HomeMy WebLinkAbout14-14967 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 4967
BUILDING PERMIT -
Permit Number: 14967 Address: 38714 PIEDMONT AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):79 Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0790
Improv. Cost: 4,760.00
Date Issued: 2/12/2014 Name: YOUNG MICHAEL S
Total Fees: 60.00 Address: 38714 PIEDMONT AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/12/2014 Phone: 813-751-6881
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL
REINSPECTtON FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resup Iting
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 properly 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 recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
i � Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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C TRAC R IG PERMIT OFFI R
PE IT EXPI 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ERICAN -
D0�RE5 ' ' V�SA
���'�a'� ���� /�, 5%fee for credit cazd processin
A Division of Ryman Construction,Inc. �
36413 SR 54 � Zephyrhills, Florida 33541 Proposal# � 4 2 b
INC. p hone (8 1 3) 7 8 2-6 0 9 4 � Fax(813) 788-6773
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate# o c!7
Serving all of Central Florida Job#
OwnedPurchaser: /��G�eo� � Ypr,,.1� ,, Date: Z'6�/y
Claim#: InsuranceCompany:
Policy#
Address: _3F7/y �irc�,,,.�.►f �� CitY� ��Pl��►��,'�l S Z�p; 3'3 S�lp
Home #: _�/3 -7 S/ - (, �l$ / Cell #: Business #:
E-Mail Address:
(�Complete tear off of existing 3 �+e,,Ea S��n�r/P s Additional Notes/Special Concerns:,,.T�vc�r 5
f�Secure all loose roof decking as needed according
� ' S� eL o-T �j '� D��fLUoo� '' ' 0 mo
� Florida Building Codes 6 �o.� ter��� _•,f�` �� �f r .as��,,��� „o
Roof dried in with_ Svnfi{.,t�L,'c (/QL L�S�/a�!/ ?O � a� Q�� l.�t.�t o,,r �Q�,
Install new valley metal with galvanized metal
�nstall new � "drip edge color: �,�„n
�nstall new lead boots
f�lnstall all new general roof vents
Install new��� ,Q,Ya�rS�ono. � r � C�c� �
S�i�,�l� 13�.�,of�
[9�Man cturer: [a�¢i=
❑ Color: b.�,`c%-,�
0�11 roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
�A1 materials, labor a d permits furnished �,� c�(�
Provide a �ybEr,i- labor warranty � �
Additional Items:
� Total Investment$�� �r�
a� - �
Payment Method: Check# 3�) ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card#
Exp. Date CC ID#
Down Payment: $ � �2 3&� G=
Amount Financed:$ Approx. Monthly Payment: $
PaymentTerms: FJ�',�y p�,,., �.� ��q,�.�, �eN �c r���dy�
f�Ext
D�eficient 1/2"plywood replaced at a cost of$ ��Z per sq.ft. in the roof field,which includes labor&materials.All other wood work/ad-
ditional�abor,such as, but not limited to, valley rebuilding, rafter replacement, 1x decking,etc. will be a rate of$ Q'S � ` per man hour p�us the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL AND H CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser. ` Date:_ 02�U�o — 2 d/t�L
Purchaser: Estimator: ��oq .
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E��a 9crober�,201t Repi:1681219 Rse: 10.00
' Rqumto: D5: 0.00 IT: 0.00
02/il/14 D. Bonllla, Dpf.y Clerk
' �'-F OF rvs. ,...
Sute of ,
�ry°�0 Pmnit No. ,
T�x Folio No.
� The un�signed 6erebY i�va notia tlut
+aer 713,Fbrid�S tl�e followi, u� t�O�eM will ba mede to wLin reat
�C,�`: !A�� ��0�y P�ided in th'n Naix of ��0�•°�d��►dana with
1. Deacri on of Property� O�s'c��' �p p�CO,°��m,0�^°anenr.
2. U1 ��y Piv.dmarst �9�;�"'� 90
� psonof tPS ��Sp ` �' � 3.�y(�
3. pw,ner�nB 'rrm��Le+aee
°� ���bn if the I,eseee contnped for the improve�art:
s. N�me end pddry�:
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n. maro,c m�y� • � • .PA-• �2,. 3 3�-{D
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Comracbr.
a. Neme eM Addres�: � o 'Q � W Y
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M�ountorbond: S 02/13/14 $3:1 1 of 3 � �� p Q O
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dY sedim 713.13(�x,)�.Flar+e. 9°wia"D�w6om�wtke.a ouk. m+y ee � fY � = Q
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Name and ad�p: l J.. V��} � ?0
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B. �. In�ddifion b hirtrdf a herxJ�p�yner W Cn Q J W
Smutas. 1D�^°1caDY ofthe Lfaar'a Notice��-------�f Q ��� z�
� P�ided in 3eaion 713.13(I x b�Fl o r i d� V7 F-=— �Q�2 QQ„ �
Ib' ��a nunber ofDa+on a rntity deei�bY axna:
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�ons�rubion aiM tLul paympk.bul wiU 6e 1 yev bo���tl1e°��kn d�te msy not tie befa�e tl��V�on of � *
WARNWOTOOWNER; �B�SS�di@'aeMddeieapq�fl�_ _`� �K
ANY PAYMSNi'S MADE BY THE OWNER qF'�R'I7�EXP v` •• �.
C��1�T17'ARE CONS IRATION OF 77�NOTICE OF 4 � • �
���ROPFR PAYINEW7s U►.�pER C�,ER 7i3,PA1tT 1,Sp.C�7pN 713.13, `�
FLARIDA STA7U7F,S.AND CqN RE4ULT IN YOUR PAYMO TWICE FOR � '�,'�,
�
A NOTfCE OF ����VTS TO YOUR PROPERTI'. • � �.,, o�o • �g�.
��`�'�NI'MIIST BE RECpRpF,p ANU � • � m cr"Sy'
POS7ED ON�.JOB SITE BEFp y
�PECf(ON. IF YOU IN�'END TO ODTAIN FMANCW�, RE 7HE FiRST V ' �� .` `�`
RaINO YOtJR�iCB 'OF T WI7H YOUR[.BIJDER OR AN A7�p��Y � ' � �
B��NCWO WORtC pR RE(7p �
Unda P�dlfa of ��T. d8
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STA'!E OF Si�n��TitlWBix:
COUM'y pF�
-----_�_�far=�bdore me Mis 1� deyof 201�by���
Nouq' � of --L.
��ty K°OW^ �R Prodne�M IdendC�eation �' N e:
TYpe of Ideeq(fic�tp,�p��� .
MYC°mn"u'°" _�.T ,�n i cY(�)S
re►" '" HOLLY HOPPER ��re+:
:�'"�e�: —r�_
_ MY COMMIS310N k EE070488
,;4, ,•� EXPIRES May 18,2015
(407)SB8-0159 Fb�aNen �MO�.oem
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin �
Owner's Name m L. `r,� � �
Owner Phone Number
Owner's Address � -�- t �
Owner Phone Number
Fee Simple Titleholder Name �
Owner Phone Number
Fee Simple Tftleholder Addresa
JOB ADDRESS -t- ,� �.�
LOT# �
SUBDIVISION � 7, PARCEL ID# • c , ��"7 G� h
� � V
WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR e ADD/ALT SIGN �
INSTALL REPAIR ' � �� DEMOUSH
PROPOSED USE SFR
� � COMM OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL �
DESCRIPTION OF WORK � � '
� I�'
BUILDING SIZE SQ FOOTAGE�� —� �
HEIGHT
�BUILDING $
� . — VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE
�— � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � l� �'f' �
[�GAS � ROOFING �] SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
DYES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address ( �
License#
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 CURRE� Y/N
Address
License#
OTHER
31GNATURE 1 _ � COMPANY �-�� C ,
REGISTERED Y/ N FEE CURR Y/N
Address � '3 �C�t��'I � � ' �_
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(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilfties 8 1 dumpster;Site Work Permit for subdivisionsliarge proJects
COMMERCIAL Attach(3)complete sets of Buitding 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 compiiance
31GN 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 t2500,a Notice of Commencement is requlred. (A/C upgrades over s7500)
"" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The understgons. The undersigned alssumes e p ns b Ibty for compl annce tw th any
which may be more rest�ictive than County regula
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CON@RAe�o be E en�SedSiBacicoEdance th s ate and locale egulationsc Ifrthe
contractors to undertake work, they may be r q � for the
contractor is not licensed as required by �aW� ba��o�hare unce ta n asnto what I censengte qu�emen'ts may app y�o ation
under state law. If the owner or intended cont
intended work, they are advised to contact thea co{ractor torBcolntrac to sP hel�s ad sed to'havet he contractor(s)s ign
8009. Fu�thermore, if the owner has hired
is not ro erly licensed and is not entitled to permitting privileges in Pasco
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as e
contractor, that may be an indication that he P P
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ERY��FEES{ion of neweb ude gsnchangend
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existi�nerstandlsgthat such fees,'asPmay be due, w�'�I abe dentif ed at he_tme of
90-07, as amended. The undersigned also un
permitting. It is further understood that Trais ower'r leaseaclf the p ojecRdoesrnotRnvolve a certifi ate of occ pancy o
receiving a certificate of occupancy or fma p
final power �elease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
fees are due, they must be paid pra rte 713,'Florida Statutes, as amen'ded)P'If valua on of work is $2,'500 00 or more, I
CONSTRUCTION LIEN LAW(Ch p
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner s
Protection Guide" prepared by the Floade obta ned a copy of Ithetabove descr bed documlent and prompseantgood fa'th to
other than the"owner", I certify that I h
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT�ble law's regulatingeconst uction!zoning anld la d developmentn Appli a'tion is
will be done in compliance with all applica
hereby made to obtain a pe�mit to e°nW and that'all work will be perfoemed to m'eettstandards of all Iawsllaegulating
commenced prior to issuance of a p
construction, County and City codes, zonin9�frotheat'overnment agenc es may pply toathe ntended1work1 and thatatSs
certify that I understand that the regulations 9
my responsibility to identify what actions I i P otecf on Cyp ess Bayh ads SW tland A eas and Enviro ment'a lyt Sensitive
_ Department of Environmenta
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
_ Department of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-Wel�s, 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 ,Fed at t me of permitting whi h is P�Pa�edrby agprofessionalreng neer
"compensating volume" will be submitt
licensed by the State of Florida.
_ If the fill material is to be used in Floa onl�to filAthe area w'thin thetstem W mitted building using stem wa
construction, I certify that fill will be use y
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacen
properties. If use of fill is found to advers a under the,attached per�mit application, oa Iots less thanvonet'( )
the conditions of the building permit issue lan is required.
acre which are elevated by fill, an engineered drainage p
If I am the AGENT FOR THE OWNER, I promise �� 9°Odtan'd thatna�sepahat permit may be retq u ed for'electr ct I work�,
this affidavit prior to commencing construction. I unders
si ns, wells, pools, air conditioning, gas, or other installations not specifically included in the applica ion
plumbing, g
ermit issued shall be construed to be a license to proii es ua�ncehof a pe mitprevent thehBu'+ding Off'ceal from thereafter
p ermit issued shall become invalid
set aside any provisions of the technical codes, nor sha
requiring a correction of errors in planer�'t ssrcommencedlwithin si amonths of perm ssuance, or if work authorized by
unless the work authorized by such p eriod of six(6) months after the time the work is da s and will demonstrate
the permit is suspended or abandoned for a p
may be requested, in writing, from the Building Official for a per onsecutive days, the job isocons dered abandoned.
�.
justifiable cause for the extension. If work ceases for ninety�90 T�CE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO G YOUR N TICE OF COMMENCEMENT.
PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTYN IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDE OR AN ATTORNEY BEFORE RECOR
FLORIDA JURAT(F.S.1 03 A
` � � CUNTRACTOR •
OWNER OR AGENT Subscrlbed and swom to(or affirm ) efore m
Subscrlbed and swom to(or affirm d) for�me �s by
by � Who is e personally known to me or ha asade bfication.
yYho is/ ear personally known to mas Identlficatlonroduced
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary tyPed,printed or stamped
Name of Notary tyPed,printed or stamped
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