HomeMy WebLinkAbout20-423 m -
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► I„�, City p Y Of Ze h rhills PERMIT NUMBER'
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000423-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/21/2020
Permit Type: Building General (Residential)
Property Number Street Address
12 26 210030 00200 OOBO 39133 5Th Avenue
Owner Information Permit Information Contractor Information
Name: MICHELINE LEBLANC Permit Type:Building General(Residential) Contractor: IRON CITY CONSTRUCTIOP
Class of Work:Reroof(Shingle Only) LLC
Address: 31933 5Th Ave Building Valuation:$8,750.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)340-3316 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$8,750.00
Total Fees:$83.75 n
Amount Paid:$83.75
Date Paid:7/21/2020 10:10:18AM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $83.75
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
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
- r
Date Received Phone Contact for Permitting
Owner's Name M i ton c Owner Phone Number D /
Owner's Address �C7 3'4--- 14VK, ? 1, ,-I,rl1J- L Owner Phone Number
Fee Simple Titleholder Name 3 a Owner Phone Number
r
Fee Simple Titleholder Address
JOB ADDRESS 3 9 r 33 S /l�/'� 2 e e�l r�.?lQ �L 3 3S ya LOT#
SUBDIVISION PARCEL ID# - O 3 _ O J_ap d a (� O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMW = OTHER
TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL= =
DESCRIPTION OF WORK P e,°h I �' r s�7�n
BUILDING SIZE E SQ FOOTAGE HEIGHT
BUILDING $ '�s VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ ��
l
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER �� COMPANY '^0^
SIGNATURE REGISTERED / N FEE CURREN N
Address "C/� S�l rer-Gh.r^� r �� L License# �GC �-33
ELECTRICIAN COMPANY
SIGNATUR@ REGISTERED Y/ N FEE CURREN
Address License#
:PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I 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 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&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
E COUNTER PERMITTING (copy of contract required)
L\Reroofs shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
eways-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, 1
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.l 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 applyto 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 ronly 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 permiCissued 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 dMPROVEMENTS T-0-Y-OUR=P_ROP_ERTY._IF_YOU INTEND TO OBTAIN 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 Subscribed and sw or affirmed)before phis
by by V c9 h c K,S 4,
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
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
INSTR#20201 15728 OR BK 10139 PG 3818 Page 1 of 1
07/21/2020 09:36 AM Rcpt:2183576 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No
12-26-21-0030.00200-00B0
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE tUNOERSI GNED Ihemby;9ives inauce ithatdmprovemerttpxl•be lmade;to.certain:real!prepetry,,and iin,arxotdance,w)Uh,Che.pter.7,13,;F1orida,Stalutes,
the following information is provided In this Nodoi of Commencement
1. Description of Properly: Parcel Identification No. 12-26-21-0030-0020"OB0
Street Address: ,39133.5TH AVENUE,ZEP,HY.RHILLS,F.L.33642
2. tGeneraliDescription,of Improvement !Reroaf
3. Owner Information or Lessee Information it the Lessee contracted for the improvement:
LEBLANC MICHELINE
Name FL
.39133,57H.AVENUE ZEP,HYRHILLS
Address Eity ;State
Interest In Property: Owner
Name of Fee Simple Titleholder
Of different from Owner Wed above)
Address Iran,Clty:ConsWetion LLC City State
4. Contractor,
Name
5042 Silver Charts Terrace Wesley Chapel FL
Address City State
Contradoes Telephone No.: 813-909-0778
5. Surety:
Name
Address City State
Amount of Bond: S Telephone No.:
6, Lender,
;Name
Address City State
Lender's Telephone No.:
7. Persons within,the State:e!Florida.designated by the.owner upon wham notices or ether.doacneras.may,be served as provided by
Section 7d3:13(1)(a)(7),,Florida Statutes:
Name
Address City State
Telephone,Number,of iDesignated,P,erson:
8. In addition to himself,the owner designates of
to receive a copy of the Uenoes Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone:Number of,P.erson.orEntity,Designated,by:Ovmer,
;9. !F).piration,date,ofiNotice,aftCommencement;(the,e�irefion,date;may!notibeibefore!the,eompletion.of,mnstruedon,and,flnal!payment4o,the
contractor,but will be one year from the date of recording unless a different data Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE 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,COMMENCEMENT,MUST:BE
RECORDED AND;P,OSTED,ON THE,kOB.SITE!BEFORE THE.FIRST INSPECTION. IF-YOU INTEND TO,OBTAINIFINANCING„CONSULT
!WITH YOUR LENDERkOR AN ATTORNEY:BEFORE COMMENCINGkWORK,ORiRECORDING•Y.OUR;NOTICE,OFtCOMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and thatthe fads stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
CAUNTYAF,PASCO
.Signature%of,Owner,ar,Lessee„or,Owners,or;Lessee's.Authorimd
,Ofltc"Mi, artner/M�a`neger
Signato• a Offic.!/L
The foregoing Instrument was acknowledged before me this 3 day of 74 ,20 M by 1"r i C�11'
T as p W A f r ,(type of-authority,e.g.,.of—,•trustee,.atomey.indad),for
-yrp, C,4 Ga,Or ud,•p� I.,L a ,(name,4party:onibehalf,afwhh'om,insb=entwas.exewted).
PersonallyKnown E j r �,❑�Produced Identification pd Notary Slgnehra A
Type of Identification Produced FlOf J-1 Dr:{r L%'c e"t t. Name(Print) A ban a Coler
AIIANDACAM
} My COMMISSION#00 348443
EXPIRES:September%2023
.4�.,••• BaNNThrnNtltaryPtlYfeUnItll�erktlfs<
wpdataibcsinotiacommencement_.pdI53048
of PasCo
State of Florlt 1 , en ores°tng is a
•�` .��' this is to certify that th document
Correct copy of the
true andr of public record in this o1 this)
. �.0
on file o d and official se a4 this y
oQ yje Tres` witness my hand 2 QCo Q.
.��day° Esa•,Clerk&
\� i N1kki Alvarez Sowtes,
' nty,>lorida oepUty Clerk
tgg7 PaSC
By
5042 Silver Charm Terrace
Wesley Chapel, FL 33544
(81 3)-909-3778
PROPOSAL SUBMITTED TO PHONE DATE
Mickey LeBlanc (813)340-3316 07/01/2020
i
ADDRESS BILLING ADDRESS.
39133 5th Ave. 39133 5th Ave.
�rCITY......... `.STATE. - ---= ZIP.._ --— EMAIL. — ------- ------- -- -=��
i..ZephyrhiIIs,.... _ I Florida................J.33542.x,.......u..., �....�....�.....x..,,�.........,.............................W....................
W...�
At your request, we submit the following:
9 Tear off old shingles and install new. , „ , ., .......
Install one of the following GAF Fiberglass self-sealing shingles:
GAF Everguard TPO.060 Life Time Manufacturer's Limited Cost :
.............................................
Warranty
Timberline HD American Harvest Life Time Manufacturer's Limited Cost
.............................................
Warranty
Timberline HD Architectural Life Time Manufacturer's Limited Cost: .$8. .7575, 0
. ....................................
Warranty
On tear off jobs, ice shield will be installed in valleys, and synthetic felt paper will be installed over wood decking to
meet building codes.All wood decking with be re-nailed with 8d ring shank nails to meet building codes.All vent pipe
flanges and drip edge will be replaced to meet building codes.Ventilation will be installed where necessary to meet
building codes. Not responsible for Re-Adjusting Satellite Dish.
FREE ROOF INSPECTION EVERY FIVE YEARS
Install J Roof Fan (no electrical work) Cost
.................................................................
Install Wjj Ice and Water Shield on Entire Roof Cost: Included (peel and stick)
...............................................................
Install Ej Skylight(s)interior work not included if needed Cost
..............................................................
Install Wi GAF System Plus Warranty Cost: Included .. .........................._
Install MI5 sheets plywood Cost: Included
...................................................................................
...............................................................
Install WjWind mitigation report Cost: Included
.................................................................................. .................................................................
Install WiPorch gutter remove debri/seal/install screens Cost Included
..................................................................................
.................................................................
Gutters will be cleaned and all construction debris will be removed from job site. Contractor will supply the building
permit. Unsound decking will be replaced at additional charge($2/sq.ft. of plywood and $4/lin.ft. of 1 x or 2x)
Contractor not responsible for nail pops in sheetrock or any falling items inside of home (i.e. pictures, decorations,
etc.) that could occur during roof installation. Contractor is fully insured, workman's compensation and liability
certificate supplied upon request. Start Date: Agreed upon acceptance of proposal. Completion Date: 1 to 2 days
weather permitting unless otherwise specified.
We propose hereby to finish material and labour complete in accordance with above specification for the sum of:
Eight Thousand Seven Hundred and Fifty Dollars ($8,750.00) Dollars
_....... ...........................................................................................................................................................
Payment to be made as follows: $0:00 Due prior to start of job.
BALANCE DUE UPON COMPLETION OF WORK
An additional charge of 3%will be applied to the total cost of completed job for credit card purchases
A charge of 2%per month(24% per annum)will be made on past due balance--$5.00 minimum service charge
FAII material is guaranteed to be as specified. All work to be Signature
completed in a workman like manner according to standard _ I
i practices.A ten year workmanship warranty is provided.Any
junsound decking will be replaced at additional charge. Any
alteration or deviation from above specifications will become j
an additional charge over and above the estimate. All 07/01/2020 11:43 AM
agreements contingent upon strikes, accidents, or delays Note:This proposal may be withdrawn if not accepted
'beyond our control. _— within _ 60 days. .
j Acceptance of Proposal ---The above prices, specifications Authorized Signature: j
and conditions are satisfactory and are hereby accepted. You {
{ are authorized to do the work as specified. Both parties agree Nwheq &Blanc, C
to a three day(3)right to cancel on all signed/dated contracts. I j
1 Payment will be made as outlined above.
I i I
� 7/9/2020 I
I Date: 07/01/2020.... ... ...............................................tJ
Iron City Construction LLC
CCC1331711
ID
City of Zephyrhilis
5335 8th St
Zephyrhills,FL 33542
(813)780-0020 ,
ROOFING INSPECTION AFFIDAVIT
Permit No.: 6Ga !-eua.H,)3_ d�io
licensed under Chapter 468;Florida Statutes as a(n):
ContractorEngineer_Architect Building lnspector
License No. .CC 1. 3 17 C+
On or.about ! ��3'�o� did personally inspe the:
Check: Roof-Deck Nailing Dry in Flashing an Drip edge
Check which was used: 30#felt — Peel and Stick ^Other(List)
At the following
address: .�/.y3� /s.
Based upon that:examination, I.-hove determiryed:the installation was done according to the Hurricane
Mitigation.Retr --it Manual(Based on Section 553:844,,Florida.Statutes).
Signature-: .
STATE OF ORIDA
COUNTY OF PASCO:
Sworn to an subscribed.before this day
BY:
Notary Public State of,Florida
:otes+ tiB�., AMANDABORDWELL
Notary Public-State of Florida
4a. Commission#GG 24762d
My Comm.Expires Aug 9,2022
Bonded through National Notary Assn.