HomeMy WebLinkAbout18-20117 CITY OF ZEPHYRHILLS'
5335-8TH STREET
(813)780-0020 20117,,"
BUILDING PERMIT
PERMIT INFORMATION I LOCATION INFORMATION
Permit Number: 20117 Address: 5202 2ND 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: 11-26-21-0010-12900-0170
Improv. Cost: 9,463.73 OWNER INFORMATION
Date Issued: 8/15/2018 Name: TURNER, DOROTHY
Total Fees: 90.00 Address: 5202 2ND ST
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/15/2018 Phone: (813)355-4150
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
THE HOME DEPOT REROOF RESIDENTIAL 90.00
Ins ections Required'
DRY IN ROOF INSP
TAPE JOINTS ROOF INS
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department 2 yam/
Date Received Phone Contact for Permitting
Owner's Name I V��� I��IV•�rUO� Owner Phone Number J
Owner's Address ,`1�l S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address (
JOB ADDRESS U� f y� LOT /It�� '•
SUBDIVISION 7\ ur `LJ PARCEL ID# l I � 9-- ' -OV I - I a Q)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONS7Ri ADD/ALT = SIGN = DEMOLISH
TA REPAIR
PROPOSED USE 2� SF Q COMM = OTHER
TYPE OF CONSTRUCTION BLOCK T Q FRAME 1 = STEEL
�
DESCRIPTION OF WORK a1� i W`C�� `� �YCUr�I(� �• v� `(�1� �'(
AD
BUILDING SIZE SQ FOOTAGE= HEIGHT
BUILDING $C t1_ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ /`( AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Lj IV
=GAS 56 ROOFING 0 SPECIALTY = OTHER ( /
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES CNO
BWILa:,��� COMPANY W�_
IGNATURE;I REGISTERED/ Y/ N FEE CURREN Y/N
Address C� l"� 1101�033� License CCO 5 00
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Ly
/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111
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 dumpsler,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)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,Stormwaler Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpsler.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 (Front of Application Only)
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
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"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.
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 ATTORNV,2y PEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03
OWNER OR AGENT CONTRACTOR'
�b cr a and sv�ogn to(or affrme b ore1me this u'scr e a d-sv/e o or affirmed b this
by 1 `2t[rthl\�n�� by
Who is/ re personally known to me or has/have prodisZed o is/ re personally known to me or has/have produced
as identification. /�/I /� /j�/�1 as identification.
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NOTARY PUSUC
STATE,OP•1yORIDA
:c*Tn lcm503b5
#L."Expres 11/28/2020
�e
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT •
•Stir �
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE }
VVITNE/SS MY HAND AN OFFICIA SEAL T'i,THIS I'`����e 'r • 41
---�L J DAY OF 2 o
�! a
PAULA S.O' IL,CLERK COMPTROLLER—
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1887
BY DEPUTY CLERK ®� a
Home Improvement Agreement: Page 1
Horde Depot License Number(s): Visit www.homedepot.com/c/SV_HS_Contractor_License_Numbers for latest license info
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831,
CCC1331113, CCC1331130
Salesperson Name: Chris Hoffman Registration No. (if applicable):
Home Depot U.S.A., Inc. ("Home Depot") or service provider named below ("Service Provider") will
furnish, install or service the equipment listed below at the price, terms and conditions as outlined on
this form.
URNER Dorothy Tampa 1-6BAOE8N
Customer Last Name Customer First Name Store #/ Branch Name Lead/Customer Order#
5202 2nd st I ZEPHYRHILLS FL 33542
Customer Address City State Zip
(813) 355-4150 I Idotturner32@yahoo.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC.,
2455 PACES FERRY ROAD, BLDG. B-3, ATLANTA, GEORGIA 30339 or EMAIL
The Home Depot I @ customercancellationsouth@homedepot.com
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENTS WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO
CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND
WRITTEN NOTICE OF Y UR RIGHT TO CANCEL.
Acknowledged by: 1108/08/2018
Customer's Signature Date
Contract Price and Payment Schedule : Payment of the Contract Price is due upon signing unless a
different payment schedule is required by law, specified below or in a payment addendum.
Contract Price: 9463.73 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: 10.00 (If applicable)
*Maximum deposit ONLY applicable in MD, MA, ME(331116), NJ, W1(99%)
Dep. 125.0 % Deposit Amount 12365.93 Remaining Contract Balance 17097.80
The Home Depot-2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339-Customer Care: 1-800-466-3337
Customer Agreement(C,E,I)(31 Jan.18) v 50.1.2
Home Improvement Agreement: Page 2
* Finance Charges : Any interest payments or other finance charges will be determined by
Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will
be in addition to Customer's payment under this Agreement. Customer is subject to the terms and
conditions of the cardholder or loan agreement, as applicable. No-funds should be made payable to
Service Provider; however, Service Provider may collect Customer's payments made payable to Home
Depot.
Insurance proceeds will will not be used to pay some or all of the total amount of sale.
Description of Work to be Performed : A detailed description of the work to be performed is included
in the paragraph entitled Scope of Work or Specification which is included in this Agreement.
Anticipated Delivery Date/Installation Schedule
Approximate Start Date: 10/03/201s Approximate Finish Date: 10/31/2018
All dates are approximate and subject to change based on unforeseen events including inclement
weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair,"if
applicable.
Electronic Records Authorization : You are entitled to a paper copy of this Agreement.if you
choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent
documents and written communications related to this Agreement. By contacting your Service Provider,
you may update your email address, withdraw your consent, or obtain a paper copy of the Agreement or
related documents at no charge. By providing your consent and verifying your email address above, you
confirm that you have access to a computer that can receive and open emails and PDF documents.
By initialing this paragraph, I consent to receive only electronic records related to this transaction.
Initial
Acceptance and Authorization : By signing below, you authorize Home Depot to: (a) arrange for
Service Provider to perform any Services or (b) order and arrange for the delivery of special order
merchandise, including special order merchandise that may be custom made, as specified in this
Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to
be provided to You later.) By signing, you acknowledge that: (1) You have read, understand, and accept
this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You
are receiving a complete copy of this Agreement; and (iii) all rights and interests under this Agreement
are solely vested in the person listed as "Customer" above.
X 08/08/2018 The Home Depot
Customer's Signature Date Service Provider Name
X 08/08/2018 9208 Florida Palm Drive
Co-Signer (if applicable) Date Service Provider Address
X 1 1 08/08/2018 ampa FL 33619
Signature On Behalf of Home Depot Date City State Zip
R-1-128533-13-00206
MVendor/Service Provider Phone # Service Provider License Number
The Home Depot-2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339-Customer Care: 1-800-466-3337
Customer Agreement(C,E,I)(31 Jan.18) v 50.1.2
CitV,df Zephyrhills; _
5335 8i'it f
Zephyrhills fl.33542• -
+ •(813)7.86-0020
ROOFING INSPECTION AFFIAAVIT ♦+ -
Per`rriit
`) 1Q
I,• ET (� llcensed under Chapter 468,Florida Statutes as a(n):
Ciiritractot Engineer_Architect Buildirig.inspector`
License No..
On or'about did personally inspect the: t
Check:•Roof Deck•Naiiing; ' Dry in and Drip:bdge'.+ '
Check which was used: 30##felt,,,_Feet and Stick Other(List)
• :_ At the•following- •, • - -. ' • - .. , � •, ` _ •'
address•
•Based.upon that:examinatibn,I have dete'nilned-the lnseallatlowwas done accord rig to the Hurri+i ne
Mitigation Aetr Manual{Based oriSection 553.844,Florida Statutes). ',
Signur IDA
STATE OF F O
at R
COUNTY OF PASCO'
won't. and subscribe' of e-this-day
BY: - +
Notary Public State•ofFlofida f i
O-m
STEPHANIE C.-EGANNotary Pubiio•-State of FloridaCommission#GG 171860' My Comm.ExOres,Jan 5.2022 - ( .