HomeMy WebLinkAbout20-619 A City of Zephyrhills :PERMIT;>NUMBER`: "
5335 Eighth Street
- Zephyrhills, FL 33542
BGR-000619-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 08/24/2020
Permit Type: Building General (Residential)
Property Number Street-Address : -
02 26 21 0230 00000 0010 138720 Evelyn Lane
;'.Owner lriformation" '` Permit lnfo'rmation. Contracto�.lnformation .:"`:. ;'.'
Name: CARROLL&RICHARD FORREST Permit Type:Building General(Residential) Contractor: RYMAN ROOFING INC
Class of Work:Reroof
Address: 38720 Evelyn Ln Total Valuation:$12,000.00 /►� N19 G
ZEPHYRHILLS,FL 33542 Total Fees:$100.00 r �• �'°Z`� s
Phone: (813)715-1097 Amount Paid:$100.00 �- fib--J
Date Paid:8/24/2020 1�2:16:23PM
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Pjoject•pesdrlption.x
REROOF SHINGLES
Application;Fees
Building Permit Fee $100.00
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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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 CTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Building Department 7v v 7 7,,2,
Date Received 8 a10) Phone Contact for Permitting
Owner's Name cW rol* I C�I@ALL r Orf e�� Owner Phone Number l°f
Owner's Address p / V U�` i� h iF�'S r / Owner Phone Number
i .
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 38 I�V �U�� n cl (Y li S `C I LOT#
/ n ( //�� •� /� '�/� 7� /�
SUBDIVISION l�,t l� Des+ 1 I�_ PARCEL ID#
(OBTAINED FROM PROPER7TAX NOTICE)
WORK PROPOSED'. NEW CONSTR B ADD/ALT SIGN Q MOVE Q DEMOLISH
INSTALL REPAIRP �nnT
PROPOSED USE 0 SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION ' Q BLOCK 0 FRAME 0 STEEL OTHER
DESCRIPTION OF WORK �Q� �e-� � �US� � �iS Ire 15h� �( �ola�, ( jS t�- IL o(lbl1(�;(kt
tuuAo 'I
BUILDING SIZE SQ FOOTAGE HEIGHT 5 l a S Q e
Ele BUILDING $ /�/�/16 VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ VVV AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C,
i •
0 PLUMBING $
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS ROOFING, 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA DYES QI NO
i
BUILDER I COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURRENT
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# 'i
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED LYLN_j FEE CURRENT Y/N
i
Address _ License(#
OTHER I COMPANY
SIGNATURE (J1JQd4
� U O� REGIS7E�2b Y/_N pEe Ouk NT Y N
I
Address �� S R S�( ��1c 5 � 3�J License# [CCcc3 __ IV:'`-�•
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(1b).working days after submittal date. Required onsite,Construction Plans,Stormw i ter Plans w/Silt Fence installed,
Sanitary Facilities&'1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL, Attach(3)sets of 4Building'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 all new'projects.All commercial requirements must meet compliance ;
SIGN PERMIT Attach(2)sets of Engineered Plans. I .
"PROPERTY SURVEY required for all NEW construction.
i
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized j
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)
Driveways-Not over Counter'if on public r'oaclWajrs:.neecls 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 responsibilityfor 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 las 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 Ordin;ance.number 89-07-and
90-07, as'amended.. Th6l 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" prepare id 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 governrpent 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, Water/;Wastewater 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.l
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 adversely affect adjacent
properties. Ifjuse.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 IHE 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.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) drays'and will demonstrate
justifiable cause for the exitension. If work ceases for ninety(90)consecutive days,th job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD KNOTICE 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 JURAT-(F:S. 1 .03) _
Q.1... .. %S aNT ='CTOR'
O. ER907bv
R=AGENT -
S 6 nti swo to(or aff ed)berore this u scri ed and sbwo (or rrr� fore rye t�j s
e . .' q w6d a y -C� ( l I.eJI.C�v/
is/are personally k wn to me o has/have produced o is/are personally krio to me or as/have produced
j as identification. as identification.
Notary Public Notary Public
Commiss No. Commission No.
Pu' ANN TER'
�tlRgp�ta f Florida Name of No ,
Name of t t�tp :01 u NA MARIE YNCH T RRY
Commission N G 938292 r?; . NotaryPublic State of lorida
My Comm!Expires Apr 4,2024
Bonded throughjNational Notary Assn, '�bd . My CommCommis Exni�es A GG pr 4?2912
024
P P
Bonded through National Notary Assn.
%E R W.0MCNAN9
. _ VISA
5
EW"R.ESJ
Ryman Roofina, Inc.
5%fee for credit card processing.
A Division ofRymon Construction,Inc.
36413 SR 54-Zephyrhills, Florida,33541 Proposal#
Phone(813)782-6094 Fax(813)788-6773 No.
1-855-Go-Ryman (1-855-467-9626)- Lic.#CCC 1325505 Estimate# 00300
www.RymanRoofing.com
Serving all of Central Florida Job#
Owner/Purchaser.Caroll Forest Date: &/2-172020—
Claim#-. InsuranceCompany:
Policy#
Job Address: 38720 Evelyn Road City: Zephyrhills Zip: 33542
Mail to Address: E-Mail Address:
Home #: 813-715-1097 Cell #: 330-883-4156 Caroll Business M
0 Complete tear off of existing Asphalt shingles — Additional Notes/SpecialConcems: Includes
One laver included Install new GAF Timberline hdz 30 year lifetime Ltd.
rv(l secure all loose roof decking as needed according dimensionsal/architectural shingles
to Florida Building Codes
Z Roof dried in with Synthetic
Rhinoroof U20 synthetic underlayment
F/I Install new valley metal with galvanized metal
Install new 6 "drip edge color: White _GAF Liberty in dead valleys on both sides of front
Install new lead boots entry
F,71 Install all new general roof vents
M Install new WIShingle F IMetal Tile
M Modified Butimen F_1TP0
R,( Manufacturer (shingle, metal or file) GAE'
manufacturer (TPO or Mod.situmen)
nv( Color:(Shingle,Metal orTile) Birchwood Permit and scheduling of inspections
Color(TPOorMOD.Bitumen)
n,/ All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
F,(1 All materials, labor and permits furnished Base Price*$ 12,000.00
F71 Provide a 5 year labor warranty
Additional Items:
Payment Method: Check# 1693 Cash Financing F1 Insurance Claim
L] Credit Card# Exp. Date CCID#
Down Payment:$ 2500 Amount Financed:$ Approx.Monthly Payment:$
PaymentTerms: 35% down and balance upon completion
Extras:
*B se Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above(�
Deficient 1/2"plywood replaced at a cost of$85.00 per sheet in the roof field,which includes labor&materials.All other wood worklad-
I tonal labor,such as,but not limited to,valley rebuilding, rafter replacement, Ix decking,etc.will be a rate of$5.00 per lineal foot plus the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL AND HEREBY CERTIFY THAT I H VE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: Date: 8/21/2020
Purchaser. Estimator: Ed
IJdSTRq ZO?O13S7'�.34 6R.6K,1 0163:ob 1'2'3"2� Pag6.1 of.7
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