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HomeMy WebLinkAbout15-16630 I � CITY OF ZEPHYRHILLS 5335-8TH STREET ' � ' (si3)�so-oozo 16630 ', BUILDING PERMIT � PERMIT INFORMATION ' LOCATION INFORMATION Permit Number: 16630 i Address: 6021 17TH ST I 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: PARK HILL � Est. Value: Parcel Number: 02-26-21-0180-00000-0610 Improv. Cost: 12,186.00 OWNER INFORMATION � Date Issued: 9/29/2015 � Name: REED (LEASURE) JANELL Total Fees: 150.00 Address: 6021 17TH ST Amount Paid: 150.00 ' ZEPHYRHILLS, FL 33542-2603 Date Paid: 9/29/2015 � Phone: 813-312-4332 ' Work Desc: HALF REROOF SHINGLE & HALF REROOF TPO CONTRACTOR S � APPLICATION FEES PARLAMENT ROOFING&C TRUCTIOI REROOF RESIDENTIAL 150.00 j `� , 1 V ' � �d� � , , Ins ections Re uired DRY IN R OF IN P ' ' TAPE JOINT ROOF INSP / � FINAL � � / � i 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 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 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 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." Com lete Plans S ecifications Must Accom an A lication.All work shall be ertormed in accordance with p � P P Y pp P City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. C TRACTOR SIGNATURE � PERMIT OFFI R i PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD�FROM WEATHER i � i I I � � ��� _ . � � ' � , . , � . . •� • • , ' ' . • , .. . , • . . .:z� � .�..•' • • . • � - � • � • , . � , PARLAMENT , .� � '.. � ' � . � � l�t�c�firig & Ca�s�x�ri�ax� . ' � � . � . � ' 121Q13idCoustnLSiPet�rsEm�,FL33716 ' � Ot�tce:(7z� 7!.��k110 cccssa�z9 cetct3z9so9 , Faa�(,'/`2?j•5.7i-411Z oa�tamencaooan¢ apeeasmarnun4n�e�a,u d�ac��y�a��c�d�6n�3erbRm�..�,�.a� , , .N�ue: ' p;�-�~� /.��,:1I: ,,.. —� . . Addres� J° � � DatG —�:.Lyt.._� � �i�:' s�c�: � � 3'�. . . 'amA�� e��n�.c-•� v.�t&'i ,c���„�,�, �.�► . � � �, . � . [naa�qrasme.bltLtLe mBosisgtvonh�u�r: ' . , . . • � ,� i ' • ' . ' . . L ABMOVBCL!lROQP WOGSABI.8SV8FAC& . 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N01'tl�TO6WNFA • • ' . . . .j, . . . , � , aff0'cmtN,gnUbldan� 5anum�.ton6aathl�.. � . . . . - araromimwmsoo tJ�mr�.uieeutYocsouslya:�PetoFb�+ma�,, • • • , � �� �/.:,Li . '. ' . ' , '. j ., ' , . , �� . s� . . � . • � 's►�a� • ' . , .. • . .. •�. . • . M i � `' ` ot8oex'r , . • . ' i .. arc�asor St�,o�ere / • . . . . . . . .i•� _ , •i ' . . , . . . . . . . ' � . I � _ I 813-780-0020 City of Zephyrhills Permit Application Fax-81&780-0021 ��, /// ! Building Department s�"��/—� �L¢ a�/ Date Received � � _ !`v � Phone ContactforPermitting 1 Owner's Name Q��i�� Owner Phone Number I� Owner's Address 0 �� Owner Phone Number Fee Simple T(tleholder Name • , Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS /►� � 'L( �1.• � I L LOT# � SUBDIVISION PARCEL ID# 0 (OBTPJNED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM � OTHER � TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK UT ^I�� �L 7 BUILDING SIZE SQ FOOTAGE� HEIGHT � � �►�'VI � �� �BUILDING $ 1 t VALUATIONOFTO'fALCONSTRUCTION �� /'� { .� i OELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. OPLUMBING $ � � / ' O� G� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� � �j / �/(/�'_�""' QGAS Q ROOFING Q SPECIALN � OTHER /� � }— FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO ���G� .\..� . �'f t�v� . . . . . . . . . ��_��j�� BUILDER COMPANY "\/i'�'� � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �'j v� Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER �� �, •^ COMPANY N'�I ��Z ���`I� jI�') SIGNATURE � r � REGISTERED / N FEE CURRE� Address � � �'K �L 7� License � I. 1111111111111111111111111111111111111111111111111 IIIIIIIItllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for w construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,St rmwater Plans w/Silt Fence installe Sanitary Facilities&1 dumpster;Site Work Permit for suhdivisionsllarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R- W Pertnit for new co tion. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormw ence installed, Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ' ""PROPERTY SURVEY required for all NEW construction. ' Directions:• FiII out application completely. Owner 8 Contractor sign back of application,notarized i If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) •' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW , NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" ` which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands;that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the�information in this application 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 to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I unders4and that the regulations of other government agencies may apply to the mtended work, and that it is my responsibility to identify what actions I must take to be in co'mpliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays. - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - 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", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed 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 wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent � properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license 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 Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. � 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 FINANCIN CONSULT WITH YOUR LENDER O AN TT RN BEFORE RECORDING YOUR NOTICE COM N EN . FLORIDA JURAT(F.S.117.0 f0 O° OWNER OR AGENT CONTRACTOR �a J o N Subscribed and sw t or affirm bef t ' Subsc�ibed and swo o r affir o m i :4 0 .J�i oi � �-� �, ' �' ' J o`w ���� W�i�/ar person�_ e or h s/have produced WF�o-is'/are persona y no or ha ave produced �y o Q� (/! q N� as i entification. as identification. �`LL� ..������ �� y r � ��� ��- /'�� �(� �i�LL (��E� �L�.Q\��5._./��"L tary Public ` Notary Public �a LL {� t�E �a Ez O o� Commission No. Gommission No. 0�E � 2� Name of Nolary typed,printed or slamped Name of Notary typed,printed or stamped � _ ., . ,. �..�.:� �: City of Zephyrhills BUILDING PLAN REVIEW COMMENTS � � Contractor/Homeowner: �j''�CC�i✓(�C/'(� i Date Received: _ � 2J--l� site: Q Zl �l 7 �' �7'— Permit Type: _ �,���� � �Q Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ i i ; I � �� � � i � I i ;i � ; � ' e , �� � , , + j This comment sheet shall be kept with the permit and/or plans. � � ; ,.�r j�� '' �, f�`��� � Kalvin 'tze 1 s Examiner Date Contractor and/or Homeowner ' (Required when comments are present) � i i ParlamentRoofing.com � � � . �ARLAMENT Roofing & Construction 12101 31st Court N. St.Petersburg,FL CCC1329729 CRC1329809 727-571-4110 Office: (727) 571-4110 Fax: (727) 571-4112 City of Zephyrhills I,Jesse C. Rock, hereby authorize the following to act as my agents in obtaining permits in the City of Zephyrhills for all projects. Matt Rayl 11624 Ocklawaha Dr., Leesburg, FL 34788 R40453793440 Peter Wozniak 205 Forest Parkway N., Largo, FL 33771 W252665392270 Randy Rood 158 Pompano Dr. SE Apt B,St. Pete., FL 33705 R300732811620 Steven Rodriguez 5435 N.E. 12th Ave., Ocala, FL 34479 R362780824640 License Holder ; , �''"�° /'-'��` � State of Florida County of Pinellas The foregoing instrument was acknowledged before me this ��day of��°� , 2015. �.�— By ��55� `�oG�- Personally known �r produced identification. Type of identification produced ; `� � _ � ��09� D�IDRA RUSSELL Notary Public,State o(Florida My Camm.Expires Feb.9,2019 No.FF 197586 : � � Permit Number j I IIIIII IIIII IIIII IIIII I�III IIIII IIII�IIIII IIIII IIIII IIII IIII Parcel ID Number ���� �„� t j ��`O 2015153648 NOTICE OF COMME.�NCEMENT State of Florida � r�;�;:?.R'_:�}gREStRVED�O�CLC•RY,7FiFiFC�:!Fi'fC=R71FIC;,TtON County of Pinellas i THE UNQERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes,the following information is provided/'�n th's NOTICE OF COMMENCEMENT. 1.Description of property(legal descriptfon): f al t� i b 31 g� a)Street(job)Address: h L /� 2.General description of improvements: �) �'� � ; ��� � 3.Owner Information or Lessee information if the Les e contracted for the improvement: r_ �.L / a)Name and address: �win e�� �1 Qn.e `�1.1 �7 f�'► >�' �t,f"LP�/t, �Il �� �j�J��1 Z b)Name and address of fee simple titleholder(if different than Owner listed above) c)Interest in property: �(�,(�/�� .Contractor Information i � a}Name and address: Wr - � m G' , �� j3� b)Telephone No.: ��'� �j'^�� �/l�Q i Fax No.:(optional) 5.Surety(if applicable,a copy of the payment bond is attached) � � Repf.:1715152 Rec: 10.00 a)Name and address: ' DS: 0.00 IT: 0.00 b)TelephoneNo.: 09/23/2015 S. P. , Dpty Clerk c)Amount of Bond: $ B.Lender � Pau�a s.o'NEIL,Ph D PRSCO CLERK B COMPTROLLB � ' 09/23/2015 12:23 m 1 of 1 a)Name and address: I OR BK 9Z6Q� PG 3600 b)Telephone No,; � � 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Fiorida Statutes: i � a)Name and address: � b)Telephone No.: ; Fax No.:(optional) 8.a.ln addition to himself or herself,Owner designates 1 of to receive a copy of the Lienor's Notice as pravided in Section 713.13(1)(b),Florida Statutes. b)Phone Number of Person or entiry designated by Owner: i 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 ear from the date of recordin unless a different d'ate is s eafied: ,zp WARNING TO OWNER: ANY PAYMENTS MADE BY TIiE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREQ IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,.SECTION 713,13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMEN'�MUST BE RECORDED AND POSTED ON TNE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANClNG, CONSULT WITW YOUR�LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I dedare that I have read the foregoing no6ce of commencement and that the facts stated therein are true to the best of my knowledge and belief. � . " —cS�. � ` ���t�E.\\ �l� i���� • . (Signatu f er or Lessee,or rs or Lessee's(Aufhorized cedDirectodPartner/Manager) (Print Name and Provide Sign rorys Title/Office) The foreg ' g ins ment as acf nowledged before me this � day of �e/���i L f ,201 S by ✓a✓! 8S ��a•t.�� (type of euthority,e.g.officer,4ustee,attamey in fact) for ,as (Name of Person) � (type oi authodty,...e.g.offlcer,Vustee,attomey in fad) for (name of paRy on behalf of whom instrument was executed). Personally Known Pro u _ i ` Type of ID Notary Signature ^��� .� �Jd(��` �5q— 5 ! _iri�nam� I _ LJ 6 '�_Z3_ �� 3 ; No�c�� �,c«�.�,�,e�,�a,� No.FF 23Et37 ---�--- � � -- . —- I I ��� _... �:�r, :,�,;f�� �.. � �r����r- ��c��s�A,COUM7Y OF PASCO ��; �` � ' � �� r" :ri.� �� THIS IS TO C�RTIFY THP,T TNE FOREGOING IS A �:�,���t�f � 7RUE AND CORRECT COPY OF TNE DOCUMENT � ° �'�;����':` . � �' �'���.�^� . ° � ON FILE OF�OF PUBLIC RECORD IN THIS OFFICE � ° '"��2 y T � WI NESS f�Y HAND AND OFFICIAL SEAL THIS � /;.;,�4"`r •, � �� DAY OF (`(� 2 Q"'S �' _'' A�� (�a�r�l PAULA O'NEIL,CLE K&COMPTROLLER Q�, '. , �g�8���� . � ��+ e BY DEPUTY CLERK �'p'•.���e�����Q. � 712?J?�15 , Ftaic�EiUiid�ng Gade ONic�e ; i � ' ' ' - � � �� • � � . • �t ecrs e I ws u� I �aeo�saanon I H�cm�� i swnut s�n� 1 9kat3&Fetbe ( v��d� l� ! 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S teg4rY ' Sln�le WY�f Systems Co pliance Method i Evaluation Report from�Florlda Registered Arctirtect or a Ucere�d • ! Fiorida Professionai Engineer , ^.•h Evaluation Report-Mardcapy Received da E�gineer or Arcfifdect�ame who developed I Rabert Miem;n2n aivat(oc►Report R da Ucense ; PE-59166 ity HSSUranCe�ntily � UL LLC • Qu ity Assurance Corrtract 6cpiration Dat�a , 02126/�17. va at�ed sy � 3ohn w. Knezevich,P� I �'. Validdtian Chetktist�HerdCOpy Received C¢ flCete Qf TndependertCA � � I 2 15 . I Re renced Standard ana Year(of Standarc� sta vea� ' I iASTM DS$78 20Q8 �aaro i�z � fM 4i74 2004 TAS 114 ' 2011 • j UL 1897 20TT� � £q vatence of Pr6duct Standards ' rxppsan�r.ear�da�;i�na P�'��PP dd.as�peram=wGEVX4MDquGo�JvZZ61L7RQW5qQh6�ltCVeC�HA0UWs99PKwU9Hr%3d°I63d �n 7�2?l2a15 Fla�ida BUlcing Code Ordine . ' Cs ied�Y j � � ns trom tne code ' i ' p ct Approval Methad Methad 1 Option n Submitbed ! 04/l5/Z015 • Vatidated 'o4/2d/2015 Dat Pending F6C AppPOVal � 04/a2/2815 �at Approved � 06/?3/2�xs I QlProducts � . i , q Modn1,Number o�Name i Deac�ip#ian iQ ,l Arestone U�ePly TPQ Singl�Piy Thermovlastie potyolefln('iP0) roaf svs�ms RoaP systems � [i ira of Uge � Inst�Hat�on IrtaStvWons A VadlrOPlt9e itl HVNZ:NO ' � I FL�0264 R32�,�J� 04 FINAL A1 ER lL�d�}fjYTPO FL10264- roved for t�se�u#side HVNZ:Yes � Ri2. f i aa Resi�#antx N/A Vecif,ed ey: Robert Nieminen PL�S91b6 . n PreBSUro:tN/A/-495.Q � Crextsd by IndePen��'rntrd Psrty:Yes �r.i.)'she desfgn pressure not2d ln this app��atinn Lvahiat�on Repurt� �e tes ta on pardcular assembty. Refer bo the ER Appendlx Fl 1g2G4 Rl�f�� 261'S 04 FItdAL ER UIt1�i���0 P1J.0264- II assemblies and assoclated design pressures;2.) g7, .�df r W the ER,Sectlon 5 fQr limits of Use. GreaOed by Independent Third Perty:Yes � • ; Sg4t( NRxt , . 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