HomeMy WebLinkAbout20-501 c
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Clty Of Zephyrhilis .PERMIT NUMBER ='
5335 Eighth Streets
Zephyrhills, FL 33542 BGR-000501-2020h
IN Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/31/2020
Permit Type: Building General (Residential)
Property'Number Street Address.;-
13 26 21 0140 00000 0370 39643 Meadowood Loop
� Owner Information ` Permit Information = Contractot infor'mat on .<
Name: MNSF II W1 LLC Permit Type:Building General(Residential) Contractor: BAY TO BAY ROOFING, INC
Class of Work:Reroof
Address: 39643 Meadowood Loop Total Valuation:$7,015.00
ZEPHYRHILLS,FL 33542 Total Fees:$75.08
Phone: Amount Paid:$75.08
Date Paid:7/31/2020 2:38:16 `/
P oject"Description -
REROOF SHINGLE
Application Fees -`
Building Permit Fee $75.08
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.
TRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
PPP 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �p �n l
Building Department (�
Date Received 7
!!!!! !! Phone Contact for Permittingi !( 727 ) 844 — 8549
Owners Name MNSF I I W1 LLC Owner Phone Number 352-212-6269
Owners Address 6836 Morrison Blvd.Charlotte,NC 28211 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 39643 Meadowood Lp. LOT#
SUBDIVISION Meadowood Estates PARCEL ID# 13-26-21-0140-00000-0370
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE ® SFR Q COMM = OTHER
TYPE OF CONSTRUCTION ® BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Re-Roof using OC Oakridge shingles,FL10674.1,and Dupont Synthetic underlayment,FL20876.1
BUILDING SIZE SQ FOOTAGE 2300 HEIGHT
TLX_SCluxX r.-xL'tC��C>«�IE 7Ci"L�CL-S Z'L-CC-z<"i'i'L L��-iC'Et
F—XIBUILDING $7,015 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING XQ SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY I Bay to Bay Roofing Inc.
SIGNATURE REGISTEREDI Y/N FEE CURREN I Y/N
Address 12016 South Rd.Hudson,FIL 34669 License# I CCC1330112
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
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
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 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'SIOWNER'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 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 "' A"'NEY BEFORE RECORDING YOU MMENCEMENT.
FLORIDA JURAT(F.S.117.0
OWNER OR AGENT CONTRACTOR
Sub cri d and sworn to(or a irtned) e e this Su scribed and swum to(or affirmed)bef a this
3is,/are
y Ri and Gouge 40h,aZoby Richar u e
on to me or has/have produced Who is/ naI a or hasihave produced
as identification. as identification.
Notary Public Notary Public
Comm sion No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
PAUL FREDERICK HLOSKA
Notary Public-StateofFlorida PAUL FREDERICKHLOSKA
Commission II GG 100013 ysv r,w
Expires May 1,2021 �,rt Not
Public-State of Florida
- Comm.Exp �l
9 Assn. Commission#GG 100013
•mr�r�r �o My
�Fo e�°•' 8ondedlhrou hNalionalNoWry
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12016 South Road-Hudson,Florida 34669
• Pasco 727-844-8549 • Pinellas 727-777-8740 -.Hillsbomugh 813-424-1541
www.BayToBayRoofing.com BayToSayRoofing@Gmall.com
State Certittled Roofing Contractor
License#CCCI 330112
BAY TO-BAY THE ROOFING PROFESSIONALS
R 0 0 F1 NAG RESIDENTIAL-COMMERCIAL
INC. FULLY LICENSED-BONDED&INSURED-FREE ESTIMATES
TO PHONE DATE
L 3S-Z-aJZ-(a
STREET LOCATION
CITY STATE AND ZIP F
' O CONSULTANT?,Ar k
SHINGLE
6009 A BETTER 5158T
STYLE
=it e, COLOR COLOR
E.1gi I
MA MANUMMURErSWARILAMY
PRICE- PRICE PRIM
' FOR:91CATIO�S AND ESTIMATES HEREBY SUBMIT SPECI
GOOD BErrER BEST CHECK ALL THAT APPLYGcoo BErre;am CHECK ALL THAT APPLY
' 11 0 Obtain and Post Local Roof Permits(in accordance with local law) g' 0 E) Install New Flashings for all Plumbing Stacks and GAV Vents,
Ey-0,r [J 'Completely Remove Existing Roof to Bare Wood. and Nailed and Sealed with Asphalt Roof-Cement.
Cff' 0 0 Thoroughly Inspect RdofDecking. Ca 0- [] C3 Install a Class A,Fungus Resistant Shingle.,
Ir 13 E) Repair Rotten R,%c&g at$---Y-Q=--per sheet plywood Ur E3 (J Double Seal All Flashings with Asphalt Roof Cement,
and/or LF.of decking and all other woodwork. 2-'E) Q Install Standard Ridge Vent for Arlie Ventilation LF
1 0
1 2- 1 ❑ Re-nail mire roof decking per Florida Building code with Fr"T:] [3 Install PremiT Ugp Uefinition Shingle Over Vent for Attic
proper fasteners. Ventilation.. LF
C1 0 0 Install a self-adhering peel&slick over entire mof deck per jj Ll Clean and Haul away all job related debris to an approved
Florida Building Code. cimposall facility.
Install Synthetic_Layeqs) 30#--------- (J 0 Clean outGutter&
Felt for Moisture Barrier and Dry-in of Roof for a complete '[3 L] Provide a continuous clean up of job site while job is in,
watertight system.' progress.
Install New Drip Edge. Natural-White-Brown-Grey-Black-Beige O� (3 [3 Hand clean and magnetically sweep job site for nails.
Added Water Tightness,Nailed to Code and Sealed with E]' 0 E] Call in all Roof Inspections with Local Permitting.
Asphalt Roof Cement, (3 E]- L) Final Inspection with home owners to ensure your complete
Install New Flashings in Valleys and Sealed with satisfaction.
Asphalt Roof Cement.
I 7000
9
BETTER ER UST
COLOR COLOR COLOR
MANUr.CTURERI.WARRAITY NOMMRS'SWAMANTY
PR10E PRICE PRICE
GoonBETTERBEST
CHECK ALL THAT APPLY GOOD CHECK ALL THAT APPLY
11 0 C1 obtain and Post Local Roof Permits On accordance with local law) Install a modified roof system Smooth Granulated
0 Q 0 Remove Existing Flat Roof to Bans L3 Install proper materials on parapet walls.
0 0 0 Go over existing roof. 0 U Make proper fisln to sloped roof.
K ALL THAT APPLY CHECK
DO Local
Root
its a 'd cawith local law) '-fall a d Post
0,Penn On accordance
5x--n I I Install
proper
m
. p P_t"
M Make
cop,_f.Pico lo.7
11 El 0 Thoroughly inspect roof docking. U E3 13 1 new coping Cap fleshings on walls.
[3 0 0
C1 C3 0 Replace Rotten Decking at r sheet plywood Clean aul away all job related debris to an approved
0 an
disposal
and/or$ per decking and all other woodwork. dis I TOO
an,.roof
n,per
Florida building .with d Cie. C site for nails.
.7"'Co"
I
[3 0 0 Re-Nail entire roof ng per Florida building Code with Hand clean cl magn I sweep job site for nails.
Roof
proper Is 0 C3 0 Call in all Roo Inspections w Permitting.0 th at
0 11 in, self-adhering peel stick over entire roof deck per We recommend a tapered roof sys r the elevation of
'efused
Is is I�Q building code. ponding water.Add_0ACce LjRefused
0 0_-Iff' Install a 76 lb.base sheet secured with fasteners. EJ 1`1 0 Install Thermoplastic Polyolefin(rPO)
q_-fr 0 Install anew Drip Edge. Natural White•Brown Gray•Black- Beige
T! 7 ZA
-
Whaboverpecafloadonsfo�-theihi "to be PaJdaccordinqtd the
payment schedule set forth below,unless job Is notcomplefed;'Credit Card'fees Will'iooly,-`
Pay,nentt.be-dee.folb- w �a�l.ndupncom� Dollars($
Do.Payment 3-S0 2-SC
Balance
All unpaid and outstanding balances due hereunder shall Authorized
be subject to.a service charge of 1.5%per month beginning Signature X
from date due. Note:This proposal may be
withdrawn by us if not accepted within 30 day..
Acceptance of Proposal-The above prices,specifications I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS
and conditions are SatisfactM and are her acceplo-YOW049.4uthorized ON REVERSE SIDE,SAID TERMS BEING PART OF THIS CONTRACT.
to do the work
Signature Date of Acceptance X ",SO �20 o",
INSTR#2020920T4$ OR BK 1 O145 PG 320 Page 1 of 1
07/28/2020 11:21 AM Rcpt:2186561 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No._ 1.344-o?1-O1H0- DG7 Gb 0_374
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
7 1113 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
i. Description of property(legal cleseripliort:)Jn&xy'a.yda FsmmS P$ 15 Re,IGL Lo r 37
a) Street Address: 396N3 1dmw_a.nmo zo.
_'. General description ofimprovenments Rc-Asp
3. Owner Inforniation
a) Name and address: 10AISF �T (till I t e. Grr3t 41b*l zso., 9c Fly SYF 3Po rilsarorr Ne- —? a•ir
b) Name and address of fee simple titleholder(ifother than owner)
c) Interest in property LU Vt
a. Contractor Information
a) Name and address: Say To Flay Roofing 12016 south Rd.Hudson FL 34669
b) Telephone No.: 727-844.6549 Fax No.(Opt.)
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
S. In addition to himself.owner designates the following person to receive a copy ofthe Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date 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 IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING VOL]NOTICE OF COMM EMENT.
5TATE.OP FLORIU:1
('OCNTV OF Pasch
Su/:nature OF Otsner or Os+nnee'r's Authorir d Office or(f'artner/Manager
Print Name
I he Sore,+•�=oing instrument was.acknoa)edged before me this 3 day of _,2020 .by 6--z4New¢eo
tit Ek _as-f�Li rg69M (type of authority,e.g.officer.trustee.attorney in fact)for
MAJ&ega/I Lj,t (name or party onbehalfol" ' stru twasexecuted).
Personalk Known T OR Produced Identificatiott� Notary Signature� 1(
'type of Identification Produced Ft Ot ( 2 ,�i j .0 10 Name(print)
Verification pursuant to Section 92.525.Florida Statutes.tinder penalties of perjury,1 declare that I have read the foregoing and that the facts stated
in it arc true to the best ormy knowledge and belief
il)RySA4C x�`an'
s,ewturtufNvurai Rtsm Styu,ry;Abot't
PAUL FREDERICK HLOSKA
•1.1„•.1 gin'. Aotvy Public-Slate of Florida
. Comm�ss:an a GG 100013
Mytamm.9EvItesmay1.202,
, Nwdrd R,mu F.aalvelNo;.ry PSN
ED
City of Zephyrhills
$335 81'.St
Zephychills-FL 33542
(823)780-0020..
ROOFING INSPECTION AFFIDAVIT
Permit No.:
1, L?��5��. Nu�sx� licensed under Chapter 468;Florida Statutes as a(n):.
Contractor zs Engineer__Architect_BuildinglnspectorT
License Na.. .6GG7?-40rI i .
On or:about Fall
did personallyinspect the:
Check: Roof_Deck D m Flashin and Dri ed e Dry g p g
Check which was used: 30#felt Peel-and Stick=Other(List) I-IPo; SY..�far .
At the following..
address: 3�6y3 1y2eA b� aeo �•
Based upon that:examination, t.=Have determined:the installation viral done according to the Hurricane
Mitigation.Retrofit Manual-(Based on Section 553:844,Florida:Statutes);
Signature,' .
w
STATE OF FLORIDA
COUNTY OF PASCO:
Sw, to scr ed before this day
BY:
Notary Public State of Florida
pAUL FR�K HLOSKA
Y PU
NotarypubliC-5tatcofFlorida
Commission#GG 100013
N; My Comm,Expires May
1,2021
'9�ars•4°¢•' gondedihloughNalionalNalaryAssn, ,
BAY TO BAY
R c0 'O E:1 W� G
INC
July 30, 2020
I, Lindsay Hloska, license holder for Bay to Bay Roofing, Inc. authorize the following to apply/sign for
permits under my license#CCC1330112.
Please allow ONLY the persons listed below to sign.This letter supersedes all others.
Anthony Hloska
Richard Gouge
Mike Piscopo
Leya Thompson
Lindsay Hloska
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to (or affirmed) and subscribed before me this 30 day of vc y , 20 za, by Lindsay
Hloska.
Personally Known ZS OR Produced Identification
Type of Identification Produced U/
10100 Casey Dr New Port Richey FL 34654 Office 813-424-1541 Fax 727-378-5898 www.baytobayroofing.com
;,.• r•;;•. :60.nded
FREDERICKHLOSKA
_':' -: Public-State of Florida
mission N GG 100013
;'y� "Y"
µoY:` m.Expires May 1,2021
"� ; �;�'' hroughNationalNotaryAssn.