HomeMy WebLinkAbout19-21229 CITY OF ZEPHYRHILLS
5335-8TH STREET
813 780-0020 229
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION.
Permit Number: 21229 Address: 4800 4802 20TH ST
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: EASY ACRES
Est.Value: Parcel Number: 13-26-21-0120-00000-0440
Improv. Cost: 6,600.00 OWNER INFORMATION
Date Issued: 5/15/2019 Name: ERIKSEN, GREGORY
Total Fees: 75.00 Address: 17303 LADERA ESTATE BLVD
Amount Paid: 75.00 LUTZ, FL 33548
Date Paid: 5/15/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 75.00
c
l '\
�/
�G �
DRY IN ROOF INSP Ins ections Required
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.
jig
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
Owner's Name l r ic; Owner Phone Number
Owner Phone Number
Owner's AddressFqTo6 Ti%b-), L
Flt(_0 lj y- L:, Owner Phone Number
JOB ADDRESS LOT# C��
SUBDIVISION PARCEL ID# T,�, c C)G
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTIRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 'STEEL
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE= HEIGHT
LILDING $
_U E1 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION O V 0
=GAS L J ROOFING 0 SPECIALTY = OTHER Z�11
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LZ_LN_J
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY C IZ o o
SIGNATURE REGISTERED Y/ N FEE CURREN rY/N
Address I License# I C,(C R S() 9`7
HHHHi 11 s 1!H! 1!111 H 1 H!111!1 H 11 HH m 111111 1 H H 1 H 1111 111!HH 1 a H j 111111111 it H 1 B 1111111111 if+
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/Slit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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&I 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 ppck•of.application;%notarized,-
If over$2500,1a Notice of Commencement is required, '.,(A/C upgrades over$7500)
Agent(for the contractor)of P&ier'6f:Attdniey,,(foe the,owh6r)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING ;.-i'(copy pfcon
Reroofs if shingles _'$eryice_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.
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 (11)
acre which are elevated by fill, an engineered drainage plan is required.
If 16ni"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 B AI FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY_BEFORE RECORDING YOUR OTICE OF M _NCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and n to(or irm )befnr a this 7`��
by b /'G tl r / , Cc I
Who is/are personally known to me or has/have produced Who is/are p a y wn to me or has/have produced
as identification. as,identification.
Notary Public Notary Public
Commission No. Comm ' n No.tor;
CQUEUN ous
276d57Name of Notary typed,printed or stamped Name of Notary ►oyPsMMsuranoe800,9857019
INSTR#2019077157 OR BK 9901 PG3755 Page 1 of 1
05/07/2019 12:52 PM Ropt:2052416 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'Neil Ph.D., Pasco County Clerk&Comptroller
NOTICE OF COMMIENCEM(ENT
Permit No.
Tax Fbtjo No.
THE UMEMGM hereby Om notice that improvement will be made to certain real property,end in accordance with
av;ft 713,Florida Statutes,the Mowing information is provided in this NOTICE OF CONIMMM&NIT,
1,Description of property aMd description of,pr%erty): d&*epl/-0/00 000- 0 V
a)Street acb)Address: 6e%,'6Q :,5, 4/9'0,)L pa4e -ZA0Av,&h,,11.s 6 33,--,.V-S
2.Genaddescriplion cfixaproveinwt(*- 4'0 4 :2:j�A- j 0"oo-
3.Owner or Lessee call if contracted for i
&Nkme and addre==�MCM cp�y V1 'txr—TT%y'g-
b.rvkw.st.in propertr cp\ZZIQ�J-
c.Name and address of Em simple titleholder{if other than owner):.......
4.Contractor htfimnalica
a.Name and address RM 10*1 A0,F4 2 2AW16 CY
b 52-At9 "A -No, —'M -4-40-v---yVID --v"gra
,,-Ph=Amber. d 4W
5.surety Wbrinefion
a.Name and address.-
b.Amount of bond$
o.Phone number: Fax No.(Opt)
6.Leader
&lie andaddreas
b.Phone number.
7 Persons within the Stale of Florida doqpiatod by 0w=upon who notices or other docinumts may be served as provided by
Section 711.13OXa)7.,Florida Statutes:
a.Name and address:
b.Phoria atimberz
8.In addition to hi nwl$Owner designates the Mowing person(s)to receive a copy of the Lionoes Notice as provided in
Section 713.13(l)(b),Florida Statutes:
a.Name and addrar
h Phone number:
=EZPLMd date of=&a of COUMMe"Wnt(de elplMdon date
fa I ye"
date Is spmftd)
wAwmG To OWNER: ANY PAymim MADE By THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEHENT ARE CONSIDERED RUPROPER
PAYMENTS UNDER CHAPTER 713,PART 11 SECTION 713.13,FLORIDA STATUES,AND
CAN RESULT IN YOUR PAYING TWICE FOR IWROVF402M 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
VeM*a=PMMM*10 SCOIORM25,FUMM SWAMI S Under pwaltim ofperjw7f I decbre that I hale-read the forqpft am init are true to ties blest otuqrkwwledgo and ballet
Siguatcue of Owner or Lamm%or Owner's or Lessee's Authorized OffloodDirectouTutneManVer
State Of FM='.
County of
The foregoing ins ment was acknowledged before me this 3,day of A-!7 2q.)—"by
rrx 6¢ who is personally known to me or has produced
&-d(ff-3 and who didMidnot tab an oath,
J0W)6ALLA*GHl-.R
SiPdmV Notary
PuMi,-PW ofiWda 0,F1011da .
Mnk'lur,4f '37 9
Print TyM or Stamp My CoMril.rxpl;es Aig Za'
fil -ationi NIM,
Name cfNotaxyPkMc commissiowd
I
i
I
i
i
I
lc i
STXrE OF FLOR10A,COUNTY.OF PASCO
HIS IS TO CERTIFYTHATTHE FOREGOING ISA
UE AND CORRECT COPY OF THE DOCUMENT
0 FILE OR OF PUBLIC RECORD IN THIS OFFICE
'"G°rr��rrtur TNESS MY HAND ANCL OFFICIAL SEAL THIS
DAY OF ' 2 Q'
t O A LA S.O'NEIL,CLERK&C MPTROLLE
BY DEPUTY DEPUTY CLERK
` ,®' FLU
state CaMfied=1330893 N o. 00089
zr .
TLC Roofing & C+o►nstructh. Inc.
Licensed•Bonded•Insured
Free Inspections&Estimates
Call Travis Thurston Sf��OS
Offfice: Residential •Commercial.•AU Roof Types. Cell: (352) 8074M-
(352) 437-4073 Email.tccroo 1n Experience Ctt" (/352 650-7101
gfl cia�gmai/.corn 1 }
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
Name Street
Street 8,60 16 City
City r 14, t 5 State Zip
State � Zip Owner of property
Phone Number Fax- Phone Number fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
L�f Remove existing shingle roof t/Replace bad fascia boards at$ H•d 6 per foot
13 Remove exis�tinng built-up roof ®Install6� feet of ridge vents
fmf ['Dry-in with Synthetic t3 Peel&stick ❑Install Master Rib Metal Roof System
❑Install new galvanized valley metal ❑Install 1"insulfoam
t�►nstall new lead boots ❑Install
g25 yr.fungus resistant 3-tab shingles
install new exhaust vents ri ins 080yr.fungus resistant dimensional shingles
00( stall new drip edge, color 19 Shingle manufacturer, color
I
0 Install new flashing as needed t4q}c,,, t W a re c ❑Install TPO,white rubberized rooting membrane
Replace plywood at$ .00 .per sh ❑Other: Gt- OtK
d(Repair rotten trusses at$_ - Gf- Per f t
'Woodwork is an additional charge,see pricing ab ve j!!—�-XT4q SST-
A/W TA P _ =0
All material is guaranteed to be as specified,and t e above work is to be performed is accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of$ ro
with payments to be made as follows. Payment due In full on completion. unless otherwise noted.Thank You.
Credit cards accepted,additional 4%charge.
Any alteration or deviation from above specifications Involving extra costs vAH
be executed only upon written orders,and YAP tieaorne an extra charge over
and above ma estimate.An agreeroente.mntingent upon strikes,accidents or Off car/Agant
ur delays beyond o control:Owner to eery ere;tornado and ether necessary
aboveInsura upon above aka work y Roofi nsellonCon raid Public uabinty ir�ance� Note:This proposal may be withdrawn by us if not accepted
above wok to tie taken out by Roofing Contractor.
within 30 days.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE'OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified.Payment�I be made ayoudined above. r
Accepted 0T/�` -\ Signatures_
Date es/ 4 fie signature
City of Zephyrhills
�� i:nnrrr.tr 5335 81'St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
licensed under Chapter 468, Florida Statutes as a(n):
Contractor V E7L..(1 ngine►9er_Architect_Building Inspector
I�.� _
License No. .l330W3
On or about did personally inspect
the:
Check: Roof Dec ailing Dry in V Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick_Other(List)
At the following
address: e
.�- -2
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
COUNTY OF PASCO
Sworn to and subscribed before this day
BY: GV
Notary Public State of Florida
CAROLINA OLASCOAGA RODRIGUEZ
MY COMMISSION#GG 102968
EXPIRES:May 9,2021
Bond odThruNolary Public Underwdiers