HomeMy WebLinkAbout15-16380 CITY OF ZEPHYRHILLS
5335-8TH STREET
; (813)780-0020 163
" BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16380 Address: 7210 OMEGA CT
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0740
Imp�ov. Cost: 5,250.00 OWNER INFORMATION
Date Issued: 6/19/2015 Name: HARRIS DAVID P & RENEA &OGDEN LI
Total Fees: 65.00 Address: 7210 OMEGA CT
Amount Paid: 65.00 ZEPHYRHILLS FL 33540
Date Paid: 6/19/2015 Phone: (813)355-4557
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES -
A I ROOFING REROOF RESIDENTIAL 65.00
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Ins ections Re uired
DRY 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 fl 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 properly. 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
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CO CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�s-�so-oo�o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date F��ceivad � Phone Contact far Permlttin -
Owner's Fiame II�G, 'yj�I:.1L1...j Owner Phone Number
Owner's Address /�.,f� 0��"� u=! Owner Phone Number �i �
Fee Simple TRieholder Name � � Owner Phone Number �� �
Fee Simple Titleholder Address
JQB ADDRESS ��j�� LOT# ��
SUBDIVISION � �'It-f+�v/l`� tl f�i� PARCE�tD#
{08TAINED FROM PROPERiY TAX NOTtCE)
WORK PROPOSED NEW CQNSTR ADDtALS � StGri! C} C] DEMOt,lSN
e INSTALL 8 REPAIR
PROPOSED USE Q 5FR Q COMM Q OTHER
TYPE OF CONSTRUCTIdN [� BLOCK Q FRAME [� STEEL Q
DESCRIPTION OF WBRK i`��°- � Q�1- `5 �" r` � '"�' ,
BUfLQlNG SlZE �— � SQ FOOTAGE�� FiE1GHT C��
QBUILDING � ���� ' VA�UATEOttii OF TOTAI CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C.
OPLUMBING ($-� ��
�� � `�,�
QMECHANIGAL $ VALUATIQN OF MECHANICAL INSTALLATION
QGAS � FtOOFING Q SPECIALTY � OTHER
!FINISHED FLOOR ELEVATIONS �� FI.OQD ZONE AREA QYES NO
BUILDER COMP/WY
SIGNATURE REGI8TERED Y/ N FEE CURREt+ Y/N
Address License# i �
,ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address � Ur.anse# � �
PLUMBER � � CQ(►APANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address -i,icense# � `..—� -
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Atldress �.tcanse# � ��
OTHER ��. COMPANY ��J�� �d'���a
SIGNATIIRE REGI3TERED Y/ N FEE CURRE� Y/N
Address f � /,�� � �1,�6,,� `�1�"��`_G'G ,�'.`.�" �fcense# ��`t�� �
RESiDENTIAI: Attach(2)PlotPlans;.(2)sets.of Building Plans;(1)set of Energy�Fortns;R-O-W Permit for new construotion,
Minlmum,ten(1.0),working days after.subriitttal date. Required onsite,ConstrucUon Plans;S#ormwater Ptans w/Silt Fence installed,
Sanitary Facff3�es.&1�ciumpster,Site Work-Ferm3t for subdFvisianstiarge pro�eats
COMMERCIAI. Attach(3)complete sets of Builtling�Plans plus a"Life Safety Page;(1)set of Energy Forms,R-O-W Petmit far new constructlon.
Minimum ten(10}wortcing days'after submttta�date. Requlred onsite,Canstruc8an Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facliities&1 dumpster.Site Waric Permit far a11 ner+v proJects.Atl commercist requlrements must meet comptiance
SIGN PERMIT Attach(2)sets of Engineered Plens.., -
""PROPERTY SURVEY required for ali NEW construcUan.
Directions: . � �
Flll out appilcadon completely. ', ,; ! . • ���,
Ownet&Cantractor slgn back of appiication,noterized� `<< -' ' . -�`�
ff over�25QQ,a Nottce of Commencement is regulred.` (AIC-up�r�ad,`e�s riyer�T50Q) � � � � • "
" Agent(for ttie contractar)or Power of Attomey,{frar the owner),wou�d be sameane wi#h natarized letter from owner authorizing same -.._ ..- �
i!V€R 7HE COUNTER PERMITTING'V, {Front of Appl3ration Qnly) ' , " , " � ° � _ ', � •
Reroofs if shingles Sewers `}Service'Upgrades-A/C Fences(PIoUSurvey/Footage) � � ' �
t , . � .
Driveways-Not aver Counter tf on pabifc.raaduvays..�eetlsrROW�,. '„__,,._,_ ,_. :- . � .. -,
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fdOTICE OF DEED REST.RICTIONS: The undersigned under�tands°;.th�t thls,p�rmit.may.be.subject„to,"deed"restrlctlons"'
which may be:more�restrictive�th�n County��regulatlons. 'The�undersigned�-assumes�responsi6il(ty�for°compitance with any "
appiicable deed tesfrtc#ions. • . `
' UNLlCENSED GONTRACTORS ANQ CC►Ni'RACTt}R RESPONSiBILITIES: di the awner has��hired a cantractor or
cont�actors to undertake work, they may be,requlred��#o.be:Ncensed tn acco�d�nce.with s#ate.and�tacal reguiafbn�: tf the
contractar ts not Iicensed as required`-by law� both the owner and cont�aator�may be clted-fur a�misdemeanor vEolaUon
under state law, if the owner ar Intended contra,ctor�are uncertaln as to what Ilcensing.requlrements,may applyr:<for the - °
intended work, they are advtsed to canfact the Pasca Catinty Buil�ing"in"spection Divlslon--L•tcensing�Section at 727-847-
8009, Fu�thermore, if the owner has hlred a cantractbr or confractors. he is advi§ed to have the cantractar(s) sign _
porkions of the °cor�tractor Block° of thls appllcat4on for which they„wfll be.resp.onstble. if you, as,#he awne`r'"sign as'the �
contractar, that may be an indioatlon that he Is not.properly Iicensed and�!s nat entlt#ed to pert»ikting privileges !n Pasca
County. '
TRANSPORTATiUN-iMPACT/UTIL-IT1E5�IMRAC�'AND REStJURCE REC6VERY�EE3; The undersigned understands
that Tcansportatlon impact Fees and Recouree Recove.ry.Fees may.appiy°#a=the constnuction of new,bulidings�:change of' � �
use In existtng bufldl�gs, ar.exparision-of}ezis#iii�,'�6uilifings, as spec�ied in Pasco Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned also understands� that�such fees,;as�may be�due;;w!lt:�be fdentified at the�tirrie of
permitting, It is furtFier understood that Transportatlon Impacf Fees and�Resource Recovery'Fees must be pald prior ta
receiving a "certfficate of occupancy" or flnal-power.�release. :Ifithe project does not Involve.a-certi8cate of occupancy, or
fina! pawer rele�se;the fees mu�t be paid pr.iar to permit tssuance. Fu�thermore;�if Pasco County 1Nater/Sewer Impact
fees are due, they tnust_be�paid pclor ta perrnit-tssuance=tn aceordance with°appliaabfe Pasco�County ordinances.
CONSTRUCTIClN LIEN U1W{Ch�pter 793� Fiarlda Statute��a�amended): if valuation of work is$2,500A0 or moce, i
certify that I, �Ii@ B�pIIGBRt� have been provlded wl#h a copy� of the "Fl�rtda-Constrctctton Lien Lav�—Homeowner's
Protection Gutde" prepared by the Florida Department of Agrlculture and C�nsumer Affalrs. !f the appltaank is someone
ather than the"owner", I certify that I have,obta,ined�a copy.of the.above.des.cribed tioaument°and pcar�ise(n.good,falkh to ,
de3iver it to the"ownec"prlar to�cammencement: ' .
Ct?NTRACTOR'SiOWNER'S AFFIDAVIT: i ce�tify,that,alt#he;information in this applicatian is accurate and that ati work
will'be done in compliance wifh all appficable laws regulating constrtac#ion� zoning and land devetopment. Applica#ion is
hereby made to abtatn .a.permit to do, wark.and insta!lation as Indlcefed:= '# ce�tffy that no work�or installatlon has
commenced priar to issuance of a permit and that.all wrork will be performed to meet standards of all laws regula�ing•
construction, Coun#y and City codes, zoning regulatlons, and land develnpment cegulattans-in the jurisd[ctton. ( al'so
certify that ! u�derstand that tFte reguiations of ather government agencies may�apply�#a the intended work, and that it is
my�esponsibility#o idenfitfy.what aationa i must take ta be�in.,car�lpltar�ca: Such agenctes include but are.nat limited to:
- Qepartment of Et�vlronmental=Protectian-Cypress.'Baytiead�; V1te�and Areas and Environmentalty Sensitive
Lands,WaterlWastewater Treatment,
- Southwest Florida Water Management• .l�istr(ct=Wells; Cypress. Bay_heads� Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways.
- Department of Health � Retaabiiitative ServicesJEnvironmer�fal Nealth Uhit Weli.�, Wastewater�Treatment,
Septtc Tar't1is. _
- US Environmental Proteckion Agency-Asbestos abatement.
- Federal Aviatton Authority-Runways.
t understand tha#fhe foltowing.restrlctions appty to the use of flIL�
- Use of fiif is not ailowed in Fiood Zoae"V"unless expressty permitted.
- !f the fill mate�ial Is to be use�: !n :Fiaod Zone. "A", it is under�stood that a drainage pian addressing a
"compensating volume" will be subrnttted ak tlme af permltting wh�ch fs prepared by a professiona! englneer
licensed by#he Sta#e of florida:
- If the fitl materlal Is to be us.ed in Fiood Zone "A" (n�canneciion�wlth.a �ecmitted building using stem wa!!
� construction, t certify that fiil:�til:be used onty.to.flll#he area withln�he stem�walt.
- !f flli matertai is ta be ased in any area, I aertlfy that .use. vf;�uch fill wilt not adversety affect adjacent
p�opertles, If use o#fll! is found to adverseEy:�fFect adJa�ent�prop�rties�.the owner may be cited for violating
the cond4tians of the bullafng:permit issued under the.attached�permit app!lcatlon, far lots iess than one (�1)
acre which ar�elevated�by flll,an engtneered dralnage plan!s requl�ed. •
if 1 am the AGENT ROR THE OWRIER, l�promise In gaod faith to inform#he owner of�the permitting conditlnns set forth (n
this affidavit�prior ta cammencing canstruotion. t understand thst a-separate permtt may be requlred for eiectrical work,
plumbing, signs, weits, pools; atr cvnditioning, .g�s, or other. Ins#alt�tions nat speci��atty inctuded-in.the apptication. .A
permit issued shal! be constcued to be a'Itcense to proceed wtth the work and not as authorlty to„violate,cancel, alter, or ,
set aside any provistons crf the techn(cal.codes; nor shal!Issuance�of apermit.prevent the 8ulldirig Ofllclal frorn therea#ker
requiring a conection af errors in pians, cans#ruction or vialatlons of any codes, Euery parmit(ssued shall become Invalid
unless the work au#horized by such permit�is-commenced•within siac m.onths oY permtt Issuance, ar If work authorized by
the permit ts suspended or.abandoned for.a period af�s�c{8)monti�s:after the tl�ne the�work is cammenced. An extensian
may be requested� In wr(ting, f�om the Buflding,Qftictat for a period not•to exseed Mrtety�{90) days a�d wiil demanstrate _ _
Justi�able ca�se tor.the extensfon.-If work-��ase�:fe�r ninety-490}co�s.ecutiv��d�y.sr..the jot��is consldered abandoned.
WARNING TO aWNER: YaUR FAILURE.TO.,REC.QEtD.A,MOTIGE OF.•COflAMENCEMEI�T.MAY=RESUlT IN YOUR
PAYING TWICE FCaR tMPRCfVEMENTS TO YC►Ui�:P..ROPERTY. :MF�YO.U-1N'�E�iD'TQ�iGB1'AIN•F(NANCING�'CONSULT
WtTH YQUR t,END�.�,�QR,AN ATTORNEY-B�'ORE-�t�EGOR�I.�NG�YOUR�tdOTiGE't3E CC1M1{iIEN�ENT:
FLORlDA JURA�'(F.S..1.l7.03} ' � ,�} .
OWNER OR At3ENT C� L"�-"" CONTRAGTOR �f�C�L �'�...�"
Subsr.rlbed and swom ta{or aHirmed)betore me fhls Subscrlbed and'swotn ta(or afllRt�ed)�before me'tlilS
by �by
YYtio ista�e personaily knavm ta.me or haslhave produced Who tsiare p,ersonaity knovm ta me.ar haslhave�produced. �
as IdenUflcatlon. _, as IdenBflcaUon.
Notary Publlc Notary Publlc
Cam lon No. Comm n.
,.m�n�y, �t;;�:Y� .
,,�.�:Py�, JOEL E.BACON =�'1 �Fc�' '
:�' �.��, _>: :«= Cortimissiori#FF 137473
Na e ot Notary ^ �� �29 2d�� Nam of IVota ' t A�f�
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IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'AULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
2015097664 a6 R BK01�2@7 m PG 1���
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�6/19/2015 T. S. , Dpty Clerk
Pertnit No. Parcel ID No �-����`"�0��— �����— ��`�'
NOTICE OF COMMENCEMENT
State of ���,y�/� County of / �J G�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement: L/
1 Description of Property� Parcel Identification No. 35'0�����` �0�� —��d�� ' � � I�
Street Address: /��� ���� �� °w��y���"r �� 3'3''��!
/�� J
2. General Description of Improvement K-C r �0�/�� �����
3. Owner Information or Lessee infortnation if tfie Lessee contracted for the improvement:
�0�-dl� �-/�ILGL,:f /�, .
Name C7 f—GPJ����l�� 3 3-s/ 1 �G-
?� J� ����� � State
Address City
Interest in Property� Q LJ�f�/�"
Name of Fee Simple Titleholder
(If diKerent from Owner listed above) -
Address /� � / y State
Contractor (J�B'!�l/� �P�`����� Cit - '
Name,p I� Q�X �3� ��ir/� G`�/ �L-
0
Address City Stat���„ /
Contractor's Telephone No.
3S� - �( �- �o� �/ .4a
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
r---�
Telephone Number of Designated Person:
S. In addition to himself,the owner designates
�� of
�— to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
..�—
Telephone Number oi Person or Entity Designated by Owner•
g, Expiration date of Notice of Commencement (the expiration date may not be before the completion of clrlst�ction and final payment to the
�/'
contractor,but will be one year from the date oi recording unless a differe�t date is specified}: /+�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
WITH YOUR ENDER OR AN ATTORNEY BEFORE COMMENCING WORK ORI RECORD NG YOUR NOTiCE OF COMM N�CEMENTSULT
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are tnie to the best
of my knowledge and belief
STATE OF FLORIDA �v" �
Y �
COUNTY OF PASCO
i nature of Owner or Lessee,or Owner's or Lessee s Authonzed
- Officer/Director/Pa�tner/Manager -
.. ���� � ���,�X,s
Signatory's Title/Office
s� ,�.� ,�o�.�b ��d �a�l �.,�-�s
The foregoing instrument was acknowledged before me this day of Y
as (type of authority,e.g.,officer,trustee,attorney in fact)for
(n me of party on behalf of whqq�instrument was executed).
Nota Si nature ���'�-� �V
Personally Known�OR Produced Identification❑ �Y 9
I e uel�'�e �o �S
Type of Identification Produced '�C` �'��t^�rU�%i�°— Name iPrint)
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PROPOSAL SUBMITTED TO PHONE DATE
rD��l� 1�r�/z2�s s IS" /S.
STREET JOB NAME
��i0 OMG-�ffi- GT
CITY,STATE and ZIP CODE JOB LOCATION
Z�Pr���1�L�S
ARCHITECT DATE OF PLANS JOB PHONE
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We hereby submit specifications and estimates for �
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i �P �PII�JDSP hereby to furnish material and labor—complete in accordance with above specifications, for the sum of:
��xr 7ulp ���✓Dr�.G�� ,f- ���r �`�� S�So- �
aollars($ ).
Payment to be made as follows:
c 6� p�-����2� �� 5� i
All material is guaranteed to be as specified. All work to be completed in a workmanlike �
manner according to standard practices.Any alteration or deviation from above specifications AUthO�iZed
involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above ihe estimate. All agreements contingent upon strikes, accidents
or delays beyond our control.Owner to carry tire,tornado and other necessary insurance. Note:This proposal may be
Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within d3yS.
�rrP���ITT�P Ul �PD�U��11 —The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above. '/�� / / �
111 �In/
Date of Acceptance: Signature `�l� 0�� ��'v!^-L7/