HomeMy WebLinkAbout15-16487 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si 3)�so-oozo 16487'�
, � BUILD�ING PERMIT ,
PERMIT INFORMATION { LOCATION INFORMATION
Permit Number: 16487 Address: 6454 BRENTWOOD DR -
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: 04-26-21-0030-OOD00-0060
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 8/03/2015 Name: BROOKS, ANNE
Total Fees: 60.00 Address: 6454 BRENTWOOD DR
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-0621
Date Paid: 8/03/2015 Phone: 813-783-1862
Work Desc: REROOF SHINGLE �
CONTRACTOR S APPLICATION FEES
AVIN ROOFING REROOF RESIDENTIAL 60.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP�.
FINAL � `YfL� �
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 follow�ng 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 f) 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 ithere 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must AccompanylApplication.All work shall be pertormed in accordance with
, City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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C NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT GARD FROM WEATHER
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Pertnil No. Parcel ID No 4�-Z�-2.�-DD 30-D0�190-Dpd p Q1 O1 ,
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NOTICE OF COMMENCEMEjJT(�
State a( /-ve��/Y' County o! �/�j`�'�' �'i m
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THE UNDERSIGNED hereby gives notice lhat imp�ovement will be made to certain real property,and in accoidance with Chapler 773,Florida Statutes, ' ��
Ihe lollowing informatian is provided in this Nolice of Cammencemenl: I �p B m
t Description of Property Parcel Idenlification No. ����,[.'2�- 00 3��BA��0-�6'R --
/ u K B
StreelAddress: __L�Z�� ����000 �.Q/ I �
2. General Description of Improvement�/� �C.-vB�/�� I �
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3. Owner Information or Lessee informatian if tRe Lessee conlrected tor the impravement: I
I�NAJ� �9La0/iS I
6�`7 Na�/��W00� D2- E��y,P��'�S' jL�
Address ;,/,n/ City Slate33�79
Inlerest fn PropeRy: V ��� I
Name of Fee Simple TiOeholder. � I
(I(different(rom Owner listed above) I
Address -I �q Cily Slate
� 4. Conlraclor: ���N �`^'����G aI�� .,�/
Name P� QD� �3�23 �iRl� C(�Y ��' �
Address �1 /�^ City Slate
Conlrattors Telephone No. U s� �fe /���3� I 3 3s 2,�
5. Surely: �
Name I
Cit State m a
Address Y I m c
�— Telepho e No. ��a
Amounl of Bond: 5 r � ��
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6. Lender �— I 7�N�o
Name
��►r�+m
Address City I State �\iI"'r=
Lender's Telephone No. �� ,��'f�"'?
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7 Pe�sons within the Slale of Florida designaled by Ihe owner upon whom notices oi olher documenis may be served as provided by ,�Ja
Section 713.13(1)(a)(7),Florida St�Wke�— 3 0
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Name �~�
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Address ' Ciry I State ,�+�o°
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Telephone Number of DesignateA Person: ��•~b Q f— w\ �' w
8. In addition lo himself,lhe owner designates ��-� I °�— w � �z � �
o W LL ..,ri�L1-� U
�'—t'bTecelve a copy of lhe LienoYS Nolice as Drovided in Section 713.13(1)(b),Florida SlaWtes. m '� ��c O=�+ J r
Telephone Number ol Person or Entily Designated by Owner•
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9. Expiralion dale of No�ice of Commenceme�l(the eupiration dale may not be belore lhe completion of co�uc'on and final payment lo the Q W Q F W � �
contraclor,bul will be one year from the dale of recording unless a diHerent date is specified): �' � � z J �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRAT{ON OF T E NOTICE OF COMMENCEMENT 0 �= Q Q
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �. LL F'"' Q
RECORDED AN�POS E�D ON THE JOB SITE BEFORE THE FI ST NSP CT�ON,RIF YOU IN�END TO OBT�AIN F NANCWG,CONSULT ~ w O O � U
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. � � � W O Y`� ��
Under penalry of perjury,�dedare Ihal I have read Ihe(oregoing notice of commencemelnl and lhal lhe faUS slaled lherein are t�ve to Ihe best � Q O �[ � �
of my knowledge and belief. J
STATE�OF FLORIDA �� V� � ~ ~ � U
COUNTY OFPASCO m �
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Signatuie of pwner or Lessee,or OwneYS or Lessee's Autharized LL W � z O J
O�cerlDirectodPaAnedMainager O � � � = Q �
JWOOy � -
Signalory's TillelOKce� I / LL U V � O
The loregoing insWmenl vias acknowledged be(ore me Ihis�, .,day of�,20�'�,by I�h�e!�(�4t � O Q �L.I �
as ��� (type of aut rity.e.g.,officer,Irustee,atlomey in facl)for lJ.l � w J
(name of party o of whom tnstrumenl was exewled). a C.� � u' � }
f"' = � z a m
Personally Known❑OR Produced ldentificali� Nolary Signalure � � 1— � y,
('/ /f i 1.
Type of Identification Produced /�v l�'� Name(Print) �� ,� 6,0
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CHRISTOPHER DEL COTTO �,j �. � m�
:?°���'PUB�ns Notdfy PubliC i Slale O(Flofida � ° ' .{, °' �/
.•;My Comm.Expires Jul 17.2017 ` � },Y
�°` Commission�#FF 037045 � ��
'��'�%n°L���"��, Bonded Through Nalional Nolary Assn. � �•Q�S
wpdatalbcs/noticecommencement_pc053048 �A�
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813-rao-ooza City of Zephyrhilis Permit Application Fax 813-780-0021
Bu31di�g department
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Rats Recelved Phone Cantact for PermlttFn
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Gtwner's Name �"'� � ! Qwner Phone Number
Owner"s Address � �7 ����G���� �- Owner Phone Number � �
Fee Slmple Tltleholder.Name � � Owner Phone Number � �
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Fee Simple Tltleholder Address
JOB ADDRES3 7�/ ���d�� ��� LOT# �
SUBDIVtStON �/'li%I�i`� O/S�',/l;�� PARCEL ID# �/ ,� 1/---�O.�G�"�J tO�Da •—D I i
WORK PROPOSED ^ NEW CONSTR ADDIAL� � S1GP1 NED FR�OM PROPERTYTO T1Ce1�EMOl.!$H : ��/ j�
eINSTALL 8 REPAIR �
PRQPOSEQ USE Q SFR � COMM � OTHEF2
TYPE OF CONSTRUGTION Q BI.00K Q FRAME � STEEL Q
DE3CRIPTION OF WORK ��a� �� � �� �%'�f/�Z//7/f/�'I/fl/�"�-.-sj�/G��G�.e� t
BUILDING S1ZE �� �1 SQ FOOTAGE MEiGHT �`�
�5������� � . �'"Qp, VALUATION'OFTOTAI.CONSTRUCTION
QELECTRICA� ���� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E,C.
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PLUMBiNG $
QMECHANtCAI $ VALUATiQN OF MEGHANICA�.!I�lSTALIATIOItiI
QGAS ROQFING Q SPECIAL'TY' �� OTF4ER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
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BU!lDER COMPANY
SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N.
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Address � License# r� �
EI.ECi'RIClAN COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address ( LlcenSe# � �
I P�UMBER CflMPAtiIY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
I
� Address i License# �^ �
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MECMRNICAL COMPANY i
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N i
I
Address License# � �
O'TIiER ��� COMPANY �� � d�—I����'`r
SIGNATURE L�� REGISTERED Y/ N FEE CURRE� Y/N
I
� Address � u�� �c3�� ���� �j '! License# {+��i���y� I ,
RESt0�N11A1. Attach{2)Plot Plans;{2}sets af Siiilding'Plans;{1)set�af Energy Farms;R-O-W Permit for new cbns#ruction, �
Minimum ten(10)working:days after.submittal date. R�equired onsite,Canstniction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilitie,s&•1 dumpster,SRe Work Pertnit for subdivislonsAarge.proJects
COMMERCtAt,. - Attach{3}comple#e sefs of Bu3iding Pl�ns ptus a i.►fe Safefy Page;{1}set af Energy Farms.R-0 W Penn9t for new construction.
Minimum ten(10)working days after submittal date. Requlred onsite,Constructian Plans,Stortnwater Plans w/Silt Fence installed,
SanlNary Facilides&1 dumpster.Site Work Permit for al!new projeots.All commercial requlrements must meet campllance
SIGN PERMIT Attach{2)sets of Englneered P.tans.. �
' "'""PROPERTY SURVEY required for all NEW canstrucdan. ,
Dlreatlons: � (
Pill out appllcaUon wmpletely. �
Qwner&Contraator sfgn back of appiicatlon,notarized
If over$2500,a Notice a#Cammencsmentis;requirad, (A/C upgrades over ST90Q)
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AgeM(for the contractor)dr Power of Attomey(foc the awne�);virduld•.be,4someone with notarized letter fram owner authorizing same
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i DVER THE COUN7ER P.EttMITTiNG ��(Front of ApPti'catian Onty} �,.,.'����.,••. ;
Reroofs if shingles Sewers Service Upgrades'%VC'" Fences.(Plot/Survey/Foatage)
'_ . -• ..._,,,_._�...ri: ' ,
priveways-Not over Counter if on publlc roadways..needs`ROW�•-.•_,�,';r.;�y Y' r
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NOTICE OF DEED RESTRICTIONS: The undersigned under�tands;th�t this..p�rmit.may.be.subJect to"deed"r�s�lctions" '
which may be�more.restrictive-th�n County�regulations. �TFie�undersigned assurries'responsibiitty for�comptlance with any � � '
appllcable deed resnictions. _ , •
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: -If the �owner has��hired a contractor or
contractors to undertake work, they may be-c�qulred...to�be;,ltcensed in accordance.with state.and•local regulations. If the
contractor (s not itcensed.as requlred=dy law, both the owner and�contracto�-may be�clted for a�misdemeanor vtolation
under state law. If the owner or intended�contractor are uncertain as to what Iicensing.requlrements may-apply.�yfor-the
intended work, they are advised to contact the Pasco County Buiiding'Inspection Division--Llcensing�Sectton at 727-847-
8009. Fu�thermore, If the owner has hired a contracto� o�coiitracEors, he is advised to have the contractor(s) sign
, portions of the "contrector Block" of thls application for whtch they will be responsible. If you, as.#he owne� sign°as the
� contractor, that may be an indicatfon that he Is not.properiy Ncensed and is not entitled to pemiitting privileges In Pasco
County. ' -
TRANSPORTATION IMPACTIUTIUTIES�IMPAC�'-ANb-RESOURCE RECOVERY�FEES:�T�he undersigned understands
, that Transportatfon Impact Fees and.Reco.urse Recove.ry.Fees may�:apply�to the construction of new_bulldtngs,�change of
use in existing build(ngs, or.expans(on.of��ezistin,g`�fiuildings, as specified in PascQ County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, tha�t such fees,.as�may be�:due,;;will.�be identlfied at the`time of- '
permitting. It is furtfier understood that Transportation Impaat Fees and Resource Recovery�Fees must be paid prior to
receiving a °certi�cate of occupancy" or flnal powec�release. :If the project�does not Involve a:certiflcate of occupancy or
final power release, the.fees mu�t be pald prior to permft issuance. Furthermore;�If:Pasco_County Water/Sewer-Impact� �
fees are due,they must be�pald prior to permit-Issuance=ln accordance wltFi appllcable Pasco County o�dinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florltla Statutes�as amended): If valuatlon of work is$2,500.00 or more, i ,
certify that I, #he applicant, have .been provided wlth a copy- of the "Florida Construction: Lien._Lav�Homeowne�'s
Protectfon Gutde" prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the appllcant is someone
other than the"owner", I certify that I h�ve.obtained�a copy.of the above..described docuriaent°and.promise in,good faith to
deliver it to the`owner"prior to>commencement: ' - •
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certity that;all the Inf.ormation in thls application is accurate and that all work
will'be done in compl(ance with all.applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain .a.permit Co do work.,.and Installation. as indlcafed.� °I certify that no work:or Installation has
commenced prior to Issuance of a perm(t and that all work wtll be performed to meet standards of all laws regulaxing-
construction, County and City codes, zoning regulatlQns, and land development regulations-In the jurisdtction. I also
certify that I uaderstand that the regulations of other government agencles may�apply to the intended work, and that it is
my responsibility to ident(fy�wrhat,act(ons I must•take.to beYln:.corr�pliance, Such agencles include but are.not Ilmited to:
- Department of Envlronmental Protection'=Cypress.Bayheads; Wetland Areas and Environmentaliy Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Water Management _l�istrlct-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engtneers-Seawalls,�Docks, Navigable Waterways.
, - Department of Health 8 Rehabifltative Services/Environmenfal Health Unit-Well.s, Wastewater�Treatment,
Septic TankS. � �
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatlon Authortty-Runways.
I understand that the following,resfrictions apply to the use of flll:
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted. �
- If the fill materfai is to be used�in �Flood Zone. "A", It. is understood that a drainage plan addressing a ��
"compensating volume" wlll be submitted at time of permftting which Is prepared by a professfonal engineer
Iicensed by the State of Florlda.
- If the fill material Is to be used in Flood Zone "A" In>connectlon�with.a�permitted buiiding using stem wall
construction, I certify that flll�.will°b.e used only.to#ill the area within:the stem�wall.
- •If flil material Is to be used In any area, F_certify that .use. of such flll will not adversely affect adjacent �
properties. If use of flll is found to adverseEy:�ffect adJacent�propertles,.the owner may be clted for vlolating
the conditions of the buildtng:permit Issued•under the attached permit application, for.lots less than one (1)
acre which are elevated�by till, 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 const�uction. I undersfand that a-separate permit may be required for electrical work,
plumbing, signs, welis, pools; afr conditioning, .gas. or other instail�ttons nol•specffically included-in.the application. .A
permit issued shall be construed to be a I(cense to proceed with the work and not as:authoNty to.vlolate,cancel, alter, or
set aside any provisions of the technical codes; nor shall issuance�of a.permlt.prevent the Bulldirig Official from thereafter
requiring a correctton af 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 sfX months of permlt issuance, or if work authorized by
the permtt is suspended or.abandoned for a period of six(8)montfis.after the time the�work is commenced. An extension
may be requested, in wrlting, from the Building.Official for a period not to exceed ninety(90)�days and will demonstrate
justifiable cause for:the extension. If work ceas�es for ninety(90)consecutive:days...th\job is.considered abandoned.
WARNING TO OWfdER: YOUR.FAILURE.TO..REC.OltD A MOTIGE.OF•COMMENCEMENT MAY�RESULT IN YOl1R
PAYING TWICE.FOR�IMPROVEMENTS TO.YOUR PROPERTY. I��YO.U�IN'�FIi1D�`T��OBTAIN�FIN�ANCING,�C.ONSULT
___WI H OU E. D � :O N ATTORN -B FORE�R COR�L1 r� OU ' _�� CE'OF- � � E CE _ __ _
FLORIDA JURAT(F.S.1.17.03) ,
OWNER OR AOENT � �. CONTRACTOR�,��/�' .�°� " ,
' Subscrlbed and swom to(or aRirtned)before me fhis S s bed a 'sw9m� or a rtne pbefore me ftils
Who Is/are personally k�ovm to me or has/have produced Who(s/are ers�on ly own to me or has/have produced
as Identlflcatlon. as idendflcatlon.
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Notery Public . ,.G� U���-R-- �� Notary Public
Commisslon No. Co m � � �Q�E��NEB0�5 2 i
;,;• ..�: �om�pecember� ��ao�s . �
�*: X 1(, . �sucenee
Name of Notary typed,printed or stamped Name o �ed�
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