HomeMy WebLinkAbout19-22060 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22060
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22060 Address: 4803 9TH 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-03000-0021
Improv. Cost: 5,976.00 OWNER INFORMATION
Date Issued: 11/19/2019 Name: MILLER, JAMES & JULIA D
Total Fees: 70.00 Address: 4803 9TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL 33542-6038
Date Paid: 11/19/2019 Phone: 813-731-1654
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
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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.
&-,
a/yocc N ' �d
CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - B HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Building Department
Date Received f I -( [ Phone Contact for Permitting V V�z
It'll �f
O I �-r Owner Phone Number �I11
Owner's Name a t r �?3t t.� t
Owner's Address 14 W) {1`1(5 y h (hI I!S t' ! Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder-Address
JOB ADDRESS t !,41(5+ ' TO&Ir w it LOT
SUBDIVISION mobl �-s ��(�� PARCEL ID# O"O�I ' 5016 ' 63 bob• Oa 1.:
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN MOVE Q DEMOLISH
e.I INSTALL REPAIR J
PROPOSED USE F-11 SFR 0 COMM 0 BIER
TYPE OF CONSTRUCTION i BLOCK FRAME STEEL OTHER
DESCRIPTION OF WORK �1� t fC'r �C Sq G�t GtiS�t Kb{I t���tK�e Fl�`lbla`!.1 .5��� +C.UaL:.F('�!01�a 6•� `
BUILDING SIZE_ SQ FOOTAGE L HEIGHT 3IIa V loP�
BUILDING � g�t_ Q 0 VALUATION OF TOTAL CONSTRUCTION
11 W4
0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C.
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I
i
GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS', FLOOD ZONE AREA DYES =NO
COMPANY
SIGNATURE i i REGISTERED Y/ N FEE CURRENT Y J N r
Address License#
ELECTRICIAN I COMPANY
SIGNATURE ( REGISTERED Y/ N FEE CURRENT Y I N
Address ( License'#
PLUMBER i COMPANY
SIGNATURE j REGISTERED Y/ N FEE CURRENT Y/N
Address i License#
I
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT L=N
Address ? License# .
OTHER COMPANY MOA K664ol J1'_-
SIGNATURE _ v` v REGISTERED Y/ N FE URRENT I N
Address 13 S K 'S ti (h r t! License# t_"�'C l�j.a�so�. Ll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, '
Minimum tenj(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed;
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL. Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit'for new construction.
Minimum tent(10)working days after submittal date. Required onsite,Construction Plans,Stormwafer Plans wi 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 Commencern' ent(s required, (A!C upgrades over$5000)
*` Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner aut orizi'ng`same
'OVER THE COUNTER PERMITTING (Front of Application Only) _
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ' ..•.
Driveways-Not over Counter if on public roadways..needs ROW
• i
i
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 1has hired a contractor or
contractors to undertake work; they may be req�iuired 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 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 information in this application• islaccurate 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 Iin 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 Iarea, .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 applicationj for lots less.than one (1)
acre which are'elevated by fill, an engineered drainage plan is required. i
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, thejob 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 OF COMMENCEMENT.
FLORIDA JURAT(F.S 11.7.03) _
OWN R:. R AGENT t� UUU CON RA TOR — /
Subs ri b,e _ nd sw to(or ' it d)betor this Subs ri a nd sworn (or a armed b fore me his
I�l by (,�Cc �a� I.CJCO ( 1 �� by z Q MLa �l b
Who is/are personally kn wn to me or has/have produced Who s/are personally kno n to me or has/have'produced
as identification. as identification.
LISAY.CRUZ o 1?ue,�c LISAY.CRUZ
Commleslon#GG 297813 Commission tR GG 297 813* I _
4'e Q\o� Expires February 3,2023 bli . \oQ Expires February 3,2023 Notary Public
Notary Public r
Ell Road@, F e`
Commission N . Commission No.
Name # tary ed, e 7ed Name o ry typ ,prin r r s a pad
l
City of Zephyrhills
5335 81"St
A Zephyrhills FL 33542
(813)780-0020
{
1 ROOFING INSPECTION AFFIDAVIT
Permit No.:
Maolicensed under Chapter 468, Florida Statutes as a(n):
Contractor L Engineer_Architect_Building Inspector
License No. ('CC 13•a 55b J
c
On or about i as 1 did personally inspect the:
Check: Roof Deck Nailing r,L301#
' -Dr. in ✓ Flashing and Drip edge v/
Check which was used: elt. Peel and Stick_Other(List)
At the following � Q�3 n.
�0
address: U v 1�
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 OFFt9RIQ
, Pos+, ANGELA HAYWOOD
COUNTY OF PASCO ) '?°�`', ��`•; Notary Public-State of Florida
Commission A GG 344085
Sworn to nd subscribed before this d y r r a Mr Comm.Expires Aug 24,2023
Bonded through National Notary Assn,
BY: �
Notary Public State of Florida
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' '� ' ' '-'' ' Roofing,- ' '' 'g" Inc. xm fee for credit card processing.
ADkvision of Ryman Construction,Inc.
3G413 SIR 64'Zaphyrhi|ha. Florida 33541 Proposal#
' Phone 13)7D8-G773 ��u'
. v' --------1-855'Go-Flymon(1'856-4G7-S82G) ' Lio.#CCC1525505 Estimate OO14OO
vwmv«RymanRoofing.00m
Job#
�8����_� ll of Central Florida Serving
- - -r/-P--u-rdh-a s-e-r-JIM MilAe[ '------- -'----- - - --' -------' - -- ' 10/28/19
Owne
Insurance Company:
Pulicy#
Job Address: 4803 9th St City: Ze h dl||| Zip: 33542
Mail toAddress: E-MailAddnouu: Jamiller9l3@_yahoo.com
Hmna #- 813-731-1654 Cel| #: 813-352-3622JUli8 Business #:
F,�l.Complete tear off of existing Additional Notes/Special Concerns: Includes
One laver included Install new GAF Timberline hd diDOeOGiOO8{ limited
�l[ Sauunua|||000evoofdeckingau needed uu lifetime shingles
tu Florida Building Codes
L^1 Roof dried wit
h �� th ti
u�
Rhino roof s th ti d l DOe t
Z Install new valley metal with galvanized metal
[(l Install new "drip edge color: White
�
Mv Install new lead boots
C� Install all new generalroof vents
Install new ZShingle | Metal
| |ModifiedButim
[� Manufacturer (smnWa, metal or file) GAE Two sheets Of plywood included
Manufacturer npo or Mod. mmm°*
C� Color: N1��|o���) ouovo�amm
' Permit � schedulingf inspections
Ou|or(TPOorK�OD.Bitumen)
-�'�� -��
[� All roof related debris removed from job site,pick-up loose
nails using commercial grade magnet
� ����� ���
[� AUm�aha|o.labor and penndofumiahed Base phce°$ ~�,��» ��'v�v�
�� Provide 5 year labor warranty
Additional Items:
Payment Method: L^~ ~heuk# ~�3 FCeoh F-_lFinanuing --- Insurance Cl
aim
El C�d�Card# Y_JP
Exp.Data CC0#
Down Payment:$ —Amount Financed:$ Appn»x Monthly Payment: p
PoymentTenno: 35% down andbalance u |eti n
Extras:
0° Priced NOT indudoany unfb� co
sts * �una||homn^nbovo. u, "�
efidant1�"pkowoodep|ocedutaco�gnf$65�/D__per sheet in the moffield,which indudealabor&m�aha|a.All�harwmod4md�ad-
��0na|labor,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will bea rate of$5.00 per lineal foot plus the
cost of materials.
THIS BECOMES A BINDI CONTRACTUPON CCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROP LAND H V,.FY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser. o��
Purchaser. " sst|mator ^-~
INSTR#2019195337 OR BK 1 0006 PG 3349 Page 1 of 1
11/15/2019 11:43AM Rcpt:2108891 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
Permit No.
Parcel tD Ne
I
stale or I O I(�/I NOTICE OF COMMENCEMENT P 3n
•"' Count of a
THE UNDRSIONEO hereby gives notice that Improvemenmr1l be mado to canaln real property,and in accordance with Chapter 713,,Fl,ad^da Slatutas,
uiefolloW..ngtnformagan•sproNdedbl this Holicoaf Commencement: / '1�_rt r /1p1 a �3 aoo UV�
1. Descdpuonof Propert. arrc'e�I IIrdenl(,if(J�'awli' N,00.. �f,,(1 � /a 1a` o0
Sheol Address: �03 1 6 r�'t<1 V
2. General Description oflmprovement
"— a f c-rob
3. Ov r I fonnaI on or Lessee lnformallm if the Lessee contracted for the improvement
(k,r c S +'Sidra
LlBUY 4 " 64-
Address '`�n„ CiIY Stale
Interest in Praperty: V `U-
Name of Fee SYnpis Titleholder.
(If different from Ounar listed above)
Addess r l l� U V G city State
4. Name Y3
W�l3 )R
Addres, City r Slate
' Conlradols let phone No.:
b. Surely. N ��
Name
Address City Slate
Amountor d-$ Telephone No.:
6. Lend,r.
Name
Address City State
Lender's Telephone No.:
7. Persons within the Stale of Florlde designated by the evmer upon wfiam notices or Other documents may be served 39 provided by
Secion 713. 1 a�7�,Florida Statules:
Name jV (�
Address City Slate
Telephone Number of Designated Person:
6. In addluon�ahimsetf,the o vnar duslgnales or—
•J' to receive a copy or the Oerors Notice as provided In Section 713.13(th'b),Florida Statules.
Telephone Number of Poison arEntily Designated by Owner.
9. Expiration dale of Notice of Commenmment(Ilia aspiration dale may not be before the comp�upn of co slrucuon and final p ant to the
contr'edor,but wig be one yearfrom Rho date of recording unless a different date is specified):f I'' `In��In I alla
ENT
ARE CONSIDEREDG TO EMPROPER PAYMENR; ANY PAYMENTS pADE TS UNDER NE OWNER CHAPTER713 AFTER
EXPIRATION
FLORIDAL= STATUTES.AND ICAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COIdMENCEMENr MUST BE
RECORDED WITI I YOUR LENDER OR AN ATTORNEY BED ON THE JOB ITE BEFORE THE EFORE COAMENCING WORK ORIRST ION. IFREC7,, 1.N.'Y.OURROU INTEND TO NOTICE OF,COiAM NICEMENTSULT
Underpenauy ofperjury,I declare thatI have mad theforegoing notice of cemmencamtht the facts stated h n are two to the best
army Imarviedge and belief.
STATE OF FLORIDA C
COUNTY OF PASCO
Sign"
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of or Lessee,or C—ae.Of Lessee's Aulborized
Of.11DII-I .Merlhtanagar
0U(U—r
VA Signatory's 7It1e10111
t� .vim' �! p r
The for��olrg,ln Ind retell was acNnouiedged beraremethlsL ` dayof 4 V�y .20Rey � `� I( ��
L./(�lf r l}w( (type or authority,e.g.,officer.Iwstes,altomoytir fact)for
( e of rly behalf v horn inshument wa executed).
Pr-sonally Known[I DR Produced ldentific�attJion 0� Notary Signature
Type of Identification Produced L N L Name(P I
o;V9.r r•��.� ANGELA HAYWOOD
,9z��•; Notwy Public-State of Florida
ty P j Commission R GG 344085
orNd My Comm.Expires Aug 24,2023
•Bonded through National Notary Assn.
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