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HomeMy WebLinkAbout19-21036 CITY OF ZEPHYRHILLS f 5335-8TH STREET (813)780-0020 71036 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21036 Address: 5855 16TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05000-0010 Improv. Cost: 27,625.00 OWNER INFORMATION Date Issued: 3/28/2019 Name: ST. ELIZABETHS EPISCOPAL CHURCH Total Fees: 180.00 Address: 5855 16TH ST Amount Paid: 180.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/28/2019 Phone: (813)393-7548 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES RYMAN ROOFING INC REROOF RESIDENTIAL 180.00 I� �c✓ Ins ection.4 Required DRY IN ROOF INSP TAPE JOINTS RT5 IWP FINAL '65 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. CONTRA OR SIGNATURE PERMIT OFFICOR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER O tJ-10U-Uvty Ll ty V1 z_VF1 I y I i 1111,7 I %I I I I I L I%V I-- . Building Department Date Received Phone Contact for Permitting w� — � Owner's NamelDr. G I to, e,4,) �piwpoj di Usti/ 1 Fric " Owner Phone Number Jqt13 Owner's AddressBSS I u► '{r,�f ii Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address !! ii-- ` (' 2 t JOB ADDRESS 5��S tD fit {fl Ili 1 S I' }cS i t LOT# SUBDIVISION . PARCEL ID# 601 -.05 60D -C01..b (OBTAINED FROM PROPERTYTAX NOTICE) WORK PROPOSED'- R NEW CONSTR e ADD/ALT SIGN Q MOVE 0 DEMOLISH INSTALL REPAIR PROPOSED USE !aaQ SFR 0 COMM 0 OTHER I s �r TYPE OF CONSTRUCTION Q BLOCK aa II� FRAME 0 STEEL OTHER DESCRIPTION OF WORK t°� (rT ��-dL2(N C7t0Sq�ShtiZ���S Fill IORgd : If Ok4i't` BUILDING SIZE t�� S � �� ��� l U 84�1- SQ FOOTAGE HEIGHT BUILDING $ 1�� ft) Oitle� ( 2C VALUATION OF TOTAL CONSTRUCTION .,77 , [� ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E. PLUMBING $ � • MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION GAS �� ROOFING SPECIALTY OTHER - FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO !!!!III! "ItHv*lllilliliiaili!Riiiaiiiiiiiiiiiiiiaiiiiif BUILDER COMPANY SIGNATURE I REGISTERED Y/ N FEE CURRENT YY//N ) Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT L=N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N ]� FEE CURRENT Address License# OTHER , r�/ COMPANY [R� 0 a �t. SIGNATURE U�✓ \ REGISTERED N • FEE CU ENT Y N Address eoq( it {r)t I I-) F-1 3 3 I License# C l c (,,,ic 55C)5 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(3)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 all new"projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of"Engineered Plans." ""PROPERTY SURVEY'requlred 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. (AIC upgrades over$5000) 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 (Front of Application Only) Reroofs 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 bylaw, 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 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 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. 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, .1 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. -1-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,s 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, th job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICE 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 11.7.03) OWNER`ORAGENT''"--"-- 1, ��",�—r�U .--.--,---'CONTRACT " d sw t ed beror�m this Su cri a and savor t r irm b fore m this S crib d o Q ( o-rJ�OL WOE e by by r`tn� .I l�'t Q � A Wtt� W o is/a a personally k wn to me o has/have produced o is/ re personally kn o me or h s/have produced as identification. as identification. • Notary Public No Public Cominissio No. Commission N 4 e " of pe print tamped Na of ota typ prin ed or st ed �a:PUB,, SAY.CRUZ �o1PaY PUe�% LISAY.C 7. o * a7 . , Commission#GG 297813 Commission#GG a.,.r. . b; c� Expires February$,2023 Expires February 3,20iJ BondeditwBudflelNoterysarvkes �TF OFFI� BondedTtuuBudgetNotaryServfces INSTR#2019050125OR BK9878 PG3700 Pag. 03/26/2019 03:47 PM Rcpt*2040093 Rec: 10.00 DS: 0.00 IT:0.00 Paula S. OWK-PkD, Pasco County Cfierk&COmytroCCer tqoTICF-OF Comwmixic-M-wr State or, Tfir--UNDPRS(GNED hereby gives nq(tcq-that Improvement'All 158 Madelo certain•r--sl property,and in anaordancawBirl CSqplar71.9,Florida Statutes, the following information fopravided rn ilila Hotias of cornmencarnVill* I. i�scrjpllon of Piaperly; Pefcat Iderffiloall6a No. I(-a6-C)6jlD- Slraa1,Addra*s:,5855 1.644 's5i- hill's 335q 9- General casuripfron of Improvement DD — & WTer Information or Lessee Informaffan iftho Leewe con led fhMheimprovement: • Address ty interest in Pippirly. Name of Fee Sfruple 71fleliddal: (II'dirlier-aril from OftErlfstedabovo) Addrets City A. Contractor K14 M- QA ROA09 StaGV Address city state Contractor's Tela,phonaPia: C)l 6. surety, Name Ilk Address City Amount of Bond: Telephone Noz S. Lender:- Name Address city Lendee*T,s1ep1hcne No.: 7. Persaas vilthin the Slats a,Florida designatad the Owner Upon whom notices Or other documents 1Ina;,bU served ES provided by SCOW 713.1113(l)(a)(7),Florida Statnies-, Name Address city. state Telephone Number a?114inated Person: f a. In addition to himself,the okmer designates Telephone Number of person or Enla DesTqmtEd by 01wriar. e. Expiration date or Notice or comrnericeinemt(the explrallon dale may not be balara the comple!oncana2I Ticgi an�dt ayment to the butWIM be one year tram tle data afrecarding unIF-gs a dif,*=renkdata WARNING M OWNER*. ANY PAYMENTS-MADE BY THE OWNER ME!R-fEiEr--XPIRA-r[CINCF-niEiNdifcEov,co?j"WENCE(VICNT ARE CONSIDERED IMPROT-ER FAYMEMTS.'UNMR CHAKERAS,PART i BEG1101,4713M, FLOEDA STATUTES, AND CAN 11,liSULT IN YOUR PAYING.TWICE FOR INIPROVEMEN—M TO YOUR FROPARTY. A,NOTICE OF MwWww MUST En ti 11EGORDED AND POSTED ONTHE JOB SITESEPOWITHEFIRST INSPECTION.IF YOU 114-YEND TO 08I]AINFINANCIRG CONSULT W W. Tji POUF,LENDER OFANXfTRN OFz Y BEFORE Cof&zENCING WORN.OR PECORDIING YOUR No J ICROF COMMENCOk tinder penalty ofperjury,I declarathat I have readiha foregoing notice Or commenarment and that'1he facts sided therein ere true tolhebest or My linaviledge and belief. STATE OF FLORIDA COUNTY OF PASCO Big aura M�Wvtnr a a, or Less5ds Aulgarized .111 ctadPa erl?l nager [I 69 pa u107,r Sig MquWaloffian The tcregaing In-Arum twas aoRnwAadged betasMetwa57,,v by CA r .(type or authority,erg.,o5oor,trustpe,abufftwin fact)for a i Personally Known 0 OR Produced IdenthIcoilanjj� Nalls TYPO Of Ider0cation Produced L signature Name(P'slril)-- Ll ANGELA HAY WOOD �ubljv Florida Con'n1ISSIO11 r VF 9 1;" EXPIRM Aug 24 201-9 oil dool throllull 1,1,111011,11 tqjoj,L;A*1-M1.n. ERICAN 'V ISA Ryman Roofing, Inc. 501a fee for credit card processing. A Division ofRymon Construction,Inc. 36413 SIR 54-Zephyrhills, Florida 33541 Proposal# Fax(813)788-6773 o. Phone(813)782-6094 N 1-855-Go-Ryman (1-855-467-9626) - Lic.#CCC 1325505 Estimate g00740500 www.RymanRoofing.com Serving all of Central Florida Job# Owner/Purchaser.Elizabeth Episcopal Church —Date:. 1/25/19 Claim#. InsuranceCompany: Policy# Job Address: 5855 16th St City: Zephyrhilis Zip: 33542 Mail to Address: E-Mail Address: Home#.. 813-393-7548 Cell#: Business M 0 Complete tear off of existing Asphalt shingles Additional Notes/SpecialConcems: Includes . One laver included Install new GAF Timberline hd dimensional limited 0 secure all loose roof decking as needed according lifetime shingles to Florida Building Codes Roof dried in with Synthetic Main church and garage included Rhino roof synthetic underlayment Install new valley metal with galvanized metal Z Install new 6 "drip edge color. White -Rhino roof synthetic underlayment Q Install new lead boots n7 Install all new general roof vents Install new ZShingle F❑Metal F-lTile M Modified Butimen FlTPO Four sheets of plywood included Manufacturer (shingle, metal or file) GAF Manufacturer(TPO or Mod.bitumen) Z Color.(Shingle,Metal orTile) Birchwood Permit and scheduling of inspections Color(TPOorMOD.Bitumen) n,( All roof related debris removed from job site,pick-up loose nails using commercial grade magnet -7 25.00 n,( All materials,labor and permits furnished Base Price*$ n/ Provide a 5 year labor warranty Additional Items: Payment Method: El Check# ElCash Financing F-1 Insurance Claim Q Credit Card# Exp.Date CC ID# Down Payment:$ Amount Financed:$ Approx.Monthly Payment:$ PaymentTerms: 35%down and balance upon completion Extras: *Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"abo-4 . Deficient 112"plywood replaced at a cost of$ 65.00 per sheet in the roof field,which includes labor&material .All other woodwork/ i ional labor,such as,but not limited to,valley rebuilding,rafter replacement, Ix decking,etc,will be a rate of$5.00 per lineal foot plus the cost of materials. THIS BECOMES A BINDIN.C-WNTRACT UPO{.CCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT. I ACCEPT THIS PROP AL D HEREBY CEW4tTHA7-l­HAVE READ AND FULLY UNDERSTAND THE PROVISIONS.OF THIS CONTRACT. Purchaser. Date: Authorized signer 3/12/19 Estimator Ed City of Zephyrhills .an'In 5335-8t"St t Zephyrhills FL 33542 (813)780-0020 r jj�� ROOFING INSPECTION AFFIDAVIT Permit No.: � I V I, ./ U1 �- 1� Olaf() licensed under Chapter 468,Florida Statutes as a{n}: Contractor Engineer Architect Building Inspector License No. On or about t-1 1 did personally inspect the: Check: Roof Deck Nailing .�� Dry in '�_.. Flashing and Drip edge 'f~ Check which was used: 30#felt Peel and Stick_Other(List) At the following ��S� {��� address: I 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). Sighatur� _ STATE OF FL©RII COUNTY OF PASCO Swor to and subscr'Ued before this days' i C1 BY: tivt�OG�. Notary Public State of Florida ANGELA HAYWOOD .`i,ti^nY YU04 Notary Public-Slate of Florlda � �`•~° ' {1 smrnlsslon:�i F 912551 t' My Comm.Expires Aug 24,2019 ji Bonded through National Notary Assn.;�'