HomeMy WebLinkAbout18-20484 CITY OF ZEPHYRHILLS
s
5335-8TH STREET
(813)780-0020 204.8'4
BUILDING PERMIT
PERMIT INFORMATION LOCATIONINFORMATION
Permit Number: 20484 Address:5034 4TH ST
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: 11-26-21-0010-18700-0150
Improv. Cost: 4200.00 OWNER INFORMATION
Date Issued: 11/20/2018 Name: PATTON, AMELIA
Total Fees: 65.00 Address: 5034 4TH ST
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-4919
Date Paid: 11/20/2018 Phone: 863-694-6939
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
BELCHER CONTRACTORS & ROOFING IN REROOF RESIDENTIAL 65.00
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-Ins ections Re uired
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 OFFICER
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
f
813a8D-aria City of Zephyrhills Permit Application Fax-813a80-0o21
Building Department
Date Received Phone Contact for Permitdn
Owners Name Amelia Patton Owner Phone Number (863)694-6939
Owner's Address 5034 4th Street,Zephyrhills,FL 33542 owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5034 4th Street,Zephyrhills,FL 33542 LOT# 16,16,17&118
SUBDIVISION PARCEL ID# 11-26-21-0010-18700-0150
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR xQ COMM = OTHER 114 sa shIV.R.f
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME = STEEL 0
DESCRIPTION OF WORK
BUILDING SIZE SFR 1 story SQ FOOTAGE 868 HEIGHT
=BUILDING $4200.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES xNO
BUILDER �MPANY Belcher Contractors&Roofing Inc.
SIGNATURE REGISTEREDI WN FEE CURREN I Y I N
Add
025 Timberwood Dr.,Lakeland,FL 33811 License# CCC1327309
ELECTRICIAN COMPANY.
SIGNATURE REGISTERED I Y I N FEE CURREN LUIN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Address F License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE �—
REGISTERED I Y/N FEE CURREN LILN
Address License#
1111111111111111111111111111111111111111111111111111111111111111111 '
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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/SIR 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.
Direct=:
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
NMICE OF DEED RESTRICTIONS The undersigned understands that this permit maybe subject to"deed"restrictions"
which ma _be rnore restrictive than County regulatlon�. 1he undersigned.,assumes-responsibility for compliance with any
applicable deed`Ids—t-rictions.' --
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILffIES: if the owner has hired a contractor or
contractors to undertake work, they_may be required to be licensed in accordance with-state arld 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.ownet'br 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-� Fu'rthermore;df the owner has hired a contractor or contractors,-he is advised to have the contractor(g) sign
portions of the "'contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
coniractor,A66't maybe an indication-that he is not properly licensed and 1s not entitled to permitting privileges in Pasco
County.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): if valuation of work is$2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law--Horneowner's
Protection Guide" prepared..,by the,Elorida-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' bb`ddne in'compiiance with all applicable laws regulating construction, zoning and land
development. Application is-hereby made to obtain a permit to-do 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.
If I am the AGENT FOR THE OWNER;4 promise in good faith to,inform the owner of the permitting conditions set forth in
this affidavit prior to commencing,construction. 1 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 cons trued:to be a-license to proceed with the work and not asauthority.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 w6rk authorized_by such permit_is iienced,within six months.of permit issuance, or ifwork authorized by
the permit is stisperided,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,OWN ER:. •YOUR FAILURE TO RECORD-.A-.NOTICE OF COMMENCEMENT MAY RESULT IN.YOUR
PAYING,T41110E FOR IMPROVEMENTS TO`YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WTH;YOUR LENDER--OR AN ATTORNEY-BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT'(F.S.117.03}'
OWNER-OR AGENT CONTRACTOR.
Subscribed and sworn to'(or affirmed)before me this Subscribed a o to(or aM ad)befgrg me this M h
Who is/are personally known to me or hasthave produced. o s/are ersonally known to me or has/have-produced -
..as identification. Lt as identification.
Notary Public Notary Public
Commis slon No. 4�S,40 ,
.
Name of Notary typed,printed or stamped Name of-Notary Mpegr,,.,,;:,, s s
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Belcher
-
Cow"Crops & Roffmca$ INC. ,
RESIDENTIAL/COMMERCIAL ' ° o
License #CCC1327309. 4025 TIMBERWOOD DR. -LAKELAND, FL 33811
Shingle, Tile, Flat, &Metal Roof Systems 813-176-5806/813-766-3464%863-210-6955
Proposal Submitted To: Date:
Name: ,yZ "* o11 Phone:
Address: :57a" _5 Cell: 3 1 19 `
City,State,Zip: �.t Fax:
Job Address(if different): Email:
PROPOSAL
Job Specifications: l �"5
Remove existing roof&haul away.
-X,Re-nail the deck to outh Florida Building Code.
furnish&install .ply ,lb. felt tin-tagged according to local Florida Building Codes ale ,�,r�,�� •5��
urnish&install metal edge flashing in brown ,white , or galvanized `
.Furnish&install 16",26'gauge metal in all valleys.
-).(.Znstall Weather-Watch in the valleys & all penetration areas.
2!��urnish&install / ,l.5", , 2", _Z 3", 4"lead flashings. /
--"'" urnish&install ,4", " ,10"GRV roof vents.
��urnish &install ft roofvent(s).
furnish&install 30 year � fungus resistant fiberglass shingles. (Color
�,Furnish &install :g ft.of f- ' ridge vent.
Reroof any flat areas with modified bitumen roof system. �� �
Clean up all debris&haul away.
yr. labor warranty.
Price inc odes all permits,taxe and dump fees. 1 ff
_.t<Q;Ather
We Propose hereby to firrntsh material andabor-complete in accordance with the above specifications. All material is guaranteed to be as specified and installed in
accordance with The Local Florida Building Code and/or The Florida Building Code-whichever supersedes. All work to be completed in a workmanlike manner
according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become
an extra charge ov ' nd above the estimate.Belcher Contractors&Roofing,Inc.will maintain both liability and workers compensation insurance as required by law.
Price: �' 00
Option:' g/ Option Price:
Price With Options: Initial to Accept Price With-Options
Extra Charges: Plywood replacement @ per sheet. Rotten fascia and truss end replacement @ per ft. Extra
charges are over and above the contract price.
Payment Terms:_.50 % own��' BALANCE DUE IN FULL UPON FINAL CLEANUP
Authorized Signature Belcher Contractors&Roofing Inc.Representative
H b� p
Acceptance of Proposer- The above prices, specifications -
and conditions are satisfactory and are hereby accepted. You are TERMS AND CONDITIONS ON REVERSE SIDE
authorized to do the work as specified. Payment will be made as
outlined above.
Signature: Date of Acceptance:—,-
Owner
- M
Belcher Contractors&Roofing,Inc.
Note:All work performed by Belcher Contracting&Roofing,Inc,In will meet or surpass The Florida"Building Code.
Warranty:The warranty stated on the reverse of this contract is expr ssly in lieu of all other warranties and guarantee's,expressed or implied.Contractor's liability
for its warranty shall be limited to remedying,at its own expense,an defect in the workmanship proximately resulting from the failure of the Contractor to
perform the work in a skillful and workmanlike.Contractor reserves he right to remedy any defect.Contractor can authorize the Owner/Buyer to hire others but
assumes no responsibility for work performed by others and shall not pay for labor and material expense in connection with the hiring of others that exceeds
written agreement between Belcher Contracting&Roofing,Inc.,Inc and Owner/Buyer.
1._ Owner must consult at Owner's expense an engineer or a chitect concerning design factors such as slope,drainage,insulation,specification at field
walls and equipment details.
2. The following conditions are hereby made a part of the p,oposal on the reverse side of this document and are to be considered a part of the contract
entered into between both parties.Upon signing the acceptance on the reverse side,this proposal becomes a contract.
3. This contract is subject to review by management person el of the Contractor.Contractor reserves the right to cancel this contract prior to the start of
the work to be performed in the event we find the cost to complete the work varies from the initial standard pricing do to human error on behalf of the repre-
sentative of the Contractor.In the event of this occurrence,Contractor shall advise the Owner and adjust the price accordingly.In the event the Owner is not in
agreement with the adjusted price,the Contractor shall notify the 0 ner,of the cancellation of the contract.In such instance,Contractor will return any deposit
Owner has made toward the job in full.
4. Should concealed or unknown conditions in an existing structure be at variance with conditions indicated in the description of the work to be per-
formed,or should concealed or unknown conditions in an existing s ructure of an unusual nature,differing materially from those ordinarily encountered and
generally
recognized as inherent in work of the character provided for in this Contract be encountered,Contract price shall be equitably adjusted upon notice thereof from
Contractor to the Owner.
5. Belcher Contracting&Roofing,Inc.,Inc.assumes no responsibility whatsoever for oral promises.All terms and conditions must appear in writing and
appear on this contract.There are no promises,representations or understanding outside of this instrument unless provided in a written agreement and signed by
both parties.No representative or employee of Belcher Contracting&Roofing,Inc,Inc shall have the power to waive or to be deemed or held to have waived any
provision hereof,unless such waiver shall be in writing and signed by Belcher Contracting&Roofing,Inc.,Inc or its duly authorized representative.
6.L-Flashing in walls and chimneys will not be removed.(Should the L-Flashing have to be replaced,the additional charge will be determined as need-
ed.)
7.Soffitt repair or replacement is not a part of this contra unless otherwise stated.Screened enclosures are to be removed and replaced by the Owner.
Solar units are to be removed and replaced by the Owner.
8. Belcher Contracting&Roofing,Inc.,Inc.assumes no respo,nnsibility whatsoever for liabilities arising from roofs not meeting 1/8"in 12"minimum slope as
required by The South Florida Building Code or any other municipal,county or state requirements.Belcher Contracting&Roofing,Inc.,Inc.accepts no '
responsibility for ponding or standing water.
9. Belcher Contracting&Roofing,Inc,Inc.assumes no responsibility for damages arising from acts of nature such as hurricanes or tornadoes,lightning,
etc.or any other acts beyond our control.We also assume no responsibility for damage caused by plants,termites or negligence on the part of the Owner.
10. Contractor shall not be responsible for or liable for any damages to Owner if Contractor is delayed at any time in the progress of the work by any act
or neglect of Owner or by any separate Contractor employed by the Owner,or by changes ordered by Owner in work,or by labor disputes,fire,unusual delay in
transportation,adverse weather conditions,unavoidable casualties,or any causes beyond the Contractor's control,or by delay authorized by the Owner.
11. Due to the nature of the work to be done at the Owner's r�quest,Belcher Contracting&Roofing,Inc.,Inc will not be responsible for any cracks in the
ceiling or walls.Belcher Contracting&Roofing,Inc,Inc will not be responsible for cracks in driveways,curbs and sidewalks,for falling insulation,cracked or
falling plaster,for damage to flowers,shrubs and other plant life,for damage to interior fixtures or contents,or for debris filtered through exposed beams ceilings,
due to the loading,unloading,removal or replacement of the roof..
12. During the course of the roofing work,the customer agre s to not hold Belcher Contracting&Roofing,Inc.,Inc liable for leakage or damage to interior
contents that might occur from the date of commencement of roof r pairs,re-roofing,or other roofing services through the date of completion of such work..
13. . Contractor shall not be held.responsible for damage top of or patio furniture or any other exterior fixtures.It is the Owner's responsibility to take nec-
essary precautions to cover or conceal such items before the roof prc cess begins.
14. Belcher Contracting&Roofing,Inc,Inc.shall not and cannot be held responsible for any roofing material such as cement tile,shingles,metals,woods,
etc.changing color or shape.
15. Belcher Contracting&Roofing,Inc,Inc.shall not be held esponsible for water lines,copper tubing,electrical wiring,pvc piping,etc in attic space if
damaged do to roof nail penetration through the decking.
16. Payment of all or part of this contract shall be due as stated under the payment terms on the reverse side of this contract Payment to Contractor shall in
no
way be contingent upon acceptance of work performed by others.P yment shall not be contingent upon inspections by local building authorities or any other
inspector.Payments due and unpaid under the Contractor shall bear interest from the date payment is due at the rate of eighteen percent(18%)per annum.If the
Owner does not pay thee Contractor the payments specified under t iis Contract,the Contractor may stop the work until payment of the amount owing ha%been
received.In such event;the Contract price shall be increased by the a mount of the Contractor's reasonable cost of shutdown,delay and start-up.If it becomes
necessary to incur any expenses in the collection of any money due hereunder;including reasonable attorneys fees,these expenses will be paid by the Owner/
Buyer or his Acting Agent.
17. Service warranty and/or punch list work will cease and no be performed by Contractor if Owner's payment as set forth in this contract is not made in a
.r timely manner.
18. . If contract is cancelled after 3 days from the date of signin ,the Owner/Buyer shall forfeit 50%of any deposit that has been made.
19. It shall be the sole obligation of the Owner to determine tie existence of any restrictions contained in deeds,subdivision or neighborhood rules and
regulations which might relate to or restrict the improvements outlined in.this contract Contractor shall have no liability or responsibility for any such non-
conformity to or with such restrictions or requirements.Contractors all be entitled to payment from Owner/Buyer of all sums due hereunder notwithstanding any
injunction or prohibition against the work as a result of any violation of such restriction or requirement. .
20. In the event that state,county or municipal codes or regu ations require work not expressly set forth in this contract,and/or differing materially from
that generally recognized as inherent in work of the character provic ed for in this contract,as a condition for approval by such authority,any extra cost for
Contractor's labor and materials shall be the sole obligation of the Owner.In the event the substrate roof condition results in ponding pursuant to the Standard
Building Code and modifications are required to correct the current ubstrate roof so ponding will not occur,Contractor will notify the Owner/Buyer upon learning
of such- 7
requirements.
21. Purchaser agrees to pay Belcher Contractors&Roofing,In .the cash price(plus 3.2%surcharge if sales is a credit sale that specifies interest charges).
City of Zephyrhills
5335 81h St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
licensed under Chapter 468,Florida Statutes as a(n):
Contractor Z Engineer!Architect_. Building Inspector
License No. O
On or about did personally inspect the:
_
Check: Roof Deck Nailing Dry in _Flashing and Drip edge fig K �
Check which was used: 30#felt Peel and Stick VOther(List) C
At the following ,, ii
4
address: 0 " 4" v
P—tAi LS 1 IF L-
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).
Signatur o4li - -
STATE F ORIDA
COUN OF PASCO
Sworn to and subscribed before this day
BY
Notary Public State of Florida
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Explre9 Cktober 10,2021
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