HomeMy WebLinkAbout20-22215 CITY OF ZEPHYRHIL S
5335-8TH STREET
(813)780-0020 22215
BUILDING PERM T
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22215 Addres : 37812 HART CIRCLE
Permit Type: RE-ROOF I ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Towns ip: Range: Book:
Proposed Use: DUPLEX Lot(s): Block: Section:
Square Feet: Subdi ision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0050-00200-0130
Improv. Cost: 6,000.00 OWNER INFORMATION
Date Issued: 1/02/2020 Namie: SANICHARA, BEJAI
Total Fees: 70.00 Address: 2820 PANKAW LN
Amount Paid: 70.00 VALRICO, FL 33596-6505
Date Paid: 1/02/2020 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
GALE FORCE ROOFINF & RESTORATION REROO RESIDENTIAL 70.00
Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees willcomply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount f the fee imposed for the initial inspection or
first reinspection,whichever is greater,for eac 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 fina king, consult with your lender or an attorney
before recording your notice of ommencement."
Complete Plans, Specifications Must Accompany Application.q►II work shall be performed in accordance with
City Codes and Ordinances. NO OCC PANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
W
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A
i
Gale Force Roofing and Restoration
-� 1463 Oakfield Drive, Suite 129
GALEFORCE. Brandon,FL 33511
k6oriNG t RtSIOaA110 (0)813.805.8696
Lie:CCC1331253
City of Zephyrhills Building Department
5335 8th Street
Zephyrhills,FL 33542
To Whom It May Concern:
1,Scott Hoff,qualifier of Gale Force Roofing&Restoration,LLC,do grant unto Washington Celleri
authorization to sign for any and all documents necessary ta secure permits.I understand that I,as
the license holder,am fully responsible for any act carried under this Letter of Authorization.
Scott Hoff
Scott Hoff
State of Florida,County of Hillsborough County to(or affirmed)and subscribed before me this ZAC4
day of c ,,, ,20 Z-0 ,by Scott Hoff ,
P sonally lanow%r-%: or Pr duced Identification ,Type of
Identification Produced:
ALEXANDEF MCLEOD DEWEY
Notary Stamp Here: =:° V%State of Flo ide-Notary Public
•e Commissi n #GG 215205
4'��°,�.' My Corn ission Expires
S Mey 0?..2022
Signature: Scott D Hoff(Jan 2,2020
Email: scott.hoff@galeforceroofing.com
INSTR#2019212Q26 OR BK 10022 PG 328 Page 1 of 1
12/13/2019 01:22 PM Rcpt 2117120 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles, q.,Pasco County Clerk&Comptroller
(Send to 1463 Oakfiekl Drive,Ste 129.,Brandon FL 33511))
Prepared By:
Permit#:
*Tax Parcel Number:I a-L 6-=f•-Gam,0-co t u+ -t:30
NOTICE OF COMMENCE T
STATE OF FLORIDA COUNTY OF* f A5"
The undersigned,as Owner,notifies all parties that improvements will be ma a to certain real property,and in accordance
with Section 713.13,Florida Statutes,the following Information Is stated in tb Notice of Commencement:
1. *Description of Property(Legal dcsc"i ti of th property,and street a)ldress if available.)
2. General Description of Improvement:RE-ROOF
3. Owner Information or Lessee Inrormation if the Lessee contracted for i 1provement
u. *Name and Address
GE:Ju s.;rJ:cnA:.A
3'7dIL NAaf c:e ZErwiP:T t S, F(, 335-'t2
b. interest in Property-Owner
c. Name and Address of fee simple titleholder(if other than owner)
4. a.Contractor:Scott Douglas Hoff
Gale Force Roofing&Restoration
1463 Oakfield Drive,Ste 129
Brmnion,FL 33511
5. Surety(if applicable,a copy of the payment bond is attached)
a. Name and Address
b. Phone Number:
c. Amount of Bond S .00
6. a.Leader:Name and Address
b.Lender's Phone Number
7.Persons within the State of Florida designated by Owner upon whom noti es,or other documents'may be served as
provided by Section 713.13(1)(b),Florida Statutes
a.Name and address
b.Phone Number
8. a.In addition to himsely Owner designates of to receive a copy of a Lienor's Notice as provided in Section
713.I3(1)(b),Florida Statutes
b.Phone number.
9.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 Al M 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 IMPROVEMENT 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 O COMMENCEMENT.
Signature of Owner or Lessee,or Owner's or Lessee's Authorized Officer irector/Partner/Manager(Section 713.13111(dl)
Ism
Signatory's Title(Office:Owner f/jL151�t7�#k//
State of r/0Ar D A ,County of
The forgoing Instrument was acknowledged before me this 5 day of &CRAi ,2o by
Type of Authority,eg.Officer,trustee,attorney In fact)
nature ary o Pa Late of Florida
Persooaltpknown_qV_Produced iD Tv
pe of ID Produced 1
4 �`- -. •.wti
'4ofrWt' bomva t�4ta
yv�tsnruv�4 NEERANJANTEJfRAM
Commisdon f GG fl0621
Expires Juno 1.2021
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''t'ortt�� BogadlMie,roralaonysxvioes
"•"•"""'"' %-Ity UI Lt:pl lyl I IIIIb rCl l l llt r ppi uctuull ,a^",�-•��w�'
i Building Department
Date Received Phone Contact for Permitting
_I,-1_I_L.1-1_I- ----- -- ` -- -1-7-1-I-1 - --
Owner's Name Bejai Sanichara Owner hone Number
Owner's Address 2820 PankaW Ln Valrico,FL 33596 Owner hone Number
Fee Simple Titleholder Name I Owner hone Number
Fee Simple Titleholder Address
JOB ADDRESS 37812 Hart Circle,Zephyrhills, FL 33542 LOT# 13/14
SUBDIVISION Forest Heights PARCELID# 10-26-21- 050-00200-0130
(O AINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD/ALT = SI N Q DEMOLISH
INSTALL x REPAIR
PROPOSED USE SFR 0 cofw = O HER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = S EL =
DESCRIPTION OF WORK Complete shingle re-roof
BUILDING SIZE SO FOOTAGE 3120 H IGHT 1 1 StOry
=BUILDING S VALUATION OF TOTAL CONST UCTION
=ELECTRICAL S AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING S
=MECHANICAL S VALUATION OF MECHANICAL NSTALLATION
=GAS = ROOFING Q SPECIALTY = O HER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY Gal Force Roofing&Restoration
SIGNATURE - ti/ REGISTERED ! N FEE CURREI. I Y/N
Address 1463 Oakfield Drive,Suite#129.Brandon,FL 33511 License" CCC1331253
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISIERED Y/ N FEE CURREN Y/N
Address License"
MECHANICAL COMPANY
SIGNATURE REGISTERED XL N J FEE CURREN Y/N
Address License/:
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address License
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i t i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l l l t l l
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms: -O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required ensile,Co struction Plans,Slormwraler Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large p ejects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set f Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Co struction Plans.Stormwater Plans w/Silt Fence installed.
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All ommercial 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 ni tarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foot ge)
Driveways-Not over Counter if on public roadways..needs ROW
I
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to"deed"restrictions"
which-may be more restrictive than County regulations. T a undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR I;SPONMBILITIE:S: "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 by law, both the owner and contractor may be cited fora misdemeanor violation
under state law. If the owner or,intended,cdntractor are uncertain,as.to what licensing..requirements may apply for the
intended Work,they are advised to contact thePasco I Bulldift!�linspectio6 Div1§166 mLibensing Section at 727-847-
• Cou�tir
8009. Furthermore, if the-owner has hired acontractor o contractors, he.Is advised.to have the contractor(s) sign
N j
portions of the"contractor Block"of this application for w ich 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:toy permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND R SOURCE RECOVERY FEES: The undersigned understands
that Transportation'Impact Fees and-Recourse Recovery-Ilees,may apply to the.construction of new buildings,`t 6argecf
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and.
90-07,asamended.- The.undersigned also understands,,ihat gUch'fees,as may be due,will-be identified at th6iime of
permitting. lt.Is further i'hd6rs't6oa'that TiiIspprtauon Im act-Fees and Resource Recovery Fees must be paid,prior to
receiving a"certificate of.occupancy"or final'power issuance.releaS . If th6�project does-riot involve a certificate of:c6dupahcy or
final power release, the fees must be.pald prior to permit Furthermore,I iff`Pasco County Water/Sewer Impact
fees are due,they must be paid prior to_permlfl ssuance in accordance with applicable Pasco.dounty ordinances.,
CONSTRUCTION LIEN LAW(Chapter 713,:Florida Statdtes*as,amend6d)r if valuation of work is$2,600.00.1or more,I
certify that 1, the applicant, have been-,provided with al copy of-the-Flonda,Construction,Lien.Law—Homeowner's
Protection Guide.prepared by the Florida Department of Agriculture:and.Consumer Affairs. If the apolicant.,Is someone
other than the"owner",
1,1 certify that I-have obtained a cop�,-of the V
666'L,de
scribed 6d documen t and promise I in good faith to
deliver it to the'owner"prior to commencement.certify-thatal CONTPACTOW.SIOWNEWS:AFFIDAVIT:..L� the information,.h4twapplicatilort Is accurate.andthat all work
i
will be done in compliance with all applicable laws regulating construction,zoning-and-land'-dovelopment; Application Is
hereby made to obtain a permit to do work and installationinstallationag'indl.cated. I certify that no I work or installation has
commenced prior to issuance of.a permit.and that all work will be perform6d...16-'-'m-e-6(.sf�i dirds of all laws regulating
construction, County and City codes, zoning regulations,!and lb'Id' 'd6elopment regulations in the judidfidtl6h."I also
certify that I understand that the regulations of other government.agencies'rhay-je, .�
- ppIyJq.-the,1_ntended work,and that it is
my responsibility to identify what actions-I must take to_be in compliance.*Sudhagerlbies-Incl6cib".but are not limited,to:
- Department of Environmental Protection-Cypress Bayheads, Wetiand.Areas.and-Environmentally Sensitive
•Lands,Water/Wastewater Treatment. . 1� "-,. I. -
- Southwest Florida Water Management Dstrict ells, Cypeets."Bayheads, Welland "Areas, Altering
Watercourses.
- Army Corps ofEngineers-Seawalls,Docks;Navjg66l6V�terwayi.
- Department of Health &=Reh.a.bilitative SbrvI I cet1Ehvl(6hMeAf;iFH6aIth Unit-Wells, Wastewater Treatment,.
Septic Tanks,
- US Eh"Viednm66tal-*Prote6t!on-Agency-Asbettos-abiterheht-.�
- Federal AvVitvAtion A6tSorItj.RunWiys. I
I understand,that.the.foliong,restrictions.apply-to the-use,J
df filfi
S a Flood- -I*, 26 -V--un 14S-64*esslyYpermitted.
If the fill material is,to be used in Flood ,
TWunderitood that a drainage plan addressing a
- : .
compensating,yphi I a"-will'be-submitted.at It me-of-permitting_which is prepared-by a professional eng
ineer
licensed by the State of Florida.
- If the.fill-material-is;to-be used-.1n,Flood Zo`e"'-A"-"JJrl connection with a permitted building using stem wall
construction,.I ce*that fill w1II,6e used only 06'16 _aiea 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�61`fiifls f6'und-io,advers�lylaffe*ctadjacent propertles-:the.owner may-be.citeld-for 4Gting
the conditions.of the building permit Issued under the-attached permit application,for lots lest than one(1_)
acre which are elevated.-by fill;a � I �. .red.
p-engineere rainagg plan is required.
If I am-the AGENT FOR THt6WkI1,I"pr6mlie in good'Ififth'to"inform'the owner.of the;permifting conditions set forth in
this affidavit prior to commencing.construction. I understand that a separate permit may be required for electrical work,
plumbing; signs;w6lii, pools, air conditioning,:gas; or o her irist0ati6fitf-h6t-t06dffi6-aIIV ifichid6d ln,the application. A
permit issued shall be construed to be a license to.proce d wlIth.,the work and not as authority to violate,cancel,alter,or
set aside any provisions of the,*techrild6l cones;'nor shall ssuande,of a permit prevent the Building Official from-thdireaftir.
i -'
requiring a correction-of errors In plans,construction or viplations. -of.any-codes: Every permit issued shall becomeirivalid
-
unless the work authorized by such permit is.commence within SJx months pf.permit issuance,or if work authorizecL by
the permit Is suspended-or abandolhbd for A period of six P)months aft&r'.th6tIrft4 the,work is commenced. An-extension
may be requested, In writing,from the Building.0,micial f period not to exceed ninety(90)days and will demonstrate
9 r,a,
justifiable cause for the.extension. Ifwork ceases.for nin ty(90)'dbnsebutive days,the job is considered abandoned.-
WARNING TO-OWNER: YOUR FAILURE TO-.RECORD,.A NOTICE:-OF COMMENCEMENT MAY.RESULT:IN!YOUIRA.
. 'Y I ,,�-f
PAYING TWICE FOR IMPROVEMIgNTS!Tb'YO,UR..IPFtOOtkTY-."�'IF OU"INTEND-TOtOBTAKF1NANCING-?CONSULTj
WITH-YOUA LENDER-ORAN AT.TOkN OF COMMENCEMENT.
FLORIDA JURAT(F:S.-117.03)
OWNER OR GE T PONTRACTOF;Ll" '
SubscribLidend sworn to(or affirmed)before me this Subscribed and' (cmaffir-med)cbefore me thl
OYJ
by by' lkx.1"C-,-r'
tnwn
Who islare personally known tg me or hasthave produced IslaTr )n wn to me or has/have produced
as identification. 100 eriilfl6au6n.
-------Notary Public Notary Public
Commission No mmission No.
c-
Name of Notary typed,printed or stamped ame of Notary typed.pr,I
" Ar,ingfinadM OS'MALOONA'D
O
Commission#GG 34627
5
Expires June 18 2023
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