HomeMy WebLinkAbout15-16686 CITY OF ZEPHYRHILLS
5335-8TH STREET
(s13)�so-aozo 16686
� ' BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16686 Address: 38304 13TH AVE
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: 11-26-21-0010-03400-0010
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 10/23/2015 Name: JONES DARREN &ANNE M
Total Fees: 60.00 Address: 38304 13TH AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-3601
Date Paid: 10/23/2015 Phone: 813-701-1016
Work Desc: REROOF SHINGLE
- CONTRACTOR S � � APPLICATION FEES
MILESTONE T CTI N CONTRACl REROOF RESIDENTIAL 60.00
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� Ins ections Re uired '
DR N ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
a
CONTRACT R SIGNATURE ' - . PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
���������������I��{�Ii��S��I���I����l��l�Itlll��I��I�I�����1 �QULR 5.0'ME1L,Ph D.PASCO CLERK & COMPTR4I.LER
10/23f2025 @9:33am 1 of 1
2015171370 �R SK ���� F� ��L�
. '
Rcpt:1722468 Rec: 10.00
DS: 0.00 IT: 0.00
10123/2015 K. R. M. , Opty Clerk
Pertnit Number " ` � ,.
Parcel ID Number « ••• •• •�(,'��.Q - , . - , .
h14TIGE OF COMMENCEMENT �r^ L{., • � ' � ,' � + �." � '
State of Florida�a�L4 � �,�,7�iiIS;4i2EA45R�'�,nv�iaFOr�i�i.�zic�i�;,�':1::Caim�ref.Rr,7c:siom
Coanty of _•. �:` �° . �
TNE UNDERSIGNED hereby gives notice ihal impmvemenis will be mede to certain real property,and in accortlance with Seclion 7i3.13 ot the
Florida Slalufes,the following i�formation is provided in lhis N0710E OF CpMdAENCEMENT
i.t)escriFstlon af property{lagal descripffan:
a)Slreel(►ob)Address: , - IC
2General description ot lmprovements:
' 3,Ow�er Information ar Less infortnatian H the Lessee con.ytracied far the Improv��ent�/ ,�1�� //
I� a}Name and address: ��I'j"t!'f`�,"���,J��� f� l j L'�,���'`.t'1'lli���� �„��7'•�—
� b)Name and address of fee simp(e ti�ehoider(i(ditterent than Umer Gsted above) .
o)Interesl in propeaty;
4.Gantractoi(nfomrattos's
a)Name and address: ������S^�`��''{�'IV.� (��$ „�,-�V G" '
�� b)Telephooe No_. �SL�., 4R Z.. �s i�_i._� Fax No.: 5ona1 �e G Y �-�j 4o�3'�t��J.��. 3��0'�6
S.Snrety(i(agplicdbl�,a tnpy of the payment bond is attached}
a)Name and address:
b)Telephane Na`.
c)Arnount af Bond: 5
6.Lander
� a}Name and sddress:
b)Telephone No.•
7 Persons wfihin the Sbte af Florida designated by 04mer upon whom nolices or oiher documents may be served as gmvided by Sectiosi
713.i3{1}{a}7.,Ftori6a Slafnies:
a)Name und eddress:
b)Tetsphone No.- Fax No.{optionai}
8.a.ln addltton to himsetf ar he2selE,8wner dastgnates ot �
to receive a copy of ihe Lieno�'s Nofice as provided'm Sedian 713.13(1)(b),Horida Stalutes.
b}Pharie Numher oE Person ar'entity designated by Omrer
9.Eupiration date of nafice of commencemerit iihe e�cpira6on date may nol be 6efare ihe oompleGon o!construction and final payment lo the
contractor,but wiil be 1 yeardrom the date oi recording uniess a diftereni dale is fied�µ�_� ,2(1
. WARNING TO dWNER:ANY P.AYMENT5 MAdE BY THE QWNER AFTER THE EXPIRA710N{iF THE NOTICE(3F Gt}MNlEtdCEMENT ARE
CONSIDEREp 1MPROPER PAYMENTS UNDER CHAPTER 713,PART f,SECTION 713.13,FLpRIDA STATU7ES,AND CAN RESULT IN YOUR
PAY(NG TWICE FOR IMPROVEMENTS TO YQUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED OhJ
THE JOB SiTE BEFORE THE FIRST IN3PECTI4N. IF YQU lNFEND TO OBTAIN FINANCING, CONSUL7 N1fFN Y013R LENDER QR AN
ATi'ORNEY BEFORE COMMENC(NG WOFtt(OR RECdRDWG YOUR Nq710E OF CONiMENGEI�ENT.
Under nalty oi perju ,I dedare thet I heve read the foregoing nolice of commencement and thal the facb sialed Iherem are true lo ihe best of my
kno edg and beliet.
� ( � 0}Owrr7 or ,Ot Ow1161'b o�LesC00'6 U��NW¢Nd Ot(�tlDirododP ) � (����'""``I��
�rovida gnatay'sTitlrlORGoe)
The far oing insi n vas acEo�owledged beiore me this �,�^��ot ��.��y,+� ,�p j�
bY Yl 5 as jtWIZ�Ci^ (Haeo�9mno�ry,e.g.olfieer,tructee,ailameymfact}
for ,as
(Name d Pessm) PYP�ot a�lltmnty...e.g,ottirs.tn�siee.attomey Fn tactl
iw (rome of party on bel,s!(af wfiam it�frurt�eni was erceaAedj.
Personally f(nown � P,{�uced ID (�C
Type af ID �l. JC L t _ Natary Signature
Printname
� ���1� . , ,
��`� • • �`'�o� T�1°E QF FL�I�lDA, COUN7°Y OF PASCO
,� ' A . S kS TG CERTIFY THA7 TFf E FQREGOiNG IS A *,�,��1�"¢'j1, �B�B t�.�(��`
�� AND CC�RRECT CCfPY OF THE DOCUMENT$ .
. ��t 1 LE OR OF PUBLIC RECORD IN TFlIS OFFlCE'� '"F �����
a,�n'� � ..,, S M HA�1D ANC}OF I AL SEAL 1"NIS 'y�,,,�,�������``� � Afi�r 2!. 20t8
� o ' a�� :- • .A�uoMNorMr.ce�u
� DAY OF 2�
, -'' A S C?'NEi�,C & OIv]PT-F2�3�
� � a�87 � -
�° � DEPUTY CLERK
� ��������ti° ,,..
813-�ao-oo2o City of Zephyrhills Permit Applica#ion Fax 813-780-0021
Buiiding Depattment
DaQe Recsived �� �2,rj ,2.•(� � � phone-Contact for Permittin —
Owner's Name �SL.►V � � � Owner Phone Number ��� • 7�� + � � (D
Owner's Address Q �h �� (� Owner Phone Number � �
Fee Simple Titleholder Name ��/� � Owner Phone Number � �
Fee Simple Titleholder Address
JOB AbDRESS (,1 D � �, Q � �S ``"�..6�`(� LOT# �_��
suso�vis�or� � � � P�,iac��i� ��"'Z�a"2� —C�t.11 C� — t�3�{tx3—oa 1 O
(OBTAINHO FROM PROPERTY TAX NOTICE)
WORiC PROPOSED NEW CONSTR ADDJALT � SlGi+} Q Q DEMOi.tSH
e INSTALL 8 REPAIR
PR4PQSED USE Q � SFR Q CG?MM [� pTHEFt
TYPE OF CONSTRUC710N Q BLOCK ° Q FRAME � STEEL Q
�
pESC121PTiON OF WORK � �
BUI�DING S17.E �� � SQ FOOTAGE� HEiGHT {��
QBUI�DING $ � M��`p
� VALUATtOiV OF TOT'A�CONSTRUCTION
[�ELEGTRICAI. $ � � AMP SERVICE Q PROGRESS EPIERGY Q W.R.E.C.
QPLUMBlNG C _. � � ( r p �0(��
1 �
QMECHANICAI $ VAl.UATtON OF MECHAf�lIGAC lfVSTALLATION
� ��:
QGAS � ROOFlNG Q SPECIRL'i'Y C� OTHER
FINISHED FLOpR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUt�D�R Q�' ^ COMPANY I �l�25�l1�i ��,1'�t"U t�1t3h1 �,p� G�c,rS
SIGNATURE �'�"����='�yin/r"'y • . � REGISTERED Y/ N FEE CURRE�
Y!N
Address t .�}.�wc 3 ta�yb Y�/i • �, • �j?J�CS$ License# C C.�,, l 3�.Q '�.,,a' '�.��
ElECtl2lCIAtQ COMPANY
SiGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
PLtlMBER COMPAI�iY
S�GNATURE REGIS7ERED Y/ N FEE CURREA Y/N
Address License# � �
MEGHANtCAL COMPANY
&iGNATURE REGISTERED Y/ N FEE CURRE� Y/IV'
Address License# �� ��
pTHEE2 COMPIWY
SIGNA7URE REGISTERED Y/ N- FEE CURRE� Y/N �
Address Llcense# �� �
RESiDENTiAi: Attach(2)Plot"Plans;{2)sets af.BulldJng'Plans;{1)sef of Energy�Forms;R-O-W Permlt far aew canstructlon,
Minimum,ten(10},working;days;after submittal date, Required onsite,Construc6on Plans;�Stormwater Plans w/Silt Fence installed,
Sanitary FacilfUes&:1-dumpster,Slte Work�Rermit far subdivisfons/large projects
COMMERCIAL Attach(3}camplete sets of Buitding P1aos plus a Ufe Safeiy Page;{1)set af Enetgy Fotms.R-O-W Femt3t far new canstruction.
Minimum ten(10)working days'after submittal dake. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permik fur all new'proJeots.All commercial requlremenks must meet compliance
S16N PERMIT Attach(2}sets af Erigineered Plans. -
""PROPER7Y SURVEY required for all NEW consWctian.
Dlrectfans:
Fill out applfcaUon completely.
Owner 8 Contractor sign back of applicattan,notarized
If over�!500,a Natice cf Commencement Is requlced. {A!C upgrades over$7500)
`* Agent(for the contractor)or Power of Attamey(for the owner)wauld be someone with notarized letter from owner authorizing same
i OVER THE COtiNTER.PERMITfiNG (Front of Applicatian On{Y)
Reroofs if shingles Sewers Service Upgrades A/C Fenaes(PIoUSurvey/Foo#age)
Qrlveways-!Vo#uver Counter if on public roadways..needs ROW
�
DT10E OF DEED RESTRICTIOMS: The undersigned under.�tands�th�t.this.;pprmit.may be,subJect to"deed"restrictlons" � _
hich may be�more r.est�ictive-than County regulatfong. �The u�idersigned assurries responsitiility for compltance witFi any
�plicable deed restricttons. .,� � • �. . �.� � , �
NLICENSED CONTRA�TORS''.AfdD COIdTRACTOR RESPOIdSIBILITIES: �-If the owrner has �hir�d �a �ont�actor or
mtractors to undertake work, they may be.required;�.to be�Ilcensed in accordance.with state.and•local regulation�. If the
mtractor is not Itcensed as requlred"by law, both the owner and contraotor:�m�y be c(ted'for a-misdemeanor violatton
ider state law. If the owner or Intended�contraetv� are uncertaln as to wh�t Ilcenstng.requirements may apply.�•for th�
tended work, they are advised to coritact the Pasco County Bullding'Inspection Divlsio�Licensing Section at 727-847-
)09. Furthermore, If the owrner has'hi�ed a contractor or cont�actors, he is addised to have the contractor(s) sign
�rtions of the "contractor Block" of thla appllcatlon for which they will be responsible: . If you, as.the owner sign�as the
mtractor, that may be an indicatfon that�he is not.prop�rly flcensed and is not entitled to permftting privileges in Pasco
ounty. • . ' ' �. ': - .
RANSPORTA710N.IMPACTIUTILITIES�IMPAC7 Af�b RESO.l1RCE R�C�VE�7 FEES: The undersigned under'stands
�at Transportatfon Impact Fees and.Recourse Recove.ry.Fees m,ay,�appiy�;to the construction of new buildings,�change of
se In existing buildings, or.expansion=.of�existiFl,g'�tiuildings�'a� specifled.in Pasco County Ordinance number 89-07 and
�-07, as amended. The undersigned also understands, that such fees,-asrmay�be�due,;.will�,be identified at the time of
ermitting. tt is furtNer understood that Transportatlon Impact Fe�s and Resource Recovety'Fees must be paid prior to
�ceiving a "certificate of occupancy" or flnal power..release. :If th� project does not invoive a-.certificate of occupancy or
nal power release, the fees must be paid prior to permit Issuance. Furthermore;�if:Pasco County 1Nater/Sewer Impact
:es are due,they�must be,paid prior to permit=lssuance�in accordance with applicable Pasca�County o�dinances. I
�ONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes� as�mended): If valuation of work is$2,500.00 or more, I
ertify that I, the applicant, have-been prov(ded with. a copy vf the "Florida�ConstructEon L(en Law—Homeowner's
rot�ction Guide" prepared by the Florida Depa�Qmenf of Agric.uiture and Consumer Affairs. If the appl(cant is someone '�
ther than the"owner", I cer�ify that I have.obtained�a copy;of.the above..described document°and.promise in,good faith to �
eliver(t to the°owner"�prior to�commencement: i
�OtVTR�CTOit'SIOWN�R'S AFFIDAVIT: I certify.thaQ all the Inf.ormation in th➢.s appllcatlon 3s accurate�nd that all work
�ill'be done in comptiance with all applicable�laws regulating construction, zoning and land•developr�nent. Application is
ereby made to obtain .a permit to do work.and installation as ind(cefed.. 'I certifjr that no wark or tnstallatton has
ommenced pr(or to Issuance of a permit and that.ali work will be performed 4o meet standards of all laws regulating-
onstruction, County and City codes, zoning regulations, and land development cegulatlons-in the jurisdtction. I also
ertify that I understand�that the regulations of other government agencies may apply�4o the intended work, and that it is
�y responsibility to identify�what.act8ons I must take to be,in:.corrlpliance. S.uch agencies include but�are.not Iimited to:
' - Department of Environmental Protection-Cypress.�Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress. Bayheads, Wetland:..<�4reas, Altering
' Watercourses. `�'�
- Army Corps of Engtneers-Seawalls, Docks, Navigable VVaterways.
- Department of Health� & Rehabllitative Services/Environmenfal Nealth Unit-Well.s, Wastewater Treatment,
� Septic Tanks. � _
- US Environmental Protection Agency-Asbestos abatement. . •
' ' . :Federal Aviation Authority-Runvvays.- • - ••� � , , _. ,
understand that the following:restrictions apply to the use of flll:� � '
- Use,of fill is not allowed in Flood Zone"V"unless expressly permitted. , � - - �
- If the�flll material �fs to be used..in :Flood Zone. "A", It. Is understood that a drainage plan 'addresstng a
� °compensating volume" will be submiited at time of p�rmifting which is prepared by a professional engineer
Iicensed by the State of Florida.
- If the fill material is to be used in Flood �one °A" in�connection wlth.a permitted building using stem wall
construction, I certify that fill�:wlll�be used only.to fill the area wlth(n the stem wall.
- If flll material is to be used in any area, I certify that use. of such fill will not adversely affect adjacent
propertles. If use of flll is found to adversely.�ffect adJaeent properties,.the owner may be cited for viofating
the conditions of the building:permit Issued under the attached permit application, for lots less than one (1) ,
e ele flil an en ineered draina e lan fs re uired. • '
acre which ar vated�by , . g g p q
I� 'I am the I�GENT FOR THE OVYNER, I;promise In good faith to inform the owner of the permitting conditions set forth in
� iis affidavit�prior to commer�cing construction. I understand that a-separate permit may be requtred for electricai work,
� lumb(ng, signs, wells, pools; air conditioning,.gas, or other inst�ll�ttons not spec�ically included�in.the application. .A
I �ermit Issued shall be construed to be a Itcense to p�oceed with the work and not as authority to,violate,cancel, alter, or
� et asfde any provisions of�the technical.codes; nor shall Issuance�of�a permit.prevent the Bulldirig Officlal from thereafter _
I �quiring a correction af errors in.plans, construction or violatlons of any codes. Every permit issued shall become invalid
�nless the work authorized by such permit�is-commenced�within six months of permft issuanc�, or if work authorized by
ie pe�mit is �uspended or.abandoned for a perlod of six(B)montF�s.after the time the work ts commenced. An extension
i� �ay be requested, in writing, from the Building,Official for a perlod not to exceed ninety(90) days and will•demonstrate
�stifiable cause for.ihe extension. If work ceases for ninety(90)consecutive:day.s,..th�joti is considered aba�doned.
VARPIING TO OWNER: YOUR FAILURE TO.REC.ORD A NOTBGE O�•COMMENCEM@MT MAY=RES[U!T IN YOUIt
�AYIPIG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.�IF°YO.U�IM�ErID'�TO OBTAIN�FIN�ANCIIVG;�C.ONSULT
VITH YOUR l.ENDER OR AN ATTORNEY�$fFORE�RECORDING�YOUR�NOTICE'OF COMIVIENQENfENT
LORIDA JURAT(F.S.1.17.03) _ � �
�WkER OL4 O,GI�PIT CONTRACTOR
ubscrlbed a�d swom to(or afflrmed)before me lhis Subscribed and'swam to(or aftlrmed)'befone me ttii�
by �by
� Jho Islare personally known to.me or has/have produced Who Islare personally known to me or haslhave�produced
' as Identlflcatlon. as IdentlflcaUon.
No�ery Public Notary Public I
�ommisslon No. Commisslon�No.
lame o/Notary fyped,printed or stamped Name of Notary typed,printed or stamped