HomeMy WebLinkAbout14-15864 CITY OF ZEPHYRHILLS
5335-8TH STREET '
(sispso-oozo . 15864
,.-- �
; ' BUILDING PERMIT ,,` '
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 15864 Address: 5114 18TH ST
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: 11-26-21-0010-20100-0140
Improv. Cost: 5,600.00 OWNER INFORMATION
Date Issued: 12/17/2014 Name: BIRD ADA
Total Fees: 65.00 Address: 5114 18TH ST
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-2154
Date Paid: 12/17/2014 Phone: 813-782-8192
Work Desc: REROOF SHINGLE
, CONTRACTOR S APPLICATION FE�S
RYMAN RO F G I REROOF RESIDENTIAL 65.00
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Ins ections Re uired
DR I RO FI P
TAPE JOIN OOF INSP/
FINAL ��-3°/
REINSPECTlON 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 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 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 recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
T CTOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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ERICAN �:�`s. visa�
D�RES r�l -
���� ��� /:�, ��, 5%fee for credit cazd pracessing.
a•a���
ADivision ofRyman Construction,Inc. �7 Proposal#
36413 SR 54 • Zephyrhills, Florida 33541 0 6 � o
�NC. phone(813)782-6094 • Fax(813)788-6773 Estimate# GZ�a o.
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505
Servin all of Central Florida Job#
9
OwnedPurchaser. %'/►�o� Date: z �
I Claim#: /✓.�. InsuranceCompany:
Policy#
' Address: s���� / � �� .ST City: �Zti�pt/�/tI��CS ��_ Zip:
Home#: S/� 7 SZ- ���Z- Cell#: Business#:
E-Mail Addr ss:
omplete tear off of existing //�-vG{b(rLlt. AdditionalNotes/SpecialConcerns:
�� s . /i?�-r�� c�v� 3 �T�il.3 .
ecure all loose roof decking as needed according
to Florida Building Codes �"��' �A���
0 Roof dried in with .
0 In I new valley metal with galvanized metal
In fi511 new "drip edge color:
�ns I new lead boots
nstall all new general roof vents
[� Install new
�M acturer: ��-� rl1 i.��.���h/�G G i f'r,,,,�
�°� ����ch�o-L �,'r,.��/�,',ti�v
I� AI� I ro related debris removed from job site, pick-up loose
s using commercial grade magnet
A aterials, labor and permits furnished
rovide a ,� labor warranty Total Investment$ b o'
Additional ltems:
Payment Method: Check# U �� ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$ Amount Financed:$ Approx. Monthly Payment:$
PaymentTerms: � Z, S�u 7'�� �.���-✓FJ�- G.�'CG!'�7�'/�e?i'an/ o'�'�,��C��
Extras:
eficient 1/2"plywood replaced at a cost of$�_per sq.ft. in the roof field,which includes labor&materials.All other wood work/ad-
ditional labor,such as, but not limited to,valley rebuilding, rafter replacement, 1 x decking,etc.will be a rate of$ per man hour plus 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 HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
, Purchaser:�iv� '�,v�,�. Date:
Purchaser: Estimator.��//�/`�
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2014198786
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PermitNo. ParcellDNo �l �'6'z����D"� l� bti�0
� NOTICE OF COMMENCEMENT
State of 1 1�� Coun of �a-SGO _
ty
THE UNDERSIGNED hereby gives natice lhat Improvement will be made to certeln real property,and In accordance with Chapter 713,Floritla Statutes,
the tallowfng information Is provlded in thls NoUce of Commencement: ..
1. Description af Property: Parcel IdenUficaUon No. ��^2(p-Zl—bp1D—20 l OO—O�y O
StreetAddress: SIL� ��� �t�f7�p�` . v�P�Gt'h�I�ST�,��S��
2. GenerelDescdplfonoflmprovement �OO�A�fes
3. Owner Information or Lessee Infortnatlon H the Lessee contracted far the Improvement:
�c�a��rr�.
Jr���- �}f T'�am�tf�°e'C L'�M'1 la�'1'L i L I S ,�
Address / City State
Interest in Property: UN�Y�
Name oi Fee Simple Tltleholder.
(If dHferent from Oumer fisted above)
Add2ss /� n �.- �- Cfty State
Contrador, ryuMCt1 T�inq ,�G •
3b�1i3 Ne�. � 2�c�ohurh�(la �i.. 33541
'�' Atldress d City Stete
Contradors Telephone No.. o��' �$7%�O�C1�
5. Surety:
Name
Address Repl:1648569 ITCeO 00 00 State
DS: 0.00 ��erk
Amountofeond: S 12/17/14 D. B•, �ptY •
6. Lender. -
Name pqULii S.0'NEII�Ph.D.PA5C0 CLERK&COMPTROLLER
Address 12/17/14 �21�� P�°f�A� — stete
' Lenders Telephone No.: OR BK •'�
7. Persans within the State of Florida designeted by lhe ownar upon vfiom notices or other documents may be senned as provided by
SeUion 713.13(1)(a)(7�,Florlda Statutes:
Neme
Address CIty State
Telephone Number of Designated Peraon:
8. In addition to himself,the owner deslgnetes of_
to recefve a copy of the Lienors Notice as provided In Sectlon 713.13(1)(b),Florida Stetutes.
Telephone Number of Person ar Entily Designated by Owner.
9. Expiratfon date of Notice of Commencement(the explration date may not be before the compleUon oi consVuction and final payment to the
contrador,bul wllt be one year from the date of reeording unless a dlfferent date Is spec(fie�:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE D(PIRA710N 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 T1MCE FOR IMPROVEMENTS TO YOUR PROPERN. A NOTIC�OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalry oi perJury,I dedare that I have read the foregoing notice ot commencement and thal the facts ateted therein ere true ta the beat
of my knowledge and betief.
STATE OF FLORIDA /� A (/�
COUNTY OF PASCO l il.�1.� r J�
i Slgnature of Owner or Lessee,or Owners or Lessee's Authorized
OfticerlDf2ctarlPartnedMenager
Signatory's Title/Offlce
The foregoing InsWmeM W2s acknowledgetl before me ihls ,�day of f��. 20�by, �A n +-�O�G '�j�9'
as pype o(authoriry,e.g.,ofhcer,Wstee,attomey In tad)Tor
(na=e of pa on behaH o o strume t was execute�.
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Pereonaity Known❑Q$Produced Identificatlon�/ Notary Signature "- -
' Type of Identification Produced`r1-OL f�Ln?�p^0�3—Z4-�I-Q Name(Print)�SAJ�P9'1 ST. �e��i�'i
xiivrcp ar e��tnu
� Notup�plle•6UU of flpr�p . �
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wpdata/bcslnoticecommeneement,pc053048 ,_ ������'�
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,������F�� STATE OF FL�RID/�, �Q�p�TV a� ��yC�y
� 0 0,��, THIS IS TO CFR7IFY THAT THE FpR�Cap�NG IS A
�'� . , � TRUE AIJD CC?RRECT COPY OF THE DO�UMENT
�. • -�;� • � ON FILE OR C7F PUBLIC RECI�RU IN THIS OFFICE
� ; ' "� ,�- o WITNESS MY HAND y OFFICIAL SEAL THIS
� InG°`�`'�Y.'1 •-= � � DAY OF � z
m ._�.,,.,
-� (� • � PAULA S O' IL MPTROL ER
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i�87 � BY
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Building Department �
Rate Receive�l ' � __ �
Phane Contact for Permitting ;
Owner's Name �� �-���� Owner Phone Number � '�.l$.�"'g l�Z 'I
Owner's Address s 1� "' �U� u'�� �'��5 t � �35�Z p�,�c Phane Nurnber ` �
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Fee Simpie TitlehaEder Name Clwner Phone Number� ��,
f
Fee Simple 3itiehaider Address � '
�o�aunr�ss 51 t�( 1 v�' St, -� h rh►t t s , �Z �3,5�{Z- � LQT#
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sueoivis�or� �—....---.� ,Ra�tcE�::�a# �('2,4�-� Z l-Z�QI c�. - Z�bt b�C�i�O
' � (087AINED PROM PROPERTY TAX HOTtGE)
WCiRK PR�POSED � t�4EW COi�1STR e ADDtA�T � SIGfN�� iVIOVE Q DEMOLISH
� � � '�� INSTALL REPAIR � _
PROPOSED USE , Q SFR Q COMM Q O ER �• � ' '
7YPE OF CONSTRUCTIOt+! [�] BLOCK [� FRAME Q STEEL Q OTHER �
DESCF2IPTION OF;INORK, �� 0-�-� °"�r�'(�' i1 ` ��F' ' . "
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�..� � , �—� HEtGHT .,_.,,—..,--
BU1LDtNG SIZE _, :SQ FOOTAGE: ` � � �
(�' BUI�DING � • � --i� VALt1ATlt)iU OF TOTAL CONST`RU.CTIt3fi1 � � � �
��lia'OQ's`iU0
Q EIEGTFl1CAL $ AMP SERV{CE �] PROGRESS ENERGY Q� W.R.E.C.
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Q PLUMBING [�` � • ��r��(�'i
I },,:{� t
7(
�'] MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '
�,] GAS � RQOFING Q SPECIALTY Q OTHER �l����
FlNISHED FLOOFt ELEVATIONS {�'�� � FLOOD ZONE AREA [�YES QNO .
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.BUiLREi�_ __. ., ...:. ,
_ _...._.- -
OMPANY
StGNATURE ' �
- �- - - ------__.
t2EGIST�RED Y/ N . FE�cuRReNr 'Y/N ° °
Address � �icense#. � ^i�
ELECTRIGtAN GOMPANY . , - ,
SIGNATURE REGISTERED Y/ N �FEE CURRENT' Y/N
Address �icense#� '�^ (
I
FLUMBEit CQMPA[+lY � .
SICaNATURE • REGISTERED Y/ N FEE CURRENT Y/N
Address License# �•� ��
MEGHANtCAi. COMPAPIY • �
SIGNATURE REGISTERE� Y/ N FEE CURRENT Y/N
Address ' t�tcense# � � ' 1
OTNER >COMPANY � m c¢�Y1 1 wt�n�';�.�c ` ' '. .
SIGNATURE+ REGISTHR�D N FEE CURRENT 'N
Address �lc�(�a S�-5� , r�i�!(� (r2- 33��'� '.Liceiise# !c--�./�'`Z:S''S�� �
,,
RESIDENTIAI. Attach(2)Plot F'lans;{2)sets af Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon,
Minimum fen('10)working days after submittai da#e. Required onsite,Canstruction Plans,5tormwater Ptans wl Sil#Fence instalied;
Sanitary Fac9Eities&1 iiumpster,S3te Wark Permit fbr'subdivisionsllarge projects �
COMMERCIAL Attach(3}sets af�BuUding Plans;(1)set of Ene�gy Forms.R-O-W.Permit for new construbtlon. ;
Minimum fen(10)working days after submitfal dafe. Required onsite,Construction Plans,Stormwater Pians.w/8ilt Fence instalfed,
Sani#ary Fac113fies&1 dumpster.Slte tNork Permit for a!1 new projects.Alt Gommerciai requirements must ineet cot»pttance' ' ` ,
SlGN FERMIT Attach(2)seks af Engineered Plans. , '
*"'PROPER7Y SURVEY requlred for alt NEW construction. . , � . '
Direotions: �
Fill out application completeiy. � �
Owner&Con#raa#or sign back o#application,no#arized
!f over$2540,a Notiae af Commencement is requ�red. (A/C upgrades over$500U)
`* Agent(for the contractor)or Power af Attomey(for the owner)would be someone with notarized leiter from owner autharizing same
'OVER THE COUNTER PERMIITlNG (Frant of ApplicaUon Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage}
Driveways-Not over Gounter„lf on public.roadways..needs ROW - - � � . .
,� '-����� `.ti� _ , . , z,�, ' , � � �pr. , ., ,. , ' ,, J -�� .
,a �,i�f i-1 t� ,.:i, ,i� �: �' . ., r"'�� _
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• NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"dsad°restrictions°
• which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance=,nrith any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contracto� 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 Divisiqn—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 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 furthe� understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy° or finai 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 WateNSewer 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 Departmer�t 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 oxfier government agencies may apply to the intended work, and that it is
my responsibility to identify wFiat actions I must take to be in compiiance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
Lands, Vl/ater/Wastewater Treattnent.
- Southwest Florida Wate� Management District=Wells, Cypress Bayheads; Wetland Areas, Altering
Watercoarses: �
- Army Corps of Engineers-Seawatls, Docks, Navigable Waterways.
. - Department of Health .8 Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment,
Septic Tanks. ,
- US Environmental_Protection Agency-Asbestos abatement.
. - Federal Aviation Authority-Runways. �
I undersfand 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
li�ensed by the State of Florida. �
- If the fill material is. ta be used in Flood Zone "A° in connection with a permifted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall. I
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
prope�ties. 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, s'igns, wells, pools, air conditioning, gas, or other installations not spec�cally included in the application. �4
permit issued shall be construed to be a license to proceed with the work and not as authority to.violate; cancel, alter, or
set�side 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 withirr 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 �equested,.in writing, from the.Building Official for a period not to exceed ninety (9p) 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 YO.0 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. • I
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