HomeMy WebLinkAbout15-16351 „ CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 1635
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16351 Address: 5552 18TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11200-0160
Improv. Cost: 5,250.00 OWNER INFORMATION
Date Issued: 6/10/2015 Name: REECE, JACQUELINE S.
Total Fees: 65.00 Address: 5552 18TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/10/2015 Phone: (813)788-6335
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
JACK ARTHUR PAR S ROO I G CONTRA RER F RESIDENTIA 65.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP !--
FINAL Z - 7-� � l S
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REINSPECTION FEES. Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection I
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 fi� 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. NO OCCUPANCY BEFO C.O.
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CO CTOR NATURE � PERMIT OFFI R '
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED II
PROTECT CARD FROM WEATHER l I
� e��-�eaoozo City of Zephyrhilis Permit Application Fax-813-780-0021
Building Departrnent
Date Received phone Contact for Permitdng Jr _.�B � I
Owners Name � C LL L N� ✓`� �CE C E Owner Phone Number /�— — 3 S
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Owner's Address �F iLGS. L Owner Phone Number
Fee Simple Titleholder Name �f FG o(JE-�5, E L�t Owner Phone Number
Fee Simple TiUeholderAddress T� j, LL
JOB ADDRESS /BT� / � /{ R / LOT# .S"�G.o S ���I�
SUBDIVISION 2 ED�f aP L L PARCEL IQ/f - I,00 D— —D
(OBTAINED FROM PROPERTYTAX NO710E)
' WORK PROPOSED e NEW fANSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE ..�' SFR. Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK /7 L L� O
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �i�
V�
QPLUMBING $ u� ��
IC
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���
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QGAS �' ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY A T/7 /S ��O F (�y..
SIGNATURE REGISiERED N FEE curta�n /N
Address License# '
ELECTRICIAN COMPANY
SIGNATURE �clsrER� Y/ N �cutxa�n Y/N
Address License#
PLUMBER COMPANY
SIGNATURE �cis7er� Y/N F�cUat�n Y/N
Address License tF
MECHANICAL COMPANY
SIGNATURE aECis�aen Y/N F�cuwxEn Y/N
Address License#
OTHER COMPANY
SIGNATURE rtE�is�a�n Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIt1111t11111111111111t1itlllllllllllllt1111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnitfar new construction,
Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Startnwater Plans w/Silt Fence installed,
Sanitary Facilides 8 1 dumpster,Site Work Pertnit for subd'nrisionsllerge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Cons[ruction Plans,Stortnwater Plans w/Silt Fence installed,
Sanilary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW conslruction.
Direetions:'
Fill out applicadon completely.
Owner&ConVactor sign back of appliration,notarized
If over Sz500,a Notice of Commencement is required. (AIC upgrades over 57500)
" Agent(for the conUactar)ar Power of Attomey(for the owner)would be someone with notarized Ietter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only) '
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage)
Driveways-Not over Counter'rf on pubfic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The underslgned under�tands`that thls.p�rmlt may be subJect to"deed'restrictlons"
whioh may be•more resfcictive than Gounty regulattons:'The undersigned assumes responsibllity tor+compqance with any
appl3cable deed tesMcttons, �
UNLICENSED CONTRACTORS-AND CON7RACTOR RESRONSIBILRIES: If the owner has hired a aontractor or
contractors to undertake work,they may be requlrsd.ta be:Ucensed In accordance with state.and�local regulatians. If!he
contractar ts na#!lcensed as tequlred•by Iaw, both tha owner and conVactar may be cited far a misdemeanor vlolatlon
under state law. If the owner ar tntended�contractor ere uncertaln as to what Ilcenaing.requirements may apply for the
� inlended work,they are advlsed to contact the Pasco County Bullding Inspectlon Dlvision--l:icensing Section at 727-847-
8009. Furthermore, tf the owner has hired a cantracfor or cantractors, he ts advlsed ta have the cor�tractor(s} sign
portions ot the"contractor Blook'of this appiicatlon for which ihey wili be responsibie. If you, as.ihe ownet sign as the
contractor,that tnay be an indlcatlon that he Is not properly Iicensed and Is not entltled to permftting privileges In Pasco
County.
�� TRANSPORTATiON IMPACT/UTILiI'iES IMPAC7 ANb RESQURCE ItECOVERY FEES: The undersigned undersiands
, that Trensportadon Impact Fees and Recourse Recove.ry Fees may apply to the construcUon o?'new butidings,change of
use in existing bufidings,or�panslor�:of�ezls#iri�`6ulfdings,as specifled.tn P�asco County Ordinance number 89-07 and
90-07,es amended. `fhe undersigned also understands,thait sucfi feas,ss�may:�e due,,will be identified at the time of
permikting. It Is furlher understood that Transportallon Impack Fees and Resource Recovery Fees must be paid priar to
recelving a"cerNRcate of occupanay"ar flnai power release. .it the praject does not.invoive a certi�cate afi accupancy or
fcnal pawer release,the fees must be pald prlor to permft tssuance. Futthermore,iE Pasco County tNater/Sewer lmpect
fees are due,they muel be pald priar ta permit Issyance In accaMance wlth appllcable Pasco Caunty ordinances.
CONS7ttUCTlOM LlEN LAW(Ghapt�r 713,Florlda Statutea,aa�mended): tf valua@on ot work is�2,504.OQ flr more,i
certify #hat 1, #he appNcant, have baen provided with a capy o( the "Fiorida Conatruction Lten Law—Ftameowner's
protection Guide"prepared by the Florida DepartmenC of Agriculture and ConsumerAffairs. If the applicank Is someone
other than the"owner,1 certtfy that 1 have..obta(ned a copy ot the abovs described document�and promtse in.good tatth to
deliver 1#ta the'rnvnet"prior to cammenc�ment.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I cer4fry tFiat ail the Information.in this application is accurate.and that all work
will'be done in compllance with all.applicable faws regulaUng constructlon,zoning and land developmenL Rppftcatlon Is
hereby made to ob#aln.a.pertni#to do wark..and Installa#ion as lndEcated:• '1 eertfty that no work ur Installattah has
commenced prior to Issuance of a permtt and that.all work will be pertormed to meet standards af all laws reguladng-
construction, County and Cily codes, zonin8 regulatlans, and land development regulattons-in the Judsdtctian. ! also
certlfy that 1 understand that the regulattans of other gavemment agencles may apply�ta the lntended wark,a�d that it is
my respons(bility to identify.what acUona i musk�teke to be.In.contpiiance. Such agencles inctude but are.not Iimited to:
- Department of Environmental Protectton-Cypres"s.'Bayheads,WeUand Areas and Environmentally Sensiiive
�ands,WaterlWastewa#erTreatment.
- Southwest FloNda Water Management Dfstrict-Wells, Cypress. Bayheads, Wetland Areas, Altering
Waterwurses.
- Artny Corps of Engineers-Seawalts,Dacks,Navlgable Waternays.
- Department of Health & Rehablli#etive Senitces/EnvironmenCal Nealth Untt-Wells, Wastewater Treatment,
Septic Tanks.
- US Envlronmentai Protectton Agency-Asbestos abatement,
- Federal Avlatlon Auihority-Runways. -
I under�tand thet the following resUlcUons apply to the use of flli:�
- Use af fil is not ailowed in Flood Zone°V"un4ess e�ressiy permEtted.
- If the fitl materiat is io be used in Flood Zone "A, tt ts understood #hat a dralnage pisn addressing a
"compenseUng volume°wlll be submitted et dme af Permitttng whloh is prepared by a professional engineer
Ilcensed by#he State af Ftorlda.
- If the filt material is to be used in Flood Zone'A°in�connec�ton�wlth.a permitted buiiding using stem wall
� constructlon,I ceRify that flll:wlll:be used only to TIII the area withln the stem wall.
- if flff materiai #s to be used in.any area, t certifyr that.use of such ffl! w{il not adverseiy a#fect adjacent
praperties. tf use of fill ls found to adverseiy_affect adjacent�properties,the owner may be cited for vioTaUng
the conditians of the building.permit Issued under the attaohed permit appl(catlan,for lots less than one(1)
acre whlch are elevated by f111,an engErzeered drainage plan is required. .
If 1 am the AGENT FOR TF1E OWNER,t;promise In good faEth to Infarm the owner of the permttting condHions set forth in
this affidavifprlor to cammencing construction. I understand that a�separate permit may be requtred tor elecMcal wark,
plumbing, signs,welts, pools, aU condltionfng,_gas, ar other instaft�tlons noE speciflcatly included in.lhe applicatton. _A
psrmit issued shait be constnaed to be a Itcense to proceed wt#h ttte woric and not ss suthority to,viotate,cancel,alter,or
set aslde eny provlsions of the.technlcal codes;nor shall Issuance of a permit prevent the Bulldirig Ofliclal from thereafter
requiring a cortectlon Qf errors In plans,conshuctlon or vlolaUons of any codes. Every permit I.ssved shat!become lnvalld
unless the wotic authorized by such permlt-Is.commenced wlthin shc months of permlt Issuance,or tf work authorized by ��
the permit Is suspended or.abandoned for a parfod of six{6)monif�s after the time the�workis commenced. An exlenslon i
may be requested,in writing,from the Bullding,Officla!for a perlod.not to exceed ninety{90)days a�d wifl demonstrate I
justtfiable cause for the extension. If wortc ceases.for niitety.{90)consecutive days,..the Jab is cansideted abandaned. '
WARNING TO OWNBR: YOUR-FAIL.URE't'Q.RECORQ A NOTIGE OF COMMENCEMEI�T MAY RESUkT IN YOUR '
PAYtNG 7WICE.FOF2IMPROVEMENTB TO'3lQUR PROPER'fY. IF YOU�II+FfEND'TQ OB�A1N FIPtANG1tdG,CONSU�T
WITI#YOUR I�END OR A ATTOR�IEI!BEFORE FlECOR�DIN6 YQUR`NO'�ICE`OF C�MINENCEMENT:
FLORIpA JURAT(F.S.117.03) "
OWNER OR At3ENT CaNTRACTa z
..... .
Subscrlbed and awom ro(ar aHlrmed)before me thls Subsalbed andswom r' ed)b re thi�
by
Who Ishara personalty tuwwn ta me or hasthave produced Wha tst pe e or ha e pmdiu�d
as Identl8ca8Pn. as tden8fiq8on.
Nofery Pubtic �G��-__�,c�.__.� Notary Pubilc
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Commisslon No. Co Iss n
,�i*�'�ve�., JAGQUELINE BOGES
Name o►Nofery typed,printed ar stemped Name af Nota �%►pe ��1�Expires December 12 2Q18
�'�p��„°.��, 8onded Ttw Troy Fain insurenca 800385-78t9
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AGENT OF RECORD LETTER
TO THE PASCO COUN7Y GROWfH MANAGEMENT DEPARTMENT AND THE PASCO COUNlY BOARD OF
COUNTY COMMISSIONERS:
�, Jack Arthur Paris ,hereby designate and
appoint Amy Maynard as my Agent of
Record for the purposes of representing me during the plan amendment application and hearing processes.
My Agent of Record is hereby vested with authority to make any representations,agreements,or promises which
are necessary or desirable in conjunction with the process. My Agent of Record is also authorized to accept or
reject any conditions imposed by any neviewing board or entity.
Jack Arthur Paris
DATE APPLICANT/OWNER
Amy Maynard
APPLICANTS REPRESENTATNE
7955 66th St.N.
ADDRESS
Pinellas Park, FL,33781
CITY,STATE,ZIP CODE
727-452-3881
TELEPHONE NUMBER
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APP ���OWNER'S SI NATURE
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TITLE
DATE
STATE OF FLORIDA
COUNTY OF ��
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The foregoing inst�nt was acknowledged fore c�e this � GLrJ f���Ol���
(date),by C� �j C',,�� i�rA�C
(name of officer or agent, tiUe of officer or agent
acknowledging)of
(name of corporation acknowledging)a
(State or place of incorporation)corporation,on behalf of the corporation_ e/she is personally known to me r
who has produced
, (type of identification)as ide � cation.
:,
Seal:
NOTARY
�� JEFFERY W RAYL
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'�: ''e MV COMMISSION�FF206995
` � EXPIRES Maroh 13.2019 �
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2015056702
Permit Number R�af,:1674402 Rec: 10.00
DS: 0.00 IT: 0.00
Parcel ID Number �_�.�1-ac>10-Il�.*�t� -e�l�� 04t i312025 �. S. , Dpty C i erk
N O T 1 C E O � �O M M E N C E M E N T pAULR S 0'NEIL,Ph D PqSCO CLERK & COMP7ROLLEf2
�E State o€ Florida _ ��t13l2025 12:09 m 2 of 1 _
County of Pinetlas �R BK C���"� p� ���.G
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TFtE UNDERStGNED hereby gives no�ce fhat improvement�wiil be made to cecta3n �eal property,and in accordance wit�Sec�on 713.13 of the
Florida Statutes,the foilowing informa�on is pravided in this NOTiCE OF COMMENCEM NT.
Plj / �g�"
1.Description af property�legaf descrip#ion): � � � v�i �c�� f mti.
a)Street(job)Address: �„S`55 � � ' �
2.General flescRption of improvements: � � -
3.Owner lnformatian ar Lessee information if the E.essee con#racted for the improvemen#:
a)Name and address: � �-,1-� '�' ���
b}Name and address o fee impie tifleholder{if di�erent than Owner listed ave}
c)Interest in propertyr: Qii�„� �
4.Cc�ntractcr l»forn�ation '
a)Name aRd addr�S&: Jack Arthur Paris Roofing Contractor 7955 66th St N„Suite F,Pinellas Park,Florida 33781
b}Telephone Na.; (727}�52-3s8� F�No.:(optional}
S.Surety(if applicable,a copy of the paymen#bond is attached)
a}Name and address: ,r��� ,g
b)Telephone No.:
c}Amount oP Sond: $
� Len r
6, de
� a}Name and address: 1V��
' b)Telephone No.:
' T.Persons within the State af Flarida des"sgna#ed by Owner opan wham notices ar ot�er documenf�may be served as provided by Section
713.13(1)(a)7.,Florida S#atutes:
( a)Name and add�ess: ��A .
b)Telephone No.: Fax No..(optional)
8.aln additian ta himseif os herseif,Qwner designates af
to receive a aopy of the Lienor's Na6ce as provided in Sec6on 713.13(1)(b),Flarida Statutes.
b)Phone Nnmber of Persan or eniitty designated by Owner.
9,Expiration date of notice of commencement(the expiratian date may nat be before the completion of construction and final payment to the
con�ractor,but will be 1 ear from the date of recardin untess a different date is s ecife : ,20
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWtdER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE �
CQNSfDERED tMPROPER PAYMENTS t1NDER CNAPTER 743,PAEtT!,SECTION 713,13,ELORIDA STATUTES,ANQ CAN RfSULT IN Yt?UR
PAYiNC�fiWtCE FOR tMPROVEMfNTS TO YOUR PROPERTY.A NOTICE OF COMMEMCEMENT MUST BE RECQRDED AND POSTED ON �
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YQU 1NTEND TO OBTAIN FlNANCING, COWSULT WITH YOUR LENDER OR AN-�
ATTOR�IEY BEFORE COMMENCING WORIC QR t2 4 DING YflUR NOTICE OF COMMENCEMENT. ;
Under of perjury,l declare thak I have re fo going no6ce of commencement and that the facts stated therein are true to the best of my
kno edge an lie�. ,
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{ ign of Clume l,essee,or Cl�mets ' (Aulhomed 0lficeraDirectortParhier/Nlanager) (Print Name an vide Signatory's TittetOtfice}
The faregoing ins ment was no edged before me this ��' day af ��'�� ,20 j.�'
aY �C-61.C�(C�(;�rs'���'����.�G.,�2S G'C..eJ ���i"v (type of aulhority,e.g.officer,hustee,attomey it�fact?
fttr � . � ,t�, _ ,. _,<� " ,as �
. ,.,. `,..,
. . .• . -"s (Name�of Person) , (type of authority,...e.g.officer,trustee,attomey in fact)
for � . - ._ , � , : :'-:`."�- ._ .:._ � (name of par[yr on behalf of whom insiruument was�ec�ted}.
Personally Known� 0���`" Produced ID� ' ,
Type of ED _., � n ��'.Notary Signai�re � -",.
���..::��,:?,, °''. �`�'i�'� ` .
• Printname r :�'
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:_'y`� t�'�� •-�' .---- ..._._ .__. _ EXP{RES Maich 13.2019
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��d► � ��� � �s� STATE f�F FL.QRi�A,,CC�UtdTY t�F PASCO
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THIS IS TO CEF�i iFY THAT THE FOREGOING IS A
� � � •. � TRUE AND CORRECT COPY OF THE DOCUMENT
� s •��pQ�e1�� • ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
o•., .� WITNESS MY HAND AN F SEAL THIS
'��- +
�� .�..�� � �p �DAY OF Y l 1 2 ��
�---P�•� EIL, 'L� &C PTRC)LZER
� , x8�7 _
,y+f• , ° 0 OQi�`�� BY � D PUTY CLERK
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