HomeMy WebLinkAbout15-16396 CITY OF ZEPHYRHILLS �
-- �� 5335-8TH STREE�'
•- �, (sis)�so-oozo 16396�'�
. :'
BUILDING PERMIT ;'
;
,
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16396 Address: 6132 FORT KING
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: 03-26-21-0000-00500-0010
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 6/24/2015 Name: VAUGHAN HELEN
Total Fees: 60.00 Address: PO BOX 845
Amount Paid: 60.00 ZEPHYRHILLS FL 33539-0845
Date Paid: 6/24/2015 Phone:
i Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
WIDNER ROOFING INC RER OF OMMERCIAL 60.00
� `
��
I
�
Ins ection e uired
DRY IN ROOF INSP.
TAPE JOINT�00 INSP '
FINAL " `�
REINSPECTIOIV 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� 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�1/�Ji'L�"1�—�--
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION '
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-Op20 City of Zephyrhills P�rmit Application Fax-813aso-ao2�
r Bullding Departrnent
Date Received �, Z� r� � Phone-Contact for Pernnittin `/�I �J � r 'C - � � ��
Owner's Narne -�:3G�IiL'l.. ��C Owner Phona Number ___
Owner's Address �• � � � ~ Owner Phone Number C - �
Fee Simple 7ltleholder Name � �� Owne�Phone Number �
Fee Simple Titleholder Address �
J08 ADDRESS 2- � I.OT# ��
sugowis�aN �� � - � P,aac��ia# �3-��O`a1 '-�Qo�- ropS"�o � 9�3ltO
_ {08TAINED FROM PROPER7Y 7AX NOTICE}
WORK PROPOS�D New carisrR ADD/A�T � SIGN [� � DEMOLISH
ST
� e IN3TALL REPAIF2
PROROSED USE Q SFFt Q COMM [� OTHER
TYPE OF CONSTRUCTION� Q. BLOCK C] FRAME - � STEEL Q
DESCRIPT{t}N C►F WORK V ~
BUI�DlNG SIZE �` � SQ FOOTAGE t � HEIGNT �_�
QBUILDING $ � '—� VAIUA'fiON flF TOTA�C�NSTRUCTION �`r"�_,,,�-'.---
J(JE,l�
QELECTRICAL ($ —�� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�`
QPLUMBING ($!�
L
OMECHANICAL. �� VALUATION OF MECHANICAL INS7ALLATION
QGAS C] ROOFING [� SPECIALTY �,� OTHER
F1IVISHED FLOOR ELEVATIONS ��--� FLOOD ZONE AREA QYES NO
BUILDER COMPANY �
SIGNATUR6 REGISTERED Y/ N FEE CURREl� Y/N
A���$� License# �� � �
ELECTRICIAN COMPAldY
SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/N
Address License# �^ ��
PLUMBER �� GdMPAMY
SIGNATURE REGISTERED Y/ IV FEE CURRE� Y/N
Address license# � �
MECHANICAL COMPANY
SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/N
Address License# � ��1
OTHER __ �- ��_i�-�' COMPANY r (f'"U
SiGNATURE � REGISTERED Y/ N. FEE CURRE� Y/N
Addres� �( '��'. ...�.. � �.�.3 �� �icense# r�'CC-f�,S�77���
RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building Plans;,(1)set af Energy°Fortns;R-O-W Perinit for new construction,
Minimum,tem(10}woricingiiays after submittal date. Requlred qns(te;Construction Plans;Stormwater Plans w/Silt Fence installed,
3anftary Eacl{i8es;8�1 dumpster,.Site Wark:Rermit for subdlvisionsilarge pro)ects
COMMEMtCIAL Attach(3)complete sets af Buiicling Plaris plus a Ufe Safety Page;(1�set of Energy Forms.R O-W Pecmtt tor new construcUon.
Minimum ten(10)working days after submittal date. Requlred onsite,Construckion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpsiec.Slte Wartc Permit fot a0 new projects.Ail aammercia#requirements must mee#comptiance
SIGN PERMIT Attach(2)sets of Erigineered Pla�s.,, � -
*"""PROPER'1'Y SURVEY required far all NEW construction.
Directions:
Filt out application completely.
Qwner&Conhacto�sign back of appltcatlon,natarized
If over�2500,a Notice of Cammencement 1s requfred. {A(C upgrades over S7500j
'" Agent(for S!'re contraetor}or Power of Attamey(for the owner)rwaeid be.someone wi#h nota�ized letter from owner autho�izing same
DYER TNE COUNTER PERMI'FTING; � (Front of Appifcat3ori Oniy)
Reroofs if shtngles Sewers �Service Upgrades.A/C'� ` Fences(PlodSurvey/Footage)
Rrlveways-Not aver Counter ff ori publla roadways::�eeds R4W , � .
. ,
r
NOTICE OF DEED RESTRiCTI0N5: The unders(gned undergtands��,th�t.tht�:permif.may be�subJeat ta,"deed"restrlctlons" �
which may be:more�restcictive th�n Counlyregulations;'The�undersigned as§urries responsltiility for�compilance�with any �
appiicable deed restrictEons. : - � -
UfdLICENSED CONTRACT{�RS AND CONTRACTOR RESPt�NSlBlLlTlES: �1f the owner has hlred a contractor or
contractors to undertake work, they may be required=:ta be:ltcensed In.accoreiance.wtkh-state.and•local regulatfons. =1f the �
cont�actor (s not Iicensed as required'by law, both the owner and contractor�may be-cited•for a�misdemeanor violatlan
under state law. ff the owner or in#ended�contractar. are�uncertaln as to what itcensing.requirements 'may apply��for-the �
intended wortc, thsy are advised ta�cantact tfie Pasco Coutity Building"`tnspec#ion Divislon—t:icenstng'Sectian at 727-8d7-
8009. Furthermore, !f the owner has hlred a canti�actor or contractors, he is advlsed to have the cantractor(s), sign
portions of the "contractor Black" of thts agpllcatlon for which they wlll be r�sponstble. If you,-as.fhe awner�'sign as tlie
contractor, that�may be an indtcatton that fie ts not.properly licensed and is not entitled to perniftting privileges In Pasco .
County. �
TRANSPORTATiON iMPACT/UTILiTiES�1MPAC'i'ANC�RESOU�tCE RECOVERY fEES: The undersigned unde�stands
that Transportatton impacf Fees and Recourse Recove.ry.Fees may_;appfy to fhe consEructian af new buildings��change�of' � - `
use In existing bu!ldings, or.expanslo�=of��ezlstiFig�liuildings, as specffled fn Pasco County C?rdinance number 89-07 and
9Q-07, as amended. The underslgned alsa�wnderstands; thait:�such fees;-as�may�be�due;,will:•�be Identif�ed at the`time of�
permitting. It is further understood that Transportatlon Impacf Fees and�Re�ource Recovety-Fees must be pald pNor to
receiving a"certiflcate of oecupancy"�or flnal power release. :If•the project;does nnt involve:a certificate of occupancy•or
' final power retease, the fees mu�t be paid prior to permit issuance. Ft��thermare�•�if Pasco,County Water/Sewer Impact
fees are due,they must be�paid pti�r#o permEt�fssyari�a-in accordance with appifcable Pasca County ardfinances. �
CONSTRUCTlON LfEN!AW(Chapter 713� Elortda Statatea��amended); If valuat�a�n af work is$2,500A0„or mote, !
certify that I, the applicant, have-been provlded wt#h- a copy� of the "FlarEda ConsVuctlon� llen_l�av�Homeowner`s
ProtecNon Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the appllcant is someone ,„
other than the°owner", I certify that.l have.obtained=a copy;of the abovedescrtbed.�iocument°and.promise in.good falth to .
deliver it to the°owne�prior to�cammencemerit: '
CONTRAGTCtR'SlOWNER'S AFFIDAYlT: 1 cer�liy�that a!E the,informatlon in Qhis appticatlon is accurate and that atl work
wiA�be done in camplianae with ail appllcable laws regulating constructlon, xoning and land development. Appllcatfon fs
hereby made to obta(n .a permfk to dQ work;.and installatlon as tnd[ceted� '! certtfjr that no work or Installa#ton l�as
cammenced prior to issuance of a permit and that.all work will be pertorm�d to meet standards of al! laws regulating-
canstruction, County and City cades, zoNng regulations, and iand deveiopment cegulations•in the jurisdlction. 1 also
certify that 1 understand that#ha regutations af other gavernment agenaies m�y�appiy�to the intended work, and tha# it is
my respansibfiity to ident�fy.what:actions 1 must take to be=In:.co�tplfance. Such agenctes.include but�are.nvt iEmifed ta:
- Departmen! of E�vlronmental Protectibn-Cypress'B�yheads, 1Ne�tand Areas and Environmentaity Sensi#ive
Lands}WateNWastewater Treatment.
- Southwest Florida Water Management� District-Welis, Cypress. Bay.heads�� Wetiand Areas� Altering
Watercourses.
- Army Corps af Englneers-Seawal#s, Docks, Navigabte Vttaterways.
- Depa�tment of Health & Reliabilitative ServioestEnvironmenfai Fleaith tlnit;We€is, Wastewa#er=Treatmen#,
, Septic Ta�1is. ,
- US Environmentai Protecttan Agency-Asbestos abatement.
- Federal AvPatton Authortty-Runways.
t unders#and that the following,restrictions appty to the use of flH: �
- Use af flii is nat a8owed in Fiood Zone°V"uniess expressiy permitt�d.
� - If the fill m�terlal !s to be used. fn Flaod _Zoc�e "A", it is under�tood that a dralnage ptan add�essing a
°compensating valume"will be submitted at#ime of permitking which Is prepared by a professiona! engineer
Iicensed by the State of florida:
' - If the fil) materlai is to be used in Fiood �one °A" ln>connec�ion�with.a permltted building using stem wall
' const�uc#ion, t cer#ify that fiil will xb.e used onty.to.fill the area within the s#em wai1.
- 1# fill materlal is to be used in any area, 1 cetflfy that .use. of sa�ch fill virlll not adverseiy affect adjacenf
propertfes. !f use of fl!1 is found to adversely,�ffect adjacent��prop�rties,.the awner may be clted for ulotatfng �
the condlfions of!he building:perm(t Issued undef the attached permik applicatbn, for lots less than one (1)
aare which are elevated by fill,a�engtneered drainage plan(s requtred.
tf I am the AGENT FOR THE OWNER, I;�promise in good falth ta inform the°owner af the perml#ing conditlons set forth in
this affid�vit�prior to commencing cans#tuction. I understand that a�separate permtt may be requtred for etec#ricai work,
plumbing� signs, wells, poais; afr cond{tior�ing,.g�s, ar other. Instail�tlons nat.spec�caily lnciuded��n.the applEcation. �A
perm4t 4ssued shall be aonstrued to be a�Itcense to proceed with ttie work and not as.au#hortty ta.violate*.cance4i alter, o�
set aside any provlstons of the technlcal cades; nor shall issuance�of a.pecmit.pcevent the 8ulidirig O#tic(al from thereafter
requtring a correc#ion af errors In-pians,; constructlon or viaiatians of any codes. Every permit Issued shall become invalid
uniess the work auth�rized.by such permit�is.commenced�within st�c mon#hs of�permit issuance, or if work authorized by
Ehe pe�mit is suspended or.abandoned for a.periad of�six{�)months after the tir�te fhe�wark�is commenced. An extensian
may be requested� In wrtting� ftom the Building,tJ�lcial for a pertod not-to exceed ntnety(90) days and wi11 demonstrate
�ustl�able cause for.the extenslQn. If wark ceas�s:for ninety(90�consecutive:days,..the job is considered aba�doned.
I WARNING TO OWNERs YOUR.FAILURE�TQ.RE�.ORD.A:NCITIGE:OF�COMMENCEMEMT�MAY�RESULT IN�YOUR
' PAYtNG TWtCE FOi't IMPROVEMENTS Ta.YO.Ut�-PROPER'TY. iF�Yt3.U�IFITE�iD'Tt��OBTAIN�FINA1�GiNG;�CONSULT
WITN U E D � N A t� NEY- FO.E�. � �O G.� t3U ° �C �O = ° C --_ � - _—- __ -- ..
FLORlDA JURA'f(F.S.1 03) - -- --- - ' -
OWNER OR At#ENT --(��'�-����'--�— _ CONTRAG'fOR� .-�.�'���- �— ��
Subscdbed and swom to(or aflirmed)before me this Subsqibed and'swom to(ar mflirmed)'befoca me'Rtiis
by •bY '
Who lsiare personally icnown ta.me or hasfiave produced VYha istare p.ersonally knawn•tts me ar haslhave°prodttced
as IdendBcatlpn, as IdentlBcaflon.
�, .
Notary Publia �- Nofary Pubitc
Commisslan No. Ca _m ston.
���+::::s;s�c_ JACQl1ECENEBOGES
'4_= �:'s.= Commis io
Name of Notary typed,printed or stamped Name af Not$ry_'__..-'.��TI.��(froct7�ea6np�d�;e28�208�go�s ,
i:p.�-�+rrc..ir... �
�
il
r I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII I
� • � 2015100073
Permit No. Parcel ID No �.3- �'u -Q��- ��� �� ��
a��„ � NOTICE OF COMMENCEMENT n
Slate of .���V Counly of � �-� °�'�'9
' N e•
THE UNDERSIGNED hereby gives notice lhat Improvement will be made to ceAain real property,and in accordance wilh Chapter 713,Florida Statutes, A��;.
the following infortnalion is pravided in this Nolice of Commencemenl:
m B(O
1 Descriplion of Property: Parcel Identificalion No, ►' N
f lA W
Street Address: �3 Z �� ^�- � x �
2. General Oescriplion of Improvement
3��
� . .. lp
n
OB••
3. Owner Infortnat o�or e i�rmation if tRe Lessee conlraded for ihe improvement: ���
y � m
m
/� n ame��� �
Address�/ Ci�y Slale �
�, ,�„ 33b�3�
Interestin Property�
� Name of Fee Simple Titleholder.
(If dilferenl Gom Owner lisled above)
IAddress � i Ciry Slate
4. Contrector.
ame � •
Address pI�i ! t�L City Slale
Conlraclors Telephone No. A f J`��—'`p�7 ✓� 33s� . �{ �
`.� r
5. Surety: �� • � •� �
Name ��� 6
Address Ciry State ` �
Telephone No. m w ,!�f � �
Amounl of Bontl: S �
6. Lender: �v_'?a ' f�'f � � � �
Name ��q�. � � .,, �
Address City Slate �a�� ,r, �' j�A
ti
Lender's Telephone No.. �\ �9 ���`,
7��No
z
7 Persons within Ihe Slate of Florida designated 6y lhe owner upon whom nolices or olh��r documents may be served as provided by rAw� �►� � 63'
Seclion 713.13(1)(a)(7),Florida Statutes: ��i�+ ,r �a
�Vm� �Ig1 � �
Name ~w� � �
��D
�
Address Cily State �3 0
Teiephone Number of Designaled Person: �~�
�
01' "
8. In addition to himself,lhe owner designales — r�w
to receive a copy of lhe Lienors Notice as prov,ded In Secllon 713.13(tj(b),Florida Stalutes. �M o w Y
s F-
Telephone Number ol Person or Entity Designated by Owner• � ¢Z V � W
a �
J
g. Expiration date of Nolice of Commencement(the e�iretion date may not be before Ihe complr:tion o(construcUan and final payment to lhe � � ��� _ • - J U
r � Z� � � J r
contrador,bul will be one year from the dale of recording unless a diHerenl dale is specified):_ F-
ARE CONSIOEREDE MPROPER PAYMENTS�NDER CHA TER 713, PARTE,ESECTION 713�.13,HFLORI AESTATUTES,EANDMCAN � � � 2 Q � � �
RESULT IN YOUR PAYING TIMCE FOR IMPROVEMENTS TO YOUR PROPERTY. A I JOTICE OF COMMENCEMENT MUST BE L7 F— W � W
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU II JTEND TO OBTAIN F�NANCING,CONSULT � � W Z � � �
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING fOUR NOTICE OF COMMENCEMENT � O � 0 Q O
Under penaily of perjury,I deGare ihat I have read Ihe foregoing notice of commencement and tl:at the(aUS stated Iherein are trve lo lhe best � � �. U U
of my knowledge and belief. 2 S � � �y_, ' �
STATE'OFFLORID � �� w O Y ,
COUNTYOFPASC ��'tt� NoteryPuWkSteteMFloridv
Sherty�dne� Signature of Qwner or Lesse , r C•w�ers or Lessee's Authorized (,) _ � U d �
MyCommisebnFFO751e5 OfficerlDiredarlPafinerfMan er ��, � J ¢
' � �•�d� E�pirec 14/OBf2017 Q � w m Q �y U
t.,�•�w�.ti. O J '_
Signatory's TlllelOKce � � z
J� � e�,J m,K. O � � � _ ¢ w
The foregoing instrument vias acknovAedged be(ore me this��J day of�_,Zo���by r�r.i J (.{� Q 0 } p z
as y pe of a Ihorit y,e.g..�, u ,attomey in tact)for l.L () (� � � `�
( m of parly o behalt o!whom In enl as executed). u- � � Q n� ,
(l,1, �`.
Nota Si nal O � Q J W Q
Personally Known�CZR Produced Identification❑ �' 9 � _1
�t ����� l N�✓t- � � � 11. z�
, Type o(Idenlificalion Produced Name(Print) � _ � z F— a m
cnrt— O �
wpdala/bcs/nodcecommencemenl_pc0530�8
_ :.;5���: . . :r, . .'�!�'f"sr" .P'�?,o,�'!^':.^'�?T!r':�_.l"�xn'a;'R�r+�-n,-�-� ,..-a•.Yrrv^
��`� - .'' • - ,. ,' � - _ �',,•� _ :� ?r,..fr + '_ . . '.Il�,>:-,'a.:_ � .. :' . . ,'
- 'i'
�� r, r�, r °��+
�� "I '� i-..
� � 1
� • ��d��'��J
; .,.
; o
�` ' SOLD TO �� �//� f � � l� SHIP TO _ �� f�' �'t�_
�?�a� � , a u� ,r.��C�C�-✓�-..�1-�- ���1 _..a.ti. /�',L' --?
-- ADDRESS ` ..�� ADDRESS �
i� � ��� �4' � .=-�.- �-� �°/ �- �-L-=�-�-.- .r-� �
�^ CITY,STATE,ZIP ` CITY,STATE,ZIP "
-.. O � i
- CUSTOMER ORDER N0. SOLD BY TERMS F.O.B. DATE
� . � z 1l�-
�_ �
��' ' ORDEflED SHIPPED „ , j� DESCRIPTION PRICE UNIT � AMOUNT
j�=' f q � �/
I'- ' ��-�iV+�ff � /�-t�-+.:� /�/( c -t��--�--Y °Zz' �� -
I,� � �.J�-� v
�' ' � �f' /Lt r �� 'J �'�! .�9—�(7�-.�` C� �-f�r"11�,:�'�'c-~v�
�� .,_i�1 �����-�� .� `�� _3�`- �.��i°, -�:�e
-
I'� � �.� �' r" ,� � �,��� ` x. J� ,�
� �.- � � � , .�..� .
.- , .(�;i�� S �,,�—�-�� da.�.�.�..-�� e�-t �,�J - p
� `� r �� /-'/ /�`'� 'n.l'v
� ` ./��+ .s � J
f�...
(.:-- �
. ,,,` /� . ,� �, ,�. �1,, ��� .
''�-���� 1:�_ f�,a� 1 � �� � )r ,. t� \'!/l��-^ ; ' .
�•-_ . -- .. +.,.` - _..- �__.. . -....- Y / __ - �
rf .
. ���
II-.!� �
l .. l � i
• . f
�. . _ ._" __.__ _ _ � ___. .." .�.. - . ._�_� , _ .. -.. "_.. _ . _. _..__-..`. ... __� . ..
�=:.=- -
,�; � . -
l-.��,';, A-5&SO T-4G706l46727. _ ' - _ ' _ .,;�,:�.�:07-11
II����' - - - - _ _ " _ _ ' - _ ' _ r _ - •..,:... ._ .
c _.,�.,-.'r:" � _ , ..r .....�.._;�..�-...
_ ?�fMM.�i16Y�''.f�'r'�.