HomeMy WebLinkAbout12-13276 CITY OF ZEPHYRHILLS
� 5335-8TN STREET
(si3)�so-oo20 1 76
BUILDING PERMIT
Permit Number: 13276 Address: 5046 GALL BLVD
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0000-01400-0000
Improv. Cost: 5,400.00
Date Issued: 7/24/2012 Name: VSH REALTY INC
Total Fees: 65.00 Address: 777 DEDHAM ST
Amount Paid: 65.00 CANTON, MA
Date Paid: 7/24/2012 Phone:
Work Desc: REROOF SHINGLE 30 YR
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TAPE JOINTS ROOF INSP
FINAL
R�INSPECTION 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 commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before reoording your notice 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.
� C TRACT R ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-OC20 City of Zephyrhilis Permit Application Fax-813-780-0021
Building DepaRment
Date Received phone Contact for Permitting 8 6 3 9 6 7 9 7 7 3
T7-7—fl-rl r - T _
Owner'sName VSH Real In Stor V1].25 OwnerPhoneNumber 4 7-32 -0 04
Owner'sAddressrl�0 CrOSS1nc( B1vC� Fr3Itt1nq1"ldm MA OwnerPhoneNumber �- �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 5046 Gall Blvd. Ze h rhills �or# �
SUBDIVISION PARCELID# 11-26-21-0000-0140 -0000
(OBTAINED FROM PROPERTV TAl(NOTICE)
WORK PROPOSED B NEW CoNSTR e ADD/ALT � SIGN Q � DEMOLISH
}� INSTALL REPAIR
PROPOSED USE � SFR � COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTIONOFWORK Remove shingle mansard, Install 30 Yr GAF Shingles
BUILDING SIZE SQ FOOTAGE 8�� HEIGHT 15'
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION 5, 4 O O O O
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
�PLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTA�LATION
�GAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
Buit.oER COMPANY Guy's Diversified, Inc
SICsNATURE _ REGISTERED Y/ N FEE CURRE� Y/N
Address P.O. Box 946 Auburndale FL 3823 �icense# CCC048175
ELECTRICIAN � � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N Fee cuRaEn Y/N
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N
Address License ii
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o(Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required ons�te,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 Fortns.R-O-W Permit for new construct�on.
Minimum ten(10)working days after submittal date. Required onsite,Construchon Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities&1 dumpster Site Work Pertnit 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.
� � � � � 1 1��.�1 � 1
Directions.• �iL1�LL4-1i
Fill out application completely
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500)
'" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (Front of Application Only)
Reroofs if shingles 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 consVuction 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 pertormed 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 8� Rehabilitative ServiceslEnvironmenta� 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 expressty 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 O�cial 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT 1 Y�'t ,� �.�— CONTRACTOR �1�� -� �.�
�Subscribed nd swom to(or affirmed)before me this S bed nd�sworn to�pr affirmed)before me thi �`
�Y _r l�"tr r L.r.. Cs 1-1 � 3 �by_�Y� ��.m � s_.
Wh is/are ersonal�known to me or has/have pro uced Wh islare ersonal�k�own t�me or has ave produ ed�—
as identification. as identification.
� �
� Notary Public Notary Public
Commission No. - Commission No._ ��� �f ���j�
��1 -'(��-� { : ✓�'
Name of N Name of Notary type '
.'t�,�.y-•''
� Y H.KING �
='�' � MY COMMISSION#DD 940738 ^�1:nY�y�, �SAY H.KING
'*: 2014
;y_�i„ EXPIRES:March 17, :,,. /., MY COMMISSIQN#DD 940738
%�oF�d;:'• gonded Thru Notary Public Underwriters �,:��,; EXPIRES:March 17,2014
•.'�,'p���`� Bonded Thm Nolaiy PubNc Underwrilers
Guy's Diversi zed, Inc.
MIChIAEI A. G(IY,pRSSinEivr
State Cerl�cation No.CC C048175
July 13, 2012
City of Zephyrhills
5335 8�' Street
Zephyrhills, FL 33542
Attn: Building Department
I, Michael A. Guy, authorize Stephie Hutton to pull permits on my behalf in the City of
Zephyrhills. I certify that the company employs Stephie Hutton and I understand that I
am fully responsible and legally bound for all acts performed under CCC048175.
Sincerely,
t
`_ .
�� ,�eY�ti�;i LINDSAY H.KING
4, =*; :.�= MY COMMISSION ri DD 94W38
'-�'��' EXPIAES.March 17,2014
�'�;ry�;�°.1��� Eonded Thru Notary Pub�ic Undeiwriters
Michael A. Guy ��R-'`�
President ��Z�Z
Guy's Diversified, Inc. ri�
7� a3- ► �
.
P.O. Box 946 • Auburndale, FL 33823-0946 • (863)967 9773 •FAX(863)965-7628 • www.guysdiversifaed.com
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2012123884
Pertnit No. m 0�
ParcellDNo i i_��_�, _nnnn-ni ann_nnnn r(/1f1
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NOTICE OF COMMENCEMENT N• �
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Stateof Fl ori da Countyof_ Pasco F'`��
N��
THE UNDERSIGNED hereb �
y gives notice that improvement will be made to certain reai property,and in accordance with Chepter 713,Florida Statutes, n (O
the following infortnatlon is provided in this Notice of Commencement: . ,A
1 Description of Property: Parcelldent�caGon No, s'rRIP oF t.aND zoo FT WIDE COM COR FORMED BY N BDY SOUTH AVE E W BDY �
'ea �a��cu��aa 3
saee�nddress: 5048 Gall Blvd. , ZeAhvrhills FL 33542-4959 � ��
2. General Description of Improvement RPmovP r�xi at i na wc�oci ah i�l,� a � �� W � " n
GAF 30 Year Timberline HD Arehitectural Shin le ���
- v
� �r
3. Owner IMortnation or Lessea infortnation if the Lessee conlraGed for the improvement: ���
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VSH Realtv Inc Store V1125 n m
100 Crossi�'°Blvd. Framingham � ��`r(��— ;
Address City State 7�
Interest in Property:
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address City
a. comrac�or Gu�s Diversified. Inc scace
d � Name FL �38a3
P.O. Box 946 Auburndale
Address
Contractors Telephone No. 8 6 3-9 6 7-9 7 7 3 C�ry State �c
5. Surety �I Q' �N D
Name — W A cn
��.o
Address City State N z
Amount of Bond: $ Telephone No. �m�
N_
6. Lender Ac �•• �
arne N 7
�o
Address Ciry State �3 �
Lendefs Telephone No. �
f.o
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by � �
Sectlon 713.13(1)(a)(7),Florida Statutes: p m
Name �A
�"'1 �
�p.�w
/�y� n
Addrea� Ciy State f/�e �
Telephone Number of Designated Person: f l7 -i
6r■ o
8. In addition to himseN,the owner designates of �
— m
to receive a copy of the Lienor's Notice as provided in Seclion 713.13(1)(b),Florida Statutes. A
Telephone Number of Person or EnGty Designated by Owner
9. E�iration date of Notice of Commencement(the e�iration date may not be before the completlon of consVUCtion and final paymenf to lhe
conVaGOr,but will be one year from the date of recording unless a ditferent 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 TMCE FOR IMPROVEMENTS 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I deGare that I have read the forepoing no6ce of commencement and thal the fads stated therein are true to the best
of my knowledge and belief.
STATE OF Pt9R16O �,��
COUNN OF PA666-- ��t��
�9►!eQue:�M�ei�r,�s�;�G�'�sl!s�'�s Autho�ized
�Officsrl[�recta'iP,pTt�p�MaAeper
Signatory's TiUe/Office
The foregoing insWmenl was acknowl`edg�d before Ae lhis����ay of�,203,by��l��y��,t�
as�11fT���1�C�, JN�►�n. (rype oi authoriry,e.g.,otficer,trustee,attomey in tad)tor
dhw..� r. .. ( e of party on behd f whom in� t was executed).
Personally Known�5�$Produced Identification❑ Notery Signature
Type of Identification Produced Name(Print)
�u►va��N acKSON
Nocary Puaic
001M10NM�EA�lN Cf MA{�A41K1�ETTi
My ComnNssion Expku
lwrch t.. �t�
wpdata/bcs/noticecommencement�c053048 �
STATE C� FLpR�pq, COUNTY p�.p,�SCO ' '� •"\\
THIS IS TO CERTIFY THAT THE F1912E�01NG!S A �, '`'. �,.�,`.
TRUE AND CORRECT COPY OF-�'H�DOCUMENT:- . ';` �a ,,
ON FILE OR OF PUBLIC RECORb IN T,HIS OFFICE " � �.� ,
�NII`N_IES�S MY HAND AND OFFICIAL SEAL THIS ��. .�; �fF:"'
�DAYOFv�;� -,�i 2 12. ' i,' r,"',�
PAULA S O'NEIL, ERK&COI�AIP�'ROLLER � � ,
B � D�F9lJ Y�b., '=y i. _
�LE1�1� ��
07/23/2012 14:39 8639657628 GUY'S DIVERSIFIED PAGE 09/09
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.100 t�ross�g Blvd.
Fta�nin�,MA 017Q2
At�:Lisa Cl�ail
rro�sw�za#�1o1i�s
x,nbby's Y.iquora III
5046 Gsll Blv�3.
Z�i�yrIu�.�,FL 33542
llZansac�d Reroa�
• M�saed ahingles Ace d�ersoxated,rccommend rtpla�ncnt
• Remov�t Gxist�qg,w�ood e�unigles on m�.sazd.
• Dam�a►ge8 decldng/woadvMnrk costs w�l be pr�ced an a time and mste�ial ba�.s.
• lnstat�30]b dry in fe1t.
• k�Il new 30'Y'ear At�chitec�tural�ingle.
• Cv�pade with all nevv 0-32 al�uuiat�m tri�n merels en�e�opin�
� Tharoug�c�ean�a�'s11 job rel�ted debais.
• Contttac.�t priee does nat i�lude�y alocmcal serrias if noc�y.
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Price:x5,400.00
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�1e-//C:\Userslguysroofingl�ictuz�es120�2 07 �21TN30715524.htm 7/12/2012