HomeMy WebLinkAbout15-16560 ..
; CITY OF ZEPHYRHILLS
� ' S335-8TH STREET
�ai3)�so!oozo 16 0
BUILDING�PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16560 ' Address: 5551 8TH 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: 11-26-0010-08900-0010
Improv. Cost: 6,700.00 OWNER INFORMATION
Date Issued: 9/02/2015 I Name: SHANNON, W.V. (JR)
Total Fees: 70.00 Address: 5551 8TH ST
Amount Paid: 70.00 � ZEPHYRHILLS, FL. 33542
Date Paid: 9/02/2015 � Phone:
Work Desc: REROOF SHINGLE �
CONTRACTOR S ! APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 70.00
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�1, �- L S� - l �
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� Ins ections�Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL j�
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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 the 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: 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONT CTOR SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, ' Building Department
DaQe Recelved Phone Contact for Permlttin —
Owrner's Name L'✓� y� .�� y,�/�,/ I Owner Phone Number
Owner's Addres� S �� ! Owner Phone Number -
Fee Simple Tltleholder iVame � Owner Phone Number �
Fee Simple Titleholder Addre�s ;
JOB ADDRESS ���( O Z S LOT# �
SUBDIVISION PARCEL ID# � --Ol�f O— O� �O—�O�
, (OBTAINED FROWI PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
B INSTALL. 8 REPAIR �
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONI3TRUCTION �� BLOCK �` Q FRAME � STEEL Q
DE3CfdI�TIOP1 OF WORK l�e�OF O�IS� �7T� fF I 3m /Z� � ` n/S'1 tl,U�t-L S� /�1/�I�
BUILDING SIZE SQ FOOTAGE� FiEIGHT
QBUILDING $ -' �
7 D D VALUATION OF Ti TAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
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QPLUMBING $ �
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QiUIECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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OGAS ROOFING. Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON i AREA QYES NO
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' Ucense#
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ELECTFtICIAN COMPANY
SIGNA7URE " REGISTERED Y/ N FEE CURRE� •Y/N
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Address i Llcense#
PLUMBER COMP�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Addre�s � License#
MECH/iNICAL COMP,�
SIGIVATURE � REGISTERED Y/ iV FEE CURRE� Y/N
Address ` I License#
OTWER � COIWPAPIY j�(�t� QQ�lr✓�
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/fV.
,�ddress � �X l,3�� ��G— CG� ; License# C DO�;�
RESIDENTIAL Attach(2)PIof.Plans;.(2)sets of:Building'Plans,=(1)set of Energq�Forms;R-O-W PermR for new constructlon,
Minfmum,ten.(-1.0);working.days�after�submittal date..Requlretl onslte,Conshucbon P-Ians;Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles.&•1,dumpster,Slte Work•Rermit.for subdfy�isions/large projects�_
COMMERCIAL Attach(3)complete sefs of Buiitlirig Plaris plu's a Life Safety Page;(1)set of Energy Forms,R-O-W Permit for new consVucUon.
Minimum ten(10)working days'after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary FacillUes 8 1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered•Plans.,,. -� �
""PROPERTY SURVEY required for all NEW construction.i
Directlons: �
Ffll out applica8on completely. '
Owner 8 Contractor sign back of appifcatlon,notarized
If over a2500,a Nottce of Commencement is required. (A/C upgrades over�7500)
" Agent(for the contractor)or Power of Attomey(fo�the owiner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITiING (Front of AppllcatiomOnly)�'�;�,.:'-°4 S .
Reroofs If shingles Sewers ;Service Upgrades.A/C � '_-Ferices`(f?Iot/Survey/Footage) � ,: „ � ;
, � - ��i- .� . _ :+ ,
Driveways-Not over Counter if on public roadways..needs ROW;;`,:.;,� �'� '; _ ., " - -
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NOTICE OF DEED RESTRICTIC?N�: The underslgnedaunders�tands�th�t;thls;.p�tmlt:mayybe.s�b�ecf to".deed".testrictlons° µ �- `
i �.Y: -p:.i.. ' 'y��.y..i.,...r�K r ' 4q . " t ..
wrhich may be<more'=�restFictive�th�n�Cou"ty.�r+egulatlons: TFie under'algnetl essumea�`responsitiiltty far complianc�`with"any �
applicable deed reshictivns. ' �,:- -c�:,t.. ��;, . - >
UNI:tCENSED CONTIiACTORS�:AND SUNTRACTt�R RESPBNStBiL:ITiES: �tf�the�awner-has����ir.e� �a cantrac#or or �
contractvrs to undertake work, they.may�be;requlred�#a.t�e,ltcensed.ln�accordance.with;state.and,•local regulations:�«If�the� _� �
co�tractor ts not licensed as�-r�c}ulred�,tiy� taw� both the owner arid contractoru�»ay b+a�ctteci for-�Kmisdemeanar violatlan
under state law. If the owner or Irttended}contractor�re:uncertaln as to what Ilcensing.requirements=may:apply��or��the -A - -�• _ '
i'ntended wark, fhey are advlseif to corita�4 ttie;-Rasco Coiinty,Bulliding;lnspectlon,Qlvlsfon--l•.fcerising Section at 727-847-
8009. Furtt�ermore� if the awner fias }i red�a conhaatoc iir contractors, he ts advised ta have�.the cantractor.(s), sign
p4orklans af the"cantractor Block",of.this. .pplication_for whic:h.they.will.be,respoasible.,-.If.you,-.,as•.the ovimer''`sign�as�the`� � y ��
cor�#rac#or, that�may be an Indic�atian�tt�a �he 1s-not prope�y�llcenseif"and'�Is rio#entitteif to permltting�piivllegias In Pasco
Gounty. ' `'
TItANSPORTATMON lMPAC77UTILf7lE �lMPAG'1'�ANb RESt��1RGE R�C[?VERY FEES:�The undersigned understands
that Transportation Impact Fees and.Rec .urse Recove.ry.Fees may;��apply;to�the•constructlon of new._bulldtngs,,$chan�e°of�� �
use in existing buildings, or:expansio�.o ezistin���6uilidings� as specffied !n Pas�co Caunty Ordtnance number 89-07 and
9�-07, as amended. ..The underslgned atso�understands� thaE��such fe�s,;;as�ma}r be:�t3tte;,:�nrilt��be Identified at#he��ti"rrie'�of� .
permitting. It Is furtHer understood that ransportation Impact"�Feea and{'Resaurce,Recoveryi"Fees:.mu�t be paid prior to
fi�ce�ving a"certif#cate-of-occupancy"or na1 pawer.release. :4f-the project_doss:no��tnvolve°.��-cert�icate of occupancy°or �
flnal power release, the#ees mu�t be pa d,prior to permft issuance. Fatthermare;-�if Pasco County�lNater/Sew.er:lmpact -
fees�re due�they.must.be-pald pclor to.p rmttl�osuance°!n accordance.wlth appltcabf�e.Pasco'Counky�o�dtnances,
GONSTFtUCTl4N`LIEN`LAW jCfiapter T 3�FFortda Statut�a�as amended}: if valuatian of work is$2,500.O.q„or more, i
c�rtify that I, th� applicant, have.been provided with �a copy-ot' .the�°Florida Construction tlerr:,LainF—Homeowner's
Protectb� Gutde" prepared by ttie Floi�d DepaFkmer�#of Agricuitc�re and Consum�er�kffalr'�. ff the appticant is someone ,
other than#he°owner", 1 certffy that.l,hav ,obtatned-a�-icopy.of.the above..rfescrl6red dacur�ent;and:pror�lse�,tn,g�od�falth�to .
deliver It-ta the'owner."prior,to•cornr�tei�'"ment.°" • . _. "
CAMTRACTOR'SIOWNER'8 AF�IDA : i certiEy;,fhat-.afl.the:lnf.armation in thi�appllcatlon is accurate and that all work
will'be done in campliance wlth all.apptl ble laws regulating constructton, zoning and:land development. Applicatlon Is
h�reby made #a obtatn..a.per.mit,,to;.,da..: .oilc;..and�ins#allatlon as iadtcsfedr '1 ceniiy that no worit�or ins�lla#ian �has
commenced prior to Issuance of a perm#"a"nd that'.all work wlll be perfarmed to meet.standards of all laws regula�ing•
aonstructlan, Counky and City cades, zo fng regaiatit�nst and land devetapmen# regulations-in the Jucfsdtatton.- •1 al'so
certify that t understand that the regulatlo s of ather government agencies may�apply�to the lntended work, and that it ts
my responsibtlity to identlfy.what.acttons I ust t�ke to be<ln:.conlpllance..,.S.uch agencles Include but�are.nat llmtted;to.
- Department af Ertviranmenta��`Protecttan=Cypres`s.°��aytieail�; WeNend Areas and Environmentatly Sensfitive
� Lands,Water/Wastewat�r Tre tment.
� - Sauthwest Fforida Watet artagement.Di�trict-We!!s� CYPress.`:8ay.heads; Wetiand Areas� Alter�ng
� Watercourses.
� - Army Co�ps af Eng(neet�s-Sea alls��C10GICS,N8VI�8bI6 W��8MI8y3.
; - Department of Fleaith�� Re,abitita�iv,e Services/Ernciranmental.Neaith Unit WeQs, Wastewater•1 Treatment, �
Septlo Tanks. � ° � � ' - -
; - US Ern#ronmental Protectlon gency-Asbestos abatement,
� - Federal Avletton:Authorlty-Ru way�: ,
!understand thaE ttte.tollowing.res#rlc#ions �pp#y ta°the use o#fllf: '
j - Use of fiN is nat ailowed in;Flo d Zone�t1"unless expressiy permifted.
� - If the flll�materlaf ts ta be u ed�l'n..Flood::�one. "A"� It. Is understaod that a drainage plan addressing a
; "compe�sating volume"will b submEtted at#�me of:petmltting w�leh is prep�red by a professionat engineer
' Ilcensed by�he.�tete of�Flofld : • -
�C - If th� t3l1 rr►atertal is to be us�d tn Flood �one "A" in}connecffon�wltti-'a permitted 6aHding us�ng stem wall
� construction, fi certify,that ffii•:w1lt:be-used only.to.flll the area withln:the�stefn�nrall. •
� • !f flll mate�lal Is to be used n any�area, I-�cerklfy tflat.use. af�such flll wlll not adversely affect adJacent
; proper#ies. 1#use of ff11 is#oc� d to adverseFy:�ff'ect adJaEecit��properties,.the owner may be ctted for a�iotating
� the condltions of!he bullding�. ermlt Iss�ed��under the�'attacFied permit.applicatlan, for lots�less than.-one (1)
acr�whtctt are�tevated�tiy flll,��c englneered dratnage plan is requit�►d.
If I am the AGEMT FOR THE OWIVER, I;:p�omise In,goad falth to Infarm the�owner�of the:permltting conditfons set forth In
this affidavft�prior to commericing conshv (on. f understand that a�separate peemtt i»ay be requtned for electrfcai wark,
plumbing, signs� wells,.pools, alr.candi#ia lr�g, .gas, or�ather instalt�tlons nat.speclficatty inclu�ted�in the application. .A
permit Issued shall be canslnted#o be a°Il nse to�p�oceed wlth tFie virork and-not as.authority to,vlolate�.cancel� alter, or
set aslde any provisfans of ttte fechr�lcal_ de�;�nor shall lssu�nce�af a.permtt.preven#tb�Bulld�rig O#�iclal�from therea#te�
requlring a correc#1on nf errors in.plans,=constiuctlon or vlolatlons of any cades. Every permlt I.ssued'-shall�become�invalld
un4ess the work author�zed.by such perml ••{s-commsnced�wlthln sfi�c.months of�pecmlt Issuance, or If work authorized by
the permit is suspended or.aba�doned for. :periad af�six�f8}moMiis:after the'time the�workJs commenced. An extension
may__be requested,_In writing,_from the Bul_ding.Officlal.for a per(otl�not•to exceed_ntru�ty__(90)�day_s and wllLdemonstrat�_ ____ _
V �ust�iabie ca�se for.the e�enston: If�rork eas�s for nlnety(90}cons.ecutive:day.s��-the job�is cansiderec!aba�do�ed.
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WARNING TO OWNER: YOUR,.,FAlLUR •TQ�REC.C1ltQ.A.NOT�IGE:OF.CQMMEMG�MEMT�NtAY�RESUlT IN YOUR
PAYING TWiCE.�OR�tMPROVEMENTS-T ..YOUi���.PR't�PER1Y..,;IF�YO.U�1�1'FE�i1D:TQk�BTAIN�FIN�ApE1NG;'COT�ISULT
WIT U AN{ TT(� N QRE� .� :.O �t7 �:' O ' . ;� : . :: � �,. .
FLQRlDA Jl1RA��(F.Sr.1.17. '' _ _ . � ' v . . - .
OWNER OR AOENT_„�_���� � � CONTRACTO r ..
i Sab`scrtbed and�wom io(ar atNrmed}before me thts Su6stxlbed'aracf'swarn to(ot�flfrtned}'befots me fhis .
' bY .bY
Who Is/are per�onalty knovm M,me or has/have produ Who Islare personally known• me or has/have•prodirced • '�
� as tdenU�c�a�on. as iden��catlon. ,
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` - Nota Pubtla . f Notary Publlc
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Cor►im on Na. Gom�tssto . .
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' ,;,'Y'a,,,,, .BACON I �ti'•":°Y��, JOEL E.BACON
Nartis at�totary :,,, r�i�o�ed#FF 137473 Name of p 73
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i Rcpt:1709842 Rec: 10.00
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i 09/01/2015 J. R. , Dpty Clerk
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Pe�nit No. Parcel ID Ni �[ '��p`-2��d���"� v�/00-DD/�
NOTICE OF COMMENCEMENT
�'Jn /► ' ,��Sc�
State of �d��k..��/'f _ County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain reall property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement: / , /!y
1 Description of Property� Parcel Identification No. � i ��47��1 ��/f/ " ��9��-� O��
Street Address: � ��� � I �' �� v .
2. General Description of Improvement �l�- -��� �� ��
3. Owner Information or Lessee information if tlie Lessee contracted for the improvement: __ ___ _ J� _ _ __
�l�G/�}/LJ �JY/7��l��
��.�� Nam� s! 02��/����LG.� �L
Address � i City Sta�3�y
Interest in Property� �/G�/'��� �
.�"
Name of Fee Simple Titleholder•
(If different from Owner listed above) �
Address n� y� I Ciry State
4. Contractor �d'T��� J������ I
���am��x f��� I �J�� �/�� �G
Address � City State 3��
Contractor's Telephone No. �S� "SG7 s��� I
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5. Surety: ,
Name �
Address City State
Amount of Bond: $ Telephone No.
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6. Lender•
Name
I
Address Cify State
Lender's Telephone No. , ,
7 Persons within the State of Florida designated by the owner upon wh Im notices or other documents may-be served-as provided-by- -------
Section 713.13(1)(a)(7),Florida Stalutes:
Name '
Address I City Sfate
�— ,
Telephone Number of Designated Person.
�— of
g. In addition to himself,the ow ' tes_ i
to receive a copy of the Lilenor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner � -
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g. Expiration date of Notice of Commencement (the expiration date may not be before the completion of,co�uction and final payment to the
contracfor,but wiil be one year from the date oi recording unless a differentl date is specified): %/
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION O 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
WITH�YOUR LEN�ER OR�AN ATTORNEY BIEFORE�COMMENCING WORK ORI RECORDI�GI YOUR NOTICE OF COMM N10EMENTSULT
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the f cts stated therein are true to the best
of my k�owledge and belief.
a
STATE OF FLORIDA �' �_
COUNTY OFPASCO
Signature of Owrier or Lessee,or wner's or Lessee's Authorized
Officer/Director/Partner/Manager
__._ - Signalory's Title/Offc�
� / ` ��)lt����,c:��.�
The foregoing instrument was acknowledged before me this��day of '�5�201�bY
as �i�`"���— (type o au y,e. ,o cer,t stee,attorney in fact)for
� (name o behalf of wh in rument was executed).
Nota Si nature � 2'L�
Personally Known�OR Produc�ldentification rY 9 �
�'L ��J� '�1�-�"�/� Name(Print) - � `
Type of Identification Produced I
� MARC.lAY 3EIDENBERG
t�OTARY PUBL�C
STAiE OF RORlD�►
. Commit FF067260
i E�it�es 1211712017
wpdata/bcs/noticecommencement_pc053048 � � PAULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLEF
I09�Rl B 01�2�CJ m PG 2���
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