HomeMy WebLinkAbout19-21167 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2 67
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21167 Address: 39627 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0900
Improv. Cost: 6,900.00 OWNER INFORMATION
Date Issued: 5/01/2019 Name: HAMILTON, DEBRA
Total Fees: 75.00 Address: 8936 DITOLA CT
Amount Paid: 75.00 SAINT JOHN, IN 46373-9739
Date Paid: 5/01/2019 Phone: 708-372-3097
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
BAYSIDE ROOFING PROFESSIONAL REROOF RESIDENTIAL 75.00
/v
DRY IN RFIP Ins ections Required
TAPE JOINTS ROOF IP74
FINAL /� /l
REINSPECT70N 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.
CONTRACthR 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
Owner's Name Owner Phone Number
Owner's Address ( Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �p I ( l
JOB ADDRESS ` 9 7� t ''-,��,"•, ' lt/-1 '3� 7 LOT#
SUBDIVISION PARCEL ID# 3 0W—01—V I qb'600M- 9�0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR LZ e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK I S ` 1 FM -R( o-
LJ
BUILDING SIZE SO FOOTAGE HEIGHT
BUILDING $ 9�0,Od VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ W AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y N FEE CURREN Y/N
Address 1'5(4 39 tK.-t Q WO License# I CCC( 9 f�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE?l I Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI, LZI N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License# �
Illlllllllllllllllltlllltlltllltlllllllllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivisionsllarge 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. (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(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/WastewaterTreatment.
- 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, 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 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. .03)
OWNER OR AGENT CONTRACTOR
Subscribe and swo n to p(firmed)befo rr lhi criq and sworn tooaffrmed) efore a is /
l !_L_L_by �AWi} c(� /0 S -/�by Q .
WIIQ is/are personally known to me or has/have produced Who is/are personally knowalo.me-or has ave produced
as i entification. as Zenation.
_/,��A1) "a
Notary Public Notary Public
Commission No. Commission No.
a++rrr
N ;gv P �[�t9�F 'I���NOtary PUbiir s Name of Notary ped�t���e�orstam� DISPAR ICommission #GG 123949 �=4PU4�
PAState of Florida-Notary Publi—c My Commission Expires : =* Q= Commission#GG 123949
July 13, 2021 % My Commission Expires
� July 13, 2021
State.Certified Roofing ;` 7 W.Pasco:727-844-7663(ROOF)
&Building Contractor '�a 6IPinellas:727-723-7663(ROOF)
Lic.#CCC1328720 • � 1 Hillsborough:813-229-7663(ROOF)
Lic.#CBC1253998 Bays�tle Hernando: 352-799-7999
Bonded&Insured Fax: 727-940-5441
"AConsmitment To Quality" Roofing Email:baysideroofing@live.com
Angh?s list WWOMMMUM www.baysideroofingpros.com
PROPOSAL SOBMIITEQ 3O n j PHONE O DATE /
STREET 1,90 �') � LOCATION yl'_
CITY,STATE,ZIP OTHER
1 . , ► . �1Y1 a
-6
We hereby submit specifications and estimates for.
��A (at-pSvil
7303 "'1664 Lj'nrX i 10, �, � ti ►.. ii-L� 7
t,.10lD-
- .
propose hereby to furnish material and labor-complete in accordance with these specifications for the sum of:
dollars(S 1,
Payable as follows:
All material is guaranteed to be as specified.All work to tie completed in a workmanlike
manna according to t twdard practices.Any alterations or dtrviat. hum above Authorized
specifications mvoh'ing extra costs will be executed only upon written orders,and will Signature
become an em charge over and above the estimate payable upon completion of the
work-contained in said change order All agreements contingent upon strikes,accidents mposal tiny be withdrawn by us ifnot accepted within
NOTE:Thisp
or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. dq&
Our workers are filly covered by Workames Compensation Insmance.
ACCEPTANCE OF PROPOSAL The prices,specifications and conditions are satisfactory and hereby accepted.You are authorized to do
e work as specified Payment will be made as outlined above.
1�1
Sign
a a ate 201 Signature Date
i
t
•
State Certified Roofing& Pasco:(727) 844-7663 (ROOF)
Building Contractor Pinellas: (727) 723-7663 (ROOF)
Lic.#CCC1328720 Hills: (813) 229-7663 (ROOF)
Lic.#CBC1253998 Hernando: (352) 799-7999
Bonded&Insured Bilyside Fax: (727) 940-5441
A Commitment to Quality Email: BaysideRoofing(@Live.com
Angieoss List 1108fin� www.BaysideRoofingPros.com
Fsn> ss�oN�e.s
To whom it may concern:
The following individuals are authorized to obtain permits and are considered authorized
agents for Bayside Roofing Professionals, Inc.
Patrick Hloska Sr.
Patrick Hloska Jr.
Jill Hloska
Andrew Shuhart
Jessica Rumore
Lorie Gouge
David Johns
Anyone who is not listed above should be removed from obtaining any information or
permits on behalf of Bayside Roofing Professionals, Inc.
Thank you,
Patrick Hloska- Owner/License Holder, Bayside Roofing Professionals, Inc.
The forgoing was acknowledged before me this day of l 20 /by
a c k as /�(� for r f Get
``%Ay PO. RENEE DISPARTI
_a ,State of Florida-Notary Public
=• *= Commission #GG 123949
My Commission Expires
July 13, 2021
Signature of Notary Print,Type,Stamp
Personally Knows `✓— or Produced ID Type of ID Produced
5439 Mile Stretch Dr.Holiday,FL 34690
INSTR#2019069538 OR BK 9895 PG 151 Page I of 1
04125/2019 12:10 PM Rcpt:2048880 Rec:10.00 DS:0.00 IT:0.00
Paula.S. olXei�PFLD., Pasco County CCerk&ComytrotTer
is
Par-M No
NOTICE OF COMMENCEMENT
State of
-big; Seems
County Of— pd—SC6
THE UNDERSIGNED hepaby bemmis w4ort*test propedy,wd IMUCOAdOnO 'Mlh CftpW 713,Fk"St-suim,
the 1190*41ta iflbMRkft Is pmvlftd in We Notice oI commnoemort
1, lowonor"arty-, [2�0-
3c�
a
ShMdAddrasw
2. General Del-iption or Improvement
3. Owns'lAfOrmallOn Of X1311248 W111"Oft if 110 Lomas cwdraoted W The Improvernant;
Q! ftTyrwa
Address Slate
Interest in Property:
Nanwof Fee Simple Titleholder Of different from Owner 90 above)
Ci fjZ2 5% JZbeta
Address .5twe
C-tM,;w3Tel3phwaN*.:(-7A7A 7e,43
5. surety:
Name
Address
AmountolSond:S Tol Aftne No.;
Londar,
Name
Address Citv StMtq
Loodaes Tigaphans No.:
7. Pa"o-no VMM the Slate of Flnrldc dedgmallad by the av=r upon whom nations or other dowmente,may be served as;,nW4ad by
Section Florida Statutm:
Nme
Address city state
Telephone Number cf Designated Pummu
a. In addlVan to I*vwell,the owner dmignaus of—
to racabm o Copy of LW UenoesNaGan as pv*Wded in Florida Stalutes.
Tafoplhorie Mobaraf Pansum arEnfity Oeskcatatl by owner
ft*atlon date or Notice of Commencement(the a.Viraflon data may nal be bakre the comptetion of oomiltuctlon and fmW Mment to,the
contractor,but wW to am year from the data of reco4fta wilmsa%Wamt date is lPwffWct)'
WARNING TO oWNrR., ANY pAyMENTs MADE By THE OWNER AFTM TFIE 9VIRAMON OF THE NarMS OF COMMENCEMENT,
ARE 00,4SIDERSo w�pRcpeR PAymEM UNDER VAPTERIIJ PARTI SEMON71313'FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO YOUR PROPbR—Y. A t40:ffCE:OP-COMMFINICBMENT MUST 8E
R=RDED AND POSTED ox THE ice Mm 9EFoRE THE FIRST impiscrom IF YOU immo To OBTAIN FINAWws,CONSULT
WITH YOUR LB40EROR AN ATTORNEY EEFORE COMMENCING Whit OR REMPMlI`*YOUR NMCE Or COMMENCEMENT.
scrims Ehtd t haft rand tho ramong noffm of=nmenveravat and that the faft stated ftmlyll are bva to tha best
of my TatoSvled6'o and haRal.
STATE OF FLORIDA
COUNTY OF PASCO rxt al �
sig—rmure of Ownef or LMSM or Oyneft or, meds ad
OfficadOl I Me
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sign a OKMO
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(type of wAhowlty,e-gi,aillear,InA9400.cftMwYP Igmt)far
(rnrme on beheif of wh Tnarnentwu a!x=tw)l
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'TATS OF FL RI DA
CoMirt#GG11 128t
Expires 6/26 241
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT f
ON FILE OR�QFtiP BLIC�RECQRD I,N fflS�QFFICE t:X ;• j a .�
WIT MY'HAKIb N *I'CiAL'-8LAL
DAY OF 2
PAULA S. O' IL,CLERK&C MPTRQLLER a '
BY cDEPUTY CLERK h�� ° ° •�
FCC
M. City of Zephyrhilis
5335 V1 St
Zephyrhills FL 33542
(813)780;.0020
ROOFING INSPECTION.AFFIDAVIT
Permit.N0.4 i
I, SA licensed under Chapter 468, Florida Statutes as a(n):
Contractor Le Engineer Architect Building Inspector
License No. CCC 13a&2a
On or about 0 l0 ' -• ! did personally inspect the:
Check: Roof Deck Nailing Dry in � Flashing and Drip edge
Check which was used: 30#felt Peel and Stick Other(List)
At the following �n
address: C1CO . . ! 1 lkCdm cc L'cc)to
r C
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section 553.8444,Florida Statutes).
P4-�
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
S nd subscr' a before this day
BY:
Notary Public State of Florida
RENEE D{SPART{
=a19pY"�8 State of Florida-Notary Public
e' CommlgISsian.#GG 123949
'* My 610isefon Expires
dW1 13 2021
CITY OF / / / / BUILDING
ZEPHYRHILLSNOTICE
DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRE , q 0 �� ���^.J �� DATE PERMIT61/
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
P� M U�
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARC MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR