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HomeMy WebLinkAbout15-16387 . CITY OF ZEPHYRHILLS . 5335-8TH STREET �sis��8o-oozo 16 87 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16387 Address: 38823 38825 B AVE 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: MOORES FIRST ADDITION Est. Value: Parcel Number: 14-26-21-0010-02200-0091 Improv. Cost: 5,320.00 OWNER INFORMATION Date Issued: 6/22/2015 Name: SALIVA ROBERT A & SHERRIE S Total Fees: 65.00 Address: PMB 141 23110 STATE ROAD 54 Amount Paid: 65.00 LUTZ FL 33549-6933 Date Paid: 6/22/2015 Phone: 813-956-5685 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES BAILLIE ROOFING&CONS RU TION, REROOF RESIDENTIAL 65.00 ��- � l� �V � �� � - l � �-cS � ���� � Ins ections Re uired DRY IN ROOF INSP I� 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. NO OCCUPANCY BEFO C.O. NTRAC OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHEFt ._ . • s��-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 , 'i Building Department Date Received phone Contact for Pertnftting 'l-t 1 1'1 1 1-�- - - -- -- - - -�-�-�-�-� -- p r A C Owners Name (,° /� Owner Phone Number � " ✓ � � Owner's Address oC.7 J�Q -J C ✓7 �!�►�t 3 Owner Phone Number � Fee Slmple Tltleholder Name �c» Owner Phone Number Fee Slmple Tltleholder Address �U S S-1 �K7Z. / 335 JOB ADDRESS � �1., / . ���T LOT# G !( SUBDIVISION W! � PARCEL ID# dL� 'C/O 'Q Z '� (OBTAINED FROM PROPERTY TAX NDTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR C COMM ��OTHER TYPE OF CONSTRUCTION d BLOCK Q FRAME 0 STEEL Q �t DESCRIPTION OF WORK � I BUILDING SIZE ,J � SQ FOOTAGE //�/D � � NEIGHT ��S �R OBUILDING $ ��u� VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. /1 � � QPLUMBING $ �`�O� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��v J ` �s OGAS � ROOFING Q SPECIALTY Q OTHER � �S FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER a • (� �D �a ���+ ° SIGNATURE ED EE Ren Y/N � Address QVtI$ (y License# � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER � COMPANY � QC�. }I� • �/ � o y�+�' SIGNATURE REGISTERED Y/ N FEE RE� Y/N Address v � �5 a � , �� License# ��C J��J 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, Minimum len(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities$1 dumpster;Site Work Permit for subdivisionsllarge proJects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 f f f 1 i f 1 1 { � 1 f 1 1 1..1 Directions: Fill out eppiication completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is requlred. (AIC upgredes over$7500) " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIT'fING (Front of Application Only) Reroots if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) ' Driveways-Not over Counter ff on public roadways..needs ROW .. •e NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco ' County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and � 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: ' - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,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 construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid i unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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 COMMENCE T. FLORIDA JURAT(F.S.117. ) OWNER OR AGENT CONTRACTOR � Q/� ►/�/� � S scribed and swo�9y (or affi �e�d fore this���i Subscribed and swom o(or affi e }befo me,th!i ��/t/ � Of"�1 ���r�by Yh O//� -1�/2 A j[�� by �1S Q �Q���bE ho is are persona�l y known t^'o�e or has7hav produced Who is/are personal�`y known t�Oao r�i o�a��ave produced 'as identification. as identificaGon. � � � � � otary Public ----��� . � Notary Public Commission No. Commission No. �°;•••.,�% VERONA M.KRNJAICH Name of Notary typed,printed or stamped Name of Notary lyped,printed or stamped * * MISSION�fF 097192 s„ oe EXPIRES:MarCh 24,2018 SpRYPV 9TFOFFL�Q'\ BandedThruBudgetNataryServises �° •••••8��� VERONA M.KRNJqICH ,� � , * MY COMMISSION�FF 097192 EXPIRES:March 24,2018 Nr'�rFOFF�oa`O~ BondadThru�adgetNelary5ervices ._� , �� . � � ���_`II��i Page No. o� Pages „q� � Il 1 �'+ � � �,�� � ����i.�� ����°1�V� � �4t������������ ���a ��i � 6 � .�_ �t��,� 3.�� �- , d . ���,r � f'.�. 8ox .l€37 �if�r�, f=L :i4���; ��:C� �13�5f��a - �Pt� �13��37�� F��vne �7��) 9��-2��Z Fax {723� 9��2r�z� �s�t�,�tu�C����tl ier�a��i��,���a,� PROPOSAL SUBMITTED TO - PHONE DATE . r ( �c1 r.. / � _ • � 1 C' @ 1� 'i���1��9 .iL�V'7 („`"���� C�� STREET JOBtJAME , .��r^ '/�(�`/j) •�� ){/n ^�''`- [J��: 1 1d `� ;� ///� ^ / _ ��UO+ ✓ !C_t ~7� I ' /! u�l+ l�i ~`�)!,� i.11Y t�/� �f• �'. l� . (_�L���Y� CITY,STATE and ZIP CODE JOB LOCATION � - <'v{7. r 1�1 � �� .� .��{�l ARCHIIECT DATE OF PLANS JOB PHONE � i;' �'t� (�.�.J���� � f�fJ,�`f� We hereby submit specifications and estimates for 1 �'1L K'`�`t�3� �fC f�1.=�i i�1� ��t(1 Ci\� �`.f.'?�1 �lJ /=�GC�� C��'(� (Vi � �) � �{-��t'�it�i° i�>�"?.c� L�`')�� ��- t't'�iF1�',} .� �i��eA�� ��%tX�L'� ��:.k�hJ �(� ,f�,�✓-5 �v;1��,'l�c; cr�C��°'s J .....-. I -1 ({ ' � _�/�� All G�(��+c`�-�r'���� L.�Fl`I�a'��!"��°�r� �f-'��v_+, i�� vv?IIrYS, /�Jt'u� j.pY?<# ���w;'��nitt� �'`-`�� `, C�- il��_? � �GC,I ����l'S i '� (� ����f3 L�-4�e,� � �`.�J�f f� �--��t.S�F`� ��,�� C:��r�. �'•}�r2 �.h21ti`� , ; ,(�_ � :� �J �( �J- s4,���j t� �..,_J�-�"� ���j�..� r � 1 U 1 i r 1 :,'� 1� 3��- �I �',r-x K d"P� .r. t'`T-.,�J J`r` +`��`` °`_'��-, ��� 1�I CJ �i-�''--�-"� _. 7�, — ��', t �.�, _ C;°.-- \ } J (_:,-��' r�`�C�'<1,�,� '-,�C,� ��r� ���l v.� ��;.U�J'i�.� --.� �, ����% "! �/";�i;�-�CC.l�-1 �� ' % .�. � �-�"___� { ( � � 1 2 � ��l�E=1Yr Ci' '� �F�;,�a �`1 !rc�ah ��r �.��f,,c.��;.�d�v-- J � - t ' �--��' �,,��9r����� �t� C,�r`�,rvl�,n 5��� . i � � ( -� �- I� �J� �... �� h'�t�t����i�� ���!X?f °� c,-�� �'��%'��✓��'�=3�'�"-.��� f. .. . _ -- , r� ,` .�!i:5..�-�'� . _...------ - iZlr ��rn}�use hereby to furnish,material and,labor— complete in accordance with above specifications, for the sum of• dollars(� ���v �J ). Payment to be made as follows: ' � ;/J . ? �L`�-��{Q�.,.J �1 l J) f All material is guaranteed to be as specified. All work to be completed in a workmanlike � �1 � �� F'' ---���_�----''� Authorized v � .-:� �i manner according to standard practices.Any alteration or deviation from above specifications Si natUre ��.�='!'{•,_•� �i� ,�' °�._.' involving extra costs will be executed only upon written orders, and will become an extra 9 r___,,. charge over and above the estimate.All agreements conlingent upon sirikes,accidents or ` delays beyond our control.Owner to carry fire,tornado and other necessary insurance.Our NotB: hiS proposal may be _ workers are fully covered by Workman's Compensation I�surance. withdrawn by�i if o�ccepted within � - -, days. ! ' ��_--_----- � �ccQptttn�e uf �,�ru�u��l — i�: .� �l � � �-�- ---- -- - The above prices,specifications --r`�"---�.� _ � � /!� � Signature � � and conditions are satisfactory and are hereby accepted.You are authorized �.`'_�__r�.-. . i to do the work as specif�dy Paymen�v�ll-tie made as outlined above. % ,/'� f Date of Accepiance: `"� �/�' � Signature , , � � . � llllll�llllllllillllllllllllllllllllllll1111flllillll�llll�l � • 2015097350 Rcpt:1691145 Rec: 10.00 Permit No. Parcel ID No DS: 0.00 IT: 0,00 06/19/2015 K. K. , Dpty Clerk NOTIGE OF COMMENCEMENT - - — 5tate of ��G-l�9CLL/1q County of ���!'� THE UNDERS)GNED hereby gives notice that improvement wili be made to certain real properFy, and in accardance with Chap#er 713, Florida Statutes, the fo4lowing infarmation is provided in this Notice af Cammencement: 1 Description of Property� Parcel Identification No �y-��t=b(,)J(a �^-•�„x,�.p�- aOg` Street Address: 3_t�'3'�o�•� °�' 3°�t��S � 1q11C 2G.;/�/S y.��!1�S l'""� t..3�.5}�'y2. i2. General Deseription of improvement riD ��1 C d�fj�.-r1CX ��[`L.� �l41.�c/CLG� �C1CJ--�_ � e 3 Owner infarmation or Lessee informakion if the�essee contractad for khe improvement: �VC.��%i, 9[''�'�L���t i .�. .J��L'r�2�t'-� Name - ��'/! (Z.sTi�i��c��ac� �`"�/ � ��c_i z �.3SLlg _�� Address City State lnkerest in Properfy' �LU�lVi4"���.. . ..� ._ ,,�- Name of Fee Simple Tifleho�der �� {if different from Owner listed abave) Address ;� � � � � � City State 4 Gonfractor. l�\ 'E" , GQ \`�1tb �c `t1�, . ��C.. �,�FO�/ 1"�OYO�� �1�-� �c���c�t�ca 3�fis.�CJ Zl= Address City �--� State Contractor's Telephone Nb. I o�`j ��"7 ��'1� PRULA .ri 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEh 5, Surety� 060R BK 1�'���m PG ,q,� Name • _._ .__._— Rddress City -----_---- -- - state Amount of Bond: $ Teiephone No� 6 Lender Name Address City State Lender's Telephone No � 7 Persons within the State of Flori a designated by the owner on whom notices or other d uments may be seroed s provided by Section 713 13(1)(a)(7}, Florida St tutes. , Name Address City State Telephone Number of Designated Pe son: 8 In additian to himself,the owner desig ates o� I - � to receive a capy f the L.ienor's Nokice as provided n Section 713 13(1)(b), Flori a Statutes. � Te(ephone Number af Person or Enfity esignated by(7wner 9 Expiration date of Notice of Commence ent(fhe expiratian date m y not be before the corripletion f canstructiori and final pay ent to the � .. cantractor,but will be one year from the ate of recording untess a di rent date is specified} WARNING TO QWNER: ANY PAYME TS NiADE BY TNE OWNER FTER THE EXPIRAT(OR! OF i HE NQTlGE C1F GOtUfMENCEMENT ARE GORlS1DERED lN1PROPER PAYMENTS UNDER GMAPTER 3, PART 1, SECTIQN 713 13, FLORIDA STATUTES, AND CAN • RESULT IN YOUR'PAYING `M/10E FOR IMPROVEMENTS TO YO R PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TNE Jt�B 51TE BEFORE THE�1RST iNSPEGTI4N iF YOU INTENQ TO QBTAIN FINANGNG, CONSULT WITN YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Under penalty af peryury, f deciare that!t�ave read the foregoing nof of c nimencement an e a ts stated therein are true to the best of my knawledge and belief STATE OF FLC7RIDA \� COUNTY�OF PASCO �1. Sign� ur o Owner or L ee,or O er �ssee s Authorized O ' er! irer.tor/Pa r/Manager O�,„?Yl. 'C� 5ic�ne�Cory's 7itle/Offire The faregai�g instrurrtent was acknowledged before me this��oP i/ ],��FL('�. �20(��bY ��1�/�l'��-����1J�!!V� as U!�/v�✓� (type of authority,e.g.,officer, trustee,attorney in fect)for ,(name y on behalf of hom instrumenf.was execufed} ,,� / !' ` „- Personally Krrown C]OR Produced Identification(1.y' Notary Signature Type of tdentification Praduced �. �� Name{Print} a°�*R'P;�f� VERt}NA M.KRNJA(CH , • ,� � * MY COMMI3SlQN#FF 497192 �.,, 4 EXPIRES;Merch 24,2018 ATFOFF����� BBnded7firu6udgetNotaryServices wpdakalbcslnoticecomme�cement_pc053Q48 �TFaTE OF FLO�ILI,�,COU�TY(�F P�.5C0 ,��.lUDB� THIS IS TO CERTiFY Th1AT THE FOREG0II�IG IS A �� o ; ;��,� TFtUE AND GORRECT COPY OF THE DOCUPIIENT �m ��> ON FILE OR OF PUBLIC RECORD IN THIS OFrICE � � ; ��,`'� � `��� WITNESS NfY HAND AN OFFICIAL SEA2 TH�I� � , ' �\,�ar3ye�r°� 0 � pAY OF �—�— +�'}:. k�r PA L S O'NEIL, CLE <&CO�PTROLLER � �� �;� �`.:� , ..�� � ��� � �'�'s �` �t�-i•, , � � DEPUTY CLERK �s�- .: �G� �- �: BY � - ... r . ��`'°'��L�3�i�� � �___.�.�'"`�