HomeMy WebLinkAbout19-21625 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21625
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21625 Address: 39784 MEADOWOOD LP
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0010
Improv. Cost: 9,420.00 OWNER INFORMATION
Date Issued: 8/12/2019 Name: SIMS,LONNIE
Total Fees: 90.00 Address: 39784 MEADOWOOD LOOP
Amount Paid: 90.00 ZEPHYRHILLS FL 33542-6778
Date Paid: 8/12/2019 Phone: 813-715-2395
Work Desc: REROOF SINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 90.00
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF tNSP of
FINAL / 4'
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.
pmo�k qo,�6d &__ � -
ONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Ze h rhills
Fioa fl 5335 811 St
' Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.
I, I\M i) L licensed under Chapter 468;Florida Statutes as a(n):
Contractor— Architect_Building Inspector
License No. CC 3a5�o
Q a
On or about l 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 AGLJOL�bd Lbo
address.- v
•7�:«Iwr Ins II ti l 335�(�
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).
J .
1
Signature- _
r A iGE'�A HA`WOOD,
STATE OF PhGMID)
y Notar Public State of Florida
_o' Commission GG 344085
COUNTY OF PASCO j ?a my Comm.Expires Aug 24,2023
�y j 21 f Boncee through Mauanal Notary Assn•
Sworn and-subscri�jed before t is day
BY: f`� t t1C
Notary Public State of Florida
j
00
City of Zephyrhills
4,•
t o a fl 5335 81h St
-i Zephyrhills FL 33542
x (813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.j
I, K2 U I A L F-tin Licensed under Chapter 468, Florida Statutes as a(n):
Contractor�Engineee_Architect_Buildirfg 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: (y�e���ObL� (, ��()
J v I(� [P 1 a,
33541
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigatibn Retrofit Manual(Based on Section 553.844, Florida Statutes).
Signature
1
STATE OF F�ORlQ K" M
ANGELAHAYWOOD'
�u�lic•State of Floridamisvon=GG 344U82023COUNTY OF PASCO mm.Expires Aug 24,i1311ough National Notary Assn.
Sworn p and subscrri ed before t is day I
BY:
J I��
Notary Public State of Florida
i
i
I
i
Building Department
Date Q I-1 Phone Contact for Permitting
Owner's Name 0f nl e S 1(Y)S Owner Phone Number
Owner's Address d� Y 1 'e-030�O `w 6 I It Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I ,,^
JOB ADDRESS a td� QQd.6L1 �lN 1 1( �l S LOT# .
SUBDIVISION iffl�ctduxtj L—�S S PARCEL ID# 13 d l -a I o 1 4
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN. = MOVE DEMOLISH
e INSTALL B REPAIR Irp
T✓ . .
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER
DESCRIPTION OF WORK �earbl. re � a�.s �s. G�F.as hats les [✓I'�`(o�a�41 5 � e: UOL �(�` 160-
11 s. oPi�
BUILDING SIZE, SQ FOOTAGE L HEIGHT
BUILDING Ob VALUATION OF TOTAL CONSTRUCTION",
= ELECTRICAL $ d AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C,
= PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS 0 ROOFING .- SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA =YES =NO':
-...._BUILDER_ -...:- — - --- COMPANY_
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N ,
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#-
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
OTHER COMPANY
SIGNATURE f �[ REGISTERED' Y N FE&tURRENT Y N T
Address (3 S �'1 I S 33 T I License# LT 1 5SV5
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(3)sets of'Buiiding 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 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$5000)
** - Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
ZVO/
.OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs 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 mote 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 bylaw, 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 contractors) 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.
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.
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, .1 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;-1-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.violatei cancel, after,:-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 L-ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O C-OMMENCEMENT. . . -
FLORIDA JURAT(F.S.11.7.03,
- CO TRAC rOR
Suti criye and swo to or t etore the is SOON
and (or rme before mAthis
U 711 by e A i 1.210d t� by . /1r' Lt LQX)
Whoo_i=s-/afire-Lpersonally known to me or has/have produced Who is/are personally known to me or has/have produced
as i tification. as identification.
Notary Public Notary Public
mission N Commi UsIon .
Name of Notary typed,prigjeg or stamped Name of Notary typed,printed ors eed
LISAY.CRUZ z�......, LISAY.CRUZ
Commission#GG 297813 { * Commission#GG 2g78,3
Expires Februar , e•�
,� vQSva'•�. 'fi 4
Expires February 3,2023 .> .v y :U�3
9 pppo�� BandedihruBudgetNoterySeryices Fvicos
OFFtf BondedTh,'uBudgetNotarySer?3
u
INSTR#2019128223 OR BK 9947 PG 2073 Page 1 of 1
07/30/2019 03:54 PM Rcpt:2076671 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk&Comptroller, ad Interim
a
y
Permit No. Parcel ID No ///���
r O C` �� NOTICE OF COMMENCEMENT PC C y7
Stale of ( Countyof }I�� �JL
THE UNDERSIGNED hereby gives notice that Improvement will bo made to certaln real property,and In accardarce with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencemonl: r 3 _ 1!_y� r f/t
1. Description of Property:7Pa((r�cell Wntif• L'ron No.
I N7� CJ `t lJ r C fJ LJ
SlreetAddress: t�-1 l y I {r eCkCI0Loc.d}c oo
2. General Description of Improvement r
3. Omer Information o Lessee Information if the Lessee contracted for the improvement:
�)C17 � ma4mC'LiG�(Xc1G1 �[. � l�� lS 5
Address �` r Cit State
Interest in Property: ) i
Name of Fee Simple Titleholder
(If different from Owner listed above)
Address �` City Slate
4. Contractor -\ 1 I'10E { 1 n
Address E. !�� L( City State
Cenlmctoes-r a oneNo.: t t tS�V 1
s. Surety.
Name
Address City Slate
Amount of Bond:[$ Telephone No.:
6. Lender.
fir/ i
Name
Address CIry State
Lender's Telephone No.:
7. Persons Within the State of Florida dasignat d by the owner upon whom notices or other documents may be served as provided by
Section 713.13(lya)(7),Florida Statutes: �
r
Name
Address City State
Telephone Number of Designated Person:
8. In addition tohimself,the ownerdesignates rlJ of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(bj,Florida Statutes_
Telephone Numbar of Person orEntity Designated by Owner:
D. Expiration date of Notice of Commencement{the expiration date may not be before the compl f co Ifuclion and filial payment to ilia
contreclor,but will be one year from the date of recording unless a different dale is specIDed): J�JJ�e ( , 1)V
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 penally of perjury,t declare that I have read1he foregoing notice of commencement and that the facts stated therein are true to the best
of my knouiedge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Si alum of Owner or Lessee,or Owner's or Lessee's Authorized
O fficerlDirectorMartner/hie nager
cat��C� Siggato 's Till'101fice
Tit foregoing InsJ'tunent was acknowledged before me fl,l day of ,20 by
J(- U-V as (type of aulhority,e.g.,officer,trustee,attorney In fact)for
—/ n a I. I jf wli m executed),
ent was executed.
Personally Known[J M Produced idenUfipatf ion M Notary Sfgna[ure
Type of identification Produced �� Name(Print) AN cLA HA
YWVOD
':°• r+. Notary Public.State of Florida
i� a, Commission#GG 3440E5
&..a 74.2073
I, (
• r^,t e
ERICAN . - 'VISA
Ryman Roofing Inc. E�RES r -
5%fee for credit card processing.
A Division of Rymon Construction,Inc.
36413 SR 54• Zephyrhills, Florida 33541 Proposal#
Phone(813)782-6094 • Fax(813)788-6773 N0.
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate#002800
2 www.RymanRoofing.com
Serving all of Central Florida Job# 5(Q o 5
Owner/Purchaser.Lonnie Sims Date: 7/23/19
Claim#: Insurance Company:
Policy#
Job Address: 39784 Meadowood Loop City: Zephyrhills Zip: 33542
Mail to Address: E-Mail Address:
Home #: 813.715.2395 Cell #: Business #:
JQ Complete tear off of existing Asphalt shingles Additional Notes/Special Concerns. Includes
One layer included Install new GAF HD Timberline
✓Q•Secure all loose roof decking as needed according lifetime shingles
to Florida Building Codes
Q✓ Roof dried in with Synthetic GAF Seal a Ridge
GAF ProStart starter strips
Rl Install new valley metal with galvanized metal Rhino Synthetic underlayment
P/ Install new 6 "drip edge color: White
0 Install new lead boots
F/ Install all new general roof vents
[✓ Install new FlShingle ❑Metal Tile
Modified Butimen FITPO 1 sheet of plywood included
Manufacturer (shingle, metal or tile) GA1=
Manufacturer (1Po or Mod. Bitumen)
F/ Color:(Shingle,MetalorTile) Hickory
Color:(TPOorMOD.Bitumen) Permit and scheduling of inspections
F/ All roof related debris removed from job site,pick-up loose
nails using commercial grade magnet
Q All materials, labor and permits furnished Base Price*$ $9)420.00
M-7 Provide a 5 Vear labor warranty
Additional Items:
Payment Method: Rl Check# Cash Financing ❑Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$ $3,297.00 Amount Financed:$ Approx. Monthly Payment:$
PaymentTerms: 35% down and balance upon completion
Extras:
0lo* se Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. Customer Initial
Deficient 1/2"plywood replaced at a cost of$ 65.00 per sheet in the roof field,which includes labor&materials.All other wood work/ad-
nal labor,such as,but not limited to,valley rebuilding,rafter replacement, I decking,etc.will be a rate of$5.00 per lineal foot plus the
cost of materials.
THIS BECOMES A BINDI ONTRACT UPON CEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
1 ACCEPT THIS P AND HEREBY CERTI THA I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: Date: 7/23/19
Purchaser: Estimator: Tommy