HomeMy WebLinkAbout13-13908 CITY OF ZEPHYRHILLS
5335-8TH STREET
,� (si3)�so-oo20 13'�08
' BUILDING PERMIT
Permit Number: 13908 Address: 6130 17TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0180-00000-0250
Improv. Cost: 5,400.00
Date Issued: 2/21/2013 Name: MCDUFFIE, W.CLIFF
Total Fees: 65.00 Address: 6130 17TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/21/2013 Phone: (813)782-0877
Work Desc: REROOF SHINGLE 18 SQ
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TAPE JOINT OOF INSP
FINAL -�-��j
REINSPEC'RON 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 fnancing,consult with your lender or an attorney
before recording 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.
CONT TOR S RE PERMIT OFFI R
MI� RES IN MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
oia-rau-uu�u �;iry oi Lephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �-. �� ^ _-��
Phone CoMact tor Permfttin �
Owner's Name r'1'LF � S f`(1 ��` , l Owner Phone Number • �� .Q��
Owner's Address l.¢ � � �� � f- �S�-( pwner Phone Number
Fee Simpie Titleholder Name Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRE3S I�C� �� � c LOT* ��
� •
SUBDIVISION �JL� � PARCEL IDN � . a •C�I o(�. �Tj�j� • �7a�C j
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED B NSTALLSTR 8 REPAIR � �G(�. O CI DEMOLISH
PROPOSED USE �' SFR Q COMM �] OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �-'f � i ' �� �
BUILDINt3 SIZE SQ FOOTAGE� HEICiHT
�UILDING �� _ VALUATION OF TOTAL CONSTRUCTION
�]ELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING s �i 3 a�
�
QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION
[�GAS � ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r
PLUMBER COMPANY
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Lic:ense#
OTHER COMPANY r x{
SIGNATURE REGISTERED Y/ N FEE CUR Y/N
Address �-( � �-J � c t� License# 1��� ��
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)worlcing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Fadlldes 8 1 dumpster;Site Work Permit for subdivisionsAarge 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,Construcrion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster.Site Woric Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Atfach(2)sets of Engineered Plans.
'"""PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out applicatlon completely.
Owner 8 Contractor sign back of applicadon,notaMzed
If over i2S00,a Notice of Commencement is requlred. (AIC upgradea over s7500)
•' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppllcaUon Only)
Reroofs ii shingles Sewers Service Upgrades A/C Fences(Plof/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" res#i�tions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with a11y
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 Ilcensed in acco�dance with state and Iocal 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 Ifcensing requirements may apply for the
intended work, lhey 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 expansio� of existing buiidings, 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, wiil 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 ce�t�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Fu�thermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with appifcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter T13, 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 Const�uction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. �f 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
wili 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 �and development regulations in the jurisdiction. f 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 Watervvays.
- Department of Heaith & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the foliowing restrictions apply to the use of�II:
- Use of fill is not allowed in Flood Zone"V"unless expressty permitted.
- If the fill mate�ial 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 walt
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�II 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 a�davit 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 technica{ 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 IUVICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANClNG, CONSUL7
WI7H YO R LE DER R AN ATTOR EY BEFO R ORDIN YOUR OTI F T.
FLORIDA JURAT(F.S. 117. 3 �
OWNER OR AGENT - � CONTRACTOR
Subsc�ibed and swom to(or afflrmed) re me i Subscrlbed and bswom to(or affl )b re e
by
Who is/are personally known to me or hasJhave produced Who Islare personally known to me or haslhave produced
as Identlficadon, as identlficaUon.
Notary Public Notary Public
Commission No. Commissfon No.
Name of Notary typed,prfnted or stamped Name of Notary typed,printed or stamped
� �/,� J� 1 ) A
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�
D�RES � ��
� ���� �o��, �Irzc. • .
ADivision ofRyman Construction,Inc. �
36413 SR 54 • Ze.h rhills, Proposal#
�� ' INC. P Y Florida 33541
Phone (813)782-6094 • Fax(813) 788-6773 Estimate# dIg
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505
Serving all of Central Florida �' Job#
Owner/Purchaser. G\:�� M�n�.��: Date: o'Z�18/►Z
Claim#: InsuranceCompany: �
Policy# � '
Address. (013 c� 1`7��^ S� City: ?s.p�.yr��\�S Zip: 3�'L
Home #� ��3-�r8,�-b8'77 Cell #� Business #:
.
E-Mail Address:
�Complete tear off of existing �1„�ks ���,�, Additional Notes/Special Concerns:T2..T t _�� ��
Secure all loose roof decking as needed according �x�S}-�� 5����g-��� �'���� 3�� °''F ���
to Florida Building Codes ��1+i R:aq� Vs...�'t"� R"�n,.� }��j�;S,L
[�Roof dried in with�'�k� p,��, 3 g,��c1�e �t- Rt..ot,6.,\/ R�-
�v�Lc.��;�rr� bF C\�
GX' �'n �
l�'Install new valley metal with galvanized metal � �� 1-�
� Install new�_"drip edge color:�1�;� � �i�►--�d`� `5—�I'����`S-
(�nstall new lead boots �"��+�� �� a���
0'Install all new general roof vents
�Install new_L:�,�Mt��� Mj�ttt.
�:�u.�:4ra� S`.i nAl�
�Manufacturer: -� ��
�Color: (,J_ �•� �
f�'"All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
�All materials, labor and permits furnished ,
l�Provide a� y�n� labor warranty �,�1
Additional Items:
Total Investment$_ S�� �v
/ ♦ �
Payment Method: ❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment: $ Amount Financed: $ Approx. Monthly Payment: $
PaymentTerms:
Extr
Deficient 1/2"plywood replaced at a cost of$�_per sq.ft. in the roof field,which includes labor&materials.All other wood work/ad-
ditional labor, such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will be a rate of$�5.� per man hour plus the
cost of materials.
THIS BECOMES A INDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PR POSAL HE BY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS COkTRACT.
r
Purchaser• � d�f
Date:
Purchaser•
Estimato
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2013031982
. �'ffective; Occobu-I,zp11 � Rcpt:1498604 Rec: 10.00
Retum to; D5: 0.00 IT: 0.00
,. � 02/21/13 C. Miner, Dpty Clerk
NOTI�pF CQ�'IIv1�r�rrnn�N C
Stnle of Fio 'dn
Crninty og� , PermitNo. � �
�t�_� �
Tnx�olio No. .
The unda��gi�ed J�eroby-gives notice thet improveinent will be made i i certein real property, nnd in acoordmice,wilh
Chs�pter 713,Floridn��hrtes,the following informnlion i provid�e�i7n�this Notice of Commeneeme t:
, �' ��'� �(��of Prop'e t •��� ��•��" ' �C'�C�-�p • O�S� �
+�u �3� �/J"�� �! �z. 335� �
�• Generel escriplio ofimproveinents: � P,J�T t' I •
� �� ��o w-r as � ��95 P� iz3�
3• O�vner Informelion or L.essee;nformnlia��if llie Lessee contract�d for the improvement:
°• Name nnd Address: �
�. Interest in Properly� .�� 1-Z ,�j��{ e,
°• Namc/nddress of fee simp�-���d r(ifdifferent iirom Owner fisted nbove):
� 4 Concractor; :
fl• Nnme and Address: � 1
b. Phrnie number. _��� .
• ���� - �`z. 3 3S�{/ ,
5• Surety fifnpplicnble,o co
py of payq�ent bond is nttached): PAULR 5 0�NEIL,Ph D PqSCO CLERK & COMPTROLLER
, °• NambandAddress: � 02�21/13 10:03am 1 of 1
' OR BK ���1 p� AI'71�
b. 1'hone number '!U
� �_
�_�_
' A�nauntol'bond: g �
, -- I
� �'• Lender �' '
� e. Neme nnd Address: .
, - .
, � Phone number -
. —_
�_—�_
served HS���ovided�, ��ersons wjUiui the Stete ofFforlda designeted by Owiier upon wh�m n ticcs or other docwnents tna��g
) Sectton 713.13(.I)(a)7,Floridn Stahrtes: -
)
fl. Name nnd edclress: ' '
—_-- � �
��• 1'hone numbers oFdesignated persons:
8. � �—
, 61• In s�dditioii tp himself or herself,Otvner designates
, 4tfltutes. —�_fo receive n copy of tl�e Lienor's Notice ns provided in S ction 7►3,13 1 of
- ( )(h),Plorida
�• Plione mm�ber of person or entity desi��ated by��,ner•
I . , —�— .
� 9 EXPL'ntion dete of notice of conunencement(tlie expirntiort dete mny not be befare U�e c
constructirni and finnl pnyinent,but will be l yeAr fi�om tl�e dete of recording unless a di}fierent dete is specified)
ompletion of
WARNMG TO OWNG2: ANY PA
YMENTS Mq1�g BYTHE OWIVER APTER'CI-[E�7(P
� � .CUfvIIvigNCgly�J�T A�E CONSIDERED 11VIPROP$R Pn �TiON OF TFLE NOT[CE O�
1=LORIDA STATUTGS,AND CAtd[�SULT IN YOUR PA�'INGNTS UNDER�CHAp7'ER 13,Pq[ZT�,SCCTION 713 !3,
. TWICE FOR;IMpROVE TS TO l'OUR pROPCR7'Y
w y�A NOTICE OF COIvQ��NCE1v�NT�,(US1'DE RECORUED �
, /�ND POSTED'ON TF[E J B 51TG DEFORI;THF;FIRS'i'
, 1NSPECI'ION. Ii'YOU INTEA1p TO OBTAlN T:iNANC(NG, CONSULT NVTTH YOUR
BEFORE COMIvO:iNCING WORK , CNDER OR AN ATTORN�Y
OR RECORDING ypUR NOTICC OP COlvpvtgNCEM
Under penalties of�er'u �, T•
F J h 1 declare tlint I have rcad the foregoi��g Notice of Commencement d tliac the facts staled in it a�e
hue to llie best of my Icnowledge and belief.
.
(Signnlur wn orL se •
AutliorizedOfficer/Direct r/Piufiie�qy�e�flg���Lessee'c
'' :�! .. , �
Signatory's T�tle/OtTice:
STATF,O� �
COUNTY OF ���_
. The foregoing instiument wns nckno�vled ed befare e��is� �L���.Q�R"-�
for � m dny o �.
by----_as
Personally lCnown �o, txte oF _
._____OR Produced Identification �'nnted Nuhie:
'I'ype of(denti6cntion Produced � �
M�uy�� C� '��.
• • �h Co�n_ErOk�n J�n Z .2016
CenMNtsia►I EE 18 S�0
. a0�d�i M�o�IM Apa.
��SlDI
STATE C3F FLORIDA, COUNTY OF PASCO �..� • ' � , �'�
TH15 IS TO CERTIFY THAT THE FOREGOING IS A g • ��
TRUE AND CORRECT COPY OF THE DOCUMENT G1
ON FILE OR OF PUBLIC RECORD IN THIS OFFIC � � f G�h '
WITN ��MY HAND�ND OFFICIAL SEAL THIS * ' � � z-�,,
�`?� DAY OF 1 � VL- 2�1� � � *
, .�`� •
PAULA 'NEIL, CLER �ROLL�R *
,�8��/ . �►
/
BY �i�� 1DEPUTY CLERK s�'��q',�� � p '�
FLOi�