HomeMy WebLinkAbout19-21025 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020' 21025
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21025 Address: 5540 12TH 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: 11-26-21-0010-11600-0150
Improv. Cost: 3,1875.00 OWNER INFORMATION
Date Issued: 3/26/2019 Name: GARRETT, CAROLE
Total Fees: 60.00 Address: 5540 12TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-4216
Date Paid: 3/26/2019 Phone: 813-997-1844
Work Desc: REROOF;SHINGLE
CONTRACTORS APPLICATION FEES
BRAD MCDONALD ROOFING & CONST IN REROOF RESIDENTIAL 60.00
I � 0-�
) 9
Ins ections Required
DRY IN ROOF IN P
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..
CON RACTOR 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-813-780-0021
Building Department Date Received 3 2 6^ Phone Contact for Permitting TZ 8�_f — 766-1
1 1 1 1 1 1 1 1 1 1 1 1 1 p
Owner's Name Carole o q a r l�/ Owner Phone Number
Owner's Address 5 7 '! 2 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 1 _
JOB ADDRESS �7 �O Z T� S LOT# 1!i)
746
SUBDIVISION c4—Y of 2rphvr),'Vs PARCEL10# Ei�Z� 0010 It 0 0 ' OJCO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR COMM EE!r OTHER r- M
TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL =
DESCRIPTION OF WORK R PP/at e S hi n s/e (zoo
BUILDING SIZE i SQ FOOTAGE HEIGHT ( STD
=BUILDING $ "7 S-oo VALUATION OF TOTAL CONSTRUCTION
g
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
- - - - - - - - - - - - - - - - - -
BUILDER (� ' COMPANY I?fad me 00Aaw A
SIGNATURE �,(r�'(i[ ���l16���M7II p REGISTERED Y/ N FEE CURREN Y/N
Address 71 y3 S 5 y PK FL 3f/ S'3 License# I C.CC 13 Z S 8 33
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIII111111111111111111111-III11111t111ll11t11111111111111111111
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,Stormwater 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 dale. Required onsite,Construction Plans,Slormwater 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.
u
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 Attorney(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 hndersigned 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. Loth 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 IrisPection 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 IMPACT/UTILITIES 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 incompliance. 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"W 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 YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) '-/ /
OWNER OR AGENT�i� CONTRACTOR J&0 Im
Subscribed and sworn to(or affirmed before me is Subscribed and swor to(or affirmed)before me t
2'26'#!R by f3!'9 Mc anal .7'l('/k by 1„LiAWA14W
Who is/are personally, know_ n�to me or has/have produced Who is/are personally known to me or hasihave produced
�A as identification. as identification.
Nottalry,P�blic Notary Public
ANDRA IM NC7
S
Commission No.
�cc�����lnriri� Commission No.
My Comm.ExplfeS Nov.20,2021 tiePRANNING
Name of Notary typed,printed or sWp b1853--- Name of Notary typed,print tary U`EIiC,State Of Florida
�j My Comm.Expires Nov.20,2021
No.GG 161853
7143 State Road 54,7�t297,New Poll,Richey.-FL,34653
(727)514-4153 =(727)856-7954 fax
,Seining Your Room;!FeedsSince 79.76
i
Roofing Proposal
Garrett Residence February 6u',2019
Attn: Carole j
5540 12'street
Zephyrhills,FL 33542
813-997-1844
Clintandcarolel990Mahoo.com
Bid Amount: $3,875
Scone Of Work
• Re-Roof Permit
• Tear off the existing shingles and felts and dispose of trash.
.•_ .All-sloped-plywood will-be-re-nailed-using the-2002 Florida Building Code-#8-ring- - --- - —
shanked nails.
• Dry In: the peel and stick self-adhering underlayment-selfadherin-g1
• Shingles:;matching 25 year 3 tab design (*add$2, 0 for the Owings Corning Durations
series dimensional(Color TBD) 1
• New lead boots around the pipe penetrations
• New 6"eave drip, to SI,C/,C
30feet new ridge ve
• New GRV goosenecks
• One sheet of plywood is included with this proposal.Any additional plywood will be
invoiced at$65 per sheet and fascia at$5 per lineal foot.
• 5 year Labor/Craftsmanship warranty
Payment Terms
100%upon completion
L.
_(Signature of Acceptance) __ (Date) _
Confidentfalitp Statement: This message is co?fdential and may contain confidential information it is intended onlyfor the individual fs]
named herein.Ifthis message is being sent from a member ofthe legal department,it may also be legaliyprivileged Ifyou are not the named
addressee[sl you must delete this email or document immediately do not disseminate,distribute or copy.
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' INSTR#2019049064 OR I3K 9$?8 PG 206 page 1 of 1
03/25/2019 01:31 PM Rcpt:2039556 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'WeiC Ph.D., Pasco County Clerk&Comptroller
Noma OF CQXWAqEMM
Permit No.
Tax Folio No U..,%-a CO(d.1((060.01so
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 ofthe Florida Statutes,the following inform bon is provided in this NOTICE OF C0ACUENCEMENT.
or- riea.dir
1.Deseription of property(legal descrl onJ: 0 JIr tbES S �o
a)Street(Job)Address:'4.5 ja+6 S v t 33,01
2.General description of improvements:
309inerInformation
a)Name and address- CdLlr O I t terra"*�*44 S vl a 12.4-n d�- 2 eabli 1►) -A fit. 3S"'rt
b)Name and address offee simple titleholder(if other than owner)
c)Interest in property
4.ContractorInformation tr,��` A n ��j � (, t j ���q s Ij.�[¢,�.� L �1�I„r�,
a)Name and address: [i� JQ P�IOF �({�i� .7 '[ }"Ivy
b)Telephone No.: ?a?-- Sl#- N l S 3 Fax Na.(Opt.)E » S(0-.i1-r. ,r
5.Surety Information
a)Name and address:
b)Amount of Bond
c)Telephone No.,;. Fax No.(Opt.)
6.Lender
a)Name and address
Phone No. -
7.Identity of person within the Stat of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address: -
b)Telephone No.: Fax No.(Opt.)
8.1n 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:
a)Name and address:'
b)Telephone No.: Fax No.(Opt.)
9.Expirstiou date ofNotice of Commencement(the expiration date is one year from the 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 I,SECTION 713.13,
FLOR1 DA 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
ILI
SLATE OF FLORIDA �,�
CGUMV OF RUEO �� 10,E - 6.a
^ ofti
1,si�cratuccafOtvnCrocOwry,�'sAut
S*dFbft
ccrJD�/Ma�►ger�
�§UV*W&dM8*W8W= tlh tNme
CamNee MkIf 0474 q �,"
The foregoing instrument was acknowledged before me this t day of i 14(A( _. 2D by M
1.7Q_� as owmr (type of authority,e g oiNcer,trustee,
attorney-in fact)for 554 000- 11' �L-10- �;ame of p belWf of whom inWument was executed)..
Personalty Known OR Produced Identifrcadon_4 Notary Signature
Type of Identification Produced :l1►WQfU t,( Q VIA.. Name(Print) .
r,• --AND
Verification pursuant to Section 92.525.Florida Statutes.Under penalties of perjury;I declare that I have read the foregoing and that
the facts stated in it are true,to the best of my knowledge and belief. /}
rnansntacmaxanr � ( ll'kA�1 si�r¢ ••�
Sigeahaeof�Nsnual:PetsanSigstmg(inaine#IO:JAbovet.
-
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
rr a. '
WITNESS MY HAND AND 0 ICiAL S L THIS
DAY OF 2�
PAU 'NEIL, E K&C MPTROLLER sp y
BY DEPUTY CLERK
4
,
Q
City of Zephyrhills 1
5335 81h St
Zephyrhills FL 33542
(823)780-0020
�bep�' � �.�' . 2>E'A�+rr?►a1�:. �f:, cis
0
ROOFING INSPECTION AFFIDAVIT
Permit No.: 2. 10 2 5"
1,_ 13,rad t»L y t rt#I Id licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer_Architect Building Inspector
License No. G C C L S f 33
On or about 2 '` ` did personally inspect the:
Check: Roof Deck Nailing �f Dry in v"0'0" Flashing and Drip edge+� 6
Check which was used: 30#felt^ Peel and SticV'_Other(List)
At the following
address: yD ptZ�� �^S4r'.e'L
_ ZF�1f11tr�'1?I�S r �•
I
Based upon that examination, 1 have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). i
Signature: P—. evil
—2—JIA
STATE OF FLORIDA
COUNTY OF PASCO
Sworn t and subscribed before this day
BY: I
I
Notary Public State of Florida
SANDRA MANNING
Notary Public,State of Florida
MV Comm.Expires Nov 20.2021
No.GG 161853