HomeMy WebLinkAbout16-17227 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 �7 27
�i ' � BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17227 Address: 38431 14TH 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: 11-26-21-0010-01700-0030
Improv. Cost: 7,800.00 OWNER INFORMATION
Date Issued: 4/07/2016 Name: APPENFELDT, WILLIAM
Total Fees: 112.50 Address: 38431 14TH AVE
Amount Paid: 112.50 ZEPHYRHILLS FL 33542
Date Paid: 4/07/2016 Phone: (813)788-0804
Work Desc: REROOF METAL
� CONTRACTOR S APPLICATION FEES
SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 112.50
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTIOIV 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 properly. If you intend to obtain financing,consuft with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNRTURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� BUILDING PLAN REVIEW COMIVIENTS
Contractor/Homeowner: �Ld Y�— �la���G�
Date Received: `�i - �����
Site: ���3� �7`� ��-
Permit Type: �Y� ���v"` .
Approved w/no comments: Approved w/the below comments: ❑ Denied w%the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kal 'in Sw —Plans Examiner Date , Contractor and/or Homeowner
(Required when comxnents are present)
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04I06/2016 K. D. K., Bpty Clark
Permit No. ParCei 14 No /�—Z/r-21— b0/O" D/'7��—o0 30
1 NOTICE OF COMMENCEMENT
State of � Cov�ty ot ��S G d
THE UNDERSIGNED here6y gives notice that improvemant will be made to certain real property,and in accordance with Chapter 713,Florida Statules,
1he following infprmalion is provided fn lhis Nolicd of Commencemenf:
i Description of Property: ParceF ldentification No,
Street Address: ��.�,� � / � ��JC �.{?D� �n v i/�t �� � 35 Y'a
2. Generat Desuiptfon ot improvement Y"-B/-b P�(C.r� Ok.e 7�"'4-�
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3. Owner In(omsation or lessee in(oemafion i1 ihe l.essee contraded tor the improvement
jN�I��GNh � ,�c+ r � h�3 �I�X3SDt 7"G1G'LY'
� $��l 3 I . Ja�"/�'"h H-V� 7_e.X�h 5 v .� .//" �/
tl�dress Cit�-y = State ��'S�0�
Inleresl in Property'
fJame of Fee Slmple Titlehalder:
(1�diHerent from Owner Iisted above}
Address Gity 5lale
ContraClor. �d� � / 4�--t� �4D,�/L�S cG/�r"'
�jol7uz�a Jl�` �Qn �.7`�bk.0 .1��Lt
Address -7 City Stale �,`j s��,
Contraclor's Telephone No. J��-'- �'� �-7G�+ 3
5. Surety:
Name
Address C�ty 5tate
Amou�t of Bond: 5 Telephone iJo. "
6. Lender, d`Z V �
Name ����� � �
Address Ci(y Stale (' �a}��" ,"� ?„
Lender's Telephone No. Q���� N � Q
7 Persons within ttre State o/Florida designated by the owner upon whom no0ces or other documeMs may be served as provided by '�'�C��. �} }-- w
Section 713.73(i)(a)(7),Florida Slatutes: � �. (�z CIl n- C1
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Name �LL.
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�tz f�C1 L"U�
z oo�; � {
Address Cily State Q��}�O � ,�
Teiephone Number of Designafed Person: �-
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8. In addilion to himself,the owner designales . o�— ��V�� ' J
< !o recelve a copy o[lhe lienors Notice as provided in Section%13.13('I)(b),Florida StaWtes. Q � ~ � U
� }- U m,.p u.
Telephane Number of Aerson or Entity Designated by Owner•
� h�t�L.Q � -.
9. Expiralian date of Notice of CommenCemenl(the e�iration dale may nol be before Ihe Completion of construcfion and flnal payment lo the � �C a = Q ,-r�,
confractor,but wiit be one year from the data of iecording unless a diHerent dat¢is specified}: �- C.?(}�� a
WARNING TO OWNER: ANY PAYMENTS MAQE BY THE OWNER AFTER THE EXPIRATION OF THE NO710E OF COMMENCEMENT �-(�(3 Q
ARE CCINSIDERED IMPROPER PAYMENTS UN�ER CHAPTER713, PAf271, SECTION713.13 FLORIDA STATUTES, ANO CAN O F-� Z �
RESULT IN YpUR PAYING TWICE FOR IMPROVEMEN7S TO YOUR PftqPERTY, A NOT�GE' OF CQMMENCEMENT MUST BE W � Q �w ,,�
RECORDEQ ANd POSTE4 ON THE JQ6 SITE 6EFOftE THE FlRST tNSPECTtOM. tF YOU INTENd TQ O$TAtN PlNANCiNG,CONSULT �
WITN YOUR LENpER OR AN ATTORNEY BEFORE COMMENGING W4R#C 6R RECORDiNG YOUR N4TtCE OF GOMMENCEMENT � Uy�!L�
Under penalry of perjury,1 declare lhat I have read the loregoing nolice of commencement and that the faGs stated Iherein sre We tp the best � M� O � � �
of my knowledge and belief.
STATE•OF FCOF21pA __E;�GJ�����J /i//���� A /J�� �
COUNTV OF PASCO ,C.�� l^'�1a -�r�cr�� �! .b
Sfgnalure af Owoer ar Lessee�ner's or ssoe's Authorized ��Y �" �
OKceriOirectadPaAnerlManager �j $ ��
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5ignatory's TiUelOKce � ,�t �
The foregoing insirument u>a6 acknowledged betare me Fhis t7 day of t?b r..... ,20f�,by � a" �z''"�Y�f, �e�G�--� � e- --�~I,rt� �Q��' �,,$
as d L✓�'� � (type at authorily,e.g.,oKcer,frostee,attamey in fact)(or � � p j °t y.
�. e �O LI.
{nam0 party on behall of whom instrvmenl was executed). � - �+t r �
�^,-.� � .y� • L�.Ri
Personaify Known OR Protluced identificaiion❑ Notary Signatu n r^���_��-'"� +M'�� � ,� ' �I
Type or ldenlificatian Produced Name(Prinl) � �6! ' � �"�-��"—�^ 4� �•��.�
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wpdatatbcstnoiicecommencemeni_pc053448 =�;��nm.fxRytea Oct��•2q18
^ �Z�i Commiss4on+�EE 5�377$
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PAULA S.Q'NEIL,Ah 0 PPSCO CLEftK & C4CZPiROLlE6
ORORSBK 1�34�m p� �f442
813-780-0020 City af Zephyrhills Permit Application Fax-813-780-p021
Building Department
Date'Rscalvsd --' .� —'" '' • P1�ons=Contact:far Permitttn =-_ ; - � �
' W�\.?-� ' ' ' -
Owner's Name \��0� N e � Owner Pteone Number
1 �. .
Qwner'a Address �1 � Owner Phone Number ' �
Fee Simple Tlkleholder Name � � Owner Phane Number � �
s,{ '�`—
Fee Simple Tltleholder Addres� "
JOB AClDRESS �� �'�� �� d'��� \ LOT# ��
, SUBDIVISION �� � ' PARCEL ID# � �' �� � ��� 1��1 � O r ����� "�
(pBTA1NED FROM'PROPERTK TAX NQTICE)�
WORK AROPOSED '�NEW CONSTR' ADD/ALT Q $IGN� Q Q DEMOLISH
e� ,INSTALL 8 REPAIR -
PROPCISED=USE Q SFR �. COMM C� QTHER
TYPE OF CONSTRUCTION Q BLOCK `` Q FRAME [„� STEEL Q
DESCRIPTION OF WQRK c' �e-'r C10 ��. �� ��'����
BUILDING SiZE -�� � SQ.FOOTAGE��. HEIGHT �� ���d��a.�{ ��
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�����"d��� $�'" � VALUATION�O'F'�OTAL CONSTRUCTION
,
( QEIECTRICAl. . $ AMP SERVtCE 'Q PROGRESS ENERGY Q W.R.E.C.
QPLUM$IN� � ,,,, „ „
QMECHAIVICAL � � 1lALUATION C?F MECHANICAC It�iSTAttATlt}N �f�/�jy�,
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O� O ����
� RQOFINt3 � ..
SFEGIALTY �� � OTNER. �,�'"I
FINISHED FLOOR ELEVATIONS Fl.00D ZONE AREA QYES NO
� �
BU[CDER COMPANl(
SIGNATURE REGIS7ERED Y/ N FEE CURREN ' Y/N`
Address - Cicense# �� ��
ELECTRICIAN! � COMPANY - -
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address , License•#. �_ � �
PLUMBER GOMPANY
SIGNATURE ' � ,REciS.TeReo . Y/-N. FEE Cu�ten. Y/N
��r�� Ucanse#�� �
MECHANICAl. COMPJtt�tY<. �
SIGNA7URE � r. �cisTEReD Y,I..N FeE Cu�n .Y/N
, Address. , � . � , , . License# �
_�___ �� �� . � ` t� �} ` ,�'
O'fHER - `��O ��)�-�'v-`'-' '� COMPANY. ` JG� ���c��cv�C�t�-� `�-E�o��t
SIGNA7URE� � �����-`� REGISTERED Y/ N< FEE CURRE� Y/N
Addras� C3�t�; `\�) `�`�,,•..�-����ei �L � .� License# i �C.._�O�'-1 I`�.�� �
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l2ESlt}Ef�tT1A1:, �';Attach 2;PIot.Plans�.2;setsaof:Biiilclln �Plans;-{1j'setofEne� Fomis:'Ft=O-UStFeiriiitfor'nerivc;4nstiucHon, . � . �
( } . `{ } 9 .. r9Y' -
: �Minimum�.tent(,1,0);,w,o.,rking;days,;aiter;.subrrilttal�date:::Required,onslfe;Gon`sUucd'oir-Plans;Stormfwater Plans w/Sqt Fence installed,
�Sanita�jr Facllitles�&�,1��dumpste_r,Slte�:WorksPermik for subd[vislons/large;proJects � "' �
COMMERCIAl. Attach{3}aomplate sets'of Building'Pians°qlus a�:ife Safe#y Page;(1)set of Enargy Fonns.R-O-W Permit for new constsvction.
� Mfnimum ten(10)waricing days'afker submiltal date. Required onslte,ConstrucUan Plans,Stormwater Plans w/SUt Fence installed,
Sanitary Facllides&1 dumpster.Site Work Permlt tar alt new�projeGts:A!i commerciaf requtremenLs must meei compt}ance
SIGN P�Rl�17 Attacti{2)sets cf`Eiiglneered:Aians:a;��,������,`;---� ,�= ,�� -� „ � � _
"•""PROPERTY SURVEY required for all WEW canshuction.,.
Directions: ; ' . , . -
Fill out applicatlon completely.
O�wner&Cantractor sign back of applicattan,noiarized
tf over$250d,a Notics af Commencement is requlred. (AlC upgrades over�7�00j
.. .� .,�:,:,,:.�.... . _ _- . ... .... .. . ......�_..� .
Agant(for the contracton)or Power'of Atto"rney(for tt�e ownerJ would.be someone with notarized letter ftom owner authadzing same
OVER THE COUNTER PERMITiiNG..-..�.-.(Front-of•ApPlica�an.Only) ; ' �
Reroofs if shtngles Sewers Service Upgrades NC Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..need"s ROW` �
Q To Reorder.l-800-?26-9380 or www.nebs.com
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PRODUCT 118 . - ' — —
�ru�II��tl Page No. of Pages
���� ������� ��������
, . �.0. Box Z 188
SAN�e�fT0i�10, F�ORIaA 33576
s (�52} �38-i�i�� (S].�) ��32•3:33�3
PROPOSAL SUBMITTED TO PH�� �A�
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JOB�tAME (� C�
' STREET� � ,`��� { ��� �O��C� �J fJ'x �
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CITY.STATE and ZIP CODE. , JOB LOCATION �
�t�-� �� s l=! � -� a� r , 8 .
ARCHRECT ✓ DATE OF PtANS JOB PHONE
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We hereby submit specificaUons and estimatesfor: g � � J��`' '`�� • -
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b��.�'�'+a v� �-X �'-'�-' �"'S S�`i t h �:. �''G u� S c� W C. � A�- � v� S� C L (�.,�t�C1�
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�P �TO�OSP �hereby to furnish mat'e�ial and��laboc�=complete in accordance�with'above.specifications, for the sum of:
' ., . ( ` dollars'(S=����u ��"_ ).
Payment to be made as follovus: � � =•`'=; ''�'-',�; ::?'r `:� '
•�+�'.��.:�C.9 f?v,Jl�"y }l"�:i��r.�•;ti'�ti:��,.�-. �a v^., � Q w�- { ��Y� . , ..
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All material is guarantaed to.be as%pecified:All wodc to 6e'compteted�in_a',workinaniike• � ,Autho�Z@d � � -'� � �
manner according to standard"practices:'My alteratiomor devlatfon from abova specificaticns-' '.SigriatUfe _
involving oxtra cosls will�tie`executed;ONy'upon,;written orc�ers;.and;wiil tieirome';an�eictra; ., _,,,;,, - � r--� , ,
charge over and etiove.the estiinate:Ali=;agreeinents contingent,up'on-strkes,'accidents.'' , ,. � ""'Note:This proposal may be , ' f , _ y
or delays beyond�ou�control Owner'.to,ca�ry,�tiro;tomado and other necessary iasurance ',vrit[idrawri by us if not acCepted w�th n .� d8 5.
Our workers a7e fully'covereci�by Workinads Compensafion InsuranCe.���-.�;��,,,�,- �
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