HomeMy WebLinkAbout19-21432 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21432
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21432 Address: 39525 9TH 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: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0300-00000-0230
Improv. Cost: 6,300.00 OWNER INFORMATION
Date Issued: 6/25/2019 Name: AMISON, MARK&ADELLE
Total Fees: 75.00 Address: 39525 9TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/25/2019 Phone: (813)355-7698
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
TLC ROOFING LLC REROOF RESIDENTIAL 75.00
I
DRY IN ROOF IN P 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.
i
1*_1
CONTRAC NATUR PERMIT OFFI R
PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78M020 City ofZephyrhills Permit Application Fax-813-78o-0021
Building Department
Date Received Phone Contact for Permitting 813- ' 713- 1313 i
-rrrr i rr' -rrrr
Owners Name ADELLE AMISON Owner Phone Number 813-355-7967
Owners Address 39525 9TH AVE Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS9TH AVE LOT# 23
SUBDIVISION UNSET ESTATE 'PARCEL ID# 12-26-21-0300-00000-0230
WORK PROPOSED e W CONLSTR e R DD//T SIGN(OBTAINED FROM rRoaERlrrax�Noncq DEMOLISH
INSTAL
PAJR
PROPOSED USE = SFR = COMM, = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK I REROOF EXISTING SHINGLE ROOF
BUILDING SIZE SQ FOOTAGE® HEIGHT
BUILDING $6 300.00 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ - 52
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
t .—
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
i
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREA LYLN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREA LYLN
Address 77771 License#
MECHANICAL COMPANY
SIGNATURE REGISTERm I Y/N FEEcURREn I Y/N
Address A License#
OTHER COMPANY COOFING LLC
SIGNATURE REGISTERED IXIN FEE CURREN L2KLN
Address License# CCC1328205
1111111111011111lllllldllllllll111.11111111111111DIB1111111111111111
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)worldng days after submittal date. Required onsite,Construction Plans,Stornvrater Plans col 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 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.
. . . , , . � . . y� .
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 Prover 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(PloUSurvey/Footage)
Drhroways-Not over Counter if on public rnadways..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.
CONTRACTOITSIOWNEITS 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 YOU TICE OF COMMENCEMENT_
FLORIDA JURAT(F_S.117.03)
OWNER OR AGENT CONTRACTO
A/X-11��. %.4,110MEng-1
Subscribed and sworn to(or affirmed)before me this Subscribed and o(or affirmed)b s
by by
who istare personally knovm to me or hasfhave produced Who Islare personalty knovm to me or hasihave produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2019106123 OR BK 9927 PG 2200 Page 1 of 1
06/24/2019 10:17 AM Rcpt 2066143 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. OW66 Ph.D., Pasco County Clerk& ComptroCCer ti
�c
{ FLORIDA �¢ PASCO _
12-26-21-0300-00000-0230
.3959�i 9TH A�%E
RERQ.Q.E SM.NSa.SNJN-QLE R OF
D LLE AMISON
395,25 H AVE Z P L
Ad*MS�WNFR `�' s� .
.yL p�fmiQ�tA/a��4fieLGOa�S�ilud )
P01=1745 DAMMY FL
813-713-1313
Cmuaefotz Tam Idn:
:
4I. LaatG�.
s CRY BOW
,tsnq+e�s7�anataa. _ ..
:. M!r m vow ma Sum Cr fft=dlee plum IV saz Cr C&,w comma%EW tra lamed rraaded by
seem 7aats27 ('xassawex
Nam
teia�onatitad�r rA Puvxc.
a 8aa�orrtoit.8xnsiad d_,,,,,`
sc,iooe'svaa�ot�cc;.�fsti�'oeasnaiSSoctCa2t�.l�a�lp?.r�+octasvmes
Toepsm*R=tcrw a4rEr4krDe a ctbrOw�cr [
' 1
a r�►�as�aca*,c�ix�re �a�aysc� � ,¢�a„dma�ar�naa��
.trR�n�acs�aaroaa am&�a�rnge�aosae�.s .
' 701 3�itt Pi�+16MiS RY 7H�O �tFT[-fit Y[iE= 370N��Nfi#�fGE i3F.�T
ARE CORSOMV AWRO"PA`fs1EJM UMM CR WMRM PAWt i" ),AM Fxo"iYA sTdC(3l'';m NO Cm
RESIRT W Yfltit PAY�Y6 3Y4R1� �S�D 7Y. /�! fit.I�AS7 Be�uo�w� �oesrraaoc:�ar � � aaaa
tktiv'pmet�tlpeJ�.itl�el�isitarmxags�elts�oagagY _ u;.s� ere�esldss� t�xuetve�erx>&
s:a:Ea�ncssta.
cmcPasco
-_ _OWNER.
,.aAl?F.LLE AMI SON
.
OWNER . a
eyaneati&ot ,rrs � .
rYpaaf nngmRtmt. DA'f�W.1_7P�'1k1�IS f
,1sr Np ary Public State of Florida
'Y�"`�; David w.tycans
State Certifled 4CCC1328205 Ptlone:844-TLC-ROOF
(844-852-7663)
Email:ticroofinglic@aol.com
TL.0 Roofing
Licensed •Bonded •Insured
Free Inspections &Estimates
Jeremy Hooks A¢ Residential -Commercial -All Roof Types David Lycans
30 Years Experience
(813) 312-4995 16L. ' www.TLCRoofingFL.com (813) 713-1313
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
Name C�d`1C: 0 (it �7`y I l Street
Street City
City 0'� op- YW [5 State Pam, zip Y 3 4�Z
State zip Owner of property
Phone Number Fax Phone Number 3 3S'�-�19 Fax
�Z
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
move existing shingle roof 1 place bad fascia boards at$ � per foot
❑ Remove existing built-up roof FJ Install �C� feet of ridge vents
ry-in with nthetic ❑ Peel &stick ❑ Install modified bitumen (granulated)torch down roofing
p4stall new galvanized,valley metal black,white or other color
Xnstall new lead boots ❑ Install 25 yr. fungus resistant'3 tab shingles
2-'i'nstall new exhaust vents install So yr. fungus resistant dimensional shingles
Install new drip edge, color Ingle manufacturer ��IrT color �6-�:
bu ,,Q4
;elnstall new flashing as needed ❑ Install TPO,white rubberized roofing membrane
@°Replace plywood at$ per sheet ther: offJP�13 Qr %�LD
-�epair rotten trusses at$ 5 per foot o;1w4a—// <I
*Woodwork is an additional charge, see pricing above 6-0 V(far
All material is guaranteed to be as specified, and the 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$6r�66✓
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 will
be exeaamd only upon v fitten orders,and uifl become an extra charge over
and above the estimate.All agreements contingent upon strikes,accidents or Officer/Agent
delays beyond our control,owner to carry fire,tornado and other necessary
insurance upon above wok Compensation and Public Liability Insurance on above week to be taken out by Roofing Contractor. Note: This proposal may be withdrawn by us if not accepted
within '3C0 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 will be made as outlined above.
Accepted Signature
Signature
' y
City ofZephyrhilis
4 5335 a St
Zephyrhills FL 33542
(813)780-0020
f
ROOFING INSPECTION AFFIDAVIT
Permit No.: 21 432
I, BRADLEY B. MILLER licensed under Chapter 468,Florida Statutes as a(n):
Contractor Engineer Architect Building Inspector
License No. CCC1328205
On or abort-DUNE 28. 2019 did personally inspect the:
Check Roof Deck Nailing_ Dry in V Flashing and Drip edge
Check which was used: 309felt Peel and Stick Other(List)SYNTHETIC
At the following
address: 39525 9TH AVE
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 FLOC
COUNT Y OF PASCO
Sworn t d subscribed before thi ay JUNE 28, 2019
BY:
Notary Public State of Florida
Notary Public State of Florida
David W.Ly=ns
a My Commission GG 256821
Expirec lllIB 2022