HomeMy WebLinkAbout18-19926 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
(813)780-0020 19926
BUILDING PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 19926 Address: 5922 8TH 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: 11-26-21-0010-00700-0190
Improv. Cost: 7,225.00 OWNER INFORMATION
Date Issued: 7/09/2018 Name: QUENNEVILLE MARC &ANITA F
Total Fees: 80.00 Address: 5941 9TH ST
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-3530
Date Paid: 7/09/2018 Phone: 813-782-5136
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
TLC ROOFING LLC REROOF RESIDENTIAL 80.00
� J l
DRY IN ROOF INSP Ins ections 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.
CONTRAC IGNATURE 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
Date Received Phone Contact for Permitting
`T-FTT-Y `TTTT
Owner's Name MARC QUENN Owner Phone Number
owners Address 1 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS I1-- 55992--2 8TH ST ZEPHYRHILLS LOT# 19
SUBDIVISION f PARCELID#
(OSTA1NED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTRe ADDIALT � SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK REROOF EXISTING SHINGLE ROOF W/NEW GAF SHINGLE
BUILDING SIZE I SQ FOOTAGE 7 6`+QQ HEIGHT
=BUILDING $7 25.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING s
=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
ra .��.�-• ' -- -
I .YI r!i i i . 1 .
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I YIN FEE CURRa Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN I FEE CUMWA Y I N
Address License#
MECHANICAL COMPANY
SIGNATURE L REGISTERED Y/N FEECURREI, Y/N
Address I License:
s NA URE i��� ��„� REGIS TLC ROOFING LLC
Address 20736 HIGHPOND LN License# CCC1328205
111111111111111f11111111111111111111111111111111111111 till 111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new,concoction,
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 forsubdivisionsllarge 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.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. -
-PROPERTY SURVEY required for a0 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 letterfrom 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 pub6eroadways:.needs Row-
_.. •.rid' .. .. -
' L
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 RES ONSIBILITIES: 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 1, 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 1 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. 1 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,WaterANastewater 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 ATTORNEY BEFORE RECORDING YOU TICE OF COMMENCEMENT,
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Su c"b d o(or im be th's
by UN�bY
Who is/are personally known to me or has/have produced o[stare personalty known to me or h srhave produced
as identification. as identification.
Notary Public /� Notary Public
Commission No. C omission No. Q S-3
Name of Notary typed,printed or stamped Name of Notary typed,pdnted or stamped
"� DEBRA ELAINE RUFFELL
ao Commission#GG 045343
; Expires November 7,2020
BandedTruTroyFainlnsumnee800-385.7019
....
f IIIIII IIIII111111111111111IIIII IIIII IIIII IIIII IIIII llll IIII
2018124400
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
Stateer FLORIDA Counyof J Aa5'5+ .
THE UNDERSIGNED hereby gives notice that hnprovementwi8 be made to certain real property,and in accordance with Chapter 713,Florida Stables,
the following information is provided in this Notice of Commencement:
1. Description of Property.Parcel Identification No. //`'.c.- /- m J D - 00700 - G/�6
StfeetAddress: 114 r.� 4.LK
2. General Description of Improvement ��.e L�l" —S f 4/A.)ItL
3. Owner bformation o L hlbrmation i}the Lessee owhaded for the Improvement
59� Name�'F/' sT.
Address /� City State
Interest in Property:_ QW-A. .�/
Name of Fee Sir ple Titleholder.
(If different from Owner listed above)
Addfess TLC ROOFING LLC state
4. Contract or.
Na11B P O BOX 1745 DADE CITY FL.
Address city state
Contractor's Telephone No.: 813-713-1313
5. Surety
Name
Address City State .
Amount of Band:S Telephone No--
6. Lender.
Name
Address Cby State
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom nobces or other documents maybe served as provided by
Section 713,13(1)(a)(T),Florida Statutes
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself•the Givner designates of_
10 receive a copy of the Lienors Notice as provided in Simon 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner
9. Expiration date of Notice of Commencement(the e*ration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of retarding 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 IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of Vury,l detlate that I have read the fotegoin9 not a of core c mem that the f stated therein am true to the best
of my knowledge and belie.
STATE OF FL9QQ1Cp5A�
COUNTY OF r C� .Lk/
of Owner or lessee or Owner's or Lessee's Authorized
Rcpt:1972078 Ree: 10.00 orr�errDreaaePafnerer
DS: 0.00 IT: 0.00
07/09/2018 J. R. , Dpty Clerk I Signatoy'srmfetoffice
The foregoing instrument was acknowtedg/ppe_fo�re me thi/snj_day oljj44y,2t]/Slty /Q�
(type of authority,e.g..officer,trustee,adomey in fact)for
(marine m befnaB of whom m exec Led).'
Personally Known❑Q$Prod ldentificatIm Notary Signahae r r
Type of IdentificationPProduyced a L PrIm) DAVI .LYCANS
PAULA S.0'NEIL,Ph.D.PRSC0 CLERK t; COMPTROLLER - ' 'I f:°'/,. `` Q��V���t1►CXNS
., _ Jt.. .,. . .I. . .
07/09/2018 10:43am 1 of 1 ;i;i i.;..._ ='t MYCOMMISSION-MY
OR BK PG �21 '''' � 'EXPIRES Novtarnber M,' 0618
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wpdatalbcs/notioeoommenoement_peD53048 -,_i.) n• (407)39"153 Fforldallota Service,com
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STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
RUE AND CORRECT COPY OF THE DOCUMENT
N FILE OR OF PUBLIC RECORD IN THIS OFFICE
IT MY HAND WNDICIAL SEAL THIS.,,%
0
DAY 0 2 01
PAULA O'NEIL, ERK OMPTROLLER
87
BY4.0 DEPUTY CLERK
State Certified#CCC1328205 Phone.,8"-TLC-ROOF
(844-852-7663) No. 00405
Email:ticroofingllc@aol.com
TLC Roofing LLC
Licensed -Bonded -Insured
Free Inspections&Estimates
Jeremy Hooks Residential -Commercial -All Roof Types David Lycans
30 Years Experience
(813) 312-4895- J=www.TLCRoofin9FL.00M (813) 713-1313
F PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
Name Z!2&j'-e 1 Al 1, (T_Qr.Aan1;11r- Street �M 2 2
Street city
City State F 4—,, ZipState Zip Owner of property
Phone NumberVI'S ax Phone Number_,V_Jr-7.1�z Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
ORemove existing shingle roof 0-ke"place bad fascia boards at$ per foot
0 Remove existing built-up roof E!rInstau e� feet of ridge vents
,,2' ry-in withE!r'synthetic 0 Peel&stick 0 Install modified bitumen (granulated)torch down roofing
,2-rnstall new galvanized valley metal black,white or other color
,21'nstall new lead boots 0 Install 25 yr. fungus resistant 3-tab shingles
stall new exhaust vents ,-E�Install 30 yr.fungus resistant dimensional shingles
,tall new drip edge, color ;2'6hlngle manufacture color
tall new flashing as needed 13 Install TPO,white rubberized roofing membrane
place plywood at$ 4 67"-"—per sheet A-0ther-7
R-epair rotten trusses at$ per foo
*Woodwork is an additional charge,see pricing above
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of$_72,;_70
with payments to-be made as follows. Payment due in full on completion, unless otherwise noted.Thank You.
Credit cards accepted,-additional 4%charge.
Any alteration or deviation from above specifications involving extra costs will -00,
be executed only upon written orders,and will become an extra charge over theOff 71r�- ,,Q
and above estimate.Ali agreements contingent upon strikes,accidents or icer/Agent
delays boyond our control.Owner to carry fire,tomado and other necessary
Insurance upon above work.Compensation and Public Uability Insurance an
above work to be taken out by Roofing Contractor. Note:This proposal may be withdrawn by us if not accepted
within days,. 6*--e �r/'V*C=
Client gives permission to drive on driveway to deliver materials. 5�c "'%V
ACCEPTANCE OF PF6 POSAL
The above prices, specifications and conditions are satisfactory,and are hereby accepted. You e
a horized 6 do the work as
specified. Payment will be made as outlined above.
Accepted Signatur
Date Signatu
City of Zephyrhills
5335 e St
v- �.' Zephyri7 ills FL33542
='' M- t , I (813)780-0020
}
Fog P i tau
ROOFING INSPECnON AFFIDAVIT
Permit Wo.: 1 926
I,__BRADLEY B. MILLER licensed under Chapter468,Florida Statutes asa(n):
Contractor,/Engineer Architect Building Inspector
License No.__CM 3282Q5 J
On or about_ JULY 21-2018 did personally inspect the:
Check: Root Deck Nailing` Dry in Flashing and Drip edge ✓
Check which was used: 30#1elt Peel and Stick Other(fist) SYNTHETIC
At the following
address: 5922 8TH ST
ZEPHYRHIL SL EL
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),
Z
Signature:
SATE OF FLOR A DAViD W#.1fCANS
COLINiY OF PASCO MY COMMISSION*FF177819
f EXPIRES November 18,2018
Swom to subscribed before this day (407)39a-015a F1oridallotaryServ1ce.com
BY:
Notary Public State of Florida