HomeMy WebLinkAbout15-16553 << � CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo _ 16553
� BUILDING PERMIT ���
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16553 � Address: 53 5TH ST
Permit Type: RE-ROOF ' •�ZEP.YRHILLS, 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: 11-26-21-0010-12400-0030
Improv. Cost: 6,590.00 � OWNER INFORMATION
Date Issued: 8/28/2015 Name: SWARTS CHARLES L & BEVERLY A
Total Fees: 70.00 Address: 5237 5TH ST
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-4041
Date Paid: 8/28/2015 Phone:
Work Desc: REROOF SHINGLE !
CONTRACTOR S APPLICATION FEES
A.BARTLETT ROOFING OF C NTRAL F RERO F RE DENTIAL 70.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINT RO F INSP
FINAL � ,
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times thei amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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: r failure to record a notice of commencement may result in your paying twice for
improvements our operty. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Compl lans,Sp ifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances.;NO OCCUPANCY BEFORE C.O.
NO OC �NCY BEFORE C.O.
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C TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD, FROM WEATHER
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a�s-.�eo-oo2o City af Zephyrhills Permit Application FaX a�saso-oo2�
' y 8uilding Department
Date Recsived Phone-Contact for Pe�Itttn -
Owner'$Name � �.. „s Ownet Phone Number
Owner's Address ..7 � �" Owner Phane Number C� �
Fee Simple Tltleholder.Nam � � Owner Phane Number � �
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Fee Slmpte Titleholder Address
JOB ADDRESS LOT# �__�
SUBDIVISION PARCEL ID# -
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I (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPC>SED NEW CONSTR ADD/A�T Q SIGN Q Q DEMOLISH
e INSTALL REPAIR� �
PROPOSED USE Q SFR Q CON1M � OTHER
TYPE OF CONSTRUCTION CJ BLOCK � [] FRAME [� STEEL Q
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DESCRIPTION OF WORK �F r+V
BUILDING StZE SQ FOOTAGE[�� H GHT ��
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�B�«���fi" $ � � VALUATION OF TOTAC CONSTRUGTiON
QE�ECTRIC $, AMP SE42VICE Q PRQGRESS ENEF2GY [� W.R.E.C.
OPLUMB114G ` �_� � `� ��r�{
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QMEGNANiCAl r$ VALUATION OF MECHANICA�.INSTALLATION
L�y��' ,
C]GA3 Q FtQO�ING [�} SPECiA1.TY [� OTHER
FINISHED FLCaOR ELEVATIQNS �_—__-� FLOOD ZQNE AREA QYES NO
BUt�DER COMAANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address Llcense# � �
E�ECTRtC1AN COMPIWY
SIGNATURE �' REGISTERED Y/ N FEE CUI2RE� Y/N
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Address license# �� �
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PLtlMBER � CdMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/IV
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Address LiceriSA# � ��
MECHA�ttICAG. COMPANY
SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
Address nse#
OTHER COMPANY
SIGNATURE REGI3TERED / FEE CURRE� '•Y/N.
Address � Cicense# � ,�
RESIDENTIAL Attach(2}Ptat Plans;.{2}sets-af Buitding`Plans;{1}set df Energy�Forms;R-O-W Peisnli for new constructian, -
Minimum ten_(10)-working days afker.submittal date. Required onsite,Construcbbn Plans;Stormwater Plans w/Silt Fence installed,
� Sanitary Facilides 8�1 dumpster,Site Work�Rermit for subdivision§Aarge projects
_ �:COMNiERC1At. Attach{3}cflmplete sets af Buliciirig Plans plus a 1.[fe Safety Page;(1}set of Energy Forms.R-O-W Petmit#or new constructlon. `
Minimum ten(10)woricing days after.submittal date. Required onsite,Construction Plans,Stormwater Plans w/�Silt Fence inslalled,
Sanitary FaciliUes&1 dumpster.Sita VVork Permit for all new projects.All commerciai requirements must meet compliance °
SIGN PERMIi' Attach{2}sets of Eriglneered Rlans. � � ' �
.«.«PROPERTY SURVEY required forall�NEW constructfan. - � ��
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Dlrec#lans: - , , �
Ffll out applica8on compl�tely. � .
Owner&Contrackor slgn back of applfcaUon,natarized _
tf over�2500,a Natice of Camrnencement is t�equired. {A►lC upgrades over�790d) �.
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" Agent(for the contractor)ar Povuer of Attomey(far the awner)would be someone with notarized letter from owner authorizing same I
4VER TtiE COUNTER PERM1TTfFtG (FroM of Applica6on Only)
Reroafs if shingles Sewers Service Upgrades A/C Fences(PIoU lunrey/Footage)
pNveways-Nat over Counter if on pubifc roaciways..needs RdW �
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NOTiCE OF DEED RESTRICTIONS: The undersigned understands�that this..p�rmif.may be:subJect to,"deed"restrictions"
which may be<more�:rest�ictive�than Coun :regulatlons. �Ttie�undersigned assumes responsitiility for compliance with any "
applicable deed reshictions. _ . _ . • - • -'� ` . ' '- �
UNLICEidSED CONTRACTORS .AND C NTRACTOR RESPONSIBILITIES:.--If the owner-has �hired a contractor or
contractors to undertake work, they may e:ce,quired.to:be;l(censed In accordance,with stafe.�nd•local tegulatlons. If the
contractor is not Ifcensed as requlred'by aw,.both the owner and:contractor may be�cited for a-misdemeanor violation
under state law. If the owner or Intende .contractor-are:uncertain as to what�licensing.requiremerifs.,may-appiy��fon_�the
intended work, they are advised to contac the�Pasco County Building Inspection Dtvislon—Licensing 3ectlon at 727-847-
8009. Furthermore, If the owner has'hi-ed a contracto� 'or contracfors,�he�is advised to have"the contractor(s). sign
portions of the "contractor Block" of this ,plication for which they will be responslble. If.you�-as.the owner`sign'as.the
contractor, that inay be an indication that e Is not.properly Iicensed and�is not'entitled to perrriitting privileges in Pasco
County. _ . �
TRANSPORTATION IMPACTIUTILITIES MPAC7`AND ItESOURCE RECOVERY FEES:�The�undereigned understands
that Transportatbn Impact Fees:and.Rec urse Recove.ry.Fees may��apply,to�the construction of new buildings, change of
use in existing buildings, or,.expansion�of� zistin,g�',6uildings, as spectfied-in Pascv County Ordinance number 89-07 and
90-07, as amended. The undersigned al o:understands, that�such fees,-.as�may_be•due;,will,be identified at the=time�of
permitting. It Is furtlier understood that T ansportatlon Impact Fees and Resource Recovery'Fees:�must be paid prior to
receFVing a "certificate-of occupancy" or fl al powec.release. :If the project does not Involve a certificate of occupancy or
final power release, the.fees must�be pat prior to p�rmit Issuan'ce. Ft��thermore;-if Pasco County-WatedSewer:lmpact
fees are due, they_must be paid prioP to pe mit-Issuance-in accordance writh applicable Pasco�County ordinances.
CONSTRUCTION`LIEN LAW-(Chapter 7 3� FIo�1da Statutea,as amended): If valuation of-work is$2,500.00 or more, I
certify that I, the applicant, have.been rovided �with a copy�of the "Florida Construction_Lien..=L`av�—Homeowner's
Protection Guide° prepared by the Florida Departmer�t�of Agrfc.ulture and Corisumer Affairs. if the applicant is someone
other than the"owner", I certify that 1,have.obtained a copy.of the above.rfescribed dbcurr�ent�.and.promise In,good,falth_to
deliver it to the°owner"prior to�commence erit:
CONTRACTOR'S/OWNER'S AFPIDAVIT I ce�tify that all the fnformation in this application`is accur`ate and that all work
will�be done in compliance with all.applic ble laws regulating construction, zoning and�lahd development. Application is
hereby made to obtain .a permit Co do- ork-:and installation as Indlcafed:• I certffy that no work or Installatlon has
commenced prior to issuance of'a permi and that':all work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zo ing�regulat(ons, and land development regulatlons-in the jurisdtction. ( also
certify that I uaderstand that the regulatio s of other government agenc(es may�apply�to the intended work, and that it is
my responsibility to(dentify.what,acQions I ust take:M be�ln:.cotvlpltance: S.uch agencles Include but-are.:not Ilmited to:
- Department of Environmental Protection=Cypress.'Bayfieads; Wetland Areas and Erntronmentally Sensitive
Lands�Water/Wast�water Tre tment.
- Southwest Florida Water anagement .,.District Wells, Cypress.`�Bay.heads, Wetland Areas, Altering
VNatercourses.
- Army Corps of Engtneers=Sea alls, Docks� Navigable Wateruvays.
- Department of Health�� Reh bilitafive,ServtceslEnvironmental Health Unit Welis� Wastevitaater�Treatrr�ent, �
Septic Tanks. � „ � _
- US Environmental Protection gency-Asbestos abatem�nt.
- Federal Avlation.Authortty-Ru, ways:
I understand that the.following:restrictlons pply to the use of flll:•
- Use of fill is not allowed in Flo d,Zone°V"unless-expressly permltted.
- If the fill materfal is to be u ed_la_:Flood,.Zone "A", (t. Is understood that a drainage plan addressing a
"compensating volume" will b submitted at time of permifting which is prepared by a professional engineer
Iicensed by the Stale of Florid . •
- If the fill mater(al.is to be us. d In Flood �one °A" (ns connection wlth`.a permitted building using s'tem wall
construction, I certify that fill�:w Il��be used only.to.fill the area within the stem�wall.
- If flll materlal is to be used n any area, i certify that .use of such�flll will not adve�sely affect adjacent
properties. If use of flll Is fou d to adversely:�ffect adJaEent��properties,.the owner may be clted for viofating
the.conditions of the buiiding: ermit issued�under the'attached permit application, fo� lots less than one (1)
acre which are elevated by flll.an engineered drain�ge plan Is required.
If I am the AGENT FOR THE OWNER, I;:p omise in good faith to inform the owner of the permitting condftions set forth tn
this affidavit�prior to commencing constru tion. I understand thefia�separate permit may be required for electPlcal work,
plumbtng, signs, wells, pools; afr conditio ing, gas, or other install�ttons not,spec�ically lncluded�in.the application. .A
permit issued shall be conshued to be a'H ense to�p�oceed with the work and not as.authority to.violate,.cancel, alter, or
set aside any provisions of the technical. des;�nor shall issuance�of a.pe�mit.pcevent the Bulldirig O#flcial from the�eafter
requiring a conection af errors in.plans, co §fruction or violations of any codes. Every permlt Issued�shall become invalid
unless the work authorized.by,such.perm( is_commenced•initthin sGc m.onths of pertnit Issuanc f work.authorized by
the permtt is suspended or.ab��adoned for .period ofsix(8)montF�s.after the tfine the�wor � com , nced: An�extension
may be requested, in writi f�om the Bu Iding,Offlcial for a peNod,not to.exceed•nin :(90) da ��and will demonstrate
justifiable cause for.the.. sion�. If work ease��for ninety(90)cons.ecutive days..:t: �job�is co idered:'aba�doned.
WARNING TO O E . YOUR.FAILUR �TO..RECORD A NOTICE.OF�COM ENCEME MAY�ItESULT Ild YOUR
PAYING TWIC .FOR PRAVEMEN.TS- � YOUF�.P1tOPERTY: IF°YO.U�1� -'� A`OB� AIN��FIRtANC1NG;�CONSULT
—9AiiYH Y �R� - 'C �O �Fd A�0 R! -�=E3 E013E�P4E�A �� �=� '. D � E` � � N � NT�
FLORIDA JU T_(F.S. 7.03) - " "--^
OWNER O OfVTRACTOR
Subscrlbed d swo )before e this Subscribed and'swom= a e � ore me this
by •by,� —
, Who isla ers ally kn n to.me or hasihave prod ced Who Is/are p onally kno o a ep uced •
� as Idendflcatlon. as IdentlBcatlon.
Nota Public _ � Notary Public
Commisslan No. Commission No.
Name of Notary typed,printed ar stamped Name of Notary typed,printed or stamped
, Rcpt:1707863 Rec: 10.00 �_
' D5: 0.00 IT: 0.00
IIIIIIINIIHIiill(liiIIIIIIINiINlliillillilllllllllllllll gg/24/2015 B. M., DPty Glerk
2@1913$426
P4iUlFi 5 Q'NEIL,Ph D PRSCO CIERK & COMPTROLLEh
08/24/2015 02:49 m 1 af 1
�OR BK g2�,� PG 3954
Pennit No. Parcel ID No._I 1 �CO�t i,�� ��j�O Q O��
NOTICE OF CpMMENCEME { (
State of ��'`�_ County of�„�_�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordiance with Chapter 713,Florida�Slatules,
the fotbwing information is provided in this Nafice at CommencemenP ) •
1 Descriplion of Property; Parcel Identiflcation No.��� ("�'�/� 1,3�O (����
SCreet Address: +'� �
2. General Descriplion otlmprqvement i
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3. w e nfo t n or Lessee inforrnation if tfie Lessee contracted far the improvement:
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Rlame
-��--3-? ,�+a�',�- ``��h�r�i It c ��- �
A' ess ���� �� ///((( ��,,� / Cit� y� !I Slale��
Inleresl in Property� �_� ��, ��j,�,�t.1,J1 I �� �
Name of Fee Stmpie Titlehatder v �
(lfdiKerentfran Ownerlisted a6ove)
� Address ' � Gty � ' Slate
Contractar.
��'�`�ie 3���-� �s�..
Address Gry i Slale ^y
i Contractors Te�ephone No.: , , � 3�s'� L
I I � F- W � x
5. Surety; � �Z U � �
! Name � � � ��� �� � U r' I
Address City ' Slata � y--r� � F,j� ,.,�
� Amount oi Bond: $ 7eiephane No,: � �'�,U �,� � �
6. Lender. � �a f- � �I"
Name � � [�= z � �
Address � City , State '.'� � �"' Q d Q
Lander's Telephona No.: I ��� Q � �
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7 Persons withio the State of'Fiatida designated by the owner upon whom nattces ar other dowmenW may be served as psavided by � � 1" �L-
Section 713.13(1)(a)(7),Flodda SlaWtes:
a �
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Name .�}- � J d ,J
; a �- c� � o �
Address ' Gty � SRate C�.° � � � Z (J_!
Telephone Number of pesignated Pecson: � � � � � Q lJ,l
i �I ti! (� ��� �'�
8. In addition lo himsel(,the owner designates � of'� �" l] U � a
lo reCeive a copy of ihe Lienor's Nottce as provitled in SeCtion 7i3:13(i)(b},Fiorida Statufes. Q � z Q ,„����`� �
Teiephone Number of Person or Entiry Designated by pwner � � {t) Q � "ty
9, Expirat{on date ot Notioe ot Commencement(the a�iration date may not be hefore tbe campietian of wnsWCtion and final payment to the � UJ � � �
contractor,bu!will be one year from the date of recording unless a diHerenl date fs speci0ad): I � � � O �
ARE COP!ID R�OEMPRC?PER PAYMENMSDUNDERHCHA.P ER713TPARTE�SECTAON71�13,HF1_ORIDAES7ATUTES,EAND�GAN ��� '�+
RESULT IN YOUR PA1f�NG TWICE FOR lMPROVEMENTS TO YOUR PR6P�RTY A NOTtCE OF C4MMENCEMENT MUST BE
RECORDEb AND POSTED ON 7HE JOB SITE BEFdRE THE FIRST INSPECTION. IF YOU INTENp Tp OBTAIN'FINANCING,CONSUL7 �° � • •p �
� WITH YOUR lENC3ER OR AN ATTORNEY BEFdRE CQMMENGtNG WORK OR REG4ROiNCs.YOUR NOTICE Of COMMENCEMEtJT ,�'� _� -"
: Under penairy ot pe�Jury,{deUare that i have read the foregoing notice of commencement and Ihatlthe lacts stated 4herein are Uve to the best a�{, t�.'S�.., ^+� ��
� of my knovAedge.and belieL M '"�1 /� + ,J ' '�=� �{��,�� � '¢�i
' '�. � �,,�j/�/� /"" �.', ,'$Nqp+��i�,t`ti
iSTATE�OF FLOFtId '°4t . ARTLETT t�!� _��+ti... �y��r�1� t��� �`�� ar �
Ct?UNTY OF PASC � .�N q��Zp98 I "�`.'.,,1 y.�r �
I JvY-6 ��„�Y a�Zpyy Signature ot er or Le ee,ar Qwnets lessee's Aatha�ed � ��' ��' �'``� ��',�C„5 � ay
„a Oflicerf ` r riner a ager '� / ° Q
I � f� �i `F�! ,i•�Fi
Signa s Te eJ0(fice °,..d r'��,�
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The toregoing fnsWment v3as acknowledged betore me this day af ,24 by,� � ��.L1�C��.f'1'S �� �
as (type of aut ty,e.g Ncer,trustee,attorney in facp tor }�^ •�^{ �
(nam�of a o a om st eni was executed).
Personaily Known�Qg Produced�dAntificattor�- Notary Signature
Type of tdenUficatian Produced�,i{'�it„�G¢..�.__ Name(Printj �
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C/4 Richard Bartlett
38408 3rd Ave.
F� 335�2 '�'
Zephyrhills, �
One of the Largest, Qldest, Most Dependable OFFICE
, Roofing Compan�es �n Centra! Florida PHtJNE
Specializiny in Mabile Home White Commercial Rubber& Calor Metal Raafing
(813) 782-5585
RESIDENTIAL • COMMERCIAL • MOBILE HOME (813} 973-7737
LiCENSED - tNSURED - BONDED (352} 523-1944
• MEMBER OF THE CHA�MBER OF COMMERCE Lic. #CCC 1325499
& BETTER BU5/NESS BUREAU •
Serving Zephyrhills, Dade Gity, Quail Hollow, Wesley Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or repaired mare roofs(18,000}in the past 39�years, than fhe four Joca1 leading roafing comp ies com ined
We do not charge extra fees for credit card purchase.Most companies charge 3 to 5%. '
- . Date � �
Name � i �
Address ..� ` � I
Phone , �'�
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Preside r . � Roofing of Central FL, Inc. ��
Richard C.@artlett �
THANK YOU
Yaur Business is Appreciated.
Payment upon campletian unless previous arrangeme�t made.lilVarranties pertain to original awner
All arrangements contingent upon strikes,accidents or delays beyond our control.Owne�to carry fire,tornado and other necessary insurance,
Qur workers are fully covered by Workmen's Gampensation Insurance.Cusiomer is liable for any charges incurred in collecting this bilL - -
Rotten wpod is an extra$35.00 per sheet{4-ply}.Rotten fas i ia is$2.00 per linear ioot. r = otai �j��