HomeMy WebLinkAbout20-1174 City of Zephyrhills PERMIT>NUMBER
, - 5335 Eighth Street _
Zephyrhills, FL 33542 BGR-001174-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 12/09/2020
Permit Type: Building General (Residential)
Property Number Street,Address
1126 21 0010 13300 0170 5254 6Th Street
Owner information Permit Information Contractor'Wormation
Name: TRINITY OUTREACH OF TAMPA Permit Type:Building General(Residential) Contractor: SCM ROOFING LLC
BAY Class of Work:Reroof(Shingle Only)
Address: 5254 6Th St Building Valuation:$7,900.00 IV J5 N o C d ;d-v i
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)541-1352 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$7,900.00
Total Fees:$79.50
Amount Paid:$79.50
Date Paid:12/9/2020 9:23:49AM
ProjddfQescnption
REROOF SHINGLE
Application Fees
Building Permit Fee $79.50 .
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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
G���i >>�y
813480-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department /v v
Data Received Phone Wat for Permitting F81 3QQ-
w6§88681 -- E ■ ®agar% 6Brrg
onmesName TRINITY OF TAMPABAY
Owner Phone 1813-541-1359
Owner's Address I52546TH STREET ZEP 33542 Owner Phone Number I
Fee Simple Titleholder Name IN/A Owner Phone Number I
Fee Simple Titleholder Address I N/A
JOBADDRESS -F5254 6TH STR�ET ZEP 33542 LOTH
F ZEPHYRHILLS
suoorml*N CITY TIO 7 18 A I Q p,0, 'O�,qD PARCEL -26-21-0010-13300-0170
49 PG 918 (OBTAINED FROM PROPERTY TAX NOTICE)
W=PROPOSED NEW CONSTP SIGN DEMOLISH
INSTALL ARDEPDAXIRT =
PROPOSED USE SFR = COMM Q OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL
DESCRIPTION OF WORK 1COMPLETE RE-ROOF
BUILDING SIZE SCI FOOTAGE 7 V HEIGHT
-RL WWI"w1al WIT 1W 1K Is IK Im WIZIE&Z I
--EHZ[S1NG 1$-1 cloo VALUATION OF TOTAL CONSTRUCTION
]ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY = W.R.E,C.
=PLUMBING 1$
=MECHANICAL r- VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V
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BUILDER COMPANY F
SIGNATURE F REGISTERED I YIN FEE CURREN LtLN_j
Address . I License#
ELECTRICIAN COMPANY [
SIGNATURE REGISTERED I YIN FEE CURREN
Address License# F-
PILUMIRER COMPANY
SIGNATURE REGISTERED I YIN FEE CURRR'EN I Y/N
Address I License#
MECHANICAL COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREN L_ILN_j
71 Address Licanse# [
OTHER COMPANY ie%&LLCI
SIGNATURE �--REGISTERM I LY2 N FEE CURREN I YIN
Address License 0 1 CCC 11531%-5
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-YV Permit for new Construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans wl SIR Fence installed,
Sanitary Facilities&I 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-OW Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsito,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Pernik for all new projects.All commercial requirements must meat compliance
SON PERMIT Attach(2)sets of Engineered Plans,
PROPERTY SURVEY required for all NEW construction.
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FIR out application completely.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement In required.(A/C upgrades over 675G0)
Agent(for the contractor)or Power ofAftomey(for the owner)would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERmn-nmG (copy of contract required)
Remofs I shingles Sewers Sewke Upgrades A/C Fences(Plot/SurvoylFoDlage)
Driveways-Not aver Counter if on public roackyays-needs ROW
1113-780-0020 City of Zephyrhilts 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
then County regulations.The undersigned assumes responsibility fcr compliance with any applicable dead restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:if the owner her 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 we*,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 Brock'of this
application for which they wilt 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 Foos and Resource Recovery
Fees must be paid prior to receiving a"certificate of occupancy ar foal 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/Saver 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—Homearmer's Protection Guida"prepared by the Florida Department of
Agriculture and Consumer Affairs.If the applicant is someone other than the`caner',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.
CONTRACTORS/OWNER'S AFFIDAVIT:I certify that all the information in this application is accurate and that all work will be done in compliance with
at 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 we 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.
- 9 the fill material is to be used in Flood Zone"A" in connection with a permitted building using stem wail
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 ittl 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,after,or set aside any provisions of the technical codes,nor shalt 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 A ork authorized by the permit is suspended or abandoned for a
period of six(6)moths after the time the work is commenced.An extension may be:equested,in writing,from the Building Official for a period not to
exceed ninety(90)days and will demonstrate justifiable cause for the extension.It work ceases for ninety(90)consecutive days,the job is considered
abandoned.
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ' Y RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND T AI INANCING,CONSULT
WiTH YOUR LENDER OR AN ATTORNEY RF�.E RECQR[D_IMG• J�2,N0TIl^ ,
FLORIDA JURAT(F.S.117.03)
OWNERORAGENT Au � tfrrr� CONTRACTi}R -
Subscribed and sworn to(or affirmed)befor rdthis Subscribl and swor`-to(or affirmed before me this .
12 ft 2f1 by KRISTJ LEFFFRTS etby �C•�
Who isfare personally known o me or hasthave produced who i re person allyr knows to me or hasthave produced
FL
DL as identification, �" lh�E as Identification.
4 ,f?
s,j_�_'4�. I Notary Public C c6�iC�r Notary Public
Commission No.-'% �p1� Commissioni(ro. G-G �`1
C@t+R�.twe QlAt1 (ii5 JC.C(: U41AkWe- iikA1 torte 5
Name of Notary typed.printed or stamped Name of Notary typed,printed or stamped
If 'rt ,..t;. u , .lA+..f.:i.:t_ ._SC�L: " I r•t'•Notary FUbliC-State of Florid ;.AM tJI ca
21
t s/atary FU-i—z"Zile Fl. s
Commission it GG 330 7B '" h.,_ „ cf �rirs
e r:ti Ct.rliriiss;u l rr CG 330
May Commission Expiro: 176
gram August 30,2023 ` � r,,.,ih., Arc
_x �*.Sum _ }.`� •,�...si
Ausmditn 10,A0T4A A4 M►2AfM1 Vec�7F9oAUo
�1 SCM Rooting,LLC
�M 13909 N Dale Mabry Hwy 201
Tampa,FL 33618
ROOPInn CCC 31 2
SCM Roofing,LLC.proposes to supply all labor and material necessary to apply your roof at:
5254 6'St Zeghyrhills.FL:
A) Remove 1 existing layer of shingles and underlayment to bare dock,haul away rind dispose of properly.
1. Additional layers removed at S35.00 per square,per layer
B) Inspect existing decking for water damage,replace damaged decking and to-nail according to local building code.
1. Plywood replaced at S55.00 per sheet—2 sheets included(does not include structural damage).
2. Fascia replaced at$9.00 per LF(does not apply to fascia behind pool cage super gutters).
3. Wall flashing replaced at S15.00 per LF(includes L-flashing,counter flashing and caulk).
C) SCM Roofing,LLC.will provide all applicable permits.
D) Supply and install the following:
I. All new Boots at plumbing penetrations.
2. 6"drip edge(Please specify drip edge color: s
3. Peel and Stick full deck.
4. Starter shingles at all eaves.Secure cave metal with roofing cement.
S. Metal Ridge Vent and Off-Ridge Vents for maximum ventilEtion.
6. IKO Cambridge Dinsemional Shinoe(Specify shingle color:
7. 2 Part [tolled hoof System or Similar on flat roof(Syr labor-warranty)(Cmp color:V11PEW. I;JE�1TiREp
8. SCM Roofing,LLC will provide a Syear in house workmanship warranty from the day of install.
9. SCM will provide a wind mitigation report upon completion.
10. SCM will use a magnet to remove all nails from the gutters,yard,driveway and flowerbeds to the best of our ability.
o IKO Shingle ReRoof—S7,900.00
• Complete Rooting System Listed Above
Payment as follows: 100%upon completion.Cash Discount Included.Credit Cards Accepted Financing Available.
AwhenI.
Customer ApprovalxirlE :xJ
11Q{t20Z01:20:43 PM EST
SCM Roofing,LLC.Robbie Brown 102920
1-8SS-SCM-ROOF
ww.GOTSCM.eom
w
SCM Roofing,LLC
13909 N Dale Mabry Hwy 201
Tampa,FL 33618
(855)726-7663
ROOPMES CCC 1331132
Limited Power of Attorney
City of Zephyrhills
Date: December 8,2020
I hereby name and appoint: Kavla Rumore
an agent of: SCM Roofing LLC to be my lawful attorney-in-fact to act for me to apply for,
receipt for, sign for and do all things necessary to this appointment for: All permits and
applications submitted by this contractor.
Expiration Date for This Limited Power or Attorney: December 8,2021
License Holder Name: Scott Marone
State License Number: CCC1331132
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Hillsborough I
The foregoing instrument was acknowledged before me by means of[a] physical presence or
[ ] online notarization,this day of Dec-e m b-t?r , 2020 by
(name of the person acknowledging), who is [ ] personally known to me or
[A] has produced �-DL as identification and who did (did not)take an oath.
6_(�XYIGI�'1lsc
vQit
nature of Notary) (Print Notary Name)
Notary Public- State of F L.
. �r6 . SAMANTHA DEVANE Commission No.
r°`P u 'Notary Public-State of Florida
c Commission # GG 347256 My Commission Expires: (.P
My Commission Expires
June 20, 2023
f
�►� City of Zephyrhills
5335 8th St
>> Zephyrhills FL 33542
(813)780-0020
i
s�[� ROOFING INSPECTION AFFIDAVIT
Permit No.. I I
I,. _,s cS A Ma , licensed under Chapter 468,Florida Statutes as a(n):
Contractor J Engineer_Architect_Building Inspector t
�
i
License No. rj l C 1���?a }
On or about 12—q ._2—OZO did personally inspect the: t
I�
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt Peel and Stick Other List)
At the followin +h
address:_ |IE�LA b t5
Z•ek0h W t h i 11 Y EL. 335 H-2
Based upon that examination,I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section 553.844,Florida Statutes).
Signature: ,.;;��:�o., SAMANTHA DEVANE
3r° 4�s Notary Public-State of Florida
Commission #GG 34725A
STATE OF FLORI ',;�oFF•,�°\ My Commission Exp,--
nu" June 20, 11113
COUNTY OF PASCO '�•
Sworn to and subscribed before this day —2020
BY:
Notary Public State of Florida
J••"YPI'i S A M A N T H A DEVANE
� UB�s Notary Public-State of Florida
Commission #GG 347256
%3 0
•i�'orn���� My Commission Expires
'' ���"' June 20, 2023