HomeMy WebLinkAbout19-21080 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 210
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21080 Address: 6124 18TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):` Block: Section:
Square Feet: Subdivision: ZEPHYR BREEZE
Est.Value: Parcel Number: 02-26-21-0190-00000-0410
Improv. Cost: 6,850.00 OWNER INFORMATION
Date Issued: 4/09/2019 Name: WHITE ROCK VENTURES LLC
Total Fees: 75.00 Address: 4316 W SAN PEDRO ST
Amount Paid: 75.00 TAMPA, FL 33629-7708
Date Paid: 4/09/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
EBM ROOFING REROOF RESIDENTIAL 75.00
N � �
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.
i
4TC �XETORVS—IMAT
R PERMIT OFFI R
PERMIT EXPIR IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills Permit Application Fax-813-78"021
Builcling Department
_�-te Received Phone Contact for Permitting 056=I
Owners Name WhIIADL IP-00-L VLnf%.>rJL'S Ownw-PhorreNtobir
Owner's Address L431 Co U-) %-.n PgArp Sf owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address F_
JOB ADDRESS 2 I D S LOTW
SUBDIVISION 12eph(4 Q-0, PARCEL IDS[Q 4 -2-6-2.1 - 019 0-00000-N Uhl
(ORTAUM PROW PROPEWY TAIC NOTICE)
WORK PROPOSED NEW CONS ADDIALT SIGN DEMOLISH
INSTALL TRR REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME Q STEEL 11CO -)C)OL�Q .1
DESCRIPTION OF WORK )u� I SiN FC Qyorl� Ot. r _nQ1LO Q1 m-h, L6 t Su Z-1 3,50. 1
13UILDING SUE SO FOOTAGE HEIGHT
Eau. . . . . . . . . . . . . . . . . . . . .. . . . .
ILDING FS 7 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING Is
=MECHANICAL is VALUATION OF MECHANICAL INSTALLATION
=GAS UQ ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS J_ FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . .a
BUILDER COMPANY
SIGNATURE REWSTERED I YJN FEE CURPEN
Address I U.#I
ELECTRICIAN COMPANY
SIGNATURE i REGISTERED I YIN I FEE CIRREI, Ly N
Add— License#
PLUMBER COMPANY
SIGNATURE REWTERED I Y/ N FEECUMMI,
Address License#
MECHANICAL COMPANY =
SIGNATURE PX-GISTIMED I YIN I FEECIJWWJt Ly
L N_J
Address License#F—
OTHER COMPANY SM 0_00
SIGNATURE FIEGOMPED YJ N I FEEcuRm I YIN
-7 Add. ITO E M 211(.2. a!)�M V) I 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)waking days after submittal date. Required onsite,Construction Plans,Stormwater Plans%Ad Slit Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(a)complete sets of Building Mans 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&I dumpster.Site Wok 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.
. . . . . . . . . . . . . . . .
Fill out application completely.
Owner&Contractor sign back of application,notarized
H over$2500,a Notice of Commencement Is required. (AfC upgrades over$751110)
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)
Perools if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footaga)
Driveways-Not over Counter it on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perk 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 property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTiLMLITiES 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 perk 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 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-SiOWNEWS 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 perk 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. 1 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 identity what actions 1 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/WastewaterTreatment.
- Southwest Florida Water Management District-Wells; Cypress Bayheads, Wetland Areas, Aftering
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 perk 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 perk 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 perk 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 OMMENCEMENT.
FLORIDA JURAT(F.S�117.03)
OWNER OR AGENT CONTRACTOR
ubs M to(or a before m,this m (or
before
�by swa-J a �Cyr I O �swahyRMI
who Ware personalty known to me or hasthave produced Who Ware personally known to me or hasthave produced
as identification. as identification.
10 Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,771
Name of Notary typed,printed or stampedOM
HEATHER D HOSFELD
aryPublic-StateofFloridaHER D HOSFELD blic-StateofFlorida ommission a GG 181298ission=GG 18'298 omm.Expires Mar 21,2022' .Ex Tres Thar 2'.2022 rough National Notary Assn.
P National Notary Assn.
INSTR#2019059060 OR BK 9886 PG 2922 Page 1 of 1
04/09/2019 10:39 AM Rcpt:2044182 Rec:10.00 IDS:0.00 IT:0.00
Paula S. O'NeiC PILD., Pasco County Clerk&ComptrolTer
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COMMENCEMENT .
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'T 1 C E .O F• :-C.�.` :� ti:'}'s:`a';'o ';94 •^�A:L":f:::i.':�''.;`•-�:•bi.•r:r::r.:i':3.:::�::-',�•�i:i:1+=):.:>..:.`i
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State of Florida kliS;%CREi1'ISRISEFiUEb;FORaCL�RIC;OFTFiECOUF27iCEF2TIF(GATIONs ..;?;
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 is provided in this NOTICE OF COIWENCB1EN T.
1.DeWdptI0no1pope1ty(ltaf0 eX 02-M21-0190-000oo-0410
a)Street(ft"Address:- 612418tt,SL'.ZephyrhIIL%FL 33542
2Getwrm desalpflott.of Improvements: Root Replacement
3.Otlrrwr Information or Lessee hrfomwtlon if the fusee contracted for the hnprovement:
_a Tess:I .White-Rock ve nttrres=- L4 30 Se y i 1 k S+
b)Name arid address of fee simple titleholder-(d d'ifferentthan•Owner listed-above)• - `�o�mPa t 'L 336 7-9
c)Interest in property: Owner
4.Corttractor inforntmiort • -
a)Name and address: EBM Roofing Enterprises,Inc. PO Box 271827 Tampa,FL 33WS
b)Telephone No.: (813)513-2516 Fax No.:(optlonaQ
S.Surety(if applicable,a copy of the payment bond Is attached)
a)Name and address: WA
b)Telephone No.:
c)Amount of Bond:. $
S.Lender
a)Name and address: WA
b)Telephone No.:
7.Persona wftltht dw.Sfate of Flodda designmed-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:' WA
b)Telephone No.: Fax No.:(opttonai).
S.a.in addition to hkneeA or hereelfl,Owner designates of-
to receive a copy of the Uenors Notice as provided in Section 713.13(1)(b),Florida Swutes.
b)Phone Number of-Pardon of entity designated by Owner
sa.'Expiration dme of notice of=nroern rtt(the wonition date may not be before the completion of construction and final payment tc the
contracdor,but will be.1 you tram the data of recording unless a different date is ,20
WARNBNG TO OWNER:ANY PAYMENTS ON BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COYYEtiCEilElff ARE
CONSIDERED WROPER PAYMENTS UNDER.CHAPTER 713,PART 4 SECTION 713.13,RAMA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR BIPROVENWM TO YOUR PROPERTY.A NOTICE OF COYWBCBIW UM BE RECORDED AND POSTED ON
THE JOB SITE BEFORE THE FIRST fNSPECTICK11F YOU-INTEND TO OBTM FINANCING, CONSULT WiTH YOUR.LENDER OR AN
ATTORNEY-BEFORE COMENCM WORK OR DiNG YOUR NOTICE OF COtl111FEICEIIENT.. ,
-Under penalty of perjury,I declare that I have FaTthe foregoing notice of commencement and thatthe facts stated therein are true to the-bad of my -
knowledge and bell �
(10oo-0, hinx
I (Sig�bue of Owner ar Lessee,or or Lessee's(Authorized omc6rmiimda7Pado aid Prwida Sl a• )
The fare�ing irrstrumentwas ac i a day of
by rs i n t C. r j Llw r'1 r . Npe of aforar,:g,oftw,uudw,a n r in fact)
for ,as
t of aaaan) W • ' V e �sf u C ( a auurarty....ag of8oer, r inracq
for. (name of party on behalf of whom instrwmffl was a xemac!).
Personell Known Produced ID
Type Notary Signature
�, o ar Frarrdra a 1Narffnez Print name f
. Elen
• _ �N!f!�C,onny��ealan CsO Z{2e611
i
I
RlDA, CC)UN T Y OF I''d SCO � Al
THIS IS TO CERTIFY THAT THE FOREGOING IS A r `�
r
TF.UE AND CORrtcC COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
S'od'
W SS PITY HAND A F14IT SEAL TOS �
_ `��---- AY OF 2 A
PAULA & TROLLERAB
BY DEPUTY CLERK
FLO` ,' '
EBM Roof ing Enterprises, INC
P.O. Box 271627
Tampa, FL 33688
813-513-2516
Lic # CCC1331274
I, Sal Basile, owner/license holder of EBM Roofing authorize Hector
Montes, Morgan Vanhouten to apply, sign, and receive permits @ City of
Zephyrhills Building Department. If there are any questions, please contact
me at the number above.
Thank You,
Sal Basile
Notary:
State of Florida
County of Hernando County
On this 6th day of PAQr% I Z O 19
Before me personally appeared `,a
To me known to be person who executed the foregoing instrument and acknowledged that he
executed the same as his free act and deed.
Seal signed
Notary Public
HEATHER D HOSFELD
NotaryPublic-StateofFlorida
Commission;GG 18'298
My Comm.Expires Mar 21,2022
"' Bonded through National Notary Assn.
PO Box 271627 A,Sid I 10% Lic. # CCC1331274
Tampa, FI 33688 /2i State Certified
813-513-2516 Z-,<- 2
EBM ROOFING z
Enterprises, Inc.
-Name: The Maintenance Pro's Date: 11/28/2018
Address: 6124 18th St. Phone:
City/St./Zip: �Z phyrhills, FI Email:
• Remove existing roof down to bare plywood ✓ Shingle over Shingle
• Replace deteriorated sheathing(ALL WOOD REPAIR EXTRA) ✓ Plywood Included 2 sheets
• Plywood $65.00 per sheet 2x4 $5.00 per ft. 2x6 $6.00 per ft. Fascia $7.00 per ft.
• Re-Nail Decking ✓ (8d nails, 6" OC)
• Install Synthetic Underlayment V Peel&Stick
• Replace Drip Edge ✓ Aluminum - Color White
• Install 36"wide valley liner 1 Galvanized valley metal
• Replace all roof penetrations: Plumbing Boots 1.5" 2" 2 3 " 1 4"
Electrical Riser 4" GRV 2 10" GRV 1
• Replace/Install Ridge Vent ✓ Qty 60ft End plugs 6
• Install 50yr(Lifetime) Dimensional shingles _ 25yr. 3-Tab Special Order
• Manufacture/Series IKO Cambridge Color
• Re-Install: r
ite-Dish Lightnin s Other
• Skylf ts: 1-2xass SFA hft A6 40 ras:
**Total does no me u e flat roof*'
All Taxes, Disposal, and Permit Fees Included. Workmanship guaranteed for a period of 5 years.
We propose hereby to furnish material and labor in accordance with the above specifications,for the sum of
$ 6,850.00 Payment due in full upon completion.
Authorized Signature: gal hag' Terms: 30 days
By signing this proposal,you are giving me permission to change and charge for any bad wood that is required by law. Any�-fegal
fees pertaining to this contract or for the collection thereof shall be paid in full by contractee. Any alteration or deviation from the
above specifications involving extra costs will be executed only upon written orders and will become and extra charge over and
above the estimate.
The above prices, specifications, and conditions are satisfactory and are hereby accepted. The undersigned is authorizing to do
the work as specified. Homeowner must provide clear access through driveway or yard to roof.
1
Signature of Acceptance: Date: