HomeMy WebLinkAbout19-21053 ,;�t; CITY OF ZEPHYRHILLS
na,
5335-8TH STREET
i (813)780-0020 21053
BUILDING PERMIT
PERMIT INFORMATION LOCATION.INFORMATION
Permit Number: 21053 Address: 5518 11TH ST HISTORIC
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: 11-26-21-0010-11700-0110
Improv. Cost: 3,185.00 OWNER INFORMATION
Date Issued: 4/01/2019 Name: DND HOMES LLC
Total Fees: 60.00 Address: 3905 BRILEY LOOP
Amount Paid: 60.00 LAND O LAKES
Date Paid: 4/01/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
FARFAN DEVELOPMENT REROOF RESIDENTIAL 60.00
Ins ections Re uired
DRY IN ROOF I SP
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.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
m.780-002o City Of Zephyrhilis Permit Application Fax-81.3-780-0021
Building Department
)ate Received Phone Contact for Permitting —
1-I-f7-�lTT _ t�TTi
-DND HOMES LLC (8I3)355�6373
)wner's Name Owner Phone Number
:3905 BRILEY LOOP,LAND O LAKES FL 34638
)wner's Address Owner Phone Number
=ee Simple Titleholder Name Drib HOMES LLc Owner Phone Number
390S BRILEY LOOP;LAND O LAKES FL 34638
=ee Simple Titleholder Address,'
108 ADDRESS 551e 11TH sTREET,ZEPJ4YRHILLS;FL-33542 ,LOT#
TOWN'OF-ZEPHYRHILLS_PB-1 PG 54_ 11 26-21-0010-11700-0130
SUBDIVISION LOT 13 EXC SOUTH 3.5 FT THEREOF PARCEL ID#
&LOT 14 EXC NORTH 6.5 F (OBTAINED FROM PROPERTYTAX NOTICE)
(G)THEREOF BLOCK 117
NORKPROPOSED, NEWCONSTR M ADD/ALT = SIGN = 0 DEMOLISH
INSTALL REPAIR
3ROPOSED USE SFR Q ',COMM = OTHER,
rYPE OF CONSTRUCTION = BLOCK, 0 FRAME = STEEL = ()��
sHINGCE
)ESCRIPTION OF.W ORK REROOF .1
3UILDINGSIZE I i SO FOOTAGE 1,300 HEIGHT 1
=BUILDING" s 3/ VALUATION OF TOTAL-CONSTRUCTION
=ELECTRICAL, $ AMP.SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS'. ROOFING 0 SPECIALTY = OTHER.
=INISHED FLOOR.ELEVATIONS, FLOOD ZONE AREA =YES NO
3UILDER C' COMPANY
SIGNATURE REGISTERED_ I Y/ N- FEE CURREIN rY/N
dress h Q py
Ad License# I -� l� 3
3LECTRICIAN n/a COMPANY
31GNATURE REGISTERED- I Y 1 N FEE CURREI, LYLN
Address License#
2LUMBER' n/a COMPANY
31GNATURE, REGISTERED Y7 N I FEE CURREA I Y7 N
Address License#
MECHANICAL n/a. COMPANY
3IGNATURE' REGISTERED Y/-N FEE CURREN Y/N
Address License#
)THER n/a COMPANY
SIGNATURE REGISTERED I Y/ N. FEE CURREN Y/N
Address License#
I I I I'I I I-r.i 11 1 I 1 1 1-I.l
9ESIDENTIAL Attach(2)P.lot Plans;(2)sets of,Buifding Pla7ns;,(1)set of.Energy.Forms;-R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed;
Sanitary Facilites&1 dumpster,Site Work Permit for subdivisions/large.projects-
'OMMERCIAL Attach(2)complete-sets of Building Plans plus a,Life Safety Page;(1)set of.Energy Forms.R-O_W Permit for view construction.
Minimum'ten(10).w&king,days'after submittal-date. Required onsfte,Construction.Plans,Stortnwater Plans w/Silt Fence,ins_talled,
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 requved.forall NEW construction.
)irections:
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 tlie.contractor)or Power ofAttorney(forlhebwner)would be someone with notarized letter from owner authorizing same
)VER THE COUNTER PERMITTING'. (copy of contract required)
Reroots'If shingles: Sewers 'Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not'over Counterff 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.
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.
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 commending 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 CONTRACT _
Subscribed and sworn to(or affirmed)before me this S sc bed and,sw2no
ffirmed before a this
by ��(9 by
Who is/are personally known to me or has/have produced Who is/ar persona to me or as/have produced
as identification. r W.-5 as identification.
Notary Public Notary Public
Commission No. Corn issi n N .
,; JACQUELINEBOGES
Name of Notary typed,printed or stamped Name of Notary typed, t r' December 12,2022
''•',!e,�;�o &^ieQ Thu Troy Fain Insurance U0.385 7018
INSTR#2019049001 OR BK 9877 PG 3920 Page 1 of 1
03/25/2019 12:15 PM Rcpt:2039512 Rec:10.00 DS:0.00 IT:0.00
PauCa S.O'Neil Ph.D., Pasco County CCer(&ComptroCCer
PattrllDNo_ 11-26-21.0010.1 1700-0 13 0 _,_
NOTICE;OF COMMENCEMENT
sweet lk•14!. .Y_ _.,._ emaly of
TIIE UNOER5117NED Iw irl y'fi e"IM I'm IMI 4mp,,4 wit be mmfe W cmiaw wl propedy,-on,aeteidaare wa1 Cnouler 713.F(mdA S1.1.1 s,
11"
kithymp Inlulmllwn wlW It pro In Im Norte d Cmnmmicenwm
1 Drbcnpbonall'tooe8y.Pldcel ldeNikalCaMi No 5510 11TH STREET,ZEPHYRHILLS,FL 33S42
Streal AN,eaa'TOWN OF ZEPHYRHILLS PB 1 PG 54 LOT 13 EXC SOUTH 3.5 FT THEREOF&LOT 14 EXC NORTH 6.5 FT(G)THEREOF BLOCK 117
Genrral DcFLnidan of lnrtae'rr+ RE-ROOF
3 tlA1lrr lnlatniWlnn.X Llrorra a110tmMKNdI1Vt Lessee roNttlCTd is lhl lrnoto+MiCM:___
___END HOMES LLC
PO BOX 7303 WESLEY CHAPEL
Adheaa Oli Stan
Inbmti.t'l,Properly:
Rime to Fee Brnpk'Tasetnirlet'_.,•__•,v_._
ill dalrlt111 imin O.Yner fated obnva}
Addreas -_- GlY - •.^• Stan
4 Crmlraclor G.5.WORRELL GROUP INC
t 4519 SE 1601 PL b105 CAPE CORAL !t
Addn:t+, Oty State
ConbaatN'4 TeleL4wnt No _•�,-
6. Surety:
Name
OAY S1nru
A11x1un1 of Band Teb:ptrone No:
Now
Ad.keaa Oly SYtu.
tautar'si'c•Iri,hareNo ,_..._._-,.,_,� _..._
7. Parsons,Owl file SUE,of Flptdo dM9M1e4 by he Water tom whorn mice,or whet dm.-"mny hC Served as provdtd by
Se<tiNi 713 lNINaXi1.FtoInfa SLwxltoa
A DIV Slain
N. in addition to tanlaYl6 the awnrr dea�gnalrF --01—
_ to imrnv a roptiotthe Lmvfs Ne1coas 111 M ied In Sectras?t1.11(ttlbl Ftooda SlOhAes,
TAe4.hww NwnberelPorowt or Entity Designated by Owner: -- — —
J Eq,un,dole,I N°iee of Commprx—ninl(dw eFo 01M dMI,may not he before trio canfdtIon of=sine ton and r01a1 IRA Irrlient 10 1"
cuWACIM.WI-wit ba tax year from Jim date of arctrdop lauoes a diforoN dd'A a apeuaedi.
WNtNiNG TO ON.'NER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMNIENCEMENT
_ ARF.1:ONSIUfREO IkIPROPLR f'AYMENIS tMIDER CHAPIER 713,PART 1.SECTICN 7:711 FLCf1DA STATUTES.AND CAN
RESULT IN YOUR PAYING TWtCC F4OR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
It-CO11 D AND POSTED ON THE 1OB SHE BEFORE 11£FIRST MSA CTION IF YOU INTEND TO VAIN FINANCING,CONSULT
W11H YI?I1R LffNl1Cf1 OR AN AT1tlRNEY OL`f'ORE COMMENLING ORK)0t RECORUING YOUR NO OF COMMENCEMENT.
Under prlNily d prrplty I rferJnre IIM i Itaw mad llie IorrUaaO nob tit Comm[rgamew and; Ino 1 staled thereat raft In to the beef
'I niy LnaaiFdgo and WN f /
STATE OF FLORiDA
COUNTY OF PASCO
$SSI�Iralvr of DAalel ar leSSrTT �Owtrf>°{lcaaec> imtnd
OMkvtDaMaPeMxrMarager
lh.hMrgpnp .S,g..lw•sl,o-rY•.-s T--ici,e"—fc e
InMrumnilNa>{0n0Ar49nO bCtOtp me mr �dYdG' . 6��•Y2 j'♦1j
1Ne al nW etY.e.9 Dormr.wsee.aanynInclf°rT 4, ..n, --y��-,�,_,�_�_,,,,,.• -�, Ui MFany on orndl of ntl alstrurrenlwraa ri^ne�culP,rd�l.
P.eemo9y Knann n D$Prod.wed ldonkrrl.nur; t7 0/ NMorysvis ra -•r
I"M d ldemiftw-on PrpWuced k, �l!L.tiL. Name 4'r*+il ►+ -`•-^•� -------
ro�sYOt�c+ MEGANCIRENCIONFlo"]
._?• r: Notary Public-State o!Florida
tI Commission,t GG 218932
it?'oi sit` My Comm.Expires May 16,2022
w,�dplhbu;nmcemmmancrinvrc_N'CS7:Ka "�BonEed thrbU3ll Nitional Notary Assn,
FARFAN' DEVELOPMENT, INC.
5037 Hansard Avenue
North Port, FL 34291
Authorization Letter
CCC 1330892 Licensing/Business Tax Division/City Clerks Office
License Holder Name: DORIS E GOMEZ State License: CCC 1330892
Firm Name: Farfan.Development Inc. City License:
Firm Address: 5037 Hansard Avenue Business Phone: 305-992-5502
Email Address: dgomez2151(a.)aol.com
I HEREBY AUTHORIZE THE FOLLOWING INDIVIDUAL($) TO ACT AS MY AGENT IN ALL AREAS OF THE
PERMITTING PROCEDURES WITH THE CITY-OF CAPE CORAL,DEPARTMENT OF COMMUNITY DEVELOPMENT.
CHECK ONLY ONE:
If you are authorizing ONLY those listed below. This rescinds all previously submitted authorizations. (Return
ORIGINAL to the LicerisingBusiness Tax Division/City Clerks Office)
❑ If this is an ADDITION to a previously submitted authorization(Return ORIGINAL to the Licensing/Business Tax
Division/City.Clerks Office)
❑ If this is for ONE JOB ONLY(Return ORIGINAL to Licensing/Business Tax Division/City Clerks Office)
Job Site Address: Buildi g"Permit#
AUTHORIZED PERSON(S)
Steve Smith
TYPEIPRINT NAME SIGNATURE
TYPEIPRINT NAME SIGNA —Efll
TYPEIPRINT NAME SIGNATURE
TYPEIPRINT NAME SIGNATURE
TYPE/PRINT NAME SI NATURE
Note: This section must bear the NOTARIZED SI ATURE of a Licens der I derstand that 1 remain fully
responsible and liable for all acts performed u fler said per Its.
03/26/2019 -
i
Date t Of ense Holde
i
STATE OF FLORIDA COUNTY OF SARASOTA
Sworn to(or affirmed)and.subscribed before me this 26 day of Marc 201;by
i Doris E.Gomez who is personally known or produced LT L
as identification.
p j
Vicki G. Sprat.: Corrupission Number.—
COMMISSION#GG287935EXPIRES:Janiny f
°,r r, 3ure of Notary Public:
f
f Anntd name of Nota ublic: �:
G.S.Worrell Group Inc.
4519 SE 16tt'Place,Suit 105
Cape Coral
FL33904
Cell:239-224-2302
entail:office@freegrene.com
Licence#CGC1514941
BID PROPOSAL
Name:David Simpson DnD Homes LLC eMail:
Phone/Email:813 355 6373 DnDhomesflorida@gmaii.com Alt.Phone:
Address:5518 11'St Job Address:
.city:zephyltills _ State:FL ZIP: City: - - State:Fl. ZIP:
We hereby submit specification and estimate,for:(All items checked(x)are included)
1. Scope of Work:Shingle roof replacement,13SQ
2-. Type of Existing.Roof: Shingle and n/a :NTear off to accommodate repair job or new roof.
3. Type*f New Roof: n/a Modified Bitumen Type n/a (or equal) Other n/a
Z Shingles(Fungus Resistant)0 25Years,030Years, E13Tab,®Dimensional, 13Tile,Type FlMetal,Type n/a FITPO
Type Heritage Manufacturer Tamko (Or Equal)Color tba
Type Manufacturer (Or Equal)Color
4. Underlayment and accessories:E315#Felt, 030#Felt, C]43#Felt, DPeel&Stick, ®Synthetic, ®Eaves Drip:Color White
0 Ride Vent:Color tba , D#Sky Lights Type n/a I R Replace Eaves Drip,Lead Boots,Valley Metal,Flashing if
necessary.
5. Any verbal agreements not specifically stated herein shall not be binding on either party. We are not responsible,for code violations,
improper framing,damage to existing structure or damage to personal property due to water penetration.
6. Warranty: 3 years Workmanship; 30 years Manufacturer Shingles; n/a Years Flat; n/a Years Other n/a
7. Additional Charges to Owner which CAN NOT be calculated in quotation until existing roof or repair is removed.
A. Sheathing,$ 2.00 square ft.
B. Fascia$ Z50 linearft.
C. Decking$ 3.50 linearft.
D. Rafters$ 4.50 linearft.
E. Additional layers(one layer In quote)$ 15.00 Per Square
8-. Other/Special Request:Included is 0 4!x 8'Sheets of plywood or OSB for Sheathing.
Quote is based on cash price and doesn't include any repairs,repair charges are listed on line item 7.:..
Plus remove 3 layers of peel and stick
We propose hereby to furnish material and tabour in accordance with above specification,include item It 7,forthe SUM of$4555
Payment to be made as follows:.
Down Payment.$1675 Due on Completion:$2875
All materials is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to the standard practices. Any alteration or Authorised Signature: Steve Smith Date:3/01/2019
deviation from above specifications involving extra costwidl be executed only
upon written orders,and will become an extra charge over and above the
estimate; All agreements contingent upon strikes,accidents and delays Note:This proposal may be us if not accepted
beyond our control. owner is to carry fire,tornado and other necessary within 14 days,
insurance.
G.S.Worrell Group Inc,
ACCEPTANCE OF PROPOSAL
The above prices,specification,and conditions are satisfactory and are hereby accepted. You have authorised Sheldrake
Construction to perform work as specified. Payments will be made as outlined above. Work cannot be scheduled until receipt of
deposit.
Date of Approval: vi I Signature: Signature:
RgureI•fklst/ng sofas at January 15,2019
G.S.Worrell Group Inc.
418/2019 Roof Affidavit.jpeg
Q
N City of Zephyrhills
5335 81h St
^y' Zephyrhills FI-13542
* ; _ (813)780-0020
tl
ur=
ROOFING INSPECTION AFFIDAVIT
Permit No.: 21053
I, Gregory Scott Worrell licensed under Chapter 468, Florida Statutes as a(n):
Contractor X Engineer Architect Building Inspector
License No. CGC1514941
On or about 4/1/2019 did personally inspect the:
Check: Roof Deck Nailing__X_ Dry in X Flashing and Drip edge X
Check which was used: 30#felt Peel and.Stick Other(List) Synthetic U/L
At the fol lowing,
address: 5518 11th St, Zephyhills, FL 33542
Based upon that examination, I have determined the installation was done:accordingto.the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844,Florida.Statutes).
Signature:
STATE OF FLORffA
COUNTY OF PASCO
Sworn to and subscribed before this.day
BY: �l/ Q I Fbj.-- AMY J.BRIGGS
/ /�/ / _�: �+,_ MY COMMISSION#GG 16W3
EXPIRES:December 7,2021
Notary Public State of Florida °Fi:'P` BoodedihruNo"P011CUndetmbls
httpsJ/mail.google.com/maiVu/1/?tab=wm#inbox/FMfcgxwCgCLIJzCKKRGpMdPcNpcTvhpp?projector-1 1!1