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Home My WebLink About20-22342 %r CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22342 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22342 Address: 4744 TIMBER WAY Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: COURT SQUARE Est. Value: Parcel Number: 15-26-21-0200-00000-0190 Improv. Cost: 15,200.00 OWNER INFORMATION Date Issued: 1/21/2020 Name: THOMPSON JASON Total Fees: 120.00 Address: 4744 TIMBER WAY Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/21/2020 Phone: 813-766-8268 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES ROOF CLAIM COM LLC REROOF RESIDENTIAL 120.00 No CV � I CDA DRY IN ROOF INSP Ins ections Re it 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. O TRACTOR 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 a Date Received phone Contact for Permitting Owners Name Jason Thompson Owner Phone Number 813-766-8268 Owner's Address 1 4744 Timber Way,Zephyrfiills,FL 33542 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 4744 Timber Way,Zephyrhills,FL 33542 LOT# 19 SUBDIVISION Court Square PARCEL ID# 15-26-21-0200-00000-0190 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL X I REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK Re-Roofing,Owens Coming FL10674-R14, TechWrap FL19714,30 SQ's,6/12 pitch,Beachwood Sand Oakddge BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j J� =GAS XQ ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . ...r .-.-.-.-.-rI.....�I..I�I..1 .. BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREK Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREr LLLN Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LILN Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREK Address License# OTHER ' COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111 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,Stormmwater 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 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 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 iolation 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. CONSTRUCTION LIEN LAW i(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 "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 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 performed 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 agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. 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 commending 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, 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 YOU OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and s Mto ffirmed)bqfore me this by 1 ,24-2-0 y . 4 r Se f r7,e i Who Ware personally known to me or has/have produced Wre/are Rxeson liknown t rrfe or has/have produced CL Wrs 'czy-t-, as identification. r as identification. O-V J Notary Public upe'el Notary Public b�yi?e Commission No. Comm4ln No. Name of Notary typed,printed or stamped Name of Nota int = '457 00 276 Ex ores December 12,2022 0 BonM Thru Troy Ferin Insufance Roof Cla i nn-coM A JasperlNC.Company 1690 Roberts Blvd.Suite 112,Kennesaw,GA 30144 Phone:770-701-2731 Fax:800-337-3361 Florida License Numbers:CCC1329651 CCC1331153 CCC1332081 January 13, 2020 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 Re: Letter of Authorization To Whom This May Concern: I, Donald Joseph Bouchard, qualifier of Roofclaim.com LLC, do this date January 13, 2020, grant unto the following party(s), Karyl Garner, authorization to sign for any and all documents necessary to secure permits in Zephyrhills, Florida. I understand and acknowledge that I, as the License Holder, am fully responsible for any act carried out under this Letter of Authorization. Sincerely, -dlel�e - Donald J. Bouchard State of Georgia County of 43bb This record was acknowledg d before me on J4- U 13,20a0 by �n0ionO who is personally known or _proved to me on the basis of satisfactory evidence to be the person who appeared before me. //// 9 ( notary public) Nota blic, State of Georgi NOTARY PUBLIC My commission expires: �/ o?S Z 3 Cobb County,GEORGL% bty Comm.Exphe 11/25/2023 Docu$lgn Envelope 10:639MAl57-E8CC489D.86B1-C266,2.2506B59 Account Manager;Theran.BTaCy 300 Colonial Cunlcr PuklVay STE 130 contact#770-426-5500 Lake Niuy,FL 32746 Rooklaim.com Insurance Company Information- Companv,.Universal Property&Casualty (407)278-7789 Policy*: 1501-1301-6434 (32I),3-l&91554 Kant Claim 0: (813)$67-7898 Mortgage Company,Information: CompanV:-Pc6nvinae,L6afi'Services (863)SOS44�4 Loan#: info(4,jasperinc.com ROOF REPLACEMENT CONTRACT Owner(s): Phone. Jason'Thompson 813-766-8268 Address: Alt Phone: 4744 Timber Way City:,, State: Zip Code: Shi ngle Z60hyrhills FL' 133542 0a kridge-Beachwood Sand Email:, Roof RWArnount/Contract Prices Drip Edge Color. tampahegt77@yahoo.com $15,200.00 'Drip Edge-White 6" If Owner's Insurance Company does not agree to pay for a full roof replacement,this contract shall be voidable, Assignment oflinsurance Benefits;1,hereby assign any and all insurance rights,benefits and proceeds u-rider any applicable insurance policy(ies),to Jasper Contractors,Inc. ('DBA-Ro6fCIaim.com").,1 make this assignmentand authorization in consideration ofRobf0aim,com's agreement tb.pdrfbrm.scrViccs,supply materials and othe'rwl'se perform its:obligations under this Contract;,including not requiring full payment at the time of contract signing.I also hereby direct my insurer(s)to release any and all information requested by RoofClaimcomor its representative(s),for the direct purpose of obtaining actual benefits to be paid by my insurers)for services rendered.In this regard,lwaive my privacy rights.I agree that any portion of work, deductibles,betterment or additional work requested by the Owncr(s)j.not covered by insurance,must be paid by Owner(s)on the day of installation.Deductible:It is the Owner's responsibility to pay all insurance deductibles at the'time of Contract signing but no later than the day of installation.Owner's out-of-pocket expense will not exceed the deductible amount as listed, on the Declarations Page of the relevant policy UNLESS replacemendiepair of deteriorated decking,or Betterment,is,required by code and/or Owner requests optional upgrades.koofClaim.com,CANNOT pay,waive,rebate,or promise to pay,waive or rebate any or all-of the insurance'deductible applicable to the insurance claim.for payment of work.In the,event of a discrepancy,the deductible amount stated on the insurer's Declarations Page shall'overrule deductible amount disclosed. Deductible;$1000.00 MUST BE PAID IN FULL(Initial). I certify that policy number 150-1301.6434 d c3jbtVM1hibit an assignment-of benefits-and.1 am free to assign my rights to the aforementioned claim number. initial Direction to Pay:1,Owner,acknowledge and agree that my=ins -ei will pay-RoofClaim.com directly-for the Work performed(or to be performed)on my behalf as authorized by my signature below,regardless-ofrescission or invalidation of the Assignment of Benefits by the insurer or insured.This direction to pay shaffinclude any and all amounts stated on RoofClaim.com's Estimate,plus any unknown costs(change ordersfiupplernents)which arose during the course-ofthe Work which were not or could not have been known prior to the commencement of the Work,minusthc Owner's deductible and any and-all betterment;Estimate;An"Estimate"or"Scope of Work"shall be created by RdofClaim.com'in lieu of Scope of Work or Loss,Sheet issued by theiinsurdr.Permit f6r Work may be pulled by RoofCIdim.com.at any time p6st-Contractsigning.As a courtesy to all parties,Robl'Claim.corn shall provide copies of all documents(e.g.Roof Replacement Contract,Estimate/Scope of Work;and the like)to both the insurance company as well as the Owner within three(3)business days but-no later than the date on which the Work begins,whichever is earlier.Payment Sichedu le:Owner agrees to pay-RoofClaim.com based on the following'chedule:(i)Deposit in the amount of S due upon signing this contract;(ii)the C6ntr-dct Price,less the Deposit and-ahy applicable depreciation retained by Owner's insurer(s),plus upgrade costs,due and payable to RoofClaim.com upon commencement of work being performed;and,(iii)the remaining Contract Price(eqiW to-arry,applicable depreciation and/or change orders/betterment)' due and payable to RoofClaim.com upon completion ofworkperformed..In the event g ofapendin inspection,nomore,than 2%of Contract Price may be withheld until inspection has passed. Optional:UPGRADE ITEM: RATE: UPGRADE ITEM: RATE: Replacement Work and Price: Upon insurer's- approval •and subject to the Terms and Conditions, stated befeir, RootClaim.com agrees to furnish all materialsand provide,the,labor necessary to perform the full roof replacement which shall take place following Owner's-insurer's approval,approximately less than thirty(30)days,donditions,and materials permitting. Owner's Declaration of.Intent: Owner acknowledges and agrees that, upon approval by,insurance company for a full roof replacement,RdofClaim.com shall perform the roof replacement upon approval by the Owner's insurance company. FLORIDA HOMEOWNERS'CONSTRUCTION RECOVERY FUND:PAYMENT,UP TO A LIMITED AMOUNT,MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS,-CONSTRUCTION. RECOVERY'FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR.FOR INFORMATION ABOUT.hIE.REC0VERY* FUND AND FILING A-CLALM CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LTC-ENSINGBOARD'At THE FOLLOWING TELEPHONE NUMBER AND ADDRESS:Construction Industry Licensing Board:2661.111airstone Road., Tallahassee,FL 32399-1039,(850).487-1395 1,Owner,have read and understand all statements,Terms and`Conditions of the"Roof Replacement Contract'and agree that all details are acceptable'and satisfactory.I further understand that this Contract constitutes.the entire agreement between the parties and that any further changes or alterations to this Contract must be made in writing and agreed upon by both parties With the exception of betterments which must be paid for by r the Owner and replaced.as required by Florida Building Code.Each party.represents and warrants to the other that it has the full power and authority to enter into the contract and that it is binding and enforceable in accordance with its terms. 0ocu51gned by Dmuftnod by: 12/3/2019 1,12:00 PM.EST 1 W/2019 18:56 AM PSI ArN8Rz"e7G6fCIairrLc&n Representative Date caner Date INSTR#2020003562 OR BK 10035 PG 15 Page 1 of 1 01/09/2020 09:58 AM Rcpt:2124042 Rec:10.00 DS: 0.00 IT:0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk&Comptroller THIS INSTRUMENT PREPARED BY: Name: RoofClaim.com Address: 13005 N.Telecom Fkwy,Suite 102 Temple Terrace, FL 33637 NOTICE OF COMMENCEMENT 512156 Permit Number: Parcel ID Number: 15-26-21-0200-00000-0190 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,.(Legal description of the property and street address if available) 4744 TIMBER WAY ZEPHYRHILLS FL 33542 COURT SQUARE PS 33 PGS 63-64 LOT 19 OR 8818 PG 1348 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re-roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: JASON THOMPSON-4744 TIMBER WAY,ZEPHYRHILLS, FL 33842 Interest in property: Owner Fee Simple Title Holder(if other than owner listed above)Name: Address: 4. CONTRACTOR:Name: RoofClalm.Com Phone Number. 813-867-7698 Address: 13005 N.Telecom Pkwy,Suite 102,Temple Terrace, FL 33637 S. SURETY(if applicable,a copy of the payment bond is attached):Name: Address: Amount of Bond: 6. LENDER:Name: Phone Number Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name: Phone Number:- Address: 8. in addition,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone number. S. Expiration Date of Notice of Commencement(The expiration Is 1 year from 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 I, 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 RECORDING YOUR NOTICE OF COMMENCEMENT, f �1 c�rJ�c�•, (Sig re of Otm or Lessee,orgWees or Lessee's (Pdni Name and Provide Signat/Iufxy's Title/Otfice} Uwdzed wrR7l_c n /Manager - State of Florida County of Pasco �. The foregoing Instrument was acknowledged before me this day of 20 by r j9�YL —Tl c 6%24 Who is personally k wn to me❑ OR Name of jkrson making sta:emem who has produced identification y type of Identification produced: ( � J "1 t� KABYL GARNER Notary Public-State of Florida / nature � Commission#GG 910439 ;''� My Commission Expires August 12,2023 STATE.OF FLORIDA,COUNTY OF PASCO ON THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ° WITNESS MY HAND AND OFFICIAL SEAL THIS 'r � T ` Z DAY OF 202C) NIKKI AL RE -SOWLES., CLERK&COMPTROLLER 0 BY ��,��1 /Z C,, Z' _DEPUTY CLERK City of Zephyrhills . : 5335$erg St Zephyrhills FL 33542 (823)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.:. . 22342 1, Don Bouchard licensed under Chapter 468,Florida Statutes as a(n): Contractor X Engineer Architect,_ Building Inspector — License No. CAC1332081 On or about 1/22/2020 did personally inspect the: Check: Roof Deck Nailing X Dry in Flashing and Drip edge K Check which was used: 30H felt• Peel and Stick Other(List) At the following address• 4744 Timber Wad, Zephyrhills,FL 33542 M 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 Savor o nd ubscrib before this day BY: Le�,-� Notary Pub i ate of Florida EE� k,,'---Notary KARYL:GANER Publicof Floridaommissio910439My CommiExpires August023