HomeMy WebLinkAbout19-21068 CITY OF ZEPHYRHILLS `
5335-8TH STREET /
(813)780-0020 211068
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21068 Address: 37814 HART CIRCLE
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: FOREST VILLAS
Est. Value: Parcel Number: 10-26-21-0050-00200-0131
Improv. Cost: 15,000.00 OWNER INFORMATION
Date Issued: 4/03/2019 Name: SANICHARA, BENJAI
Total Fees: 115.00 Address: 2820 PANKAW LN
Amount Paid: 115.00 VALRICO, FL 33596-6506
Date Paid: 4/03/2019 Phone: (813)415-2030
Work Desc: REROOF SHINGLE-MULTI FAMILY
CONTRACTORS APPLICATION FEES
GALE FORCE ROOFINF & RESTORATION REROOF RESIDENTIAL 115.00
n.
DRY IN ROOF INSP Inspections R uired
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(Othe
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 SIGNA4LlfZE PERMIT OFFI R
PERMIT EXPIRES I 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
Date Received �Phone Conlactfor Permitting Hus, q)69
. . . . . . . Ills # . . . .
Owner's Name Owner Phone Number
Owner's Address LC4J Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
fee Slmolo Titleholder Address f
JOB ADDRESS LOT
SUBDIVISION PARCEL I
1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CON5IRF-1 ADOIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE = SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCKFRAME STEEL
DESCRIPTION OF WORK is--ro-, ifLA
BUILDING SIZE SQFOoTAGE[j t HEIGHT
'E . . . . . . . . . . . . . .
BULING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL S AMP SERVICE PROGRESS ENERGY W.R,E.C.
=PLUMBING Is
=MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS L FLOOD ZONE AREA =YES NO
BUILDER COMPANY F6A LC kacg- lZoorng � I?
SIGNATURE REGISTERED I YIN FEE CURREN YIN
Address License# C-
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURREh
Address License 4 F
PLUMBER
COMPANY
REGISTERED SIGNATURE YIN FEE CURREK
Address License V
MECHANICAL COMPANY =
SIGNATURE REGISTERED Y/N FEE CURRE?,
Address I License
OTHER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN YIN
Address 71 License# I I
I I I a it I I I I I I I I I i I I I I I I I I I a I I I I I I I I I I I I a I I I I J I I I I I I I I I I I I I I I I I I I I I I I I
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,Stermwater Plans wl Sill Fence installed,
Sanitary Facilities&I dunipster,'Site Work Permit for subdMisionsIllarge 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),Norldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans wif Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for sit 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 app!iralion.notarized
If over 62500,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)
Rercofs If shingles Sewers Service Upgrades A/C Fences(Plot/Surveyll'ootage)
Driveways-Not over Counter if an public roadways..needs ROW
ROORNG EST'ElV,1_lATTE Office Phone: 813-805-8096
•• Lic:CCC1331253
Customer Name: Date:
GALEF RCE -1
ROOFING & RESTORATION Address:
➢ Our goal at Gale Force Roofing& Restoration is to provide you a high-quality roof system that fits within your
budget. Not every homeowner has the same wants and needs and comparing quotes can often be challenging.
➢ We have simplified our estimate to the 9 roofing components that are crucial to any roof replacement. We are
giving you 3 options when it comes to replacing your roof. Each option is priced differently depending on the
components that you wish to include. A low-priced roof doesn't mean you're getting a low-priced install. It means
that lower priced components are included.
The estimate is for: Y
House 0 Detached Garage 0 Other:
STORM DEFENDER HURRICANE DEFENDER GALE FORCE DEFENDER
Owens Corning Oakridee Shingle Owens Corning Duration Shingle Owens Corning Duration Shingle
• Underlayment:O.C. • Underlayment: O.C. • Underlayment: O.C.
RhinoRoof U20 Synthetic RhinoRoof U20 Synthetic Weatherlock G, Emtire D.ec
• Valleys: O.C. • Valleys: O.0 • Valleys: O.C.WeatherLock G
WeatherLock G WeatherLock G and alley Meta
• Drip Edge:6"Steel 26GA • Drip Edge:6"Steel 26GA • Drip Edge: 6"Steel 26GA
• Starter Shingle: • Starter Shingle: • Starter Shingle:
O.C.Starter Strip Plus O.C.Starter Strip Plus O.C.Starter Roll
• Hip/Ridge: O.C. Pro-Edge • Hip/Ridge: O.C. Pro-Edge • H/R: Pro-Edge, and Sealed
• Chimney/Wall Flashing: • Chimney/Wall Flashing: • Chimney/Wall Flashing:
Custom Steel 26GA Custom Steel 26GA Custom Steel 26GA
• Lead Pipe Boot(s) • Lead Pipe Boot(s) • Bullet Boot(s)
• Ventilation: • Ventilation: • Ventilation:
Hat Vents: Hat Vents: Hat Vents:
VentSure Ridge Vents:_ VentSure Ridge Vents:_ VentSure Ridge Vents:_
Off-Ridge Vents:_ Off-Ridge Vents:_ Off-Ridge Vents:
Total Roof Cost:$ 460 Total Roof Cost:$ Total Roof Cost:$
Payment$Month Payment$_Month Payment$_Month
$ *Standard Limited Warranty:5 Year Workmanship, 10 Year Manufacturer, 15 Year Wind Coverage to 130 MPH
$ *Preferred Protection Warranty.10 Year Workmanship,50 Year Manufacturer, 15 Year Wind Coverage to 130 MPH
$ *Platinum Preferred Warranty:Lifetime Workmanship,50 Year Manufacturer, 15 Year Wind Coverage to 130 MPH
Notes:
*Additional Cost:Bathroom Exhaust Vent$150;1/2"CDX$100/sheet;<_2"x6"Planking$4.00/LF;>2"x6"Planking$5.00/LF
Thank you for choosing Gale Force Roofing&Restoration for your estimate. This estimate is good for 30 days.
If there are any additional questions that I can answer for you,please do not hesitate to call. I am looking forward to ^G
the opportunity to work with you on this project.Project Manager: +? Ii. ��`� T M,
�Q �j /
Direct Phone: • � � !-�� )� � � !������ ` ��i-�`,�
Gale Force Roofing and Restoration
3902 Henderson Blvd, Ste 208#337
Tampa, FL 33629
GALEFORCE (o) s 13.sos.so96
Lic: CCC1331253
ROOFING & RESTORATION
INSURANCE ALLOWANCE AGREEMENT
OwnerBuyerr--!�e*,A e, Date: / /9
Address: 378/q Phone(s):(��3�
City/State/Zip: Zra"'Ik FL 33Sv2 Email:
Scope of Services. Gale Force Roofing and Restoration, LLC ("Company") will complete all of the insurance
prescribed repairs in the insurance loss statement for the full price of the insurance proceeds plus any additional
supplements t t could be incurred. Company shall install a new roof to the home at
375/�i' KF Cl•�.L -� 1^=Its t G 3'�S'St2— (address).
The manufacturer, shingle style, shingle color, and drip edge color, will be defined in an addendum to this
agreement that will be executed upon issuance of an insurance covered replacement.
The manufacturer's warranties will apply. We will install'the roof to code. We will protect any landscaping as
needed. We will clean around the bushes and shrubs. The Company will clean out the gutters of any roofing trash
and complete a magnetic sweep of the yard.
General Terms. The company is entitled to all taxes, depreciation, permit and tarping reimbursements,
supplements, staged payments, and the full amount of General Contractor's Overhead and Profit plus any
additional insurance payments. All insurance payments will be paid to the company upon receipt. Homeowner
will agree to display a job sign for the company until 30 days after the work has been completed.
Insurance Terms.The Company will invest its time and expertise in assisting the homeowner with the insurance
claim. Terms for insurance work where applicable: This agreement is for the full scope of insurance replacement
costs proceeds and does not obligate the homeowner or the Company unless repairs are approved by the
homeowner's insurance company.
Homeowner Authorization. By singing this agreement, I,
the homeowner,hereby authorizes the Company to pursue all repairs at a price agreeable to the insurance company
and the Company at no cost to me,the homeowner, except for the insurance deductible. The final price agreed on
between the insurance company and the Company shall become the final contract price of full scope of insurance
proceeds. I hereby authorize to work with my insurance company and mortgage company regarding all matters
pertaining to the insurance claim upon my behalf to get this claim settled promptly;
Signature of Homeowner Signature of Contractor/Sales Representative
Printed Name Printed Name
Z /Z
Date 'Date
Page 1 of 6
Gale Force Roofing and Restoration
3902 Henderson Blvd, Ste 208#337
Tampa,FL 33.629
GALEFORCE (0) 813.805:8096
ROOFING h RESTORATION
Lic: CCC 1331253
ACCEPTANCE OF CONTRACT
The Company is hereby authorized to perform at their discretion all insurance prescribed repairs for the price of
the full scope of insurance proceeds. We will complete only the work approved by the insurance company. The
terms and specifications state, I hereby, authorize my insurance company and/or mortgage company to make
payment for completed repairs directly to the Company. The Company is entitled to all taxes,depreciation,permit
and tarping reimbursements, supplements or staged payments and the full amount of General Contractor's,
Overhead and Profit and any additional payments from the insurance company.
Insurance Company: �„ }; (��-1 Policy#: S'fl?SI o 01 SO ON 'G 9
Insurance Company PH: l m e 722- en 9,,�E Claim#: Jyrl,0r AD 3.49 73
Insurance Adjuster: Adjuster Phone:
Mortgage Company:
Mortgage Company Phone: Loan#:
Customer agrees to hold the Company harmless for any of the following: Damage of any kind, caused by any
third party service provider, such as dumpster companies or material suppliers. Any damages caused by
vibrations, i.e.: falling pictures, or light fixtures,small cracks or nail pops in drywall. Initial(s) S Xc
The Company will clean up and remove all job-related debris including any salvage material. All salvage
material becomes property of the Company. Initial(s)—.;�:
The Customer agrees to pay the Company their initial check for the Actual Cash Value amount as a good faith
deposit for the work to be performed and any taxes, depreciation,permit or tarping reimbursements, supplements
or staged payments, or overhead and profit from the insurance company are to be paid upon receipt from the
insurance company. Initial(s) -
I have read and agree to all terms and conditions listed on each page of this legally binding agreement.
Initial(s) ;ff> p
ACCEPTANCE BY OWNER/BUYER: ��1/fiTi�L J�-n�/eW?4 g-se 01 ,<DATE: 1<1
(PRINTED NAME)
SIGNATURE:
ACCEPTANCE BY OWNER/BUYER: DATE:
(PRINTED NAME)
SIGNATURE:
This Contract Agreement respectfully submitted by: DATE:
Gale Force Signature
Page 2 of 6
"110 Gale Force Roofing and Restoration.
3902 Henderson Blvd, Ste 208#337
GALEFORCE TAmpa,,FL 33629
ROOFING & RESTORATION
(0) 813.805.8096
Lic: CCC 1331253
ASSIGNMENT OF INSURANCE CLAIM
Client to Contractor
The undersigned Insured and Gale Force Roofing and Restoration, LLC. in consideration for the services to
be performed as defined in the contract signed on 2 / / /9 ,hereby transfers and assigns to Gale
Force Roofing and Restoration, LLC., any and all insured's rights,benefits and proceeds due to Insured
under applicable insurance policies pertaining to the insurance claim(s) identified as Claim(s)
No.: an / $ covering loss sustained at the Insured's property at
3?�/ a•- G� �I�; 'FL 3�y2 (address),
on (date of loss). This transfer and assignment of rights also includes any right of the Insured
to co lect extra contractual damages,consequential damages, common law damages and statutory damages.
This transfer and assignment allows the Contractor to file suit in the Contractor's name to collect the
proceeds assigned herein.
Client agrees that if the Insured's insurance company tries to pay the proceeds to the Insured and/or Insured's
mortgage lender,the Insured will assist Gale Force Roofing and Restoration,LLC.to the insurance proceeds
made payable to Gale Force Roofing and Restoration, LLC.
IN WITNESS WHERE OF,the undersigned have caused this transfer.and assignment of insurance claim to
be duly executed this day of 20_1,q .
Assignor(s): Insured's Name(s) Assignee: Gale Force Roofing and Restoration,LLC.
Printed name of Assignor(Or,Authorized Rep.) Printe name of Assignee Authorized Rep.
-!�Z/Z
Signature and Date Signature and Date
Printed name of Assignor(Or,Authorized Rep.)
Signature and Date
Page 3 of 6