HomeMy WebLinkAbout19-20823 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20823
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20823 Address: 38247 3RD 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: 11-26-21-0010-18700-0110
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 2/14/2019 Name: GRAHAM, WALLACE &VIRIGINA
Total Fees: 75.00 Address: - 4822 GARFIELD RD
Amount Paid: 75.00 AUBURN MI 48611-9421
Date Paid: 2/14/2019 Phone: 989-662-6774
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 75.00
I �IN
DRY IN ROOF I Ins ections uired
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' amount of the fee imposed for the initial inspection or
first rinspection,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.
&_
(,,�CNqrp S GNATURE PERMIT OFFI R
P MIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION -
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Building Department
Date Received a u �. Phone Contact for Permitting 3 Nal
Owner's Name �/ ' 4('1 t OL l7��• ► � Owner Phone Number
Owner's Address C� � Qf 2(( I�� p ubu('n - Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder-Address r-} Ave-JOB ADDRESS t [ • td ! l 6 (Ktt s F I LOT#
SUBDIVISION ��� (�� C. � � PARCEL ID# ` -6bIO "1 ZOO -OtIt
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR R ADD/ALT SIGN Q MOVE Q DEMOLISH
INSTALL REPAIRin. rA
PROPOSED USE Q SFR COMM 0 OTHER
TYPE OF CONSTRUCTION • Q BLOCK r FRAME 0y STEEL Q OTHER'
DESCRIPTION OF WORK Wt�10t3q•I � 'I.1C .Ull.{ (Q r .
Ft
BUILDING SIZE j �d SQ FOOTAGE HEIGHT . 1010 (o�
BUILDING $ 1 6� o,� VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C.
PLUMBING $ :. .
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS Q ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA - =YES =NO
BUILDER COMPANY -
SIGNATURE I REGISTERED I Y/ N FEE CURRENT r Yl /N I '
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENTLY/N '
Address License# I ��
MECHANICAL COMPANY'
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
OTHER COMPANY .�0ANt-i�'1�
SIGNATURE REGISTEREwD / N ' FEE G RENNT��(� �^�/Nc
Address 3 S� 5y (Wit S t`f License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt 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.
Direcfions:
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-publid;roadways..needs,ROW :T
NOTICE OF DEED RESTRICTIONS: The-undersigned u riderstands that this permit maybe subject to"deed" restrictions"
which may be more restrictive than County regulations. he 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'ln accordance with,s,tate and.local regulations. If the
contractor is not licensed as required by law, both the q�wner,and contractor maybe' cited for a:misdemeanor violation
under state law. If the owner or intended contractor area uncertain as to what licensing requirements may'apply for the
intended work,-they are advised to contact the Pasco Co uI my 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 vlrhich they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not prop rly licensed and is not entitled to permitting privileges in Pasco
County. li
TRANSPORTATION IMPACT/UTILITIES IMPACT AND ESOURCE 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.
CON$TRUCTION,LIEN,LAW.(Chapter 713, Florida Sta utes, 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 o Agriculture and Consumer°Affairs. If the applicant is someone
otherthah.the "owner", I certify that I have obtained a coy 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 II the information in this application is accurate and that all work,will be done-in compliance with all applicable laws regul ting construction, zoning and'land development. Application is
hereby made to obtain a permit to do work and insta lation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all ork will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulation, and land development regulations in the jurisdiction. I also
certify that I understand that the.regulations of other gov rnment 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-Cy�ress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,'Water/Wastewater Treatment.
Southwest Florida Water Management istrict-Wells, Cypress Bayheads, Wetland Areas, .Altering
Watercourses-. "
Army Corps of Engineers-Seawalls, Docks, • avigable 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 usg 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 one "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 Zoe "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 adverse) affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued inder the attached permit application, for lots less than'one (1)
acre which are elevated by fill, an engineer6c drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in goo 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 v,olations of any codes. Every permit issued shall become.invalid
unless the work authorized-by `such:permit is,.commenc d 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;:ih<writing,-from_.the Building Official_f_or a_period not to exceed ninety_(90) days and will demonstrate
justifiable cause for the extension. If-work ceases for nineety(90)consecutive days,-thjob,is"considered abandoned.--
WARNING TO OWNER: YOUR FAILURE TO RECORD►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(R.S 11.7.03
701s;
E ''OR;HGENT . .- - Tried
CTOR=_ '
ands tofirm ci) etoW ttlis Su scri ed ands (or a ' bforee� by C+lhf (.Q( �y �l QL ! 1by ennr V YWh are personally known to me or h s/have produced o is re personally known to me or has ave produced
as identification. as identification.
Notary Public Notary Public
Commission No. ommission No.
u
Name,o ame o gt? C' Prd',prtpl qtj� TERRY
2 :10 P6b�1� � a of Florida ;a
o• Notary_Public•:State of Florida
=�' ;• Commission FF 958064 -'•: ;• Commission .FF 958064
OF F��O�� My Comm.Expires Apr 4,2020 =9,e Pu�: My Comm.Expires Apr 4,
Bonded through National Notary Assn. pF o,.• P p 2020
Bonded through National Notary Assn
INSTR#2019023585OR'3K9857PG2367 Page I of I
0211212019 11:16 AM Rcpt:2027938 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'Neil;Pfi-D, Pasco County CCerjC,&ComytroCCer
permit No. Fadd IDNo Mt 0 C)C)
stateof t-Oct Ja- Counlyraf- R%Sc
o
THE UNDER81GW-D hereby Gkos n;l[W m that impromentl0l be mada to caftaln real property,end In excrtunce with Cipplet-713,Florida Statutes,,ihefollowin.ri P rc rn,a Ila a is p rovid a d In W6 Not to.^o f Cc m me meal a n I
I. 13!sarjpllon of Property-PaL-I Idediffcalidn NQ.
38141 3".
2. General Oazalplion offroprovement
ye-40
3. Owner Information or Lesseeinformallan If the Lasses contracted for-the Improvement:
WL vtqu %.\A(qWeL q>rcit-tia"i
I t&cfzu V-4 Rubun L(BWI
Address, City
Intirestinprof-ty-,
Name of Fee Simple 7jqeholder:
(if dffeLant;from amer lista d above)-
Addrebs city State
4. conIrcalor,_Eq mm-- (A -
.5R- tq -
Address City i Stala
Contraotofs;-jetephone,No.'
S. surety:
Name
Address ClEy State
Amount of Bond:8 T elephone No.:
S. Lender:
Name
Address MY state,
Lerideee Tatophona No.*,
T. Persons vAthin the State of Florida designated the owner upon whom notines or other documents mat W-mad as pro,6ded by
Sedlca 713AS(I[Xa)(7),Florida StEllo[eE pj
flame
Address City
Telephonic Number of De!igneted Pe(&Qn'
6. lriadd!Uontohlmseti.thao-,%,nardE$1911at.:
torac We a copy of lhelleoo�ea Npilce asp statutes.
Wrmpl tone Number oV Person or Entity Designated by Owner.
9. Exguellun data of Nallca or expiration data may not be betbre the completion of constn4lian and',inal payment to the
contractor,WWII he one yearfrant the dale OFrecording VnleQa-a dilf�arent We Is specified):
WARNING T 0 OWNED: ANY PAYMENTS-MADE BY OWNER MR THE v9-pjRArioH OF-rtiq NdTim oF'aom1%4r=NcEmEqr
A CON OTION71313 FLORVA STATUTES, 1-%r
REz SIDERIM IMPROPER PAYMENTS UNDER CHAPTERAS, PARTI BE M CAN
RESULT IN YOUR PAYING TWICE MR JtIPROVEMENTS TO YOUR PRQPhRW. A-NOTICE~'- OF WNIMENCE(Iffiar BE
RECORDED AND P08TEO ON THE JOB SITE 1111 mne CONSULT
00711101,11,W1111 1,,Icl IIYIIIIIYIIII;,011llAIFIIGIIIAI
.r G DIN
tqc� ORflRI& ,, OUR ,IDgO 0,�A
WITH YOUR LENDER OR AN A17ORNEY BEFORE M1020m.
Under penalty of pe"Iry,I declare that I have read the t3raSafng notice of commencement and the'Hhe Tsda skid therein are true to the best
gray hnowldd-a�e a2 belief,
-------- --
STATE OF FLON,DA
COUNTY OF PASCO
Offiderl0frecria'PtIfte Manager @7
S'gp cry a Me=
t ' T 1(ja
The fogpin
f-0) Paq-by-y—"f Pit &-a-r-0-horo
Mrao q-Lc as (type at authority,fig.,okwx,trustoe,attorney ki tdat)for
(a eff, Aya ^hIJ -jVA1QMIrRIHmqn1 s,executed).
Personally Kudy)�A PER Produced IdeniMmIlon Notw�y Signature id --
Type Of Identification Produced Name(Print) (at (AJ Q)0�-
AN6ELA Y"
HA WDOD
1401,91-y public State of Florida
#FF
.51
J P my COMM.Fxl)ircs Aull 24 2j)3qjr'
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- ERICAN , y-
EXPREs a -
Ryman Roofing, Inc. 5/o o
fee for credit card processing.
" A Division of Rymon Construction,Inc.
36413 SR 54- Zephyrhills, Florida 33541 Proposal#
Phone(813)782-6094- Fax(813)788-6773 No.
1-855-Go-Ryman (1-855-467-9626) - Lic.#CCC 1325505 Estimate# 002000
//F www.RymanRoofing.com C"Q 6( ,.,
Q� Serving all of Central Florida ,lob# . Y✓
Owner/Purchaser.Virginia Graham Date: 1-4-2019
Claim#: Insurance Company:
Policy#
.lob Address: 38247 3rd ave City. Zephyrhills Zip: 33542
Mail to Address: E-Mail Address:
Home #: (989)662-6774 Michigan Cell #: (813)782-2159 Business #:
✓0 Complete tear off of existing Asphalt Shingles AdditionalNotes/Special Concerns: Install New GAF Timberline
3 Tab Limited Lifetime Dimensional Shingle
Q Secure all loose roof decking as needed according
to Florida Building Codes
Q Roofdriedinwith Rhino Synthetic Underlayment Rhino Synthetic Underlayment
❑ Install new valley metal with galvanized metal Attn: Virginia, Original shingle color is a slate or
❑✓ Install new 6 °drip edge color White charcoal color. feel free to pick any color you like.
❑✓ Install new lead boots
❑ Install all new general roof vents
❑ Install new ZShingle ❑Metal ❑Tile
❑Modified Butimen ❑TPO
Manufacturer (shingle, metal or tile) GJAF
Manufacturer (TPo or Mod. Bitumen)
❑ Color(Shingle,Metal orTile) tbd Color:(TPOorMOD.Bitumen) permits and Scheduling of Inspections
❑✓ All roof related debris removed from job site,pick-up loose
nails using commercial grade magnet
❑✓ All materials,labor and permits furnished Base Price*$ 6,J�O.O�
❑ Provide a 5 year labor warranty
Additional Items: Mrs Graham is currently in michigan will send paperwork to get signed, Contract ect.
we need to start her roof the week of Febuary 17th 2019 as she will be at the contracted resedence
for the roof to be installed. Will send shingle pamphlet to pick shingle color-
Michigan Adress: 4822 Garfield rd Auburn, Michigan 48611
Payment Method: ❑Check# ❑Cash ❑Financing ❑Insurance Claim
❑ Credit Card# Exp.Date CC ID#
Down Payment:$ 2,275.00 Amount Financed:$ Approx.Monthly Payment: $
PaymentTerms: 35% down and balance upon completion
Extras:
0lo* se Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. Customer Initial
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-
nal 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 PRSAL AND HEREBY CERTIFY HAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF,THIS CONTRACT.
Purchaser: A Date: �� 'Y " 1 q
Purchaser: Estimator.Pete Lemay,
J •
City of Zephyrhills
p'Minn 5335 8"St
Zephyrhills FL 33542
(813)780-0020
C
ROOFING INSPECTION AFFIDAVIT
Permit No.: a 3
I, �mo k�� Ct I� licensed under Chapter 468, Florida Statutes as a(n)-
Contractor" Engineer_Architect_Building Inspector_
License No..C/CC `I 1 556
On or about 119 did personally inspect the:
Check: Roof Deck Nailing ` Dry in Flashing and Drip edge
Check which was used: 30#felt'!Peel and Stick_Other(List)
At the following Uar I
address: 3 —
R 335L1a
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-,
STATE OF FEGRI
COUNTY OF PASCO
Sworr to and subscrJJi ed before thi day
f
Notary Public State of Florida
f' tl llll/1
ANG[LAHAI'LVOOD E)
y, y Notary-Public-Stile of Florida t
Commission#FF 912551
y COMM.Expires A
1ug 24,2019
'%111111` Bonded through Nallonal Notary Assn.