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Home My WebLink About19-22001 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22001 BUILDING PERMIT v ,P.,ERMIT INFORMATION `.LOCATION AWORMATION Permit Number: 22001 Address: 5210 5212 5TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15500-0190 Improv. Cost: 5,500.00 OWNER INFORMATION =-ss Date Issued: 11/04/2019 Name: TRUSTEE CORPORATION OF THE FBC Total Fees: 105.00 Address: 38231 5TH AVE Amount Paid: 105.00 ZEPHYRHILLS, FL 33542-4975 Date Paid: 11/04/2019 Phone: 813-782-5574 Work Desc: REROOF SHINGLE & REROOF TPO CONTRACTOR(S) APPLICATION'FEES NATIONS ROOFING, CONSTRUCTION & REROOF COMMERCIAL 105.00 r /7 �j s ections Required " DRY IN ROOF IN P 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 cokfR^AtT6rlk 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 ( ) V J Owner's Name Trustee Corporation of the First Baptist Church of Zephyrhills Owner Phone Number (813)782-5574 Owner's Address 1 38231 5th Avenue,Zephyrhills,FL 33542 Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address 2— JOBADDRESS 5210 5th Street,Zephyrhills,FL 33542 'b /-'V� �/r�'��f LOT# 19&20 SUBDIVISION CITY OF ZEPHRYHILLS I pARCEL ID# 1 1-26-21-0 01 0-1 5500-01 90 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q. = DEMOLISH e INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK Reroof Slope Roof 4:12 Pitch,9 SO,Certainteed Landmark FL5444-R14,Tarco PBS Undedayment FL10450-R10 BUILDING SIZE SQ FOOTAGE 864 HEIGHT GA.�S4E'f P� =BUILDING $ 5,500.00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN 77 N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# il OTHER �r UCOMPANY 0Ti1G 4 "OfiliAll SIGNATURE REGISTERED Y/ NJ FEE CURREN Y/N Address License# GG 331 1 t111111111111111111111111111111tllttllltllllt1111111111111111111111 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 onsile,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 onsile,Construction Plans,Slormwater 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 Attomey(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) 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 YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR 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 Su ribe a s or ff a bef re me t s Who is/are personally known to me or has/have produced o is a pe brsooally ka n to me or has/have produced as identification. as identification. Notary Public rYP t P�RISTINA EAGER al'a bf Florida Notary Public Commission No. Commis ion No. �✓ U -+ +_ Commission # GG 223598 My Commission Expires %;orr��.� May 30, 2022 Name of Notary typed,printed or stamped Name o Notary typed,printed or stbAiped '3 , g �.' {��y JP" °F AMERICA y,p�r _' -,` atio��,��t_s1`' oofi q P �si n EXPRESS � � ,'- @fIS 15421 Bellamy Brothers Boulevard,Dade City,FL 33523 (813)701-6122 CCC 913314`19 412 www.NatioilsRoofinciCom an,.com Owner/Purchaser: Frist Baptist Church Carlos Santana -�GIC Date: 10-23-19 Claim#: NA Insurance Company: NA. Policy#: NA Small Shingle & Flat Roof Job Address: 5210 5th St city: Zephyrhills FL zip: 33542 Mail to Address: E-Mail Address: Home#: Cell#: Business#: V,Complete tear off of existing i Layer . Additional Notes/Special Concerns: Shingle Roof to wood deck Complete Re- Roof to include all.Materials. Permits, a or an ras can p Secure all loose roof decking as needed according to Florida Building Codes V Roof dried in with Secondary dater Barrier Includes 3 sheets of Plywood at no extra charge VInstall hew valley metal with galvanized metal fi,s " Secondary Water Barrier(P&S) underlayment Install new drip edge color: With Year Labor Warranty �lnstall new lead bolts Install all new general roof vents • Install new Xhingle .____Metal Tile / Modified Bitumen __XPO V Manufacturer(Shingle,Metal or TileQertainteed Landmark Manufacturer(TPO or Mod.Bitumen) T P O Color(Shingle,Me{al or Tile) Color(TPO or Mod.Bitumen) White All roof related debris removed from Jobsite,pick lap loose nails using commercial grade magnet V All materials,labor and permits furnished Provide a 10 year labor warranty Base Price*$ $5500.00 Additional Items: Payment Method❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim ❑Credit Card# Exp. Date CC ID# Dawn Payment:$ Amount Financed:$ Approx. Monthly Payment:$ Payment Terms: Paid at Completion Extras: 'Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. Customer Inilial V Deficient'A"plywood replaced at a cost of$ 65 per sheet in the roof field,whichcyicludes labor&materials. All other wood work/additionai labor,such as,but not limited to,valley rebuilding,rafter replacement,Ix decking,etc.will be a rate of 3 L'r per lineal foot plus the cost of materials. THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT. I A CEPT T I&PROPOSAL AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERST ND THE PROVISIONS OF THIS CONTRACT. Purchaser:.— Date: 101 O 1�1_1 Purchaser: Estimator: Dan Ruther ford INSTR#2019186661 OR BK 9999 PG 663 Page 1 of 1 • 10/31/2019 11:02 AM Rcpt:2104459 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez•Sowles,Esq.,Pasco County Clerk&Comptroller PamitNo. PereellDNo 11-2621.WIC-ISSW4190 NOTICE OF COMMENCEMENT State Of Maids cmmv of Palm THE UNDERSIGNED hereby gives Ace that Inrmovemed wll be made to eerfafn red property,anal in aecordmw with Chapter 713,Florida Statutes, the following Idamadm Is provided In tints Notice of Cmurrencernant 1. DesaAptim of PmpeAy:Parcel ldentlllcadm No. 11-21"2141 10.185W-M90 CRY OF ZEPHYRH]LLS PS 1 PG 54 LOTS 19 6 20 BLOCK 155 OR 4724 PG 1 wg Sheet Address 5210 5th Street ZeDhyrhBle•FL 33542 2. General Description d Improvement REROOF S. Owner Irrfamation or Lessee hfambtlon ff the Lam=ftctsd for the imprmwar t Tnrstee corporation of fire FM Baptist Church dZephyrNh Ina. 3=15th Avenuearna ZephyrtI la FL 33542 Address City state lift In PropeAy: Owner Nerne or Fae Simple TWeholdar. WA (If different from Owner listed above) Address City Stem 4. Contratla NATIONS ROOFING.CONSTRUCTION&MECHANICAL.LLC None 15421 BELLAMY BROTHERS BLVD DADE CITY FL 33523 Address city Stem Contractors Telephone No.: (813)485-WO 5. Suety: WA Aisne Address City Stets Amorad or Bond:i Telephone No.: 9. Lender: WA Nome Address City Smte Landers Telephme No.: 7. Paean VAM the Slabs Florida desip sled by Ore owner upon whom notices a ether doaments may be saved as provided by Se�19.13( � �Ida r Name 1 'BPS► LeAkntAct� Celt &ARA4.vblu L� Address State lep Tehone Number ofDesignated Person: /s N&• p Z! a. In addition to hM PIf,U� orwr deal des C> &2 of Aftm nsedve o oopy d tha Llonors Notice as provided M Section 7l&13(1)(b),Florida Statutes. Telephone Nwdm of Person or ErAy Deelpnaled by Owner: 413-40&-WZ i1 9. Expiration data of Notice of Corrtmerreanad(tire aWhatlm date may not be before the canplation of aonsh wilm and final paymerd to the eorrbactor,but va bean yeafrem the date of necordmp unless a dlferoM dale is speofied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS RIDER CHAPTER 713, PART 1, SECTION 713.13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTI&g OF COMMENCEMEa MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST iNSPE N. IF YOU TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK O CORDIN TICE OF COMMENCEMENT. Under owl of I her mad ad the foregahp notice of oom and statedst therein are true to the be of my Ionedp and bellel. STATE OF FLORIDA COUNTY OF PASCO SlprmtUre of err p s Auth*Uad �'t- ,?F (-.-f rr. .. Swewa Thor forager p I ntne wnad was admo ledped bdae m}e ihia oy d_ JQ by OCAIC lap �C:I Y��P��r C. S 1 \" t'�YI.V\�1^ ��I/•• flYPed . , .tnntee,attorney In lad)for 'C (nmre d e bah f dwtrom ins ant wee exea led). Persmilly Known 0 OR Produced t Notary rt ypo Sp„atu -{ T of Idonl�ation Produced t1J1RIBELVILLALOBOS Notary Public=state of Florida i :• y! Commission n GG 1 Feb 20 2022 Comm.Expires h hational Notary Assn Bondedthroug I II III r li 1 r I I I ,v®IC STATE OF Fl OPMA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS o {„ TRUE AND CORRECT COPY OF THE DOCUMENT ,nG�ri,QTr ON FILE OR OF PUBLIC RECORD IN THIS OFFICE . -k WITNESS MY HAND AID OFFICIAL SEAL THIS DAY OF (y 2 OL? O JJ(�SG� dsa� CLERK&COMPTROLLER s •. , � r BY /�`^� DEPUTY CLERK ED City of Zephyrhills 5335 81h St Zephyrhills FL 3354.2 (813.)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: , I, Q0Ui1 i 112kAfJ: licensed under Chapter.468, Florida Statutes as a(n): Contractor `Engineer_Architect Building Inspector_ License No. On or about 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) At the following address: 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: - _"4. STATE OF FLORIDA COUNTY OF PASCO Sworn to and subscribed before this day BY: 1 (Votary Public State of Florida KRISTINA EAGER ,z state of Florida Notary Public -* = Commission # GO 223688 My Commission Expires May 30, 2022