HomeMy WebLinkAbout19-22005 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22005
` BUILDING PERMIT
"PERMIT_INFORMATION LOCATION'INFORMAT;ION,;
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PPermit Number: 22005 Address: 6129 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: ZEPHYR BREEZE
Est. Value: Parcel Number: 02-26-21-0190-00000-0130
Improv. Cost: 5,900.00 -,OWNER INFJORMATION�:`..,
Date Issued: 11/04/2019 Name: DAVID TK HAYES LLC
Total Fees: 70.00 Address: 482416TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL 33542-6018
Date Paid: 11/04/2019 Phone: 813-598-6981
Work Desc: REROOF SHINGLE
s _:..CONTRACTOR S --APPLICATION-FEES�::
PASCO ROOFING REROOF"RESIDENTIAL 70.00
�J
r Ins ections Required
DRY IN ROOF I P
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.
CON RA TOR 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 Received Phone Contact for Permitting 1 %4G- 5`Z
Owner's NameNp-a"y'
1 1 Owner Phone Number
Owner's Address Z ` Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address `
JOB ADDRESS ZO LOT# y
SUBDIVISION QC PARCEL ID# V 6 2-ItO' O 0 ' OOOOD
(OBTAINED FROM PROPERTYTAX,NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT = SIGN. _ = DEMOLISH
R INSTALL e REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION [ BLOCK = FRAME STEEL =
DESCRIPTION OF WORK •. C'/
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING VALUATION OF TOTAL CONSTRUCTION:
=ELECTRICAL $ J IJIJ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
=PLUMBING '-05
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v
=GAS = ROOFING 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 LI±N
Address License# �—
PLUMBER COMPANY.
SIGNATURE REGISTERED, Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Ly
/N
Address License#
OTHER COMPANY a V_�n
SIGNATURE LL REGISTERED Y/ N FEE CURREN Y/N
Address e_ License# OLC, ���`���
lllllllllllllllllllllllllllll1 , 11 Illllll .11llllllllllll.11llllllllli
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)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. (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
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that i�his permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The und ersigned 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 I what licensing requirements may apply for the
intended wor.k, they are advised to contact the Pasco County Building Ins I pection 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.' I
TRANSPORTATION IMPACTiUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may applyto the construction of new buildings, change of
use in existing buildings,-or expansion of-exisU - buildings, oa specified;in Pasco County Ordinance number ue*/ ond
80-07. as amended. The undersigned also understands, that such foe �| as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Renounce 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 1��Xid prior 1c, 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"17forida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and, Consumer Aff 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 perf rmed 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 agencie's may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. ISuch agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheadsl Wetiand Areas'and Environmentally Sensitive
Lands, WaterMastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
- Army Corps f Engineers-Seawalls,Engineers—Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmen' tal Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
' US Environmental Protection Agency-Asbestos uowv:n/e'/t. '
- Federal Aviation Authorih/-Runwoyo. |
| understand that the following restrictions apply to the use of fill:
- Use of fill io not allowed in Flood Zone^V~ unless expressly
_ If the fill material is to be used in Flood Zone ^A^, it is understood that drainage plan addressing o
''compensating volume" will be submitted at time of permitting which is prepared by professional engineer
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licensed by the State o4Florida. .
- 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 ig 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 cod'es, 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 susp I ended or abandoned for a period o I f,*six (6) months afterlthe 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) consectit t ive days, the job is considered abandoned,
WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
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,
OWNER OR AGENT CONTRACTOR
as identificaRlo*n as irfi--rit0finnfinn
&, Puoouu��.tiary Public otary Public
\- !
INSTR#2019187789 OR BK 10000 PG 1342 Page 1 a 1
11/04/2019 09:39 AM Rcpt:2105070 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COL~IMENCElUfE1VT ; ' ''.:' `_:' . ;:'-r
2-Zfi- -0190-00000.0130 - —
:Property IdennBcattonNo:O :.. 2 _ - - -
State ofF']t5rt �" '` -
-- �`" Coun of Pasco•.:,._-: -_._: - -- _ _ -- ' _ _
::fEIE:UNI)ERSIGNED hereby.,gives ttot�ce tliafititiproget eats will be'inade to certain ieat:proper;mil iin accocdence.with;Section.` :.
,_7[3.13 bf the�Floridti Statut�the'�illowipginforsnafion rs pco�nded.uithe�U10TICE.O_F_�OMhiEiVCI1MENT: :-`_-: _ '
:rif ilesr _02 26=11-D1 -
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a Stieet:Address: 6t2920
2::..General':dt§criptibn:ofill itiiprovetnents' r:' RelZrif= -
-
Information
-..: •., _ -:-3�= •Owner. _:.:::_:: - -
ta}Name:andsaddcess;: °nATK7lav ctea;°C;dR2dJ- tfPer:teii vrliills FL 33342"
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(b)•Naine aril address of.fee.sim3[e:dtfefiolder:{if other than orrnei):
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'S.Surety liffarmation. - -
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;(a)Name and..
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. •(a)Name:and:addressi NtA..- . . . ..
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::..;'..7.Identityof` rson;within1he:StateofElmi&:designatedbyowuer'tipon.vliamriotieesorofher.docdriieuts-piay_Iie;szzved
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;Name.and:addtess:
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Tel hone Na:: .•...: -
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-8:R additioti:to himself,ownr r'$esignates.the follotYing person to.ieceive a'gopy of"the Lim it's Notice as'pr.aN .ui Section:
Oro);' _
71'3_I3 1. 6l rid' -
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..(a}Name:and�address.• - ....' - - - --
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phottip:No..
` : : 9 Expiration'date.of Nonce of.Cotitgienceutt nt.(the_explrattan date>g:ot eyeaF_fioru�ihe:ilate:oEracbrdi9igAunless a cli€fe eitf_date
- -
VI!ARNiNGTOOWNERs_ANYPAYMENTS-MADE.BY-THE'OWNERAYTERTHE-E"XPIR4TION-OFTHE�1 OTIC!gbF .
CON1141ElYCENXEN t:ARE:CUNSLDERED IMPROPERFAICMElY7 SUNDER CHAPTER M,.PART.I,SECTION 711.13,
FLORIDA S`it ATUi'ES'AND CAN RESULT IN-V0U 'PAYiNG-TW''ICE FOR;7PI20VEMEN`TS TO:YOUR PROPERT A
NOTICE OF COMMENCEMENT MUST:M!A CORDED.AND'-POSTED.ON THEJOB.Si.`TE BEFORE-THE FIRST
INSPECTION::]IF;YOtl�INTEND TOOBT;�iIlal FINANCING;COl!iST YOiIR tiE1�1�ER:ORAIATTORI!(EY BEFORE
`COMMENGIIVG WORK OR-RECORDING-YOU NOTICE OF COMMENCElYIEIVT:. -
- _
: der Penalfyaf p.-e Y;l`declare matJ;fiave;nead: regoing eotice.o niencemertt'aild't_tist ^'stated tfierain.are true tc tliebest . '=. .
of my kndote acid ef --
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.STATE OF:F:LORIDA:
COLNTY'OR.'PASCO
-8ignatureOF..0wneror0vmw,'stiu_ rued'Otiicei/L)irector/f!_aiiaer/Nf ie&er .,t• _ '
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Th,e fd` din' iiistrudieiif was"itbknowldd iU:tiefore.in_e:ihts day of ' 20 $y-; `U
;. ty ,ofatnhbrity;4g icer,trtistee:;attcrney iu$tct)for'
ameoCpactyoitaietialfot:iv"mr merit�ti '•tit .
;Reisorially Know ILl'roilaced lilelrtifi; tioai! _ Notaiy 5lgnaiur- -
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Typg'oftderidliaol+otfPtadticed`:
' MARY:'JO BAR ' -
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_Public-S; Notary. tate:oi Flor - - --- __Co M C m _o m.Ex it . ' -. :. :.'..` _ndcdthrough National Notary A - -
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STATE-pS= F'LC?EdSDA, C®LINTY OF PASC
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT h„
1 74,
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
ua,
WITNESS MY HAND AND OFFI`IAL SEALo -
DAY OF t�&K&K COM ROLLER , ea���
DEPUTY CLERK
727m 842=5224 800-741-2306
COASTAL
M O I N G SERMES www.coastalbuildingservices.net
Lic#CCC1331495
PROPOSAL SUBMITTEDTO PHONE DATE
David "TK" Hayes 11813-598-6981 10/28/19
STREET JOB NUMBER 1 /� � 2 A
6129 20th Street 2 `"a 14
CITY JOB LOCATION
Zephyrhills
STATE ZIP E-MAIL
FL 54a I davidtkhayes@mac.com
We hereby submit the following specifications and estimates for:
Dave Higgins 405-269-1997
Provide proof of all licenses and insurances
Obtain permit as required by county and record NOC
Remove existing shingles and underlayment to plywood decking
Replace bad lumber as needed and re-nail deck to FBC using 8d ring shank nails
i Install peel and stick underlayment
Install new pipe flashings,galvanized roofing vents and drip edge
Install Tamko algae resistant shingles-Color TBD
'UP TO 3 SHEETS OF PLYWOOD INCLUDED AT NO CHARGE
REMOVE EXISTING GUTTERS AND DOWNSPOUTS AND DISCARD
Lumber: 1/2"Plywood $75.00 per sheet 314"Plywood $95.00 per sheet, Board Lumber $5.50 per linear ft.
ACCESS:Customer agrees to allow Pasco Roofing and it's suppliers access to the property and realizes that heavy equipment is being used. Contractor shall
not be liable for,without limitation,damage to driveways,sidewalks,lawns,sprinkler systems,gardens,septic systems and any other structures as a result
of rooftop or job deliveries. Damage shall be brought to the attention of the Contractor prior to the time of paymentfor the roof. If Customer fall's to notify
Contractor of said damage within 5 working days of occurrence,they shall waive all rights against Contractor concerning said damage.
WE PROPOSE to furnish material and labor in order to complete the work in accordance with above specifications,for the sum of:
Five Thousand Nine Hundred & 00/100 TOTAL$ $ 5,900.00
Deposit$ $ 1,180.00
20%
Balance$ $ 4,720.00
All work shall be carefully supervised and completed by skilled workmen,knowledgeable in methods needed to
produce high quality work.The job site shall be kept clean daily for the duration of the job and the grounds shall be Authorized
left clean of all roof debris after completion and the yard shall be swept with a magnet. Any alterations or deviation Signature
from above specifications involving extra costs will be executed only upon written Change Orders,and will become an
extra charge over and above the estimate. Contractor is covered by General Liability Insurance and Workmen's Note:This proposa tay be
Compensation Insurance.Credit Card payments are subject to 3%convenience fee. withdrawn by us if not accepted within 7 days.
The above price,specifications and conditions are satisfactory and are
hereby accepted. You are authorized to complete the work specified and Signature:
payment will be made as outlined.
Date of Acceptance: Signature:
Licensed Insured o Bonded
8535 Formel Ave - Port Richev. FL 34668 727-842-5224 a 800-741-2306
4 ,1
City.of Zephyrhills
5335 81'St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
I, I I�1 l�Gl�ls licensed under Chapter 468, Florida Statutes as a(n):
Contractor._Engineer_Architect_Building Inspector_
License No. CCC
On or about 1\ ,5 . I / did personally inspect the:
Check: Roof Deck Nailin V D in C�
g. Dry •h�. Flashing and Drip edge
Check which was used: 30#felt Peel and Stick. Other(List) .
At the following
address: D. ��� 70Z �� - --
.,
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
COUNTY OF PASCO
Sworn to a subscribed bef re this day
BY:
JD BARRIER
° s°: Ptotary Public-State of Florida
Notary Pub 'c State f F orida aN9r 4c M Commission# GG 031664
/ FOF FIUP� Y COMM. Expires Jan 2,2021
"""""l Bonded through National Notary Assn.