HomeMy WebLinkAbout19-21719 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21719
BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION _
Permit Number: 21719 Address: 4734 20TH 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: EASY ACRES
Est. Value: Parcel Number: 13-26-21-0120-00000-0461
Improv. Cost: 7,100.00 OWNER INFORMATION
Date Issued: 9/10/2019 Name: BAHAT, GAURAV
Total Fees: 80.00 Address: 643 MASON ST APT 8
Amount Paid: 80.00 SAN FRANCISO, CA 94108-3841
Date Paid: 9/10/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
QUALITY ROOFING INC REROOF RESIDENTIAL 80.00
�lyV11_
Ins ections Re uired
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
� 1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting ats 620-4797
Owners Name Bahat Gaurav Owner Phone Number
Owners Address 2411 Haile St.Alameda CA 94501 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 4734 20th St Zephyrhilis,FL 33542 LOT# 46
SUBDIVISION Easy Acres First Addition PARCEL ID# 13-26-21-0120-00000-0461
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 REPAIR
= SIGN = = DEMOLISH
INSTALLPROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK Remove existing roofing,repair decking&install new shingles.
BUILDING SIZE 2200 sf SQ FOOTAGE HEIGHT 12
=BUILDING $ 106
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE�� Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ ``. bo 1 V �
MECHANICAL $ VALUAION OF MECHANICAL INSTALLATION
=GAS Q ROOFING 0 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 LILN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY I Qualityoo c
SIGNATURE REGISTERED Y/ N I FEE CURREN
Address 1905 N 40th St.Tama FL 33605 License# CCC042646
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIittt11111I11i11111111111111111111111
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,Storrnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge 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
If over$2500,a Notice of Commencement is required. (AIC 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 AIC Fences(PlottSurvey/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 COMMENQEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO J(Vl{�hj�Prej!.
Subscribed and ywom to(or affirmed)before me this S cLand b o ls%riir e
Who is/are personally known to me or hasthave produced Wh is/are personal&kn n to me or has/have produced
as identification.• as identification.
000
Notary Public Notary Public
Commission No. Corn fission No.
rl
4piiY"ova,: MIRIAH LYNN AKERS
Name of Notary typed,printed or stamped Na f otary typed, rinted or stamped . . ., Public State Of Florida
>�° o Commission N GG 265348
My Comm.Expires Jan 28,2023
Bonded through National Notary Assn.
L .
State Certified • CCC042846
State Certified • CGC1507166
.a it �. oo tag
Power of Attorney
Authorized Agent Affidavit
I Richard Jenkins (License Holder) hereby grant authorization to the following persons to.
act as.my agent with City of Zephyrhills while conducting activities related to obtaining permits
and/or inspections.
Adam Drury
Tanner Jenkins
Nathan Cole
Vivian Reliz
Morgan Sasser
The Authorized Agent(s) is to be considered an agent of my business and therefore the signature
of said agent is binding and causes me to assume all responsibilities connected to or associated.
with the signature as they may relate to my property.
This authorization will supersede any previous authorization(s) and will remain in effect
unless revoked by the undersigned in writing.
o der Signature Date
.........
'. JOHN CASTELLANA
�,•.,
Notary Public—State of Florida
State of ..
Commission#GG 175456
'•; �o;F My Comm.Expires May 8.2022.
County Of (.� - gended:nroignNaJora Notary Assn.
The foregoing��inst nt was acknowledged before me this Z day of i4 20�_
By 'c l�tJ (', -:SeV&a-s who i personally w to me or produced as
'identification and who did take an oa
Signature of Notary Public
1905 N. 401h Street•Tampa, FL 33605• Phone (813) 620-4797 0 Fax (813) 626-175-6
City of Z6phyrhills
63354thSt
Zephyrhills FL 33642
(413)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: 10 A
1, zi "Ir ...licensed under Chapter 468, Flor 1dA Statutes.
as a(n):
ContractorEngineer Architect_Building Inspector
LicenseNo.WJ()(4.L%q&
On or abou 1b;114 �did personally inspec t the:
Check: Roo Nailing ✓ Dry in —Flashing and Drip
,
edge
Check which was used: 30#felt Peel and Stick__Other'V1""
(List) U10 5M446+4- ZOJ�TIC-lq
At the following
address: L1�
Based-Upon that examination, I have determined the installation was done according to the
Hurricane Mitigat,ion Retrofit Manual (Based on Section 553.844,'Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day 4 /so/7,01
BY: 69"Cha 6' eklAs
Public-state of
JOHN HERNANDEZ Notary
Ae I FI*orlda
_Commissioni'GG093334
_6t_ar7PubIic St6te-of Florida N My Comm.Expires Apt It,2021
Oral Notary Mir.
serdwthmughN6,
Submitted To: Quote M
West Coast Management 80S8F3
Address: Date:
4734 20th Street, 6-4-19
U at t t � ®®� tit
City: State: Zip Code:
Git Zephyrhills FL 33542
nc, Phone ff: Fax M
813-908-0766- Office
Email Address:
State Certified CCC042846 prn wcmanagement.info
State Certified CGC1507166 Job Name: Job Phone M
Repair
1905 N 406 Street •Tarnpa,.Florida 33605 Job Location:
Phone: (81-3) 620-4797 e Fax: (813) 626-1756 Same
We hereby submit specifications and estimates for:
Shinklle Replacement:
1) Pull all necessary permit and.file Notice of Commencement.
2) Tear.off existing roof an haul away all debris.
3) Inspect woodwork and make necessary repairs at an additional cost as follows:
$2.00 per sq. ft.on 1 2"plywood decking. $2.50 per sq.ft.on 5/8"plywood when required.
$2.50 per linear ft.o Ix6 plank decking. $4.00 per linear ft. on 2x4 structural lumber.
$4.50 per linear ft.on Ix6 wood fascia. $1.50 per linear ft.on Ix2 fascia drip.
$.30 per sq.ft.for additional layer of shingles found $6.50 per linear ft. on Ix6 wood Cedar fascia.
4) Re-nail entire deck per Florida Building Code.
5) Furnish and install#30 f It as shingle underlayment.
6) Furnish and install new "eave drip and soil stack flashings.
7) Furnish and install new Ridge Vent or off ridge ventilation.
8) Furnish and install 367'm ide valley liner as necessary.
9). Furnish and install 3 tab. shingles per manufacturer's specifications.
10)-Furnish and install Hip aid Ridge Cap shingles.
11) Furnish and install Start shingle as-first row.
12)Furnish our(3)three-ye contractor's workmanship warranty.
13)Furnish ma_nufactuer 25 ear shingle warranty.
Options:
1) Furnish and install dimensional shingles instead of 3 tab shingles.ADD$450
2) Furnish and install peel and stick underlayment instead of#30 felt. ADD$900.00
The roofing Industry is currently expei iencing price volatility in asphalt related products.Because firm prices cannot be obtained from suppliers,prices are subject to
change.If there is an increase In the pr ce of asphalt related products,charge to the contractor subsequent to making this proposal/contract,the proposal/contract shall
be increased to reflect the additional cost to the contractor,uoon submittal of written documentation thereof.
Seven th usand one hundred dollars 00/100 7,100.00
Sum for the above: Dollars$
Due upon completion.
Payment to be made as follows:
All materials guaranteed to be as specified or ual to.All work to completed In a workmanlike manner
according to standard practices.Any alterations or eviation from above specifications Involving extra cost will Salesman:
be executed only upon written orders and will ome an extra charge over and above the estimate. All Signature:
damage and other necessary insurance to hold coi tractor harmless from tenants claims.our workers are fully Ehsa n Sidd i ui 813-777-7647
agreements contingent upon strikes,accidents ord Iays beyond our control.Owner to carry fire,tornado,water Name: q
covered by Workman's Compensation Insurance.,my monies not paid as agreed will Incur 1%%per month
Interest rate.Any cost Incurred by Quality Roofing,l icfor litigation will be paid bynon-prevailing party. Email Address: Ehsan@!2ualitV-Roofine.com
Acceptance of Contract: The above price,specifications and conditions are satisfactory and are
hereby accepted.You are authorized to do work as pecifled.Payment will be made as outlined above. Owner/Agent
Signature:
Date of 7—// Name: !:;AVK A/ �
Acceptance: Icy
Note:This proposal maybe Zlthdrawn lo if not accepted within 30 days from date at top. Title:
INSTR#2019135498 OR BK 9954 PG 262 Page 1 of 2
08/12/2019 09:20 AM Rept:2080196 Rec:18.50 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller,ad Interim
j
Permit No: i
Parcel ID No 13-26-21-0120-00000-0461
II NOTICE OF COMMENCEMENT
State of Florida_ ! County of Pasco
THE UNDERSIGNED hereby gis notice that improvement will be made to certaln real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provid ad in this Notice of Commencement:
1. Description of Property_ Parcel Identification No._Easy access first addition PSI PG 103 S 60 FT of LOT 46 01451
Street Address: 47341&4738 20th St Zephyrhills,FL 33542
2. General Description o€Improvement Remove existing shingles and install new shingles
i •
3. Owner Information of Liessee information if the Lessee contracted for the improvement:
BahatGaurav
NAmre
2411 Haile St. Alameda CA
Address City ! State
Interest in Property: Owner
Name of fee Simple Tllleholder.
(If different from Owner listed above)
Address City State
4. Contractor. Quality Roofing,Inc.
Name
1905 N 40th St Tampa FL
Address i City State
Contractor's Telephone No.: 813-620-4797
i
5. Surety:
Name
Address Clty State
Amount of Bond: $ Telephone No.:
5. Lender.
Name
Address i City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by "
Section 713.13(1)(a)(77,Florida Statutes:
Name I
Address City State
Telephone Number of esignated Person:
I
S. In addition to himself,the owner designates Richard C.Jenkins of
Quality Roofing,Inc i to receive a copy of the Lienofs Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner. 813-620-4797
• k
9. Expiration date of Noti(e of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be olhe year from 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 INSPECIION..IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER'OR ANATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjur,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief,
STATE OF FLORIDA
COUNTY OF PASCO C, I /
Signature of Owner or Lessee,or Owner's or L sse8 A �horizP�d
llKiro.IPliror•VnrlPvr4norlR4vnor.nr I t•!a�' .�!�YI
OR BK9954PG263 Page 2 of 2
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness,accuracy, or
validity of that document.
State of California
County of
On CC V1,4
before me,
(insert name and title oft a officer)
personally appeared QQU rav l
who proved to me on the basis of satisfactory evidence to be the p n ,whose nameX
su scribed to the within instrument and acknowledged rt �thatVe 3�;41t y executed the same in
acknowledged
C15VItoellf"authorized capacity(�ip<a nd that.b I � g tr signature�on the instrument the
personK,or the entity upon behalf of which the perso%sy acted,executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
I
paragraph is true and correct.
WITNESS my hand and official seal.
J. RAI
COMM.#2148224
NOTARV
TUBLIC-CALIFORNIA nm
AIAMFDA COUNTYC Comm.Ev.AP602.2=
;$gsisi My 111441$Hsa a lease,so
Signature (Seal)