HomeMy WebLinkAbout19-21160 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21160
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21160 Address: 5319 TANGERINE DRIVE
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: 12-26-21-0040-00300-0110
Improv. Cost: 8,750.00 OWNER INFORMATION
Date Issued: 4/30/2019 Name: EUDY, CAROLYN J & MICHAELS
Total Fees: 85.00 Address: 5319 TANGERINE DR
Amount Paid: 85.00 ZEPHYRHILLS FL 33542-4698
Date Paid: 4/30/2019 Phone: (813)469-6890
Work Desc: REROOF SHINGLE
CONTRACTOR S . APPLICATION FEES
COVENANT ROOFING & CONSTRUCTION REROOF RESIDENTIAL 85.00
.Ins ections,Re wired
DRY IN ROOF IN P
TAPE JOINTS R OF IN -P
FINAL 4q
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.
CONTRACTOR 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 Lj52 314 _ 3625
Owner's Name Carolyn EUdy Owner Phone Number 813-469-6890
Owner's Address 5319 Tangerine Dr.Zephyrhills, FL 3354 Owner Phone Number
Owner Phone Number
JOB ADDRESS 5319 Tangerine Dr.Zephyrhills, FL 33542 LOT# 11
SUBDIVISION ZH FITS PARCEL ID# 12-26-21-0040-00300-00110
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTRe ADD/ALT � SIGN 0 = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Tear off existing roof and install new asphalt shingles.
BUILDING SIZE I = SQ FOOTAGE 1900 HEIGHT �.
=BUILDING g 750.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER / COMPANY CO U� '" -aClDrr
l
SIGNATURE W REGISTERED Y/ N FEE CURREN Y7 N
Address License# 0-CCI329936
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 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,Slormwater 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 Fortes.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.Al 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. (A/C 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(PlottSurvey/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"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 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 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 FAILURE TO RECORD A NOTICE OF COMMENCEMEN SUL IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO AIN FINANCING, NSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI F COMMENCEMEN
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed a m to(or affirmed)b met '
by 426/19 y oseph
Who is/are personally known to me or hasihave produced re personally kno r ave produced
as identification. identification.
Notary Public otary Public
Commission No. C mission No.
Lindsay Duckham
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
o►RY1PGBG°. LINDSAYDUCKHAM
?• �= Notary Public.State of Florida
Commission$GG 235334
My Comm.Expires.Oct 28,2022
Bonded through National Notary Assn.
INSTR#2019072032 OR BK 9897 PG 1 282 Page 1 of 1
v 04/30/2019 08:45 AM Rcpt:2050021 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'NeiC Ph.D., Pasco County CCerk&ComptroCCer
After recording,retum to:
Covenant Roofing
1410 Emerson St.Leesbum.FL 34748
Permit Nc.: Notice of Commencement
Tax Folio No.: I -a(,-;0 I- 06 V -ob 3b6- 6/ID' State of Florida
The undersigned hereby gives notice.that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the
following Information is provided in this Notice of Commencement
1.Description of the Property:gegeldesmptonofMa and&odeddvwffa'vagable)
Legal Description: Z s /3r ? ! 3 d C 1 „PG d 43{
Street Address: S .. -2
2.General l� ln of Improvement
P.rbb� _
3.Owners Information or Lessee information If the lessee contracted for.the Improvement
Address: / /t Z
Interest in Property: Ate
Name S Address of fee simple titleholder(f dtRment than owner):
4.Contractor Information y ' " �� p
Name: Covenant Roofing&Construction,Inc. Jbr?fsprl IVt r/ Phone No.: 352-314-3625
Address: 1410 Emerson St.Leesburg, FL 34748
5.Surety ilf applicable a copy ofthe payment bond must be attached):
Name: Phone No.:
Address: Amount of Bond: $
6.Lender information:
Name: Phone No.:
Address.
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1ua)7.,Florida Statutes:
Name: Phone No.:
Address: IV I
8.In addition to himself or'herAlf,Owner designates of.
to receive a copy of the following Liences Notice as provided In Section 713.13(1)(b),Florida Statutes: Phone No.:
9.Expiration date of notice of commencement(the e*ftdon date wX be.f year from the date ofreowding unless a ditmtd date Is specKed).
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF SHE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13 FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY.A NOTICE'OF COMMENCEMENT MUST BE 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 YOUR NOTICE OF COMMENCEMENT.
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The foregoing instrument was acknowledged before•me this _day of 20_d by Lam✓6n C am_ ae
04,Ae for f'i_w.t�— Who'
typeofauuw*(La,alRoa,&usme,attameyi,fad) Nerveofpw*onb@Wofwhamhm umntwwaxsaded
Is personally known or produced Acpl,IV Ej00-ay 4 r-7P7'4�' as type of identification.
�,O r� Notary PuM.Stele of Honda
J �vJoshua Rayl
• My Commwn GG 170511 Slpnahce of N
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Notice of Commenwmoid—BF19(Updated a19.16) •.• .
e "`°''=OF
`'' ORDA, MUN IY ON PAOSCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �� X� •�. ® �
M
HAND A I JAI SEAL I r4 °a. , `taxAY OF 2� � �IL, ER OMPTROLLER ����DEPUTY CLERK yb'oj -
City of Zephyrhills
Frr.iionr, 5335 8ch St
FJ' Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:21160
I, Joseph RaVI licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer_Architect_Building Inspector_
License No.CCC1329936
On or about S/7/1 A did personally inspect the:
Check: Roof Deck Nailing NZ Dry in N/ Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick_Other(List)Synthetic
At the following
address: 5319 Tangerine Dr_ Zephyrhills, FL 33542
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
Sworn to and subscribed before this day Fl
• 'ti�YyCamm.GWn M7B.Mt1
BY: I G•�� �edd��NWmU Naury4v
Notary Public State of Florida