HomeMy WebLinkAbout19-21048 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020_ 21048
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21048 -Address: 38223 EUCALYPTUS DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):12 & PRT 1 Block: Section:
Square Feet: Subdivision: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0270-00000-0120
Improv. Cost: OWNER INFORMATION
Date Issued: 4/01/2019 Name: JOHNSON, ROLLAND E & ROSEMARY
Total Fees: Address: REV LIVING TRUST PO BOX 105
Amount Paid: HARLAN IN 46743-0105
Date Paid: Phone:
Work Desc: REROOF SHINGLE (4 OF 5 )
CONTRACTORS APPLICATION FEES
REROOF RESIDENTIAL 0.00
r�
J
Ins ections Required
DRY IN ROOF INSP
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.
Cur _Vau
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• I �. �'l 11
City of Zephyrhills
5335 a St
Zephyrhills FL 33542
(813)780.0020
ROOFING INSPECTION AFFIDAVrr
Permit No.: oy r
I, e. 4licensed under Chapter 468,Florida Statutes as a(n):
Contractor Engineer Architect_,Building Inspector
License No. (D(A
On or about did personally In;!the:
Check: Roof Deck Nailing— Dry in Flashing and Drip edge
Check which was used: 34#felt Peel and Stick_,;Other(List} 1su /
At the following
address: 34 A Rea�4 tQ 1--4
-iWc?
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).
Signature:
STATE OF FLORID
COUNTY OF PASCO
Sw n to and subscribed before this day
t
8Y•
Notary Public State of Flori
PW YN�
DAMIELLA MCGLYInj
Notary Public-State of Florida
Ca tealon N FF 948469
%,q;►i MY Comm.Expires Jan s.Zt}ZO
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- 1936 Bruce B Downs Blvd#329
Wesley Chapel,Florida 33544
813-977-5919(0) 813-322-3760 (F)
Www.BodanRoofing.com
PROPOSAL
September 25th, 2018
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
LaVerna Lang 38223 Eucalyptus Drive
Driftwood HOA Zephyrhills, Florida 33542
We hereby propose to furnish the noted materials and labor to complete the following-
We will remove all old shingles and underlayment. Pull all necessary permits, re-nail
decking to current code. We will be installing the "Silver Pledge"We will install new
Tiger Paw underlayment ne GAF Timberline HD Lifetime Shingles in the color of the
customer's choice a new Seal A Ridge Cap, new Pro Start Starter
Strip, new White eave drip, new Cobra III attic venting, new plumbing flashings, squirrel
guards and new valley metal. Haul away all old debris.
Silver Pledge $ 7,790.00
Total: $ 7,790.00
Rotted wood will be assessed once old roof is removed. Labor& Material rates are as follows:
'/z Cox Plywood @$50.00 per sheet
Framing &Truss Members @$4.50 per LF
1 x 6 Decking @$4.75 per LF
Fascia&Trim @$5.75 per LF
PLEASE NOTE THIS AMOUNT BELOW DOES NOT INCLUDE WOOD WORK, ONCE
OLD ROOF IS REMOVED WOOD COUNT WILL BE ADDED TO INVOICE, SEE
ABOVE WOOD PRICES.
All material is guaranteed to be as specified, and the above work to be performed as
previously stated, and will be done so in a substantial workmanlike manner for the total
sum of$7,790.00 : (written) Seven Thousand Seven Hundred Ninety Dollars & 00/100
with payments to be made as follows: Due upon completion
Individual homeowners will be responsible for the cost of Warranty fees and
Skylight replacement, labor and materials.
Respectfully Submitted:
�'a �aacd
Any alteration or deviation from above specifications involving
extra costs will be executed only upon written order,and will
become an extra charge over and above the estimate. All
agreements contingent upon strikes,accidents,or delays beyond NOTE:This proposal may be withdrawn
our control. by us if not accepted within 30 days
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified. Payments w' e m e as outli above.
DATE Zd /9 SIGNATURE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received II Phone Contact for Permitting —
Owner's Name la OA PQCPRA0_(U (10wner Phone Number
Owner's Address caa 3 'fahi Ds 00Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Addresses j
JOB ADDRESS U f 43L 3 Ca 1 w LOT#
SUBDIVISION F PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK rQ n
BUILDING SIZE SO FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
-FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER /► COMPANY Q
ELL� _
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Ly
/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
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 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 required 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$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 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 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 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 1, the applicant, have been provided with"a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department i nt 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. ' Altering
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
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 bne (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
PAYINGTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LEE WER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.-S'K17:03
4 CW OWNER OR AGENT (�, CONTRACTOR .
Subscribed and sworn 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 has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2019050656 OR BK 9879 PG 1623 Page 1 of 1
03/27/2019 11:08 AM Rcpt:2040306 Rec: 10.00 DS:0.00 IT:0.00
Paufa S. O'Neil Ph.D., Pasco County Cferfe&Comptroffer
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Petmif Ntan
Tax Folio
The andentiped hereby¢vex notice that improvements will be made to certain real property,and in accordance with Section 713.13 or the
Fbrida Statnui.4 the following iotbrmation is provided In the NOTICE OF COMMENCEMENT:
• i. 'on of perty street ad ress• uire:d)p
Y •C
2. General description of improv "en ;
3a.. Owner Maine:
Owner Address:'
3b. Owners interest in site• —
3c. Fee Simple Title holder(of other than owner)Address: '
�r
4, Contractor Name:
Address: Phone:
5. Surnty Name: mount`� mount of bond:
Address. Phone:
6. Leader Name: Contact:
Address: Phone.
7. Pelson within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713.13(1Xa)7,Florida Smut 1 �
Name: Add e
Phone Number:
S. In addition to himself Owner designates the following person to receive a copy of the Lienoes Notice as provided in Section
713.13(1Xb),Florida Ststutcs.
Name• Address:
Phone Number. —
9, Expiration the of Notice of Ceimmencsement(expiration date is one(1)you 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
COMr WCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 71333,nORIDA
STATUMS,AND CAN MWZT IN YOURTAYING TWICE FOR IMMOVEMENT3 TO YOUR PROPERTY. A NOTICE OF
COhV,WCZMVr MUST BE RECORDED AND POSTED ON M JOB SITE BEFORE TILE FIRST INSPECTION. IF YOU
W
INTEND TO OBTAIN FINANCING,CONSULT TTH YOUR ER OR AN ATTORNEY BEFORER
COMMENCING WORK O
1tECORDING YOUR NOTICt OF COMMENCSMENP.
Signature of Owner or Owner's Au Offiuer/Ditector/Partner/Ma alter
VATE OF FLORIDA
COUNTY OF HMLMROUGH
, TExpiresJan
WWF before me this day of
I[�hln n it r 1IT �I.�Can as to =• NotaryPda
Comm
P�h,Know OR Produced Identification , My Com20
Type ofldentikation Prod 00
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Signature-Notary� Publi r
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Vic
STATE OF FLORIDA,COUNTY OF PASCO G
THIS IS TO CERTIFY THAT THE FOREGOING IS A o !�
TRUE AND CORRECT COPY OF THE DOCUMENT •
ON FILE OR OF PUBLIC VECORD IN THIS OFFICE Thgod-We7rust [
THE MY HAND AN 01FICIA SE 2L J-]I
DAY 0 (�� O
P LL &COM TROLLE 1887
B DEPUTY CLERK
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