HomeMy WebLinkAbout19-21084 CITY OF ZEPHYRHILLS Jr'84
5335-8TH STREET 0
(813)780-0020
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21084 Address: 39049 SOUTH AVE
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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0090
Improv. Cost: 7,000.00 OWNER INFORMATION
Date Issued: 4/10/2019 Name: BOURASSA STEPHAN & RAE ANN
Total Fees: 75.00 Address: PO BOX 136
Amount Paid: 75.00 ZEPHYRHILLS FL 33539-0136
Date,Paid: 4/10/2019 Phone: 863-604-9487
Work`Desc:---REROOF SHINGLE
CONTRACTORS APPLICATION FEES
ALVAREZ ROOFING REROOF RESIDENTIAL 75.00
DRY IN ROOFSP Ins ections Re uired
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"
NTRACTOR SIGNATURE 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 Permitting Fin 2 —LM9. ......1111LIMI
. ............-.L rrT?TrrTrrrrT7TTT71rrrTT!r J Ill ,%C,-)I
Owner's Name G 2 Owner Phone Number
Owner's Address 3q()SIG Sct c� ve. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �}
JOB ADDRESS zq b'-I`� SOU \/e LOT#
SUBDIVISION �X,1 p \ PARCEL ID# ' (O' C7\ O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR� ADD/ALT = SIGN 0 = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK 1 POk o F
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANYvG�e� o
SIGNATURE REGISTERED N I FEE CURREN Y/N
Address ` License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
'SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
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 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.
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, 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. 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-F IL-URE TO-RECORD-A NOTICE-OF CO MENCEMENT MAY-RESULT IN YOUR- --
PAYING TWICE FOR IMPROVE NTS TO YOUR PROPERTY. IF YOU INT D TO TAIN FINANCING, CONSULT
WITH YOUR LENDE AN ATTORNEY.BEFORE RECORDING YOUR TICE O COMMENCEMENT.
FLORIDA JURAT(F.S.11
OWNER OR AGENT 4CONTRACT
Subscribed and sworn to r affirm before me this Subscribed and sw oo(or rme )be re is c
by by
Who is/are personally known to me or has/have produced Who is/are persona ly known to me or has/have pr ced
as identification. as identification.
Notary Public Notary Public
i
Commission No. Commission No.
I
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
1NSTR#20190600 r52 OR BK 9887 PG '922 Page 1 of 1
04/10/2019 01:09 PM Rcpt:2044699 Rec:10.00 DS:0.00 IT:0.00
Paufa S. O'Nei6 Ph.D., Pasco County Clerk&CwnytroCCer
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. 12.26-21.0100-00000.0090
THE UNDERSIGNED hereby gives notice that improvements will be made to ccttuin real property,and in accordance with Section
713.13 of the Florida Statutes.the following information is provided in the NOTICE OF COMMENCEMENT,
I. Description of property(legal descri on:)Summer Hill Sut dlMoa
a) Street Address:39049 South Ave YeOwftAs Fl 33542
2. General description of improvements Re Rou
3. Owner Inforination
a) Name and address:Stephan wo or Rae Am Bwmssa 3tt049 Scu9t Ave Zephynaus Ft=42
b) Name and address of let--simple titleholder(if other than owner)
c) interest in property -- -
4, Contractor Information
a) Name and address:Atwarat Roattnq 10828 Tom Fort am Rd 71an010Assa Fi 33592
b) Telephone No.:813-98"527 Fax No.(Opt.)
5. Surety infiamtation
a) Name and address:
b) Amount of Bond:
c) Telephone No.: _ Fax No.(Opt.)
b. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or outer documents may be served-,
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
S. In addition to himself,owner designates the fulluwiny person to receive a copy of the Licitor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt) •--
9, Expiration date of Notice of Commencement(the expiratipadate is one year from the 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
COMMENCEMENT ARE,CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13.
RLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWiCE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST RE RECORDED AND POSTED ON THE JOB SiTE BEFORE THE FIRST
INSPECTION,IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE F C MMENCEMENT.
STATE OF FLORIDA
COtIDiW OF PASCO
OF Co ur Owner's A zed OM-ertUirec x/Purbw lamgcr
"I Nam
The foregoing instrumcnt was acknowledged before nw rhiO--Bay or Ay)�_\_ .20 !�t,by
t as " (type of authority,e.g.olTieer.trustee,attorney in fact)for
Monte )
Nrsyaally Known Olt Produced Identification_ Notary Signature i
Type of Identification Pnuluced• Name(prinq —t
Verification pursuant to Section 92.523,Florida Statutes.Under penalties of Pqr' 7,140flara drat I have msd the foregoing and that the facts stated
in it are true to tho best of my knowledge and belief.
WA Mtt,)ACK JAIIRELL
figo jy hills•State of Fiatidi
ftrisirsiite•a OMED21
fily COW.Expires 40-8.2021
a err rr r r ++qJA�
i
STATE OF FLORIDA,COUNTY-OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
d. A TRUE AND,CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
In god lve Trust *c WITNESS MY HAND AND OFFICIAL SEAL THIS
DAY U
�k PAULA S.O,'NEIL, CLE &COMPTROLLE
& BY DEPUTY CLERK
��OF FLOC\®@`
STATE CERTIFIED LICENSED
11000-Rg CONTRACTOR BONDED
C V-6'K 9 5 6 2 A L V A R E Z INSURED
Tel: 813-986-4527 Fax: 813-986-4745
10825 TOM FOLSOM RD.,SUITE E -THONOTOSASSA, FL 33592
EMAIL officegalvarezroofing.net
THE COMPANY AGREES to:
Remove roofing to smooth workable deck F-1 25 Year(3-Tab)
Replace all rafted decking 2 sheets 1/2"included. � Limited Lifetime Dimensional Shingle
*Carpentry'is additional$ 1 & per sq.ft. 1/2'.
Renail Roof Deck to Current Code ❑ Limited Lifetime Premium Dimensional Shingle
F-1 4130 Felt, F-1 Other:
El Synthetic Underlayment
Brand: L2, PT%64
Self Adhered Modified Underlayment Style: L,:F,)
Rembve All Roofing Debris from Jobsite Color:
Replace Eave Drip KDFHA/2-1/2" E-1 Aluminum 3 Yr.Workmanship Warranty w/Manufacturer's Product Warranty
Color:
Replace Pipe Flashings with Lead Boots E:1 Extended Warranty-.:
F-1 Replace Bath&Dryer Exhaust Vents 17 Install Feet Aluminum Ridge Vent Color:_
EJ Modified Underlayment In Valleys � Install 9 0 Feet of Shingle Over Ridge Vent
�N All Permitting and Dumping Fees Included El Install_Off Ridge Vents Color:
F-1 Above Shingle Roof Portion$
❑ Optional dry in with in lieu of 30#felt will be additional cost of$
Flat Roof Options:
F-1 Modified Bitumen
F-1 Hydro-Stop Coating
TERMS OF PAYMENT
10% due at contract Signing. Balance due in FULL upon completion.
Purchaser agrees to pay all costs of collecting or securing or attempting to collect or secure this account including a reasonable attorney's fee,whether the
same is to be collected or secured by suit or otherwise. Service charge of 1 1/2%per month(18%per annum)shall be charged on all accounts which show
a balance owed after thirty(30)days.
ACCEPTED BY: a -6u,, Contract Price: 6 0
Signature_
Less Down Payment:
Name
Balance Due: $
Address tlqs ?L'LA (Plus any additional wood repair needed)
;r A,-7_1 �jj�S
City,State,Zip- FL- 3 V7, Respec'ffully Yours,
Phone—X 13 - _q�9- (')Lu ALVAREZ ROOFING
Date— 8-24- 19 By:
12/17
City of Zephyrhills
1 1 1 5335 Bch St
Zephyrhills FL 33542
(813)780-0020
I ROOFING INSPECTION AFFIDAVIT
Permit No.:
I, �A(%Wo licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer—Architect Building Inspector
License No.CjW1k `ts O�
On or about Lj/
� )I C did personally inspect the: 3G0LtCk SOLL-01 Ave,
Check: Roof Deck Nailing ✓ Dry in f Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick V"Other(List)
At the following
address:_ '1C(Q1ACl SUI x'yk ptyP
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: XA'0bW9--
STATE OF FLORID
COUNTY OF PASCO r�
Sworn to and subscribed before this day 9-cA l
BY: L110�ZQ-"Q� d/7
Notary Public State of Florida
M. IGLESIAS
Commission # FF 898139
My Commission Explies
',`,,;;;;°;••`• July 12, 2019