HomeMy WebLinkAbout19-21606 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21606
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21606 Address: 5330 16TH 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: 11-26-21-0010-17200-0190
Improv. Cost: 4,735.00 OWNER INFORMATION
Date Issued: 8/06/2019 Name: WHITE, WILLIAM & REBEKAH
Total Fees: 65.00 Address: 5330 16TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542
Date Paid: 8/06/2019 Phone: 863-812-5306
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
NATIONS ROOFING, CONSTRUCTION & REROOF RESIDENTIAL 65.00
f-,Aqap
Ck?
Ins ections Rewired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florlda 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.
CONTRAC OR 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
r
( Date Received Phone Contact for Permitting
Owner's Name William White Owner Phone Number 863 812-5306
Owner's Address 1 5330 16th Street,Zephryhills,FL 33542 Owner Phone Number AMC-%
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I ~
JOB ADDRESS 5330 16th Street;Zephyrhills.FL 33542 LOT# 18
SUBDIVISION Town ofZephryhills PARCEL ID# 11-26.21-0010-17200-0190
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT SIGN = = DEMOLISH
to INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Reroof Slope Roof 6:12 Pilch,14 So FL5444-R14 CertainTeed Shingles/FL10450-R10 Tarco P&S Undertayment
BUILDING SIZE I SO FOOTAGE 934 HEIGHT
=BUILDING $ 4735.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN LLLN
Address License#
OTHER COMPANY Nations Roofing,Construction&Mechanical,LLC
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Address 15421 Bellamy Bros Blvd,Dade City,FL 33523 License# CCC1331419
Illlllllllllllllllllllllllllllllllllllitlllllllllllllllllllllilllll
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,Stonnwater Plans w/Sill 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,Stonnwater 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(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 YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed andswom to(or affirmed)before me this S b cri nd swo 0 or affirmed be ore m this
Y
Who is/are personally known to me or has/have produced Who is/re pe II k o or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
1�i►s fiti
Name of Notary typed,printed or stamped Name of Notary typed,pdnteLo6r stamped o���aY P�, NA EAGER
=o,� State of Florida-Notary Pyblic
9• Commission #GG 223598
My Commission Expires
��,,°ii�v,`� May 30, 2022
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15421 Bellamy Brothers Boulevard
Dade City,FL 33523
NATIONS ROOFING ONSTRUCTION LLC P•(813)485-4440
CCC1331419
August 1, 2019
City of Zephyrhills
Building Department
5335 8th St
Zephyrhills, FL 33542
RE: AUTHORIZATION LETTER
To Whom It May Concern,
I, Douglas Leman, license holder for Nations Roofing,Construction& Mechanical, LLC—CCC1331419,
authorize the following individual to apply for, pay for and pick-up permits on my behalf:
• Kristina Eager
If you have any questions or concerns, please contact me by phone or e-mail at(813)701-6122;
doue@nationsrcm.com.
Thank you.
Sincer I ,
D uglas Leman
State of: Florida County of: Pasco
,he foregoing instrument was acknowledged and sworn before me on this day of
J 201�1 by P0V4-k 5 l01,1*V' ,who is personally known to me.
e/ REE
tate ofFbelda
Si ture, Notary Public—State of Florida nylm
nnGG 173198
422
15421 Bellamy Brothers Boulevard,Dade City,FL 33523• P:(813)485-4440-CCC#1331419
INSTR#20191 07015 OR BK 9928 PA441 Page 1 of 1
06/25/2019 11:17 AM Rcpt:2066700 Rec: 10.00 DS:0.00 IT:0.00
Paufa S. O'NeiC Ph.D., Pasco County CCerk&ComptroCCer
Penult No. Parcel ID No 11-28•21-0010.17200.0190
NOTICE OF COMMENCEMENT�7, /�
State of r/Yc County a 1 6(e
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the following Information is provided In this Notice of Commencement:
1. Description of Property: Parcel Identification No.11-26-21-0010.172MO190 TOWN OF ZEPHYRHILLS PB 1 PG 54 LOT 19&SOUTH 24.00
Street Address: 533016th Street,Zephyrhilis,FL 33542
2. General Description of Improvement Reroof
3. Owner Information or Lessee Information if the Lessee contracted for the Improvement:
Wlillam&Rebekah A White
Name
633018th Street Zephyrhilis FL 33542
Address City State
Interest In Property: Owner
Name of Fee Simple Tilleholder: N/A
Of different from Owner listed above)
Address City State
4• Contractor. Nations Roofing,Construction&Mechanical,LLC
Name
16421 Bellamy Brothers Blvd Dade City FL 33543
Address City State
Contractor's Telephone No.: 513-485-4440
5. Surety: N/A
Name
Address City State
Amount of Bond:$ Telephone No.:
6. Lender: NIA
Name
Address city Stale
Lender's Telephone No.:
7. Persons within the Slate of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
B. In addition to himself,the owner designates of—
to receive a copy of the Uenor's Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the e)piretion date may not be before the completion of construction and final payment to the
contractor,but will be one yearfrom the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 of pedury,I declare that I have read the foregoing notice of commencement and tha!lkfi fa stated therein are true to the best
of my knowledge and belief. /
STATE OF FLORIDA �//_„
COUNTY OF PASCO
Signature of Owner or Lessee,or Owners or Lessee's Authorized
Ofiicer/Dlrector/Partn er/Manager
G k1"'nef—
Signato s Tltle/Offtce
The foregoing Instrument was acknowledg1 before ma this day of ,24-1 by 1 4ZA.
�f^�
as--b�,��_ Qype authority,e.g.,officer,trustee.attorney In fact)for
(name a n behalf of whom instrument was exemned).
Personally Known❑Q Produced Identtfira9 Notary Signature
Type of Identification Produced iVarne(Print) �
y -
r. r
++"' KRISTINA EAGER
+ ���.Stete of Florida-Notary Public
_• •= Commission M GG 223698
�� ��� My Commission Expirbs
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srbr8 `FFLORIDA,COUNTY C]FPASCO
THIS ISTO CERTIFY THAT THE FOREGOING|GA
TRUE AND CORRECT COPY OF THE DOCUMENT
UN FILE/]RDFPUBLIC RECORD \N THIS OFFICE
v.
151 ERICAN
_nations Roofin ivision EXPRES
C vase
® (�''p��`�J15421 Bellamy Brothers Boulevard,Dade City,FL 33523 -'`"
(813)701-6122 CCC 91331419
r16N`.: t'towac". www.NationsRoofingComoany.ccm 61201401204
Owner/Purchaser. Set Up My Solar. William White Data: 6-17-19
claim#: N/A Insurance Company: N/A
Policy#: N/A
Job Address: 5330 16th St. city: Zephryhills Zip: 33542
Mail to Address: E-Mail r ,:_Amanda@setupmysolar.com
Home M Cell M 390 Business M
Complete tear off of existing 1 I A\/P r S h I nq IP Additional Notes/Special Concerns:
roof to wood deck Complete Re-Roof to include all materials, Labor
_V_Secure all loose roof docking as needed according to Florida and Trash Clean-up
Building Codes
�Roof dried inwithSecondary Water Barrier Includes 3 sheets of plywood at no extra charge
Install new valley metal with galvanized metal
n White
Install new 6 "drip edge color.
�Install new lead bolts Secondary water barrier (P&S) underlayment with
V install all now general roof vents 10 year labor warranty
AL Install new X Shingle _Metal_Tile
/ _Modified Bitumen _TPO
V Manufacturer(Shingle,Metal or Tile) Certainteed Flat roof areas front porch and back porch
Manufacturer(TPO or Mod.Bitumen) Total: $1535.00 not included in the price below
Color(Shingle,Metal or Tile) T B D
_Color(TPO or Mod.Bitumen)
VAll roof related debris removed from jobsite,pick up loose nails using commercial grade magnet
JAll materials,labor and permits furnished
VProvides 10 year labor warranty Base Price*$ 4735
Additional Items:Quoting Dimensional shingles Lifetime Shingle warranty
Payment Method❑Check# ❑Cash ❑Financing ❑Insurance Claim
❑Credit Card# Exp.Date CC ID#
Down Payment:$ Amount Financed:$ Approx.Monthly Payment:$
Payment Terms: 30%deposit up front the balance due at completion
Extras:
*Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. customer Initial
Deficient Ma"plywood replaced at a cost of$ 65 per sheet in the roof field,which I ludes labor&materials.All other wood workladditional labor,such
as,but not limited to.valley rebuilding,rafter replacement,1x decking,etc.will be a rate of$ M 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 AC EPT THIS
PROPOSAL AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser. rrn�C Date:
Purchaser: Estimator. Dan Rutherford
AIM
ffPa
I
City of Zephyrhills
5335 8th St
Zephyrhills FL 33542
(813)780-0020
A_. ROOFING INSPECTION AFFIDAVIT
Permit No.:
I, �6KMJ licensed under Chapter 468, Florida Statutes as a(n):.
Contractor Zngineer_Architect_Building Inspector_
License No. Q. � i
On or about Mc?2 did personally inspect the:
Check:. Roof Deck Nailing `� Dry in Flashing and Drip edge
Check which was used: 30#felt Peel and Stick 'L/Other(List)
At the following
address: 3�
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).
c
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and s scribed before this dayj
BY:
Notary Public State of Florida
�%,, KRISTINA EAGER
W State of Florida-Notary Public
Commission #GG 223598
My Commission Expires
'' `� May 30, 2022