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D IriN :M `UER� �pERMTCity iof Zephyrhilis : 5335 Eighth Street Zephyrhills, FL 33542 BGR-000416-2020 Phone: (813)780-0020 Issue Date: 07/20/2020 f- Fax: (813)780-0021 Permit Type: Building General (Resi;dentia1) s Property Number "Street"Address x . ' 35 25 21 0050 00000 0910 38530 Piedmont Ave _. Zowner'.Inforrriation'� " . Permit Information " ' ` Confra16 Information Q= Name: DARRYL GIBSON Permit Type:Building General(Residential) Contractor: QUALITY ROOFING Class of Work:Reroof(Shingle Only) Address: 38530 Piedmont Ave Building Valuation:$6,300.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)3127338 Mechanical Valuation: ' Plumbing Valuation: 7 � Total Valuation:$6,300.00 �� Total Fees:$71.50 Amount Paid:$71.50 �j ^ Date Paid:7/20/2020 2:56:28PM Project Description ..�; 1 REROOF SHINGLE Application'Fees Building Permit Fee $71.50 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. CO CTO E PE IT OFFICE RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name C '' Owner Phone Number Owner's Address (7 8/� ��;Owner Pine Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS FL S CLOT# SUBDIVISION PARCEL ID# a5'-&AS .0" ® 0-V 10 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER ' — TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL DESCRIPTION OF WORK BUILDING SIZE $ SQ FOOTAGE ®� HEIGHT V ' =BUILDING $ Q'� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ (_ r5j/A av =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /a je"" =GAS = ROOFING 0 SPECIALTY = OTHER 1 � C01 `� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY lQ ILI,mer pool, ��-+�� fi' K0 04 SIGNATURE REGISTERED Y N FEE CURREN Y/N �7 Address /94 d License# ®C ELECTRICIAN COMPANY SIGNATURt REGISTERED Y/ N FEE CURREN LXLN Address License# PLUMBER COMPANY -SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 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 pltis:a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. ` Minimum ten-(I )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 back of application,notarized If over$2500,a Notice of Commencement is required. (AIC 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 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 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,WaterMlastewater 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,"V"unless expressly permitted. If the till material is to b& 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#ill_the area within the stem wall. If fill material is to be used in any=area, 1- certify that use.,of such fill will not adversely affect .adjacent properties. If use of fill is found to-adversely affectadjacent.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, can.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 PROPERTY. IF YOU.INTEND TO OBTAIN FINANCING, CONSULT WITH-YOUR L-ENDEkOR AN-ATTORNEY-BEFORE-RECORDING YOUR NOTICE_OF _COMENC EM T. FLORIDA JURAT(F.S.117.03) - OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and s1ki m to(or by by ` Who is/are personally known to me or has/have produced Who is/are personally known t me or has/have Oroduced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped s 10E Quant ' Kooftn elk I �,5 Q �fw Bradley MillerRoofing LLC � ar° 's State Certified 4CCC1328205 rn j Licensed a Bonded•Insured . i Free Inspections&Estimates : : , William M:Stepfiens " Residential•Commercial•All�Roof Types Bradley B.Miller. 813.312=7338 30 Years Experience 352-467-2001 Email: bradleymillerroofing@gmail.com -PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT Dame�I)A: : t " ' Street Street t` � City 1 City: . = - .. $ ��, ''t- _ State Zip State`rt _ zip Owner of Property - . - Phene,Number Fax Phone number Fay: Wd hereby propose to furnish all-the materials and perform all the labor necessary for the completion of. "move existing single roof ❑ Replace bad fascia_boards at$ per font CI ReiTtove existing built up roof © Install feet or ridge vents will qq r^�pz c.I EI psry�iri with .( Synthetic ©Peel&Stick 0 Install Master Rib MetalRoof System. 1Q InstalCnew galvanized valley-metal ®Install 1"insulfoam LrInstali`new lead boots ❑Install 20 Insulfoam 3Instalt new exhaust vents C? Insta1..25:yr.fungus resistant 3-tab shingles .. . O I stall new drip edge, , �' r � color d Install 36 r fungus resistant dimensional sh`q. Ies Wnstall new flashing as needed . . O Shingle manufacturer color ° f — o U Replace plywood at$ per sheet © Install TPO.while rubberized ro�(onng membrane+ a„,•saz+-'T= ra^n""m.��re.,. f G,R�±.,.-,L,,; c�'r.`-!;a ,s-` `= t �'y,o*,-- h:'�.°i�.'4 i'- t1 Replace rotten trusses at$ per foot © Other.: _ ZZ ilVoodwork.is an additional charge,see pricing above. ��� � `�A �'rnt p`sN - Fj AS:!, firs. �;kwc,P,,,�''� 5-Year Leak acid li orkmanihip Warranty All material is guaranteed to be as specified, and the above,work into be performed is accordance,with the drawings ands' specifications submitted for above work and completed in a substantial workmanlike mianner for the surd of$�r�.��s with payrneos to tie made s fcallatnr`�"�'Q Payrate:at due in full oc ctar3��3a,leti�t56iiesQa tSti`telrt�iSe rioted. Tl�arz€�Yout. Yi Credit cards accepted, additional 4%charge, A alteration or aariay.r from abcva speatiwtioru k mivkv eta cost w8E rty be executed only upon written orders end will became an extra dune over > y' ,• ,wn, :r:?,tom; d e` M - and'abc s the estimate.All agreements contingent upon strikes,aceldents or i delays beyond ou`rcontrol.Owner to carry fire,tornado and otharnecamry I,/Officer/Agent irssurance upcn 8bovs work Compensatlon and Public uablity Insurance on - - wflrtr m r raker vut try Ro�Eng contra s Note:This proposal may be wtthdraWn by`us If not accepted within - days. r, Client gives permission to.drive on driveway to deliver,materials. ACCEPTANCE OF PROPOSAL The above prices,specifications and condi#ions.ars ;atisfactot�y and are hereby accepted.You are authorized to do the work as ._ spedged.,Payment.Will be.made as outlined above. Aopepted______L Signature 1 City of Zephyrhills . MS e. St Zephyrhills FL.33542 '(M)UO-002G ROOFING INSPECTION AFFIDAVIT Permit No.:J ��G1,:;�.C7 I, G L1 licensed under.Chapter 468,Florida Statutes as"a(n): Contractor ►!Engineer. Architect Building Inspector License:No. � On:orabout '! I�id.persohallvinspectthe : Check Roof Deck Nailing Dry in Flashing and Drip edge Check which Wa's used: ." 30#felt Peel and Stick_. Other(List). . :� At the following address:.. Based upon that examination,I have determined the:instaliation was-done according to.the Hurricane Mitigation.Retrofit_Manual.(Based or . ection 553.844,Flori tatutes). Signature: STATE 0 .FLORIDA COUNTY OF PASCO Sworn to and subscribed-before this day Notar If is State of Florida DMEIE URIG *: *: MY COMMISSION#W 920738 WIRES:October 8,2023 Bonded Thfu NoWyr Pt tk Ur&rwriters