HomeMy WebLinkAbout19-20957 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20957
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20957 Address: 7213 ASHLAND DR
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0250
Improv. Cost: 4,935.00 OWNER INFORMATION
Date Issued: 3/12/2019 Name: HARRIS MARK W &BRACKNELL HEATHER
Total Fees: 65.00 Address: 7213 ASHLAND DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542
Date Paid: 3/12/2019 Phone: (813)431-5422
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
NATIONS ROOFING, CONSTRUCTION & REROOF RESIDENTIAL 65.00
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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 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.
CONT CTOR 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-613-780.0021
Building Department
Date Received Phone Contact for Permitting 113 949-1213-
Owner's Name Mark W.Harris&Heather D.Bracknell Owner Phone Number (813)431-5422
Owner's Address 1 7213 Ashland Drive,Zephyrhills,FL 33540 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7213 Ashland Drive,Zephyrhills,FL 33540 LOT# 25
SUBDIVISION Alpha Village Ests Phase 1 PARCEL ID# 35-25-21-DO50-00000-0250
(OBTAINED FROM PROPERTY TAX NOTICE(
WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
X INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Reroof,5:12 pitch-16 squares
BUILDING SIZE I i SO FOOTAGE HEIGHT
=BUILDING $ 4,935.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R,E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING XQ SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY Nations Roofing,Construction&Mechanical,LLC
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Address 4 1 Bellamy Brothers Blvd,Dade City,FL 33523 License# I CCC1331419
IIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllllltllllllll
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,Stonmwater 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 Attomey(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
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 IMPACTIUTILITIES 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 IN END TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTJDIRJ(;)��
Subscribed and swom to(or affirmed)before me this ]Monally
svom�(or ffi e
b b ) forA�.tt�i
Y
Who Ware personally known to me or has/have produced cno me or has/have produced
as identification. as identification.
Notary Public r" ?, Notary Public
Commission No. Commission No. c/
1I S h
Name of Notary typed,printed or stamped Name of Notary typ
,�.►��p�a% KRISTINA EAGER
. State of Florida-Notary Public
:
�• Commission #GG 223598
r%;ofrto;A My Commission Expires
11 1'1111" May 30, 2022
INSTR#2019037926 OR BK 9tibt$ PG J1 yL Page 1 of 1
03/06/2019 01:28 PM Rcpt:2034200 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. OWei�Ph.D..Pasco Countu Clerfz&ComptroCCer
i
Permit No. Parcel ID No 35.2-21-005040000.0250
NOTICE OF COMMENCEMENT
state of Florida Carty 01 Pasco
THE UNDERSIGNED herby gives notice tint Improvament Wfl be made to cadain anal Property,and In aaoardarwe Will Chapter 713,Florida Statutes,
fro Mowing Information is provided in Oda Notice of Cemmenoamnt
1. Description of Properly:Parcel Identification No.35-26-21-00504KOO M ALPHA VILLAGE£STS PHASE 1 PS 19 PG 69 LOT 25 OR 7363 PO W
Street Address 7213 Ashland Drive,2ee"lla,FL 33540
2. Genera)Description o(ImpmWament Ramol
3. Owner Information"Lessee Information If the Lessee oontreded forthe Improvement
Mark W Harda&Heather D Sradmell
Name
7213 Ashland Ddye Zept"ga FL
Address City State
interest in Property Owner
Name of Fee$imple Titleholder. WA
(if ddHerentfnrm Owner listed above)
Address city Nations Roods,Constnrction&medmwcal,LLC• state
4. Contractor: .,�
Noma 15421 Be{IarnY Broetera Brad Dade City FL �,��i
Address city state
Contractor's Telephone No.:(913)701.6122
5. Surely: wA a ,
Name y
Address City State F•., 3
Amount of Bond;S TelepitcrmeNo_ 'ay es sY, �'
N 5i
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6. Lender. IVA �� ;` gr;4;,
Name
Address City
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom nolkas or other documents may be served as provided by
Section 713.13(1)(a)M.Florida statutes:
w
Name cn z C) W
Address city state f®J C9 �0 = _�J
Telephone Number of Designated Person: Q Q Q U) N O
a.
6. In addition to Mmself,the owner designates �_ t0 (__. W )ry— LU
to receive a copy of the Usnors Notice as provided In Section 713.13(1 Xb),Florida Statutes. O x = Z Q
Tateptme Number of Person or Entity Oesigraled by Owner. LL 0 Q O
0. Evirdon date of Notice of Commeoownerd(the enpitation date may not be before the completion of o=truddon and final payment to the Z = 0 Q � U
contractor,but will be one year from the date of recording unless a dMemnt dale Is speclfleM: � )— } W LL °�
WARNING,TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT 04— a_ a V
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 713.13. FLORIDA STATUTES,AND CAN (.) Q O W
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST 6E 3 U C) Z J
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT Q
WITH YOUR LENDER GRAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. } C,} M 0 LL U
Under ponaity of perjury,t dedans that 1 have road the foregoing mike of mmmetxrarr ant end Utet the lads staled therein ere true to the best rtld tL U_i Z O J
of my knowledge and beGet ® U'_ W 1L - Q
STATE OF FLOMDA t � 0 O O � "
CO O P
Nptlrry Public State o}Florida Sig of Owner sae,nx Owtmera or Lessee's Autlroized ® Q z O U)` ,
Jason E MOTpt1Ct 173198 offi6wltLr1laltner"anager Lu U) Q J lit
My Commisslon GT W E:
Expire°O1d0712022 Sipnat sTitio! to �,1 I—
t cf3 � � 0 � ia<. m
The! irte _.�.,.,, of 1. 20 It111Q�S,
(type of authority,a.g officer,trustee,atimney in fad)for
(name of party on behalf of wlw,,rm instrument was wcocuted).
Pereor*Knovm CJ 2a Produced ides' Notary Signs
Type of identification Produced Nam (Print)h� SOV� t3C 4 Y PINT.
wpdat&fbc&r,"ce-mmn--nt_Pc053W
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s'0.s�x "Y tins RoofingDivision
�TT 15421 Bellamy Brothers Boulevard,Dade City,FL 33523
1 it 1 � ® (813)701-6122 CCC#1331419 512016
Cp i]taUC`1D:1 r�<csanr:icra www.NationsRoofingComr)any.com
)wnedPurchaser: Mark Harris Date: 2-3-19
:laim#: NA Insurance Company: NA
lorcy#: NA
obAddress; 7213 Ashland Dr CRY: Zephyrhills FL Zip:
7ailtoAddress: E-Mail Address: Markwharrisii@gmali.com_.
Tome#: Cell#: 813-431-5422 Business#:
Complete tear off of existing 1 Layer Additional Notes/Special Concerns:
Shingle Roof to wood deck
Secure all loose roof decking as needed according to Florida Complete Re- Roof to include all Materials.
Building codes Permits, Labor and Trash Clean Up
/ Roof dried in with Secondary Water Barrier
Install new valley metal with galvanized metal Includes 3 sheets of Plywood at no extra charge
/
_install new 6" "drip edge color:
Install new lead bolts Secondary Water Barrier (P&S) underlayment
Install all new
��general roof vents With 10 Year Labor Warranty
Install new/Shingle _Metal_Tile
Modified Bitumen _TPO Wind Mitigation Form Completed with New Roof
Manufacturer(Shingle,Metal or Tile)GAF Lifetime at no extra charge
Manufacturer(TPOor Mod.Bitumen)GAF Llbert
_Color(Shingle,Metal or Tile)
/
_Color(TPO or Mod.Bitumen)
OfAll roof related debris removed from jobsite,pickup loose nails using commercial grade magnet
All materials,labor and permits furnished
Provide a 10 year labor warranty Base Price*$ 4935.00
iitional Items:
/ment Method❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim
Credit Card# Exp. Date CC ID#
nm Payment:$ Amount Financed:$ Approx. Monthly Payment:$
/ment Terms: w d ff j -21 k7 I
Be Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. Customer Initial
Deficient'/2"plywood replaced at a cost of$ 65 per sheet in the roof field,which' eludes labor&materials. All other wood work/additional labor,such
iut not limited to,valley rebuilding,rafter replacement,1x decking,etc.will be a rate of$ per lineal foot plus the cost of materials.
'BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS
ITRACT. 1 ACCEPT THIS PROPOSAL AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
haser: Date:
haser: Estimator: Jeff Brownfield Owner
pp �r rn
q� t1Q �d
` 15421 Bellamy Brothers Boulevard
3
Dade City,FL 33523
NATIONS.ROOFING
P: (813)949-1213
CONSTRUCTION LLG
CCC1331419
March 8, 2019
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
RE: AUTHORIZATION LETTER
To Whom It May Concern,
I, Douglas Leman, license holder for Nations Roofing,Construction &Mechanical, LLC—CCC1331419,
authorize the following individual to apply for, pay for and pick-up permits on my behalf:
• Kristina Eager
• Jeffrey Brownfield
If you have any questions or concerns, please contact me by phone or e-mail at(813)701-6122;
doug@nationsrcm.com.
Thank you.
Sinc ely,
Douglas Leman
State of: Florida County of:
The foregoing instrument was acknowledged and sworn before me on this day of
' ,20L by T#011 W2A ,who is personally known to me.
— �OV"�tr� Notary Public State of Florida
Signat , Notary Public—§tate of rida Jason E Morphet
< My Commission GG 173198
Expires 01/07/2022
15421 Bellamy Brothers Boulevard,Dade City,FL 33523- P:(813)949-1213-CCC#1331419