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19-21869
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21869 �. BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21869 Address: 37922 MEDICAL ARTS CT 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: 34-25-21-0080-00000-0022 Improv. Cost: 9,870.00 OWNER INFORMATION Date Issued: 10/09/2019 Name: HEALTH RESOURCE ALLIANCE OF PAS Total Fees: 135.00 Address: PO BOX 232 Amount Paid: 135.00 DADE CITY, FL. 33526 Date Paid: 10/09/2019 Phone: (352)467-2001 Work Desc: REROOF METAL CONTRACTORS • APPLICATION FEES _ TLC ROOFING & CONSTRUCTION INC REROOF COMMERCIAL 135.00 1 I DRY IN ROOF INSP Ins ections 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 Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. OF CONT CT GNAT RE PERMIT OFFI R PERMIT E IRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21869 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21869 Address: 37922 MEDICAL ARTS CT 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: 34-25-21-0080-00000-0022 Improv. Cost: 9,870.00 OWNER INFORMATION Date Issued: Name: HEALTH RESOURCE ALLIANCE OF PAS Total Fees: 135.00 Address: PO BOX 232 Amount Paid: DADE CITY, FL. 33526 Date Paid: Phone: Work Desc: REROOF METAL CONTRACTORS APPLICATION FEES TLC ROOFING & CONSTRUCTION INC REROOF COMMERCIAL 135.00 DRY IN ROOF INSP Ins ections 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 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 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 7 VJ �,D&,, 4' 4 V Date Received: v I -349 Site: Permit Type: Approved w/no comments. Approved w/the below comments: F1 Denied w/thc below comments: EJ This comment sheet shall be kept with the permit and/or plans. Kalvin Sfi lans Examiner m Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received i " 1..:O'hone.0-ont.a t for Permitting ��++ — Owner's Name ��{[� rQ [ wn�r Phone Number Owner's Address s (1,r Owner Phone Number Owner Phone Number OF JOB ADDRESS /C S C ` 1 S F �LOT# SUBDIVISION F PARCEL ID# 160 1) 60060-0o (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH R. INSTALL 8 REPAIR PROPOSED USE 0 SFR Q COMM = OTHER _ O TYPE OF`CONSTRUCTION = BLOCK 0 FRAME = STEEL . ;_ DESCRIPTION OF WORK 54ff 77. BUILDING SIZE tti SO FOOTAGE HEIGHT. /Z) =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. =PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY .0 OTHER FINISHED FLOOR ELEVATIONS" FLOOD ZONE AREA =YES' ... NO BUILDER \ MPANY Z;271004040 (P SIGNATURE . REGISTERED 1. Y/ N FE C REn ' Y/N Address tf (� L& License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/- N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/.N ' Address License# OTHER COMPANY SIGNATURE REGISTERED =1Y!.N FEE CURREN Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;.R-0-W Permit for new construction,• Minimum ten(16)working days after"submittaldate. Required onsite,-Construction Plans,Stormwater Plans w/•Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMN)ERCIAL 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 orisite,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 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 maybe 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-1to-what licensing-requirements,may apply for the intended work, they are advised to contact.the Pasco Count 'Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore,--if-the owner has' hired a contractor or contractors, he is-advised to shave-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 h existing buildings, or expansion of existing buildings,.as;specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The:uridersigned:also,urtderstands, that such fees, as-maybe 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;thefees--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.71.3, Florida Statutes,-as:amended): If valuation of work is$2;500.00.ormore, 1- 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-informatiowin thistapplication:is.,accurate..and that_all work will be done in compliance with all applicable lawsregulating 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. -1 also certify that i understand that the regulations of other government agencies may apply to,the in 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. 1 understan&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 s 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.stern 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-maybe.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 ingood faith to infform-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 implans, 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 fora'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:T0.01i'VNER: YOUR PAiLURE TO RECORD,A-NOTiCE-OP-COMMENCEMENT MAY RESULT KYOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO'OBTAIN FINANCING;CONSULT WITH-.YOUR-LENDER.OR,AN ATTORNEY BEFORE=RECORDING YOUR NOTICE OFCOMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER-OR.AGENT - Subscribed and sworn to(or affirmed)before me this Subscribed and'sworn to(or affirmed)before me this by by Who istare personally knowrr-to me or has/have produced Who is/are personally known tome or has/have produced as identification. as4dentification. Notary Public Notary,Public. Commission No. Commission,No. Name of Notary typed,printed or stamped Name;of Notary typed,printed,or stamped State Certified CCC1330893 N®o 00 1'86 i TLC Roofing, & Construction,: Inc. } Licensed .Bonded •Insured Free Inspections&Estimates r r .�t t Call Travis Thurston Office: Residential -Commercial •All Roof Types (;eI'v (352) 807-5®:C6 /352 �437-4�073 40 rears Experience . ®P 352 650-7101 t'\ Email:-11;roofingfiorida@_gmaii.com . PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT Name I Ic- r�' Street Street l� City City+ .z7_r:8g0,/`C,4t LES State Zip State Zip Owner of property ; . Phone:Number ', Fax Phone Number Fax We herebyrp,ropose to furnish all the materials and perform all the labor necessary for the completion of: Remove existing shingle roof ❑"Replace bad fascia boards at$ ""' per foot ❑.Remove existing built-up roof 1111'ri�stall feet of ridge=vents p Dry-in with ❑ Synthetic '❑ Peel &stick El Install Master Rib Metal Roof System ❑ Install new galvanized valley metal 0 f tall 1:Insulfoam ❑Install new lead boots ❑ Install 25 yr. fungus resistant 3-tab shingles O•I stall new exhaust vents ❑-Install 30-yr:`f0rigus resistant dimensional shingles Q Install new drip edge, color ❑ Shingle manufacturer color stall new flashing as needed �' ❑ Install TPO,white rubberized roofing membrane" El Replace plywood at$ per sheet ❑Other: ❑Repair rotten�tfusses at$ per foot *Woodwork is an additional charge, see pricing-above 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$ -35, E U with payments to be made as-follows. Payment due in full on cornpietion, unless otherwise noted.Thank You. .-,--.--Credit cards accepted additional 4%charge. Any alteration or deviation from above specifications involving extra costs will `may be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or Officer/Agent delays beyond our control.owner to carry fire,tornado and other necessary insurance upon above work.Compensation and Public Liability Insurance on Note:This proposal may be withdrawn by us if not accepted above work to be taken out by Roofing Contractor. 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. f• Accepted Signature Date 9 f 4 f / Signature INSTR#2019154258 OR BK 9970 PG 3874 Page 1 of 1 09/10/2019 04:13 PM Rcpt:2089169 Rec:10.00 IDS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller NOTICE OF COMMENCEMENT Permit Na _ ' Tax Folio No. THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with C tq 713,Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.-baP, 'c I,Description of propeaty(legal desert tin of property): a)Street(job)Address: � fril tcrs i -FS G , ?_ {Zh_h.l lS —o 2.. ptiggpf t'tpp�vement( arafs�oJ/X FBo�,"�itg 4 �" e�ena�a.tlesar . 3,Owner or Lessee inf lion(7.essee owner only>f c�rtracted for 3-)91 mtprovesnents) �o �.33.s?� a Natneaniladdress ^n�fr`Cm•�'r�►anr{ Qf-IhC'C�fE.trXtA�P a RUC CE,urth b..barest in property C,Name and address:of fee simple titleholder(if other than owner): 4.Cgntractna�Infnimation ii IJame did address:'�� I�dDT/HQ f�ON S�ritOl?• .�07�G /C�DOl96LJJ (.!�j/ b.Phoaenumber: �3 FaxNo.(Opt.) S.•Suety Infwinati9a�` - - - i a Nape atd address: p.Amouaf of toad S . r'.Phone number: Fax No.(OP.) 6.Lender a.Nerve an4 address: h Pkone number; ' 7,Fersous withinie Stage of Florida designated by Owner upon who notices or other documents may be served as provided by Section 713.i 3(lXa)7.,Florida,3tattrtes: a.Name and address: h Phone number' 8.Ia addition to hunselt;atxner designates the,following person(s)to receive a copy of the Lienor's Notice as provided in Section 713,13(lxb),Floods StOut8s;.. ti.Nerve and'address: Phone number Eaptr_soon date of no Nee of rnnuepeement(the espkradon date b 1 year flrom the date of recording unless a different d>i fe Ls spedfkd) _ ... WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER.AFTER THE w EXPIIjATION'F THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,.PART 1,SECTION 713.13,FLORIDA STATUES,AND CAN RESULT,IN YOUR PAYING-TRICE 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 pu meant to Section 92, 9,Florlda Statutes.Under penaltles of perjury,I declare that I have- Ii+ead tyre foregollrg and tbat the[seta in It are true to the best of W knowledge and belief; Signettim of owne cedbireetor/Partnedmanager Signetory.'s litle/O�ce [4.Li..CVJ - State of Florida . County of Manatee US'4' 201 faregoin t:tif acl�towl6dLed before me this of = d by tt:`iL t CEO - who is perscmalty lmown o me or has produced -- and who didJdid n oath. 'vac's License. �. Si No Publi -S of o Notary Public State of Florida Rim,Type,or Stamp enm er Comm Exissioned Name of ` Commission 158002 - 4R Expirea1110 812 01 2 .f n STATE OF FLORIDA,COUNTY OF PASCO © THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT 'ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITN�kMY HAND D FFiCi L SEAL TH{ • �' �� , � �� DAY OF 6�2 � c� CLE K& ElR 1 BY DEPUTY CLERK STMME F lojowfluilding Code Online 10/1/19,,2:59 PM W SCIS Nome j Log In User Registration j Hot Topics Submit Surcharge Stats&Facts Publications I Contact Us BCIS Site Map Links Search loridaNA ' w Product Approval f . USER:Public User ALL WORK SHALL COMPLY WH PRI-VAILINO :yc-mot„ ;iurn CODES FLORIDA BUILDING @@��00091 Product Approval Menu>Product or Application Search>Application List>Application DWIONAL ELECTRIC CODR, �. FL# FL7271-R4 AND THE CITY OF ZEPHYRHILLS ORDINANCES Applicatibn Type Revision Code Version 2017 Application Status Approved REVIEW PAT E 0 PHYR AI, Comments CITY�F Archived PLAN— EXAMINER Product Manufacturer UNION CORRUGATING COMPANY Address/Phone/Email 701 S. KING ST. FAYETTEVILLE,,NC 28301 (910)483-6,479 Exf 256 jstieby@unioncorrugating,co m Authorized Signature John Stieby jstieby@unioncorrugating.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Metal Roofing P Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed Bala Sockalingam the Evaluation Report Florida,License PE-62240 Quality Assurance Entity Keystone Certifications,Inc. Quality Assurance Contract Expiration date 09/07/2027 Validated By Yoosef Lavi, P.E. 7 Validation Checklist- Hardcopy Received Certificate of Independence FL7271 R4 COI QertificateIndependence.1df Referenced Standard and Year(of Standard) Standard Year ASTM E1592 2005 FM 4470 2012 TAS 125 2003 UL 1897 2012 https://www.floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXQwtDgvtEeYwO6EIOYS5GItKSln7OEwmlelSGVY%3d Page 1 of 4