HomeMy WebLinkAbout15-16303 CITY OF ZEPHYRHILLS
!� -�' S335-8TH STREET
(si3)�so-oozo 16303
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATIO�V
Permit Number: 16303 Address: 38511 5TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15200-0140
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 6/11/2015 Name: LEE REED INSURANCE
Total Fees: 82.50 Address: 38511 5TH AVE
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/11/2015 Phone: (813)782-5502
Work Desc: REROOF METAL
CONTRACTOR S APPLICATION FEES
SUN TATE ALUMN I C RERO F RESIDENTIAL 82.50
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Ins ections Re uired
DR IN ROOF INSP
TAPE JOINTS ROOF INSP �
FINAL �, --(��-��
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 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 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 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 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 Application. All work shall be pertormed in accordance with
City Codes and Ordinances. PIO OCCUPANCY BEFO C.O.
CON�4 OR SIGNATUR PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �V N �TATL. � L U�+N�IV U/V1
Date Received: s — Z O — / S"
Site: 3$5 !! S*'- I�VE
Permit Type: R��pk N�GT'f�L
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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Kalvin Swit — lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
p,,,-,�„-,,,,�� c:ity ot Gephyrhifls Permit Apptication Fax 813-�$o-ao2�
Bullding Department
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te Recelved phan�Contaat for Permittfn
rner's tdame � `�� {L� Owner Phone Number �� J " t �� ^��1 ��
rner`s Address �C��� Owner Phone Number
a Slmple Tlttehotder Name � � � t3wner Phone Number ��
e Stmple TlNeholder Address
B QODRESS LOT# C�
aoi�ns�o� � � P�ce�.�o# � � �- 2 6 - 2 l _ �-1 S`2 t?e°-D�6
(QBTAINED PRpM PROPER'TY TAX NQTtGE)
)RK PROPbSED � NEW CONSTR� ABD/ALT �� S1GN [� [� DEMOLISN
1NSTALL REPAIR
.OPQSED USE C] SFR Q GOMM � QTHER r+"1 � � '
PE OF CONStRUCTtON Q B�OCK � FRAME � STEEL [�]
SCRIPTIQN OF WORK ����1 �'�'T �'"
�l1.DING StZE � � SQ FOOTAGE�� HEIGHT C_,^�
�8���-d�N�'' r'_`��� � VALUATIQN OF TOTAL CONSTRUCTIdN
L
[�EIECTRlCAt �� AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $ �`�1
[�� �;5r' ,r,,,,,.s
QMECHANICAL $ VALUA710N OF MECHANlGAL INSTALIATlQN � `/� �
�.�/ 5
QGAS Q ROOFING Q SPECIAL'TY � OTHEft � /�,l��
G
iiSHED FLQOi2 ELEVATIONS C�__� FLOOD ZC3NE AREA �YES NO �
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i�.Q�R --'`'`� c PaNir �.�-1� `��S�-�, �1.�J.m�,��
3NATURE � REGISTERED Y/ N FEE QURRE� Y/N
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Address ��S� "�C� R� Llcense# �`� `�
ECTRICIAN � CdMPANY
�HATlJRE REGISTEREp Y! N FEE CURRE� Y/N
Address License# �_ ��
JMBHR � � C4MPANY
�NATURE REGiSTERED Y 1 N FEE CURRE� Y/N
Address License# r- ��
CHANiCAL COMPANY
NATURE REGlSTERED Y i N FEE CURREF Y/R)
Address Ltcense# � �
� iER � � COMPAt�Y
� NATURE ( REGISTEREb Y/ (V FEE GURREA Y l N
Address License# ��ir�]
ilDENTiI�t. Attach(2)Ptat Plans;(2)sets of Building Atans;(1}set of Energy FoRns;R-O-W Permit for new constructlon,
Mtnimum ten(1d}working days after submittai date. Required onslte,Conshuotion Plans,Stormwater Plans w!SAt Fence installed,
Sanitary FacitiBes&1 dumpster;Site Work Permlt for subdivisionsilarge projects
�iMERC1Ai. Aftach(3}complete sets of Building Plans plus a t�tfe Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construcdon.
Minimum ten(10)working days after submittal date. Requlred onsite,Constructian Plans,Stormwater Plans w!Sili Fence insta!led,
Sanitary Faciiities&1 dumpster.Stte Work Permit for all new proJects.All commercia!requlrements must meet compliance - ' -
F1 PERMiT Attach(2)sets af Engineered P1ans. " -
"*'"PROPERIY SURVEY requtred for ail NEW construoUon.
ctians:
Filt aut applicaUon comptete�y.
Owner 8 Contractor sign baok of applfcatfon,notarized
if over�2500,a Nottce of Gommencement Is requtred. (AIC upgrades ouer�T5Q4)
Agent(for the contractor)or Power of Attamey{for the owner)wavid be sameone with natarized letter from owner authorizing same
iR THE COUNTER PERMITTING (Front of Application Only)
�ofs if shingles Sewers Service Upgrades A!C Fences{PlotlSurveylFootage}
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTION$: The underslgned understands°�that this.p�rmltmay_be,subJect to"deed"restrlc#lons° ~
whlch may 6e�moce_res#�Jc#ive�th�n County.ragt�isttons. �The underslgnet!�ssumes tesponsibiltty for camptiance wi#h any
appflcable deed restrlctions. � �
UNl.IGENSED CONTRACTORS AND CQNTRAGT�R RESPQNS1B11.ITtES: if the owr�er has hired a<cont�ac#or or
contractors to undertake work, they may be requlred,.#a:be:llcensed In accordance.with state.and�local regulattons. If the
contractor is not Itcensed.as requlred-by law, bath the owne� and contracEor may be cited for a misdemeanor vlotatlan
under state law. if the owne�ar Intendad=contc�c.tor are ur►certaEn as ta what tEcenstng.requirernerrts may appiy.#ar the
intended work, they are advised to contact the.Pasco County Buildl�g Inspectian Divislon--L(censing Section at 727-847-
8Q09. Furthermore, if the awner has hired a cont�actor o� contractors� he is advised to have the contractar{s) sign �
portions of the "contraator Biack° of this appllcation for which they vvlil be respo�slble. If you, a�.the awner stgn as the
contractor� that�may be an indicatian tha# he is not.properly licansed and is nat entltied to permitting privlfeges fn Pasco
County.
TRANSPORTA710N�IMPACI'1UT11:ITIES�IMPAGT ANC1 RE�OURCE RECOVERY•FEES; The undersigned undersfands
that Transporta�{on Impact Fees and.Recourse Rec�Ye.ry�Fees may apply to.the constructton of new bupdings, change of
use in existing bulldings, or-expanslo�.of��exlsting'buildings, as specffied in Pasco Caunty Qrdinance number 89-07 and
90-OT� as amended. The undersigned also understands, that such feesr as:may�be due�:w!1! 6e identlfied at the time of
permitting. It is further underst4ad that Tra�sporEation Impact Fees and Resource Recovsry Fees must be pald prior to
receiving a "certiflcate of occupancy" or flnal pawer. release. :If the proJect,does not involve a certfficate of occupancy or
finat powe�re[easa, the fees must be pald prlor to permtt issuanc�. F��Ehermore� if Pasco Coun#y 1NaterlSewer.Impact
fees are due, they�must be�pald prior to permit Issuance-In accordance with applicable Pasco County ordinances.
CONSTRUCTIQN LlEPI UAW(Ghapter T18, ElaNda Statut+��as amended}: (f vatuatfon of work ls$2,500.00 or mare, 1 •
certifiy that I, #he appticant, have..been provlded with a copy afi the "Florida Constructian Lien Lautir--Hameowner's
Protection Guide" prepared by the Florida Department of Agric.ulture and Co�sumerAffairs. If the appltcant Is someone
other than the"owne�', E cerE�jr that 1 have..obtained a copy.of.the above..r�escrlbed�lacurnent�and promise in,good faith to
delive�it to the"awner"pNor ta�commencement: "
CONTRACTOR'S�OWNER'S�1FFIDAYlT: 1 cei�kitiy tt�at alE.the informatian In thls appltcatlon is accurate and that aN work
wiil�be done in campliance with aii applicabie laws regulating construction, zoning and land development. Applicatian is
hereby made to obtain .a permit to do worl�,,and installatian as indlcated. '1 certify that no work ar lnsta!lation has
commenced prior to Issuance of a permlt and that.all work wtlE be perFarmed to meef standards of a#I iaws regutaking�
conskructlon, County and City codes, zoning regulatio�s, and land develop�nent regulations-in the jurtsdictian. ( al'so
cert�fy that 1 u�derstand that the regulattons of other government�gencles may�apply�ta the Intended wark, ar�d-that it is
my responsibllity#o identify�what.acttons i must take to be�in.compllance. Such agencles.inalude but are not Ilmited to:
- Depa�kment of E�vironrnental Protect[on-Gypress.Bayhead�, Wetiand Area� and Environmenta#!y Sensitive
Lands,WaterNVastewater Tree�tment.
- Southwest Florida Water Management .District-Wells� Cypress Bay.h�ads; Wetland .Areas� Altering
Wate�urses. .
- Army Corps of Engineers-Seawalls, Docks, Mav(gable Waterways,
- Depa�kment of Nealth 8� Retaablfitative,Servlc.e�/Enxironmentaf Neaitt� Unit Wells, Wsstewa#er Treatment,
Septic Tanks. � �
- US Environmental Protectlon Agency-Asbestos abatement._
- Federal.Auiatlon Au#hor{ty-i�nways.
' I unde�stand that the following;restrlations apply ta the use of fill:
', - Use af#il!is not aitowed ln Fioad Zot�e"V"unless expressEy permitted.
- if the flil materiah is to b.e used in flood Zone °A", ft Is understood that a drainage pian addresstng a
°compensating volume" will be submitted at�ime of perrC�ttting which is prepared by a professlonal engineer
ticensed by the S#ate-of Florlda.
- (f th� filL materlal is�to be used in Flood �one �A° in�connection�with.a�permitted building using stem wall
� cor�struction, �cer#lfy#h.at f�tl:will:be used onty-to.fitE the at�ea wlthln the�stem wa1t.
- If flii materia� ls to be��used in any area, i certify that .use of �uch flll wlll not adversely affect �djacent
propertfes. If use of flll Is fvund to adversely:affect adJacent�properties,.the owner may b�clted fo�vfolating
the condifions af the buitding�permi# issued under the attacfied permit application, #or lots less than one (1}
acre which are elevated by filt, an engineered drainage.plan ts requlred. .
If 1 am the AGENTFflR THE OWNER, I,:promise in goad falth to E�form#he owrner�af the permitting conditlons set forth In
this affidavtk prior to commer�cing construction. I understand that a�separat� permit may be required for elect�ical work,
plunabing, signs� we#!s� pools, air candttioning,.gas, or other Ins#allattons not.spec�icatfy indu�ed�in.tt�e application. -A
permit issued shall be construed to be a license to proceed with ti�e work and not as.suthortty to,vialate,cancet, alfer, or ,
set aside any provisions of the techn(cal codes; nor shall Issua�ce�of a.permlt.prevent th�Bulidirig C�ictalfrom thereafter
requlring a carrection af:erro�s In•pla�ns,-eonst�vc#lon or vlolations af any code�. Every permi#issued shall become invalid
unless the work authori�ed.by such permit.ls commenced�v+►ithfn sUc months of permit issuance, or if work authorized by
the permft is suspended or.abandoned�for a perEad of stx�8}months.after.the time the'wark•is commenced. An extension
may be requested, in writing; firom #he Building,Clfficiat for a perlod.nat to exceed Nnety(90) days and�wiil demonstrate
justifiable cause far the extensior�. If work ceases,for ninety,(90)canaecutive day.s,..th�Job�is considered aba�da�ed.
WARNING TO OWNER: YOUR.FAILURE TQ,RECORD.A;NOTIGE,OF COMMEMCEMENT�MAY RESUlT IN YQUR
PAYING TWtGE,�QR IM��OVEMENTS T�O YQUR:PRt3�Ef�TY. IF YO_U�!l+1�'FE�tD`TO�QBTAtN���#NAi�C�WG;'CQN�Ul.T
IT Y � 'L A � N : CO. :� OU � � E '�
FLORIDA JU � .
t)Vl�I�R-OR llCi - - _ - - - CONI'RACl'OR _
Subscrlbed s to or afflrme r thhls,�-,�, Subscrltied and'swom to(or aflirmed)�before me"ttil� "` - �`� -- � �
" bY°��6��`L_ �'�i��,1��-. _ �Y ..
Who istare persanally knoym to'1ne or hasfia�e produced Who(s/ace pe�sonaily known tts rrte ar hasA��ve produced� � .
as Identlflcatlan, as IdenBflcaUon.
Notary Pubtic . Notary Pubiic
Commission No. Commission-iJo.
Name of Notary lyped,printed ar stamped Name af Notary typad,printed or stamped
F�C Plans ������������������������������������������������������������
2015128190
Florida &E�gineering
�uildin 6272 Abbott Station Dr.
g Unit 101 ' Rcpt:1704683 Rec: 10.00
(.ode ZephYrhitts,FL 33542 DS: 0.00 I T: 0.00
08/11/2015 T. S. , Dpty Clerk
Permit No Parcel ID No l � ' °��O'a � - (�C�� 0 - � S°Z v� ' 6�(o�
NOTICE OF COMMENCEMENT
State of County of
(s
w
THE UNDERSIGNED hereby gives notice that improvement will be made to ce�tain real property,and in accordance with Chapter 713,Florida Statutes, I�
the following infoRnation is provided in this Notice of Commencement: �o
SZo� 6\ �� ��
1 Description of Property� Parcel Identification No.,� � �� 2� ��� 1 �a
� �
Street Address. ,���� � � '�� ��t� 2-����J� l 1 `�' �— v ��� ;,a c..�
t� ) Y �M
2. General Description of Imprbvement � A��'D � l s-�� ���11 ���� ���� v��"� �
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3. Owner Information or Lessee infortnation if tfie Lessee contracted for the improvement: ;a��
��'6`�1 �c7��.�� ;r.��
Name 3g S 1 I �*� �� 2 L}��,J'�" �� 5 Ir L M'"N
�.��� Cit State �W��
Address Y z
Interest in Property� ��n�� ,�N m
� ti
Name of Fee Simple Titleholder:
(If different from Owner listed above) ¢� �
�
�a�
Address City State
4 Contractor CJu� lY��TC-
l0 J S�ameF� t�l l2 c /`-� zti�`' ��` � I�S state
Address � p City
Conlractor's Telephone No. U�3'� o�� �-3��
5. Surety�
Name
Address City State
Amount of Bond: $ Telephone No..
6. Lender•
Name
Address City State
Lender's Telephone No.-
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Pe[son:
8. In addition to himself,the owner designates °f
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner
g Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
ARE CONSIDEREDE MPROPER PAYMENTB UNDER CHAPTER 713T PARTE,ESECTION 713�.13,HFLORID'AESTATU�TES,EANDMCAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
WITH�YOUR LEN ER OR�AN ATiORNEB BIEFORE�COMMENCING WORK OR RNCORD NG YOUR NOTICE OF COMMENCEM NTSULT
Under penalty of perjury,I declare that I have read the foregoing notice of commen emen e facts sta
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO - - --
i tu e o n r L ssee ner's or Lessee's Authonzed
Offic r/ irect er/
� ignatory's Titl OKce
The foregoing instrume�t was acknowledged b /�re m�-e-thi��,day of_��2�/�,oY �����CG�L�G�.��%
as /G�� � (type of authority,e.g.,officer,trustee,attomey in facf)for
(name party on ehalf of�m in menf w exec ted).
Personally Known OR Produced Identification❑ Notary Signat r
Type of Identification Produced Name(Print) \..-�l`�,L�,/��� /\ / �L �
ww
, ��p"v�� SHIRDEN K.�}EI.COTTO
;� sr; MY COMMISSION#EE 198857
='� 1j1,it� EXPIRES:June 26,2016
Bonded Thru Notary PuWic Undeimiters
wpd atalbcslnoticecommencemenl_pc053048