HomeMy WebLinkAbout20-22683 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22 3
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22683 Address: 39421 SOUTH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0000-04900-0000
Improv. Cost: 15,500.00 OWNER INFORMATION
Date Issued: 3/26/2020� Name: CITY OF ZEPHYRHILLS
Total Fees: 129.0 Address: 39421 SOUTH AVE
Amount Paid: 1A&D0 ZEPHYRHILLS, FL. 33542
Date Paid: 3/26/2020 Phone:
Work Desc: REROOF SHINGLE ( CITY YARD) FEE WAIVED
CONTRACTORS APPLICATION FEES
ACTION ROOFING AND ALUMINUM LLC REROOF RESIDENTIAL 120.00
\v
Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Rennspection 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.
CONT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Purchase Order
Fiscal Year 2020 Page: 1 of: 1
THIS NUMBER MUST APPEAR ON ALL
B City of.Zephyrhills. INVOICES,PACKAGES AND SHIPPING PAPERS.
Maintenance Yard
L39421 South Avenue Purchase 20200622,
Zephyr 54 hills, FL332 Order#
T Phone: 813-780-0022
O Fax: 813-180-0025
S City of Zephyrhills..
V . JEREMY T HOOKS H Maintenance.Yard
NACTION ROOFING AND ALUMINUM LLC I 30421 South Avenue.
8225 CASS ROAD
D ZEPHYRHILLS, FL 33540 P Zephyrhills, FL_33542
O T Phone813-780-0022
R O Fax! 813=780=0025
Vendor Phone Number Vendor Fax Number Requisition Number Delivery Reference
813=312-4895 .. 225
Date Ordered I Vendor Number Date Required Freight Method/Terms Department/Location
03/06/2020 2497 Streets
Item# Descri tion/PartNo QTY UOM Unit Price Extended Price
roof for streets building city yard (3 quotes in s
The Above Purchase Order Number Must Appear On All
Correspondence:Packing-Sheets And Bills Of Lading
1 roof. for streets building city yard (3 quotes in scans) 1.0 EACH $15,500.00 $15,500.00
GL Account: 01004100-562000, $153500:00
Cross Reference: 001-4100-541-6200
By:�.. 2, ��• Total Ext. Price. . $15,500.00
City Manager PO Total $15 500.00
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting —
Owner's Name Cl IF 2 l Owner Phone Number
3�1<<al s � � z '
Owner's Address cav �° (/�t� Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3q 44 a t Je CJ �V t ` vim' Z Y I I LOT#
SUBDIVISION I '5 �� (P PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION Qnn BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK e— b(3)-e
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $' VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
.PLUMBER COMPANY
..SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I LiiccIe-ns_e## /
OTHER COMPANY ��� r
SIGNATURE �� REGISTERED Y/ N FEE CUkAEh Y/N
Address License# 52 2 7
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 subdivisionsAarge 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I 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 A16 Fences(Plot/Survey/Footage)
Driveways-Not over Counterif on publlc roadd ways..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
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 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 1,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;,WaterMlastewater 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-thaf: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,:['certify that fill will-be used only to fill the area within the stem wall.
If fill.:mater'ial 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,con ditions;;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 fill THE OWNER, I promise:in good faith to inform the owner of the permitting conditions set forth in
this affidavit-.priior,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, 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-OBT-AIN-FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE-RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT-(F:S-117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this S c'b d�b om to ed)before,r�'e this
by � y � S/> lj`G�l('S
Who is/are personally known to me or has/have produced WhoW re ersonally knXn to me o has/have produced
as identification. UeYc al R- as identification.
r
Notary Public4, Notary Public
Commission No. Co m' ion
�. JACQUELINESOGES
Name of Notary typed,printed or stamped Name of No +r d;A 000 g ,2022
Bondtee ed 11uu Troy faM Insurance gpp.3gs.7019
CITY OF " NOTICE / / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
DO__NOT REMOVE
ADDRESS �� A(/, .. � P
PERMIT
:39qv Zk'Re
?L]
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
D
JEI A G %� /14 �Ipw G Ajar"
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MAQE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR
03/31/2020 11:55 AM Rcpt:2149763 Rec: 10.00 DS: 0.00 IT:0.00
Nikki AlvarezSowles, Esq., Pasco County Clerk&Comptroller
Permil No._22683 Parcel ID No
No'nCE OF COMMMCEMEW
State of FLORIDA Cor32yof„RA Q0
TM UNDERSIGNED hereby gives notice Its f pcvement vn71 bo made to certain[rat property,and In acconiance with Chapter 713,Fbrida Statutes,
the Wowing information is provided in the Notice of Comrnencemeot
1. Description of Property- Parcel lderdircationNo. 12-26-21-0000-04900-0000
Streetm& 39421 SOUTH AVFNIJF
2. General Description of Improvement
ROOF MAINTENANCE BUILDING WITH NEW SHINGLES
3. Owner Information or Lessee information if the Lessee co:uactecl for the im�:
CITY OF-ZEPHYRHILLS
5335 8T"T ZEPHYRHILLS FL
Interest City see
in Property: _OWN F R
Name of Fee Simple Titleholder:
pf different from Owner ristedabure)
Address City
a. Contractor. ACTION ROOFING AND F'li_UMINUM LLC Ste
Name 8225 CASS RD - ZEPHYRHILLS FL
Address City State
Contractor's Telephone No.: 813-713-1313 __--
5. Surety: --
?lame
Address City State
Amount of Bond; 3 Telephone No._
6. Lender.
Name
Address LSty State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whin notices or other doamwtds may he served as provided by
Section 713.13(1)ta)(7),Florda Statutes:
Name
Address City State
Telephone Number of Designated Person
B. In addition to himself,the owner designates of
to receive a copy of the L.IenorS Notice as provided in Section 713.13(1)(b),Florida SlahAM.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Cammenoemea(the expiration date may not be before the completion of oorelruction and final payment to the
contractor,but will be one year from the date of recording unless a different dale is speak
WARNING TO OMER: ANY PAYMENTS MF DE BY TM OAR AFTER TM 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 COMME14CEMENT 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 CGHI AENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pe jury,I declare that I have read the fategoug notice of oornmerAm ment and that the stared the " ire true to the best
of my knowledge and belief. r
STATE OF FLORIDA
COUNTY OFPASCO frT4(. r C
ignabae of Owner cr Lessee.or es or LesJeds Authorized
cerlDneCodPartreexAb
MANAGER
Signalmy's rdferOf ice e
The foregoing instrument was acknowledged beef/otren t�hi�s 3� of M�-.2029,by_V HA N E Le B LAN C
1 V�S7 _(type of aAhority.e.g.,ofrrter,trustee.a>iomey in fact)for
(name ty on brlf of f nt vas executed).
Personally Known OR Produced tdentitiration / Notary Sigrratemre
Typrxof�tifProdmmcEd Name(Prntl,
����JJJJ g NaIW Public State of Florida
David W.L ycaft
M. My Cw&afl 9n GG 256E21