HomeMy WebLinkAbout19-21822 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (813)780-0020 21822
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21822 Address: 38651 EVELYN LN
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: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0280
Improv. Cost: 12,710.00 OWNER INFORMATION
Date Issued: 9/30/2019 Name: FAMILO, JOSEPH&AGNES TRST
Total Fees: 105.00 Address: 38651 EVELYN LN
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542-1689
Date Paid: 9/30/2019 Phone: (813)788-5665
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 105.00
s
DRY IN ROOF IP Inspections Required
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 es 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
State Certified#CCC1330893 n n
TLC Roofing & Construction, Inc:
Office: Licensed•Bonded•Insured
Free Inspections&Estimates Cell:
352-437-4073 352-650-7101
Residential•commercial•All Roof Types
Dean Stutts: 40Years Experience Travis Thurston:
813-695-1937 Email:ticroofingfiorida@gmail.com 352'80.7.5665.
PROPOSAL..S�UBMITTED TO WORK TO BE PERFORMED AT
Name L Street
Street8�I _ .CAEW Lit/ City
City Z4 Ytf14i I S State Zip
State /l—lZ Zip Owner of Property
Phone NumberLf/3-7fF 5-66T-Fax Phone Number Fax Y
We hereby propose to furnish all the materials and perform all the labor necessary for the corripletior of:
Remove existing single roof �epiace bad fascia boards at$ 5 per foot
19'R//emove existing built up roof C�l'1 stall -Z feet or ridge vents
I
in with Synthetic ❑Peel&Stick ElInstall Master Rib Metal Roof System
nstall new galvanized valley metal ❑ Install 1" Insulfoam
®'Install new lead boots ❑ Install 2" Insulfoam
=nstall
- II new exhaust vents ❑ Install 25 yr.fungus resistant 3-tab shingles
ns� new drip edge, ��� color all 30 yr.fungus resistant dimensional shingles
91Install new flashing as needed
lP19hingle manufacturer 0 N��color
l�"Replace plywood at$ [OS per sheet ❑ Install TPO,white rubberized roofing membrane
Ca'Replace rotten trusses at$ .�— per foot ❑ Other: TKO
'Woodwork is an additional charge,see pricing above. ,
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 drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of$ /Z_710 °�--=
with payments to be made as follows.Payment due in full on completion,unless otherwise noted. ThankYou.
Credit cards accepted, a ditional 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,tornado and other necessary Officer/ gent
insurance upon above work.Compensation and Public Liability Insurance on
above work to betaken 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 Signature
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receivpd Phone Contact for Permitting
.... ................ ............
Owner's Name F�_M, L6 Owner Phone Number
Owner's Address W l ,2 Owner Phone Number
2_ Owner Phone Number
F
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#1 0 - ,031&6 1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
a INSTALL REPAIR
PROPOSED USE Q SFR F-1 COMM OTHER I
TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL
DESCRIPTION OF WORK wix (Dip? aniA a co- UJ(a
BUILDING SIZE F_ SO FOOTAGE HEIGHT
"BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q —SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ,
1 1 2 a 2 N 1 1 1 1 1 1 2 2 2 1 a 1 1 1 i i i i i 1 2 1 1 1 i i i v i I i i i M M i i i
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L)LLN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F—
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address LiciA F_
0 _
THER LC COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRE --
Address License# rciac I
HHHHH 1!H 111 11,1111 f I!!H!H 111 HHHHH!
RESIDENTIAL Attach(2)l5iot-Plans'(2)'sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wor'kil,16,"days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facffitidi5&1 durripster;Site Work Permit for subdivisions/large projects -
COMMERCIAL Attach(2)complete sets)of'Buflding Plaffs 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&I dumpsterSite 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.
"' 4'- .................. .................
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 required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(plottSurvey/Fo6tage)
Driveways-Not over Countdr if.oK public raadways:-.r,!eeds'ROW
|
NOTICE OF DEED The undersigned may be subject to"deed"restrictions"
which may bm more restrictive than County regulations. The undersigned assumes responsibility for cmmp|iao�ewithany
app|�ab|edeed routhot�no. ^ .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:
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 fora misdemeanor violation
under state law. If the owner or intended contractor are uncertai I n as to what licensing requirements m'ay 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 the y� 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. I
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOUR I CE 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 th el 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. . I
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certifyh || 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 Ba�heads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest' Florida VVotar Management District-\�6Uo. Cypress Boyheado, Wetland Areoo, Altering
Watercourses. !
- Army Corps ofEnQineana-8eavvaUe' Oockm. Navigable .
- Department of Health & Rehabilitative Services/Environmental Health Unit\We||e, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection/\gancv-Aohento�abot�r�enL '
' |
- Federal AviationAuthority-Runways.
� understand that the following restrictions apply to the use offill:
- Use of fill |n not allowed in Flood Zone^V^ unless expressly permitted.
- if the fill material in to be used in Flood Zone "4^. it is understood that o drainage plan addressing a
^compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bvtha�tmb�ofF|oridm
' ' |
If the fill material is to be used in Flood Zone ^A^ in' oonneotion with o permitted building using stem vva||
` NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.
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(legal description of property): Oa-c 4to' U a3a
a)Street(job)Address: $ 5 J V 1�_ 2-e-
2.General description of improvement(s):a 4 C5 rr' 9-' & .w y
3.Owner or Lessee information(Lessee as o er only if contracted for improvements) � _ ^
a.Name and address:�Cl�'(�fw Proven Lb �5 ca sf 2_Uo ��l �.� �-t l t,L40 A
b.Interest in property:
c.Name and address of fee simple titleholder(if other than owner):
4.Contractor Information r /►� y
a.Name and address: L t?D t.-70tfr' dD G• d' 8 C�
b.Phone number: -4{ Fax No,(Opt.)
5.Surety Information
a.Name and address:
b.Amount of bond$
c.Phone number: Fax No.(Opt.)
6.Lender
a.Name and address:
b.Phone number:
7.Persons within the Statc,of Florida designated by Owner upon who notices or other documents may be served as provided by
Section 713.130)(a)7.,Florida Statutes:
a.Name and address:
b.Phone number:
8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b),Florida Statutes:
a.Name and address:
b.Phone number:
Expiration date of notice of commencement(the expiration date is 1 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 STATUES,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.
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have-
read the fo , oing and th fa in it are true to the best of my knowledge and belie€
a— o 71 m ,
rr x rt e �
Signature of Owner or ssee,or own 's or L 's uthori cer/Director/Partner/Manager ry i'.) o
Signatory's Title/Officer.
State of Florida
County of Manatee V
The foregoing ent w =owled d b re me ' of 20by _
G who sonall .kn me or has produced
- ho did/did not take oath. °
n 4
(Driver's License# ' Y
THEODOSIA BRICKHOUSE $
IgnatUl'e of Notary N
otary Public-State of Florida Public-State of Florida _
.W.
A ^_ Commission#GG 163218 a ti
=;�' 4 My Comm.Expires Dec 23.2021 �- mm
9.FOF ` Banded:hro�gh N2:IOna No:aryAssn. Prim,Type,Or Stamp fc� @ 6
Commissioned Name of Notary Public
e -
ED
City of Zephyrhills
` 5335 8th St
Zephyrhills FL 33542
(813)780-0020
9
ROOFING INSPECTION AFFIDAVIT
P.erYnit No-.: R r F
I, licensed under Chapter 468, Florida Statutes as a(n):
Contractor V Engineer Architect Building Inspector
License No.
On or about oG7��, 0'70/9 did personally inspect the:
Check: Roof Deck Nailing V Dry in Flashing and Drip edge V
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:
STATE OF
COUNTY OF PASCO ;;; CAROLINAOLASCOAGARODRIGUEZ
MY COMMISSION#GG 102968
Sworn to and subscribed before this day EXPIRES:May 9,2021
r F;,.• Bonded Thru Nolary Public Underwriters
Notary Public State of Florida ` � - -7 _1