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HomeMy WebLinkAbout18-20040 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20040 BUILDING PERMIT PERMIT INFORMATION :LOCATION.INFORMATION Permit Number: 20040 Address: 39336 ORANGE 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: ZEPHYR HEIGHTS Est. Value: Parcel Number: 12-26-21-0040-00300-0010 Improv. Cost: 6,400.00 --OWNER INFORMATION Date Issued: Name: NAZARINO JOSE Total Fees: 112.50 Address: 39336 ORANGE AVE Amount Paid: 112.50 ZEPHYRHILLS FL 33542-4653 Date Paid: 7/31/2018 Phone: Work Desc: REROOF METAL CONTRACTOR.S APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 112.50 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. CONTRACTUR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER _may/ o I'I:i1111 Ufl Y City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 26()Date Received:Received: 77 — % Qj — i g Site: Permit Type: C Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. alvin itzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received �j 8' Phone Contact for Permitting Owner's Name GS.2 6, 1,,n,, ►r(C��,, Owner Phone Number Owner's Address 3 ( 3� 1p C� t2U � VQ�'� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple:Titleholder Addrress JOB ADDRESS I��Le (t l�G Ze,io 3-35 q LOT# SUBDIVISION PARCEL ID# i a — �y a' OGL 6 — (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR. ADD/ALT = SIGN 0 = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL Q DESCRIPTION OF WORK U -tacjh Oti'�� o` G YV(, ISt BUILDING SIZE SQ FOOTAGE= HEIGHT i =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL VV AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.$ =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION = AS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER j COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER; COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N E CURREN Y/N Address License# I HHOINERvy 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. (AIC 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 responsibilityfor-..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. 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., 9 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"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 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 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'. i 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.117.03),_____ ---- OWNER OR AGENT CONTRACT Subscribed and sworn to(or affirmed)before me this Subscribed and sw9fn to(or a irm )be ore me this by by Who is/are personally known to me or has/have produced Who is/are person ly kno to me or has/have produced as identification. as identification. \� Notary Public WLtmW Notary Public Commission No. Corn issiori No. � Q 3Li Name of Notary typed,printed or stamped N ma a of Notary typed,printed or stamped - DEBRA ELAINE RUFFELL Commission#GG 045343 Expires November 7,2020 '%,� 0'1" Banded Tlw Troy Fain Insurance 800.385-7019 " Cit of Ze h rhills . . Y . p' Y to St Zephyrhi Is FL 33542 (813):180=0.020 ROOFING:INSPECTION AFFIDAVIT .Permit No:: licensed under Chapter.468;Florida Statutes.as a(n)..: Contractor./ Engineer._Architect Building Inspector :. "4.. License No, On or abo did personally inspect the,: :: . Check::Roof Deck Nailing_ Dry"in .- Flashing and Drip edge :J Check-which Was.-used: 30#-felt. ..'Peel and.Stick�Othe.r.(List) . - ..At the-following -'address: Y J� -Based upbrl'thatexaminitiorl, I have, determined:the installation:was done:according to.the Hurricane Mitigation Retrofit Manual' Based on Section 553.844i Florida Statutes).' ' Signature:.. STATE::OF FLORIDA COUNTY OF PASCO Sworn to an scrib'e:d before::th'is d BY: f' 5� Notary.Public State of Florida THEODOSIABRICDKHE ,- i Notary Public-Stat - ;•; �' •E Corrimis5ion#GG - My Comm•Expires DBanded:hrodgh N270n2^o: ' I ff ll I IIIIII�IIII�IIII IIIII III�I II�II IIIII IIIII IIIII IIIII I 2018121379 Rcpt.:1975194 Rec: 10.00 Key-:No.. Permit Mo. DS: 0.00 I T: 0.00 07/19/2018 J. R. , Dpt.y Clerk AI TICE OF COMMENCEMENT THE.UNDERSIGNEDherebygivesnotice'thatlRaprovenieityAbe• PAULA S.0'NEIL,Ph.D.PASC0 CLERK 8, COMPTROLLER 07/19/2018 10:57am 1 of 1 klAade-to-certain;anii[n-accoi+tlanca'wltlrq>apter713;:FloridaStabe .' Stalues,the following intbanat mIs-providedlin ibis N011ceaf. OR SK 9759 PG 617 Commencement` 7.Description-of Property:.:Parcel No_._�� ' Da 3 0o - 0010.. (Legal.description-gfthe_Property-and street;addressifavaiiable) 2.:General DOscriptloR:of mn. rovTrtt: 1 �. o� �? 3.OwnFw Iriforffi n:Na : o Adi�ress: _. . : City Stan Zip Interest.in Pro Name•and Address of 6d Simple Tiddioider(If ottter:#han'owne 4;-Contractor.Name; TLC ROOFING.A Rb Address: PO BOX 1745. City:DADEGITY StateEL.Zi0.:33526 Photo.N6. 352-473.4073 ' F&c ti. 352�73 5: Siir+ety_Name Amounf-of Bond: Address: _City State :Zp..T Phone No.. FaxiNo. 6.Lender tame! Address: City State_Lp Phone--No. Rax-No: ._ .. 7..Persons witliin:the Statie Qfi Florida tl ' nata l by Owner upon aivltom notices.or ottier.docurni :May... a. 9. -served as.-provided by Section 713.13(1')(b)(7) Fiorida.Stafuties. Name: Address:... .. City _..._.gip. ....State ... Phone.--No.- �Fa -No.. 8. In addition'to himseff or hdiiblf,Ciriinef designates of To receive a cony,of the Lmi.Nr's notice aas-proyi led:in:Section 1-93.13(1)@).Florida:SbWes. 9..Expiration date of Notice of ComMenceMerit(they oilraborW.-date..is:i y.w-0 reWrding tiniess a different date:is sp6M6d.) WARNING:TOOWNER:-ANYP4Yi6WM'@CADEBY7HEaNRi�RAFTER?HE11 A710N:OFTNENC1iCEDF_ . ARE CONSIt3ERED IAAPROF!Eit'PAYAt®II1S t1IdDFR.FFiAP78tYt8-PART 1;SEL•7.fS 13,'FL.oNDAGTATU7M AMP GAN RESULT IN YOUR PAYING° E FOR t61PROYt-�E TO YOUR PRQPEFtTY._A t0i1C OF•Cd1EE6gEt1T'Al8TBE RECORl1ED AND'. •ON THE J06317E. . :THERRSTit�8PEC[l0[ lFYAU;BiTEDTOaB�AiNF7NANCINCt3ltSt1LT XDU1.RLEHDER�R./fN:/�TiQRNEY- B Cmid. .ORK`ORRECORE11k ."i" NQRCECF'CO�AENCEiUENT. X $r:Ovrne�sAuBioircetl ... .. s:. Sri R( egdW by same boawby 9r mk Cauy ofoTS Th:e forgoing iii'sir}irnerit`riras.aduiowledged•befoie•me t(iis�:dayo)~ Zo�{bjr T�cP. l� t�31a7,�`� (Pi ted4dimarpamon*ft0v Wg.rtg�j - • a eg. . ... .(R�!!e orr:<nr `t�atialf of who vras .exe'Ld,o.eat Pdmon*known_ OR Produced••kienlincWon M1rCUMMISSiON it FF907199 Type oF1den6fi0aUon Ptodaced: EXPIRES August 05,2019 F,�. ..\,, vafincauon-p muantto.secfton 9Z Florlda 8tetu no*under lanellies:of.perjiayt.t i Irava the.f&M ' J STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A RUE AND CORRECT COPY OF THE DOCUMENT N FILE OR OF PUBLIC RECORD IN THIS OFFICE I N Y HAND A D OF-ICIAL SEAL THIS DAY 0 2�� -89 PAU A S. O'NEIL E,,RK OMPTROLLER BY DEPUTY CLERK Florida.B - ding Code Online Page 1 of 3 B S t{ptrre 1 Log In User Registration HotTopns i Submit Surcharge i Stats&Fads Publications F8C Staff; BQS Site Map i Links ;wSearch bda Product Approval USER:Pubic User d Y.••='a'i'S re Product Approval Menu>Produd or Application Search>Ahmlkation lLst>Application Detail sr,, _rf, :•...p . FL7271-R4 Application Type Revision Code Version 2017 Application Status Approved Comments v,�Yv Archived .Ty Or Z���� r'"t Product Manufacturer UNION CORRUGATING COMPANY PL At4 t MIS Address/Phone/Email 701 S.KING ST. FAYETiEVILLE,NC 28301 (910)483-0479 Ext256 jstleby@unioncorrugating.com Authorized Signature John Stieby L� ,(g rMot )la C, j4pMI ODEO'P IVAtd.ING jstieby@unioncorrugating.Al PO 01ROP'laU1,0ING Technical Representative 0 )QNA1.F—Lec.r Address/Phone/Email F Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Metal Roofing Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer 0 Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Bala Sockalingam the Evaluation Report Florida License PE-62240 Quality Assurance Entity keystone Certifications,Inc. Quality Assurance Contract Expiration Date 09/07/2027 Validated By YoosefLavi,P.E. F Validation Checklist-Hardcopy Received Certificate of Independence FL7271 R4 COI Certificatelndeoendence.odf Referenced Standard and Year(of Standard) Standard Yehr ASfM E1592 2005 FM 4470 2012 TAS 125 2003 UL 1897 2012 UL 580 2006 Equivalence of Product Standards Certified By Sections from the Code https://floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDgvtEeYwO6EI0YS5G... 4/20/2018 - ALCOLMR:RES: mo OD CrUITIVIED riESTnWATEM over PROPOSAL 5 RESCIAL so brpw .Aa CALL MIKE THURSTON Office: 352-437-4073 Cell: 352-650-7101 Page No. of Pages TO: PHONE: DA E:j i - d �� '��~ J JOB NAME/LOCATION DEPARTMENT: OFFICE: FLOOR: JOB NUMBER JOB PHONE: We hereby submit specifications and estimates for: 5-17, zw /fie` � ��Gd, We Propose to furnish material and labor-complete and in accordance with the above specifications,for the sum of: Dollars:$ . 1 /IQs v Payment to be made as follows: All material is guaranteed to be as specified.All work to be completed in a professtonnal manner according to standard practices.Any alteration or deviation from the above specifications which involve extra costs will be made only unpon receipt of an authorized,written change order and will be shown on subsequent invoices as amounts over above the original estimate.It is understood that we'Authorized Will not be penalized for delays caused by strikes,accidents or other delays caused by acts of God. our workers are covered by Workers Compensation insurance.owner agrees to furnish all other Signature appropriate and necessay insurance coverages. Note: This proposal may be withdrawn by us-if not accepted Within ACCEPTANCE OF PROPOSAL- The above prices, specificationsand conditions are satisfactory and are accepted.You are authorized to do the work as specified. Payment will de as outlined above. Signature Signature Date of Acceptance: