HomeMy WebLinkAbout16-17211 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
�` r (813)780-0020 17211 ,,
BUILDING PERMIT � '
PERMIT INFORMATION ' � LOCATION INFORIVIATION
Permit Number: 17221 Address: 380Q5 LAV1lANDA LOQP '
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Ciass of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WAYWARD WIND
Est. Value: Parcel Number: 14-26-21-0160-00000-0310
Imprav. Cost: 4,927.00 OWNER INFORMATION
Date tssued: 3130I2016 � Name: STR{�PE WILLIAM E &CRACE
Total Fees: 60.00 Address: 38005 LAWANDA LOOP
Amaunt Paid: 6Q.00 ZEPHYRNILLS FL 33542-5634
Date Paid: 3/30/2016 Phone: 813-782-5250
Work Desc: RERO(aF SHINGLE
- CONTRACTOR S � APPL1CATtON FEES
RYMAN ROOFING INC RERO(7F RESIDENTIAL 60.00
. � }�y �
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Ins ections Re uir�d�
DR I R F N
TAPE J03NTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the
locai gavernmenfi shaU impase a fee of four times the amounfi of the fee imposed for the initial inspection or
first reinspection,whichever is grea#er,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this perrnit,there maybe additiona! restrictions applicable to this property that
may be found in the public records of this caunty, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"iNarning to owner: Your failure to recard a notice af commencement may result in your paying twice far
improvements to your property. If you intend to abtain financing,consult with your lender or an attorney
before recarding your notice of commencement."
Camplete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance wi#h
City Codes and Ordinances. NO OCCUPANCY BEPORE C.O.
NO OCCUPANCY BEFORE C.O.
�.- � -
CO TRACTOR SIG TURE PERMIT OFFI R
� PERMIT EXPIRES IN fi MCINTHS WITHOUT APPRt3VED INSPECTION
" CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I 11II1 l 1111I 111II III II III II�111I I I I II 1111I l ll l l II111[I II(�I I
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Permil No. Paroei iD No � +w���N����w V 4a���S 3�u
1 tSClT{CE OF COMMENCENfE�t.�)(�O
Staie oi t a oi��� County of `�
TNE UNDERSIGNED hereby gives notica that improvement wit{he made to certain reaE property,and in accordance with Chapter 713,Ftorida Stafutes.
the fnllawing informalion is provided in thls Notice of CammencemenC ��y��,��!���� r��",.� ��t R
1, Description of Property Parce�identtiicetion No, �'�(� U
Streel Address:_ti��W� �Q w^t�t+1 K W� �c ri_t�1��� J�'�'i�
2. GeneratDescrlptio ottmptovement
"�f.� 0-� 1�$-l0 ,
3. Ovmer tnformation ar Lessee in,fprmstian{t ihe Lessee coniracted for the improvement:
�.1.)i��i Cc�t't �. la tCtCk �b(1e
�Sa�� Lcr.�Qnd�„ �.00� ?,�h.�(h�►!s F! 335Yf
Address Cil Stale
interest in Prape�ty:
Name a(Fee Simpte Titlehotder
(If dlHerent lrom Owner listed above)
� Address �t /}/y Clty State
Contrector Y mtr*� '�� �G•
N�l��f�3 5 5�! � {hil�S Ft 33Sy( �o'C �. � �
Address /�/2 Q (� l� Cit State
Gontracror's Tetephone No. �"�7 I J J�V�' W�� + d��� ' ,, •.\ ��;�,�
5, Surety: j v' N^.h �'q•�� 6•r " �
Name �
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Address Clty State � � � �
AmoUnl 01 Bond: $ Telephone No. ��' c�.m �
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$. I.e�der. �
Name �
_B � �'
Address City State �5�� � �
Lender's Telephone No. �
7 Persons within the State of Flarida designaled by the owner uppn whom nolices or other documents may be served as provided by
Section 713.13(tj(a)(7},Ftorida Statukes:
Name r U � �
`{z— CY u�i
Address City State ('� ���=..J � U
7etephone Num6er of Designated Person; („� �Q �j ,,,� y.
� `� CJU) J� � �
8. in addifion to himseit,tfie owner Uesignates ot^ '+'� ��� Q N (� a
to recefve a copy of the lienor's Notkce as provided in Sectioq 743.13(1j{b),Flarida Statutes. � y� a F— � � �
Tetephone Numher of Person nr Entlty Designated by Owner: Q �- y� J ,S„
� � '� � ¢ °
' 9. Exgiratio�date of Nolice qt Commencemenl(ihe expiratlon date may not be befor9 the com lion of aonslructlon and final payment lo the �,�,,, � (�
coNreclor,bul wlll be one year hom the date of recording unless a difierent date is specHied): � c��31��__^ � �p �� o�
WARNING TO OWNER: ANY PAYMENTS MADE BY TFfE 4WNER RFTER THE EXPIRATIQN F THE NOTICE OF COMMENCEMENT � � �, LU� Y
RESUtONNID�R�R PAYiNGpTWiCE OR IMPt20VEM NTSPTt7RY011RPPROPER YCT'A NOTlCE OF�COMMENCEMENT MUST BE V "� � � � �
RECORDED AND PpSTED ON THE JOB SIT6 BEFORE THE FIRST INSPECTtON, IF YOU INTEND 70 OBTAtN FWANGtNG,CONSUL7 Z� � � �
WITtt YOUR LENDER OR AN ATTORNEY BEFORE COMMENClNG WORK q�t RECOROING YOUR NOTICE OF COMMENCEMEN7 � ~ �� Q
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Under penally of per}ury,I declare 4hat 1 have read Ihe foregofng no of camme em 1 and lhat lhe tacts slated Ihereln are true lo the best � � W � � � J
of my knowledge and 6ehet k .�C��,, � �� F— � �- Q } �j
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;�p+ ��������� Signature nf Owner or�essee,ot Ow� s or lessee's Authorized -- LL (� G� � �
= NOfYy FUD&'�SW�M FtMldi ONicerlDlrectodParinertManager � i— Q � � �
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BadDdthfOtt�ikiUpYl{�ptatyASg�i. �Signatory's Tittetptfice �Q � _
The tocegoing instrument was acknowiedged befare me this�day oti't� ,2dla,by """"'�'t �•I� � d � a �
as _(lype of authorl'iy,e.g.,oryicer,trustae,attorney in fe�ct)Cor
(nzyrye o(patiy on be alt of whom'nstrument was ezecutedj.
Personaily Known�O$ProQuced[id�(nt�iCfy�i y�t)(oni�T" Notary Signature 1Nr a LL-
Type of identiflcatlott Produced ( L.61Ji...r Name(Print)----�n���sc�'LL�l�Li�a�---
Rcpt:1759190 Rec: 1@.00
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03/30/2016 J. R., Dpty Cle�k
pAlltR 5.0`NEIL,Ph O.P9SG4 CIERK & COt1PTROLI.ER
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f,�All roof related debris removed from jnb site,pick up loose
i1s using corr�merciat gfad�magne#
Atl materials,la�bor and perrnits fumished �
[�rovide a � I�Exyr warranty ToCal lnvastmenf$ �� C7��,��
Additional Items:
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p Credit Card# E�-Ctate GC lE�#
pown Paym�nt$ � � Amaunt Financed:$ _Approx.Monthly Payment:�
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PaymentTetms:
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eftcient 112"RlYwvod replac�d�t a cost of��,.�_„iter sci-it-in ftts rc�of field,which�ncludes tabor&rn�terials.Ati afher wood wor#c�ad=
ditional labor,such as,but nat limiteci to,v�lley rebuilding,rafte�r'epiacement, 7x decking,etc.wi11 be a rate of� per m�n hour plus the
cost af mate�iai�_
1'H1S BECQMES A 61NpING CQNTRACT UP�N ACCEPTANCE OF PROPOSAL.PURCf1ASER ACKN�WI..ED�Eu RECEiPT OF A��PY OF 7H1S Ct3NfFtACT.
i ACCEPT THlS PR�FOw�AL AND NEEtEBY�ER7lFY THAT!HAVE READ AND FULLY UNDERa*1'AND THE.PROVISIONS OF THIS CONTRACT. ,
PurCha�er.R' Date- �P��_��
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813-780-0020 City of Lephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � I � Phone Contact for Permitting —
Owner's Name �J� (�� o{.l��l,(�- ��r � Owner Phone Number ��' `l7� - sa sb
Owner'sAddress �38�5 C. ��da c.00 �T(��1.5 �� I� OwnerPhoneNumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ,J OU� (.,a���l�t. �W � l ell�f S �� ��`� /� LOT# �
SUBDIVISION PARCEL ID# —� ��( � V I lo�� U�� � v��U
(OBTAINED FROM PROPERTY TAX NOTCE)
WORK PRQPOSED B NEW CONSTR e ADD/ALT 0 SIGN 0 � DEMOLISH
INSTALL REPAIR �� �n
PROPOSED USE � SFR Q COMM 0 OTHER
, TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0
DESCRIPTION OF WORK '���Cri'� �e"�UUT � l cxtres h l(� -GS
BUILDING SIZE SQ FOOTAGE I OV HEIGHT
QBUILDING $ (��'}7� O'1'� VALUATION OF TOTAL CONSTRUCTION
—! Ga V
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C.
�� f�
�PLUMBING $ �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS � ROOFING Q SPECIALTY � OTHER � ��
f
2
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA YES NO
0
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAM COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
/y� �nc•
OTHER n, � ra �,`!`� COMPANY �el� �n
SIGNATURE '�A K�fJV REGISTERED / N FEE CURh n Y/N
Address �ll���� f S� J ' l 33S License# l' � ✓��5� )
1 1 1 1 1 1 L 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pla�s w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGId PERMIT Attach(2)sets of Engineered Plans. -
""PROPERTY SURVEY required for all NEW construction.
. . . . e . . . . . . . . . . . . . �.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) _
Driveways'NoYover Counterif'on public roadwa,ys�.needs ROW �� �- ,• � � • �'+', ' ' �,�
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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 RESPOMSIBILITIES. If the owner has hired a contractor or
contracfors 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 requirement`s may apply for the
intended work, they are advised to contact the Pasco Cour�ty 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 III�P.4CT 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 6uildings„ as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, fhat 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 understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. 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, fVavigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, 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 AGEfdT 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 O�cial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause fQr tfie extension. If yvork.ceases,for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO 01iVNER: YOUR FAILURE 7'O RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWIGE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O�TAIN FINA�dCIfVG, CONSULT
WITH YOUR LENDER OR AN ATTORIdEY BEFORE RECOF3DIIdG YOUR NOTICE OF COMMENCEMEIVT
FLORIDA!URAT(F.S. 17.03)
OWNERORAGENT � � ���� COPITRACTOR G� � NG' ��
Subscribed and sworn to(or a irmed before thi Subscribed and sworr�to(o•affirmed)befo me this
30 /CO by l4YJG{P/Ct �1�u�d� '� b l by_ �}Y1LiQ�C� �AV��700.'.�
Who is/are personally kn n to me or has/have produced Who is/are personally kno n to me or ha /have produced
` _as iden.t�fic�tion. " as identification.
Nota Public �
ry � Notary Public
ission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed r stam ed
�„uua�,, ..u�u.,,.
,,�;.►•�•�o;�,: KELLI B. RYMAN ,�o.•�••�e,'•;,, KELLI B. RYMAN
_,�.= Commission q FF 905017 _J ": Commission k FF 905017
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:; ,�; My Commission Expires My Commission Ex ires
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''.�'�orao��� JUIy 30, 2019 �'';�orno��.` July 30. 2019
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