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PERMIT NUMBER :-
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000"8-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/24/2020
Permit Type: Building General (Residential)
Property Number Street Address
1126 210010 00700 0040 5941 9Th Street
Owner Information Permit Information 'Contractor Information
Name: MICHAEL& ANITA QUENNEVILLE Permit Type:Building General(Residential) Contractor:ACTION ROOFING AND
Class of Work:Reroof(Shingle Only) ALUMINUM LLC
Address: 5941 9Th St Building Valuation:$10,025.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)355-6880 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$10,025.00 Awl
Total Fees:$90!12
Amount Paid:$90.12
Date Paid:7/24/2020 11:18:36AM
Project Description
REROOF SHINGLE
Application''Fees X .
Building Permit Fee $90.12
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 Ito 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 URE 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
Date Received Phone Contact for Permitting 813 312-4895—
taaa[aa[ a111
Owners Name MARL QUENNEVILLE Owner Phone Number 813-355-6880
Owners Address 5941 9TH ST Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5941 9TH ST LOT#
SUBDIVISION PARCEL ID# 11-26-21-0010-00700-0040
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER I REROOF
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK REROOF SHINGLE ROOF AND FLAT
BUILDING SIZE SQ FOOTAGE 25 SQ HEIGHT
BUILDING $10,025.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I LH 1��_
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER s I coMPANY . JACTIONROOFING&ALUMINUM
SIGNATURE (�� REGISTERED /N FEE CURREN /N
AddressIzS License# RC 29027733
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N I 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 LY/N
Address License#
11 1 1 a 1 ft.[-!a 111 1 a a-t1.a.i.I a 1-1-1 11■11-3 1 11,9 1.11.1.1_I a a 1 1 ICI 1.1 1 a 11 I i_11=i a 1 a L 1 I a 1_2.-1 a.1-1 a
REPIPE\TIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stomnvater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
Cr 'S^•.;AL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,StonTwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
XAIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
--
91,,:application completely.
&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
813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
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 may apply to the construction of new buildings,change of use in existing buildings,or
expansion of existing buildings,as specified in Pasco County Ordnance 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$2,600.00 or more,I certify that I,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeowners 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.
CONTRACTOITSIOWNEWS 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 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 LENDER OR AN ATTORNEY BEFORE RECORDING " TICE OF COMMI IFNT
FLORIDA JURAT(F.S.117.03)
OW NER OR AGENT CONTRACTO
Subscribed and swom to(or affirmed)before me this Subscribed and o or affimme More care
by by C.
Who is/are personally known to me or hasihave produced Who islare personally known to me or haslhave roduced
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
AAmction Roofing
& Aluminium LLC
Licensed, Bonded & Insured
RC 29027733 CC: RC-09791
Over 30 years experience
Commercial & Residential
Jeremy Hooks: David Lycans:
813-312-4895 813.713-1313
PROPOSAL SUBMITTED TO VVORK70 BE PERFORMED AT
Name z!2cLt--o-. dc- Street 5
Street City �/Y-t r�i t' <
City State Zip a��e-1
State Zip Owner of Propertv.
Phone Number Fax Phone Number 43-Y53�---�, Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
move existing single roof -a-Vreplace bad fascia boards at per foot
-Amove existing built up roof .tall1:2� feet or ridge vents
,215ry-ln with 1- Synthetic OPeel&Stick 0 Install Master Rib Metal Roof System
--F.Knstall new galvanized valley metal U Instatt 10 tnsuftam
,ET'Install new lead boots El Install 2*Insuffoam
,W'nstail new exhaust vents 0 Install 25 yr.fungus resistant 3-tab shingles
stall new drip edge, color 2rinstall 30 yr.fungus resistant dimensional shingles
,.;Y'install now flashing as needed La<ngle manufacturer Gt-�P� color
,OTeplace plywood at per sheet U Install TPO,white rubberized rooting membrane
�Z<eplace rotten trusses t at$tru -_J-2-"f' —per foot utter: 2.�- sq,Qnea
Woodwork is an additional charge,see pricing above. 3
5-Year Leak and Workmanship Warranty
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
with payments to be made as follows.Payment glue In f!411 ort completion unte"otherwise now. ThankYo 0 Z57
Credit cards accepted, additional 4%charge.
AM aKeralian or davlawn ftw abm specffi=tkom Uvoivhg axis cost wN1
be wuKuled only Ww wnften orders and w*b000rrie an extra charge over
and above tho Wkn&a.At agraornerft oonftent upon tv#=,aocidentj or
"ays br/ond"0---?,-DL Owner to car.Y Gre,tornado and other nectuary Officer/Agent
Insurance wvn abon wank.Cornpensalim"FuMe U&Wy ft=ranca on
abow w%k to be talcm aWt by Roofing contractor. Note:This proposal may be withdrawn by us If not accepted
within 3c:7 days.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted,You are authorized to do the work as
specified.Payment will be made as outlined above.
Accepted Signatur,,�d�
Date `7 'IV -Signature
2 0 o/(q-0 0*70o-0 D yo
INSTR#20201 17657 OR BK 10142 PG 557 Page 1 of 1
• 07/23/2020 10:11 AM Rcpt.2184790 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
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