HomeMy WebLinkAbout15-16569 , CITY OF ZEP YRHILLS
� 5335-8TH STREET
(si3)�so oozo 165
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16569 Address: 6200 19TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0190-00000-0240
Improv. Cost: 6,590.00 OWNER INFORMATION
Date Issued: 9/09/2015 Name: KENNEDY, JOHN
Total Fees: 70.00 Address: 6200 19TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/09/2015 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
A.BARTLETT ROOFING C NTRAL F RERO F RESIDENTIAL 70.00
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Ins ections Re uired
DRY IN R OF IN P
TAPE JO TS O F INSP
FINAL I -
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 lamount 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 managemen , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to obtiain financing,consult with your lender or an attorney
before recording your nbtice of commencement."
Complete Plan Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances.�NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
F.
s Rept:1707863 Ree: 10.00
DS; 0.00 IT: 0.00
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII 08/24/2015 B. M., Dpty Clerk
2025136423 PqULR 5 0'NEIL�Ph.D.PRSCO CLERK & C011P1'ROLLEh
08/24/201924�m P� 395 1
OR BK
Permil No. Parcel ID No Q���Oa1�'�9� ����� Q�-4'�
1 NOTICE OF COMMENCEMENT
Stale o! ���Sl�� Caunly of . ��-�` �� . -
THE UNDERSIGNED hereby gives natice thal improvement will be made to certafn real proDerty,and In accordance wilh Chapler 713,Florida Stalutes,
the foliowing infortnalion Is provlded in lhis NoUce of Commencemenk ��+� �OC�� b��'�
1 Description of Property: Farcel Identificatio�����i_
Streel Address: lR � �+^ I •
2. Generel Description of Improvement � I
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3, Owner InfortnaUan ar Lessee in(ortnation if lhe Lessee contraded for the improvement: i
. � ���(�L�� � �
' /� C�ty �Stale
Address � ` �` i��/���� I ��S�L
Interest In Praperty�]�l,ff„4 L--� �� I
Name of Fee Simple Tftleholder. I
(If difterent from Owner listed above)
��n, I • S1ate
Address �
Contractor: ,,-I ,
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a �ass � p�� ,,�'' c"y ��Z
Contreclor's Telephone No.:�/���✓L�—=—
5. Surety: I
Name
City I State
Address
Telephone No.:
Amount ai Bond: b I
6. Lender. I
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Y
Name (�
Gry Slate z 0..' W
Address Q �� � _� J U
Lenders Telephone No. . . � z � � �� J }
7 Persons within lhe Stale of'Florida d'esignated by the owner upon whom notices or other d Icumenls may he served as provided by
c1 cn � O I-
Seclion 713.13(1)(a)(7J,Florida Statules: ,Q�. ��F Q N � a
3A. � WZ a �
Name � Q � Qa O
Gty Stale � tL � U U
Address I � _ � �
Telephone Number ot Designated Pe[son: I o � � !U O
o('_ �
g, In addition to himself,the owner designales , W
lo recelve a copy of lhe Lienors Notice as providgd In Sedion 713:13(1j(b),Florida Statules. e"� � U U
� �
Telephone Number o1 Person or EnOry Designated by Owner. I � �- U m p V
g, Expirallon date ol Nolice of Commencement(the enpiration date may riot be hefare lhe completion ot constructlon and final payment fo the � � � a Q � S��
contractor,but will be ona yearlrom the date of recording unless a d f Here�t d a t e i s s p e c i f i e d): � O � � O = Q
ARE CON�SID REDEMPROPER PAYMENTS.�UND R CHA,PTER 13TPARTEESECTION71$�.13 FLORID�AESTA U�ES,�AN�MCAN u- U U } � O
RESULT IN YOUR P%1YING TWICE FOR IMPROVEMENTS•TO YOUR.PROP�RTY. A NOT1C� OF�GOMMENCEMENT MUST BE �
RECORDED AND POSTED ON THE;IOB SITE BEFORE•THE FIRST INSPECTION. IF YOU INTEN T.O'CE OF COMMENCEMENTSULT � � �
WITH YOUR�ENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING.I W � Q J
Under penally af Der�ury,I dedare that I hava read�he(oreg ng nottce o ommencemen d th th�taUS t ed lherein e tr� to lhe best � � W �
of my knowledge and belief.
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STATE�OF FLORIDA �����/V0`�' RICHARD C.BARTLE7T � �
COUNTYOFPASCO �l.yRl�/ MYCOt.4+4SSI0NMFF12098 I ��` .Q �
��r� p�m�,c.h1y31,7D17 Signalure ol Qw r r Les ee,or 0�4ner Le see's
OKcedDirec artrier ager �
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The foregoing inslrument vias acknowledged before me this�day of��YPe of aullioriry, .g.,officer,trustee,attomey in tact)(or � � '," � � �
as �" � �
(name o a on �eh of m Instmmenl was execuled). 'y ';M/��������. m �
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Notary SlgnaWre � � p� �
Personally Known❑95 Produced IdAntificatlon�— I � o`�', SF,�= � � ��
Name(Print) ' � , ` �
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;_���.� Zephyrhil�ls, FL-33542�;. i�;,�--�'���
' . ....... . .... .. �L._ -,-=�.�1..:1`�...'r''1' A.�' `'�1 _" ' ,
-, One of the Lar est, Oldest�:..Nl�ost'De enda�le
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_ • _Roofing Companies';�n Central'Flor,ida'� OFFICE
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: �, �_ , ,._ Specializing in Mobile.(-lome White Commercial Rubber& C�or Metal Roofing �
�, ���,.� � .�. �f= � ! (813) 782-5585
� � '`�'`'�` y�l"✓ � � RESIDENTIAL • COMIVIERCI#AL % MOBILE HOME (813) 973-7737
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LICENSED -�INSURED�; BONDED (352) 523-1,,944
_ � • MEMBER OF THE CHAMBER OF COMMERCE
-�-��_. � Lic. #CCC.1325499
- � ...�„- , , . & BETTER BUSINESS BUREAU • . ,- .
Serving Zephyr:hills, Dade City, Quail Hollow, Wesley,Chapel, Land O' Lakes and Surrounding Areas �
We have re-roofed.,or repaired more roofs(18,000)in the past 39 years, than the four loca!leading roofing companies com,bined.
We do not charge extra fees for credit card purchase. Most companies charge 3 to 5%. . . '
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` '�'� / ,1' `d. Richard C.Bartlett � j
_�'r � THANK YOU �
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� Your Business is Appreciated. / / �`�;
; Payment upon completion unless previous arrangement made�War�anties pertain to o��ginal owner.
All arrangements contingent upon strikes,accid�ts or delays beyond our control.Owner to carry fire,tornado and-other necessary insurance.
� ��'. Our workers are'.fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. / �
h �� ' ,"Rotten wood is an extra$35.00 per sheet(4-ply).Rotten f�scia is$2.00 per linear foot. „ TOtal � ,��
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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
1 Building Department
Date Recelved Phone-C tact for Pe Ittin –
Ownar's Name ` Owner Phone Number
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Owner's Address �� '— �_ Owner Phone Number
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Fee Simple Titleholder Nam Owner Rhone Number
Fee Sfmple Titleholder Address
JOB ADDRESS LOT#
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.
SUBDIVISION PARCEL ID#
I (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT IQ SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM IQ OTHER
TYPE OF CONSTRUCTION • Q BLOCK ° Q FRAME C� STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTA E� HEIGHT
QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECT CAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMB NG $
QMECHANICAL $ VALUATIO ECHANICAL INSTALLATION
QGAS Q ROOFING SPECIALTY IC�] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON I AREA QYES NO
BUILDER COMPAf�Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMP Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L nse#
OTHER COMP Y
SIGNATURE REGISTERED Y/ FEE CURRE� N.
Address �,— License#
RESIDEPITIAL Attach(2)Fiot Plans;(2)sets of Building Plans;(1)set of Energy�Fortns;R-O-W Permit for new construction,
Minimum ten(1.0)_working�days after submittal date. Required ons(te,Constiuction Plans;Stortnwater Plans w/Silt Fence.installed,
Sanitary Facilides&7 dumpste_r,Site Work•Pertnit for subdivisions/large projects
COMMERCIAL Athach(3)complete sets of Builtling Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcdon. _
Minimum ten(10)work(ng days'after submlttal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compllance
SIGN PERMIT Attach(2)sets of Engineered Plans.. �
""PROPERTY SURVEY requlred for all NEW construcUon.
Directlons: '
F(II out applicatlon completely. �- •
Owner&Contractar sign back of applicaUon,notarized �
If over b2500,a Notice of Commencement is required. (AIC upgrades ver 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be so �eone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTING �,(Front-of:Application.Only)�.:............�;,
Reroofs if shingles Sewers Service Upgrades A'/C��.� ��Fences(PIoUSiirvey/Footage)
, - , ,. ., ' ''
Driveways-Not over Counter ff on public road'ways:�.needs R01N `.. "�'- -`
_�
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NOTICE OF DEED RESTRICTIONS: The unders(gned undergtands°th�t this,p�cmit.may be.subJecfi to,°deed" restrictions" �
which may be�more�test�ictive-than County r�egulatlons:�Ttie undersigned assumes responsibii(ty for�complianoe with any�
appflcable deed reshictions. - ' , - �
UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: .,If. th'e owner has�htred a contractor or
contractors to undertake work, they may be..requlred�:to.be Ilcensed In accordance.with state.and•local regulations. If the�
contractor is not Iicensed as requlred�by law, both the owne� and contractor•may be cited for a misdemeanor violatloru
under state law. If the owner or intended contcactor�are�uncertaln as to.,what Iicensing.requlrements..may appiy��for:th�
intended work, they are advtsed to�contact the-Pasco County Bullding Irispectton Diviston—Licensing Section at 727-847-
8009. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have`the contractor(s) sign
portions of the "contractor Block" of thls appllcation for wrhich they wilt be .responslble. If you�.as.#he owner stgn a�the �
contractor, that�may be an Indication that�he Is not.properly Ilcensed and Is not entitled to perinitting privlleges in Pasco
County.
TRANSPORTATION IMPACT/UTIUTtES IMPACT ANb RESOURCE RECOVERY FEES: The undersigned understands ,
that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may.'apply to�the construction of new buildings,,change of
use in existing buildings, or.expansion��of existin�'�buildings, as speclfled in Pascv County Ordinance number 89-07 and
90-07, as amended. The undersigned also-understands, that.such fees�.as�may�be��due,,wIIL•:tie identified at the time of
permitting. It is fu"rther understood that Transportatlon Impact Fees and Resource Reco�ery�-Fees must be paid prior to
receiving a "certificate of occupancy" or flnal powec:release. :If the project�.does not involve a�certificate of occupancy o�
final power release;the:fees must be paid prior_to permit fssuance. Furthermore, if Pasco County WatedSewer�lmpact
fees are due, they.must be�paid prior to permit=lssuance-in accordance with applicable Pasco County ordinances.
CONSTRUCTION�LIEN�LAW(Chapter 713� Florlda Statutes�as amended): If valuatlon•of work is$2,500.00 or more, I
certify that I, the_applicant,. have.been provided with a copy of the "Florida-Constructlon� Lien_Law—Homeowner's
Protection Guide" prepared by the Florida Depa�tment�of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the°owner", I certify that I:have.obhalned a copy,of the above..described docur�ent�and promise in,good faith_to
deliver it to the°owner"prior to�commencement: ' -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I cert,ify,that all the information In thi� applicatlon'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 Co do. work:.and installation as ind(cated.�� °I certffy that no work`.or installatton has
commenced prior to Issuance of a�permif and that'.all work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulatfons, and land development regulatlons�in the Jur(sd(ctton. I also
certify that I uaderstand that the regulations of other government agencies may apply�to the intended work, and that it is
my responsibility to identify�what.act(ons I must take:to bedn:.cotr�plla�ce: S,uch agencles include but are.not Itmtted to:
- Department of Ehvironmental Protection=Cypress.'��yheads; WeNand Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment. -
- Southwest Florida Water Management� :.Distr(ct-Wells, Cypress.`�Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,;Docks, Navigable Waterways.
- Department of Health'& ReMabilitative Services/Environmental Health Unit-Weiis, Wastewater-Treatment,
Septic Tanks. � _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avtatton Authority-Runways.
I understand that the following:restrictlons appiy to the use of flll:�
- Use of fill is not allowed in Flood�Zone°V"unless-expressly pe�mltted.
- If the fill materfal 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 petmitting which is prepared by a professfona) englneer
iicensed by the State of Florida: ,
- If the fill materlal.is to be used in Flood Zone °A" (n�connectfon�with'.a permitted building using stem wall
const�uction, I certify that fill�.w111=be used only.to.fill the area within the�stem•wali.
- If ffll material is to be used in any area; I certify that .use. of such flll will not adversely affect adjacent
properties. If use of flll is found to adversely:�ffect adJacent�properties, the owner may be clted for violating
the conditions of the buiiding:permit issued�under the attached permit application, for.lots less than one (1)
acre which are elevated by flll;an englneered drafn�ge plan is required.
If I am the AGENT FOR THE OWNER, I;�promise in good faith to inform the owner of the permitttng condittons set forth (n
thls affidavit��prior to commer�cing construction. 1 understand thet a�separate permit may be requtred for electrical work,
plumbing, signs, wells, pools, afr conditioning, .gas, or other Install�t(ons not.spec�ically lncluded�in.the apptication. .A
permit Issued shall be constcued to be a Iicense to p�oceed with tfie work and not.as authority to,violate,cancel, alter, or
set aside any provis(ons of the techn(cal codes; nor shall tssuance�of a permit.preven ulldirig O#�icial from thereafter
requiring a correction Qf errors in plans, construction or violatlons of any codes, ry p rmit Issued shall become invalid
unless the work autFiorized by s h permit.�ls:commenced•within sGc months o ermit ssuance, or if°�work autNorized by
the permit is suspended or.aba oned for a:perivd of six;(8)montF�s after the me th v�rork�ds commenced. An extension
may be requested;in writing, om the Building,Official for a period.not to e ceed nety�(90) days and will demonstrate
justifiable cause for.the exte ior�. If work ceases�for ninety(90)cons.ecutive ays h�job is considered'aba�doned.
WARNING TO OWNE OUR.FAILURE�TO.,REC.ORD.A - . :IGE ENCEMEMT MAY RESULT IN YOUR
PAYING TWIC . OR ROVEMEMTS TO YOUI�PR�� TY. IF YO. �I � - ` O�OBTAIN�FIN�A(�CING�'CONSULT
WITH YOUR DE : R AM ATTORNEY� FO . � ECO �� G YOU � �C ` E CEIVfEN �
F10RIDA.JURAT_(F. ._1. - - . ---- � - --- ----- . - - -------- - ---- --- -- - - -- - - ---
OWNER OR A CONTRACTO
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Who Is/are on ly �novm t me have produced o Is/are .erson wn�tai me a ave-produced �
as Identlflcatlon, as Ide .
Notary Public ,• � Notary Publlc
Commisslon No. Corr�m s�i n No
� ��..va• JACQUELINE BOGES
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Name of Notary typed,printed or stamped Name oi N �d'ry eif;
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''�PJ��y°,:�� Bond�d Thru Troy Fmn Inaurenoe BOOa05•7019