HomeMy WebLinkAbout16-17265 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 17��
' � BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17265 Address: 5225 19TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-19800-0010
Improv. Cost: 8,800.00 OWNER INFORMATION
Date Issued: 4/18/2016 Name: LLOYD KARIN
Total Fees: 80.00 Address: 5225 19TH ST
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-2170
Date Paid: 4/18/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
CAPSTONE CONSTRUCTION REROOF RESIDENTIAL 80.00
��
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROQFrINSP(_ �
FINAL ��� L�
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.
ONTRACTOR SIG E PERMIT OFFI R
PERMIT E IRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Capstone Enterprises -.
P.O. Box 343 �� � � � �-
Laeoochee, Florida 33537 (352) 206-7653
#CCC1328898 #CGC1513497
capstone1951@�mail.com
Work Performed At:
Karin Lloyd �
522519th street � � �
I Zephyrhills, Florida 33542
3/31/2016 ° YOUR�WORK ORDER NO. • OUR BID N0. .
� • � • • •• • • �• �
Remove existing shingles/install updated underlayment � " ' � - "
Replace existing shingles
Renail all decking up to code and replace all rotten wood. - (Replace al,l-rotten wood,decking and fachia board}
Replace all valley meta�. �
Replace ea ve drip. , �
Replace all vent boots. .
Replace ridge vent if used. � • ,' °
Remove all debris from premises.
Write all paperwork and permits as needed.
� � ' . Amount � $8,800.00 .'
COLOR/RUSTIC SLATE - ROA $4,400.00 '
Balance_ $4,400.00
All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings
and specifications for the above work and was completed in substantial workmanlike manner for the agreed sum
of
Dollars($ ).
This is a ❑ Partial p Full invoice due and payable by:
Date
in accordance with our � Agreement ❑ Proposal No.
Dated
Month Day Year
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Departrnent
Date Received'
Phone�Contact=for'Permtttln •-� -
Owner'�Name dC t�G" �� Owner Phone Number
Owner's Address — 7 T� � OwnerPhone Number
Fee Simple Tltleholder.Name Owner Phone Number ,
3,;r, �
Fee 3imple Titleholder Address '� -
JOB ADDRESS � / '� e � � LOT# �
SUBDIVISION PARCEL ID# � �� - I t�0 I� 4 0 /C�
(OBTAINEDFROMPROPERTYTAXNOTICE�, --
WORK PROPOSED - '� NEW CONSTR ADD/ALT Q SIGN Q � Q DEMOGSH -
INSTAtL , BI, REPAIR
PROPOSED-USE Q SFR -Q COMM Q OTHER-
TYPE OF CONSTRUCTION� Q BLOCK " Q FRi4ME �Q STEEL Q
DE3CRIPTION OF WORK � S� �!
BUILDING�SIZE � SQ FOOTAGE� � � HEIGHT_ ;
� QBUILDING $ -<.,�•.:�;..:... . ,n . .. _ '"
• OO• VALUATION`�OF TOTAL CONS7RUCTION
QELECTRICAL $ AMP SERVICE - Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ - ' ��
Q MECHANICAL $ ; -VALUATION OF MECHANICAL INS7'ALLATION -(;� ( �
' l�
QGAS �ROOFING :Q SPECIALT,Y Q OTHER _ ,n ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES_ NO I �V
BUILDER � COMPANY �_ _
SIGNATURE � REGISTERED Y/ N Fee cuw�n Y./N. . .
�►ddress •V ,� (�O �t e� ^� License#+
ELECTRICIAPI COMPANY ' '
SIGNATURE y REGISTERED Y/ N FEE CURRE� Y/N '
Address - Lfcedse.#,
PLUMBElt , COMP.ANY� --�
SIGNATURE „ REGISTERED Y/::,N � �>•�FEE CURRE� Y/N: '
Address Ucense# :. � �
MECHI4NICAL . ,.COMPANY � �
SIGNATURE ` REGISTERED. -Y::/�N . ,FEE CURRE� Y/N ,
Address '. , ' . ' License# �
OTHER � COMPANY �
SIGN�►TURE � ' � ' REGISTERED Y/�N-:. � FEE CURRE� ;,. Y�%N� ,
l�ddress I - . � -.,`�� ` - - ` ' � Gcen'se# �
,,.z ..,,..�.,,�,. -� ., -, <,;_..... . ��,:,. . ._, :� ,;�j.: •�s::�.,: :..,,.:< <>:r.',. ,
RESIDENTIAI;.- ��Attach,(2).:Plot;.P..lans;;(2).sets.of�Bullding'Rlans;(1)'setiof�EnergyForms;�R-O=W:Permlffor�ew;:construction, ,
�::,Minlmumr,ten:µ(�10);,working;d'a.ys�;aftec;submlttal;date:�Required�onsite,:ConstnictiomPlans;}Sto`rmwater Plans w/Silt Fence installed,
' �Sanitary�Facilitles;&,1_;dumpster.Slte�,Work{Per,mitfor""subdivisions/lerge;'pr�ojects: ';=.�:`_;-:"�'=; '.;' �
COMMERCIAL Attach(3)`c;omplete 5ets 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'af4er submittai date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanihary Facilitlas&1 dumpster.Site Work Permit for all`new'prcjects.All commercial requirements must meet compllance
SIGN PERMIT AttacFi(2)'sets of`Engirieered�Plans:i�;�,�.���,�b _ ... �_ : . �
""PROPERTY SURVEY reguired,for.all,NE1l.V_wnstcuction.,.. _ ' ,
Directlons: ,-_. . ` . . _ ,
Fill out applicatlon completely. -
Owner 8�Contractor sign back-of appltcatlon,notarized
If over�2500,a Notice_of:Commencement i�requlred. (A!C upg�ades over 57500)
.. �.�.<;,t�;,.r_;...,:
Agent(for the�contractor)or'Power of Attortiey�(for tti'e,owner)would be someone with notarized letter from owner authorizing same
O.VER THE COUNTER:.P.ERMITTING. �-- {Eront-of:Application Only)� - ' ' �� � ; "
Reroofs if shingles Sewers Service Upgrades NC Fen,ces(PIot/Survey/Footage)
��' , , _
Drlvewrays-Not over Gounter if on public roadv+rays.'.need's ROW� -.
.. :��.�r �.5,
a � ". "�'"'; i _
NQTIGE.OE DEEQ.RESZRICTtO�S: The.undersigned-uri,der�tands�:th�t:this:`p�rmit,�may�btie,�sub)ect;ta.,deed;.restrictions_ ,,
whioh may-6e~rr�ore:resttictive��Eli�i��Counly.,fegul�it(ons.=The9undei�slgned�assumes�:r'espo�nsltilftty'for'compllance w3t�i'ariy��
appAcable deed��restrictions. .. ... � .,;.. . ,,- . � .. _ . _.. __ �� ;.} � •
UNLiCENSED CONTRACTORS-AND CONTRACTOR RESPONS181LITI�S:°�-°�If�-the owner�has'�hired"a'.contractar or '
contractars to.undertake work, they may:be:r.equ'iced�to:,be:licensed.in:accordance_with�sta�e.and;ibcai;regulations:r-:lf the •
contractoc�:fs�.not��licen"se�=as reqtifred�`tiy (�Y►r; tiotti'#he owner.and`?contcactiMr�may�be�cited�for=a=misdemeanar viotation
under sta#e law. !#the owner or lntended7,contr.actor.�are,yuncerkaln as to whst llcensing.rrequirexnert#s.;may=�appfy=��fora�t�ie.,�° .=_
..., . ._. .. _ _,_.
(ntended wark; they are adVised to�i:ontact the�Pasco_.Cout�ty Bupding:"Inspectlon�;Dlvislvn--1�,lcensing Sect4on.at 727=847-
8009. Fur#hermo�e; if the�owne� has�`hlred a contracto��o�cantractor's, he Lis advtsed to have:the contractor(s)_sign, _ �
,...s_....,�, -,,,,.
portbns of the °contractor Hiaok'',offMs appiica#ion for:which th�yy.witl,be�r.esponsihle. .��.If:you, as.,.#he`oviine�,sign�as"tlie�
con#ractar, that�may be�an indtcatfon=fliat=he�is not°.proper�y ticensed ari�l��is not5 ertti#led-#b periiiitting p�ivil�ges in Pasccs
County. ::' '
TRANSPORTATIAN:IMPACTlUTILITIES�IMRAC'C AP1b�RESOUhCE RECQVERY�FEES;The untler�fgned uitderstands
thatT�anspartatlon Impect Fees and.Recourse R�ecov�ry.Fees may,:�appiy;to�tf�e�onstruction,of.new buildtngs;_.change�6f�� � '�
use in existing buitdings;�orexpansl�in.of��existin�y3�6u1idings, ais speclfied.in Pasco County Ordinance number 89-07 and
90-07, as amende.d:,�.,The undersigned also�unders#ands, thait:'suci�fees,-;as,inay�:be:=.due,.�wilis��e identified at the�time`of`�� ��"-��
permltttng. !t is iiii#tier understaod that Tra�spbr#ation fmpact Fess �nd F2esource Reca�ue"ry'�'Fees=musf be paid prior ta
rece�ving a"CB�FifIGBt@-Of OGGiI(J311C)t"�ar flnal-power:release. :l��the pro�ect,..does:no�lnvotve;a�.cert�ic�ife af occupat�cy-oT-� �
flnal power releas�,_the�.fees-rnu�t�be paid-prfior to permft lssuatice. .Fu�thermore,;�if:Pasca:,.County`V1laterlSe.wer,:lmpact
fees are due,.they must.be:<pald_.p�lor to:permit-ls�uance�in accordance wltF��appllcatile�t?a�co�County aidtnances.
CtJNSTRUC�'ION`CIEN"i:AVll(Chapter 713� Florfida Statutes�a�amend�c�a: If valuadon of work is$2fS00.00�or mare� I� � .
certify tt►at 1, #he appticant, .hsve=-been-provtdeci--with a�copy„of.:the:�°Ftorida���onstructian, Lien-1:aw—Homeawner's
Protectfon Guicle" prepared by tlie Ftortda Departme�t�of Agrtculture and Consam�sr Affairs. 1f the app�icant is someone � ,
, ;�:
other than the"owner", !cert4Fjr that,l-have.obtal�e�}a ci�PY:of.tne.above:descrl�ed��to�cyr�ent�anc3.ptomise in,9aiod�faith.to _
deliver it tathe."owner"=:'prior'ko�commencement:'u ; . .. ' r � � •
CONTRACTOR'SIOWNER'S AF�IDAVIT: I._certity;;that all�the-:Information In�thl�applfcatlon Is accurate�nd that al!wark
wili'be done in campliance wl#h all appiicabfe�laws regulating construction, zoning and�.land development. Appltcatlan (s
hereby made to obtaln .a .permit,#o,.:do.�work;,�and ii�stailatton as indicat.ed:-,,� -1 certify�that no wark�'tor installatton�has
commenced prior to tssuance af a permlt"an� thaf.al! work Mrill be pertormed to meet_standards ofi all iaws regutating-.
const�uckion, Coun#y and Clty cades, xoning regulattons, and land devetopment r.egulations-in the�jurisdEcEfon:: E also ,
certtfy tha� I understand that the regulattons of other government agenoles may�apply�to the lntended work� and#hat it!s �
my respan�ibility to ldenkify•what.act(ons 1 must•take to be,in:.corrlpliar�ce:. S.uch agenotes include but-are.not Itmtted.to; �
- Depa�trnent of E�vlronmental��Protection=Cypress�Bayhead�;`Wetland Areas and Envlronmentally Sensitive r
Lands,WateriVllastewater Treatment.
- Southwest Flartda Vltater Management�.DlstrictVlleJfs, �Cypress.`�.Bay.ti+eads� Wettand Areas, Aitar�ng `
watercou�ses.
- Army Corps of Engineers-Seawalls�Docks�Navtgable Waterways.
- Department,of Health� � ReF��bilitativ.e Servtces/Enviranmental Nealth Untt-Well.s, Was#ewater�Treatment, '
Septic Tanks. � - . .
- US Enviranmentai Pratection Agency-Asbesfas abateme.nt.
Eederr�!Avlatlon.Authority-Ru�ways.
!understand that the fo!lowing.�restrictlons apply to the use of flll:•
- Use of fill Is not allawed�n Flood�Zpne"V"unle�s expressly permitted.
- lf the fitF inaterlal is :to be used:-In.�Flood Zone. "A°, it. ts understood that a drainage pian addresstng a
°campensating voiume"witt be submi#ted at#ime of permitting which is prepared by a professional engineer�
licensed by=the,S#a#e�t�f•FMb�tda: ,
- 1# the #1tt materlal�:Is�to be used fn �tood �one 'A" in�c�nnectfon�w1th:a`��ermitted buitdfing using stem wafl
' constructlon, i ce�tlfy th.at f�U:wJll�b�e used oniy-fa f#il tfte.area.wlthin the�stem�wall.
- If fill material is �ta be used-In any area� f�certify that use. of such��fill w111 nat adversely aifect adJacent
properties. If use of f10._Is found�to adversety:�ffect"adjaEent•�properties�.the owner may be clted for ytolating
the candiiions'�of ttie'6uitding�;permit lssued�under the a#tacfied permit applicatian, for:iots tess.than.one (1) ,
�cre which are elevatetl�tiy:flii,a�t engEneerad drainage ptan is requi►ed.
If 1 am the AGENT.E�R THE O.VIINER;'1;promCse!n._good faith to(nform the-owner,af•#he permittMg.cand�ions set farth in '
this atfidavlt'�prior to commencing consttuction. �1'�understand that a se�arate permtt may be required for electrical work, .'
plumbing, signs� wells,:pvols;.alr_.conditioNng,.;ga�s,..or"otMec Ins#a�t��t�`on,s no��speclflcally included�in.the applicatian. .A �!
permit issued shatt be canstrued ta�6e°a'license-to�proceed with#herwark and no#,as:auEhariiy to:violate, cancel, aiter, or ';
�et aslde any provislons+af tlie:tec#�iifcal.cades; nor shail issuance�of a.permit.pcevent the 8ulidirig O#iiciai#rom thereafter
requfring a coRectlon.+nf erro�s in:pians-,.aanstrctctlon_orviolatlons�of any codes: Every-.permit issued shafi'become invalid ,
unless the work authorized.by such permlt:�fs_commenced�vi+lth(n siX_manths�of�permlt lssuance, or If wark authorized by ��
Ihe permlt is suspended or.abandoned-for:a:pertod of.six(8)�montEis:�.sfter#he time the�work Is commence�. An extenslon
may be requested, in writing;.from the-8uii'dtng;Official�for a perlod�not�to exceed�ninety(90)"days and inrill�demonstrate ,
ustffiable cause for:the extensiar�. If work ceas.+es:for nine#y(90)aons.ecutive:days...th�job�is considered a�arrdoned ,
NARNlNG TQ OWNER; Y E��� AILt�RE TC'�tR��QEtQ�,A:MOTlGE.t?F-COMMEM�EMEI�T<MAY=RESUl.T IN YttUR
�/#YING TWICE FOR 1 , ,OVEMEN�S�TO_YOUt���!?'1�OPEf�T1(;�:IF°YO.U,lM�'�+1�''� _ `- TAlNAPII+tA�lE1NG;'GONSULT
NITH Y U D �TTO N �B FO'R�� ECO � G:��YOUR� `O _ . E : NT
��a�raa�uwa;�t�.s:t��. .,- .. . . .. . .
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� _ ,�. _ . __...._. ; , - l"" __ - _ /-�.- ..
� )VYNElt OR AC�EN �- - --- �, _ __ CONTRAC7 -� .
;ubscxibed and swam b(or a rmed}b is Sab ed pnd""swom�to(at a rtned)' � m t�
bY !{r ,
Vho ls/are parsonelly known to.me or ha eye produced Who:s/are . o Ily owm tn me or slhave-produced -
as tdentlfli�8on. - as iden8lication.
� c•�
Notary Publlc . Notaty Publlc
�ammisslon Na: Com n,,P�•:. iNE B4GES
-"��� �= Gommissian •
=*' �ts December 12,2018
lame of Rtotary typed.Pdnted or stamped Name ot � �., j,,. , d�$� ms�f�
- �--
I llllll IIIII IIIII IIl111111111114111lI Illll llllllllllllll I!!1
2016058881
6
FermB No. Patcet tD No,��o�.� J��.�,�!� ^l�7�d� `�Ql�
IVOTICE OF COMB+IEPICElVI T
State of,�1/)!n/!"�✓•,l ,_��_._ Courny of ,�f'a.S �
THE UNDERSIGNEO hereby gives notice that improvament witl6e made to certain reat properry,and in accordance with Chapter 7t3,Ftorida Statutes,
the iaBawirsg irAarmaiion is provided in this Natica af Cofnmencemen[: �y �
1 Despiption af Property: Parcel IdeM�cation No._ � �� ""':l l"�Q���--. � 7��0—(,'T(�,j�
Street Address: �„�o�� � �q�� ��
2. General Description of Improvement /K � ["D fa T
3. Owner Infarmation tu Lessee iMormatian if the Lessee enMracted tar the imptovement:
0
C n1
�'�zr' i ���' �.�� ��
Address
{nterest tn Property:
Nama of Fee Simpte Tiileholder • +`� � � �
(If dif(erent from O�rmer Iisted above} ,�
Address /} City Siaie �� d � '•
��_��Goniracior: t,.i�p�A/s/�i �Ob'%��L°CAC��d.v✓ �� +�'�
m��� � � �'
tlx K 3 / �r.�nnrrlieg .��i�'� � 1
Address � �ac� �Y �� � g ` l� `•"�/y� e �
ConVador's Tetephane No. �,. � ' a" � � � - �
5. Surety: �� c�,�s �Aj
Name „� �' ,� . �,
Addrees City State � • �
Amaunt af Bond: $ Tetepfione No. � � �
6. Lender. ��'� }�* • �
Name
Address City State
Y
Lender's Telephone No.. ¢ Z V Q..' W �
7. Peteons within the State of Florida designated by the owner upon wFrom rwtices or othe�documenie may be served as provided by ���O� � U
Sedion 7i3,13(t}(a}(7j,Rorida Statutas:
+�� U cn ,.~,., O F
Name ��� = "5 � �' t�L
(/���z{J} Q- p
Address Gky State �9�� — _1 � �
Telephone Numher oi�esignated Penson: ��-���
Ll.l V"'� �"�
e. In addition to himseH,the owner designates ot� ���d�-" d5
�F-� �- V li..
to receive a copy of the Lieno�`s Natice as pio4ided in Sectian 713.13(1}(b),Flarida Statutes. �� ��O �
Telephone Number of Person flt Entity Designated 6y Ownes: � �Q(�� �
"q�}"' F-- _I 4 �
9. Exxgiratiort d8te of htotice of Commencement{the e�iration date may not be before tha campletion of construction and itnal paymeM ta ihe � ��� � � U
cornradw,but wi!(be one year from the date oi recardirig unless a different date is specified): (� u' ��Z � --�
WARMNG 70 OWNER: ANY PAYMEN7S MADE BY THE OWNER AFfER THH EXPIRA'RON OF THE NOTiCE OF COMMENCEMERtT O (��' ��„ = Q �
ARE CONStQEftED ItvtPROPER PAYhiENTS t1N0Et2 GttAPTER 753, PART 9 SECTION T13.13 Fl.ORIDA STATUTES, AND CAN --a W U Q p �
RESULT IN YOUR PAYING T1MCE FQR IMPRQVEMENTS Tp YOUR PROp�RTY. A NOTtC�' dF COMM�NCEENENT MUST SE U- tJ t,}� �" (�
REGOi2DEq ANO PO5TED ON SHE JO$S{TE BE�ORE T}iE FlRST INSPECTION. !F YOU INTEND TO OBTAIN FINANCING,CONSULT �y, � � a
W1TH YOUR LENDER OR AN ATTORNEY BEfORE COMM6NCING WORK OR RECORDtNG YOL{R NOTiCE OF�,OhiMENCEMENT. '/�
�`� V! Q" �V; � G
Under penafty of perjury,l dedare that I have eead the ioregoing notice of commencemeM and that the iacts stated therein are true to the best � � � � z �
flf my khowledge and hel�ef. .,
STATE OF�LQRIDA � f� h- � � � d-
GOUNTY OFPASCO
i ature oT Owner or Lessee,or 0� s or l.esse 's uthon2ed
OfficerR?ireatoriPartnerlMan�ger
! Signatory's Ti[lelOffice
Thfe tqregoing'� ntment was aolmowledged 6etore me[his�'^day oi�,20.�i by ���--
L�� � .. as (type of authorit officer,tnutee,attomey in fad}tor
� (na n aIt twh instrumeni was executed).
personally Known � uced Identificallon� Notary Signa ure �y �
Type oi idehtification produeed Name(PriM) �2Sv�.le S•
Rept:f763889 Rec: 1@.00 , ;,�- r •
DS: 0,00 I7; 0,00 �,�:"`�'^ ��, •6TEVHANIE WI.SHIESKE
04118/2016 J. R., Opty Clerk = °t Netary�Pu911t-Sttte6tFlorida
i� �'�My Cainm.•Erptraslfier 21..2017
PRULH S 0'NEIL,Ph D PFSCO CLERK & COMPTROLLER ,��'•:�;oFf„�� �GomaiiSstonN:rf401043
@40R�BK 1��5w7 m PG 'G�C�„!