HomeMy WebLinkAbout15-16606 �
CITY OF ZEPHYRHILLS
- = 5335-8TH STREET
�sis��s�-oozo 1660
BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16606 Address: 6819 STEPHENS PATH
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: SILVER OAKS
Est.Value: Parcel Number: 03-26-21-0160-00000-0810
Improv. Cost: 9,400.00 OWNER INFORMATION
' Date Issued: 9/21/2015 Name: FAILLA RICHARD S &ANN MARIE
Total Fees: 85.00 Address: 6819 STEPHENS PATH
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/21/2015 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S . APPLICATION FEES
A.BARTLETT ROOFING OF C NTRAL F RERO F RESIDENTIAL 85.00
� �
�oc I (� -Z�? —tS'
C�. `�`�
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS RO F INSP �
FINAL - O r
,
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 mount of the fee imposed for the initial inspection or
first reinspection,whichever is greater1 for each such subsequent reinspection.
NOTiCE: In addition to the requirements of this permit, ther� maybe additional restrictions applicable to this properly 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 of commencement may result in your paying twice for
improvements to your property. If you intend to obt�in financing,consult with your lender or an attorney
before recording your n tice of commencement."
Complete Plans,Speci ions Must Accompany Appli� tion.All work shall be performed in accordance with
City Codes and Ordinances. O OCCUPANCY BEFORE C.O.
, NO PAN �Y BEFORE C.O.
IGNATURE PERMIT OFFI R
, ER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�aaeo-oo2o r ' Is Permit A lication Fax-813-780-Op21
City af Zephy hil � pp
Building Qepaftment -
� Date Recelved • � ct f r Pe � ittFn –
� Phan o r�n
IQwner's Name Owner Phone Number
Owner's Address p Owner Phone Number �
Fee Slmple Titleholder Na Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADpRESS LOT# �__�
SUBDIVISION � � PARCEL tD# '
( (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED r�Ew caHStR ADDtA�T � SIGM � C] pEMO�lSH
' e INSTALL 8 R�PAIR
PROPQSED t13E Q SFR Q COMM 0 OTNER -
TYPE QF CONSTRUC't'ION Q BLOCK ° FRAME STEEL Q
{ �
DESCRIPTION OF WORK '°'�'
8U1LdING S1ZE � � S OOTAGE C__� HEiGHT ���
�����"�E��' I"" , � VALUATION QF TOTAL CONBTRUCTION
�� ,,, J
j QELECTRiCA[, � � AMP SERt/tCE � PROGRESS ENEF2GY Q W.R.E.C.
QPLUMBING ��
QMECHANtCAL � VAlUAT10N OF M CNANICAL INSTA�IATIC►N
i
QGAS ROOFING Q SPECIALTY OTFiEFt
FIIVISHED FLOOR ELEVATIONS �� FLQOD ZON AREA QYES NO
, Bl11LD�R COMP�,
� SIGNATURE REGISTER�o Y/ N FEE CURRE� Y/N
I
Address License# �- �
i
I
t �EECTR{CtAN COMPANY
SIGNATURE ` Re�i97eR�o Y/ N FEE CURRE� Y/N
Addres� License# �
P�UM8ER COMPAt�Y
SIGNATURE � REGIS'1'ERED Y/ N FEE CURRE� Y/N
Address License# ��
MECMANIGAt. COMP.
SIGNATURE REGISTERED Y/ N h�e cuRRE� Y/N
Addre�s L nse#
OTHER COMPAI�Y -
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
, i
Address '"— Llcense# � ,� - –
RESlDENTlAL Attach(2}Plot Plans;{2}se#s of BuftdingPtaos;{1}set af Energy�Forms;R-Q-W Permit for new construcGon,
Minlmum ten.,(10}working days afker.submittal date. Requlred onsite,Constructian Pians;Stortnwater Pians w/Siit Fence installed,
Sanitary Facilities&7.dumpster,Site Work�Permit for subdivislonsllarge proJects
COMMERCtA6. Attach{3)cori�plete sets of Sulldirig Plans plus a I.ife Safety Page;{1}set of Energy Porms.R-tt-W Petmt#for new canstruc�on.
Minimum ten(10)working days after submithal date. Required onsite,Constructlon Plans,Stormwater Plans w/Sllt Fence installed,
Sanitary Facilides 8 1 dumpster.Site Work Permit for all new projects.AA commercial requlrements must meet compliance '
SiGN PERMIT Attach�2)sets of Englneered Flans. � '
•""PROPERTY SURVEY required for all NE1N canstrucUon.
Dlrectlons:
Ffli out applicatlon completely. �
Owner&Cantractor slgn back of applicaUon,notarfzed
if aver 52500,a Noftce of Commencement is required. {AtC apgrades ver�7500)
" Agent(for the contractor)ar Power of Attamey(for the owner)would be so �eone with notarized letter from owner authorizing same
DVER THE CtJUTFF'ER PERMtT31NG {Front of Appticatlan Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/ urvey/Footage)
Driveways-ititot over Counter if on pablic roadways..needs ROW
( '
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NaTiGE QE DEED RESTRlCTIO�tS: The underslgned under�t�nds°�.th�t thf�..p�rmit�.may be�subject ta"�eed"restrlctions°
which may be�more-restciative�than Caunty.�regulattons. �Tiie-underslgned�assurimes�responsibility for co�ifipltance with any
appllcable deed reslriotions, . .. . . .'` - . ,• `' � . •� .
UNLICENSED CBNTRAGTORS -AND CONTRACTOR RESPUNSIBIL1TfiES: �'lf the�owner �has �hire�d a cvntractar esr
contractors to undertake work, they may be;required.:to b�;llcensed In accordance.with.str�te.and•local regulations. If khe
cantractor ts no# Itcensed as requlred 6y law� both #he owner an� contcactor�may be�clfed for a-misdc�meanar violation
under state law. If the owner or Intended>cantrac.kat�are;uncertain as`to what Ilcensing.requlrements;may apply��or-the
intended work, they are advlsed to coritact the Pasco County Bullding lnspectloi►Dlvislon—Ucensfng�Se:ctlon at 727-847-
8009. Furthermore, if the owner has hired a contractbr or contractors, he is advised to have the +:ontractor(s) sign
portions of the "contractor Block° of this appllcation for whtch they wlll be respon�ible. If you, as.the c�wner sign as ti�e
contractar, that may be an ind�catiqn that�[ie fs not.prope�Ey Ilce�sed a�nd ts nat ent[Bed`to pertmitting privileges In Pasco
County.
TR.ANSPQRTATION_IMPACT/UTlUTIES IMPAC't'ANb�RESClURCE REC4VERY�FEE3;�The undersic�ned understands ,
that Transportation Impacf Fees and.Recourae Recove.ry.Fees may�appiy;ta�the canstructian of new buildings, change af
use in existing buildings, or:expanston�of-�existing:'�6uildings� as speclfted ln Pasco County Ordinance rnumber 89-07 and
90-07, as amended. .T,he undersigned also.understands� #hat such fees,=:as;may�6e:due;:will.�be tdentt#led at the tiirie o# �
pe�mitting. It is furthe� understoad that Transportatfon Impact Fees and�Resource Recavery�'Fees must be paid prlor to
rece�ving a °ce�#i�cate of occupancy" or final power�release. :1��#he project.does nat tnvoive:a•cert�#cat� of oc:cupancy.ot
finai power release; the fees must be paid prlor to permit tssuance. F�nhermore;��if Pasco Caunty 1Nater/Sewer�lmpaat '
fees are due,they�musk be:pald prior to permit�lssuance=ln accordance wtth appltcabla Pasco Caunty atdl�nances,
CONSTRUCTiON i:IEN t,.AW(Cfi�apter 713� Elarlda S#atuEes�as amended}: t�vatua�on of work is$2,�500.00 or more, i
certify that I, the applicant, have�been provi.ded Vvith'�a� copy of the "Florida Construction_Lien: I:a�u--Homeowner's
Protectton Guide° preparec! by the Fiarlcia Departinent of'Agriculture and Gonsumer Affalrs. If the appt�cant ts someone
other than the�owner", I certify that I�have.obtainetl a copy of the_above..des,cribed document and.p.r.omise�ln,good falth to
deliver It to the.°owner"prior to�commenaemerit; � , �
CfJNTRACTClR'S/tIWNER'S A�FIDAVIT: i ce'rtiEy#hat all the;inf.ormation In thi�application is accurate and tha#aii wark
will'be done in compliance with all appl(cable laws regulating constnaction, zoning and land development. Application Is
hereby made to obtaln .a permlt to do. work and Installatlan a�s indE�ated.. `I ce�tify that no work o�� tnstalla#ton has
aommenced prior ta Issuance�of a permiC and tha#:all wark wlll be pertormed ta meet standards of all laws �egulating-
consi�uctlon, County and City cades, zontng regulations, and land devefopment r.egulatlons�in the jur�fsdiction:. i at'so
cettify#hat I unde�s#and that the regula#ions of other gove�ment agencies may�apply�to the intended w��rk, and that it is
my respansibility to identlfy�what.ecttons I must take:to besln<.cortlpliance: S,uch agencles Include but are.i�at llmited to: `
- Department of Er�vironmental�Protection-�ypress.Bayheacfs; VYeHand Areas and Envtronmentatly Sensitive
Lands, WaterNVastewater Treatment.
- Saut#�west F#or�da Water Managemen# .C7fstrict Wells� Cypress. 8ayheads; iNetland Aress� Attering
Watercaurses. ,
- Army Cnrps of Engineers=Seawalls�Docks, Navigable Waterways.
- Department of Health � Rettabllitative ServiceslEnvitonrnenEal Fiealth Unit Well.s� WasteNrater Treatment, ,
Septic Tanks. ' � � ,
- US Environmental Protec#ion Agency Asbes#os abatement. �
Federal Avlattan.Authority-Runways. '
I understand that the following:restrietlons apply ta-the use of fl14;� ,
- Use af fitl is not allowed in Flood Zone"V"unless expressiy permitfed.
- If the �II material•is to be used�in:Flaod Zane °A", It. (s understoad that a drainage pl�in addresstng a
°campe�tsating volume"wlit bs submttted a#t�me af permitting wiilch is prepared by a profe.�sfonal eng€neer I
lice�sed by the:State�of Flarida: �
- !f #he fill matetlal..ls to 6e used fn Ftood �one °A" in�connecfion wlth.a�=�ermitted buitding us�ng stem wal! � ;
� canstrua#ion, i certify#hat fiil wlll�b.e used onty.to.fili the area within the stem watl.
- If flll material is to be used tn any area, 1 certify .that .use of such flll�wil# not adversely affect adJacent �
prope�ties. if use of flIl is fonnd to adversely:�ffect adja�ent«prdperties,.the owner may be cited for uiolating
the conditions af the building,permit issued under the.attached�permit application, fo� lats IE�ss than.one (1) '
acre whEch ace elevated by f�1i,an eng{neered dra3nage pfat�is requlred. . , j
ff I am the AGENT FOR THE.OWNER, I;:promise In good faith ta inform the awner of the.permitting candttfons set forth In
this affidavlt prtor to commencing constrvcttan. I understand thata-separate perm(t may be requtred#or elecMca! work. `
plumbing, s€gns, wells, paols; alr ca�ditloning,.gas, vr att�er installattons not�spec�icatly included�in.fhe application. .A '
permit issued shall be construed to be a'Iicense o proceed wikh tFie work and not as.authority to,vialate,cancei, alter, or �
set aside any provlsions of the teahnical , nor shall tssuance�of a.permtt.prevent ths Bultdlrig O#�icla�fram therea#ter �
requlring a correction af errors In plan o tnaction or vlalations of any codes. Every permft issued shall be invalid
unless the work authorfaed.by su pe � It-is-+co�nmenced�v+rtthln si�c mortths of permlt lssuance,'or If thorized by
the permt#is suspended or.eba on for a:period of six(8)mont�s:after the#ime the�waCk is camm d.. An extensian
may be �equested, in writ�n , fra e 8uilding.Offlclal far a perlod.not to exceed nineiy(90) da �d`vui0 demonstrate •
justlfiable cause for#he e �ns3o y If work ceases for nlnety{9Q)cansecutive:ciay.s,ttie�ob is co dered.a�a�idoned._ ---
WARNING TO OW R; Y UR EAIl.URE•'1't?,RECQltC�A NQTIGE OF�CQMMENGE T NtAY�RE:ttlkT tN YOUR
PAYING TWiCE.F iMP OVEMENTS TO YOUR,PROPERTY: �IF�YOU�IN"FErV �? �� -: IN�FI(�FANCING;'C.QNSULT
WITH UR� O AN ATTOR EY�� FOR � ECOR� G:Y0 ` ' E CE E ��,',-
Ft,Ot21DA JURA'#'(F .Q
� ,
DWNER OR AOE CONTRACTOR�._,
5ubscribed and s r a�l betore me thts S�t�sscrlbed and swom (ot tmed}•b #tiis
b •by -
JVha is/are pe nally to e or has/have produced Who Is/ere p.ersonai kn me or.hasfi e� roduced -
as tden�ft��on. � id BBcatlan. -
�,,, -
- Notary Pubtic Notary Publlc
�am ston No. Commisslon No.
� Vame of Notary iyped�Prin#+ed or stamped ' Name of Notaty typed,pdnted or sEamped
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� ,�._ ���r�#I�e�# ���a�i�t� (�f C���t����. ,�A'X�ar�ri��, ���.
C/O Ri�hard �artlett �`.�� � �
38408 �rd Ave.
Zephyrhills�, FL 33542
One of the Largest, Oldest, Most Dependable
R�ofing Compar�ie� in Central Florida PHONE
Specializing in Mobile Home JP Stevens White Rubber Roofs
& lnsulated A/ummum Roof Overs (813) 782-5585
(813) 973-7737
RESIDENTIAL • COMM�RCIAL � IVaOBILE FiOME (352) 523-1944
LICENSED — IIVSUF��D — �O�IDED Lic. #CCC 1325499
• MEMBER OF THE Che�MBER OF COlV1MERCE •
Serving ZephyrhBlls, Da�de City, Quaii FOollow,�lliesley Chapel, l.and O' Lakes and Scarr unding reas
We have re-roofed or reparred more roofs(16,000)in the past 36 years, than the fourloca/leading roofing co panies c bined.
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Phone I"
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President & r artl 'bfan � of Central FL, Inc.
Si
Rich .Bartlett �
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.
A Bartlett has to be notified of leaks�ithin 30 days
All arrangements contingent upon st�ikes,accidents or delays beyond our conlroL Ownei to carry/ire,tornado and olher necessary insurance.
Oorworkersare lullycovered byWorkmen's Compensationlnsurance.Custome�isliableforany�chargesincurredin collectingthisbill.
� � Rotten wood is an extra$35.00 per sheet(4-ply). Rotten fascia is�2.00 per linear foot. TOt81 � •
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Rr,pt,:1 05079 Rec: 10.00
�5: 0.�0 27: 0.80
08/12/2015 T. 5., Dpty Clerk
permit Na. Parcet SD Mo� "(',,,��_�,;,t �}l t0� ,��(A..3 C,,.J�/�
NOTICE OF COMMENCEMEN
Slate of��t']�j��Q... County o���,��_
THE UNDERSIGNED hereby gives notice that improvement wi0 be made to certain rea!praperty,and in accord�nce with Chapter 7l3,ftorida StaKutes,
the following in(nrtnation is provided in this Notice of Comme ement:
1. Desoriplion ot Property: P.arcet identificatian No,� c7� �
Street Address: � (
2. Generat Descripklon oi Improvement
I
3. Owner Infortnation or lessee intarmation if the lessee contracted forthe improvemeot: I
/
� �
� 7 Na �G^/� I �
Address Ciry �S�,it
�nierest in Property: �� _ I ��
Name of Fee Simpte Sittebolder
(If different from Owner Iisled a6ove) �
� Address City I � Slate
Contrador. � `p� �f
., .�¢/ ame�ry r�L�[J..l � t
.{/� �r
Address L7/���/'�� ��tY I S��-r
Contractofs Telephone No.:s� �� 4�
5. Surety; I
Name
Address City . State � ,X
Ambunt of Bond: 3 Telephone No.. I �, �2 U � w
L11 t.t_ C/3 t!J —i
fi. Lander Nama I (:� z �d F�-- J �
Clty State � U � ---� ty� �
Address � �� <:[ �
Lender's Telephone No. , � � � w �
7 Persons.within the State of Florida designated by lhe owner upon whom nolices ar olhe�do umenls may be served as provided by b �=Z �
Sectlon 713.13(1)(aj(7),Florida Statutes: (� Q 1— 1� `� �
� � C� U
Name I ��� d �
W
Address ' Cily I Slate � Q � d..'
7elephone Number pi Designated Per.son: " �� � U�
I t„� F"' 1-' .J Q
8. In addition lo himself,lhe owner designates I� �t'--" � L�L. w � � � �1
to ceceive a capy otthe l.ieno�s NoUce as pravide0 In Secfan 718:13(1)(b),FloAda Statutes. � � � Q z
Telephane Number ot Person or Eniity Designated by Owner. I � � � �- _ "� �
...d L4! Q Q
g. Expiratton date ot Natice ot Commencemenl(the e�iration date may not be betore the complet'ia�oi constructian and final payment to the �- C� t3 � Q
conCraclor,but wiil be ane year from the dale oi recording unless a different date is apecified}; � � � Q ^ jJ}
WARNiNG,Tp OWNER: ANY PAYMENTS MA6E SY 7HE 4WNER AFTEft TNE EXP�IRATiOtt OF THE NOTlCE 4F COMMENCEMEN7 � Q � �
AR6 CONSIDERED IMPROPER PAYMEN75 UNDBR'CHAPTER 713,�PART�1, SECTtON 71�3 13 FLpRIDA STATU7ES, AND CAN � _.... � J
ftESt1tT!ht Y6UR PAYING TWICE•F'OR IMPt20VEMENTS•70 YC7UR.PRpPERTY. A N041C�,OF�COMMENCEMENT MUST 8E I'� � � �1, Z
RECORpED AND POSTED ON 7HE J06 SITE BEFOftE TNE FIRST INSPECTtdN. tP YOU tN�NO T4 00TA1N'flNANCtNG,CON5U6T ^� r-� h-
W{7H YOUR IENCIER OR AN ATt'ORNEY BEFORE COMMENCING WORK OR RECORDRJG.Y UR NOTICE OF COMMENCEMEN7 � � �O� � �
U�der penalty of perjury,I declare thal I have read the foregoing notice pf commencement and Ihat lthe facts stated tfierein are trve to the best
af my k�owiedga snd beliet -� a r
IUII�l11111/IMr1
STA7E OF FtCIRtqA fi°"`"'�e jtjCHARU C.BARTLEZT . ' --"" J� "�' �
GOUNTY OF PASCO 1,ty�p1�.p,qgg�ON p FFI2098
�� E�'¢tES:7uSyDt,I01T Signa e Qwner or Lessee,or Ow ers or Lessee's Authorize � ��� ', !�
��„� OKc lDirecto artner/T.Sanager `�
. `� � �'��` �, • � d
Signato T(Ua/Otfice�� 1 +� � � �
Ol. q ° � •�
}a yG�''._. �
The foregoing iasWment was acknowledged before me this�y of ,20 ,by , CY�
�cer,trvstee,attame in fact for �� `� �
as {�YPe a �ty.e 9- Y ? ,r,� ' �
m inslrvmeol w25 execuleA). , , a• , �
I 4 . �
Nata Si nalure y ' �
Personaity Known[]61�'Produced tdBnSification[�, �Y 9 ( � }. �
a
Type of tdentification Protluced - ��e,e.c+'p'-� Name(Print � � �
� j�y # �
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ppUlti SI.O'NEIL,Ph 0 PASCO GLERK & COMPTROLLEh .
08/12�201��2��m PG �f2�0
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