HomeMy WebLinkAbout19-21429 s CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21429
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21429 Address: 38319 14TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-01500-0071
Improv. Cost: 7,425.00 OWNER INFORMATION
Date Issued: 6/25/2019 Name: DEAN, CAROLYN
Total Fees: 80.00 Address: 38319 14TH AVE
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/25/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S , APPLICATION FEES
ROOF NATION REROOF RESIDENTIAL 80.00
r- 11
DRY IN ROOF INSP 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.
\CONThACT& SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1 813-780-0020 City of Zephyrhills Permit Application Fax-818-780-0021
Building Department ,, ^(��
Date Received y Phone Contact for Permittin 1g Q'WDci
Owner's Name Coro "n ► )e(A Owner Phone Number
Owners Address 3 1-1 Ve Ze �(11�`\S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
drress t ^ Q \ r
JOB ADDRESS 38-319 14� f' vc_- /J. 1 1 r1 r�11s F 3��`lL/� LOT# — S 1(( 1
SUBDIVISION 6� I PARCELID# 11'2Lo-21 -6O\C).C� -0 -)1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = B(L`OCK 0 FRAME = STE L
DESCRIPTION OF WORK �� _
BUILDING SIZE SQ FOOTAGE= HEIGHT
B 7UILDING $— VALUATION OF TOTAL CONSTRUCTION
1 r
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ `0
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK LILN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt` LILN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREr` Y/N
Address LLiccense# C
OTHER COMPANY
SIGNATURE rr REGISTERED Y/ N FEE CURREK J I Y/N
Address 7 vV1Q1 S 11` mot License# 1CC vucl
111111111111111111111111111 11111111111111111111111111111111111111
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 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.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/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 Y U I T D TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R , E OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed a worn o(o i e )before m thi `
by
Who is/are personally known to me or hasthave produced Who War rsonally ow or had/have produced
as identification. as identification.
Notary Public Notary Public
7 ll
Commission No. Commission NN)o._C`_J-/C—)S`«�
Name of Notary typed,printed or stamped �e of Notary ty0ed,`pArinted or stamped.�it� Notary Public State of Florida
('Y._,d0'
Tashyra Dash
w 'My Commission GG 312781
Expires 03/17/2023
i
i
G.M. ROOFING SYSTEMS DBA ROOF NATION
1 CCC1329011
06/24/2019
Attention: City of Zephyrhills
I, Miguel Quian, license number CCC1329011 authorize Damon Wade,Daniel Hann and
Melissa Hann to obtain permits on my behalf.Any questions please feel free to call our
office at 800-701-2669.
nature
i
State of Florida
County of Hernando
/1 Subscribed and sworn to.me this f day of U 11 e __,2019 by
MA ionwhom is personally known/produced Identification.
t
(Notary Stamp)
Notary public
�41 ,n"oua ssele a Fwrioo M commission expires: 03/ l-T N VQ'D
t,sr yea Rasp Y p
y Ary COMM5601 GG 312781
��oi n t.pnes 03+17t2023
G.M. Roofing Systems, LLC
dba Roof Nation
Honesty, Integrity, Quality "We've Got YOU 4243 Powell Rd Suite 202
Covered" License# CCC1329011 DATE: 06/17/19 Spring Hill, FL 34604
NAME: Carolyn Dean Phone: (800) 701-2669
melissa@gmroofingsystems.com
ADDRESS: 38319 14th Ave
Zephyrhills,FL
Phone:
Job Details
Job Description: Supply labor and materials to install a new roof system
1. Remove existing roof down to decking
2. Renail Decking Per Code
3. Insiallyeel & stick
un er yment
4. Install new 6" drip edge Color: TBD Initials
5. Install new lead boots
6. Install new vents (GRV's). Color: TBD I Initials
7. Install new ventilation replacing existing system. Color: TBD ✓ Initials
8. Install new GAF architectural shingles Color: TBD Initials
9. Haul away all roof related debris.
10. Deposit: $3,712.50 Balance: $3,712.50 at completion of job / Initials
We will ensure a clean and safe working environment.The entire roofing system provided will be installed by the
codes of the State of Florida and by the manufacturer's specifications.We provide a full 5 year leak guarantee on
workmanship in addition to any manufacturer product warranty.Contractor by code is not allowed to ignore or
roof over rotten wood.Rotted wood is not included in this estimate.An additional$65.00 per sheet of plywood
Quote for new shingle roof$7,425.00
1.ACCEPTANCE OF THIS PROPOSAL.Upon acceptance,this proposal shall become a contract binding between G.M.Roofing
Systems dba Roof Nation and the Homeowner and shall be construed according to the laws of the state of Florida where the work is to
be performed.
2.COMMENCING PERFORMANCE.After acceptance is provided,the G.M.Roofing dba Roof Nation shall be given a reasonable
time in which to make delivery of materials and/or labor to commence the performance of the
contract.
3.COMPLETION AND ACCEPTANCE.Upon completion,the Homeowner shall immediately inspect G.M.Rooting Systems dba
Roof Nation work,and issue an acceptance to the G.M.Roofing Systems dba Roof Nation;provided the work has been completed
according to the terms of the working contract and full settlement shall be made in accordance with this agreement.A full and
complete acceptance of the work shall be presumed upon the Homeowner making final settlement and/or executing a note for
final settlement.
4.RESPONSIBILITY.G.M.Roofing Systems dba Roof Nation is not responsible for damages to shrubs landscaping,lawns,driveways,
sidewalks,walls,ceiling,interior furniture,fixtures,stock or equipment due to reroofing or otherwise,this contract does not include the repair of
uneven roof sheathing or rafters,carpentry work,electrical,plumbing A.C.work,pan,or solar heaters unless stated above..
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37,
FLORIDA STATUTES),THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE
MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE
THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A
CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY
SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS,THOSE
PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT,
EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY
YOUR CONTRACTOR,YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR
PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD
AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT
i P
YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY.TO PROTECT
YOURSELF,YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAYMENT IS MADE,YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED
TO YOU A "NOTICE TO OWNER."FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,
AND IT IS RECSDED THAT YOU CONSULT AN ATTORNEY.
PREPARED Y:
DATE:
APPROVE DATE:
INSTR#2019106813 OR BK 9928 PG 930 Page 1 of 1
s 06/25/2019 08:34 AM Rcpt:2066578 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. OX66 Ph.D., Pasco County CCerk&ComptroCCer
Permit Number
Parcel ID Number
NOTICE OF COMMENCEMENT
State of Florida THIS AREA IS RESERVED FCR CLCRKOF THE COURT GERTIFICA71ON
County of-pifte+ias.. sc o
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal description): Cj _Z�. hy�ciltl� P. _�e � _ s�—a q 1 O f�loc,1c15
a)Street Qob)Address: 5$0 y q_.._1 a{�''...RY e.....ZklyY hf\�S.,•_F.�...3�.5.4.Z. _...._........
2.Generai description of improvements:
3.Owner Information or Lessee Information If the Lessee contracted for the Improvement:
a)Name and address: .___.._.._....._._..—
b)Name and address of fee simple title older(if different than Owner listed above)
c)Interest in property: � -
4.Contractorinformation --- — — --�- -- _ - - ----- ---
a)Name and address: C1r Ro ofV-) --_.0-1bel-2mf 11 \A2ZAA
b)Telephone No.: n _—�— Fax No.:(optional)
S.Surety,(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.: -.-.__._.----.-----.--______.____.._____-- -- _ -- -•__—_-- _ .
c)Amount of Bond: i
8.Lender " -••---_..__._—__.__ _.________ _._
a)Name and address:
III)Telephone No.: _
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(1)(a)7.,Florida Statutes:
a)Name and address:
b)Telephone No.: —_ —— _ Fax No.:(optional) --- _— —__
8.a.ln addition to himself or herself,Owner designates ......_ --____— of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner.
8.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date!s.specljed: 20
i WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT A 1RE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,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 WITH YOUR LENDER OR AN `
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT_
Under penalty perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knoWedge rt b lief.
(Signatu er or Lessee,or Owners or Lessee's(Authorized Officerrecla/PariniiManager) (Print Name and roWde Signatory's Title/office)
The foregoing
� +
instrument was acknowledged before me this'. ms�_l day of
by L 1.b1 _- e , __!__.-•------ as _ � nr,._�a -------(hrPe of authority,e.g.officer,trustee,attorney In fact)
for as
for S (nameroffpa o b If
Name of Person) a authority, officer,trustee,attorney In fact)
(��- _... .._...... _. .... .. .. .._. of om i irument was executed).
Personally Kno ❑. Prod` d ID
Type of ID YJV tjL-,S__.LI_.Ct,n,�,C __. Notary Signature
Print name
Notary Public State of Florida "
Tashyra Dash
My commusm GG S12781
o, Expkas 0311712023
do- STATE OF FLORIDA,COUNTY OF PASCO
THIS 18 TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
N OFFICIAL SEAL THI,5,
�W�ITNS WY HAND 4A .OF
DAY 2 QVI
CL &01
PAULA S. O'NEIL,CL K&QOMPTROLLER
BY DEPUTY CLERK
t
Q R
City.of Zephyrhilis
5335 81h St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: 214229
licensed under Chapter 468, Florida Statutes as a(n): "
Contractor_,,,_Engineer`Architect Building Inspector
License No,. (N-Cc.1 QogM"
On or about 1ebS11 '.30"w'did personally inspect the:
Check: Roof Deck Nailing ✓ Dry in J Flashing and Drip edge ✓
Check which was used: 30#felt_Peel and Stick ✓ Other-(List)
At the following
address: " 3iCA 14�r C�►v� �,5
Based upon that examination, I have determined the:instaliation was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section.553.844, Florida Statutes).
A it
Signature: . EKE
tate of Florida
STATE OF FLORIDA j;T GG 312781
023
COUNTY OF As o
Sworn to d su s rib d before this day- 1 -O,-
BY: TOL S h t J S f 1
Notary Public State of Florida