HomeMy WebLinkAbout19-21955 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21955
BUILDING PERMIT
`,PERMIT INFORMATION LOCATION INFORMATION,
Permit Number: 21955 Address: 37723 ALISSA 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: ORANGE BLOSSOM RANCH . .
Est.Value: Parcel Number: 15-26-21-017B-02300-OOAO
Improv. Cost: 3,375.00 OWNER INFORMATION
Date Issued: 10/22/2019 Name: KOLAR, DAVID & PATRICIA
Total Fees: 60.00 Address: 37723 ALISSA DR
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-5673.
Date Paid: 10/22/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL '60.00_,
\ n .
Iy '
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recoked Phone Contact for Permitting OR D 7
Owner's Name 14� ;d L /Ctf- I Owner Phone Number
Owner's Addressl_32 772 A):_5<4 hr 2ri)At4,=h;115 Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID# :;z 2 3 0a--06Ao
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT 0 SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME 0 STEEL
DESCRIPTION OF WORK 1-'Trar o-P� W__514:14,,4, %") !A �A&A,) -5 bt 1
BUILDING SIZE F_ I SQ FOOTAGE 4 HEIGHT
FUIBUILDING $ -73 "7P0 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C.
=PLUMBING 1$
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j
Address License# F_
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/-N FEE CURREN
Address License# F-
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY±N J
-Address I License# F_
MECHANICAL COMPANY
SIGNATURE I I REGISTERED Y/ N FEE CURREN
Address License# F-
OTHER COMPANY
,9 i i`
SIGNATURE REGISTERED I FEE QfLIRRON I Y/N I
Address � C - , License#
14 111111 11111111 a 1111 11111 ................ H!1111111112 HIHHHHH!
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&I dumpster;Site Work Permit for subdivisions/large 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 wl Silt Fence installed,
Sanitary Facilities&I 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.
114 i i i 14444;"
D==
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/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OFDEED : The undersignedunderstands that this permit may be subject t#^dead"restrictions"
which may ba more restrictive.than County regulations. The undersigned assumes responsibility for ooniljhance with any
emplicobedeed restrictions. ;e
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor in not licensed as required by lavv, both the owner and contractor may be cited fo misdemeanor violation
under state |avu |fthemmmerorinhendeduon�aotoranuunce�a|naobovvhat |iceneingrequirements may apply for the
intended work, they are advised hm contact the Pasco County Building Inspection Division—Licensing Section sd727-847-
8DO9. Furtharmona, if the owner has hired a contractor or oonbactmny, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. U you, as the owner sign as the
comtnootor, that may beon indication that he is not properly licensed and is not entitled ho 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 ho the construction cf new buildings, change of
use in existing buildings, expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07. as amended- 'The undmroignmd a|eo undaretands, that such fees, on may bedue, will be identified at the time of
permitting. |tie further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ba
receiving o "certificate mf occupancy" mr final power release. If the project doasncdinvolve a certificate of occupancy or
final power ny|eaem, the fees must be paid prior to permit issuance. Furthermore, if Pasco Cmunh/VVoter/Savwer 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, asmnmemded): |f valuation of work io $2.5OD.00ormore, /
certify that |, the app|icant, have been provided with a copy Of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant imsomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to-the"omner"prior bncommencement.
CONTRACTOR'S/OWN ER°SAFFNDAVIT: I certify that all the'information in this application is accurate and that all work
will be done in compliance with all epp|ioob|a |mxvo regulating ounotrunUon, zoning and land development. Application is
hereby made to obtain o permit to do work and installation as indicated. | certify that-no work or installation has
commenced prior to issuance
'mfa permit and that all work will be performed to meet standards of all laws regulating
construction, County and City' oodam, zoning regulations', and land development regulations in the jurisdiction. | a|eo
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
nny responsibility ho identify what actions Y must take bobmincompliance. Such agencies include but are not limited to:
- Department mfEnvironmental Protection-Cypress Bayhaod$, Wetland Areas and Environmentally Sensitive
Lands,VVabacMambawuaberTreedment.
- Southwest Florida VVotmr Management O|mtriot-WmUa, Cvpnamn Bonheado, Wetland A.naoo, Altering
VVsdencourneo'
- Army Corps of.Engineenm-SeavwuUe. Docks, Nevi b| Waterways.- Department of Health �k Rehabilitative Services/Environmental Health Unit\WmUs, VVostevwsbmr Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation/hdhmhty+Runxvoyo.
| understand that the following restrictions apply to the use mffill: '
- Use offill is not allowed in Flood Zone Wpun|eeoexpmmom|ypannitted.
- If the fiUmohoho/ is to be used in Flood Zone "X, it is understood that m drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed bv the State VfFlorida.
- If the fill moba,io| is to be used in Flood Zone ^X in connection with o 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, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect edieomnt pnopediao, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |mme than one M>
acre which are elevated by fill, an engineered drainage plan in required.
|f| amthe AGENT-FORTHEOWNER' | pnomime |ngomdfaithboinformtheownorofthepmnnM±ingconddUonaoetforthin
this affidavit prior bo commencing construction. | understand that o separate permit may bm required for electrical work,
cdummbing, signs, vvel|s, pools; air conditioning, goa, or other installations not specifically included in the application. »4
permit issued shall be construed tmbmolicense to proceed with the work and not as authority hm 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
un|aoa the xxodx authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit ko suspended or abandoned for a period ofsix(8)months after the time the work kocommenced. An extension
may be requenbed, in mvitin8, from the Building Official for m period not to exceed nineb/ (9D) 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 COM8N��� MENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
CO
F ZAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 1 F MMENCEMENT.
OWNER OR AGENT CONTRACTML
Subscribed and sworn to(or affirmed)before me this Subscrihed and sworn to(or irmed)before me this
Who is/are personally known-to me o�has/have produced Who is-/are personally known to.me or has/have produced
asidentification. as identification.
-Notary Public '' n/Publm
Commission No. Commission No.
State Certified#CCC1330893 00260
TLC Roofing & Construction, Inc.
Office: Licensed a Bonded•Insured Cell:
Free Inspections &Estimates
352-437.4073 352-650-7101
Residential e commercial•All Roof Types -
Dean Stutts: 40Years Experience Travis Thurston:
813-695-1937 Email:ticroofingflorida@gmaii.com 352-807-5665
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
Name Street
Street 7 2 ' " r City
City _'Oh" State Zip
Stater( Zip Owner of Property
Phone Number Fax Phone Number Fax
�We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
M Remove existing single roof ❑ Replace bad fascia boards at$ per foot
❑ Remove existing
� built up roof 1�nstall (e 0 feet or ridge vents
�ry-in with Q Synthetic ❑Peel&Stick ❑ Install Master Rib Metal Roof System
I I stall new galvanized valley metal ❑ Install 1" Insulfoam
`❑install new lead boots ❑ Install 2" Insulfoam
7install
stall new exhaust vents (R� ❑ Install 25 yr.fungus resistant 3-tab shingles
new drip edge, color Vnstall 30 yr.fungus resistant dimensional shingles
dinstali new flashing as needed ❑Shingle manufacturer .color
I"Replace plywood at$ — G per sheet ❑ Install TPO,white rubberized roofing membrane
❑ Replace rotten trusses at$ per foot ❑ Other:
*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 dra and
specifications submitted for above work and completed in a substantial workmanlike-manner for the sum of$ bd.0,6
with payments to be made as follows.Payment due in full on completion,unless otherwise noted. ThankYo
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 Ore,tornado and other necessary Officer/Agent
Insurance 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 acce d.You area orized to do tte work as
specified.Payment will be made as outlined above.
Accepted Signature ��
Date Signature
2•
a INSTR# 2019180076 BK 9993 pc, 1914
10/22/2019 11:35am Page 1 of 1
Rcpt:: 2101617 Rec: 10.00
DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq.
Pasco County Clerk & Comptroller
Permit No. Parcel ID No I J" r�' 1^ 1 " 02300 0 -46
NOTICE OF COMMENCEMENT
State of County of i
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: Parcel Identification No. I
Street Address: ,-a 2-3 ,� e� i'®® Z �' lam
2. General Description of I provement, G T /'� @9�f� �Iti&r!G l �e cUl d �Ll-� ' (tiy Iti Uk
Al
3. Ownrerr Inffo,,rmation: /' J/ C
- ,- 77 Name
Is IF)
Address City State
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address City State
4. Cont actor: JI f4o
13�/'ame S( 333Z5 �C{- 5C C 1,41 rt
Address T City State
Contractor's Telephone No.:
5. Surety: ,
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender:
Name
Address 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)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates' of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement is one 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 PROPER Y. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST NSPECTIO YO INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING ORK OR R G YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
Sign ire
of Ow or 6wnees Authorized Officer/Director/Partner/Manager
Signatory's Title/Office
The foregoing instrument was acknowledged fore roe thi day 2019,by
as i(type of authority,e.g.,officer,trustee,attorney in fact)for
(na of pa on be f RUOTIA-A
instru nt was executed).
Personally Known❑OR Produced Identification L� Notary Signatur
Type of Identification Produced �DL Name( rint) 1
Verification pursua AJ er penalties if erju I declar h I h read t foregoing and that the facts stated in
it are true to the be of.; kpowledge IPRI DUCHY J
? ,y1�`. Notary Public-State of F;orida
o` Commission 9 GG 2341160
My Comm.Expires Jul 2.2022 Signatu a of Natural Pe rso Signing Above
Bonded through National Notary Assr,.
wpdata/bcs/bcs forms/noticecommencement_pc053048wce