HomeMy WebLinkAbout16-17314�� CITY OF ZEPHYRHILLS
j 5335-8TH STREET �-j il
i ' ' � (813)780-0020 173 �4 ,
BUILDING PERMIT '�
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17314 Address: 6512 BRENTWOOD 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: BRENTWOOD FIRST ADDITION
Est. Value: Parcel Number: 04-26-21-0040-00000-0021
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 5/06/2016 Name: ALLEN CAREN
Total Fees: 70.00 Address: 6512 BRENTWOOD DR
' Amount Paid: 70.00 ZEPHYRHILLS FL 33542-0623
Date Paid: 5/06/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 70.00
,
�
�
Ins ections Re uired
DRY IN R OF IN P
TAPE JOINT ROOF IN�P
FINAL >2
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent _ _ ._., .
. . � ._ .._.. • •-
Date Recelved � " � �
Phone,Contact�for Permittin � '- � -- �
Owner's Name �/C�� ���� 'Owner Phone Number
Owner's Address . f0 S�� ,c.�i���t'/�4,� ��. Owner-Phone Number
Fee Simple Tltleholder Name Owner Phone Number '
Fee Stmple Titleholder Address °�
JOB ADDRESS S� ���1G��0D � LOT# �
SUBDIVISION JlL��/L Od�llJ PARCEL ID# ' -
(OBTAINED'FROM PROPERTYTAX NOTICE).
WORK PROPOSED '� NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH -
� INSTALL B, REPAIR .
PROPOSED USE Q SFR 'Q COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK �' Q FRAME Q STEEL Q
,�
DESCRIP710N OF WORK �'/�-v��' Gl��t`� /i 3D �L �/,BG/1.C�I'-}�SS S�//Y�df�
BUILDING SIZE SG FOOTAGE ,HEIGHT .
� QBUILDING $ ` ^-' •:��a� �,,.. .-d.
�,� �Q ,VALUATION aF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C.
OFLl1MBING $ � f lJ 2 l �
( ( lJ
QMECHANICAL $ VALI7ATION OF MECHANICAL INSTALLATION
QGAS ��ROOFING. .Q SPECIALTY•Q OTHER ��� P
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO � �j�
BUILDER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREP Y/N
Address L.icense# �
ELECTRICIAN COMPANY
SIGNATURE �""' REGISTERED Y/ N FEE GURREP Y/N
Address = . �Llcense#
PLUMBER COMPANY= - - �
SIGNATURE � ,_ REGISTERED ,:Y/•N • FEE CURRE� Y/N:
Address _ _ License# �
MECHANICAL' - � COMPANY
SIGNATURE _ REGIS7ERED Y,/ N . FEE CURRE� Y/N.
Address � � License# .
OTHER � - � , , ` , COMPANY �� �//`� ; t�0�/,c��
SIGNATURE REGISTERED Y/ N.� ' �E cuw�n , Y_/N .
Address I.� ���r•:_rl�'��� �1A�0�'GIC - � ' � License# . 1�-�— 00�6�ll�
•�^. r_w,..,:::.--� '-,,.,,. ,...:.,,: :'::.. - . ,i_:. ,,
,.,,.
RESIDENTIAL. - -�Attaoh_(2)�PIofEP:lans;;.(2)�sets:of.BuildingyPlans;-(1)set of�Energy�Foims;R-O=VU;:Perrrilt for new,construction, ,
; „ :.. - ._,:., , .,
, .... .
:;Minlmum;,ten;(:110):working;d"ays�after�sutir,nittal'date:�.Required onsite;�ConstructlomPlans;StormwaterPlans w/Sllt Fence installed,
"� �SaniteryFacillUes;&ala;dumpsterw:Site�Wark�Permit.for.'sutidivfsionsllarge`projects�;�:�'v:1�;'�'; ' •'` � �
COMMERCIAL Attach(3)complete sets`of Building Plans pius a Life$afety Page;(1)set of Energy Forms.R-O-W Permit for new oonshuotlon. _
-� � Minimum ten(10)working days after submittal date. Required onsite,Construc8on Plans,Starmwater Plans w/Silt Fence installed,
San(tary Fadlitles&1 dumpster.Site Work Permit for all`neiiviprojeoYs:All commercial.requl�ements must meet compllance
SIGN PERMIT Attacti'(2)"set"s of'EngYneered:Plans;';;v;:."- .. -= .,,, " ' -; - • . ,
""PROPERTY SURVEY requtred.for all NEW.construction4... .
Dlrectlons: _.,.,.,t . _ , .
Efll out applicadon completely.
Owner 8 Contractor sign back of applicatlon,.notarized
If over$2500,a Notice of Commencemant is required. (AIC upgrades over 57500) .
_ : °-..,,.
,..;"r:;�t�k,:tT;!i+' . � .'_ .._ .. -
" /�gent(for.th'e contractor)`or Power ofAtEortiey-(fo�tFie owner)would be someone with notarized letter from owner autho�izing same
;:_. _., _ -
OVER THE COUNTER;PERMITTING� --- {Fron6of-Application Only) � " ' � '
Reroofs if shingles Sewers Service Upgrades A/C , Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roaduvays.:needs ROW '�
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iii��ioiii iiiii iiii iiii
_ � , 2016070913
Rcpt:1769045 Rec: 10.00
DS: 0.00 IT: 0.00
05/06/2016 K. R. M., Dpf.y Clerk
Permil No. Parcel ID No �7—�� y`y�v7�/'��00�`��/�-( U�1 a
O�r�-
Apa
NOTICE OF COMMENCEMENT W�N
��SG�I ""'o
State of fLo2;D�- County of �z
� (Om�
THE UNDERSIGNED hereby gives nolice Ihat improvement will be made lo certain real praperty,and In accordance wilh Chapter 713,Florida Stalutes, r-'
lhe following information ts provided in fhis Nolice of Commencem�f t:q/' n Wf�p T
1 Descriptiono(Property: ParcelldentmcationNo. �`/�.Cb���— eO�D'� ����Y/ — 00.2..� ���
/' .5 q��� ,(�/� �a
Slreel Address: __L SIL BK�WTWOOD ,1�/[� 3 �
/1L— 12 oefi,o� �IOMG ; �
2. General Description of Improvement �..,
RI
A
O �
�r�m
3. Owner Infortnation or Lessee infortnation if lfie Lessee contraded for the improvemenL' �...o
C,�l1c—A� S}�/.�ic/ N �
N �
6 5��. `��c-,vTwuoo �J2 �9l�l�i�lil`-GS fy ' �
m
Address ��/'/ City State Q a
Inlerest in Property �u//��—' �'�sN(
Name of Fee Simple Titteholder: ,
(If diKerent from Owner listed above) ,
Address /J� City Stale �
4. Confraclor: �'7Tf�� o��'���''
Name d� 1�9�( i 36� .VE}0� e�'T�/ �l/
r
Address ns�_�`�_S�3l, City St(�al�sZ'6
Contractors Telephone No. �5 P 7
r
5. Surety:
Name �-
Address City State
Amount of Bond: 5 Telephone No..
l�
6. Le�der.
Name '
Address �� City State sat �
lender's Telephone No. y � � �
7 Persons wilhin the State of Florida des(gnated by the owner upon whom�notices or other documents may be served as provided by �7�� •� - I
yc � � �
Seclion 713.13(t}(a)(7j,Florida Stalules: �
Name � ' �i,��� - ,��"' ���r�} ��� �
�- m �� �
. ,,-. �, � ��'�
Address —J City Slate �'• y � � 6�
oa o �
7elephone Number oi Designated Person: � �� "o �
� �
3. In addition to himself,the owner designates � o� � M �•��,
�� t o r e c e i v e a c o p y o(t h e L i e n o r s N o tl c e a s p r o W d e d i n S e c l f o n 7 1 3.1 3(1)(b),F l o ri d a S ta t u tes. ��
Telephone Number of Person or Entity Designated by Owner• `r-� 6�;s
��� o �
1. Expiralian dale of Notice of Cammencement(the expiretion date may not be before the completion of crryst�ction and final payment lo the � • ,[�
contraclor,bul will be one year from the date oT recording unless a diKerent date is specified); N�/�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE ONMER AFTER 7HE EXPIRATION O�OTICE OF COMMENCEMENT �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART t, SECTION 713.13, FLORIDA STATUTES, ANO CAN W
RESULT IN YOUR PAYING TMCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE Q Z U Q[ w
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT (n W LL (�� W J
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING VOUR NOTICE OF COMMENCEMENT � — � �_ ,� J U
Under penalry of per�ury,I declare lhal I have read the foregoing notice ot commentement and that lhe faUs stated Iherein are We lo the best � z � 0 �' �
of my knowledge antl belief. (� — (� � Q
/� /� J N �
�TATE OF FLORIDA �����I n^� , �w�_ � a Q
:OUNTY OF PASCO /�/�/VL/ �
Signature of ner or Lessee,,or Owner's or Lessee's Authorized � � = Z J �
OKcedDireclodPartner/Manager � � � Q � �
� I1� �f� � Wu. � U U
Signato s Til elOKce � � � �LL �
he(oregoing inslrument was acknowledged befar�me this�day of fLi � ,20��by �1�Y��.7 f���G� � ¢O �Q �
as (type of aulharity,e.g.,officer,trustee,attomey in fact)for = () () � J
(name paAy on behall o!whom instrunment was executed). � ~ � J Q 'U
ersona�ly Known�OR Produced Identification� Notary Signature ��M�.amJ �• �Yl2,�v � � ll.� � Z Q J
/pe of IdeNtficalion Produced Name(Prinl) ,Y�fM��) �. c��t0-e,L�: o � � LL = Q W
� UU � � O
� UC] O � uj
,:�ir:.'"•y, CARMEN E.SHANK o ~ z W Q
'� �p- ll.l (n Q .,J J
+. Commission#FF 908g00 -"
� P; Expiros Octoher 6,2019 Q � w �".F-. �
f��sG'"� �— z� ,}
e�an.�r�r.,,i,�,�.,n,eaoxasrois z Q �
_ �9 F— 1— � � �..
�d at a Ibcsln oitcecomm encem enl_pc05304 B
�
I
I ,5-�-f�-��`GLi-ri,