6 nail all shingles, roof cement on all-perimeters. 6�hCaG��
• Haul away old roof and debris, cleanup, and run nail magnet.
• Permit -itla.�.dsP�cTio„rs i,.l��vosa • �F ��✓ of kVcg�T
�
• Please Note: Credit Card Payments add 3% to the final invoice to cover ocessing Fees. X
SPECIAL INSTRUCTIONS: --D �-D�/�gSi 7- /3 s e_j ��
��P��Tt�� �F 2�� . �arS��4-nay✓ .
We Propose hereby to furnish material and/or labor—complete in accordance with above specifications,for the sum of:
dollars($ S �o oa-
Payment to be made as follows: — o 6,9 P os-7- . 6.4 j_+ rc.6 dF a 4 4L liS A-,v 4 XAP Aral
9•r7&AI JV25:C Ao&-V0 ,-1 cif
M material is guaranteed to be ass specified.All work to be completed in a workmanlike manner according
9 P P 9 Authorized ,
to standard practices.Any alteration or deviation from above specification involving extra costs will be Signature I C.-
executed only upon written orders,and will become an extra charge over and above the estimate.All
agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado
and other necessary insurance.our workers are fully covered by Workmen's compensation Insurance. Note:This proposal may be
withdrawn by us if not accepted within days.
Acceptance of Proposal--The above prices,specification
and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified. Payment Signature
will be made as outlined above.
Date ofAcceptancey / OC(7 Signature