HomeMy WebLinkAbout15-16452 �
CITY OF ZEPHYRHILLS
.� =j � 5335-8TH STREEf '
(8i3}780-0020 16452`a
'� � BU�LDING PERMIT
�
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16452 Address: 39154 PARK DR '�.
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Gtass of Work; ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: '
Square F�et: Subdivision: C1TY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0030-00400-0150
Improv. Cast: 7,8Q0.00 OWNER INFORMATION
Date Issued: 712012095 Name: �EHEUP NITA
Total Fees: 75.00 Address: 725 BANNOCKBURN AVE
Amount Paid: 75.OQ TEMPLE TERRAGE FL 33617-4260
Date Paid: 7/20/2015 Phane:
Work Desc: REROOF SHINGLE �
CONTRACT_�OR�S�__ APPLICATION FEES
A. ARTL.E`I�'R(��QFING F C N'i'RAL F ROOF RESID TIAL 75.00
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i
ins ections Re ired
DRYINF2 FIN
F NALJOINT r �IRIS��
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fo!lowing reasons. a)wrong address b}condemned work resulting
from fautty construction c) repairs or corrections not made when inspections calted d} work not r�ady for
inspection when called e) permit nat posted on job site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additianal restrictions applicable to this property that
may be found in the public recards of this caunty, and�there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning ta owner: Your failure ta record a no ice of commencement rt�ay result in your paying twice for
improvements#o your property. If you intend t�o obtain financing,consult with your lender or an attorney
before recarding your notice of commencement."
Camptet P ns,Specifica ' - mpany�Appticafiion.Alt wark shalt ba pe�farmed in accordance with
i Codes and Ordinances. NO OCCUPANCY BEFO C.O.
NT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MC)NTHS 1NITHC}UT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRCITECT C�ARD FROM 'WEATHER
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813-780-0020 Ci of Zephyrhi�is Permit Application Fax-813-780-0021
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� Buildin�g Department
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Date ReC6lved r ' —
� •� r � Phone Contact f r Permittin
Owner's Name � Owner Phone Number
Owner's Address � '�'� Owner Phone Number -
Fee Simple Tltleholder Na Owner Phone Number
Fee Simple Titleholder Addres�
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/AL Q SIGN Q Q DEMOLISH
� e INSTALL B REPAIR -
PROPOSED USE Q SFR [� COMM . Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ n-� VALUATION OF TOTAL CONSTRUCTION
l/ �/
QELECTRICAL $ AMP SERVI�E Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ���/� '
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���
/
QGAS Q ROOFING SPECI LTY Q OTHER
FINISHED FLOOR ELEVATIOiVS FLOOD ZONE AREA QYES NO
BUILDER COiMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address License# '
r
ELECTRICIAN- C MPANY
SIGNATURE ' RE is�rteo Y/ N FEE CURRE� Y/N .
Address � License# ' '
PLUMBER C�MP.ANY -
SIGNATURE RE ISTERED Y/ N FEE CURRE�� Y/N
i
Address Lice�se# '
MECHANICAL , C MPANY
SIGNATURE RE ISTERED Y/ N FEE.CURRE� Y/N i
Address 'cense `
OTHER C LMPANY
SIGNATURE REGISTERED Y/ FEE CUR � /N
Address � I License#
RESIDENTIAL• Attach(2)Plot-Plans;(2)sets.of:Building Plans;(1)set�of Energy Fortns;R-0-W Pertnit for new constructlon,
Minimum:ten(1.0)r.working days.after submittal date: Required onsite,.Construction Pians;StormwateF Plans w/Silt Fence installed,
Sanitary FacillUes&1:dumpster,�Site`Work•?ertnit for Subdivistons/large projects �
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set�of Energy FoRns.R-O-W Permit for new construcUon. '
- = Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plens w/Silt Fence fnstalled,'
Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compliance'
SIGN PERMIT Attach`(2)sets of Engineered Plans.•,: �� , '
"••PROPERTY SURVEY,reguired for all NEW const Iction. � , �,
Dlrectlons: � - . �_ , '
Ffll out application completely. - �
Owner&Contractor sign back of applicatlon,notarized ^' - ��°-�
If over�2500,a Nottce of Commeocement is requlred. (AIC upgrades over 57500) -
" Agent(for the conVactar)or Power of Attomey(for-the Awner).Woulc�„be someone with notarized letter from owner authorizing same
:,._-,. '':�
DVER THE COUNTER PERMITTING ;; Front,of , ' Iication Onl "
� � W?P Y),:^",.'��'.�:
Reroofs if shingles Sewers Service,Upg�ad�s,_A/C'`:''�'F.ences,(BIoU.Survey/Footage)
Drlveways-Not over Counter if on publfc roadways..need�.�tOVV.4 'I, :.'
: .,,.,,. .
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NOTIGE QF DEED RESTRICTIONS: The understgned understands�th�t this.per•mIt may.be.subJect to"deed",restrtctlons"
whlch may be;more�r.estcictive:thaln Counky-regulatton§: �The�undersigned�assuines responsitiitlty for�campiianc€►"with any `
applicable deed restrlctions. � _ � ` ' � '
UNLICENSED G�NTRACTORS A�D CONTRACTOR RESPC�NSIBl1�1TIES: If�the awner has hired�a�cantraator or
contractars to undertake work, they may.be required<:to be�ltcensed In aaccordance.with etate.and•local,cegulatlons.. �If the
contractor is not licensed as requlted=by law, botii the owner and conUactor=may be�ctted for a�misdemeanorviofation
� under state law. �if fhe owner or fntended>contraetvr are uncertaln as to wha# IicensingArequire�nent� may appiy.�for ttie -
inkended wark, they are advised ta contact the Pasco Cour►ty Building Inspectlon Diviston--Licensing Sectton;at 727-847- ,
8409. Furthermore, 4t the owr�er has hifed a contracfar or caritrac#oss. he is adv3sed to have the;:contractot(s}, stgn
portions of the °contractor Block" af this application for which they will be res�ponsible. If you,:as:the owrier'sign'as the
cantrae#or, that may be an Indlcation that he is not.properly licensed and !s not entitied to permEtting pr�vlieges in Pasco �
County. ' '
; TRANSPC?RTATION IMPACTIUTILITIES lMPAC�'ANb-RESOURCE RECOVERY FEES: �The undersigned understands
that Transportation impact Fees and.Recourse Recave.ry.Fees may`appfy to:the constructton of new bultdings,:change of
use in existing buildings, or�.expansibn.af�exfstirig'�tiuildings, as specifled.in Pasco Counky Ordinance number 89-07 and
90-07, as amended. The undetslgned also understands, that.such fees,.as�may�be�dueR.:wil!.be tdentifled at thejtiirie af � t
permitting. It Is further understood that Transportatbn Impact Fees and Resource Recovery�Fees_mu�t be pald prtor to �
recetving a °cer#ificate of occupancy"or flnal power.:release. :!f the project does not involve a certificate of occupancy.or
finai power retease, the fees must be paid prior to permit i�suance. Furthermore;if:Pasco Caunty�WaterlSewer�lmpact
fees are due, they�must.be.pald prior to permit-Issuance-in accordance with appllcable.Pasco County ardinances,
CONSTRUCTtt?N LiEN!AW{Chapter 713, FlaNda Sta#u#es,as amended}; !f valuat�on of work 1s$2�500.00 or mare, 1
cerkiry that I, �he applicant, have.been provi.ded with a copy of the "Florida Construction L(en L;aw=.Homeowner's
ProtectEon Gulde" prepared by the Etor�lda Depa�tmenf of Agricutture and Cansumer�Aff�irs. tf the app!lcant ts someone
other than the"owner", I cer#ify that I have�obtained a copy;of,the:above..described dacurr�ent°and.promtse in,good falth to
deliver it to the"owner"prior to�cammencement. ._ �",
CONTRACTOR'SlQWNER'S AF�IDAYtT: 1 cectity tliat all the informatton In thls appttcatton is accut�ate and that a1!wark
will'be dnne in compliance with ail applicable laws regulating construction, xoning and�land development. Application is
hereby made to obtain .a permit ta do woric and installatian as lndicafed:� :i certify that no work .or Mstailatton� has
cammenced prior to issuance of a permit and that.ali work wlil be pertormed to meet standards of alt taws regulating�
construclion, County and City cades, xoning regulations, and land development r.egulations-in the Jur(sdta#lon. I si'so
eertify that I understand that the regulattons of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify�what.act(ons I must take to be,in:.corr�pliance. Such agencles Include but are..not Ilmlted to:
- �epa�tment of E�vironmental Pro#ection-Cypress.Bayhead$, �Vtetland Areas and Env[ronrnentalEy Sensitiue
Lands,WatedWastewater 7reatment. ..
- Southwest Fiarida Water Management Dtstrtct-Weiis, Cypress. Bey_heads; We#land Rreas, Aiterfng
Watercourses.
� - Army Corps of Engineers-Seawalls, Docks, Nav(gable Watetways.
� - Department of Health & Rel�abili#ative Servtces/Ernrironmental Nealth Uni#-Weils. Vltastewater�Trea#ment�
Septfc Tanks. _
- US Environmentai Protectlon.Agency-AsbesEos abatement.
' Federal Aviat[on Authority Runways.
I I understand that the following:restrictlons apply to the use af flll:
{ _ Use of fil!Is not attowed in F1ood Zone"V"untass expressly permi#ted.
� If the fiil materfal is to be used. in �Flood Zone. "A", ft. is understood that a drainage plan addressing a
i °compensating volume" will be submltted at time af permifting wliich Is prepared by a professional engineer
licensed by the State-of Florida:
� - !f the fill maEerla!ls to be used fn �lood Zone �A" tn>cannection�wlth.a �ermlkted building using stem wall
I _ canstruc#ion, i certify that fiii�wlit=be used oniy.to fill the area within the s#em�waii.
If fill material is to be used ln any area; I certify #hat use. of such fill will not adversely affect adjacent
propertles. #f use of filf is fonnd to adversely:�ffect adja�ent properties�.the owner may be clted for vlolating
the condilions af the building:permlt Issued under the attached permit applicatfon, for�lots less lhan one (1)
acre which are elevated by fltt,an engineered dralnage plan is regutred. .
if i am the AGENT FC1R THE OWNER, I,�promtse In good faith ta inform the awner af fhe permitting conditions set forth in
thfs a�davtt�prlor to commeacing construction. I understand that a-s�parate permit may be requtred for electrical work,
plumbing, signs, weNs� paats; air conditloning,.gas� t�r other 3nstallatlons not�spec�ica#ly inctuded-in the appSication. .A
permit issued shail be construed to be a Iicense to p�oceed wfth khe wark and not as authority to.violate, cel, alte�, or
set aslde any prov�sions of#he technicai.code�s; nor shali tssuance�of a permlt prevent the Bul#dirig c al fro .thereafter
� requlring a co�rectio� af error s, cons#ructlon or violations of a�y codes. Every petmtt 1 ed shafl.b ome invalid
unless the work authariz y su `permit•is.commenced�withln sfx months of permit lss ce� or if�►!or. authorized by
the permit is suspen or.aba oned�for a'period af slx{8)�montF�s.after the time tfie� Is commen d:�`An_e7ctensibn
may be requeste n writing, om the Building.Offlcial for a period not to exceed ni � tyr(90) days d will demanstrate
�ustifiable caus or the exte lon: If wotk ceases_for nlnety(90}consecutive�ay.s,.. .e�ab;is cansl red a#iandoned.
:„• , , ,
WARNlNG T OWNEl�• YOUR.FAIl.URE�TQ,REC.ORD A NC?TfGE.OF CC? ME MAY RESClkT !N YOUR
PAYING TW E.FOR 1 PROVEMENTS TO YOUR�PROPERTY. 1�°: � � . D�T �8=�AiN�FtN-ANCiNG;'CCINSU�T
WIT Y U ND �O� AN A OR EY�B FO ��-REGO �� :� OU ` 70 � E N '
F1.ORIDA Jt1 Y{ . 1_ .03} .
_�.-_ - — -- --- ___ �___.----�- -------- - - -_.__ _ .y.__ _ _ _ —..__ J
OWNER tiE�17 CONTRACTO
Subscrib d d o( )betore m s Subscr�bed and'swo (or re me ttits -
y �by
Who I rson y knavm to re s/have produced Who is/are p.erso knpwn� or has/have'
idendi�catlqn. n�ficatlon.
�- Natery Public _ ` � �'� r`�" Noiary Publfc
Commiss4on No. Commis lon /
;;'� r�':= Commission#FF 150422
Name af Notary typed,pflnted or stamped Name of Not ", �ri ���ss.�o,s
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q � � �-��-- - ��C/O Richard Bartlett ' � - ��``. � .`'���-�
4, ` � � 38408 3rd Ave. � �3�/. �
, _ �� , Zeph,yr, ills;FL 3'3�42 )
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� r � �,. One of the Largest; �Ide t � st Dependable \ , ;
- OFFIa E
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� Specializi.ng in Mob�e Hdme White C�mmercial Rubber_&?C lo Metal Roofin g 13 . 782-5585 �
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. RESIDE`N� IAL-� C� IV�I�IE_RCIAL � MOBI EJ OME (813) 973-7737
i LI�ENSED, �N9URED - BOJVDED ��'352)523-1944
- � � �`� • MEMBER OF:THE-CHAMBER�T? COMMER E � �
' & BETTER BUSINESS BURE � • Lic. CC 1325499
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Serving'.Zeph��ills,�ade�:City, Quail Hollow,`1,Vesley Chapel; La � O' La s and S�rro''un�ding Areas
'.lNe have re=roo��ed or r�aired more roofs(18,000)in the past 39 years, th n the fo�u�local leadin Cgofing oomp e�combined.
, .�- --�-° We do\not charge exfra fees for credif card purchase. ost c pan"es�charg 3 to %. � ��'�
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President & �wrier A� B'artlett..Ro�o 'n af C 'ntral FL,Inc. - f
Sign: __ ,� `, '-_�,�`~-.-. I ,� , - �_ •��,:;'�>_:.,;
Richard C.8artlett �\`��� \ {'��, "�d:..j�,-�-`'
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THANK YOU � ' ; ,,�
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Your Business is Appreciate\ : , . ;',
Payment upon com letion unless previous arrangement made.Wa`anties�ain o origi al�owner �:� '�`�
All arrangements contingent upon�trikes,accidents or delays beyond our coritrol.Owner to carry fire�torna and other�neGessary insurance. ��
Our workers are fully covered by�lNorkmen's Compensation Insurance.C�stomer is liable for�any cha es incurred in collecting this bill. � ,'�,.` = - �
_... .__ Ot81 �rry �,.� r�i
Rotten wood is an extra$35;00 per sheet(4-ply).IRotten fascia is$2.O�rer linear foot. � � Y� �'� ` �,
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2015112427
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, ' ' Rcpt:169�986 Rea: 1@.00
DS:l0,00 IT: 0.90
L7/15/2015 T. S., Dply Clerk �
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Permil No. Parcel ID No �2 �L a I nc��n M��,e�C'n � q�
a �
t NOTICE QF CpMMENCEMENT � �`"l,,,�
t ��.
State o( �I El�l _ C3� CoUnty of �A'�'�� y 0!'�
THE UNDERSIGNED hereby gives noUce that improvement will be made to certain reai property,anwlin accordance w(th Chapter�13,Florida Slatules, ��"4
the toiiowing tnformation is pravided in this Notice ot Commencement: � a
1 � � E
I. Descrfption of Property: Barcel Identificatlon Np...1 Z�`�_�.,Z 1 • D4�'e. � U O�. ,_(",,L Q Q�
� a
Street Address: � o�
1 . ( . a�tN
2. General Description of Improvemen JQ.GJ J �\
i � Z M�/j
� �
� y N m
3. qwner Information or Lessoe infortnation iCthe Lessoe conlraded for the impravemenl: �
' f j'r+�,o
¢t"
S Neme �r�ll 1 � 1y�.�. Rs
Address � { �� _,._ �� Gify ' Sta�te�'�)
Inlerest in property: JV.d_L...'� _""�„�� � .'S��y'�
Name pt Fee Simple 7ltlehplder: I
(i!diKerent from Ownec listed above) I
Address t Ciry � ' S�late
� Conlraclor.
ame � n� u�
Address City w� Slal �/ i
f CoNractor's 7elephone No,. � l��.���_ I �� 1� �z U l/�� w
5. Surery: � �- � t l 1.1.! J
( Name I � Z�0� ,�� U
� Address , City I Sla1C � a O� � N a �
I Amounto(Bond: S TetephoneNo.: Ll. {'�,}" � F w
W 0
� 6. Lender: O LY = Z � �'
Name I G� � � „� a
�
Address City State �, � O O V
Lender's Telephone No. , , a � � W Q �"'
7 Persons within the State af Florida 8esignated by Ihe owner upon whorte nattces or bther docume�ts may be served as provided by
Section 7t3.13{t)(a){7),Florida Statules: � y � U � �
2
Name � � } U `� U
tt it� � � � '
Address City � State � � Q O � Q �
Telephone Number of Oeslgnated Pe�son:
(!„ � U ����v )O ,
&. fn addition to himse!!,Ihe owner designates I of� � � p � �
[o ceceive a copy of fhe Lienor's Notice as provitled In SeaQon 773:13(7)(6),Florida Statutes. � � Q J �
Tefephone tJUmCer of Pereon or Entify Designated by pwner � . a-- � � � � �
9. Eacpiration date oi Notice of Commencement(the e�cpiratio»date may not be 6eiore tt+e�compieflan of constructien and fioa!paymenf to the f"a" S LL' z d �"
contractar,but wtll be ane year trom the date of reca�ding uoless a diNerenS date is speGfl�ed): � ~ �"' O � n" m
WARNING TO OWNEFi: ANY PA'(MENTS MADE BY THE OWNER AFTER THE EX�IRATION OF THE NOTICE OF GOMMENCEMENT
ARE CONSlOEREQ tMPRQAER PAYMENTS UNpER CHAf+TER 713, PART t, S CTlON 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR pAYtNG TWICE FOR �MPROYEMENTS TO YOUR.PROPERTy A N6TlC� OF COMMENCEMEN7 MUST 6E �
RECORDED AND POSTED ON 7HE JOB SITE�EFORE THE FIRST INSPECTION, Ip YOU INTEND T.d OBTAIN FINANCING,CONSULT � �
WITH YOUR LENOER dR AN RTtORNEY BEFORE COMMENCING WORK 6R RECC7{iDING.Y6UR NOTICE OF COMMENCEM£NT �� �. #
Under qenalry of parJury,I dedare fhat i have read the foregomg notice of commencemerit atld tha(the tacts statetl thereln are true!o�he best b��/ • t
of my knowiedge and taelief. �
STATE�OFFLORIDA� � I � ydq�G
COUNTY QF PASCO �`�,,•,�/,RiCKARD C.BARTLETf " ' � '�} �
�,y�r hfY CoM4-NSSION a FFI2t198 Stgn r of Qvtner or Lessee, O ner's or Cessee's�Authorized ' } ` �'' � s �
w{p� ;1,2017 OKCerlDirector�artner/M n ge �"� a, a � �
�ao� �� J � �� tii. .y;::r Q
�; � �w u
y— '-' --l -- Signatory' itlet �ce � ��`�'�.*�t ���� w
qq ��
4�q ����_���� �F
4
5�:
-The foregoing instrumarit xias aGknawiedged before me this 6ay af ,2 ,by�Ij �, � !`� ,,, t�
� as (lype of aut rily,e.g.,oK ,a�facl)for �� � I
� (name of perty ha�f qStNMCn{WaS 8X8CIlf2f}�. c�g�p �
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� Personally Known O�R Produced IddnlificaUon� Notary Signature � ,..._,.�.,__.�
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