HomeMy WebLinkAbout20-22624 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22624/
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22624 Address: 6938 OAKCREST WAY
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0220
Improv. Cost: 13,132.00 OWNER INFORMATION
Date Issued: 3/12/2020 Name: KNOWLTON, DOUGLAS & KAREN
Total Fees: 110.00 Address: 6938 OAK CREST WAY
Amount Paid: 110.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/12/2020 Phone: (813)714-0962
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 110.00
\n
DRY IN ROOF INSP Ins ections Required
TAPE JOINTS R OF lP i
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.
Oingdo. duktw� &_, ��
C NTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - B HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Building Department
aji
Date Received 3 pl�a Phone Contact for Permitting l �0 t� -- (o6-I q
Owner's Name V l) . [aS n Owner Phone Number
Owner"s Address 375,% U\1 Rid ( �t ( D(a& C(1_11R I Owner Phone Number -�
Fee Simple Titleholder Name i Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS Q- Ir L1 WO 4�t�1S. �4 —i. :' LOT# .
SUBDIVISIONK �eS� CS�cs.� PARCEL ID# ()J��`�
I' (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED' R NEW CONSTR e ADD/ALT SIGN Q MOVE F DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHERLU
TYPE OF CONSTRUCTION 0 BLOCK r ( FRAME 0 STEEL OTHER
DESCRIPTION OF WORK
BUILDING SIZE. �U _ . ' S4 FOOTAGE C! HEIGHT _.
J 1
BUILDING VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ j ! i.� AMP SERVICE PROGRESS ENERGY Q W.R.E.C,
0 PLUMBING $ I � •
i
. MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
i
0 GAS ROOFING C] SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
F I .-
_.._BUILDER__...— ..: _: _- COMPANY
SIGNATURE REGISTERED [ Y/ N J FEE CURRENT
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT L11N
Address License#
MECHANICAL i COMPANY
SIGNATURE i. REGISTERED Y/ N FEE CURRENT Y/N
Address License#
OTHER COMPANY �a O(J r ()C
SIGNATURE _ 01 I REGISTERED / N FEE CURRE' . 1 N
Address 5 7 t 3 3 License#
RESIDENTIAL Attach(2)Plot Plans;,(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, "
Minimum fen(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(3)sets of Building Plans;(1)set of Energy Forms.R-O-W.Permit for new construction.
Minimum fen 00)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 backs of application,notarized
If over$2500,a Notice of Commencement is 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 authorizing same
'OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers., Service Upgrades A/C Fences(Plot/Survey/Footage) i.
Driveways-Not over Counter.if on public, ways..needs ROW
�. •;i1i..� 1. -. - .. .. •.
;NOTICE OF DEED RESTRICTIONS: The undersigned understands.that this permit may be supjeat`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
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 Divisipn—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 yowl 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.(CFiapter 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 pertormed.to meet standards of all laws regulating
construction, County and. City codes, zoning regulations, and land development regulations I 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. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,-WaterMastowater Treatment. i
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 area, .I certify that use of such fill will not I 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 is 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 authorityito.violate; cancel, alter, or
_set-aside_any pr_ovisions.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 fora 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,th 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 YOURLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JVRAT(F;S 1.7.03) _
OWNER:O:R AGE NT.' � U > —JCONTRACTORE`Subs' rib" and sworn o or ' irme )betore g this Subs lbe and sworn t r a ymed bef me.this
�`k..y wo oo! 3: byv(a- Y wo o-�
Whols/ re personally kn n to me or h s/have produced Who is/are personal know to me or has/havei produced
as identification. as identification.
4'zl` ' f/ Notary Public Notary Public
Comm
Commissio
u ! o �,, AN NA hi jiE LYNCH TERRY'"
ANN •
o` s Notary Public State of Florida; o,.A v -
Name o o e prirQeahth�'e Name of N
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FF 958064!:;
My comm.Expires Apr 4,20?0' NMy CommExpires Apr*26'
O � Bonded through National Notary Assn �'••;F ?;
• ,,,,,,,a Bonded through National Notary Assn ,
INSTR#2020043078 OR BK 10068 PG 1408 Page 1 a 1
03/11/2020 10:41 AM Rcpt:2143888 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
i
Permit Na.
Parcel D Na"�-`Y1 "''��1 --� 3U -��c)c�oU G�� U
1 NOTICE OF COMMENCEMENT stale of II ( ��C� counlyfPC(3 0
THE UNDERSIGNED herebyglves notice thoOmprovemantwill be made to cedorn real property,and In nccordancevi th Chapler713,Florida Slalutes,
the fo:Iadng Information is provided in Ilfz Notice of Cammencemenl: j'\�"}_'l j I _f•,'1`�j� /�f'1'1 f` O`�'l `\
1. Description of Property:Parcel IIdeenlilicaUan No. II V VI J)V (. d 1. boo V 3 1
Stroel Address:0 J R W K U C. l cT( t-L'' f r h1 11 S 1-1 3K)11
2. General Description of Improvement -
acts o-A` ff
3. '1 to rater,or Lessee lnrarmadmtIflhe Lessee contracted for the improvement:
- 1 la a Ll� I t C 1 C I 1
Address }} City -
Interest In Properly: -
Neme of Feo Simple TIIloltokler.
(If d'dferenl from Otmter listed above)
i City
Stale
4. .ddre5 _.. �JIraaarrrl,,ff hl ana XnC /'
(Same i (,214(J ��� � 1 LLy K 1� S
Address City I Stale
Can lraclae T le/hone No.: ']� ✓f(+c�~ '" i _
,,. Surely: N 4A
Nam
Address city Slafa
Amount onr/Bo df Telephone No.:
6. Lender.
Na e
Addmso City Stale
Lenders Telephone No.:
7. Persons Wild.the Slate of Florida d"1911aled by the otmer upon%Ajom notices of other documents may be served as p—Irlad by
Sedan 713,13(1 ga)(7),Florida Slalutes II
Name
Address City stale
Telephone Number of Designaled Person: /
B. In addition to himself,the owner deslgneles ( of—
toltrecalve a copy of the Lienors Notice as prodded In Section 713.13(1)(h),Florida Statutes,
Tolephone Plumber of Person aEntity Deslgneled by Ovmer.
g. Expiration data of Notice of Cammencemenl(Ills expifailou date may net be before the comp.1 it of cons uction and foal payment to the
coldreclar,bud W II be one year rmm the data of recording unless o different data is specified): I Z ) 0 Q C -)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOT CE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713,PARY1,SECTIDN713.13,FLORIDA SYATUTES,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 OBTA114 FINANCING,CONSULT
VJITH YOUR LENDER OR ANATYORNEY BEFORE COMMENCING �Ji RFCO 1 G YOUR NOTICE OF COMMENCEMENT.
Under penally of perjury,I dodam that I have read Ills faregoin nollca of cum,tencern n t I m acts.fated lberein are Irue to the bast
army knotdetlge and babe(.
STATE OF FLORIDA �.
COUNTY OF PASCO
Signal Otv r r as ea.or Owrtofs or Lessee's Authorized
• Ortice uecto win (Manager
y� 51gr1 ary's Ti;lelOf6ce j1��••�� /�� U \ 1
Tti loregohr InsU1tmenl was acknatdartged harem me Ihls ���day of 1rC.��20 by'tJ V liC} l/ �`-V 1 UI,O I'Q 1� _
��LLj _'/Y as (type of au0maly,e.g.,officer,haste.,attorney In tact}for
0- ory
plarty a behail dd(rami Instmment V s executed),
Personally I<nos OR Produed 11 antificalion❑ Notary SignIC'�"II-� "��'uType of Identi cellon�roduced rJ� t Name(Prin � •l'.i C; F'\ LC1 ool�l3Gr15 Gi pr}l511Ci� ANGELAHAYW000IJf{'.}ay)i.L r, Notary Public-State of Florida
Commission:GG 344085
My Comm.Expires Aug 24,2023
nded through National Notary Assn.
r ,
ERICAN
Rym a n Roofing Inc. EXPRESF4 0-=��
''^k A Division ofRyman Construction,Inc, %fee for credit card�rocessing
36413 SR 64-Zephyrhills, Florida 33641 Proposal#
Phone(813)782-6094• Fax(813)788-6773 No,
1-855-Go-Ryman (1-865-467-9626)- Lie.#CCC 9326505 Estimate# 003700
(� www.RymanRoofing.com
---�--- -----seir ing-all-of--CentraVFlorida----- -
- Owner/Purchaser OI,U� O�1 -- — Date: 2/4/20
J
Claim#: InsuranceCompany:
Policy#
Job Address: -6938 Oakcrest Way City: Zephyrhills zip; 33542
Mail to Address: E-Mail Address:
Home#; 813-714-0962 Cell #: Business#;
Q Complete tear off of existing Asphalt Shingles AddifionalNotes/Special Concerns: includes
One layer included Install new GAF Timberline hd lifetime Ltd,dimensional
0 secure all loose-roof decking as needed according shingles
to Florida Building Codes
Roof dried In with Synthetic
Rhino roof synthetic underlayment
F/ Install new valley metal with galvanized metal
❑✓ Install new 6 n drip edge color; A2 "/1 i Resisto peel and stick in valleys
Q Install new lead boots
[✓ Install all new general roof vents
install new [0shingle F]Metai ❑Tile
Ej Modified Butimen ❑TPO
✓❑ Manufacturer(shingle, metal or tile) /1 7 Two sheets of plywood included
Manufacturer gpo or Mod.atumen)
Q Color(Shingle,MetalorTlle) Alt �cd6a2—
Color:(TPOorMOD.Bitumen) Permit and scheduling of inspections
❑ All roof related debris removed from job site,pick-up loose
nails using commercial grade magnet
❑✓ All materials,labor and permits. 13 132.00 3 `/3�
p Base Price $ t —�—
❑✓ Provide a5 year laborwarranty
Additional Items:
J
Cd oVA
Payment Method: Check# ❑Cash Financing ninsurance Claim
Q Credit Card# Exp, Date CC ID#
Down Payment:$ Amount Financed:$ Approx,Monthly Payment;$
PaymentTerms: 35%down and balance upon completion
Extras:
-,�@ase Price does NOT include any unforeseen costs as described below unless Indicated in"Additional Items"above, cus►omarrnrrror�
14Defielent 1 i2"plywood replaced at a cost of$86.00 per sheet in the roof field,which Includes labor&materials.All other wood woddad-
I lonal labor,such as,but not limited to,valley rebuilding,rafter replacement, I decking,etc.will be a rate of$5,00 per lineal foot plus the
cost of materials.
THIS BECOMES A B ONTRAC P CCEPTANCE OF PROPOSAL,PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT
1 ACCEPT THIS OPOSA ND HE TIFY THAT 1 HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser Date:..
r-a
r w City of Zephyrhilis
ooa 5335:81h St
Zephyrhills FL 33542
- -- — -— (:$13)J_80___020---
��
ROOFING INSPECTION AFFIDAVIT
Permit No:Ja
licensed under Chapter 468;Florida Statutes as a(n):
I. _
°Contractor✓'. Engineer_Architect Building Inspector
License No: CCC I s�
An or about 511 Wao "did personally inspect the:
Che'ck: Roof Deck Nailing t.�_D. _.in `' Flashing and Drip edge.,'
Check which'was used: 0#-felt Peel and Stick Other(List)
At the Ifollovu1ng
address: (Oq U,r(�S
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-FEGR
COUNTY'OF PASCO
SW'prn -and sub cr"bed before this day
BY:
Notarp'Putitic ate of,Flodda_
Commission q GG 344085
Notary Public State of Florida Pw o d.thro m.Expires Aug 24,2023
Bonded ttirough.National NotaryASSn.