HomeMy WebLinkAbout20-1255 ■
City of Zephyrhilis =PERMIT fNU,MB'ER
C�3?, ..
?� 5335 Eighth Street : � '-
Zephyrhills, FL 33542 BGR-001265-2020
Phone: (813)780-0020
vi Fax: (813)780-0021
Issue Date: 12/18/2020
Permit Type: Building General (Residential)
x kA ..Property.'.Number r. ` Street Ad.d.ress ...
15 26 210200 00000 0100 4840 Timber Way
�,-=; { £ Owner�lnformation'. Permit Information �,��>x � �X� . �Contractor�lnformat�on ��,r:
Name: KELLY LALIKAT Permit Type:Building General(Residential) Contractor: RYMAN CONSTRUCTION
Class of Work:Reroof(Shingle Only) INC
Address: 4840 Timber Way Building Valuation:$8,760.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)997-1448 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$8,760.00 Z
Total Fees:$83.80
Amount Paid:$83.80
Date Paid:12/18/2020 1:05:31PM
P o�ect Description s -_ t >_.
REROOF SHINGLE
ca,r cs..tdY
plicationFees A'p -. ,.
Building Permit Fee $83.80
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.
CONTRACYbR SIGNATURE PE r
IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Building Department Tv jl a 3c!
Date Received Ia � � �Ud ( Phone Contact for Permitting
Owner's Name e L� l `U Owner Phone Number 1�r I "1 - l -1
Owner's Address T U V 11^m r 1Jaq Y 1 I Owner Phone Number.
F.
Fee Simple Titleholder Name Owner Phone Number
.Fee Simple Titleholder Address LOT#
JOB ADDRESS pV T (n' h6 WG- h )
SUBDIVISION l UU�� S Vary PARCEL ID# i5 a(�- l -aaao bcxx;o- 0100 .
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED'. NEW CONSTR ElADD/ALT SIGN 0 MOVE 0 DEMOLISH
IN REPAIR
PROPOSED USE Q SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK C] FRAME Q [ STEEL 0 OTHER r
DESCRIPTION OF WORK re-�UCJf- O q 5 196�f Q S b0_0 S k 0 )e I d�a S �I G (AL.
` JO�O •
BUILDING SIZE SQ FOOTAGE L HEIGHTiF
BUILDING $ ��/ '\OD VALUATION OF TOTAL CONSTRUCTION j
0 ELECTRICAL $ (PV AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS 0 ROOFING SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO
BUILDER COMPANY
SIGNATURE I REGISTERED YI / N I FEE CURRENT
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N J FEE CURRENT
Address License
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address Licensee#
OTHER ��b� COMPANY
SIGNATURE _ REGISTERED N FEE CURR T /N
Address �L1 12 ( I I S 3 Sy( 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(16)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(3)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 Ferice installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new'projects.All commercial requirement's 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$5000)
** 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 ` ('Front:of.Appl,ication Only)
Reroofs Sewers�: ` Service Upgrades ^',:�' A/C Fences(PIot/Survey/Footage) :<
Driveways-Not over Counter if,on pub lid�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 contractors) 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 IMPACTIUTILITIES 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.
understand that the following restrictions apply to 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 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.violatei 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, thejob 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 YOUR NOTICE OF COMMENCEMENT.--
FLORIDA JURAT(F. 11.7.03) 1291,
O ER OR_AGEN,.' y� W CONTRACTOR==�Suli cri ed'and swggrm�� ��to gffrmed)bet6re(me this Sub cy' ed and swop to itr��d be ore r this
t � L000cl` d i4[1U4' (V�q W�V
4• d
Who is/are personally own to me or has/have produced Who is are personally k wn to me oe has/have produced
as identification. as identification.
Notary Public / Notary Public
;io11�YP� ANNAMARIELYN
Commission No. :�PaYP�''. ANNAM tIE LYNC
H-TERRY Commission No. ^'s No CN•T RR
o.ary u c faFlo
Commisslon N GG 9382gZ'da
Commission M G °^ "' My comm.
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Name of Notary ed; Name of Nota Wet final Notary Assn.
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INSTR#2020215395 OR BK 10239 PG 2682 Page 1 of 1
12/17/2020 11:05 AM Rcpt:2238982 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk&Comptroller
'Permit No. { .V r O1 oo
Parcel ID No L (
r (/,� NOTICE OF COMMENCEMENT,() C
Staleof �i , '"`_ Coanlyaf ) 0 rJC C
THE UNDERSIGNED hereby gives nolloe that Improvement Will be made to certain real property,and in accordancowith Cliapler713.Florida 91alute.,
Ilia follow ig Information is provided In this Noline of Commoncetienl: C +1' (� 1 ti
1. Description of Property Parcel IdenkLncaton No '-)-d`rl-a� 0 a c r coOx 0 I o
f/ } r
Street;Address: L It C) 1 - ill.i L.
2. General Descdpton of Improvement .--
�-
3. Owner Information or Lessee information If ilia Lessee contracted for the improvement:
kl;(��l Lau Ka_�_m n
Name cl1611J l.—0 ( a` '.Jl'.
Address p` I City State
Interest in Property:
Name of Fee Simple Titleholder:
(if different from Owner listed above)
Address City Stato
a. Con tor.tracK N of o \LU` t C( T n C- 7 r
Nome �) � 5�1 —9-y)hq r
Address <? 7 J City State
Conlmotor's�Tlelephcne No.:
r J d V t1`I I
6. Surety: ! " !4-
NamB
Address City Slate
Amount of Bo qd; $ Telephone No.:
8• Lender, (I,nr
Nam
Address City State
Lender's Telephone No.:
7. Persons Within the Slate of Florida designated by the owner upon Whom notices or other documents may be served as provided by
Seclin 7nn13.13(i)(a)(7),Florida Statutes:Statutes:
Harris
Blame
Address city State
Telephone Numberof Designated Person:,
8. In add Ilop to himself,the owner designates _of
tj �l[ . to receive a copy of the Lisnor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Tetepltane Number of Person or Entity Designated by Owner:
9. Expiration date of Notice or Canunencernent(the expiration date may not bo borore the compleyC1q{h of consirpetion�ja d fin I pa nil to Ilia
coatraclor,butwill be one year from the date of recording unless s different date is specified): J f,)(,O(—M 3 r �0 7 1
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE O COMMENCEMENT
ARE CONSIDERED Iiv1PROPER PAYMENTS UNDER CHAPTCR 713 PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TV410E FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB.SITF BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read-the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
S gnature of Owner r I_ ,or oxh 's or Lessee's Aulhcdzed
OfficerlDirectorf?artn erf Manager
Sfgr tory's Tillef0frice
�j (J ) / Lc-0L
TfJe far gping instrument was acknowledged before nie tics l!� day of"T C ,2, a
U r(�
as (type of aull illy,e.g.,officer,trustee,attorney in fact)for
In rr)e of party i>e If of whom instrun nt was executed).
Personally Known[]OR Produced Tdentificalienv— Notary Signature
Type of identification Produced t f�`L C�( Lc)C.>t}Cl
ANGELA HA OOD
?° `h Notary Public-State of Florida
A Commission#GG 344085
oFfti° My Comm.Expires Aug 24,20Z3
Bonded through National Notaty Assn.
lvpdatal6csMotcecunnhiencemenF Ir1153048
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A Division of
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mon Construction,Inc.
3G413S�54' Zephyrhills, Florida 33541 pmpooa #
Phone yu/3/ /u2-no94 Fax /a/ '8u'o''a ^`~' _-----_-- �����O
- 1-DS5'Go'Ryman (1-855'48T'Q82G� ' U�#CCC13255O5 Estimate
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^ Serving all of Central Florida
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C|oim#: Insurance Company:
Pdioy#
Job Address: 4840 Timber Way ug/: --r''^''-- up: 33542
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Mail toAddress: E-MailAddruoo:
Home #: Cell M 813-997c1448 Business #:
Fv-1 complete tear off of existing Asphalt Shingles Additional Notes/Special Concerns:
GOLDEN PLEDGE WARRANTY
Fvl secure all loose roof decking oo needed according
hu Florida Building Codes
��Roof dhudin with��/\F Felt BUSt8[ DETACH AND RESET GUTTERS��
[� install new valley metal with galvanized metal SEAL TIE |NOCJN REAR LANAI
Install new 6 "drip edge color: WHITE
[] install new lead boots
[; install all new generalroof vents
�� Install new Shingle | |Mota| i|o
| |Kdod�od8uUmen | TPO
Mano�c�no metal mtile) GAF
Manufacturer nru",Mod. Bitumen)
n Color:(Shing|a.[Weta|orTi|o) SLATE
Color:(T9OorMOD.Bitumen)
[-vl All roof related debris removed from job site,pick-up loose
nails using commercial grade magnet �������� ����
FvJ All mabaho|u.labor and permits fumiuhod Base phne^$ ��« ��x�^v���
�� Provide o 5 YEAR labor warranty
Additional Items:
Payment Method: �-lChauk# Cash [��Flnann�g �-�|noumnooC�im
' L-� ---------' �-� WI Financing
0 Credit Card# Exp.000e CC|D#
Down Payment:$ —Amount Financed:$8760'00 Appmx.K8onth|yPayment:$
PoymontTennu: BALANCE UPON COMPLETION
EnLnoo:
*Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. Customermufal_______
efioient1/2^p|ywoudmp|uoodatonoo of 85-00 per sheet in the moffield,which includes labor&maUeho|n.All other wood wmd��-
�DD�na||abor,ouohae.butnot|imitodbo.voUeymbui|ding.raftarmp|onnmont. 1xdeoking.otu.wdUbeonoteof$5. }D per lineal foot plus the
cost ofmaterials.
THIS BECOMES ABINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS P 70P SALrEREBY CERTIFY THAT|HAVEREAD AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Pumhaonc oote
- ~~PunnhPurchaser: EoUm�orHanDn |