Loading...
HomeMy WebLinkAbout20-68 i Ci Hof Ze h rhills �tfpJr tY p Y PERMIT�;NUMBER- ' ; i— 5335 Eighth Street Zephyrhills, FL 33542 BGR-000068-2020 Phone: (813)780-0020 -� Fax: (813)780-0021 Issue Date: 05/08/2020 Permit Type: Building General (Residential) Property Number Street Address 13 26 21 0120 00000 0390 4828 20Th Street Owner Information, Permit Information Contractor Information. Name: VALERIA PUMMILL Permit Type:Building General(Residential) Contractor: RESTORSURANCE Class of Work:Reroof(Shingle Only) SERVICES LLC Address: 4828 20Th St Building Valuation:$8,258.58 ZEPHYRHILLS,FL 33542-5224 Electrical Valuation: Phone: (813)469-3058 Mechanical Valuation: Plumbing Valuation: Total Valuation:$8,258.58 Total Fees:$81.29 Amount Paid:$81.29 Date Paid:5/8/2020 10:24:23AM Project Description REROOF SHINGLE Application Fees Building Permit Fee $81.29 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. CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813a80-0020 City of Zephryhills Permit Application Fax-813-780-0021 Building Department II�� Date Received Phone Contact for Permitting U [!33[![! !!!!! Owner's Name Valeria Pummill Owner Phone Number 813 469-3058 Owner's Address 1 4828 20th St.Zephryhills,FL 33542 Owner Phone Number I, Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 4828 20th St.Zephryhills,FL 33542 LOT# 39 SUBDIVISION �A r PARCEL ID# 13-26-21-012MO000-0390 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTft e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK Roof Replac rent BUILDING SIZE I SO FOOTAGE 1917 HEIGHT I� BUILDING $81258 58 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ V =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS © ROOFING 0 SPECIALTY = OTHER D FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES X NO ttJ!! BUILDER COMPANY SIGNATURE REGISTERED I Y/N I FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N Address I License# OTHER COMPANY Restorsurance Services _ SIGNATURE REGISTERED Y N FEE CURREN Y N Address 630 N Hart Blvd.Orlando,FL 32818 License# CCC1329220 !!!!![!.[[!![!!!!!1!![!!I[!!!![!!![!!8!t![!!![!![![!t!!!!!!!![!I!!!!1 RESIDENTIAL Attach(2)PIol Plans;(2)sets of Building Plans;(1)set of Energy Forms;Rgo PeIitfeernew consbuction, Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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/Sin Fence installed, Sanitary Faclities&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 ofAttomey(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/Foolage) Driveways-Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813a60-0021 Building Department 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 mayapply 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,1 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 otherthan 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,WatenWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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"T 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.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 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 P,ROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITHYOUR LE AN BEFORERECORDING YOUR NOTIG19 OF COMMENCEMENT. FLORIDA JURAT(F. .1 7.0 1 - OWNER OR AGI I ONTRACTOR 412 bsc bed and sv j th(or af[rmed)Cre me this bs ibed and sworn to or affirmed)befo a this 'f�by VQ1��r[�—YtAi+�rr+rl� 0 r� ho i are personally known to me or has/lrave produced a known o r haslhave produced l•rVFtr$ LA CRIlf-t as identification. as identification. 0 "'=nary Public Notary Public Commission No.�l9-I Z7 —1 2S Commission No. �l5 I� 15 I/} Name of Netar�h ptaAFR r .uPF Name of Nota rinte NOTARY PUBLIC NOTARY PUBLIC STATE OF FLORIDA STATE OF FLORIDA Comm*GG927598 Cann#GG927598 Expires 10/29/2023 s� 19�e Expires 10/29/2023 Restorhman 630 N. Hart Blvd. Orlando, FL 32818 4/24/2020 7:29:48 AM Office 407-401-9599 Date: Services Fax 321-445-5593 Job#TBD ReConskuction Insurance Specialist www•RestorSurance.com Rep Tom Johnson Cell 6308008734 CBC1255480 CCC1329220 TERMS AND CONDITIONS Customer Valeria Pummill 1)The Company shall have no responsibility for damages from fire,windstorm, Address 4628 20th street or other hazard,as is normally contemplated to be covered by Builders Risk Ze h Ills FL 33542 insurance, unless a specific written agreement be made therefore prior to City,St,Zip P Yfi commencement of the work. County Pasco Subdivision[ None 2)The Contract on the face hereof does not include expenses or charges for Home 8134693058 Work Same additional bond or insurance premiums or costs beyond normal bond and insurance coverage;and any such additional expenses,premiums or costs that Cell Same Gate Code None have been added to the amount of the contract. EmailRedwhiteblue550@gmail.com 3)Replacement of deteriorated decking,facia boards,roof jacks,ventilators, flashing or other materials,unless otherwise stated in this contract,are not HOA: Yes x NO included and will be charged on a time and material basis if needed at$65.00 SPECIFICATIONS per sheet BC plywood installed or$40 per hour. ❑RECOVER ROOF WITH Owens Coming Oakddge 4)The Company shall not be liable for failure of performance or delays in the ❑STYLE OF SHINGLES Laminate completion of work due to labor controversies,strikes,fires,weather,inability ❑COLOR OF SHINGLES Desert Tan to obtain materials form usual sources, or other circumstances beyond the control of the Company whether of a similar or dissimilar nature. ❑TEAR OFF One layer 5)If roofing and sheet metal work is involved,it is understood and agreed to ❑YEAR MANUFACTURER WARRANTY Limited lifetime that our standard roof guarantee shall be acceptable and that all terms and ❑INSTALL APPROVED STARTER COURSE New provisions therein shall prevail,unless otherwise specifically agreed to in writing ❑INSTALL APPROVED VALLEY New prior to the commencement of the work. ❑INSTALL RIDGE New 6)The Company is not responsible for any damages below the roof,including the house system, due to leaks by excessive wind, ice or hail during the ❑PIPE FLASHINGS COLORBro warranty period. ❑METAL EDGING COLOR Brown 7)The company is not responsible for any damage to personal items such as ❑VENT COLOR Brown outdoor patio and pool furniture,potted plants,planters,gardening equipment, ❑ALL MATERIALS#1 GRADE grills,tools and all forms of decorative yard art left around the property during ❑LOW SLOPE SYSTEM None the work.All damage to other personal items,indoor and outdoor,shall be capped at$500.00. ❑ 8)The homeowner CLEAN UP AND HAUL OFF ALL DEBRIS T is responsible for satellite realignment fees.The company is ❑RESTORSURANCE SERVICES,LLC TO FURNISH OWN INSURANCE responsible for satellite dish remove and reinstall only,with calibration to be ❑YEAR(S)WARRANTY ON WORKMANSHIP 3 years performed by others- ❑SEE ATTACHED ADDENDUM FOR ADDITIONAL SPECIFICATIONS 9)If material has to be reordered or restocked because of cancellation or other ❑ADDITIONAL GUTTER WORK MAY BE NEEDEDYes default by the customer,there will be a restocking fee equal to fifteen percent (15%)of the contract price. ❑PROTECT LANDSCAPING AS NECESSARY REINSTALL ONLY 10)This contract and warranty shall not be assigned and is non-transferable. ❑SATELLITE DISH REMOVE / 11)If this contract is cancelled by the customer later than three(3)business ❑PRE-EXISTING DAMAGE/CRACKS ON DRIVEWAY19 INT. days from execution,Customer shall pay to the Company twenty percent(20%) ❑Remove and replace all fascia boards$450.00 of the contract price as liquidated damages,not as a penalty,and the Company ❑$7,808.58+$450.00=$8,258.58total agrees to accept such as reasonable and just compensation for said ❑SPECIAL INSTRUCTIONS Dispose of existing gutters and downspout cancellation. New gutters to be installed"color-white" 12)This contract cannot be cancelled once work has commenced except by mutual written agreement of both parties. 13) If any provision of this agreement should be held to be invalid or unenforceable,the validity and enforceability of the remaining provisions of this WE HEREBY CONTRACT to furnish all permits,labor and material agreement shall not be affected thereby. complete in accordance with the above specifications,for the'sum 14)Any representatives,statements,or other communications,not written in of this contract are agreed to be immaterial,and not relied on by either party,and 8258.58 do not survive the execution of this contract.$ 15)The Company Is not responsible for any damage to driveways,sidewalks, DEPOSIT$6,808.58 BALANCE$1,450 landscaping or sod by vendors,suppliers,or dumpsters. 16)The laws of the State of Florida shall govern the validity,enforcement and \f interpretation of this Contract. Venue for any legal action in connection PLUS SUPPLEMENT IF PAID INT. herewith shall lie exclusively in Lake County,Florida. \` 17)This agreement and any addendums or attachments hereto (which are DEPOSIT/DEDUCTIBLE TO BE COLLECTED PRIOR TO START INT. identified herein and signed by the parties)constitutes the entire agreement between the parties and cannot be amended except by written agreement PAYMENT:(Check One) signed by the parties. x 18)Substa9tiai completion is present and full payment is due when the owner Payment is to be made upon substantial completion'ofthe can use the structure for its intended purpose.Mere"punch list"work will not work.(See terms and conditions) prevent a finding of substantial completion,nor will minor instances of inferior x Payment is to be made according to a payment schedule workmanship or minor items that must be corrected or completed. which is attached hereto and made a part herein. All Checks to be made payable to: WHEN ACCEPTED THIS BECOMES A CONTRACT SUBJECTTO RESTORSURANCE SERVICES,LLC SPECIFICATIONS ABOVE AND ON THE BACK OF THIS PAGE. CREDIT CARD—3%Convenience Fee will be added V-k�'P � Accepted by Homeowner 1: Should default be made in payment of this contract, charges shall be Date:4/24/2020 7:40:31 AM added from the date thereof at a rate of one and one-half percent(1.5%) .�J/ per month (18%) PER ANNUM) with a minimum charge of$2.00 per Accepted by Homeowner 2' r month, and if placed in the hands of an attorney for collection, all 4/24/2020 7:40:30 AM attorney's fees,and legal and filing fees shall be paid by the customer Date: y accepting said contract. In addition to the all remedies contained herein �eq�gjl i�6`Y166�tOh and all remedies provided by law or equity,if customer defaults in the Accepted by Mgt: payment hereunder,or fails to abide by any other provisions contained herein,the Contractor,at its option,may cease working on the project and may immediately avail itself to all remedies at law and equity,including Revised:07/2019 the filing of a Claim of Lien. POWER OF ATTORNEY Date: 05/07/2020 1 hereby name and appoint: Robert Webb To be my lawful attorney in fact to sign/pick-up my documents pertaining to permits for City of Zephyrhills (Check and complete the following) B'*' To sign for and or pick-up all documents: OR ❑ To this specific job for work to be performed at: Location: 4828 20'"St.Zephyrhills. FL 33542 Parcel ID# 13-26-21-0120-00000-0390 Company Name: Restorsurance Services License Number: CCC1329220 Name of Contractor: Michael Hamm Signature of Contractor: State of Florida County of Orange The foregoing instrument was acknowledged before me this 07 day of May 20 20, by Michael Hamm who, is/are personally known to me or who has provided as identification,and who did not take an oath. (IL - Signature- otary Public $rwltP Coral Ritter NOTARY PUBLIC STATE OF FLORIDA Coral Ritter Coma#GG927598 Printed Name-Notary Public Expires 10/29/2023 INSTR#2020070867 OR BK 10094 PG 36i82 Page 1 of 1 ° 04/3012020 03:22 PM Rcpt 2157997 Rec:10.00 DS:0.00 IT:0.00 Nikki AivarezSowles,Esq.,Pasco County Clerk&Comptroller Fetm'aNa PruwliDNb# ''l o..�{'�}� Q`Q�O PASE O thdrd'mv Ift"tlons;i v;I C in ft Notice e, nt: r� Nun.+. oaeunr a rx f Up-I - O'o Upb- 4 __ S,raet AAttess:�f� 2— ?. Ontnrs'lJ�.rr�r�5tn.^'F=;^^�+.,•r.�xx 7Y.S6�'L— P ��-_..L.�t 3. cmvwr Mtfbnna w or Lessee WMMtiun ifftLG55Ea wMaacted ft ft bryuaret MAt Intwestin P-'W- S1try�+s n�I 0 _jMI ,[}(�-{{�)� {Std-urerrnilmn or��ner!'medamvey f1 &Cwuractor S.. j nkn .���U\�-..`� Sate aTntN�_ �07-Lt.01-95 9 CRY Addles; GTp Stale w.fa:^--a 9axk 5 Te'o,��:ax tic= S Lender. Name Address C4 SIM 7. Ptss-nrrs-..W.ft Sate o!Fiwsea deSnaW by the rimer vow+w`n noSm or cam doac f+.,Amy be—e ed as Wad-,d by Sectiorf 713.13(7jtaj(7J,FiNift Saa�.tr3 Nwrse M*os CAY SYaffi S. In dddt m to KMAMI,Qm=Wdesigratrs ol-- >,3 2pfofL'aLlmm fsFyl=asaai:!d"rr -713,4att--�LfXTifaSWZ�t TOW ==Numb' cf Pe i wEnuty fx:ig Wr ,J Iry Cm,e. .- 9. Er"a.--c&—cSak^.'ee e. =-qi.^'✓„:_"I-s-f'r:xkiss-_a'hoa'1;.rim epf*-c-.'yxz=-1 rxa..i.NYY. Lt.^.e. mraradm,Wl WN be—WW nwn iMrdaW W temrdrngivdawadi:terent tlate tssPttz-WY- tYARNINGTO OMINER ANY PAYMENTS MADE By YHE owNzR AFTER TFE EkPSRATKSY OF TTE NOTICE OF CUMeNCEME3T AC -.�.. DMNZ%=2 s=5: L*:245 G7,-jLq Tt3:AT:_u✓,�-.'4723I!.^C�3^',k aZATL^.ES.F-��FiT G2ti RESULT IN YOUR PAYING TWICE FOR t64ML41ENTS TO YOUR PROPENTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED)%POSTED ON THE.103 SITE BEFORE THE FIRST U:gPECTiO!J.IF YOU INTEND TO OSTAL4 FI W1 X",G.CONSULT �:. - -- tntdrrrverattvaP detya�girettiswesa'�Sttle�attkmRrt 'ntZXITaMIIraiHiG7aCss4SW ihete6lare trus I. tebem STATE OF FLORIDA COUNTY OF PASGO t S,X^a2ar.^a.fivccis5Wor. c's�L.eT-WsA:Ma:ttzN 0111 do4etmdPxrm� Sig}n{at'o,,NsTw.O&oa fly {}� /'` nn,,,, T?fe:crzetasg=---mce scar�ra�'ts ;tb--L—ral,]aacl4f t4iV�..�.-t-. Mr V.V�'LJ.,�ih-.. Uhn ,+JL es DIuon S r _ �f (ty"ofaucmdly,e.g..offer,4 mee,affomW In tars)Wr .'a'N!n^ A'C= tl3a..,,.i�s�'YEG!'.C1;. Fem.mgyKs 13 OR Produced 3dw�tth3CCiddoef[+}''- NotarySignott- _ . t Coral Rftf NOTARY PUSUC ESTATE OF FLORIDA ComRIN C0927M y' T Expires 20129t2023 %t 3 .� City of Zephyrhiiis 5335 8ei St - Zephyrhills FL 93542 (813)780-0020 I 3. ROOFING INSPECTION AFFIDAVIT Permit Na.i t, \C!r,a rtaYY)041) licensed under Chapter 468,Florida Statutes as a(n): Contractor�l ngineer Architect_Building Inspector i -License No. C C 1 32 220 On or about did personally inspect the: Check: Roof Deck Nailing: . ✓ Dry in Flashing and Drip,edge Check which was used: 30#felt reel and Stick_Other(List)".!�'A,nC:tatAj G At the following address:_ �1-$���: 2P 5Lf2 —T' Based upon that examination;I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Rased on Section 553.844,Florida Statutes). F r Signature - / — STATE OF FLORIDA COUNTY OF PASCO Sworn to and subscribed before this day 5 1 2s 1U 2-O It l 1 BY N 1 1 Cr1( L ('A rn Notary Public State of Florida Coral Ritter NOTARY PUBLIC ?, *Slre! STATE OF FLORIDAComm#GG927598 Expires 10/29/2023 is Ir. t,