HomeMy WebLinkAbout15-16159 CITY OF ZEFF�YRHILLS
5335-8TH STREET
�, a� (si3)�so-oozo 16159
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16159 Address: 5942 20TH ST
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: 12-26-21-0260-00100-0020
Improv. Cost: 4,400.00 OWNER INFORMATION
Date Issued: 4/08/2015 Name: JUETTNER CINDY
Total Fees: 60.00 Address: 5942 20TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-3875
Date Paid: 4/08/2015 Phone: 813-731-0848
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 60.00
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DRY IN ROOF INSP
TAPE JOI TS�2070�IN�P�
FINAL r�
REINSPECTlON 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 resuEting
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.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIFtED
PROTECT CARD FROM WEATHER
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� � 2015054018
Permit No. Parcel ID No I Z�7'6-Z�` V Z��-' ��� - OO ZO
NOTICE OF COMMENCEMENT
State of �a��� County of ��`�V
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:
1. Description of Property: Parcel Identification No. �z'Z�O` 2�- bZ��- d b(Ov '� 0�20
StreetAddress: 5a�{Z �.,,�`� 5'�• j �Phc�rhi��b� FL- 3354z
2. General Description of Improvement rL� r��
3. Owner Infarmation or Lessee information if the Lessee contracted for the improvement:
I C.�(fl� �1�/1.Z.1'1`11eyr �l,a��Gl-Y1G�
6��Z �a�e Sk�«-(' �C{phurh�lls C, 33��Z
Address City State
Interest in Property: ��n�
Name of Fee Simple Titleholder•
(If different from Owner listed above)
Address City State
. Contractor: ��� ���'��1 1 �L
3�a�ll�Nam� �� ��h�,Yh<<ls FC. 335�!
Address City State
Contractor's Telephone No.. ��3-rj$Z- �p0��(
5. Surety:
Name
Address Rcpt:1673452 Rec: 10.00 ate
Amount of Bond: $ DS: 0.00 I T: 0.00
04/08/2015 D. W. , Dpty Clerk —
6. Lender:
Name 'PRULR S O�NEIL,Ph D PRSCO CLERK & COMPT ELR LO R
04/08/2015 01:34 m 1 of 1
Address OR BK �1�� p� Z742 te
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)(�,Florida Statutes:
Name I
I Address City State
Telephone Number of Designated Person:
8. 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 of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion af construction and final payment to the
cantractor,but will be one year from the date of recording unless a different 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
RECORDED AND POSTED ON THE JOB SITE BEFORE THE F T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMME IN WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the for oin otic of commenc en th facts stated t rein are true to t best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
- --- - - -- - - - - - Si n ture of r or ss e, �� r's- essee's Authonze - -
Officer/Di c r/ artn /Manager
Signatory's Title/Office
The foregoing instrument was acknowiedged before me this �6 day of l��G� ,20 IS,by C��� R�W��'Y'�
as (type of authority,e.g.,officer,trustee,attomey in fact)for
(name of p _ on b haff of whom instrument was executed).
Personally Known�7 OR Produced Identification❑ Notary Signature
Type of Identification Produced Name(Print)
:p �c a e o lorida
. Tammy Verdadero
�� �Q My Commission FF 184019
of c�.° Expires 72/16/2018
wpdata/bcs/noti cecommencement�c053048
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`,v ��" ��4 ���GZ ���'n�, Tnvoice Number 0326x5
�;>�� �,� ";r l Purchase Qrder' ; �.; , .
;tij�� {��;�'� A Division o f Ryman Canstruction,.Tnc. :Sales Re ..,' . . >Aaron Camacho:`;._
p:.:: . .
� ;'�" Licsnse#CCC 13255051 CGC 1517771 �?vorce�DaCe;:: (13%26%:1�5:
�'� I(�IG. �Due�Date: v:{}41261'15: ' _..
Page Nuinliei: .. �1.of..:1' , .
Customer: 3541
Location:
Rowland,Cindy
5942 20th Street '
Zephyrhilis,FL 33542
; ._.............:..-..„ ..... .. . . .. _ , . ..... . --
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Quanfity;. :.:�U"nit: ,,. Descr��i�on fs<Eai'�:Niunher . , - - �UitiC:Price� :�'x.,. s Price:E�e�sion.
�,pp 4,4p4.0040 4,400.Q4
Complete tear off af existing asphalt shingles;Secure all loose !
roof decking as needed accarding ta Flarida Building Codes;
Roof dried in with(2)layers synthetic UDL;InstalI new
, valley metal with galvanized metal; Install all new 6"drip
edge color- ;Install all new Iead boots,Install a21 new
general roof vents; Install all new 30 yr Dimensional
Shingtes; Manufacturer:Tamko Catar:Heritage Premium
Rustic Cedar; All roof related dabris removed from jab site,
gick up loose nails using commercial grade magnet. Ail
materials,labor and permits furnished.
Provide a S year Labor Wananty
� Additional Notes: Includes Wind Mitigation
� ;
i
Invoice Net 4,400.00
36413 State Road 54 o Zephyrhills, Florida 33541�Telephone: 813-782-6094•Fax: 813 788-6773
www.rymancanstruction.com
813-780-0020 City of Zephyrhills Permit Applicatian Fax-813-T80-0621
Building Department
, • a
Date Received phone Contaat for Permitting -
Owner's Name �n� ����'"� �e.���-' Owner Phone Number a�3��3�'6$`�g
Owner's Address S��Z 26�" -�j`�Y"t"'t'k Owner Phone Number � �
Fee Simple Titleholder Name �- � Owner Phone Number �- �
Fee Simple Titleholder Address
JOB ApDRESS 'Jr���• �,d`�% �-�'. � ��pht�✓�'ii{ta l �Z- 33 J`�'�Z L,OT# ���
SUBDiVIS10N �� ��� � PARCELID# �Z"y��'� 2t-' �iZ �°b- ap� �a � a�Z�}
(OBTAINED FROM PROPERTY TAX NOTICE)
WQR1C PROPOSED e NEW CONSTR e ADDIALT � StGh! Q Q DEMOLISH
INSTALL REPAIR �^' �-�b�n�
PROPOSED USE Q SFR Q COMM 0 QTHER
TYPE OF CONS7RUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION dF WORK �� v-�'� �"`�' �'�'rda.� {ft' S�• �i�+'"'�v ��r�`��c 30
BUILDING SIZE �— � SQ FOOTAGE[__� HEfGHT [��
QBUILDING ��' ��-- � VALUATION OF TOTAL CONSTRUC710N
QELECTRICAI. � AMP SERtltCE � PRQGf2ESS ENERGY [� W.F2.E.C.
OPLUMBING � �
�NIECHANIGAL. $ VAWATtON OF MECHANICA�INSTAL[ATIQN j ��
1 �
[�GAS � RC?OFtNG � SFECIALTY � OTHER
FINISHED FLOCIR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# � �
ELECTR1CfAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License# � �
PLUMBER COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
_,,.—_—,......,,.—_,,._
Address License# �— u �
MECHANICAL. COMPANY
SIGNATURE REGISTERED Y/ N FEE CUFtFtE� Y/N
Address License# �_ �
OTHER � � � (� � COMPANY � �� �`}`��'� , ��'
SIGNATURE �I _� REGISTERED Y N FEE CURI2E� /N
l..X.x---
. -- Address�_�4?��3 5�'r-��(-�'-�rhiits� �'L.. 335�( --_ _ . - - -- ---- C��-{32550 --� ---
License# - �"
RESIDENTIAL Attach t2)Plat Plans;(2)se#s of Suitding P1ans;(9}set of Energy Forms;R-O-W Permit far new construotion,
Minimum ten(10)warking days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faci(ities&1 dumpster,Slte Work Permit far subdivisionsliarge projects
COMMERCIAL Attach(3)complete sets of Buitding Plans ptus a�ife Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. - --
_ Minimum ten(10)�working days afier submittal-date:-Required onsi4e,Construction Plans,Stormwater Plans wl Silt Fence installed,
� Sanitary Facitities&i dumpster.Site Work Permit for al(new projects.ASI commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contraetor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A!G upgrades over$750p)
"* Agent{for the cantractor}or Power of Attamey{for the owner}wouid be someone with notarized letter ftom owner authariz+ng same
OVER THE COUNTER PERMI7TING (Front of Application Only)
Reroofs tf shingles Sewers Senrice Upgrades A/C Fences(Plot/Survey/Footage) ,
Driveways-Not over Counter if on public roadways..needs ROW �
y _� , ti
NOTICE OF DEED RES7'FtICTIQNS: The undersigned ttnderstands that this permit may be subject to°deed"restrictions"
which may he mo�e restrictive than Caunty reguiations. The undersign�d assumes responsibility far compliance with any
applicable deed restrictions.
UN�lCENSED CUNTRACTORS AAID GONTRP►CTOR RESPONSI�ILITIES: If the owner has hired a cantractor or
contractors #a 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 taw, both the owner and contraotor may be cited for a misdemeanor viotation
under state law. If the owner ar intended contractar 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 contracfor or contracfors, he is advised fo have the epntractor{s} sign
portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as the owner sign as the
cantrackor, that may be an indicat�an that he is not properly licensed and is not ent�tled to permitting privileges In Pasco
County.
TRAIVSPORTATION IMPAC'T/UTILITIES IIVlPr4C'T Ia1ND FtESOURC� RECQVERY FEES. The undersigned understands
#hat Transpo�tatian Impac# Fees and Recourse Recovery Fees may apply ta fFte construction af new buiidings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
9Q�Q7, as amended. The undersigned alsa unders#ands, fha#such fees, as may be due, will be identified at#he time of
permitting. It is further understood that Transportation Impac# Fees and Resource Recovery Fees must be paid priar to
reGeiving a "certificate of occupancy" or fina! pQwer release. !f the project does not invoive a cer#ificate of occupancy or
final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewre� Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTIflN LIEN l.AVi►{Chap#er 713, I�lorida StatuEes�as amer�d�d): If valuation of work is$2,500A0 or more, t
certify that I, the applicant, have been provided with a copy of the "Florida Constructian Lien Law—Homeowner's
Protectian Guide" prepared by the Florida Degactment af Agriculture and Consumer Affairs. If the applicant is someane
ather than fhe"awner", I certify that I have abtained a capy of the above described document and promise in gaod faith to
deliver it to the"owner"prior to commencement.
CQNTRACTOFt'S/OWN�R'S AFfIDAYiT: t certify that att the information in this appiication is accurate and that all,wark
will be done in compliance with all applicable laws regulating construction, zoning and land develapment. Application is
herel�y made to obtain a permit ta dQ work and insta0ation as indicated. 1 cert�fy that na work or instailation has
cammenced prior #a issuance of a permit and that all work will be performed to meek standards af all laws regulating
canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. 1� also
certify thaf I understand that#he reguiations of other government agencies may apply #a the intended work, and that it is
my responsibllity to iden#ify what actions ! must take to be in compliance. Such agencies include but are not limited to:
- Department of Enviranmenta! Protection-Cypress Bayheads, Wefland Areas and Environmentatly Sensifive
Lands, Water/Wastewater Treatment. ,
- Southwest Florida Water Nlanagement Dis#rict-Wells, Gypress Bayheads, Wetland Areas, AI#ering
Watercaurses.
- Army Corps of Enginsers-5eawaNs, Dacks, Navigabfe Waterways. ;
- Department af Health & Rehabiiitative Services/Environmental Heaith Unit-Wells, Wastewa#er Treatment,
Septic Tanks. ��
- US Enviranmental Pratection Agency-Asbesfos abatement. ;
- Federal Aviation Authority-Runways.
i understand that the following restrictions apply to the use o#filf:� ,
- Use of fill is no#ailowed in Flood Zone"V"unless expressly permitted.
- If the fill materia! is to be used in Flaod Zone "A", it is understood that a clrainage plan addressing a
"compensating votume" will be submifted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fifl material is to be used in Fload Zone °A° 9n connection with a permiffed building using stem'wall
construc#ion, I certify that fill will be used only to fill the area within the stem walL �
- tf fill materRa! is #o be used in any area, I certify #hat use of such fill will not adverseEy affect adjacent
properties. lf use of fil( is found to adversely affect adjacent properties, the owner may be cited for viola#ing
the conditions of the building permit issued under the attached permit application, for lots Isss than one (9}
acre which are elevated by fi(1, an engineered drainage plan is required.
If I am the AGI�NT FOR THE OWNER, I promise in good faith ta inform the owner of the permitting conditians set forth in
this affidavit prior to commenci�tg construction. I understand that a separate parmit may be required for eEectrical work,
plumbing, signs, wells, paols, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed ta be a license to proceed vuith the work and nat as authority to.violate, cancel, alter, or
set aside any provisions of the technical codes, nar shati issuance of a permit prevent the 8uilding Official from thereaf#er
requiring a correction of errors in plans, cons#ructian or violations of any codes. Every permit issued shall become invalid
unless the work au#horized by such permit is commenced rrvithin six months of permit issuance, or if wark aufhorized by
the pe�mit is suspended or abandoned for a period of six(6) months after the time the wark is commenced. An extensian
may be requested, in writ3ng, from the 8uilding Official for a pecfod not to exceed nine#y {90) cfays and will demonsfrafe
justifiable cause for the extension. lf wark ceases for ninety(�0)consecu�ive days, #he job is conside�e� abandone�.
WARMING TQ OWNIER: YOUR �AILURE TO R�CORD A NOTiCE O� COMMENCEMENT f�AY' RESULT IW YOUit
PAYING TWICE FOR IMPROVEII�ENTS TO YOUR PROPER7'Y. IF YOU INTEN�TO OBTA,IN FIN,I�►NCIIVG,CORISULT'
� -�lfdTN YQUR�ENDER OR AN ATTQRWEY BE�OFtE RECORQING YOUR NOTI�E�F COMfi�IENCEMENT. .
FLORIDA JURAT(F.S. 11 . _ � _ __ _ _ ___� _ _ _ _ _ - - - - - •
01Nt�lER C}it AGEtd7'� /� � CONTf2ACTOR `�..�" ..�, - • -� _ - —`_ _ _ --
Subscribed and swom to(or affi ed)be�#are me thfs Subscribed and swom to(or affirmed)before me this
�-''l-t5 by `�hrvv++o V-C.�-c�ctuo y-Z-IS by '��r.n,K 1/�.r,-d�ci�/a
Wha islare personalt a ta me or haslhave produced Wha islare personatly kr�own me or haslhave praduced
as Idenkification. as identification.
���:'•,( ;� ..�. .�'°� Public � I.�l' NotaryPublic
� '„' ' ' RRY �—
`�a�• +r- Notary PubiiC-State of Floflda
Commi slo ��``: Comml fa N .
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'%'FOr ftua°•` Commission#EE 16 .s��tPRY�AV��� ANNA MAR�E lYNCH TERRY
Name f Plota�y,ty,p.��,. � ��3tklatiPr�dNotary Assn. Name I�"o �dl 8t��t�ra�de ot Florida
�N* + •? My Comrn Expires Apr 4,201&
%rF oP°;` Commissian#EE}66865
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Bonded Through National Notary Assn.