HomeMy WebLinkAbout15-16031 . ` CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(si3)�so-oo20 16031
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16031 Address: 37137 CULLENS TRAIL
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0180-00000-0600
Improv. Cost: 12,300.00 OWNER INFORMATION
Date Issued: 2/20/2015 Name: BLACK, RICK & SHARON
Total Fees: 100.00 Address: 37137 CULLENS TRAIL
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/20/2015 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
GA I ROOF N REROOF RESIDENTIAL 100.00
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Ins ections Re uired
DRYI ROOFINSP
TAPE JOINTS ROOF INSP
FINAL S�^ Z� �!,'1
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�sasa-ooza City af Zephyrfiills Permit Appiication FaX s�aasaoo2�
. -' Bullding Department
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Date Recelved Phone Contact for Permitting
Owner's Name / � G.�+'/(�G� Owner Phone Number
Owner's Address � � U / �����-� Qwner Phone Number �� �
Fee S(mpie Titlefioider Name �- � � t3wner Phone Number � �
Fee Simple Titleholder Address
J08 ADDRESS � �1�� ��I G,�i�`/�'.t,.,S� L.OT# C_______�
sus��vis�ar� S'/Z-I/�lr.'_- �'11��,� � Pa�c�z�o� f�3 2.�~-�-/--�I�r —•Qlld D�_�'l�
(087AINED FROM PRQPERTY TAX NO710E)
WORK PROPQSED e NEW CONSTR 8 ADDlALT � S1G�! Q Q DEMQLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � UTHER
TYPE OF CONSTRUC?10N Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK 1� �9•� "l� Lf1L�1� � U--J�i'" %i,����s� ..��lY�.��
BUILDING SIZE � � SQ FOOTAGE�� NEIGHT C��
OBUILQING � , .} 3�� VAI.UATION OF TOTAL C{�NSi'RUCTION
f�,
QELECTRiGAL $ AMP BERVICE � PRO�RESS ENERGY � W.R.E.C.
QPLUMBlNG ($; � � � �
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QMECHANICAL $ VALUATION OF MEGHANICAL INSTALLATIQN '
OGAS � ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATiONS r�� FLOOD ZONE AREA CJYES NO
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BUlLDEF2 COMPANY
SIGNATURE _, REGISTERED Y/ N FEE CURREN Y/N
Address I.icense# �� '�
EI.ECTRfC1AH CQMPAI�IY
SIGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N
Address License# �� � -
PI.UMBER ^� CQMPANY
StGNATtIRE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �^ �
MECHANtGAL C01VlPANY
SIGNATURE _ . REGiSTERED Y/ N FEE CURRE� Y/N
Address �icense# �� �
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07HER �,,_� CQNIPANY ���6� �ll+��//�•'�
SfGNATURE aECrsr�aEO Y! N FEE CURRE� Y/N
Address P �i�'X l��,.� �icense# ��d z"�G��f �
RESIDENTIAL Attaah(2j Plot Plans;(2�sets of Building Plans;{1)set of Eneegy Forms;R-O-W Permit for new construation,
Minimum ten(10}working days after submiftat date. Required onsite,Construction Pians,Stormwater Pians w/Silt Fence instailed,
Sanitary Facilities 8�1 dumpster;Site Work Permit far subdivisionsflarge proJects
COMMERGIAL Attach(3)comptete sefs of BufEding Plans pfus a Life&afety Page;{1)set of Energy Forms.R-O-W Perm9t for new constnaction. �
Minimum ten(1d}wotking days'affer submittal dafe. Required onsite,Construction Pians,Stormwater Plans w/Siit Pence installed,
Sanitary Facilities 8 1 dumpster.Site Work F'ermit for all new proJects.All cammercial requirements must meet compliance
SIGN PERMIT Attach{2}sets of Engineered Pians.
'*"PROPERIY SURVEY required far ati NEW construction.
Dtrecttons:
Fiil out appticafion completety.
Owner&Contractor sign back of applfcation,notarized
if over�2504,a Notice of Cammencement ts required. {A!C upgrades over STSOQ)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTiNG {Front of Applicatian Only}
Reroofs if shingles Sewers Service Upgrades-A7C' �� Fences(PIoUSurvey/Footage)
Drivsways-Not aver Gounter if on publ(c roadways::'needs;ROVtit '_,
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this.petmit may be subject to"deed" restrlctfons"
which may be more restrictive than County regulatlons. 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 cfted for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what Iicensing.requirements may apply•for the
intended work, they are advised to contact the Pasco County Bullding Inspectton Diviston—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 appllcation for which they wiil 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 tn Pasco
County.
TRANSPORTATION IMPACTfUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and.Recourse Recovery Fees may.apply to the construction of new buiidings, change of
use in existing buildings, or expansion of existirig buildings, as specifled 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 tssuance 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" re ared b the Florida De artment of A riculture and ConsumerA '
P P Y p g ffairs. If the applicant is someone
other than the"owner", I certi that I have obtained a co of the above described document and romi
fY PY p. se in good faith to
deliver it to the°owner"prior to cornmencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce'rtify 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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations tn 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 agencfes include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterMlastewater 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 Sen►ices/Environmental Heaith Unit-Wells, Wastewater Treatment,
Septic Tanks. .
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- 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 Florlda.
- 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 wili not adversely affect adjacent
properties. If use of ffll is found to adversely:affect adJacent properties, the,owner may be c(ted for viofating
, the conditions of the building.permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by flll, an eng(neered drainage plan is required.
If I am the AGEfdT 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 techn(cal codes, nor shall issuance of a permit prevent the Buiidirig Official from thereafter
requiring a correction of errors in.plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit�is commenced within six months of permft issuance, or if work authorized by
the pe�mit 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,.th�Job is considered abandoned.
_ -WARNIN�T_0_OWNER:YOUR_FAILIlRE TO...RECORD.A.NOTICEyOF:C_OMMENCEMENT_MAY_RESUL.T_IN YOUR_ _. __ _ ____
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO.U-INTEND TO OBTAIN�FINANCING� C.ONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE:OF-COMMENCEMENT:
FLORIDA JURAT(F.S.117.03) �f L //�� �
OWNER OR AGENT ��i��'l � CONTRACTOR ��,��v
Subscribed an b�wom to(or aflirmed)beiore me this" 9�ub�ribed � to(or afflrmed)before me thts
Who Is/are personally knovm to.me or has/have produced Who Is/are ersonaily kno to me or haslhave produced
as identlflcatlbn. as IdenBficaUon.
Notary Public _ - .�1—�.. Notary Public
Commisslon No. Commis o . o.
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.•..':�„'.. ' CQUELINEBOGES
Name oI Notary typed,printed or stamped Name of No' , ������DeCembe�r 1t 22?�i8
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��Y��` Ro�dad Thm Troy Fda Inaumnee 6^�.3g5.)019
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PROPOSAL SUBMITTED TO PHONE DATE
L ��G�}G �
STREET JOB NAME
3�/3� G�t�,�.c�v�
� CITY,STATE and ZIP CODE JOB LOCATION
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' ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for•
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�P �,�PQ�JIISP hereby to furnish material and labor— complete in accordance with above specifications, for the sum of:
dollars($ G f--,�0� )
Payment to be made as�� /llows:
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All material is guaranteed to be as specified. All work to be completed in a workmanlike Autho�ized �
manner according to standard practices.Any alteration or deviation from above specifications Si natu�e
involving extra costs will be executed only upon written orders, and will become an extra g
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control.Owner to carry fire,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 dByS.
,�LLP�.1tFIYILP II� �P0�1Q�i�11 —The above prices,specificazions �j -� � ,p / �
and conditions are satisfactory and are hereby accepted. You are auth6rized Signature ��'��� �)•G`�
to do the work as specified. Payment will be made as outlined above. �
Date of Acceptance: Signature
-- � " i�iiiiiiiiiiuiiiiiiiii�iiiiiiiiiiiiuiiiiiiiiiii�iuiiiiui
2018026049
Repl:1661899 Rec: 10.00
DS: 0.00 IT: 0.00
02/20/2015 D. W., Dpf.y Cle�k
PertnitNo. Parcel ID No �� H°"z�'�0�a�-00��0��G�
NOTICE OF COMMENCEMENT PQULR S 0'NEIL,Ph D PRSCO CLERK 6 COMPTROLLER
p� 02/20/2015 30:30am 1 of 1
Slate of ��a-/�� County ot �cS�• OR BK 9150 P� 2793
THE UNDERSIGNED hereby gives nolice Ihat improvement will be made to certain real property,and in accordance with Chapler 713,Florida Statutes,
the following infortnation.is provided in lhis Notice of Cammencemenl: /
1 Descriplion of Property: Parcel Identificalion No. �3^Z G�Z�^��8�-���0�^�P��-
StreetAddress: J /I3 (iu��i�f LT ��GJ /`L 335�/'L
2. General Description of Improvement l���' ��� /Y'��� -
3. Owner Infortnadon or Lessee infortnation it tfie Lessee conlrecled for the improvemenl:
�cC�l ,��� a ��� •
� /���ame ��CLL�•t/S' zLG/�N'!/..�'S �li
Address ,/ /� Cily • state33Sl1/�--
Inleresl in Property� ��'V G"� "
Name af Fee Simple Titleholder: !-
(If d�Herent fram Owner listed above)
Address n Cily Slate
4. Contraclor (/�/�l�l� ��x���
Name n� ��K. l��0��+ /9'��- �iL� �li
i �
Address City Slate
Canlractors Teiephone No. 3�7-- S 6 7� 5�� 3 3 S��'
W Y
. Surety. `� � W 11- (/9 W W
Name �^ � - � -��J U
Address City Stale (� z� � �� O �
Telephone No. � U � J N �
Amount o(eond: S �_ � Q � Q � W
2
6. Lender. � W �z� � �
Name `�-
State � � F-- Q
Address C��y �" � � V
�-
Lenders Telephone No. � W � -
7. Persons within lhe Slate of Florida deslgnaled by lhe owner upon whom nolices or other documanls may ba served as provided by �I� �- W �
Sedion 713.13(1)(a)(7),Florida Slalutes: U Q� �' w
..�- _
Name �F- �-- J
U m � "
���y Stale � LL- W � O J
Address _� O �� n- Q UJ
Telephone Number al Designaled Person:
�� � w � z/
8. In addition lo himselt,the owner designales °f— �° U U � Q
�� lo receive a copy of the Lienors Notice as Drovided In Seclian 713.13(1)(b),Florida Stalutes. �- O G1 O �
Telephone Number of Person or Enlily Designated by Owner. �'� o ~ z w
W � Q �
9. Expiration date of Nolice of Commencement(tha e�epiration date may nol be before the compleNon of tructian and final payment lo the � � � LL� r
coniractor,hul wlil be one year from the dale of recording unlass a diHerent dale is specified): �.��O � a [Q
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATIO THE NOTICE OF CbMMENCEMENT ,
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 13.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPER A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTIqN. IF OU INTEND TO OBTAIN FINANCING,CONSULT � 2n
WITH YOUR LENDER OR AN ATTORNEY 6EFORE COMMENCING WORK OR'RE RDING YOUii NOTICE OF COMMENCEMENT � �" �
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Under penalty af perlury,I dedare that I have read the foregaing notice o(comm ryent and at Ihe f s slated t e' r e to the bes ���` ' �n-
of my knowledge and bel�el. � , r�
STATE'OF fLORIDA `��1`� � . �,., � �, �����I"���
COUNN OF PASCO ��°' � 4 � i��
Sfgna ot pwner or Leg e,or Owners r Lessee's Authorized m ti''' � �'�
OK /DireUarlPartried nager �4 " 0�0 �'
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Signatory's T(tIelOKte // � ="2 � � � �
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The foregoing insirument Jras acknowledged before me lhis�day of.�,2��bY /`�r r`� � {d,�r -Y � � �
as (type of authorit�fficer,lrustee,attomey in fact)for ' �� � �
(name (paAy on beha�(of whom insl menl was executed). ]�� � � x
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Personally Know�OR Produced Identifiwtion O Notary SlgnaWre ���I Q+-� ����— ,
Type of Idenlification Produced Name(Print)
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� ��pR COLLEEN STROTT
ov� o�,NOTARY PUBLIC
°� �STATE OF FLORIDA
� �Comm�tEE137010
�N�E ti9�� Expires 10/10/2015
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