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HomeMy WebLinkAbout09-9220 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9220 BUILDING PERMIT , „ ».. 3 - -; .ff .. a'...q$$ } :.. ... " , `- "°F."° '`.t; " Permit Number: 9220 Address: 4903 4901 20TH ST Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0010-02400-0010 Improv. Cost: 2,490.00 7777.;.e ffi Date Issued: 6/09/2009 Name: HEILE, ALFRED & TERESANNE Total Fees: 45.00 Address: 7602 -4 CONGRESS ST Amount Paid: 45.00 NEW PORT RICHEY FL 37653 Date Paid: 6/09/2009 Phone: (727)992 -2002 Work Desc: REROOF DUPLEX - 4903 -4901 STEVEN DUBOIS ROOFING OF PASCO 1 REiROOF RESIDENTIAL 45.00 Z7- 1' de yzt - 6- -t Iv 1 1 " t 5/D DRY IN ROOF INSP V . TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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 noti of commencement." ajOr FLAP ��.1 1 CONTRACTO - SIGNATUR =f PERMIT OFFI'R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING DEPARTMENT RE: Permit # 9'2.20 9/17/07 Inspection Affidavit I _ . eve A Q 1 5 ,licensed as a(n) Contractor* /Engineer /Architect, (please print name and circle Lic. Type) FS 468 Building Inspector* License #; .e, ,d 06 7 7‘ g On or about a 7 _ O 9 , I did personally inspect the roof (Date & time) / / deck nailin • i nd /or secondary water barrier work at 9 f � 4J •tc I (circle one) (Job Site Address) �� fI / p • Base upon at examination I have determined the installation was done according to the Hurricane ! 'tigation Retro I anual (Based on 553.844 F.S.) _; 44 Atli& ... . .. �:ieli/ ■ Signature / STATE OF FLORIDA COUNTY OF ?A S J k Sworn to and subscribed before me this I S day of Tv' ^ Z- . 200 61 By Notary Public, S to of Florida I di , DIANE L ateof l D, \C � ( r Y`- p . Notary Public, State of Florida ;,.� Commission# DD723350 (Print, type or stamp name) My comm. expires Oct. 9, 2011 Commission No.: 7> b 7,)-- 3 S 0 Personally known or Produced Identification ✓ Type of identification produced. r-L- 1 T . * General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the . deck for each inspection. 813- 780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 9 2� Date Received _07 Phone Contact for Permitting -- 1111111111► -� D p Owner's Name c' L i ; / —.4 i / e ' S 4/14) 2 Owner Phone Number 72 T �� ' .� - Owner's Address 7 6 - a , 2 ` It . z . . 5 P 3 6161 er Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address o �i ?co JOB ADDRESS 9 FCC 3 20 zil �l t, — • / 1 �d T j '7� ` (/°(f7 LOT # l— SUBDIVISION Alajj S e s _1 add / 7 PARCEL ID# /*— 2 21- ail /0- U...2 - c /C (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR Fkl ADD /ALT I 1 SIGN I I MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE ( SFR 1 I COMM n OTHER I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I I m DESCRIPTION OF WORK R e oClc, -13_X1 -Wl R _ 1 ! ' / BUILDING SIZE SQ FOOTAGE / r,, HEIGHT /,7 / 5. # 4T I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION o2 * ( ?C)- I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS ROOFING I I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address I License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # I OTHER j . L COMPANY S c t (Ti5 Xi z,4 v ° ?q5' �+t1l. -n SIGNATURE id REGISTERED I Y/ N 1 FEE CURRENT 1 N I Address e1 S. / /i1 • , / 1 /3 I h icense # ei. ! 0 :' 7 766 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 (3) 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 $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 Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -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, 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'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 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 Fl ANCING, CONSULT WITH YOUR LENDER OR N ATTORN - BEFORE RECORDING YOUR NO E OF COMME EMENT. FLORIDA JURAT (F.S. 117.0 OWNER OR AGEN / . %/ ar CONTRACTOR i_ //fN Subscribed and sworn too 9 '`rmed b - m his . Subscribed and swam to (of affirmed) ,e •re this 7 by GL %C. ,� e.) b S by 0 5-te CJe U © IS Who is /are personal! 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 ,a 1'nk, JACQUELINE BOGES N P 4� 1 Commission DD 621833 Commissio • Commissio . Expires December 12, 2010 =* • '•' Commission DD 62183. . of ¶ ° , P Bonded Thry Troy Fain Insurance 800- 385 -7010 (7 FYpireS December 12, 2( Name of Notary typed, printed or stamped Name of Nota priatedrKarsiatr+ n u, Address: y 90 3 2o 10910 Evergreen St. . , 4,% New Port Richey, FL 34654 ® ®® tea' P o e: - ,1j,3 -ax: 727- 856 -1411 We're not Date: 6- '- op up here for 727- 856 -1 661 the view al / a - / D' &I 2 1 Licensed • Insured to R ei,,, ail 1 AOO75..1. A oclari 44 Lic. # CCCO57768 I. SHINGLE INSTALLATI FLAT ROOF INSTALLATION • Remove existing 01 tL PA down to wood deck • Remove existing down to wood deck to Note: a is up to the omeowner to remove or cover i ms stored in attic area and to clean the attic Note: It is up to the homeowner to ove or cover items stored urea of debris that y filter through the cracks of a old roof sheathing . in attic area and to clean the attic area of debris that may filter through the cracks of the old roof sheathing. • Clean woo of Nails, Sim, exes & Debris • Clean & re se existing . gle flashing • Clean wood of Nails, Simplexes & Debris • Install fiber:.lass ba� heet fasten with si lexes 3 • Install 30 lb. Roofing felt fasten with simplexes • Install • i Galvanized drip ed a on all eaves • Single /Double (Brown. W t- il) 'then • Install 5, inch galv /alum drip edge on all eves • Install 1 3 '" and rakes (Brown•White• Mill) Other:.1 .,,Q / , 2" Lead boo over existing g • Install r. 13/4" _Jr') 0 -1 j 3" dumb gpipes i A. 4„ 1 1 2" Lead boots over existing ta 3" plumbing pipes • Inst• 1 4" a anized roof vents at 4" 10' all e aust areas on roof • Install 4" Galvanized roof vents at • stall modified bit en - 12 year 1 q iced warranty 10" all exhaust areas on roof manufacture color • Clean and Haulaway all debris • Install 1 226 gauge galvanized flashing in all Price: valleys [/ feet. 9b/k) (J - ADDITIONAL WORK • REPAIR WORK • Install r feet of 41 121)1 0 4t. )/a Aluminum shingle vent. White /Brown /Black/Grey / I�r Y1 .. -, , .rl ❑ Shingle over ridge vent. Manufacturer: Year Shingle 7') r go • Install ❑ 20 - lOr 30 Styl. :3 -tab vimensional,,)ther: ['� CI 35 Color. ,O 'f f ..0 ✓�.n. T Li)' s ( i ❑ 40 _ 1 O ..{ (7. 1. .4,- 1')./ )-9 11../YI Xil ❑ Lifetime ‘ 7,30 5 oc 49 5o. 00 A �( • Clean and haul away all debris ` " air) la W .LOC ` m izo J ._— Price: } i ► 2. Li .1e Y) ..P "° PA ty"yy) ..2 JJ.a... _re.) p ix%) .i tii.,e, r d., NOTE: Gutters may need to be removed and re- installed for this system. (Although every h measure will been taken to salvage any existing gutter system y that may not be replaced at this time we cannot guarantee against incidental damage that may occur. We recommend that all gutters be replaced at this time GUARANTEED CUSTOMER SATISFACTION due to the possibilities of incidental damage). All material is guaranteed to be as specified. All work to be completed in ti workmanlike manner according to building codes. All labor guaranteed WOOD REPLACEMENT: If any decking is found to be rotted for_ years from date on contract. replace with CDX APA plywood at $ per sheet. (Includes: Labor, delivery of plywood, removal of old sheathing and hauling of WE HEREBY PROPOSE to furnish material and labor - debris). complete 41 ccordance with above specification. for the sum of: NOTE: All wood replacement will be an additional charge unless stated in proposal. Amount fr ' QV Deposit 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 as outlined as above. Signature /fr ' ' `' ' / Date Signature Date Job Date 06/09/2009 TUE 10:50 FAX 352 686 0081 MEM Resources `) 0001/002 • ACORD , CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDJYYYY) 06/09/2009 PRODUCER Phone: 352. 686.0986 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE M & M Insurance and Financial Solutions HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4115 Mariner Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Spring Hill, FL 34609 INSURERS AFFORDING COVERAGE _ NAIC # INSURED _ INSURER , Atlantic Casualty _ ......._.— _- w......,— ......._� Steven M. Dubois Roofing of Pasco, Inc. mo INSURER B: License #CCCO577681 -- INSURER C: _....- __�.__.. 15348 Green Glen Lane - -...' _— ......_... — _......... INSURER Ot _ _ _ Spring Hill, FL 34610 I p INSURER E: I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REO UCED BY PAID CLAIMS. " _ ` " " " "`_' - - POLICY EFFECTIVE POLICY EXPIRATION LTR INSRn TYPE OF INSURANCE — - - INS 'R�OO"'ll POLICY NUMBER DATE IMMIDDIM DATE (MMIDDren LIMITS A GENERAL LIABILITY L039001204 -0 08/14/2008 08/14/2009 EACH OCCURRENCE ._ � S 1,000,000 ...,._..•._ ..._ - —• .' _ __ ` - bAMAGE'TOTtE17TEli X COMMERCIAL GENERAL LIABILITY 1 a ocirance) 5._.5.0,000__. — .... _ —! J CLAIMS MADE Ix 1 OCCUR 5 , 9 0 0 PERSONAL & ADV INJURY S 1,000 000_ GENERAL AGGREGATE ___S LQQO OOP ... ,...._ - _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG S 1,000 000 .. PRO 1 1 X...l POLICY — I JFCT L. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - I (Ea accident) ANYAUTO _.__.._..._.._..__ ............_ ._....__.._.. _. ALL OWNED AUTOS BODILY INJURY 5 - (Per person) SCHEDULED AUTOS ___._._..._. ._.v_........._- -- ....._.______ HIRED AUTOS I BODILY INJURY S (Per accident) NON -OWNED AUTOS _._._............__�.____....� _..__.....,.._..__..__ PROPERTY DAMAGE 5 ._.._ ......_ I (Per accident) GARAGE UABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO ' OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S 7 OCCUR Li] CLAIMS MADE AGGREGATE S 5 _I DEDUCTIBLE ( S RETENTION 5 I 5 I I WC STATU- 10TH - WORKERS COMPENSATION AND ... iLORY.UMLTS._.._..... 1 ER -- ,.__......__..- ........ —..... EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S 'ayes, desaibe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 5 1 OTHER DES I RIPTION OF OPERATIONS l LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Zephyrhills Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th Street IMPOSE O OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 33542 REPRES AUTHPRRIZE)REP ESENTATIVE ,/\ } / 1 U\ i RS�.S i.( A _- L .. 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