HomeMy WebLinkAbout18-19725 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19725
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19725 Address: 5412 20TH 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: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-0020-00200-04B0
Improv. Cost: 5,800.00 OWNER INFORMATION
Date Issued: 5/22/2018 Name: MIERZWA BERNARD LEIGH
Total Fees: 70.00 Address- 5412 20TH ST
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-4629
Date Paid: 5/22/2018 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR(S) APPLICATION FEES
PDG ROOFING LLC REROOF RESIDENTIAL 70.00
Ins pactions Required
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.
&�_ 6"4910PP
CONTRACTOR SIGNATURE PERMIT OFFIC$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
Date Received Phone Contact`for Permitting ' -613 zl0
f
Owner's Name 1�Y3 6'` l` y- &/ Owner Phone Number
Owner's Address 5^ ! a T" . T Gt!`ll Owner Phone Number
e ,
Fee Simple;Titleholder Name Owner Phone Number"
Fee SimpleTitleholder Address
JOB ADDRESS 2 T 4 _4F Zs /� /`Gi `!t r /z -33SY LOT#
SUBDIVISION. PARCEL ID#-
f (OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED . NEWCONSTR' ADDlALT 0 SIGN 0 = DEMOLISH
= INSTALL e :REPAIR
PROPOSED'USE _ SFR -0 COMM 0 OTHER
TYPE'OF CONSTRUCTION BLOCK - 0 'FRAME = STEEL =
DESCRIPTION-OF WORK r�� v'1,16
BUILDI : E ZO'�
PIG SIZ SQ FOOTAGE HEIGHT
«; .. LL Q
=B,UILDING. $ VALUATION'OF TOTAL CONSTRUCTION
I
]ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
I
=P,LUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY. = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
:.BUILDER COMPANY
'SIGNATURE REGISTERED Y/ N_J, FEE CURREN LLLN
Address License#
ELECTRICIAN, COMPANY
::SIGNATURE REGISTERED Y/ N • FEE-CURREM. LLLLN.
Address License* f=
PLUAABER. COMPANY .:
SIGNATURE ' REGISTERED Y/:N. FEE CURREN Y/N
{
Address License k.
;`::..MECHAMCAI: COMPANY
; SIGNATURE` REGISTERED •Yhh/ N . s FEE CURREK. .' Y/N
Addf6ss-_••:. F77 �/C r . L'icense.#
OTHER'~ .: COMPANY
SIGNA REGISTERED Y/.N FEE-CURREN"
EE CURREK Y/N
Addr6ss � .7.rSfoJ�. •e J"". .Li rGi�`(�S 3'cZ; � � Liberise'#
' RESIDENTIALY.;,,;"'i4%gh 2 Plot`iP:,lans' 2 setsof Buildiri';'Flans 1-•set of,Efidr'' Forms R-0-V11 Permit orriew,coristniction,.,
'? a
;:fVlinimum<tj n_(�10)qvi!arking°days:aftecsutiinittal ilate.sRequired'onsite Construction'.Pla'ns,StorrtiwaterPlans wGSilt Fence installed,
y; rt<.. SanitaryF�acilides&1 dumpster,Site Work l?ermiE.forsubdivisionsliargeprojects`.°; ':
;COMMERCIi4L Attach(2)wmplete 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,Stonowater Plans w/Silt Fence.installed, .
Sanitary Facilities&1 dumpster_Site Work Permit fo.`aIIIneuv_projects.All commercial requirements must meet compliance
N PERM IT Attaoh"(2)'sets:.of.EngineeredjP.lansi
...,PROPERTYSURVEY_requ(red_for.all"NEW construction.:_
;.Directions:
Fill:out?application completely.
owner';&:Contractor.sigwback.of application,notarised
If over,$2500;_a NotiowofCommencement Is required. (AIC upgrades over$7500)
Agent'(for'the'--contractor)*orPower of'Aftomey(for the owner)Would'l a someone with notarized letter from owner authorizing same
�?;-_;OVER%THE COUNTER"PER AAAITTIN,G;, (copy.of,contract,required) "
Re�oiifs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public_`•
.. ___............ . •-•�•° •d. `.' roadways::needs ROW•
NOTICE:OF bEED-RESTRICTIONS: The undersigned,:understands that:this.+permit:may:_be-,subject;to.'rdeed'':restnc#io is°,=
which ma''::be=more'..restrictive=th6h'i Count re ulatfons."PTlie=ur dersl'red assuif es gels o"sib#`''`for•c iiri'"f'ia'ceJwlth':an
Y Y 9 . 9 p .fl i .tY . p n Y.; .
applicable deed restrictions.
UNLICENSED CONTRACTORS`AND'CONTRACTOR RESPONSIBILITIES: If'the owner tics t ired`�*.cantractor-or
contractors-•to undertake work,they.may be.;required to be,llcensed in-accordance with.state and.looal regulations:: if tli'e A` = '3.
contractor.is not:=licensed•as required:'by'iaw, both the ownerKand"caritraetor may=be-cited for a:m�sdemeanor.vioiation•
,..
under state-law. If the owner or.,intended,;contractor are"uncertain asAo.what:licensing.reQuirei'nneritsfiin'a' ap'IV,1.oc
.,
intended work;..#hey:are advised"to coritact"the'Pasco„Courity'B rilding'.l'ispectioii`Division=Licensing Sedd* n at 727:-.847-'
8009. •Furthermore, .if the owner has °hired`a'oontraotor or contractors, he is advised #o shave,the.'contactor(sj µsign{;....,^.
portions of the contractor Block. of this-application,.for which-.they.will..be responsible,•.<If.you, as the owner stgn as the
contractor, that may be an indibafion that he is not properly Licensed and-.is not entitled�to permitting privileges,
County.
TRANSPORTATION-IMPACTI.UTILITIES;IMPACT AND RESOURCE RECOVERY'FEES:`The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees`may.apply to;the-construction.of;new,.bulldings;.'ct an'ge 6f'6'1'4
use in existing buildings,.or�expansion-,of�existng buildings, as specified in Pasco County(Ordinance number 89 07 and
90-07, as amended: The,undersigned'alto.understands, that such'fees, as,,mawlie:due, will';be�,ldentified�aff'thenairriefof
permitting. tt 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 invoive.a certificate of:occupan'cyar
final;power-release,-';-the�fees.must be:,pald prior to.permit issuance.__:Furthermore,-if:.,Pasco.County Water/Sewe_r;impact: r
fees are due,-they,musfbe•:pald-prior to.permit:lssuance in accordance with applicable,Pasco County ordinances.
CONSTRUCTION iEN LAW(Chapter 7l,3;Florida Statutes,as amended): If valuation-of work is$2,.5.00.0O..or.more,,l-.,=-'=
certify that -i, rthe -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 appllcant'ls.someone;_
other than the owner", I certify_thatl.,have obtalneda copy of the above.desoritied`docunieiit and;prom:ise in gaod',faitFi:to:-
deliver it,to'tf`e"owrier':'pnor to-to'
CONTRACTORTS/OWNER'S AFFIDAVIT::.;1,'Wtify,that:aII the information in this application is accurate and'#fiat all worn
will be done in compliance with all applicablOaws"regulating construction, zoning Eihd.land.development. Application.,is
hereby made to obtainA:.a:..permll:16 do;_work--and. installation as`1ndlcated. ! 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,Environria6r tal=°R.' rotecfion-Cypress Baytieads, Wetland Areas and Environmentally Sensitive
Lands,WaterM/astewater Treatment.
- Southwest Florida Water Management District-Wells,, Cypress .Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of EngiheersLSeawalls, Docks-, Navigable Waterways.
- Department,of Health.A.Rehabllitative, Services/Environmental:Health-:Unit Wells, Wastewater.Treatment,`
Septle=Taiaks:
- 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'Stateof Florida.
If the fiil"'material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,.I.certifyt thafiill will�be used only to fill the area within the stem wall.
If fill=inate'dif-it-�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 o 11M.biiilding;permli issued under the attached permit.application, for lots-less'than one (1);
acre which are elevated by fill,an engineered drainage plan is requited.
If I am the AGENT•FOR:THE.OWNER`"I.promtse 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,i i
lumbin , signs, wells,.,pools,-air , gas,-..ou other:°installations not specifically included in the application. Al_ = }'
P 9 ` 9 .9_,., . p Y � PP�
permit issued shaR'_be construed to-be a license=to proceed'wit.6Alie work and notas-authority-to-vidlate,_cancel, alter, or
set aside any provislons ofthe"fechnical codes, nor shall issuance of a permit prevent the Bullding,Officiai from thereafter? s !
requiring a correction oferrors•in,plans;construction•orviolations'of anycodes. Every permit issued shall'become invalid i {f
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 fora period-.of six(6)months after the time the work is commenced.. An extension"l - ij
may be requested, in-writing,:from•fr a Buildirigtt'Officlal 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. 1,
WARNING TO OWNERc. YOUR:FAiL -'TO:RE0 RD A-NOTICE-OF-COMMENCEMENT•MAY RESULT iN YOUR; r
PAYING TWICE'FOR iMi?ROVEMENTS7TQ YOUR:�PROPERTY., IF YOU:iNTEND=TO OBTAIN FINANCING;CONSULT
WITH Y .UR'LENDER OR AN-ATTORNEY BEFORE.REC.ORDING`YOUR-NOTICE OF COMMENCEMENT:
FLORIDA JURAT•(F.S.117.!?3)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirmed)before:me this
by by
Who is/are personally known to me or.has/have produced Who is/are personally known to me or hasfhave produced
as Identification.' as Identification. -
—Notary Public Notary Public
Commission No. Commission No.
i I •
Name of Notary typed,printed or stamped Name of Notary typed,printed orstamped
This space for use by Clerk of the Circuit Court only. �I�Illl IIIII IIIII IIIII IIIII II�II IIIII�I��I II�II IOIII III IIII
2018086386
Rcpt:1959297 Rec: 10.00
NOTICE OF COMMENCEMENT DS: 0.00 IT: 0.00
05/22/2018 K. R. M. , Dpty Clerk
Permit Number: a/
Tax Folio No.17- -2.1- 0 Z 0-91,996%'9
The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following Information is provided in the NOTICE OF COMMENCEMENT. LGU
p\r
1. Legal Description of roperty(street address required): N v
swi-P zoi�l, Sf 7� uT.-l.�`� .S �L 335 f�Z W N o
aZ
F+m_
2. General description of improvements:
1�S
N
3 a. Owner Name: Rew al a A j e r e w R33
°'v
Owner Address: Za S Z Z 4g"YZ to
0
3b. Owner's interest in site: 0
m
3c. Fee Simple Titleholder(of other-than owner) /W/A'
Address: }� r �Ow tp
4. Contractor Name:�L� oOTi/1LC �'61
Address:3PU'�I Hm SAL 3J��/ Phone:V/3
0
5. Surety Name: js// Amount of bond: r
r
Address: Phone:
6. Lender Name: 1yf/� Contact:
Address: Phone:
7. Person within the.State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7,Florida Statutes.
Name' W Address:
Phone Number.
8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes.
Name: ky l/ Address-
Phone Number.
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is
specified).
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT PI YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO TY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
70B SITE BEFORE THE FIRST INSPECTION. IF Y , YD TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE CODLr1E.NCING WORK OR RECORDI OUR CE OF COMMENCEMENT.
F
S' a re of er or Lessee,or 0 er's or Lessee's-Authorized Officer/Director/Pariner/Manager
Signatory's Title/Office
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was 1ac,/knowledge before me this day of _�y .20 Li O
by Ue-r/IQT /7/ol &z j .as 6rw for
Personally Known OR Produced Identificado.n
Type of Identification Produced D, i
d`Cf'�6fr
Sig turc-Notary Public
Under pen, tes of perjury,i decta"'I lint I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief.
S' ure of Natural Person Si ni o Above �'p _
A ropy t,vty bond Normy
must he atuched at the time of recordation of this Notice of Cotnmencentcnt) v cy.� /� Updated 29NOV2011
EWrft �
`
STATE[JF FLORIDA,COUNTY OF PASCO
THIS|STOCERTFY THAT THE FOREGOING|GA
TRUE AND CORRECT COPY OF THE DOCUMENTin
ON FILE OROF PUBLIC RECORD \N THIS OFFICE
WITNESS 4Y HAND ANI OFF|C|ALSEAL THIS
Professionally Done. Guaranteed. SALES CONTRACT;
P
36548 Hough Ct., Zephyrhills, FL 33541
UcA CCC1331002 DG (813) 715-ROOF (7663) www.PDGroofing.com
ROOFING -LLC Licensed•-Bonded•-Insured Date:
Name: AMC
Address:
city: State: L -Zip:
Phone _F__5eh !Vf 14, Cell: 37—/
E-mail:
Shingle Rog 4-5- 5 Year Workmanship Warranty
1. Remove old roof to deck.
2. Replace bad 4'x 8'plywood sheet$54.00 installed Shingle Roof $
1"x 6", 1"x 8"fascia board$4.30 per LF installed. _J Peel & Stick $
roof framing$4.30 per LF installed.* 6;0 y)
Cedar$5.00 per LF Flat Roof $
3. Hurricane Mitigation Retrofit- Deck is nailed every 6" per Florida Code.
4. Install synthetic dry in material per Florida Code over the roof deck. Metal Roof $
5. Remove all old eaves drip and install new eaves drip.
(brown, e) black, gray, beige) System Plus
6. Install Florida approved fungus resistant shingigs (Gg ,14-� 3 UW Warranty $
using 1-1/4" roofing nails. Color 4�.)A)-rmif &4Pz1C_11 Total Price $ Jco
7. Remove all old lead boots. Install new lead boots. Payment is due uj2on completion n of workr
8. Install new metal flashing in valleys and seal roof walls. Plus total for wood from#2* ,
9. Install :__4J7 �i ft. of RIDGE VENT(brown<!white black, gray)
ft. of COBRA
10. Install six (6) nails per shingle
11. Cement roof along roof edge at eaves drip
12 Clean up all work related debris/dispose of all materials upon completion daily.
Extras
Flat Roof'
1. Remove old roof to deck.
2. Replace bad 4'x 8'CDX 1/2" plywood sheath $54.00 installed.
1"x 6", 1"x 8"fascia board $4.30 per LF installed.
2"x 4" roof truss ends replacement$4.30 LF installed.*
3. Remove all old eaves drip and install new eaves drip at edge of roof. (brown, white, black, gray, beige)
4. Install new underlayment.
5. Remove all old kitchen vents and dryer vents. Install new kitchen vents and dryer vents.
6. Remove all old lead boots. Install new lead boots.
7. Install Roof System on flat roof- Color
8. Clean up all work related debris and dispose of all materials upon completion daily.
Florida homeowners'construction recovery fund-payment,up to a limited amount, may be available from the flonda homeowners'construction recovery fund if
you lose money on a project performed under contract,where the loss results from specified violations of florida law by a licensed contractor.For information about
the recovery fund and filing a claim,contact the flodda construction industry licensing board at the following telephone number and address:construction industry
licensing board,2601 blairstone road,tallahassee,ft 32399-1039-8.50-487-1395
-7
_V
Executed and delivered to,and 8
rece bereby acknowledged by Buyer,this—day ofA��11
3epresentative: Purchaser: I—dl-al-