HomeMy WebLinkAbout16-17207 ,_ _ . CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 17207
BUILDING PERMIT
- PERMIT INFORMATION- � LOCATION INFORMATION • -
Permit Number: 17207 Address: 4928 18TH 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 1426-21-0010-00200-0120
Improv. Cost: 7,480.00 OWNER INFORMATION
Date Issued: 3/28/2016 Name: PANZER FRANCIS W & EVELYN
Total Fees: 75.00 Address: 38716 2ND AVE
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-2118
Date Paid: 3/28/2016 Phone:
Work Desc: REROOF SHINGLE �
CONTRACTOR S ' ' ' APPLICATION'FEES . . -
MY ROOFER LLC REROOF RESIDENTIAL 75.00
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° � Ins ections Re uired ' � � ' �'
DR RO F SP
I 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 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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CO RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ,813-780-0020 City of Zephyrhills Permit Application F�$i�-�eo-oo2�
Building Departrnent
Date Recelved Phone Contact for Pertnittln — "1"��
Owners Name �C�.Y1GJ S�' bV"�( �Q{'1Z'L' Owner Phone Numher
Owner's Address �$���c P—� /�'�� Owner Phona Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addresa
JOBADDRESS —1 L��� ��V�''� LOT� L C7�
SUBDMSION PARCEL ID# (��'�"� �` —"UO�C--b��'C,C�U la- �
(OBTAINm FRON PROPER7Y TAX N071C�
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN O Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �� � �-C�--� v
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $����. VALUATIONOFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ,' �I
� �L��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1
� r
QGAS Q ROOFING � SPECIALTY Q OTHER ^ /�, 1.., �
e. / ,\� 1Y
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��
BUILDER COMPANY � ' ` �� �-�_
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
I Address �$ —i 1" r�Y�� r � License# C��C c , � l�j
ELECTRICIAN COMPANY
SIGNATURE r�cis�r�o Y/ N r'�e cuw� Y/N
Address L(cense#
PIUMBER COdIPANY
SIGNATURE REGISTERED Y/N FeE cuR� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGisiErtEo Y/ N �cuar�ra Y/N
Address License#
OTHER COMPANY
SIGNATURE rtECIS7FReo Y/ N �cUtu�N Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllll
RESIDENiIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set ai Energy Fortns;R-O-W Permit far new construction,
Minimum ten(10)vrorking days after submittal date. Requlred onsite,ConstrucUon Plans,Stortnwater.Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster;Site Work Permit far subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum fen('10)warking days after submiHal date. Required onsite,Construc6on Plans,Stortnwater Plans w/Siit Fence irutalled,
Sanitary FaciliUes 81 dumpster.Site Work PertnR for all new projects.M commerciat requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required fir all NEW construction.
Direetions:• i
Fill aut application completely.
Owner&ContraUor sign 6ack ot application,notarized
H over;2500,a Notice of Commencement is required. (A/C upgrades over 57500) �
" Agent(for the confrador)or Power of Attomey(for the owner)would be someone with notarized letter finm owner authorizing same
OVER THE COUNTER PERM11l1NG (copy of contract required) �
Reroofs i(shingies Sewers Service Upgredes NC Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on pubiic 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 Iicensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be ci4ed 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 Buiiding Inspection Division--Licensing Section at 727�47-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portians of the"conVactor 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 entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES 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 certifiqte 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 1, 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"owne�',1 certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the informaUon 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
cefify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, WeBand Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Artny Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Heatth & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following resfictions 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 withi�the stem wall.
- If fill material is to be used in any area, 1 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 FINANCING,CONSULT
' WITH YOUR LEND OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
i FLORIDA JURAT S.117.03
, OWNER OR � CONTRAC OR
bs ' a sw m to ed) fo e this � scdbe an swo < (or ai��ed)before me this
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o is/are ersonally known to me o ave produced o � ersonally Imown o ve produced
as id 'cation. as idenfifica6an.
i ry Public v Q..� Notary Public
Com isg�,, 11'P�e Commission No. .,,°,•�sra�`••.. ! .
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Nam o�,, .., � _,printe�`�^(r�nc a}-m� ed '' i Name of Notary ' "� o �ped EXPIRES.;ul 5,2017
",OFf1....+`� `Al��f7�S JUI�/S�ZO�7 i ,OFF��Q��` I
(40�398•0153 FloridallotaryService.corn � (407)39B-0153 Flo�idallo;ury��n�icr..c�m
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Lire�sed&tnsured j
11804 Pine Forest Dr�ve CCC1329139 � Phone: 727-992 9419
New Port Ri�hey, Ft 34fi54 727-869-8480
submidied To: Phone: Date:
WANDA BURNSIDE 727-364-6441 FEBRUARY 9, 2016 ,
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49281$T"ST FRANCIS 813-?88 2512 �
c�x,s�: �_ ���:
ZEPHYRHILLS Wandaburnside66Qgmail.com BNI
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
1. �'URNISH CQUNTY OR CITIf PERMR REQUIRED FOR REROOFING.
2. TEAR UFF E�QSTING METAl..AND SHINGLE ROOF AND HAUL AWAY ALL DEBRlS.
3. RENAIL USING 8D RING-SHANKED NAILS,iNSPECT DECKING AND MAKE
NECESSARY REPAIRS AT S50 PER SHEET.
4. 1NSTA1_L NEW#30 UNDERLAYMENT,61NCH EAVE DRIP,LEAQ P[PE FLASHING,
GOOSE NEGK EXHAUST VENTS,AND A�UMINUM RIDGE VENT SYSTEM.
5. INSTAt.L TWENTY-FNE YEAR,3 TAB,FUNGUS RESISTANT SHINGLE ROG�
USINC SIX NAtLS PER SHINGLE.
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6. MY ROOFER WILL WARRANTY WORKMANSHIP FOR SEVEN FULL YEARS. '
SUM FG1R THE ABOVE: SEVEN THC►USAND FOUR HUNDRED EIGNTY DOLLARS $7480,
, PAYMENTS AS FOLLOWED:
UPGRADES:
A THtRTY-YEAR DlMENTtONAL SHttdGLE........................................................ $ tNC.
, B PEEL AND STICK UNDERLAYMENT. � INC.
.........................:...................................
C INSTAlL 2-PI»Y PEE�.AND STiCK ON LOW SLOPE......................................... � Ii�tC.
TOTAL $
ACCEPTANCE OF CONTRACT THE ABOVE PRICES,$rPECIFlCATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEP'TED.YOU ARE
AUTH4RlZED TQ DQ TtiE WORK AS SPECiF1ED_PAYMENTS WlLL BE MAQE AS QUTtlNED ABOVE ANQ t UNDERSTAND iNOQDW4fitC 1S AH EXTRA AND A PAttT
OF THIS G#IITRAGT.tliY ROOFER IS WOT RESPOHSI�CE FOR E2EfitOYAL OR REPLACENEi�tl'OF SOI.ItR PADIECS OR SATELL!'i'E SYS?EMS_ES'IiMATE tS
SUBJECT TO CHANGE AF'iER 30 DAYS.
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AUTHORIZED SIGNATURE��i���fA.„. `:'
' na�m�.�srnause
SIGNATURE. . DATE O�AGCEPTANCE_
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III�IIIIIII,�I�IIII�IIIIIIIIIIfllllll�llllflllllll�II�IIIIIII DSpt01008238 ITeC0.00 00 �i
2016046375 03/28/2016 K. D. K. , Dpty Clerk
� P�n�. ���o�i ��—�-� —a1 --��c o --��avo�i a-o
NOTICE OF COMMENCEMENT i
��e� �1 c�r 1 c��-- ��ri o, 3�R SC c� ',
THE UNDERSIGNED hereby glves noUce that hnprovement wili be made to wrtain real properry,and In aocadance wlth Chapter 713.Florida Statutes, I
the fdlowirg irdamadon is ptovlded in this NotiCe of Commencement I �
1. Dascriptlon of Property: Partel Idenllflcetlon Na.��-�' � �{O��'� ���()� C�'-'U U���"�U l ��
Street Address: �f� ,i-D l n�� �"�1��'2��
z. c�,e�o������,�,� P�M-,nv-e �- ��l a.��e SL,i y.nl� v0�r�
3. Owner Irtformation or Lessee intormatian if the Lessee contracted tor the Improvemen[:
�v o�i s �t-�v�e l�,v� Pav,��--
naa�R`�-� i c� �`v��Q' �4-v-e_ 2� �1�►r�i 1 l.� ��
Interest in Property: �(A�✓��Jt�
Name of Fee Slmple Titleholder:
(B diReraM fran Qwner ksted above)
Addtess City Sfate
4. Contractar. �
Nam - •1 V'C'�n.J T C)V I-IU C'1iV.�=_ �
`
Address /� r� n, / City � Stete
Contractots Telephona No..���``�I�.1-``�`"( � �
6. surety:
Name
Address City STate
Amaunt of Bond: $ Telephone No..
6. Lender.
Name
Address City Stste
Lenders Telephone No.
7. Persans within the State of Florida designeted by the mmer upon whom natices or other documents mey be served as provided by
Sedlon 713.13(1xax7),Florida Statutes:
Name
Address Ciry State
Teleptrone Number of Designated Person:
8. In additlan to hlmself,the omfer designates of_
lo ieceive a copy of tho Lieno�s Notice as providetl in Secnon 713.13(1xD),Flotida Statutes:
Telephone Number of Pencon or Entity Designated by Owner.
9. Expiration date of tJotice ot Camme�cemenl(the expiration date may nol be before tha cwnptetion o!cauWction and final payment to Ihe
canVaUor,but will be one year ftom the date of recording unless e differenl aate is specified): _
WARNING 70 OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER TME EXPIRATtON OF THE NOTICE OF COMMENCEMEM
ARE CONSIDERED IMPROPER PAYMENTS UNDER C!UIPTER 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 9E
RECARDED AND P0.STED ON'THE JOB SRE BEFORE THE FlRST�NSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CANSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty af perjury,I dectere that I have read fhe toregoing nofice o}commencement end U�et fhe(acis therein aie hue to fhe best
ot my knowiedge and belref.
STATE OF FLORIDA `t' �
COUNTY OF PASCO �7 __ _.
�Sipnature of•Owneror Lessea;or OwneY�oPbgssee5.. zed
Ofticer irectadPartnedManager ' j � y
�it tLx.P.i.Q ✓�e' \.d���J�
1i, 5lgnatorys Title/Oftice._� �
7Tre foregoing instrument was acknowledged betore me thl�$r�day of�1Cv�2C��by �Y�Y��S ��1 2��
as ✓��,.,V���'� (type of euthority,e.g.,officer,tnutee,ariomey in fact)for
(�7!'/L 1 �_�J��� (nam q party on behalf of whom instrument was executed).
Personaiy Krwwn�J OR Produced Iderttificatlon❑ Notery Slgreturn
Typo d IdentiAcation Produced - Name(Prinq '
' ' - 'i���,`�t.' r1Ll�1 I'il:_Il�!I•I�IQUJF
i e° �, '�.�'4��t
PqULR S 0'NEIL,Ph D PRSCO 'GLERK 8� COMPTROLLEti � t•� �'! MY GOIv1MISS10N !fFF009230
03/28/201 1:08 m 1 of 1 '•=.,����.P' E,\'ri��S�li�ys.2o�� �
OR BK ��4� P� 2��6 _ •....o,�.,.
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wpdatart�,/notioecommencemen[_pd)53048
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yJ�'���°�f R�G'o�, �TATE OF FLORIDA,Ci�LINTY+OF PASCO
�� ' . � TFiIS iS TG C�RTIFYTHATTHE FQREGQlNG!SA
, TRUE AND CURREGT COAY Q�?HE R4CUMENT
�� �e�,�s..� • ,� ON F1LE 0!�OF PUBLiC RECORD IN TNiS OFFiCE
I�yo� > Wi �SS MY HANC�AND�FFICIAL SEAL THIS
�Ir � '� � � ���t��'�—. DAY OF�-�� 2 ��
PAlJLA S O'NEIL,CLERK&COMPTROL�.ER
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� �' ' • �� �Y „�,_ dEPUTY CLERK
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