HomeMy WebLinkAbout11-12483 CITY OF ZEPHYRHILLS �...
• " 5335 - 8TH STREET
' (sis)�so-oo20 12483
BUILDING PERMIT
Permit Number: 12483 Address: 38427 C AVE
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: 14-26-21-0010-03300-0100
Improv. Cost: 2,400.00
Date Issued: 10/27/2011 Name: MONACO, DENNIS
Total Fees: 75.00 Address: 38427 C AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/27/2011 Phone: (813)715-1015
Work Desc: REROOF METAL
5.
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TAPE JOINTS ROOF I SP
FINAL ' � - ( i
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 � 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.
"Warning to owner: Your failure to record a notice of wmmencement 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 nodce of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
-/�� '�JO'
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• 26 Ga.,Tuff�Rib 36 Wide over 1 x 4 Wood Purlins
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A�' R a OP ID: RM
�.� . CERTIFICATE OF LIABILITY INSURANCE °"'�"""°°'"""'
THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION OI�.Y AND t�ONFERg I�/p RIGHTg UppN TME CERT�FICA F�p� THIS
CERTIFICATE DOES NOT AFFlRMATiVELY OR NEGATiVELY AMEND, EXTENp pR qLTER TNE CpyER/►GE AFFORDED Blf THE ppLiC1ES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NpT CONSTITUT� A CpNTRqC't gETYYEEN TME ISSUING 1���5), AUTHpR1ZED
REPRE3ENTATIVE OR PRODUCER, AND THE CERTIF7C/�TE HpLpER,
IMPORTANT: H ths cerdticata holder is an ADDRIONAL MISURED, fhe Policp(fes) must be andorsed. If BUBROGATION IS WAiVED. subject to
tha tem�s and conditions of the Po1icY� certain polkies may raquire an endorse�r�eM. A staffirneM on this �eaEe does not ca�fer rigt�ts to the
cerdficate holder in Ileu of such endor�men s.
w�oaucER 8�3 rur�: Rani Mahbubani
Insueance Company of Fbrida
2'7356 Cashford Cir Sbe 102 813-788� PHONE .813-788-1�65 F�
YYesley Chapel, FL 33644 E �� • Nc Ro : 813-884�3626
Charlfe A Hemandez noor�ss: ran' 'nsurancecpry�panyp}flp�a.�
� � � TRIPL-1
INSURED Triple Crown Roofing, Inc. $��� Od � '''� �
37625 St Rd 54 u+s�►r�a n: Endurance American Specialty 41718
Zephyrhllla, FL 33542 iNSUr�e e:
INSURER C :
iNSURER D :
iP1SURER E :
WSURER F :
COVERAGES CERTIFICATE NUMBER: REViS10N NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T}{E POLICY PERIOD
INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR AAAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICfES DESCRIBED HEREMI IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMiTS SHOV4N MAY HAVE BEEN REDUCED BY PAID CLAIAAS.
INSR
LTR TYPE OF INSURANCE POUCY NUMBHt �Y �F POLICY D�
GENERAL W181LITY ��
EACH OCCURRENCE _ 'I,QQQ�
A X coiuMEaa,n� ceNEwa. uA&urv BC10000625000 10r0U11 10AOU12
CWMS-MADE X� OCCUR ��� �� s ���
�o EXP �qny one peison) s 5,
PERSONAL3ADVIWURY S 'I,OOO,
GENERAL AGGREG4TE S 2�000�
GEMI AGGREGATE UMIT APPLIES PER:
POLICY � �pC PRODUCTS-COMPAPAGG S Z,OOO�
AUTOMOBILE lU1�LITY S
COMBINED SINGLE I,pd1T :
ANY AUTO (Ea ao�dak)
AlL OWNED AUTOS BpD�LV INJURY (px personj s
SCHEDULEDAUTOS 8 0DILYINJURY(peraoade�K� j
HIRED AUTpS PROPERTY p,qMqGE
(� aoadent) S
NON-0NMED AUTOS
S
UMBRELLp Llpg S
OCCUR
EXCESS W►B CINMSMADE EACH OCCURRENCE s .
DEDUCTIBLE
AGGREGATE Z
RETENTION E _
wame�s cora�snno�► s
AND EMPLOYERS' LNBN.�7y Y! N �� ��"
ANY PROPRIEtOWPARTNERIEXECUTNE
OFFICER/MEMBER EXCLUDED? a N! A E.L. EACH qC(�pEtJT j
p�Nnd�1Dry N� Wli)
If yes, deacxibe wWer E.L DISEASE - EA ElAPL S
DESCRIPTION OK ppEWqT10NS bebw
E.L DISEASE - POLICY LJNR =
DESCRIPTION UF OPERATIONS ! LOCATIOMS / VB1K�.ES (Athcf� ACORD 707, Addidontl R�narks SeMdule, Y �eors apao� h
�l
CERTIFICATE HOLDER CANCELLA'T�pN
SFIOULD ANY OF 7HE ABOVE DESC� POLIpE3 BE CANCELLED BEFORE
cte�► of zepnyrn��� �n+E �w►�noN oa►,E ,H�, � w � ee o�uv�o �N
Building Dept A�n�r+cE vw'rH n� Poiacy rrtov�
5338 8th St
ZePhYmills, FL 33542 C � �n� �sear�
ACORD 25 YOOal09 � 1988-2009 ACORD CORPORATION. AII righb r�sasrvsd.
( 1 The ACORd name and logo are registered marics of ACORD
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, ' Building Department
)ate Received ��/� — r/ Phone Contact for Permittin c�/ 3 g.3 _ 7 �a �
hmer's Name �/j�/, p��`d Owner Phone Number �" 7/,s l�/S�
�nrner's Address ya 7 �C �� /¢v ti° Y ` S 3 3��'�
Owner Phone Number
°ee Simple Titleholder Name '�.� Owner Phone Number �—
=ee Simple Titleholder Address
� ` ��
106 ADDRESS S ya 7 � �v -e
LOT #
3UBDIVISION PARCEL ID# � �ZIP — Z� ^ U � l � D 3 3o a � ���
(OBTAINED FROM PROPERTY TAX NOTICE)
�IYORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK p � !/t �ji �c� `t! , � /�t 7�c � //?
BUILDING SIZE —� SQ FOOTAGE �� HEIGHT
QBUILDING $ � �-' VALUATION OF TOTAL CONSTRUCTION
� �Q
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
��/.�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�,�„ �
i
l��`
QGAS ROOFING Q SPECIALTY � OTHER � l 2� � 3
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
v
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
ELECTRICIAN COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
'LUMBER � COMPANY
31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense # —�
AECHANICAL COMPANY
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
1THER -� S � COMPANY �/Q/�LL� C�i�OLr�L� .�C�D�/�Ej /.�C
�IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address �D • . � � � 3 3,5�lv2 License # CC C �J � �'J ,3 7v
ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) woricing days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence Installed,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects
OMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fonns. R-O-W Permit for new construcUon.
Minimum ten (10) working days after submittal date. Required onsite, ConstrmcUon Plans,`Stormwater PFans w/ Silt Fence installed,
Sanitary Facilities 8� 1 durripster. Site Woric Permit for ali new projects. All commercial requirements must meet Compliance
IGN PERMIT Attach (2) sets of Engineered Plans.
'*"'PROPERTY SURVEY required for all NEW consVuction.
irections:
Fill out application completely
Owner & Contractor sign back of application, notarized
If over 52500, a Notice of Commencement is required. (A/C upgrades over =7500)
Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same
�ER THE COUNTER PERMITTING (Front of Application Only)
�roofs if shingles Sewers Service UpgrBdes A/C Fences (PIoUSurvey/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 resMctions.
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 uncectain 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
po�tions of the "contractor Block" of this appiication for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indicatian that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOV�ER onst ustion of new di gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may apply
use in existing buildings, or expansion of existing buildir�9s, 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 Transpo�tation 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 cert�cate 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, Florfda Statutes, as amended): If valuation of work is $2,500.00 or more, I
ce�tify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Flo�ida 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 ce�tify 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. Appiication is
hereby made to obtain a permit to do work and instailation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work wiil be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. t also
certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility to identify Env �on Pr tect on Cypress Bayheads SWetland Areas nd Enviro ment ly Sensitive
- Department o
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 8 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 t� W be submitted at t me of permitting wFiich is p epared a neer
"compensating volume
licensed by the State of Florida.
If the fill material is to be used in Fiood Zone "A" in connection with a permitted building using stem wall
construction, I ce�tify that fill wiil 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 fil�he � may cit d for vi�ol t ng
p r o p e r t i e s. I f u s e o f f i l l i s f o u n d to adversely affect adjacent properties,
the conditions of the buiiding permit issued under the attac he d perm i t a p p l i c a t i o n, f o r l o t s l e s s t h a n o n e (1)
acre which are elevated by fill, an engineered drainage plan is required.
if I am the AGENT FOR THE OWNER, � P��o �S I that permit may be r for l electr cal work,
this affidavit prior to commencing constructi
plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed to be a license to Shall i sua a pe mitprevent the ding Officeal from ther
set aside any provisions of the technical codes, n
requiring a corcection of errors in plans, constructionen�vl���ithin s z of perm p sua uor�if wo authori ed by
unless the work authorized by such permit is comm
the permit is suspended or abandoned for a period cial fo6a period not to xoeed ty days and will demo�strate
may be requested, in writing, from the Building � consecutive days, the job is considered abandon
justifiable cause for the extension. If work ceases for ninety ��� T'CE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO G YOUR NOTICE OF CO MENC MENT.
PAYIN
G TWICE FOR IMPROVEMENTS TO YOUR PROPER D N IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O R A N A T T O R Y B E F O R E R E C O
FLORIDA JURAT (F.S. 17•U _
CONTRACTO
OYVNER OR AC3E ` Subscribed a to (or atflrmed e re ��S
S scxtbec� and to (or affl ed) be e�i /D /�C/-//__bY
d.� _(/ b t1 Who Islare pe� known to me or haslhaae ��Non.
Who islarg,p�9��O'"'� to me or aslhave produced
as IdentlflcaUon.
�, � � -� �
-� � � _ Notary Public
t BO � ry Public \ :
- pgcgmber 12, 2 � �, com
Com ` EXP �� �, , � : � ;,� Corruttission # EE 040520
,a; ;`�' �=�'= - '
Nam I �o�e �
Name of Notary tyPed. P
rinted or stamped "''�"' � =�^+--
a:.`�6!'�MR .�.F ... ..�.�p .t'..a.,.ti ':',,;a� a . __ . .t.... �.,A,�...a.��wr�:,�.....,.o.-aic.,n��„7,�,�:�rv,,�„�,vs�r.�' ,rsd.Y= _ . _, a+�.«�x , ..__....... ,.
"..r� , s+.�.._...�— ,
� � � � � « � � � � � � �
. f � i
� � �
TRIPLE CROWN ROOFING INC.
37625 STATE ROAD 54
ZEPHYRHILLS,FL 33542
813-833-7720
STATE LICENSE CCC049370
SPECIALIZING INALL TYPES OF METAL ROOF SYSTEMS
We hereby submit specification and work description:
NAME , PHONE � :' „ c" _
, , _ _.- i �"'� DATE
� � , �;' ,. ^� 1 " '_ �
STREET CiTY STATE ZIP
....,� _ ' "7' v � � � ; ...-- 'r' � ,! �'`� J � L '�_�.
�
SALESMAN
�
. ,ra�', ! ,.
THE ABOVE DESCRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF
($— .� ) PAYMENT TO BE MADE AS FOLLOWS:$ ° AS DOWN PAYMENT
BALANCE OF$ DUE UPON COMPLETION
*''* ANY ROTTED WOOD DISCOVERED WILL BE AN EXTRA CHARGE AT A COST OF $ PER 1/2" SHEET OF
PLYWOOD $ Lin. Ft. Lumber.
NO ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED. THIS WRITTEN CONTRACT IS THE
ENTIRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO
BE FURNISHED. THE WRITTEN PORTION ABOVE IS THE ENTIRE CONSIDERATION FOR THE
AMOUNT OF THE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY TIME PRIOR TO
MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS
CONTRACT.
IT IS AGREED:
Contractor will do all said work in a good and workmanlike manner and in strict accordance with the ordinances, rules and requirements of the city,
Town or Village, wherein the above mentioned property is located. if purchaser should cancel this contact after time stated above, the Purchaser
agrees to forfeit down payment paid. in the event it becomes necessary for Contractor to employ an attorney to collect any sums due the
Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees incurred by the Contractor. This contract shall not
be binding upon Contractor until accepted by them. Upon such acceptance by said company, this contract shall be binding on me/us without any
further notification to me/us. The undersigned property owner agrees that this contract may be assigned for the performance of the work and labor
required by the description of the work to be performed. Upon assigned the parties hereto consent to the performance of the work by and payment
to such assignee of the amount of this contract. Any Alteration or deviation from above specifications involving extra costs will be executed only '
upon written orders and will become an extra charge over and above the stated contract amount.
NOTICE TO THE BUYER :(1) Do not sign this contract before you read it or if it contains any blank spaces. (2) You are
entitled to an exact copy of the contract you sign. (3) Under the law you have the right to pay off in advance the full amount
due and under certain circumstances to obtain a partial refund of the time charge. Owner acknowledges receipt of a true
copy of this CONTRACT. ,
. '¢ "�� F a ' � s ' � f
PURCHASER DATE
BY Triple Crown Roofing, Inc. DATE PURCHASER DATE
This contract is enforceable only when accepted by management of Triple Crown Rooflng, Inc.
ra�u�{
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� ��
Date Received: ) Q_� Gj _� I
Site: 3 � �I"2 �? �' �U�
Permit Type: �e � ��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
/�����-1
Kal 'tz — Plans Examiner Date
Contractor and/or Homeowner
(Required when comments are present)