HomeMy WebLinkAbout19-20892 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20892
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20892 Address: 38436 NEW JAY 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00100-0030
Improv. Cost: 5,100.00 OWNER INFORMATION
Date Issued: 2/27/2019 Name: PEREZ, ADA
Total Fees: 70.00 Address: 215 EAST PALM DR
Amount Paid: 70.00 DAVENPORT, FL 33837
Date Paid: 2/27/2019 Phone: 727-365-5524
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
W D HUTCHINSON CONSTRUCTION LLC REROOF RESIDENTIAL 70.00
Ins ections Required
DRY IN ROOF INSP
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7e0-0020 City of Zephyrhilis Permit Application Fax 813-780-0021
Building Department
Date Received Phone Contact for Permitting 7
Owner's Name 0. Owner Phone Number
/ �1 I Owner's Address of/��� CC�S+ �C�1 !Z Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address F__
JOB ADDRESS L� � aIG Gee zC' " la LOT#
SUBDIVISION lyy PARCEL ID# �o t✓tC9S�d"C10�b`( 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR Q l ADD/ALT C� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM 0 OTHER
TYPE OF CONSTRUCTION = BLOC�-K�^ = FRAME = STEEL QJ
DESCRIPTION OF WORK y f �' e r
BUILDING SIZE F_ SQ FOOTAGE 7ir.S O HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL I$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $�-_-_-� VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
E-LECTRICIAN COMPANY
SIGNATURE __ REGISTERED Y/ N FEE CURREN
Address I License#
SLUMBER COMPANY
31GNATURE i REGISTERED Y/ N FEE CURREN Y/N
Address License# F_
iAECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN
Address License# �
)THER f Pm:�_cOMPANY yv r t/;
31GNATURE REGISTERED Y/ N FEE CURREN LILIN
Address ,0Rox1 to L� l FI 3g-o c/ License# �' 7f
�32
i
tESiDENTIAL 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
.OMMERCIAL Attach(3)complete sets Of Building Plans plus a Life Safety Page;(1}set of Energy Forms.R-O-W"Permit for new constriction.
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.
Ilrectlons:
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
IVER THE COUNTER PERMITTING (Front of Application Only)
;eroofs 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 IMPACTIUTILITIES 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 beer' 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 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 (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, th 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 YQUR LENJUEROOR'AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this S b lb and sworn to(or a firmed.b ore me this
by
Who islare personally known to me or has/have produced Who Isar ersonilly kn-o-WrVo me or has/have produced
as Identification. as identification.
Notary Public Notary Public
Commission No. Commission No. ;
;' - JAMES HOLTON�
me I-Ale 4rn02,
Name of Notary typed,printed or stamped Name of Notary typed,printed or sta-q. P
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'La6di31tl�'Y
STATE QF FLORIDA, �r:�:_...•�-,,:.�;,:,=�
COPY Or THE DOCUME ICE
THIS IS TO CERTIFY THAT THE FOREGOING is 4
TRUE AND CORRECT IN THIS OF
OF PUBLIC RECORD
ON FILE OR
AND OFFICIAL TH�
Y H AND
WITNESS M .r,
DFiY OF MPTRC3LLER `? ®_ �r
S.O
PA t: .da l€r
DEPUTY CLERK tB�?i
Win. HUTCHINS
� donntr��ZXC
P.O.Box 1308-Dunedin,FL 34698-1308-(7277)723-8581 -Fax (863)686-7274
Email:williamdhutchinson@yahoo.com
License Number:CCC1328714
PROPOSAL SUBMITTED To A PHONE DATE c�a 10--7-- 365-55a4 .
STREET 3 Aoe---- JOB NAME
CITY,s-rATE AND zip CODE- JOB LOCATION
FAX 9 DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for:
ty-, renp'I ne orl
en_oe_+yA_fTY1. Ime-Ad- coer 6011
bit pe�)
0-U S
5k, r l CA o' .5 itr,
ALL
A-e e
,4-k D e eA r\ c. S e_*C<>0dCn_V-k1
bgj-r,'e_(- A;Ad 4P -5(40 .
tdOTc Wood RcpIccornont,it required,is not included in We quote.Wood replacement will b3 charged on a time&materials basla,
labor not to exceed per man hour plus cost of materialO.
Me- ropogehorobyto furnish matorial and abor-Complete in accordance with above aparcificcrtions,for die cum of:
T�
tL(74 v r C,0.50t M INt'A-,,. dollars(9-
Paymen4 to be ma&-as follows:
NOTICE TO OWNER:As recuired by the Florida Construction Lien Law(FS713.08)(2)(6).
builder hereby notiliss owner that persons or companies furnishing labor or materials for the
..sit clion an owner*s land may have lien rights on owner's Land buildings if not paid,
Those entitledto lien rights,in adddion$to the undersigned builder,are those who contract
directly with the owner or those who give the owner the notice after they first furnish labor or
Materials for the construction
All material is guaranteed to be as specifikid. All work to be completed in a work-
manlike manner according to standard practices Any alteration or deviation from W.O.HUTCHINSON CONSTRUCTION.LLC iarlif not bo hW.d liatifor for ervchcd drivamNa,
r nix in I="ar d_nrla-.3 to rapIlz tanks duo to Iho uw cl our hawy aquipment.owricto
above pecifications involving extra costs will be executed only upon written orders. roapistiolblitty to atcoza for neonoq6tpm�_ L
and will become an extra charge over and above the estimate. All agreements con•
tingent upon strikes.accidents or delays beyond our control. Owner to carry fire. In race of 3stc p=y='M OF"auft.at,IWo payrnaanta,conactfull emir and or mornoy*q
tornado and other necessary insurance. Our workers are fully covered by f=2 rail ba paid by debtor. A chtirgo of 1 112%will bj ch--gad-n=vthly-on on
Workmen's Compensation Insurance. accounts over 30 day Id
NOTE: This proposal may be withdrawn Authorized
by us it not accepted within. -days. days
cm ne-
Occeptance of fropligal- The above prices.specifications and con-
ditions are satisfactory and are hereby accepted. You are authorized to Signature
clo the work assr)nrilipel P;;vmprl will)--—4---Iliin-li
-
Construction LLC
P.0 Box 13O8 °Dunedin,FL3469Q-13D8 °(727)723-O5O1 *Fa (863)686-7274
EnaU:viUiamdhutchnson@yahoucom
License Number:C[C13Z8714
GENERAL POWER OFATTORNEY
TO ALL PERSONS, be it known,that|William O. Hutchinson ofVV,Q. Hutchinson Construction
The undersigned Grantor do hereby make and grant a general power of attorney to-Z�rne:s
of W.D Hutchinson Construction LLC,and do thereupon constitute and appoint said individual as my
Attorney-in-fact,to pull all permits in all cities,counties and municipal,area where W.D. Hutchinson
Construction LL[does work.
My attorney-4n-fact hereby accepts this appointment subject to its terms and agrees to act and
perform
In said fiduciary capacity consistent with my beat interest as he in his best discretion deems advisable,
and |affirm and ratify all acts so undertaken.
This power of attorney shall not be affected by disability of the Grantor.. This power of attorney may
be revoked by the Grantor giving notice of revocation to the attorney-in-fact, provided that any party
relying in good faith upon this power of attorney shall be protected unless and until said party has
either;a)actual or constructive notice of revocation,or b) upon recording of said revocation in the
public records where the Grantor resides.
d:�
� ��
S�nedunder seal th day of Zu1 <
_ .
�/�nedintheprese � �
4essGrantor
ess
:WWi t n e Attorz-in-Fact
Note: Delete ����pmm :o not ��ov Notary Public-State of Florida
4.
State of �&����
� �
County of��z7eox —D
O before me,appeared O
to me(or prov�d to me on the basis of satisfactory evidence)to be the person(s)whose name(s)is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their a uth d capacity(), and that bvhys/her/theirs|gnaturc(s)onthe instrument the
s (s)or the I ESS my hand and official seal.
Affiant KnownProduced ID
Si8natur fnotary Type of|
L
0
Q t y City of Zephyrhills
53358 ch St
< a'
Zephyrhills FL 33542
(813)780-0020
•
ROOFING INSPECTION AFFIDAVIT
Permit No.:.1 �_
I, ,/r icx)-n 0, Alt, /t_A;V7 S-b j:::::j_ licensed under Chapter 468, Florida Statutes as a(n):
Contractor-Y-Engineer�Architect Building Inspector`
License No. CCC j?aE7/y
On or about /, 8 9 12,'c�-j 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)_.S'o/f ee `c-
At the following
address:. n?('- 4 '"Vt:r�: j vP ��
-r
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:-z,—,,
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed beef-ore this day
Notary Public State of Florida
MY COMMISSION#GG020502
tt`„ EXPIRES August 11,2020