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HomeMy WebLinkAbout19-20955 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20955 BUILDING PERMIT PERMIT INFORMATION LOCATION-INFORMATION Permit Number: 20955 Address: 6417 BRENTWOOD DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):1 Block: Section: Square Feet: Subdivision: SILVER OAKS VILLAGE Est. Value: Parcel Number: 04-26-21-0030-O0000-0010 Improv. Cost: 28,000.00 ,.',OWNER INFORMATION Date Issued: 3/12/2019 Name: LEE, PIETER &YVONNE Total Fees: 180.00 Address: 6417 BRENTWOOD DR Amount Paid: 180.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/12/2019 Phone: Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES - PEBBLESTONE CONSTRUCTION & MANAG REROOF RESIDENTI L 180.00 � lV) Ins ectio" s.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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ` Building Department Date Received p Phone Contact for Penniftin-Y-F-F-F-11711 F7r-r-F-M �J I- I Owner's Name z?, L_zz Owner Phone Number (its) - 6 2 5-34 55 Owner's Address 6 y 1-7 ��Ert-rw©off ��.z LyRW s S' Owner Phone Number Fee Simple Titleholder Name r Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS yl"l B ►aT(,ioeD DR. Z�Pt1YRHt�,L.S FL. 33542. LOT# SUBDIVISION PARCEL ID# y r 2�`2,l-0030 "00 G00 da o (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN = = DEMOLISH INSTALL e REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK ftembm E CE 'EXATitAcy SMIMI 116oV,UPLAGe MmTED WOGAS NeMBb BUILDING SIZE SQ FOOTAGE HEIGHT UILDING $ O OD VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = 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 1 P+ SIGNATURE �`1 l,�1 REGISTERED Y/ N FEE CURREN Y/N Address / License# ^ ELECTRICIAN /A COMPANY N �1 SIGNATURE REGISTERED Y/ N FEE CURREN LILN Address I License# *��� A R PLUMBER a COMPANY I A SIGNATURE ' ` REGISTERED Y/ N FEE CURREN Y/N Address I License# 1` A MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# K OTHER COMPANY PEBBI-ESFoNf_ col4STP meth SIGNATURE REGISTERED Y N FEE CURREN Y/N Address 154100 54k, CdAME t_ t,�336 o License# I Cce 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 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized 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 YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI E EMENT. FLORIDA JURAT(F.S.f 17 ) OWNER OR AGENT CONTRACTOR Subscribed and swo 0 or affirmed befo me this Subscribed and sworn or nn of re me is 03:: g-19 by �IEiER affirmed) 03-0 - by- hk gETA Who islare ersonaI known to me or has/have produced Who isfare personalty known to m or has/have produced LOoo — 60-�I — H 2^0 as identification. as identification. L J,\_ — Notary Public t�t Notary Public mmission No. G Q 1 1)2q 1 mission No. ` 1 6 29 wa Name of N ty,tyKted='Hgted Name of Notary typed,pri d or„stamped JOHN ERNEST FRANCO JR Notary u is-State a Florida ;_.,^ =oE,. `�` • Commission#GG 170297 ,��.: Notary Public-State of Florida ''e My Comm.Expires Dec 21,2021 _ti` - Commission#GG 170297 rr I` ";;•' Bonded;hreugh National Not Assn. :`My Comm.Expires Dec 21,2021 ""' ^`C', ;`F'�, Bonded:hrouahNadonal Notary Assn INSTR#2019a31545 OR BK 9863 PG 2501 Page 1 of 1 02/26/2019 08:34 AM Rcpt:2031509 Rec:10.00 DS:0.00 IT:0.00 PauCa S.O'Nefi, Ph.D,, Pasco County CCerk&Comptroller Glf`{ - AFT&RRtICORDtNG—ttETU'RN ZeTO: f . q l$ 6Uw C0m&-py-0 p(An tsivd �N`�4LK l 4LS _T/_Akppr I P- 33L^,(o PERWNMMER QpRa��. �..0: oy-26�2t--oa3o— oocon'"` dd NOTICE OF COMMTNCEME-a (COA cot 04 0 a1) the undersigned hereby gives notice that improvemcat will be made to certain zeal property,and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice ofCommmoement. 1. DrACenMON OF YROPEKTY OAZBl desagaoa of dta property&snea ad&es%ifava0able)TAXFOLIO NO» , SMIMON BLOCK TRACT C. LOT l ffi DG tlrllx Smiy Boot PS 29 Plrs %6- 89 Lo-V 1 nocx c OR '15Sjj NS H-I2- 476 2.GENER"DESCRIPTION OFMMOV T. OF, 4606 r G 1 H 65 emovelrep1ace shingle roof,Replace rotted+grid as needed 3, O WAERIDFORNtATiON OR LESSEE INPOI{R7AtI(bti 1FTSE LESSE£cofffBAC1Ep FOR rS£I@SPROY£YEENT;� + j a.Naffeandaddsass 'Q rti,-' L��� C.. l"�- �"'�+'►` '�/ .'.�e� -Ll�..�._...^. _ 6 jrlL4t f . ,r� +,,1•,• b.InrGtest inproperty:Own e r c Knuo aW add,rss offee simple dd6oldar{rfdffc=fr=Omrs Used above$ 4. a.CONMMOR'SNA &PebbleStone Cionstrudon comractor saAdre¢5416 56th Commerce Park Blvd Tampa,FL 33610 b pboae=ber:877-389-0632 S. SU'RETY{ifaop1=ble,a copy oCftpaymca[boadis=e1%d): n Namtandeddrrsc N/A tti Ylancamnber: a.Amomt ofbond:5 e.a LENDER'S N/A teader'seaarasa b.Phoae rumba: 7_Persons within the State of Florida deslgoeted by Owner upon whom notices or other documeatts maybe served as provided by Section 713.13(1)(a)7.,Florida Statates e.Noma and ad&=NIA b.Ph=mmtbasofdesiWtcdperw= &a.10 addition to bimself oT h=4 Owner designates of to receive a copyofthe Lienor'sNotice as provided in Section 7I3.13(1)(b),Florida Statatrs. b.Phoaaas�b¢of person orcatity dcaigrrsud byOuaer 9. Expiration date of notice o£conamencement(the expiration date wdlbe I year&am the date aFrecordmg unless a different date is specified)' 20 WARMING TO QWNM,ANY PAYMMMADE 3Y TBE QWM AFrER DM EXPIRATIOW Of UWMTICE OF CONGAENCEMIN17 ARECONSIIISREO 11PR(�P PAXjy1fT' MIItCl3Ap?ER71 ,PAIR I�SFCISON7l"a 13 FLORMAUA,TU PS ACID CAN EStJI T]N YOUR.PAYING TWICE:FM DMMQMMM TO YOUR p$(P,�R'1'Y ANO1It�OF C MW-XCEA(ENTMUSTHE MiED AND-PAMTED ON TFIR JOB UMBEEOU TRS EflW WSTEMON. OU M T E N D TO CM N RNI Y O Y N � _.�.-- �_. �lk"""C'•E-'� 4...E (Signature of Owaer or Lessee,or Owner's er TR—'s (Print Name and Provide Signatory's Title/Office) Authorized 0McerMiredwMartnerWv%ager) State of ELOMA, Countyof y{ p The foregoing instrument was acknowledged before me this__r�_►.►�.day of VES W W 20 1 1 by I-EV,. .as 0 W IAER, ( f�P-* (type ofatrtltraity;...e g officer, attorney in fact) for �I,E.�. (name ofparty on behalf ofwhom instlumeatwas eseclrtoo ��. P �Typeof LOGO~66o-�9~q'S2:-0 JOHN ERNEST FRANCO JR State of Florida-Notary Public zo Gommissipn#GG 170297 r My Commission Expires ( e fnatsryPublic) December 21,2021 """,� (Prin Type,or Sump ionedNataeofNotaryPublie) Rep&Cell: TO��h T;.Lt%CD, r� LICENSE: CCCIS26288 '�10 EIN: 59.3750788 pl@BBLS?ON� PHONE:877.389.0632 INSTALLATION AGREEMENT Property Own r Address: City,St,zip:. ^��t (S 1— 3 3S�{r�— County: Pl;UC� Subdivision:tAi/2!Oak _ Home: Work: Cell: 3?(- Email: Insurance Company: tn, tct.�v im tt: G A: es No(Circle) Gate Code: ROOFING SPECIFICATIONS HIP WARRANTY LO�y i OPE �/I ANUFACTURER(S) +A 7 �[ DDMONAL WA NTY OPTIONS (/�J [y STYLE/GRADg1 cf" L5Y ERS. k�c jl}� OLOR_"If r r INfrIALS PROTECT LANDSCAPING,POOL,DECK AS EARpr��F51UNDERLAYMENTS -C. /NECESSARY 3 V YEAR F CfU R WARRA TY' flfr PAINT ALL ROOF HARDWARE TO MATCH i [�DECKdNG 2 t_- a�iVJ [r)S INTER OR WORK n K` V[� ALLEY , z.S. r2l SP CIA STRUCTIONS IDGE V,11PE FLASHINGSIFf VV" �T Q/ TAL EDGING h% VENTILATION C.v� t: 0 ADDITIONAL R GENERAL RACT�G$�>t�IFtICAT 0NS4 SYSTEM NrQQ��, `` PLACE STEP FLASHING AS NEEDED WRAP ALL PENETRATIONS WITH ICE/WATER CHIELD LEAN UP AND HAUL OFF ALL DEBRIS,ROLL FOR payment Terms AILS You may pay us as you are paid by trade completion,and or,as your YEAR WORKMANSHIP WARRANTY STEEP SLOPE mortgage company'releases your,funds, and, or, on a PER JOB Property Owner Notices COMPLETED BASIS. We will help you process the paperwork required When you contract work done on your property, Contractors, by your insurance and mortgage companies. Make checks payable: Subcontractors and Material and Equipment Suppliers all have a .LLC- DO NOT PAY OUR REPRESENTATIVE IN CASH. Right to Lien your property. As you pay us,we will provide you Offer&Financial Summary the UEN WAIVERS as required that releases these rights.As a part of this contract,you give us the specific RIGHT-TO-CURE any material Plus Approved Change Order&Supplements for Insurance Claims or workmanship defect you claim regarding this contract by giving us Dates Funded access to inspect,document,and CURE the defect Total Cash or Insurance Proceeds Offer radp e� s or owance WE HEREBY PROPOSE to furnish all materials,labor,subcontractors, equipment and ocher services and items required to complete this "t,1�6�mst apoa t Deductible agreement to meet or exceed all state&local building codes.All contracts CheGc� started within 30 Days of funding&completed within 90 days of starting. 2nd Chedc:Is Final:Yes or No Final Payment Accepted by Owner By: trtr Date: Z��IrY Representative Signature: �4A M� Date:n As property owner,I hereby authorize ,LLC,as my contractor and direct my insurance company to approve the reconstruction portion of my claim based on this agreement When executed prior to the satisfactory adjustment of my claim,it is executed CONTINGENT UPON APPROVAL of my claim.No work will proceed until my claim is adjusted to my satisfaction,all material selections and job specifications FINALIZED and funds are available to pay for the Jobs as they are satisfactorily completed. t ' A D City of Zephyrhills 5335 a St Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: 2.d 9 5S 1, AtAb P SM S L`f W YNJk licensed under Chapter 458, Florida Statutes as a(n): Contra ctorZEngineer_Architect—Building Inspector License No. CGG 132. 62$IN On or about O'A Ci"' C1 did personally inspect the: Check: Roof Deck Nailing` Dry in_ VI Flashing and Drip edge SYwa'rt1E"ctG Check which was used: 30#felt Peel and Stick_Other(List) RttiN4•Rood U?.0 214MBEAVA04T • Flr At the following i szt(0 -Rq) address: 6 4173fkEH- \AQ0'0 DPI Ft_ 33 5 TI 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 FLO DA COUNTY OF PASCO Sworn to and su scribe dA3Vfore this day BY: Notary ublic Stay f Florida M N ERNEST FRANCO JR Public—State of Floridammission#GG 170297mm.Expires Dec 21,2021 through NadorV Norary Assn.