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Home My WebLink About15-16187 CITY OF ZEPHYRHILLS ,; 5335-8TH STREET �,; �sis��so-oozo 1 61 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16187 Address: 39136 OLD MILL LN 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: SUMMERHILL Est. Value: Parcel Number: 12-26-21-0100-00000-0360 Improv. Cost: 6,500.00 OWNER INFORMATION Date Issued: 4/17/2015 Name: KIRBY, DAVID & COURTNEY HOWARD Total Fees: 70.00 Address: 39136 OLD MILL LN Amount Paid: 70.00 ZEPHYRHILLS FL 33542-8200 Date Paid: 4/17/2015 Phone: 813-788-2411 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES TR PLE ROWN ROOFING I REROOF RESIDENTIAL 70.00 � �� - ZZ - I � �� 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 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 performed in accordance with .`7C. ` City Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACT R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ��-,o�-��u City of Zephyrhills Permit Application Fax 813-780-0021 Buitding Department .�';4 _ Ltate Rscefved �-/��'/,� Phone Gontact for Permitting �g� ��3 - �� Qwner's Name Q/��j� Owner Phcne Number ��',� '° ��F �� Owner's Address c7 d �� j�'� �'�� Owner Phone Numbsr Fee Stmqle Titleholder Name � � O+e►»er Phone Number �� Fee Simpfe Titlehalder Address JOB ADDRESS � � � �� L�� 1.07# .�� suaomsroN [J cr�v,��.�'�� PARCEL ID# Q�-�� `° �0 -�9 C'� --� — � t� (OBTAINED FROM PROPERTY TAX NOTICE! WORK PROPOSED e NEW CONSTR 8 AOD/A�T � SIGN [� [� DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM �] OTHER TYPE OF CONSTRUCTION Q BIQCK Q FRAME � STEEL Q DESCRIPTION OF WORK l'L'G.s� � �j �� '- � S�p '� `"� ��s � BUIldiNG SIZE �� SQ FOOTAGE a6 � HEIGHT ��_� �BUILDING � �� VAI�UATION OF TOTAL CONSTRUCTION QELECTRICAL $ � AMP SERVICE Q PRCIGRESS ENERGY Q W.R.E.C. OPLUMBING $ �._,� /� QMECHANICAI (9i�� VALUATION OF MECHANICAL INSTALLATION �`C� 1 L. ,�\ QGAS � ROOFWG Q SPECIAI.TY � OTHER FlNISHED FLOOR E�EVRTIQNS �� FLOOD ZONE AREA QYES NO BUILDER CQMPANY S{GNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# � �Ti�� ELECTRICIAN COMP�11etY SIGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N Add�sss Llcense# �` i � PLUMBER ` � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh Y/N Address License# �` i� ] MECHANiGAL COMPANY SIGNATURE REGISFERED Y i N FEE CURREh Y t N Addrgss License# r�i �'� a�ER � �� co�nParnr �i�l.��reJ e�DdFirs,/� Bee�� 5(GPIATiiRE ' REGISTERED Y/ N FEE GURREA Y/�V Address 7j � ��f� Ar�l ,R"` � .� �'j License# �� RESiDENTi1�t. Attacfi(2}Qlot Ptans;(2}sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new canstruction, Minimum ten(10)working days after submittal date. Required onslte,.Canstructton Plans,Stom►water Plans w!Sltt Fence(nstatled, _ _ _ _ Sanitary FacliiBes&1 dumpster,Site Work Permit for subdivisionsAarge proJects GOMMERCtAL Attach(3)comptete sets of Buliding Plans plus a Lffe Safeky Page;(1)set of Energy Forms.R-O-W Permit for new construet3on. _ __ -_- -_ -- Minimum ten(10}working days'after submittal,date. Required.onstte,-Conshuction Plans,-Stormwater Plans w/Silt Fence.ins#alted, - - - Sanitary Facflities-&1`dumpster.Slte Vllork Permit far aU new proJects.A!!commerclal requlrements musYmeet compflance 51GN PERMIT Attach(2)sets of Enginee�ed Plans. • """PROPERTY SURVEY required for all NEW constructton. Directions: Fill out appiicaHon completely. ' 1 Owner 8 Contractor s(gn back of appifcatlon,notarized • �� . ' If over 52540.a Notice af Commgnaement Is requlred. (A!C upgrad�s�ove�,,ST500} --�- . � '� 1'� � �, '* Agent(far the cantractor}ar Pawer of At#omey(for the owner}would be'someone with notarized letter from owner authorizing same " � DVER THE COUNTER PERMITTING {Front of Appfication Only} _ , , „ „_ . , v_ , . Reroofs if shingles Sewers Senrice Upgrades AtG Fertces(i'IotiSurveytFootage} , , ,- , � Driveways-Not over Counter if on publfc raadways.,needs ROW, -- . ' , � '� 1 ' 1 ., � i •°--.. .. .., .�.� .,. � ._ '...:" ,. � r �OTICE OF DEED RESTRICTIONS: The undersigned undetstands�that this.p�rmtt.may be subJect to"�"deed"res�tions" vhich may be:more.restcictive than County regulatlons. �The undersigned assumes responsibiltty for compliance with any ipplicable deed restrictfons. �� • � � � � 1NLICENSED CONTRACTORS APID- CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or :ontractors to undertake work, they may be required�to be:licensed in accordanc�:with state.and•local regulations:-If the ;ontractor is not Ifcensed as required�by law, both the owner and contractor may be clted for a misdemeanor violation inder state law. If the owner or Intended=contractor are uncertaln as to what Itcensing requirements may�apply•for the ntended work, they are advised to contact the.Pasco County Building Inspectton Division—Licensing Section at 727-847- 1009. Fu�the�more, if the owner has hired a contracfor or contractors, he is advised to have the contractor(s) sign �ortions of the "contractor 81ock° of thls application for which thay will be responslble. If you, as.the owner stgn as the :ontractor, that may be�an indication that he Is not.properly Iicensed,and is not entitled to permitting privileges in Pasco �ounty. � ` _ „ � " - - �. �RANSPORTATION IMPACTIU7ILITIES IMPACT;AND RESOURCE RECOVERY�FEES: The underslgned understands hat Transportatiomlmpact Fees;and.Recourse Recovery Fees may apply to.the construction of new�buildings, change of ise in existing buildtngs, or.expansion�of existin�g'�buildings, as specifled in Pasco County Ordinance number 89-07 and �0-07, as amended. The undersigned also understands, that such fees� as�may,be due, will be identified at the time of� �ermitting. It is further understood that Transportatlon Impact Fees and Resource Recovery Fees must be paid pr(or to •eceFVing a "certificate of occupancy" or final power release. :If the.project does not involve a certificate of occupancy or �inal power release; the fees must be pafd prior to permit Issuance. Furthermore; if.Pasco County Water/Sewer Impact `ees are due, they�must be paid prior to permit issuance-In accordance with applicable Pasco County ordlnances. CONSTRUCTION LIEN LAW(Chapter 713� Florida Statutes, �s amended):, If valuatfon of work ts$2;500.00 or more, I sertify that I, the applicant, have-been provided�with a copy of`the "Florida Construction Lien Law—Homeowne�'s Protection Guide" prepared by the Florida Department of Agriculture and.Consumer Affairs. If the applicant is someone other ihan the"owner", I certify that I have.obtained a copy,of the above.descrilied document and promise in.good faith to deliver it to the°owner"prior to•commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I ceMify-that all.the information in this appllcatlon is accurate and that all work �rill�be done in compliance with all appl(cable laws regulating construction, zoning and.land development. Application is hereby made to obtain .a permit to do work.and Installation as indicated: I �certifj► that no work or installation has commenced prior to issuance of a permit and that.ali work will be perFormed�to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations-in the jurisdictton. I also certify that I ur�derstand that the regulations of other government agencies may apply�to the intended work, and that it is my responsibility to identity�what.actions I must take to be,fn.compliance. Such agencies include but are not limited to: - Departme�t.of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaYsrMlastewater Treatment. - Southwest Florida Water Management� District-Welis, Cypress. Bayheads; Wetland "Areas, Altering Watercourses. - Army Corps of Engineers-Seawails, Docks� Navigable Waterways. - Department of Health & Rehabilitative Services/Envi�onmenfal Health Unit-Welis, Wastewater Treatment, Septic Tanks. . - US Environmental Protectfon Agency-Asbestos abatement. - Federal Aviatlon Authority-Runways. 1 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", (t Is understood that a drainage plan addressing a °compensating volume" will be submitted at time of permitting which is prepared by a professional engineer Iicensed 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 wali. - If fill materlal is to be used in any area, I certify that use. of such flll will not adversely aifect adjacent properties. If use of flll is found to adversely:affect adJacent�propertie5,.the owner may be cited for violat(ng the conditions of the building.permit issued under the attached permit application, for lots less than one (1) acre which are elevated�by flil, an engineered drainage plan is requlred. If I am the AGENT FOR THE OWNER, I,�promtse in good faith to inform the owner of the permitting conditfons set forth (n this a�davtt�prior to commencing construction. I understand that a-separate permit may be required for electrical work, plumbfng, signs, wells, pools; air co.ndttioNng,.gas, or other installations not spec�flcally included-in the application. �A � permit issued shall be constcued to be a Iicense 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 Bulldirig Oific(al from thereafter requiring a correction nf errors in�pla�s, constructlon or violations of�any codes. Every permit Issued shall become invalid unless the wrork authorized,,by such permit:�(s.commenced,wlthln six months of permit issuance, or�if work autho�ized by the permtt is suspended or abandoned#or a periad of six f8)m�nths after the time the work'��s commenced. i4n extension may be requested, i� writing, f�om 4he Building.Officfal for a period not to exceed nfnety (90) days'a�d will demonstrate justifiable cause foc the extension. If work ceases for ninety(90)consecutive days,.th�job is�corisidered aba�idoned. I WARNING TO OWNER: YOUR.FAILURE.TO.RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE.FOR IMPROVEMENTS TO YOUR:P.RO�ER-TY. tF YOU=INTEND'.T�OBTAIN•FINANCING��CONSULT —V11fT YOIJR LENDE O AN A'�TOR B OR��RECO �1 G� OUR` � C '.O � E E E T FlORIDA JURAT(F.S.117.03 �<L-�2� OWNER OR AGENT - CONTRACTO /� �� i Subsc►Ibad and swo ta(or aiflrmed)be ore e this Su bs c r i be d an swom to(or a ff irme d)� e f o r e m e t h f s �, by .by ,. VYho isfare personally k�ovm to me or haslhave produced Who is/are personally knovm to me or has/h�ve produced as IdentlBcatlon, as IdenBflcaUon. (j Notery Pubitc Notary Public Com ss n No. Comm on No. •��:Y'a'�•,, JOEL E.BACON Nam of Nota f�e '�1`it�o�rtret�i¢Q Name of Nola , " v�nt�0 :,: :,; Expires June 29,2018 =,; «: Commission#FF 137073 ':�,Rf F�;:•' BandedThmTroyFain Insurance800J85-1019 ;��:o;= Expires June 29,2018 '%'}�oF�?;:`� gcnded TIw TroY•`�n Insurance 800385dO1B - IIIIIIIIIIIII�IIIIIII;lIIIIllllllillllllllllllllllllllllllll z 2015060562 �'` � --- PemtitNo. PareellDNo �a�'Z�i�Z�^ Q��V �Q��Q" V3(i� NOTICE OF COMMENCEMENT , . seaaor F�•OI(L�pq " ' co��,cyor �SCD TFE 11NDERSIGNED hereby gNes notirr�that ImprovemeM wiU 6e made!n ceReln reel property,and In exordance witl�Chapter 71;i,Florida Statutas, tha to0ouing informetlo�Is provided in thts Notica d Camnencament• �•ll s � ,3� t. Dnsuiptlon of Propecty: Parcel IdeMlNcatlon Nn. �►MK�r � u 1✓1 Sl Ql� �8 3/ P65 38-� cor3�o�y3�y� StreetAddresa: 91�Y e�,11 M�c.� uv 7.Epaycraw�.s. Fc. 33sy� 2. Geoaral Description o/lmprovemeM K iG�[�6'!� �Q� ?(/19 �+ e• 3. ONnar l�ortrotlan ar Lessee iMormation Hthe Lassee wnhaded for the enprovement v�" �• r �9N�o—��tb y � ,�m N ��913.(�... NeC2i�—A�l�� E.�� 9�%P�N[RLF�tC 4 F��3S` � � Addrosa D�� CiIY Shate � w Interect in Praperty: Name of Fee Sfmple Titlehalder. N�A' 3-1� (fl diRerant from Owner Ilsted above) ` • �,d�e5s �ar�iE /SP.Ou1�t1 1eBd��it�fC� ��/G �'� . — S`��a ��•°- 4. Canvactcr. �� '� � n � nQ 7i_PNy2i�ll.[� Fc 33�/ � � ContradoreTelephoneNo.: ��-833�� < ,. �,,. 5. 6uraty. t�ame / — . A , Addresa City , State� Amcutd of Bond: S Telephone No.: - . B. Lender. � ' Name /w — m a �C IAddresa �Y �� D Lendals Talephane No.. , �1 N �, Persons wdhin the Stata of FlorEde dasignatad by tfie ownnr upon rM1hom notloes or othe�documerRs mey be seroed es provtded by 7C�� Secdon 713.13(1)(a)(n,Florida Stetutes: Z `A•+m . �i�/�� Nema ��..� r+� Address Ciry 6Wte `�,N�� Telephone Number af Dastgnated Parson: ~3 � A. In addRfon to himsel(,the owner designates �� ° to rewiva a wpy of the Lienofe Notiw cs proWdad In Sactlon 713.13(1)b),Flarlda Statutea , ��'� m Tekphana Numbar of Petson or Entiry Oesignated hy Owne� � 1"�10 '� E�. E�cpiraUen date of Notice oi Cortunencemarrt(the ncplraUon date rtmy not be before the complalion of wnstructlon and final peyment to the �� eontrador,6tR w(D ba ona year irom 1he date of reeordlnp unless a d'dfarerrt date Is epecllla�: ` ,~3 WARNING TO OWNER: ANY PAYMENT6 MME BY THE OWNER AFTER THE EXPIRATION oF 7HE NOTICE oF COMMENCEMENT ��/�� ARE CONSI�ERED IMPROPER PAY1dENT6 UNOER CHAPTER T13, PART 1, SECTION 713.13, FLORIOA STAiUTES, AND CAN �/ o RESULT(N YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE � RECORDED ANO P0.STED ON THE JOB SITE BEFORE THE FlRST INSPECTION. IF YOU INTEND 70 OBTAIN FIN.�NGNG,CONSULT m W1TH YOUR LENOER OR AN ATfORNEY BEFORE COMMENGNO WORK OR RECOROINO YOUR NOTICE OF COMMENCEMENT. � Undar peneky of pa�{ury,I dedaro that I have road tl�e folepoln8 notlea of eortvnencemad and tliat tlfa fada stated thareii�are We to the be6! of my ImovAedpo end balieL /� � F3TATE OF FlARIOA " � / iAUNTY OF PASCO }( S�jnaWre o O�ner or Lecsae,ar Ov.nnrs o Lnssea'e Authntized O(fiwdDirectcdPartner/Managet u� I _� N • 3lgnatorys Tilie/Otfice n ��.4�� The forepolnB inctrume�d wac acknov�ladgad before me this,,,�L,dsy aT��,20�'�,by oA V�,L{ M• F1`V' �m� � I as �w�'PJ' (rype o}authorlty.e.0•�afticer,husten,attom� ��uWi Z � y� C � � (namo oi pariy on bahalf oi whom inurumen'�was oxe ne�. � o.n P�tsane�y Known�OR Roduced IdariWkatlon� Natary S�gnawre 1� �a� m 'f y pe of IdeMiflcatlan Produced �L— ��I YJ✓ ��(�N$� Name(Print) S V1 A "Q Z � Q ��n 1�a y o� E _ z 8 �. , � , � � � � __ y� ' �� i + . i . � �� S�ATE�F FLORI�A, COUNT'Y QF WASC� ��° Q • ° '�� ' THIS IS Tq CERTIFY THAT THE FOREGOING IS A �' �� TRUE AND CORRECT COPY OF THE DOCUMENT � ' � ' � � � , ON FILE OR QF PUBLIG RECORD IN THIS OFFICE �' � � � WITNESS MY HAND AND FFICIAL SEAL THIS � ° ht��e'��t ° ��L� °�;� � �DAY OF 2� � � , PAULA S p' �IL,CLE &COMPTROLLER � / � � 3887 � BY � ' DEPUTY CLERK �',�� °��b��' --- .- .,.. -. .. .� -_.._ - -. .._. ..: . .- :.�. . , . _ : . . - � -- . _. ;. _ , . . . -r � . . _; _& . . . ,�.- . . - , .. � ' � i�i_. •�• i`._. � *�w� � � TRIPLE CROWN ROOFING, INC. " 7140 ANDRE DR. � ZEPHYRHILLS, FL 33541 813-833�-772Q STATE LICENSE°CCCQ49370 � WWW.TRIPLE-CRO`tNN-ROOFING:COM 1 LNAUZT1963@AOL.COM SPECIALIZING IN ALL T YPES G►F METAL ROOF SYSTEMS NAME PI-10NE DATE ��L �flitt:�`� �� !�".��`� ��-1�- 1� STREET CITY STATE ZIP �� t./�.-1� ��..� �..tV '��`��y'f��-f i� � � ��- ��i�r� SALESMAN Y-�:-L)�l,J' �4P�!`�'i�1 d-•,� - We i�ereby submit specificatian and wark descriptian: �'�t� � �2. 4�"�t ::�(1 r rti..{�*y L.�:. .�a (��1 U�._ 6-11��► �d ��{e'+�°a ' �;�:. �`A ��.. �t.;: c�,��'� � �'��a� �f` c=�'3�.. �lc: � �r��, ��, l��'�`..j/11� i`}�:..�;. t.. � J�;�.� ��1�.I�.�C�r�..lFi "t �1�'��F\.t i ��1� ._�`•��..f�..��l:�lC�� Y��(�4. �]1'�,�lY�I�.. I� �i�� e�''�:�1�'' f:r,��' �r��:+�a'r��1 C.. `�,��-!��i�..(;:�a . ,1 it�.�'��t c� t��.~�J �,��A� �:J�-��. � }�� i 51 �-��i i> �c.��i S � �'�r��,�: t�`�: ��. ..�.�.. �--..,...�...,_. �'��..�:��.. { ��?��. �1t,�!�.�t`�:v ,`� ��.- �..��¢ d�tt�`i��r2. t m�►-�� r,��'a. �, i�I�r�� t 5 ��:t i �1+� lE r t;� � .�u��,� _< ; , ��-�:- � THE ABOVE DESCRIBED WORK WILL BE COMPLETED ACCORQING TO SPECIFICATIONS, FOR THE SUM OF . {$ ?:. .��t�� }. PAYMENT TO BE N1ADE AS FOLL4INS:$ 3. �.S�� AS DOUVN PAYME(VT ' BALANCE OF$ .=' ,� ��(�? DUE UPON COMPLETION. r . ***ANY ROTTED WQOD DISCOVERED W1LL BE AN EXTRA CHARGE AT A COST OF$ °�''°`PER 1/2°SHEET OF � PLYWOOD$ �°° � Lin. Ft.Lumber. NO t�RAL AGREEMENTS NAVE BEEN GIVEN �R ACCEPTED. THIS WRITTEN GONTRACT IS TNE " ENTlRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED ANDIOR MATERIALS TO BE ;, FURNISHED. THE WRITTEN PC}RTI�N ABOVE 1S TNE ENTIRE CONSIDERATIaN FOR THE AMOUNT �' C1F THE GUNTRACT. PURCHASER MAY GANCEL THlS CQNTRACT ANY T1ME PRlOR TO MlDNIGHT , OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT. � IT IS AGREED: °" Cantractor wifl do ail said work in a good and workmanlike manner and in strict accordance with the ordinances,rules and requirements af the city, Town or Vi(lage, wherein the above mentioned property is located. If purchaser should cance{this cantact after time stated above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attorney to callect any sums due the Contractor pursuant to this contract, then the Purchaser shali pay all reasonable attorney's fees incurred by the contractor.This contract shall not be binding upon Contractor until accepted by them. Upon such acceptance by said company,this confract shall be binding on melus yvithouf any further notification to melus. 7he undersigned property awner agrees that this contract may be assigned for the performance of the work and labor required by the description of the work to be performed. Upon assigned the parties hereto consent to the performance af the work by and payment to such assignee of the amaunt of this corrtract.Any Alteration or deviation from above specifications involving extra costs will 6e executed only upon written orders and will become an extra charge over and above the stated contract amount. NOTICE TO THE BUYER : t1,}C�a not sign this contract before you read it or if it contains any blank spaces�2}You�M'� --- - = are entitled to an=exact�copy of the contract you sign:(3)Under the lavii�you have the right to pay off in advance � the fult amount due and under certain circumstances to obtain a partial refund of the time charge.Owner acknowl- � edges receipt of a true capy of this CONTRACT. � � PURCHASER DATE ,r`"� �.�� . � �d;t,a,,�� f - ;- - - ��,�'.. � ,�f� ~ ..�� --- BY:Triple Cro�un�Roofing, Inc. DATE PURCHASER DATE This co�tract is enfotceable aniy when accepted by martagemerrt of Triple Crown. .s 4. ' �,,...�- _ _._ _ ._. '