HomeMy WebLinkAbout15-16421 CITY OFI ZEPHYRHILLS
, ' S335-8TH STREET
(si3)�so-oo20 16421
' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION.
Permit Number: 16421 Address: 39764 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0060
Improv. Cost: 9,150.00 OWNER INFORMATION
Date Issued: 6/30/2015 Name: DIGGORY MARK L & RUTH A
Total Fees: 85.00 Address: 39764 MEADOWOOD LOOP
Amount Paid: 85.00 ZEPHYRHILLS FL 33542-6778
Date Paid: 6/30/2015 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
A.BARTLETT ROOFING OF C NTRAL F REROOF RESIDENTI L 85.00
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Ins ec ions Re uired
DRY IN ROOF INSP
TAPE JOINTS FjfdQF�1��
FINAL �J [ L
REINSPECTION FEES: Reinspection fees will comQly with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the followi�g 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� 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 no ice of commencement may result in your paying twice for
improvements to your property. If you intend�o obtain financing,consult with your lender or an attorney
befo e recording y, ur notice of commencement."
Complete ans,Specificatio ust Accompany Application.All work shall be performed in accordance with
�ty Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIQN - 8 HOUR NOTICE REQUIRED
PROTECT C�RD FROM WEATHER
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a��-Tao•ooao C�ty af Zephyr iils Permit Applicatian Fax-813-784-0421
t m Buil ing Department
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Date Received� , �j �� /r • p ��,.�Qntact�or FeRntt#in
Owner's Name Owner Phane Num�ber _
2 I �Owner's Address .! � ner Phane Number ��..
Fee Slmple Titleholcler,Mame Owne'r Phone Number �— r�
Fee Sfmple Tttlehotder Address 1
JOB ADDRESS LOT# C_�
SUBDIVISION �— � -PARC L ID#
(087AINHD FROM PROPERTY TAX NOTICE)
WC}RK PtiOP{7SED , NEW CaNSTR ADD/AtT � SICaN Q Q DEMOLISH
e lNSTAI� 8 REPAt�R
PROPQSED USE Q SFR Q COM Q OTNER
TYPE!?F CQNSTRUCTIOPt Q SLQCK � FRANI Q STEEI Q �
DESCRIP710N OF WORK
SU1lDING SIZE � SQ FOOTAGE HEIGHT ���
�����'Q���' ,�/_�' '�"I�VALUATIb OF TOTAL CONSTRUCTION
QE�ECTf21CAl $ � AMP SERtIICE Q PRt�GRESS ENERGY Q W.R.E.C.
QPlUMBlNG $ --�� �C_��„�
� vr . �
Q MEGHANICAL $ ��) VAIUATiO QF MEGHANICAL iNSTALLATiON `�
J �' �
QGAS ROOFING Q SPEC A�TY �] QTHER ('1 ,�
FINISHED PlOQf2 ELEVA IQNS F1.00 ZONE AREA QYES NO����J
BUILDER COMPANY
StGNATURE R GISTERED Y 1 N FeE CUt�h Y t N
Address License# � �
ElECTRiCtAN � C�OMPANY
SIGNATUEtE R cESZe�a Y! N FE�cu�fi Y!N
Addre�� Lfcense# � !�
P!.#JMBER GOMPANY
SIGNA7URE R Gt3TERED Y t N FE�cu�s+ Y 1 N
Address License# �_ I
MECHAPltGi4L OMPANY
SIGNA7URE R GtSTERED Y/ IU FEE GURREt+ Y i N
Addre�s se#
OTHER fi,ItOMPANY
SIGNATURE REGI3'fEREQ Y! N.. FEe euR�R Y J N.
Address `� Llcense# � �
RESlDEN'TIAL Attach(2}Ptot'Plans;.(2}sets of Building Pians;{1 j s t of Energy�Farms;.R-t)-W Fermit fcr new constructian,
Mintmum ten(10)worlting days after submittal date. equlred onsite,ConstrucUo�Plans;Stortnwaker Plans w!SAt Fence installed,
Sanitary Facifities&,1.dumpster Site Work;ReRnit for subdivisions/large projects _
- CQMMERCIAl. Attach(3)com'plete seCs af Buili3irig Plans plus a l.ifel5afety Page;{1}set of Energy Forms.F2-O-W Permit for new constructian.
Min(mum ten{10)worktng days'aftar submittal date. Required onsite,ConsWcHon Plans,Startnwater Plans w!Sflt Fencs instaffed,
Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projecis.All commercial requlrements must meet compliance
SIGH PERMIT Attacti'(2)sets af Engineered Plans, °
"`"PROPERTY SURVEY required for ai!NEW cons i ction.
dErectlons:
Fill out appAcatlon comple#ely.
Owner&Contractor sign back of applfcatlon,notarized �
if ovar$2500,a Notice af Cammencement is requlred. (A►C up rades aver 57500) �
'• Agen#(for the cantractor)or Power of Attomey(far the owner)woul be someone with notarized let#er from owner autharizing same
OVER TFIE COUNTER PERMiTT{NG (FroM of Appllca#ion Qnly}
Reraafs if shingles Sewers 3ervice Upgrades A!C �en s(PtottSuroeylFoahage)
driveways-Not over Counter if on pubilc roadways..needs ROW
NOT9CE OF DEED itESTRICTIONS: The undersigned under.stands that ihis,permit may be.subJect to"deed"restrictions"
whfch may be:more-restcictive than County regulations. "�he undersigned assumes responsibiltty for compllance with any
appBcable deed restrictions.
UNLICENS�D CONITRACTOitS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required�to be:llcensed In accordance.with state.and•local regulations. If the
contractor is not Ilcensed as requlred-by law, both the owner and contractor may be clted for a enlsdemeanor violation
under state law. If the owner or intended contraetor are uncertain as to wrhat Iicensing requlrements may apply�for the
intended wark, they are advised to contact the Pasco County Bullding Inspectlon Divlslon—Llcensing 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 fhis appllcation for which they wfll be responsible. If you, as.the owner �ign as the
contractor, that may be an indication that he is not.properly licensed and is not entftled to permitting privileges fn Pasco
County.
TlZANSPORTATION IMPACT/UTILITIES IMPACT ANb RESOURCE RECOVERY FEE3: 'Fhe undersigned understands
�hd€�'�ar-�s��rt�ti�n impact F�es�nd.r�eoourse Recove.ry Fees may�appiy tv°the consfruction of new�buildings; change of�-- -
use in existing buildings, or.expansion:of:existiri.g buildings, as speclfied fn Pasco County Ordlnance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may�be�due,:wlll.be (dentified at the time of
permitting. It is further understood that T�ansportation Impact Fee� and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final powec release. .If the project does not Involve �i certificate of occupancy or
final power release, tlie fees must be paid prior to permit Issuance. Ftirthermore, if Pasco County Water/Sewer Impact
fees are due, 4hey must be�paid prior to permit�lssuance-In accordanc�with�appl6cable Pasco County ordinances. �
CONSTRllCT10N L1EPi LAW.(Chapter 713� Florld�Statutes�as amended): If'vaivatlon of,work is$2,500.00 or more, I
certify that I, the applicant, have-been provided with a copy� of the "Florida Constructton L(en Law—Homeowrner's
Protection Guide' prepared by the Florida Departmenf of Agricuiture 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.ptomise in,good faith to
deliver It to the°owner"prior to-commencemenE:
COIV`PRACTOR'S10WNER'3 AFFIDAVIT: I certify that all the Infocmation in this appllcatlon is accurate�nd that all work
will�be done in comptiance with all appiicable laws regulating construction, zoning and land development. Applicatton is
hereby made to obtain .a permit to do work. and .install�tion as indlcated: 'I certify that no work or installation has
commenced prior to fssuance of a permit and that.all work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulatio.ns, and land development regulations-in the jurisdtct(on. ( also
certify that I u�derstand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identi6y.what actions ! must take.to be,in..compllance. Such agencles include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Wa.ter Ma�aagement .District-Wells, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- l4rmy Corps of Engineers-Seawails, Docks, Navtgabie VVaterways.
- Department of Health & Rehabilltative Services/Environmental Health Unit-Wells, Wastev�rater Treatment,
Septtc Tanks. _
- US Environmental Protectfon Agency-Asbestos abatement. �
- Federal Aviatlon Author(ty-Runways.
I understand that the following:restrictions apply to the use of flll:�
- Use of�fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill m�terial 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 permift(ng which is prepared by a professional engineer
Efcensed by the St�te of FIoPIda.
- If the fill material.is to•be, used in Flood Zone °A" (n>connection wlth.a permitted building using stem wall
construction, I:certify that fll�:will:be used only.to.f111 the area within the stem wall.
- If flll materlal is to be used In any area, 1 certify that .use. of such fill will not�adVer�se�y affect adjacent
properties. if use of flll is found to adversely�affiect adJ�cent propertie.s,.the owner may b�;clted for violating,
the condi#ions of the building�.p�rmit issued�under the attached permit application, for-1ots less than.one (1)
acre which are elevated�by flll, an englneered drainage plan is required. • •
If I am the dAGENT FOR TH� OWNER, I,:promise in good faith to inform the owner of•the permitt(ng conditions set forth fn
this affidavit prior to commencing construction. I understand that a separate permit may be requtred for electrical work,
plumbing, signs, wrells, pools; afr condltioning, .gas, or other Installatlons not speciflcally included in.the application. .A
permit Issued shall be construed to be a ticense to p�oceed 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 Bulldi�ig O�ficial from thereafter
requlring a eorrection nf errors In plans, construction�r violattons of any codes. Every permit Issued shall become invalid
unless the work authorized by such permit�is commenced�withln six months of permit iss , or if work authorized by
the pe�mit is suspended or abandoned for a.period of six(6)montF�s:after the time the ork ts ommenced. An extension
may be requested, in wrEting, f�om the Bufld(ng.Official for a period.not to.excee ' nety(9 days and will demonstrate
justiflable cause for.the ex ion. If work ceases for nfnety(90)consecutive da . ,..the job i considered abandoned.
WARNING TO OVIIN : Y UR FAILUItE�TO,REC.ORD A NOTIGE_OF• OMMENC @NT MAY RESULT IN YOUR
PAYING TWICE FO IMP OVEMENTS-TO YOUI�:<P..Bt�OPERTY. ,.IF YO.U�I.T�ND�'�TO`- BTAIN�-FIPtARiCINC;�CONSULT
WITH Y UR END O N A7TORNEY�B FORE��R CORD G:� OUR O �C ° ° E CE ENT
FLORIDA JURAT(F.S. 17.03) _ � � �
OWNER OR A(3EPIT COPITRNCTO
Subscrlbed and swom to or afli ed)before me this Subsaibed and'swo (o ed)'before me thts
by
1Nho islare person kno t .me or has/have produced Who.ts/a rsonally kn to or has/t�ave•produced
as IdenUficatlon. as IdenBflcaUon.
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Notery Public , Notary uP bllc
Commisslon No ' � Commiss No.
Name of N ta ed, rinted o tamped , - Nam of Notary typed,print or stamped
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� � �. ��crrY�tr �.oflfi�g f �Pl�t��.Y ,�YD�i��, �r�c.
` C/O Riohard Bartlett
38408 3rd Ave.
Zephyr ills, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Compa�ies in Central Florida PHONE
Specializing in Mobile Home Whitel Commercial Rubber& Color Metal Roofing �g 13) 782-5585
RESIDENTIAL • CO MERCIAL • MOBILE HOME (813) 973-7737
LICENSED - I SURED - BONDED (352) 523-1944
• MEMBER OF THE HAMBER OF COMMERCE � �
& BETTER B�,(ISINESS BUREAU • _ . Lic. #CCC 1325499
Serving Zephyrhills, Dade City, Quail Hollow, � esley Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or repaired more roofs(18,000)in the p�sf 39 years, than the four local leading roofing compa ies combined.
We do not charge extra fees for credit ard purchase. Most companies charge 3 to 5%.
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Date
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Name
Address � r/
Phone �
� DESCRIPTI N � AMOUNT
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President & A. B tt ofing of Central FL, Inc.
Sign:
Richard C.Bartlett
�,
�THANK Y ll •
Your Business is Ap�reciated.
Payment upon completion unless previous arrangemen made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our con�rol.Owner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. � � `�
Rotten wood is an extra$35.00 per sheet(4-ply).i otten fascia is$2.00 per linear foot. Otal � 3
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Pertnit No. Parcel ID No�_�(p'�I '�)TD•��C.10Q•t�lln�
NOTICE OF COMMENCEMENT
Slate of y,�y_��,g, Co�nry of �Q�C.�
THE UNDERSIGNED hereby gives nollce lhat improvement will be made lo ceAain real property,3nd in accordance wilh Chapter 713,Florida Slalutes,
lhe following infortnalion is provided in this No�ice of Commencemenl:
1 DescriplionoiProperty ParcelldentificalionNo.��• ��,f [�]/y� • �1YS�C9Q•���
�I�u4� lJ L �
Streel Address: 3� 1 4 �� � ��� i
2. General Description ol lmprovement �y� �' �,/��^' ���C�
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3. Owner Information or Lessee inBz¢nation i(Ifie L ss e conlrac for the' rovement:r
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Nam �
, Address • ity I _ Slate
Interesl in Property: 335�
Name of Fee Simple Tilleholder: I
(If different from Owner listed above) I
� Y
Address Ciry � Slate � z (, � w
Confrec�ar: � u- �� �jJ J
' � � Name3�d A , � ���� J J }
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Address ^� City Stale
Conlraclors Telephone No. ��3'��A— ���� �3�� � �Q 2 Q N � a
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5. Surety: ��=Z J a p
Name Rept:1692971 Ree: 10.00 � � �I— p Q
I Address DS: 0.00 IT: 0.00 State � W!t �•U
AmountofBond: E 06/25/2015 D. B., DpLy Clerk � =O O� �
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6. Lender. Name �
. =O Z
Address City State Q F— � �
Lender's Telephone No. � � ��Q �
I 7 Persons within the State of Florida designated by!he owner upon whom notices or other documenls may be served as provided by � �-- � 0.. ¢ �W
Section 713.13(1)(a)(7),Florida Statutes: , ��� � Q �
U �
Name
rnu�N o v'rvca� rn.0 rNaw �LCK(� d I.URYIHVLLG � O � �
� 06/25/2015 �02:33 m 1 of 1 _ �•�
Adoress OR BK 92',� P� 1779 State LL� u) Q J
' Telephone Number ol Designaled Person: � �
� 8. In addition lo himself,the owner designeles °�— (� F— � � � n- � m
to receive a copy o(the Lienors No Ice as provitled In SecGan 713.13(1j(b),Florida Stalutes.
Telephone Number ol Person or Entity Designaled by Owner•
9. Expiralion date of Notice of Gommencemenl(the expiration date may not be before lhe completion of construction and final payment lo lhe ?� �j
conlraclor,hul w(II be one year from the dale of recording unless a diHerent dale is specifled): ���� 'B �
WqRNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE XPIRATION OF THE NOTICE OF COMMENCEMENT o •
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,�SECTION 773.13, FLORIDA STATUTES, AND CAN � �'
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. A NOTICE OF COMMENCEMENT MUST BE 0 D
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTIO IF YOU INTEND TO OBTAIN FINANCING,CONSULT � � `Q�l �
WITH YOUR LENDER OR AN ATTORNEY BEfORE COMMENCING WORK OR R COR�ING YOl1R NOTICE OF COMMENCEMENT m �
r � m
Under penally of perjury,I declare Ihat I have read 1he foregoing notice of tommenc ment an0 lhat lhe facls s�ated Iherein are lrue lo lhe best �., op �
ol my knowietlge and belief. ,� ��,,� � ° �
//����� \ . �. .� , � ..
STA7E OF FLORIDA �
COUNTY OF PASGO p"'""`4e RICHARD C.BARTLETT 1 � '� •��i�
�j MY COMI.f1SSiON N FF12698 Sig lure o1 pwner or I,essee,or Owners or e ee's A horized � '
•��JA �ptFS;]u1y31,2017 OKcer10' ctorlPaAnerlIManager
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Si at ry's Ti11e/OKce�r �'°�D- � • �
The foregoing instrumenl vias acknowiedgetl hefore me this�day of Y
as (t e o;u rily,e.g.,offcer,truslee,attomey in tact)for
(name arty o b hall Wmen a e�I e u d).
Nola SI naWre �
Personally Known�OR Producetl Identification❑ �Y 9 I
Type ot Idenlificalion Produced Name(Print)
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