HomeMy WebLinkAbout19-21182 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21182
BUILDING PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 21182 Address: 5035 17TH STREET
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: 11-26-21-0010-21300-0070
Improv. Cost: 5,600.00 OWNER INFORMATION
Date Issued: 5/02/2019 Name: POSTLETHWAIT, BETH
Total Fees: 70.00 Address: 5035 17TH STREET
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 5/02/2019 Phone: (813)997-6001
Work Desc: REROOF SHINGLES
CONTRACTORS APPLICATION FEES
STAY DRY ROOFING OF TAMPA BAY IN REROOF RESIDENTIAL 70.00
DRY IN ROOF IN P Ibs ections Required
TAPE JOINTS ROOF 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.
R�►OTQB SIGNA 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
1
Date Received Phone Contact for Permitting
J' } _
Owner's Name / T� IVJ�1 Owner Phone Number �1, `�"� /' 1
Owner's Address ® Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �7,, l�
JOB ADDRESS �o \ � `7T (� �qq 1 rb%\VS, LM LOT#�{��-� [�(�
SUBDIVISION PARCELID# l�—�21- QQA0_Z1�'C1J�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW C.ONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM = OTHER
TYPE OF CONSTRUC71ON = BLOCK Q 1FRAME Q STEEL Q
DESCRIPTION OF WORK e—Too �
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $5 / 6� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ (� `J AMP SERVICE 0 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 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License# �—
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN LYLN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LLLN
Address C, p License#
OTHER [����� COMPANY
SIGNATU Wig)
s i REGISTERED Y/ N EE CURREN tYrn
� r/
Address �1 1 l�1 ��� ��' License# �V� 1 ciso
IIIIIIIIIIIIIIIIIIIIIIIItI1111t11111111II111111t1111111illllllt1111
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(3)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 constriction.
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 (Front of Application Only)
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 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'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, 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 ATTORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �' r
OWNERbWAGENT CONTRACTOR -
Sub and sworn o(or affirmed)b fore m this bscribed id sw0 or affirmp efor a this
4i1`�Il� i`1 K�06%%5 �lot2� r8 1 by o
o is/ar ersonally nown me r has/have produced Who is/are ersona nown o e r has/have produced
as identification. 1r as identification.
Notary Public \ �_ Notary Public
Commission No. 1�1e �� Commission No.�GI aA lo / R`�@
U®IV,yle Look I SON 0\n& �Z\Sor)
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
"r r •"..► ULRIKE WILSON
�,►P o,�.. ULRIKE WILSON :oa
`?• �: Notary Public State of Florida ?: Notary Publlc•State of Florida
k Commission N W 236714 ;�•' �i Commission p GG 236714
My Comm,Expires Aug 11,2022 of My Comm,Expires Aug 1,1,2022
Bonded through National Notary Assn. Bonded through National Notary Assn.
INsTR#2019074068 OR BK 9899 PG 98f) Page 1 of 1
05/02/2019 10:36 AM Ropt:2051029 Rec:10.00 DS:0.00 IT:0.00
Paufa S. 0'3VeiC Ph.D., Pasco County Cferk&ComptroCfer
DJOTICE OF COMMENCEMENT
Permit No.
Property Identillication No. 11-211-2VWi8.2i3NM70
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real properly,and in accordance with Section
713.13 of the Florida Statutes,the following Information h provided in rho.NOTICE OF COMMENCEMENT.
1. Description of property(1qa1descdpden:) C"GFZWWFNUAP'31PGULOT87&40LCCR213OFt35HP01M
a) SftdAddress- 5MMHSTZRKffMU3FI.=Q
2. General description of improvements Reiser
3. Owner information
a) Name and address: POSTLEniWWOMA$MlTrHOTZEPWFU ILLS Ft,33SM147
b) Name and address of fee simple titleholder(if other than owner)
c) Interest in property
4. Contractor information
a) Nam and address: S*ftRoMgdTaw4mBW.kr-4?OOKFIDAftAvoiTWaFL
b) Telephone No: (813112324m Ne No.(Opt.) (eta)232-Mi
5. Surely Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by ov'caqupon whom notices or other documents maybe served;
a) Name and address:
b) Telephone No.: —'fax No.(Opt)
8. In addition to himself,owner designates the following person to receive x copy of the Lienor'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 ofNotice of Commencement(the expiration daft 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,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOS SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSUI.T YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT,
STATE
COON OF FLORSCW
ff OF PA Vs1grAWMOFOWrcroi r'sAuftrim 11
.0" Qfr
Sprint Name
The foregoing instrument was acknowledged before me this &Y or 20Aby
as (type ofauthority,e.gofficcr,trustee,attorney in fact)for
(name of patty on b"fofvhom ent was ted).
Personally Known OR Produced Identification Notary Signature CE 7RI C,
Type of Identification Produced Name(print) _T
t
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of pe I declare that I have read the foregoing and that the facts stated
in it are true to the beg of my knowledge and belief.wttttsrrJocrvratoot
*v___D(041tht
OrNat"WrMa Abu" I•
Sir—
LINDY C CONYERS
WRIMy COMMISSION G0078649
EXPIRES May is.2021
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STATE OF FLORIDA, COUNTY OF PASCO
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
JVITNESS Y HAND AND OFFICIAL SEAL THIS `G`�1''�gust '
—DAY OF 2 k�s
PAULA S.O L,CLERK OMPTROLLER _
BY , DEPUTY CLERK
ti "We've Got You Covered" DENNIS FLORES
STAY - DRY ROOFING DANIEL FLORES
Lic.#CCC057980
Phone 813-232-9430
Free Estimates of Tampa Bay, Inc. Fax 813-232-9431
Residential and Commercial
All Types Of Roofing Work
4700 N. Florida Avenue Tampa, Florida 33603
City of Zephyrhills _.
5335 8th Street
Zephyrhills, FL 33542 4/12/2019
To whom it may concern,
I, Dennis Flores, license holder for-Stay-Dry Roofing, authorize the following
People to apply/sign for permits under my license number CCC057980.
Please allow ONLY the person(s) listed below to sign. I understand that this letter
is valid until written notification supersedes this authorization.
Tianay Flores
Daniel Flores
Ulrike Wilson
Contractor's Signature Contractor's Printed Name
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
This foregoing instrument was acknowledged before me this day of
1 20 �Ot by Vloy(L�,s who is ersonally
own to me or has produced as identification and
who did (did not) take an oath.
C C--5L o`13�o-7M
NOTARY PUBLIC COMMISSION UMBER
::��a�pu'•.• ULRIKE WILSON
_°; ` Notary Public State of Florida
®`` Commission#GG 236714
of t? My Comm.Expires Aug 11,2022
Bonded through National Notary Assn.
Estimate
Dennis Flores
�- Licensed, Bonded,and Insured
Phone.813-232-9430
STRY DRY ®®1 -I�l Fax: 813-232-9431
O F T A M P A 1 BAY INC. Lic# CCCOS7980
4700 N.Florida Ave. V Tampa,FL.33603
Proposal Su fitted to- Phone:. Date:
411Z r3 s %' l
Billing Address: Job Address
City,State, Zip: Job City,State,and Zip:
Con act me: E-Mail Address:
eE3 City/County o �
1. Remove the existing roof and remove all debris.
2. Replace all rotten wood (s below) and bri deck to current building codes.
3.Apply underlayment.of: Felt Buster (_)Tiger Paw(Add: ,) Peel-N-Stick (Add: $ �
4. Replace all vents, pipe flashing, and valley metal as req.ulre Shingle SQ:
5.App.ly.a new eave trim. Color: ,�' �4 Flat SQ. �
6:Apply new ( Fibergl ss Shingles(iITile .,—Metal,,(�Flat ,1W J mc � Cap: 9 '
Type. >` i im Manufacturer: Color: Valley.; r-
7. Post necessary permits.
8. Provide a-�V year workmanship warranty and a h O�� year manufacturer's material warrann
Type of w rranty: ( ) Silver Pledge (_05,year Ieak,proof Golldfenn'Paledge Warranty Add: ( )
To upgrade to
shingles, add: $-� ( )
FLAT ROOFING (if applicable):
1. Apply a---"ra pered system (if required) with 4---rsra Board ----F'erlite
2.Apply a base sheet and a white modified cap sheet.
3. Provide a year warranty and manufacturer's material warranty
Wood C&s ,(If needed):
per sheet of plywood, per sheet of fire treated plywood, r ft.of 1x6,and per ft.2x4
Price is based on one layer of shingle or flat roofing,any additional layer shall be billed at per square per layer.Stay Dry Roofing will not be held
responsible for damages incurred as a result of electric lines,AC lines,water lines,and/or any other lines that we cannot see and/or are up against the
plywood underneath the roof.Price is contingent based on access for debris and delivery truck.If there is a satellite dish or solar heating device,
homeowner must remove and replace.
.- dt
hpo—lev—p C b—k� �,jk --- -- - --- -
-- --- --- - - - - - -- - --- -
We Propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
0Z,
�-- ,
ollars($ �71e? 5(� )
Pay ent and unpaid under the contract shall bear interest from the date payment is due at the rate of 18%per annum.
Acceptance of Proposal: Authorized
By signing below,you have agreed abide by Stay Dry Roofing's terms and
conditions located on the back of this estimate,as well as our full contract;which Signature X Ga
can be provid a y ti e. Cell i �� 7-
Signature &xd.,bLW
Note:This.proposal may be withdrawn if not
Date of Acceptance: 03/(D"7 / 19 accepted within days
Q �
City of Zephyrhills
5335 e-St
- Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
--;-� f
I, no a IV_S> licensed under Chapter 468,Florida Statutes as a(n):
Contractor Engineer, Architect—Building inspector
License No.
On or about lot 119—did personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt Peel and Stikvother(List)-
At the following
address:
El
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).
S gi nature:
STATE OF FLORIDA
COUNTY OF+ASW
Sworn to and subscribed before this day
BY• cA'1f1 tS1�
Notary Public State of Florida ( ��
l�J
:tsiv"aUB., ULRIKE WlL50N
a° m4 Notary Public State of Florida
a• o+ commission A GG 236714
NaF F: My Comm Expires Aug 11,2022
Banded through National Notary Assn.