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16-17249
CITY OF ZEPHYRHILLS ' . � 5335-8TH STREEf - (813)780-0020 17249 � -• BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17249 Address: 5331 BELTRAM DR 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: ZEPHYR HEIGHTS Est. Value: Parcel Number: 12-26-21-0030-00300-0100 Improv. Cost: 5,400.00 OWNER INFORMATION Date Issued: 4/15/2016 Name: MARRERO BELINDA Total Fees: 65.00 Address: 5331 BELTRAM DR Amount Paid: 65.00 ZEPHYRHIILLS, FL 33542 Date Paid: 4/15/2016 Phone: Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES WIDNER ROOFING INC REROOF RESIDENTIAL 65.00 Ins ections Re uired DRY ROOF INSP TAPE JOINTS R •F� P , 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. � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�a-�so-ooao City af Zephyrhills Permit Application Fax-813-780-0021 � . Bu3lding department Qate Recetved + °' P.hone ContaeYfar Permlttin `7 - �C+ Qwner"�Name t�.t !� /4 O Owner Phane Num6er ownar•s Address '�33 �1�� 1L Owner•Phona Number �� � Fee Simple Titleholder Namo .� � Owner Phane Number �� , r�� � Fee Stmple Tltleholder Address " JOB ApDRESS � LOT# ��� SUBD1VISiON � � PARCEL ID# 1�'�..�o `�. - 4 O -�O O L1 - o�Q� (OBTAINED FROM PROPERTY TAX NOTICE), WORK PROPOSED `• NEW CONSTR ADDlALT � SIGN Q [� DEMOLISH - � INSTAI:L � 8f REPAIR PR4PC13ED USE Q SFR � GOMM Q OTHER" TYPE OF CONSTRUGTION Q BLOCK " Q FRAME � STEEI. Q 9S ' j DESCRIP7IQN OF WORK s ►^��w+.e BUILDING SiZE �—�� SQ FOtSTAGE��� HEIGHT �_� .. � r.. ��,,.r-.E..:>-.�. ..� .,. _. BUI�Dihlt'a $ �� VALUATION OF T0'i'AL CdNSTRUCTION QELECTR{CAl. �S � AMP SERVICE � Q PROGRESS ENEFtGY [� W.R.E.C. QPl.UMB�NG � -� � � f� L._� —i � Z �, QMECHANiCAL $ VAl.UATtOiV OF MECHANtCAL Ii�IS7AltATtON I � 1 QGAS , [�! ROOFf{VG Q SPECIAt.'FY [� OTHER FINISHED FLQOR ELEVATIQNS (��� FLOOD ZONE AREA �YES. IVO L BUiCDER COMPAt+tY SIGNATURE REGISTEREp Y/ N Fee CURRen Y./N Add�es� Liaense# � � E�ECTRICIAN COMPANY SIGNATURE �' REC3ISTERED Y/ N FEE CUI2REA Y/N Address � , . , �License# � � ALUMBER COMBANY SIGNATURE REGISTEREp .Y/-N FEE CURRE� Y/N. Addreas " License# � � NIECHAi+1[Cl�t: " . .:COMPANY • SIGN14TURE � RE�ISTERED Y:/ N FEECURREP Y%N Addrsss�` ' ; _ , License# � � OTHER � ' CQMPi4PtY - {• 1J��- , , ' SIGN�TURE REGISTERED �Y/ N.. � •'FEE CURRE� ; Y�%,. Addre$a � �! ''M:� . L'tcense#• `CC C-d`,a'�'7��Z..-�-� ;... .,.,....-.• - s- . _'. .. .�,. ,. .�..: �--s.. 3'�.c� >;•r.r.•, � RESIDENTIAt... :� Attach{2);P-,Ict.Ptans;.{2}sets:of`Butlding Ptans;-{1}set of.Energy`Fomis;rvR�Vtt+Pennit:for;riew;,cor�s#ructian, � Minimum}:ten;,(10);.woriting;days°after„subr►ilttal.date:�:Requlred onsite;=Constr�cBon�PlBns;�StormwaterPlans w/Silt Fenc,e installed, "Sanftary Facilides�:8��1;dumpstert8lte�,Work:Permit for,sutidivislonsllarge proJects�:..� •:"`;'. '. " � � CQMNIERCIRL A#fach{3}��mplete sefs'of 6u1td1`ng P1ans plus a Ltfe Safety�Page;{1}set o�Energy Fqrms.R-O-W Pertnit for new canstnsc�lon. Minimum ten(10)workfng days�after submittal date. Required onsite,Construc#1on Plans,Stormwater Plans w/Sflt Fence Installed, Sanitary FaciltUes li 1 dumpster.Site Work Penntt for all neuv`proJebts,AI!commercial requlrements m�st meet compllance SlGN PERMlT Attacti{2}"sets of'Eng,i`nee�:Plans:;;.,r��;N;� � . - ,- ' '""'PROPERTY SURVEY reguired for;all NEW constr,uctton: Dlreatlons: - , , - . Ffll out appUcatlon completely. Owner&Cantractor stgn back-of appitcaflon,notadzed If over$2500,a Notice af Gommencement is required: (A/C upgrades over 5T500) .. ''.�i cr�,;.;,; Agent(for ttie�conVactor)`or'Power�of Attortiey(for the owner)wuuld be someone with notarized letter from owner authorizfng same 'OVER'TH£CC3UNTER:P.ERM1TCENG.-.- - (Front-of<APplicat�on Oniy) � � " Reroofs if shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Footage) Driveways-Rtot aver Counter if an publlc rosdways.:"neeiis RC1W I il llll illll IIIII IIII�IIIII IIIII IIIII IIIII I III I III II Illl I(II 2016058047 � R�pt:1763576 Rec: 10.00 � ' ' DS: 0.00 IT: 0.00 04/15/2016 K. R. M., Dp{y Clerk Pertnil No. Parcel ID No 1 Z���-�i'� ���,3Q �Q�Q 30O— Q(�� � NOTICE OF COMMENCEMENT///� State of � , County ot 1 S.GC�i THE UNDERSIGNEO hereby gtves notice Ihaf improvement wiil be made to certain real property,and in accordance urlth ChaDter 773,Florida Slatutes, p a lhe following inlormalion Is provided in this Notice of Commeneement: ��� 1. DescripUon of Property: Parcel ldentifica6on No. �2." � 90 O - 00 OO� � Q�O ��D �/J L (� N Street Address: y��r LJQIT/�QI� ,)� 7�C m o / c� 11Q'I l��� ie !� z 2. General Desuiption af Improvement /t!���^L J F {y�..� �+11 11tT C�� J`f'�[ �il�r- � f_�►�v WIt7m� — yl�o 3. Owner Information or Lessee information i(IRe lessee contreded for the improvement: 'Ny a � ��O 3 n ,D o �S 33( "�1f'iCA NL �� ��'� A Address ' City State wo �` Inteiesl in Property a-tn�^K. ��� � ��1+o 30 Name of Fee Simple TiNeholder r^ � (If diHerent trom Owner listed above) «� o r r Address City Slale � 4. �Contrador. ' Nam A.�.v1. Add�ess Q^ � /��t�J C�� J� � Contractors Telephone No. O I��l� -iQJ ✓/ Y �3�3 �0� ,� �£ 5. Surety: � � ��^9 Name V� ���� Fy''' ''' � e � Address Ciry State Q ��� o Amount o(Bond: S Telephone No.. � d pp " r � � 0 i - �L 6. Lender: �d Name '� . � �!j Address Gty State ��� � _ � • �� Lender's Telephone No. e�b • y 7 Persons within fhe State of Florida designated by Ihe owner upon whom�notices or other documents may be served as provided hy �� � 8 � � Seclion 713.13(1)(a)(7),Florida Slalules: �A � • ly O7- Y Name I Address Cily Slate �Z V Y Telephone Number of Designated Person: _ U� �� (�,�W W or � ?� 02� —� U 3. In addition to himself,the owner designates . U ��� to receive a copy of the Uenor's Nolice as provitled In Section 713.13(t)(b),Florida Stalutes. a�Q=Q N � j Telephone Number ot Person ar Entity DesignaleA by Owner: O�W� Cn a W L Expiration date ol Notice o!Commencement(the expiration date may not be before!he completion of construction and finai payment to Ihe � ��Q ¢ O � contraclor,6ut wlll 6e one year from the dale of recording unless a diHerent date is spedfled): � WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATIt�N OF THE NOTICE OF COMMENCEMENT �_ � O�— U ARE CONSIDERED IMPROPER PAVMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN =�F-1- U�y�� �YJ RESULT IN YOUR PAYING 'fWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE O � a LLJ Q i-�Y RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU iNTEND TO OBTAIN FINANCING,CONSULT V Q � � WITH YOUR LENDER OR AN ATiORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT = U U � Unde�penalty of perJury,I declare tlial I have read lhe foregoing notice of com tement anA that lhe facls stated lherein are true to the best �}~_J J � � of my knowledge and belief. V m U � � �=Z 0 J �TATEOFFLORIDA • F— Q a Q J :OUNTY OF PASCO C�• (r L� } � Notary PuWic Steta W FG,Ada Sig ure of pwner or Lessee,ar Owners or Lessee's Authorized � � � 0 Z �� �`) .� Sherty Widn@r cedDirectoNParinetlManager U U } , '� �{ My Canmisaion FF 075785 �- � 0 ���-J� '�� wa' Expiros 7?/OB/2017 � [— � 0� Signato`s Tllle/OfGce � (�y Q J�'� he foregoing Instrument was ackrowledged before me this�ay of�,20��!by�/AJ es4/�-�"QIw i{�� LL Z'�J � �F-�- � Z ~ Q as �DulY'��1 (type hority,e.g.,affice,trustee,attomey in!ad)for �jj � O � � ( o y o ahall ot hom inst ment as execuled). a m ersonaliy Known Q OR Produced Idenlification❑ Notary Signalu /pe o!Itlenlificalion Produced Name(Print)_ IV" ,. �dala/bcs/noticer.ommeneemenl_pc053048 , >-�m^.. .- .>;'�,�'F:'�.-`n•,-=�., f _ �^�s, .,�s -:-r'k---�-�.,,�'=.j-.-- _ - ..;a.,,��.,�_• - ,� _ - --^',c�- _ '�r-��:�.� �, ,i��... ., n�� , , . .= . -- - - ��- . - �' � , - , � �_ , � -' '-- . - -• - • - • ' - �` . . _ - , _ _ _- _. . - - �.�. 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