HomeMy WebLinkAbout14-15840 CITY OF ZEPHYRHILLS I'
t ; 5335-8TH STF?EET �
(si���so-oozo 1584�
BUILDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15840 Address: 38920 NORTH 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: 11-26-21-0010-04400-0010
Improv. Cost: 4,250.00 OWNER INFORMATION
Date Issued: 12/12/2014 Name: WELLS FARGO BANK NA
Total Fees: 60.00 Address: 1 HOME CAMPUS
Amount Paid: 60.00 DES MOINES IA 50328-0001
Date Paid: 12/12/2014 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
AMERCAN CONSTR TIO G O P LLC RER OF RESIDENTI L 60.00
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Ins ec ions Re uired
DR I RO FINSP
TAPE JOINTS ROOF INSP._
FINAL_ `� - �L f� "�„�
REINSPECTION FEES: Reinspection fees will com�ly with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the follow��ng reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or correctior�s not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site fl 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 no�ice 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."
Complete Plans, Specifications Must Accompany�►pplication.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R '�
PERMIT EXPIRES IN 6 MONT S WITHOUT APPROVED INSPECTION I,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I
PROTECT CARD FROM WEATHER
6IJ-/tlU-UULU c:ity ot Zep yrhills Permit Application Fax-813-780-0021
uilding Department
Do!!e Receil�ed Phone Co tact for Permittin a� 37-- � Zd
O�n►ner's Name �'e��'S �q�(` O Owner Phone Number
Owner's Address Owner Phone Number �
Fee Simpte Titleholder Name . Owner Phone Number
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Fee Simple Titleholder Address ° �
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JOB ADDRESS �� —I G � U'e - LOT# ��
__ SUBDIVISION ,_ _ _ _ PARCEL ID# _
(OBTAINEO FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CoNSTR ADD/ALT Q SIGN Q Q DEMOLISH
B INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER �-
TYPE OF CONSTRUCTIOM Q BLOCK Q FRANtt Q STEEL Q
DESCRIPTION OF V110RK v , � , � Q,
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BUILDING SIZE I LI�nJ ;� , SQ FOOTAGE f LJ� 7J HEIGHT � Q C��
QBUILDING $ �' ��^,� VALU ION OF TOTAL CONSTRUCTION
v
QELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
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�MECHANICAL $ VALU ION OF MECHANICAL INSTALLATION ,����
QGAS Q� ROOFING Q S ECIALTY � OTHER
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO
BUILDER ' COMPANY �1'��9�)CC}y� S�rv�%�h G�
SIGNAITURE �! REGISTERED Y/ N FEE CURREA Y/N
Address 3�Sd� L!'� re r � —�, License# �.c� i3a �9 96
ELECTRICIAN COMPANY
SIGNATURE � Re��s��� Y/ N FEE CURRE� Y/N
Address I License# '
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# -
AflECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGtdATURE REGISTERED Y/ N FEE CURRE� Y/N
�lddress License# -
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0=W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciNties 8�1 dumpster,Site Work Permit�for subdlvlsionsAarge proJects
COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructton.
Minimum_ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/S(It 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 co structlon.
Directfons:
Fill out applica8on completely. �
Ovmer&Contractor sign back of applicallon,notarized
If over 32500,a Notice of Commencement Is required. (A/C pgrades over�7500)
" Agent(for the contractor)or Power of Attomey(for the owner)w uld be someone with notarized letter,from,owner•.authorizing�same�.;;�;��•= .:
OVER THE COUNTER PERMITTING (Front of Application Only, ' :, ' � _' - °
Reroofs if shingles Sewers Service Upgrades NC Fe ces(PlotlSurvey/Footage) '` ' ���` �_,'' ".�'�;_?;;.,'�-, �• ,
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Driveways-Not over Counter if on public roadways..needs ROW ._ . >. ._ v.�•..� . �•�• •--•�°- ° �
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NOTICE OF DEED RE$TRICTIONS: The undersigned understands that this permit may be subject to"deed"restric:tions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wi�h any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CON71t�►CTOR 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 ot contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for vrhich 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 ItECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recove.ry 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 issuar�ce. 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.
COIVS�RUCTIOId LIEFI LA1fV(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'SIOWNER'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 Watenrvays.
- Department of Health & Rehabilitative Services/Environmental Heatth 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 Iots 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 Buildirig 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 OWFIER: YOUR F�1ILURE TO RECORD A NOTICE OF COMMENCEMENT AAAY RESULT IN YOUR .
i'AYING TWICE FOIt IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY�EFORE RECORDING YOUR NOTICE OF COMIIAENCEnAENT.
FLORIDA JURAT(F.S. 117.03)
OYYNER OR AGENT�`—'��� COIdTRACTOR
Subscribed and swom to(or aHirmed)before me thls Subscrfbed and swom to(or a�rmed)before me this
by bY
Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identlfication. as identification.
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° � "�,�'" Notary F'ublic
�,���Yw.�. ,�IJ�c��ep►� N aryPublic
Comm< :+�: :: ommission#FF 137073 "
sl rF� �o= Expires June 29 Commission No.
�� '•,A„�,•• eo�a�e nw r�oy F�n�m�aanee eooaes-�o,e
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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� �- CONS '�' �Z�U TIC� I�T � G.ROUP - . - �
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38920 North Ave. October 27 2014 �
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Zephyrhills,FL 35540 °
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� • This�is a proposal.to Re-Roof house including he following,approx. 14 sq.of roof covering. Roof over .
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fmain home. ' _ '�� " - ,. '
� •Tarp all ground cover,shrubs and trees imm diately surrounding building to protect all land'scaping and
� maintain a neat and clean appearance � _ �
' • Owens CorningTrue Definition Duration S ingles or GAF HDTimberline Shingles or siinilar but not ,
� limited to a variety of 3 Tab Shingles. AII.M nufacturers have a Liinited Warranty. :
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� • GAF Cobra RidgeVent or Omni Ridge vent or similar to be used both products are sFiingle over by �
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� design and look_great! These are the 2 leading ridge venu available,and offer the best performance and � -
; : reliability. (we do not install aluminum ridge vents,they are largely inferior) '
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i •All GRV(vents)•and Lead Boots (staclis) wi I be replaced with new Miami Dade approved units. Our �
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; � installation process ensures the boots will n ver leak. We have a seal and counter seal method that �
allows a long lasting water tight barrier. •
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; " •.All Hip and Ridge to receive Hip&Ridge C p Shingles. These specially designed Cap Shingles have multi ,
� layer technology and Seal the Ridge comple ely or a cut 3 tab hip to be used.. :-
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� This proposal covers all Labor,Materials,Permiu,Inspecti ns,Dumpster and Clean up Fees.This estimate is good for 45 Days. �
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` Total Ro f Cost $4,250 "
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CCC1327996 8300 Ulmerton Rd:#130 Largo, FL' 33Z71 T 727-465-8851_ -M 727-23T-1203 la�.wilton�rriail.com . - 'i
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AMERICAN CONS RUCTION GROUP, LLC. �
7451 Osteen Road New Port Richey, FL 34653
727.267.7851 � email:jdh@JLHENRY.com
General Contractor-CGC1511301 � Roofing Contractor-CCC1327996
Swimming Pool/Spa Contractor-CPC1457825
I Jack D. Henry being the State certified qualifier of AMERICAN CONSTRUCTION GROUP, LLC
additionally give full authorization to register my�contractor licenses on my behalf and to act-as my
authorized agent regarding all activities require by state and local govemments in obtaining permits and
the other duties that may be required. �
This authorization is given to the following indivitluals and/or companies
o Dave Renczkowski
o Tim Martin
I o Chris Higginbotham
' o Rhea Mougros
o Larry Wilton ' ' , ,
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Licenses held by AMERICAN CONSTRUCTION GROUP, LLC I
General Contractor: CGC1511301
Roofing Contractor. CCC1327996
Swimming Pool/Spa Contractor: CPC1457825
Authorized individuals will remain in full force a d effect until written documentation is submitted
withdrawing the authorization. The license hold r is responsible to keep all information current and
correct.
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I Signed under seal this � day of ' �2014
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License Holde
I J D Henry
STATE of-�I�I Cl�-
County of L(�
On I � �� ,201�before me, �... � ,personally appeared,Jack D '
Henry,personally known to me(or proved to me on the baSIis of satisfactory evidence) e the person whose name is subscribed
to the within instrument and acknowledged to me that he e�{ecuted the same in his authorized capacity,and that by his signature on
the instrument the person,or entity upon behalf of which person acted,executed the instrument.
WITNESS my hand and official seal. �. TERRI CHRISTIE
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J?�'�a `U��4�:
/1 . : Notary Public-St�te of Florlda
Signatur��� / � , • ;e; My Comm.ExP�res Dec 2,201T
— '%'+, o-:. mmisslon N FF 074103
Affiant Known�Produced ID Type o ID -�� i � _
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