HomeMy WebLinkAbout19-21070 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2107
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21070 Address: 5636 BEECH 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: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-00613-00000-0090
Improv. Cost: 11,360.00 OWNER INFORMATION
Date Issued: 4/04/2019 Name: ELIAS KEYS, MAYRA
Total Fees: 100.00 Address: 5636 BEECH ST ,
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/04/2019 Phone: (813)758-0220
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
SOUTHERN PRO RESTORATION REROOF RESIDENTIAL 100.00
Ins ections Required
-DRY IN ROOF I P
TAPE JOINTS. OOF IN P
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 NATURE 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 Permlttin, —
111l1111 111 1
Owner's Name MUM Elias—Y-PAI-q Owner Phone Number
Owners Address IA444 1 A,�1 1��y Y wh Owner Phone Number Q�
Fee Simple Titleholder Name Owner Phone Number ^'
Fee Simple Titleholder Address
r^
JOB ADDRESS3G2 h rho Is � LOT
SUBDIVISION PARCEL IDd J1A-U l21i 'W�JV
Gr��r IOBN PROPERTY TAED FROM TAX NOTICE)
WORK PROPOSED NEW CONSTR reADD/P Q SIGN DEMOLISH
B INSTALL ® REPAIR
PROPOSED USE - = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION BLOCK [] FRAME = STEEL =
DESCRIPTION OF WORK -e V 0a 3y
BUILDING SIZE SO FOOTAGE t ,i J HEIGHT
=BUILDING s VALUATION OF TOTAL CONSTRUCTION lD I,1 3uo
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS 5ZI ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA OYES
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREA. I YIN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y N FEE CURREr Y I N
Address I License 0
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREII I Y/N
Address I License d 1
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURREP Y I N
Address License d
OTHER COMPANY 1 V on
SIGNATURE REWsTERED 1I�'�1J1 Yam/ N FEE CURREII I Y/N
Address W� censeil
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum tan(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl SIR 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 onslte,Construction Plans,Stormwater Plans w/Sill:Fence installed,
Sanitary Facilities&1 dunrpster.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 appecatlon,notarized
r over$2300,a Notice of Commencement Is required. (AIC upgrades over$7900)
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)
Ratoofs If shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootaga)
Drlvaways-Not over Counter if on public readways..needs ROW
Itilo12°1 J.
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 responsibiiity for compliance with any .,
applicable dead restrictions. I
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake worts,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 eumer 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 inspsction DivtsiorH icensing Section at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors, he to 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 property licensed and Is not entitled to permitting privileges to Pasco
County,
TRANSPORTATION IMPACTIUTILRIES IMPACT AND RESOURCE RECOVERY FEES: Tho undamignod undarctonda
that Transportation impact Fees and Recourse Recovery Fees may apply to the corhstrurllon of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 8M7 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
rbeeiving a'certificate of occupancy'or final power►eloese. if the project does not Involve a certificate of occupancy or
final power release,the fees must be paid prior to permit Issuance: Furthermore,11 Pasco County Water/Sower 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$2,600.00 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 worts 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 wont,and that It Is
my responsibility to Identify what actions 1 must take to be In=npllance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheede, Wetland Aram 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 6 Rehabilitative SerAces/Envlronmentel Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
i understand that the folio drig 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 mala?xial 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 propertles,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 T140 OWNER,i promise in good faith to Inform the owner of the permitting conditians set forth in
this affidavit prior to commencing construction. I understand that a separate permlt 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.after.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. 9 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
Will
Y LENDER 0 ATTORNEYO E O YOURCOM CE
FLORt A URAT(F 1 03)
OWNER OR AGENT CONTRACTOR
& rid f � swm(orfi before mMasgiftnIo
asd
Who� 0 hasftvo prod ced
as Identification, as Identification.
020W t( ,34�
A�U__Z—Noaary Pubpc Notary PubPo
comrrd on No. 19ACommiefion No. ZuLt Iva
u L 064
Name of Notary typed,printed or stempsd Name of or slarnoid
,
CASEYLANAEH WAUGH
MY COMMISSION#GG 266126 E
EXPIRES;0cW r 14,2022
•.OFM1.• 6ondedTfriuNolaryPub6cUnderhxtters
SOUTHERN PRO .
� RESTORATION
9260 Bay Plaza Blvd Ste 501
Tampa, FL 33619
813.835.1209
Limited Power of Attorney/ Authorized Agent
My employee(s) listed below are hereby authorized to act as my agent(s) in securing
permits for the City of Zephyrhills and signing necessary documents pertaining to
permitting. I understand that I am responsible for all work done by my agent(s).
Robert Hendrix
. Casey Waugh
Nicholas(Nick) Bird
Business Name (printed): _Southern Pro Restoration, LLC
License No (Reg, City, Certified):_CCC1329584
License Holder Name (printed): hael Kost_
License Holder Signature:
Expiration Date for This Limited Power of Attorney:4/3/2020
STATE OF FLORIDA COUNTY OF Hillsborough
The foregoing instrument was acknowledged before me this ad—day of �, 2011, by
IGy141cl V:OS± who is X personally known to me or who has
produced as identification and who did (did not)take an oath.
Si ature
�SQ. y- LAQh CASEY LANAEH WAUGH
Print or type name (Notary Seal) : MyapWASSION#GG286128
Notary Public—State of Florida EXPIRES:Oct W14,2022
Commission No. GC�11LAk%2LP
My Commission Expires: JQ-14—IT
INSTR#2019045267 OR BK 9875 PG 51 Page 1 of 1
03/19/2019 1(145 AM Rcpt:2037791 Rec: 10.00 IDS:0.00 IT:0.00
Paula S. O Nei6 Ph.D., Pasco County Clerk&ComptroCCer
Permit Number
Parcel ID Number 12-ze-2t-oo6e-00000-6696
NOTICE OF COMMENCEMENT
State of Florida -
p,,,���, L�Q
County 1 0
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and In accordance with Section 713.13 of the
Florida Statutes,the following information B provided In this NOTICE OF COMMENCEMENT.
1.Description of property(legal description). YINGUNG ADDITION UNREC PLAT OF TRACTS 14 15 16 20 21 22&E 16.00 FT TRACTS 17$22OF ZEPHYRHILLS COLONY COMPAN
a)Street Uob)Address. 5636 BEECH STREET ZEPHYRHILLS,FL 33542
2.General description of improvements: RE-ROOF
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: MAYRA ELIAS-KEYS 28444 MEADOWRUSH WAY WESLEY CHAPEL FL 33543-5840
b)Name and address of fee simple titlehold&(if different than Owner Dated above)
c)Interest in property: OWNER
4.Contmctor Information
a)Name and address: SOUTHERN PRO RESTORATION,LLC
b)Telephone No.: 813-835-1209 Fax No.:(optional) asa-494-0712
5-Surety(If applicable,a copy of the payment bond Is attached)
a)Name and address:
b)Telephone No.:
c)Amount of Bond: I
6.Lender
a)Name and address: '4iZN)% C.( fTn A-A cta l
b)Telephone No.: 4RO 38 3- 2 00
7.Persons vAthin the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
b)Telepbone No.: Fax No.:(optional)
&a.1n addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but win be 1 year from the date of recording unless a different date is specified): ,20
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,FLORIDA STATUTES,AND CAN RESULT 1N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
THE JOB SITE BEFORt 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 perjury,I declare t t I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knowiedg and belief. MA�tzA 611AS--ksys
(Signs of Lessee efs or L e's( ad Qi6cef/ON orJParMer/Manager) Pi I Name and Provide SIVaWs Tltla/ ce)
The foregoing mlpnt as acknowledged before me this IG/ day of 20 )q
by A2&4 2 'q as O Wes` (typo of autholrty,e.g.officer,wwwa,attorney In tact)
for ,as
(Name of Person) (type of authority,...e.g.officer,trustee,attorney in fact)
top (name of party on behalf of whom inftment was executed).
Personalty Known Produced ID ❑
Type of ID Notary Signature
Print name VAF L
Alfred Platt
-40WY public Sfala of Rodda
ROOF AGREEMENT
SOUTHERN PRO _ PAGE 1 of 2
_ _e �
CUSTOMER NAME �N``� �S � ��}� ��� DATE 3/6
JOB ADDRESS tp t PHONE G&lp — PC9 - ss-` '�1
3 - S e �, 5�, zef�'r h I�S , 5Lj r�,
MAIN ROOF Shingle - etal -Tile - Flat OTHER ROOF Shingle - Metal -Tile - Flat -
ROOF SPECS `Lv--�r-Y (✓ram 1 ROOF SPECS
ROOF COLOR ROOF COLOR
MATERIAL WARRANTY (__Lem L �L( f MATERIAL WARRANTY
WORKMANSHIP WARRANTY WORKMANSHIP WARRXN
UNDERLAYMENT 1. �'� ` UNDERLAYMENT
7
�--� DRIP EDGE COLOR DRIP EDGE COLOR
VENTILATION TYPE VENTILATION TYPE
SATELLITE DISH N/A TRASH DETACH 1 SATELLITE DISH CH
SOLAR PANELS N/A / TRASH ( ) PANELS /CUSTOMER HANDLE I SOLAR PANELS NNDLE
NOTES)' 'ADDITIONAL ITEMS &PRICING
+ W arc� shy 4�"b�k =� �=us� ii o nLQwr,er
5 s� - "ram - - -
. �q y f
WOOD This agreement includes up to(2)48 plywood sheets that will be used to replace any rotten decking.Additional INITIAL
rotten decking will be replaced at $50 per sheet.2x4 Truss scabbing,2x4 and 2x6 fascia (unpainted), and 1/4"
plywood soffit(unpainted)will each be billed at$5 per LF.Other uncommon wood prices will vary.
DRIVEWAYS& Driveways may be utilized for parking/delivery of heavy vehicles/materials/dumpsters.Driveways can crack if INITIAL
AC/GAS LINES there is existing settlement beneath the driveway that you may not be aware of.SPR will not be liable for any
driveway damages of any kind(cracks,breaks,stains,etc)that may occur.SPR will not be liable for damages to
AC/GAS/OTHER lines improperly installed(too close to the roof deck and/or not to code)where new nails could
penetrate these items.Any such repairs will be handled/paid for by CUSTOMER.
HOA CUSTOMER accepts full responsibility for obtaining necessary HOA approvals for the work in-this agreement. INITIAL
Please note that failure to get proper HOA approval could result in you having to pay twice for your roof.
SOLAR Ifthere are solar panels that will be reused,CUSTOMER will handle the removal/reinstallation ofall solar panels. INITIAL
PANELS CUSTOMER will also have the plumbing capped-off and panels removed prior to the roof installation date.If the
panels are going to be trashed,SPR will remove and dispose of the panels for the amount listed above.Please note
that a$300 emergency plumbing fee will be added if plumbing is not capped-off upon our crew's arrival.
TWO PAGES CUSTOMER understands that no verbal agreements of any kind will be honored and that this page and the reverse INITIAL
side(Terms&Conditions)constitute the entire agreement between SPR and CUSTOMER
PAYMENTS TODAY'S DEPOSIT amount listed below is due at the time of agreement signing.REMAINING BALANCE is due in full INITIAL
upon roof completion.CUSTOMER agrees to release REMAINING BALANCE at completion regardless of punchout or
inspection status.ROOF TOTAL is the cash/check price.Any credit card transactions will have a 3%fee added.
R1GHT7O CANCEL-CUSTOMER may cancel this agreement by providing written ••� n
notice in person orbycertlfied mail up until midnight of the third business day ROOF SUBTOTAL $ 1 ' 3 a/,j_(/J}
after the date below.Deposits are refundable during the some three day period
only. UPGRADES/OTHER $
adaz&� 3/25/19 ROOF TOTAL $
G CUSTO SIGNATURE DATE TODAY'S DEPOSIT $ /
-�1 �! A' REMAINING BALANCE $ �t 3 6-0
SIGNATU DA E �>i 7
9260 Bay Plaza Blvd.S Like 501Tampa,FL33619 Phone:813.720.ROO F Fax:888.490.0712 LI Chl CCC1329584 F.EW070218
City of Zephyrhills
5335 81h St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: �n1j4 6) (]
I, tV 11 Chia I Y=QSI licensed under Chapter 468,Florida Statutes as a(n):
Contractor Engineer Architect_Building Inspector
License No. IV.961b -
On or about_ did personally inspect the: /
Check: Roof Deck Nailing ✓ Dry in t" / Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick v Other(List)
At the following
address: S10
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 FLORIDA
COUNTY OF PASCO f
Sworn to and subscribedbefore this day
BY: / /
Notary Public State of Florida
CASEYLAIV aWmM
WCOit11483l01+198 286126
WIREt O*bw 14,2M
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