HomeMy WebLinkAbout20-283 m
F � City of Ze h rh i t is
tY p Y � �F:ERIIAITNUMBER °
.�
5335 Eighth Street
- Zephyrhills, FL 33542 BGR-000283-2020
Phone: (813)780-0020
Fax: (813)780-0021
Issue Date: 06/24/2020
1
Permit Type: Building General (Residential)
Property Number StreetAddress
1126 210010 16900 0165 5236 9Th Street
6wneeInf6rmati6h Permit,lnformat on Confracto�anfo�mation . :
Name: MARK MOSHER Permit Type:Building General(Residential) Contractor: CHARLIE'S ROOFING &
Class of work:Reroof(Shingle Only) WATERPROOFING
Address: 671 Carolina Rd Building Valuation:$11,515.40 /
SUFFOLK,VA 23434-4839 Electrical Valuation:
Phone: (757)810-2256 Mechanical Valuation: zo
Plumbing Valuation:
Total Valuation:$11,515.40
Total Fees:$97.58
Amount Paid:$97.58
Date Paid:6/24/2020 10:54:11AM
Project Description
REROOF SHINGLE
Application Fees"
Building Permit Fee $97.58
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.
C a 1 V*^
aja,
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
'J-C.V 1 V1 U,-
" Date Received l!� I _ (Q?j
Phone Contact for Permitting
a a a it a;aaa 1 rrTnrymnExxxaaaaa
� mofh-e /
Owner's Name 1I (7 Owner Phone Number
Owner's Address l_IL � Y l j VnQ 1.-1,J/� Owner Phone Number
Fee Simple Titleholder Nam t 3 3 Owner Phone Number
Fee Simple Titleholder Address /V. v)
JOB ADDRESS o' C� -tom S fi_ r h O l5 . L: g qZ LOT#
SUBDIVISION PARCEL ID# 1 I Q- CCU I O U ! OD O/ Log
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0
"dear �-f�[iS�d'� 40 !C efLI. ('frACCA biVe WIDU 015 1LILLrod• ZC r rll� ►t[�Q G0�•/�
DESCRIPTION OF WORK 16-0 sl�alNc
BUILDING SIZE SQ_FOOTAGE HEIGHT r5j'11C1S �• (�C,P.Q t St i GIC
`>E'CE>fClECi aT£CLYTS�TE'IC �CE�'iTE'Eli'E�CICEE"6EEiE-CCEE>FCE�CCE'S ICCT e�, c1c1 w�t'`'t�
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION $a 12.(L't`t+'
LYl UA
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N_
Address License#
ELECTRICIAN COMPANY
SIGNATURE F REGISTERED I Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N
Address License#
OTHER COMPANY Zu—t ZoD -er ' rdr-plbli
SIGNATURE REGISTERED I Y/N FEE CURREN I Ir/N
Address License#
217aa7�i;t-/�ilal'i1'11�13f1i !'1II7'oi):1i)t'ttb l3lP/iS6@ltH�i?llfiill7E!!l1111�l�ilQ;
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,Stornwater Plans wl 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 maybe subject to"deed"restrictions"which maybe 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.
CONTRACTORWOWNER'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.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.
- 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"V"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 maybe 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 YOUR NOTICE OF ENCEMENT.
FLORIDA JURAT(F.S.117.03)
t
OWNER OR AGENT CONTRACTOR
Subscribed and�wom to(or affirmed)before me this cribsd an bry rr3o ed)beforgthi
Who islare personally known to me or has/have produced Who iss//arre ersonall known ( r{htats//hhlave produced (�
as identification. as identification.
Notary Public Notary Public
Commission No /4aln
n No.67
V�Lt' C, �'rwe, JENNAMWALDRON
Name of Notary typed,printed or stamped otary typed,printed or stamped —�.• '•� Commission#GG 181727
w, c� Expires February 1,2022
9 OF F,��\ kww ThrU BUdget Notiq
PROPOSAL
�trlg �; Q� Mailing Address:
� rc}c�f.ng & - 2501 orient Road,Suite F
i� -Inc. ' Tampa,FL 33619
!'7 t�� �` � n g Phdne:(813)621-63�47
t Insured-r Licensed ' Fax.•(813)021-6542
CCC1327673
PROPOSAL SUBMITTED TO PHONE DATE.:
STREET' J087NAME
CITY,STATE AND.ZIP CODE J08,t OG_ATtON -
-L-e-lok ~33.
SALES PERSON J
j DATE OF PLANS - ' JOB'NUMBER
-clTr V l
CO O F . . ,OR , - — - -_ .- -- ` STOf21Es-11_�-_MPITCH
LAYERS 1 -- MANSARD- -•Tearoff existing
HIP - GABLE
• Replace rotted„wood at a ac Ad wood[ist pricing is extra .
• Install 1'5#034# ! Peel&Stick Secondary Water Barrier Underlayrrli:'it.
• New " Edge Drip L^ k_t`A-Q- color.
l inle _ Style Install: Stab mnosF Ly
year shingles �1 1Q-r W h 14-Q. _ color.
• Install. V 2n-Ir5 ventilation In 1-.T color.
•-LOW SLOPE: Install base sheet and modified bitumen. Torch Cold Mop
Note: If snore Layers are found during installation, there will be an additional=charge of$35.00. perJayer, per square.
• Re-Nail deck to code using 2 318"8 0-ring shank nails
PRICE INCLUDES:
year Labor Warranty (Non-transferable).
• Material (except wood),and labor, including lead boots&goosenecks.
• 6-.nail all shingles,'roof cement on all perimeters.
• Haul away old roof and debris, cleanup, and run nail magnet.
• Permit(if required).
Please Note: Credit Card Payments add 3%to the final invoice to cover Processing Fee .
SPECIAL INSTRUCTIONS; }= '
VVe Propose hereby to furnish material and/or labor-complete
'in accordance with above specifications,for the sum of:
1~�V_P_n ±J=vnri �t-►ye- h unr��� ��t-t pp n dollars-($ 11.5154 C.) ).
Payment to be made as follows:
AIijm!m sprmmreeedtobeasspts,acd.AJlworkmbecompkWinowadontnsmm=trcatalog Autho' —
to sbrdard wzcamms.Arr/ahmhrn or damfon tom abaft ap=&a5an bmt M antra ash V4 be signature
ecepw ad w*1 upon treleen wderi,and w7-becoma an eras charge aver asd aaoia the esfansb.AD
apruneirta aoreegantupan abk¢s,arnfew orde6Ts Wyand our iariraL Ornet to carry Ere.lalnxlo '
• mWatLernaoassarynsuanr:.�rrar<.nuerulh�eregbyUwrtnrn4comperaabonwan„n. Note:This proposal-may be
withdrawn by us R not accepted within 'days, '
Acceptance of Proposal—The above prices,specification -
and conditions are satisfactory and are hereby accepted.
A�L
You are authorized to do the work as specified. Payment signature ,L
will he made as outlined above.
Signature
( Date Qfqueptance -
INS I Ft#LU<U I U00 10,OR BK 'I V I J V PG E+UU vage i or
07/0212020 10:OOAM Rcp1:2177963 Rec:10.00 OS:•0.00 IT:0.00
Nikki Alvarez-Sowles,'Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No 112.(n1 bU 1 u l C2q DOdI lam
-,r n NOTICE OF COMMENCEMENT
State of 4-1
T (�t !�l County of..
THE UNDERSIGNED hereby gives notice that Improvement will be made to cenaln.real pmper%.and In accordance.with Chapter713.Florida Statutes,
the following Information Is provided In this Notice of Commencement
1. Description of Proped(y:%�Percel IQde�ndfIcatIon No.j jZtPo1 I GD 10 u g nO 01 Q S 7&&#-7 7/,� /rhl/'C
Street Address:-&4u21 "' S-1-• Tcpb ►61111�5 FL 335y2 7"—`��
2. General Description of Improvement
3. Owner Information or Lessee Information ifthe Lessee contracted forth_e Improvement
MaIcK rA06V rf IZ
Address yy City - - State
Interest In Property. A) L�••
Name of Fee Sunple Titleholder: 0 a \
//����,,,, '',,`` r(7(if different from Owner listed above) r�'e
Address (,I�')Iy-ks E-6 h 'E �� r� n $ !/J o e '
- 4. Contractor. K�('('� C t4��l`eS 1-{)�lY)� "L�J�+� �l�'71�'a VntYlt/Jr .1:.�� .r ��
Q501 NaIV. LJ
tiro :
Address p (�l3� CD�I—C�3�1� - °'ty--r stelaQb
Contractor's Telephone No.. .Y ! k R• '
5. Surety Name A111a
Address City S Is
Amount of Bond: Telephone No.:
6. Lender.All* $S-�
Name
Address City Stale
Lender's Telephone No.: -
7. Persons within the State of,Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name W W
Q ~ U _j W
Address Stale W LWL _ C U
Telephone Number of Designated Person: - z O O
6. in addition to himself,the owner designates of_ N O Q N Q
to.r ve a copy of the Lienor's Notice as provided in Section 71113(1)(b),Florida Statutes. A W t❑ I" �LIJ 0 LU
Telephone Number of Person or Entity Design by Owner. lY W Z J 06
0 O =
9. ExpiaBon date of Notice of Commencement(the expiration data may not be before the completion on and final payment to the } LV U r
contractor,but will be one year from the date of recording unless ad lfferent date is s I-- = O 0 LWL J
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER A E EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER. PART 1, SECTION 713.13, FLORIDA•STATUTES, AND CAN � F- CL � O U u
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS OUR.PROPERTY. "A NOTICE OF COMMENCEMENT MUST BE O Q O in
RECORDED AND POSTED ON THE JOB SITE BEFORE TH RST INSPECTION. IF YOU INTEND TO OBTAINTINANCING,CONSULT C3 Z 0 U Z W
WITH YOUR LENDER OR AN ATTORNEY BEFORE 0 NCING WORK OR,RECORDING YOUR NOTICE OF COMMENCEMENT. I- N J Q --I
of my penalty of perjury,I declare that I have read the foregoing notice of commeheemeril and that the facts stated therein are We to the best Q tt UJ Z) Z O O
of my knowledge and belief. O STATE OF FLORIDA �y� LINDALP07TEN /J _ Cr- � U' _
COUNTY OF PASCO -�"0�" ry '1 W rU 0 >- Q W
•+���tQ.• CamMumstiomm ignat re of Owner or Less ee,or, er's or Lessee's Authorized N' 0 J Cr 5
EilphS?ortw' OCIDW 'M Office7Direclor/ParinerlManager Q z W (� >
-. LU — Q J W
r, Sig
natory's TiUe/Otfice = X Z
The foregoing In4lNMont was admowtedged before me this�daay/lof�J r/ti/ •2 'Wby �jl �.7�/C f:/1� Z ~ Z m
�) (/ (type of rho' e.g.,officer,trustee.a N F- f- O
as rdy, _ y In fact)for
(na par n behalf of whom m n cu d).
Personally Known❑OR Produced Idenlificatio Notary Signature
Type of IdentificationProducex-- 'T6t�bzcu'E/ Name(Print) A,IU /9 1, 'e
wpdatWbcslnoUceeommencement_pcg53048
Q City of Zephyrhills
5335 r St
Zeohyrhills FL 33542
(813)780-0020
« T .
ROOFING.INSPECTION.AFFIDAVIT .
Permi.t NO. .
1, C�.1AOV4L S: l&(r X) Aicensed under ChapterA4,Florida Statutesas a(n):
Contractor Engineer " -Architect-Building Inspector_"
License No.
On or about did personally inspect the:.
Check:. Roof Deck Nailing Dry in Flashing and Drip edge'
Check which was used: N#felt Peel and.St'ichKC Other(List)
At the following (
address: . -I' -1 �T}� t «�
Based upon that examination,-I-have determined the.installatlon was done accordintto the Hurricane
Mitigation Retrofit,Manual(Based on Section 553.844,Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
Sworn t and subs ri ed b fore t ` da ��
N to Public State of Florida. -Qn Q Well
z
4gKruai, ist4AMWALOR011,
a�•`' ° Commission G61$1721
* < Expires Febtue{Y1,2022
N��BVEti°Qo Bonded•fhtuBud9etNotaryServ'�