HomeMy WebLinkAbout19-21739 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21739
A BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21739 Address: 37424 DERBYSHIRE DR
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-1090
Improv. Cost: 9,570.00 OWNER INFORMATION
Date Issued: 9/11/2019 Name: HANCOCK, JEAN & BROOKS, BOBBY
Total Fees: 90.00 Address: 37424 DERBYSHIRE DR
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/11/2019 Phone: (813)782-7426
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 90.00
Ins ections 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.
CONT R SIG TURE 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 -
Owner's Name Ct Qf'lC�C Owner Phone Number ! 7
Owner's Address fT Owner Phone Number
f EL Owner Phone Number
JOB ADDRESS / j C re f F L.- #
SUBDIVISION I PARCEL ID# Z_.RI-101�0- 00000-1096
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR 5 ADD/ALT SIGN Q Q DEMOLISH
INSTALL //'�-' REPAIR
PROPOSED USE SFR = COMM = OTHER -
TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK /O ! -roo
BUILDING SIZE / SQ FOOTAGE HEIGHT
------------------
BUILDING $
® � VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING $ V7(/
IT
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS D� / ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
71-1
BUILDER COMPANY /LC- X0071 nGnStrVAI o
SIGNATURE REGISTERED Y/ N CURREN YIN
a Q�y
Address fd �/ o Q ��3 License# e l�✓C)D 713
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
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)'6omplete sets of Building Plaplus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minim umten(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$7500)
•' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract requited);
Reroofs if shingles Sewers Service'Upgrades A/C:' ,'„Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public.rbadways:.rieeds 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. i —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.,Af(airs.< 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 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, 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 QPeeWENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR - -
Subscribed and sworn to(or affirmed)before me this Sukc�b�c� nd s� to(or aif ed)b e thi
___by ! [[ brn
Who Ware personally known,to me or has/have produced Who• are rsgnally kn9wn to me or has/have produced
as identification. r LZ�'S �l as identification.
Notary Public Notary Public
Commission No. Comm ssi No.
m
Name of Notary typed,printed or stamped Name of Not89tiS S'
)� rNssionaRGG$�d. ;
�11 R�,r �rBS D@p�i601 tq .
mruiraYyhf ,
INSTR#2019154256 OR BK 9970 PG 3872 Page 1 of 1
09/10/2019 04:13 PM Rept:2089169 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Famit No.
'1llE UNDEIt$14NEI)hereby gives notice that unprovement will be made to certain teal property,and in accordance with
t Chapter 13;Florida Statutes,the following informatic®is provided in this NOTICE OF CONVONCEMMENT.
' , l.Description"of property(legal d i of ): � ""
a)Street�obj Address: o�.
�.t3orteral pfianoP• t(s): .
3.O►yiter or Lessee information e o only if omtract6d for im
' • a,Norma and.address: �./ ('"` �FL.�.�7.�
b.Mien*to property.
ti:Neme and address of foe simple titleholder(if othalhan owner): �r
+Coniractar Infi itatiatt C.l a.Nema and address o G. D ,
b.Fhoie nwnber: ` - No (OP ) 3
� �=•�/�,'�'3 Fax t. D
S.Surety hifotmation"
a Nameand"address:'
b:Amoitat of bond S "" •
p.Fhade Humber: Fax No.(Opt.)
Leader
N e sad address:
b.Phone'numb>r: - '
'�.Peis stis witbiii the Slate of Florida desigpated by Owner upon who notices or other doctmients may be served as provided by .
Section 713.1 a)7.,Florida Statutes:
aid '
"Nairie address
Phone number ..
8.In addicwto himself.timer desil ajts the following persons)to receive a copy of the Lienor's Notice as provided in
Section 713.13(l)(b),Florida Statutes:'
s.Nema and eddressc ;
b:Rsenenumbet:: :: .
Ettplratlon date of notlee of eoaanente errt(the exphuGen date!s 1 year from the date ofrecording milers a dMitreut
date Ls speei5aij .
WARNING TO OWNER; AN'PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
00*0 T3'UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUES,AND
CANY Pd UI.T IN YOUR PAYING TWICE FOR BOROVEMfEN'iS TO'YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION«IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WIT$YOUR LENDER-OR AN"ATTORNEY BEFORE COMMENCING WORK OR
ItECORDiNG'YOUR NOTICE OF COMMENCEMENT.
Yerieeation pu mw mt to SwIllon 9x.525,Florfda Statutes.Under penalties p es oerjur7,I deelare that I have-
r"d the tiu+egoin "Ana that:tie facto in it ere true eo the lest of nq knowledge and ibe8e£
Sl a 0wuer;i - .or awriir'a or l csne's Authorized clfcadDisemdPadnWMavaW
6igaatoiy' Witcer`
State ofFlacidtt
County pf Manatee? -d.
'�'h oiegolag it SMM wort;aclmowledged,before.me this `ic sy of u-S .20�by
Qe�t fiat pt > , .who is has produced
dldid not take an oath.
License� -
Sispature of Notary ptpq M.POE
Pubic-State of b7oridpj ,"+",«
jlt'riYtCi jlI IjDG '� wColimtOt1tEC,d165Q4D
WISPlink TYM or Stain
t
Coaunissioucd Name ofNotuy tit 'Ft°=B��NOWyPublkv �
T
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
� ® a
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNF$S MY HAND L SEAL THIS
DAY OF1,NDFFICI
2 oiq
s ��',:,aw�r •: �,�� �O o0
CL RK&COMPTROLLER
BY DEPUTY CLERK
State Certified#CCC1330893 00251
TLC Roofing & Construction, Inc.
Licensed*Bonded a Insured Cell:
Office: Free Inspections &Estimates
352-4374073 352-650.7101
Residential commercial-All Roof Types
Dean *,Otts': 40 Years E'xperience Travis Thurston:
813-690-1.937 Email:ticroofingfiorida@gmaii.com 352-807-5665
PROPOSAL SUBMITTED70 WORK TO BE PERFORMED AT
Name--I (-- /J 1711461COM Street
Street 377'N ,�ww� ae-e City
city State Zip
State Zip— Owner of Property
Phone N u m b e&/37—/-704MO I'a Phone Number /'"-V',-'r0Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
LI Remove existing single roof 8<eplace bad fascia boards at$ per foot
• Remove existing built up roof LJ Install feet or ridge vents
•Dry-in with U Synthetic UPeel&Stick eelo, F-110 Metal IlMrSysteft
• Install new galvanized valley metal I ti"11005M
13 Install new lead boots U Install 2"Insulfoarn
HIn"stall new exhaust vents L3 Install 25 yr.fungus resistant 3-tab shingles
0115stall new drip edge, color 12KInstali 30 yr.fungus resistant dimensional shingles
LI Install new flashing as needed 1906ingle manufacturer<MAVIA,45color
Q'i'leplace plywood at$ S per sheet U Install TPO,white rubberized roofing membrane
Ulieplace rotten trusses at$ per foot q Other:
Woodwork is an additional charge,see pricing above.
541A.665 .570
5-Year Leak and Workmanship Warranty
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drayvings an
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
with payments to be made as follows.Payment due in full on completion,unless otherwise noted. ThaRkVou.
Credit cards accepted,additional 4%charge.
Any alteration or deviation from above specifications involving extra cost will
be executed only upon written orders and will become an extra charge over
and above the estimate.All agreements contingent upon strikes,accidents or
delays beyond our control.Owner to carry fire,tomado and other necessary OfkOAgent
Ineurenco upon above work.compensation and Public Liability Insurance on
above work to be taken out by Roofing Contractor. Note:This proposal may be withdrawn by us if not accepted
within days.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as
specified.Payment will be made as outlined above.
Accepted Signature
Date e?— Signature
D
® City of Zephyrhills
5335 811 St
Zephyrhills FL 33542
4 (813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: Z( l ��
I, / licensed under Chapter 468, Florida Statutes as a(n):
Contractor V"Engineer- Architect_Building Inspector_
License No.
On or about / l ��f did personally-inspect the:
Check:. Roof Deck Nailing Dry in V Flashing and Drip edge
Check.which was used: 30#felt_Peel and Stick_Other(List)-gUn4e Ac P.!' `C rxCji/
At the-following
address: Dei4v$ ! e— Dri y
ths
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 FLORIDA
CO U NTY O F PASCO
Sworn to and subscribed before this day
B
5 S (Pc Cu'w%V6%' 5
Notary Public State of Florida
}A'r,?;;� MELISSA A.CUMMINGS
t; MY COMMISSION#GG 304221
EXPIRES:June 20,2023
C .,'•`OOOP F��a. Bonded TTw Notary Public Underwriters