HomeMy WebLinkAbout20-22294 _ CITY OF ZEPHYRHI LS
5335-8TH STREET
(813)780-0020 22 4
BUILDING PER IT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22294 Address: 5213 3RD 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: Subtision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12900-0014
Improv. Cost: 6,000.00 OWNER INFORMATION
Date Issued: 1/14/2020 Name: VELASQUEZ, MELINDA
Total Fees: 70.00 Addr ss: 5435 10TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/14/2020 Ph ne: 813-263-2654
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
NATIONS ROOFING, CONSTRUCTION & REROC F RESIDENTIAL 70.00
n
V
DRY IN ROOF INSP Ins ections Required
TAPE JOINTS OOF I SP
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 dditional 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 comm ncement may result in your paying twice for
improvements to your property. If you intend to obtain fina ing,consult with your lender or an attorney
before recording your notice ofI'll
ommencement."
Complete Plans, Specifications Must Accompany Application. work shall be performed in accordance with
City Codes and Ordinances. NO OCC PANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
4011 , &I
CONTRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHO JT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Appl cation Fax-813-780-0021
e r Building Department
Date Received Phone Contact for Permitting ( 13-4 5-4440
Owner's Name Melinda Velasquez Owner F hone Number 813-263-2654
Owner's Address 1 543510th Street,Zephyrhills,FL 33542 Owner F hone Number
Fee Simple Titleholder Name Owner F hone Number
Fee Simple Titleholder Address
JOB ADDRESS 6213 3rd Street,Zephyrhills,FL 33542 LOT# 4&5
SUBDIVISION CITY OF ZEPHYRHILLS PARCEL ID# 11-26 21-00 0-12900-0040
(08 INED FROM PROPERTY TAX NOTICE(
WORK PROPOSED e NEW CONSTR ADDIALT SIG14 DEMOLISH
INSTALL REP7"
PROPOSED USE = SFR COMM = OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK Reroof slope roof 6:12 pitch,20 squares Certainteed Shingles FL5444R14,Apco P&S Underlayment FL24974-RO
BUILDING SIZE SQ FOOTAGE 1,721 HEIG HT
=BUILDING $ VALUATION OF TOTAL CONSTR JCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL IN TALLATION
=GAS = ROOFING Q SPECIALTY = OT ER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED YI N {-� FEE CURR N Y/N
Address �1 1/Y�r Y'�`[ itAy,5 14vb Lknse# - j-
33
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y _NLj FEE CURREN Y!N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED 1; Y _L[._J FEE cuRREn Y!N
Address License#
Illlllltllllllllllllllllllllllllllllllllllt Illitlllllllllltlllllll
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,ConstrL ction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsilarge proje is
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of E nergy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constru ction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All cornmerciall 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. (AIC 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 RESPONSIBILIT ES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in acc rdance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contra for 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 Insp ction 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 s not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REC OVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply o 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, s may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and F esource 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. Furtl ermore, 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 amend d): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the " lorida 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 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 indicat d. 1 certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perfo med to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land deve opment regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencie may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. uch 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, C press Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterw ys.
- Department of Health & Rehabilitative Services/Environmen al 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"V"unless expressly per itted.
- 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 connec ion with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area wit in 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 attacheJ permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is equired.
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 riot specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work nd not as authority to violate,cancel, alter,or
set aside any provisions of the technical codes,nor shall issuance of a per it prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any co es. 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)consecuti%a days,the job 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.117.03)
OWNER OR AGENT CONTRACTOr__6q___:�
Subscribed and swom to(or affirmed)before me this SubVii/arep
nd sworn o affin�ed)bar re me this
by e s is
Who is/are personally known to me or hasihave produced WhM
nown to Mi3 or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No. �
Name of Notary typed,printed or stamped Name of Notary e or stamp RdR I ST I N A EAGER
/".State of Florida-Notary Public
3• •= Commission #GG 223598
My Commission Expires
May 30, 2022
_ Nations R®®finq� Division AMCRICAPV VISA
NATO15421 Bellamy Brothers13)01 6122 Dade ity,FL 33523 CCC#1331419
ROOFING CONSTRUCTION MECHANICAL www.NationsROOfin Com an TOm
612020
Owner/Purchaser. Ed Velas uez House Doctor Date: 1-7-20
N/A Insurance Com n NIA
Claim#: P Y�
Policy#: N/A
Job Address: 5213 3rd St. c;ty: Zepf�ryhills zip: 33542
Mail to Address: E-Mail Address: Hdinspect@gmaii.com
Home#: Cell#: 813-263-2654 Business#:
VComplete tear off of existing Additional Notes/SpLial Concerns:
roof to wood deck y Complete Re-Roof to include all materials,Labor and Trash Clean-up
VSecure all loose roof decking as needed according to Florida
Building Codes
V Roof dried in wan Secondary Water Barrier WOOD WO RK
NAlnstall new valley metal with galvanized metal Owner will supply material for wood work if
VInstallnew 6" "drip edge color: White needed. We will provide Labor ONLY $4.00 If or
V Install new lead bolts 2-2 $30.00 'pe l' plyw000d sheet
VInstall all new general roof vents
Install new X Shingle _Metal_Tile
_Modred Bitumen _TPO Wind Mitigation Form Completed with new roof
Manufacturer(Shingle,Metal or Tile) Certainteed At no extra charge
NA Manufacturer(TPO or Mod.Bitumen) NO FLAT
Color(Shingle,Metal or Tile) 1 BD Quoting Dir*1 ensional shingles
NA Color(TPO or Mod.Bitumen) NO FLAT Lifetime Shin le warranty
All roof related debris removed from jobsite,pick up loose nails using commercial grade agnet
All materials, labor and permits furnished � 14 6)
Provide a 10 year labor warranty , _9 Base Price"$
6000
Additional Items:
Payment Method❑Check# ❑ Cash ❑ Financing ❑I Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment: $ Amount Financed:$ Approx. Monthly Payment: $
Payment Terms: Paid at Closing
Extras:
'Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. Customer Initial
Deficient'/2'plywood replaced at a cost of$ 65 per sheet in the roof field,which i cludes labor&materials. All other wood work/additional labor,such
Is,but not limited to,valley rebuilding,rafter replacement,1x decking,etc.will be a rate of$ I per lineal foot plus the cost of materials.
"HIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS
;ONT CT. ACC To THI ,P,/ROPO A AND EREBY CERTIFY THAT I HAVE READ A�D FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
purchaser: `�`Nl(9t W Date: ®���aO
>urchaser. Estimator: Dan Rutherford
I
INSTR#ZO2000 011 OR BK 10036 PG 3954 Page 1 Of 1
01/14/2020 11:14 AM Rcpt:2125445 Rec: 10.00 DS:0.00 IT:0.00
Nikko Aly- Esq..Pasco County Clerk&Qpmptroller
Permit No. Parcel ID No l{_2 _Zl_L00 1067 n&100 o v
NOTICE OF COMMENCEMENT
Stale of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that Improvement will be made to certaln real property,�nd In accordance with Chapter 713,Florida Statutes,
the following Information Is provided In this Notice of Cornmermament: p
1. Description of Properly: Parcel Identification No. 11-26.21 0010a 12900-0640 CITY
OF HYRHILIS PB 1 PG 54 LOTS 4&5&N 15.00 FT OF LOT 6
BLOCK129OR9WPG
Street Address: 5213 3rd STREET,ZEPHYRHILIS,FL 33542
2. General Description of Improvement_ REROOF
3. Owner Information or Lessee Information if the Lessee contracted for the improvement
MELINDA VELASQUEZ
Name
5435 10rh STREET HYRHILIS FL 33542
Address City State
Interest in Property. Owner
Name of Fee Simple Titleholder. WA
_(II different from Omer listed above)4
Address City State
4. Contractor. _NATIONS ROOFING.CONSTRUCTION&MECHANICAL.LLC
' Name
15421 BELLAMY BROTHERS BLVD DADS CITY FL 33523
Address City State
Contractor's Telephone No.: (813)4854440
5. Surety: N/A
Name
Address City Stale
Amount of Bond: $ Teleph no No.:
6. Lender. N/A
Name
Address City State
Leaders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other docrunents may be served as provided by
Section 713.13(1)(a)M,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 Uenoes Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Eviration data of Notice of Commencement(the expiration date may not be before thi completion of construction and final payment 10 the
contractor,but will be one year from the data of recording unless a different date is specilIad):
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 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 RECO DING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA ^3 �
COUNTY OF PASCO 1kauX, 1-7 d�C/
Sig oerA. of Owner or Les':¢e,or Owners o essee's cW
OlTi aturLlrja�dondPa'rbterlMarllaget
Sig alorys Ti le/Ottico //�r
The foregoing Instrument was edmowled before me this L!tday .2V I by v"v+ A— aX—S
es (typ of authority,e.g.,ofrrcer,tnstee,alto ey in fad)for
(narnaefoa onbfSelfairwhom'nsburnent was executed).
Personalty Known❑2R Produced Identitice Notary Signature
Type of Identification Produced Name(Print)
"OV11,,11 KRISTINA EAGER
?10 6z State of Florida-Notary Public
?n Commission #GG 223588
a� Pc My Commission Expires
May 30, 2022
wpdatal)cslnoticewmnencemenLpc053048
STATE OF FLORIDA, COUNTY OF PASCO
® . THIS IS TO CERTIFY THAT THE FOREGOING ISA
TRUE AND CORRECT COPY OF THE DOCUMENT
� 5 o ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITN� S MY HAND A D OFFICIAL SEAL,THI
�9 'OF 2
` J'; CLERK&C PTR
�av
gym' BY LIU DEPUTY CLERK
8TATME
1
r
Q City of Zephyrhills
f 5335 8t'St
ephyrhills FL 33542
t (813)780-0020
ROOFING INSPECTION AF IDAVIT
Permit No.• -Z�
I, �by 41,A5 licensed u ider Chapter 468, Florida Statutes as a(n):
Contractor✓ Engineer_Architect Building Inspector
License No. EGG 13 31 y.t
On or about 1-2t(-20 did personally inspect th
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: .30#felt_ Peel and Stick %,`/Oi her(List)
At the following ,
address:_ ��
Based upon that examination, I have determined the installati n was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes).
Signatur .. .
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day _® _ 20-,70
Notary Public State of Florida
K�IfiINA SAGER
;ao stato of Plerlda-N()taty Public
•= Commission I GG 223598
My Commission Expires
May 30, 2022