HomeMy WebLinkAbout16-17252 CITY OF ZEPHYRHILLS
� , 5335-8TH STREET
. (813)780-0020 17252
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17252 Address: 4939 20TH 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: 14-26-21-0010-00100-0030
Improv. Cost: 4,020.00 OWNER INFORMATION
Date Issued: 4/15/2016 Name: BRIDGES CHRISTOPHER & CRISTINA
Total Fees: 60.00 Address: 4939 20TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 4/15/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
PAUL D SCHAPER ROOFING INC REROOF RESIDENTIAL 60.00
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Ins ections Re uired
DRY IN ROOF IN P
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRA �T SIGNATURE PERMIT OFFI R
P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-iso-�ozo City of Zephyrhills Permit Application Fax-813-780-0021
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y Building Department �
_ ,� ' J @ sc ccor,s�r�c�vh . covr—
Dale Received ' I� ��2
' Phone Contact lor Pe'mi[t�ng ' ( O a- -- O��,O
1 � � � 1 � � �
`� Owner's Name r`'I�'�( I 1' )� C���� S Owner Phone Number
Owners Address -'l � 3 C� L���� �. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titlehoider Address
JOB ADDRESS � V+� `�Y'�� � LOT ii �
SUBDIVISION PARCEL ID# �� ��p �I �O 1 O 'OOl 00 Op�a
(OBTAINED FROM PROPERTY TAX NOTICEJ
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK l � — ��U "` � � 1 �J �� �
BUILDING SIZE SQ FOOTAGE (�p� HEIGHT � 7� /`v�a� /
�BUILDING $ /O�Or VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C.
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � / � LJ� L-
� l
�GAS � ROOFING Q SPECIALTY � OTHER �� v�
FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA �YES NO
BUILDER `� COMPANY �A�� C G� �� {(�GCJ"r'1 �
SIGNATUR 'I REGISTERED Y/ N FEE CURRE� Y/N
Address p �� IV�I �� ,3�� � License# �GGQS�j ,3�
ELECTRICIAN - COMP,KNY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License if
PLUMBER COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N
Address� License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N � FEE CURREA Y J N
Address License#
OTHER COMPANY
SIGNATURE REGiSTERED Y! N FEECURREA Y/N
Address License�
1 1 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2j Plot Plans;(2)sets of Building Plans;(1]set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum len(10)working days after submitlal dale. Required onsite�,Conslruclion Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Facililies 8 1 dumpster;Site Work Permit(or subdivisions/large projects
COMMERCIAL Altach(2)complele sels o(Building Plans plus a Life Safely Page;(1)sel of Energy Forms.R-0-W Permit for new conslruction.
Minimum ten(10)working days after suhmittal date. Required onsite,Conslruction Plans,S[ormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpsler.Site Work Permit lor all new projects.All commercial requirements musl meel compliance
SIGN PERMIT Attach(2)sets ot Engineered Plans.
""PROPERTY SURVEY required(or all NEW conslruclion.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letler trom owner authorizing same
OVER THE COUNTER PERMITTING (copy of contracl required)
Reroofs i(shingles Sewers Service Upgrades A/C Fences(Plol/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
' � '� NOTICE OF DEED RESTRICTIONS The undersigned underslands thal this permit may be subject to deed"restrictions"
which may be niore restriclive 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
contraclors 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 requirements may apply for Ihe
intended work,they are advised to contact the Pasco County Building Inspeclion Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised [o 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 entilled to permitting privileges in Pasco
Counry
TRANSPORTATION IMPACT/UTILITIES 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 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 appiicable 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 certi(y that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to cammencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this applica[ion 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 ail 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,Navigable Waterways.
- Department of Health 8� 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 adjace�t
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 TH�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 ninery(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 LENDER AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C MMENCEMENT.
FLORIDA JURAT(F.S.�17. )
OWNER OR AGENT CONTRACTOR
S crib and sworn to r aff ed b re e this Subs ribe and sworn to or aK m b orep�e t s
.. /s bY � —�bY���. �l ��i/.r1/�
�� W o isl re personally known to m or has ed Who is/are personally known to me or d
as identification. as identification.
i
�i�"D]blSF§F�libli�N �i� ic
�,NY��L' SUZANN LEN
COfT1fT11 � �`�4P^ 9�'� u;a�y f'utilic•State ot Floi���d �, �����Y P
t • Commission
12586 Co mission No. . r.a ' • ' a
'�' « � �-x�ices.lct 25,2 01 G, '_" : ,=
Name of Nolary p� �c5� � mission N FF 912586
'��,�;;,`.��•' Bondedthrouph National Notary As^�� � or Noiary ry ,,' < < mP�,Comm.Expires Oct 25,2019
'%%°;���p�,`` Bonded through National NotarY Assn
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NOTICE OF COMMENCEMENT . 203s05s270
State of FLORIDA County of PASCO
Property Identification No: 14-26-21-0010-00100-0030
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in
accordance with Section 713 of the Florida State Statutes,the following information is provided in this Notice of
Commencement:
1. Description of property(legal description):
MOORE'S FIRST ADDITION PB 1 PG 57 LOTS 3 &4 BLOCK 1 OR 9215 PG 632
StreetAddress 4A39 a�'� S�a*' � z+��'`��� � �L' `33s��
2. General Description of Improvement:Re roof
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: BRIDGES CHRISTOPHER 4939 20TH ST ZEPHYRHILLS FL 33542-5221
b)Name and address of fee simple titleholder(if other than owner):N/A
c)Interest in property: Owner
� 4.Contractor-: Paul�Sch�aper;8949�Ga1I�Blvd.,Zeph�rh'ills,FI.33S41'—Ph:(813)�782-0920;Fax:�(813)�71�5-4875�
5. Surety: Bauer&Associates, 12210 Highway 301 N.,Dade City,FL 33525-$5,000 bond
6. Lender; Name/Address: N/A
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)(7),Florida Statures: :
a) Name and address: N/A
b) Telephone No.: � Fax No.
f oPt)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b),Florida Statutes:
Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 33541—Ph:(813)782-0920—Fax: (813)715-4875
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a
different date is specified):
Wr1RNING TO�OWNER: r1NY P:AYMENTS 1VIADE BY THE OWNER�AFTER"CHE EXPIRATION OF TfIE NOT[CEOF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA
STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
COMMENCEMENT MUSI'BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST IlVSPECTION.IF YOU
INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR A ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA L����"v � �
COUNTY OF PASCO
Signature of Owner or Owner's Auth Officer/Director/PartnedManager
C� hr��� �r'� c-la�S
Print Name
\ 2 �'�— `_.
he foregoin�instrument was aclrnowledged before me this ay of �- �� � , 0 � 40,by,__ ��� �
1'1 rt� �r'� c�c,e S as BW r' (type of authority,e g. c��e,�''�
attorney in fact)for � (name of party on be al o �uho�fi ins�trument
was executed).
Personally Knowd OR Produced Identification Notary Signature
Type of Identification.Produced �..�a;;p'• SUZANNE ALLEN
.� �e�•
- =� `�• Nbtary Public-State ol Florida
Repf.:1763635 Rec: 10,00 � = __
DS: 0.00 . I T: 0.00 =' ►', Commi9slon�Ff 912586
�°'+ ��;' My Comm.Explrea Oct 25,2ot9
04/15/2016 J. R. , Dpty ,Clerk;:, � ',�%°`",,•• eondedttraiqhtt�fonafNotaryqssn.
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PaULp S 0'NEIL,PIi D PfiSCO.CLERK &COMPTROLLER . r l _ I
04/15/2016 1 : 8 m 1 �°f 1
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