HomeMy WebLinkAbout16-17315 � . CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 1 5 •
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17315 Address: 6510 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: 04-26-21-0040-00000-0020
Improv. Cost: 6,500.00 OWNER INFORMATION �
Date Issued: 5/06/2016 Name: RANNEY SCOTT E &TERRY ANN
Total Fees: 70.00 Address: PO BOX 323
Amount Paid: 70.00 PROCTORSVILLE VT 05153-0323
Date Paid: 5/06/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DRY IN ROOF INSP
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.
G-
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��-�eaaozo City of Zephyrhilis Permit Application Fa�-813-780.0021
Buitding Departrnent
Date Race[ved ' Phone-Conta�'=for Permittln ,. , . . .. . .. , . . ,
Owner's Name S�71 ���� - Owner Phone Number '
Owner's Addrass r0�l o ��l'�l�JOOIG� Q- Owner•Phone Number � �
Fee Simple Titleholder Name r� � Owner Phone Number � �
- �
Fee Stmpla Titleholder Address "'
JOB ADDRESS ��/�� �/��/l�v afD �JQ.. �or# ��
suaowisioN �SJ�.1�`�•� ���� PARCEL ID# ��-� ��-1-�9��°��ODd�-c��D
(OBTAINED�FROM PROPERTY TA?f N�TICE�. -
WORiC PRCipOSED '= NEWCONSTR ADD/ALT � S1GN [� [� DEMOI.ISH �
e INSTALL - 8 REPAIR -
PROPOSEI}USE Q 8FR � COMM � OTtiER
TYPE OF CQNSTRUCTION', [�� BLOCK �' �,] FRAME � STEEI Q, `
�.L— �Or'- �1/r�N �J— 3�' _ �i���i9jS ��1iA/�L�
DESCRIPTION OF WORlE /L
BUt1.D1NG SIZE ���� SQ FOOTAGE ,.HEIGHT � �
..._ QBUICDING $ �I!/ � h�;>-:F;�,_,.,.. �M. ,_�.
VALUATION aF TQ`TAL CONSl'RIJCTION
QEI.ECTRICAL $ AMP SERVECE Q PROGRESS ENERGY Q W.R.E.C.
QPl.UMBING �� ��
QMECHANICAI $ VAL.tJAT10N OF MEGl1ANICAI INSTALtAT10l�l. � � �
. - �
QGAS � ROOFING „Q SPEClA�TY.[� 4THEf2-
FINISHED FLOOR EI,EVA710NS � � FLOOD ZONE AREA QYES: NO
Btltl.DER COMPANY
SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N
Address Gcense� ���� �
E�ECTRiC1At�1 COMPANY
SIGNATURE �M"' REGISTERED Y/ N FEE CURRE� Y/N
Address = ; Llcense# �- �
PLUMBEit . COMPANY� ° - `
SIGNATURE � , RE(313TERE0 Y/ N . Fee cu�n Y/N.
���$$ _ ;License# �� y�
MEGHANlCAl. ` . Gt}MPAWY � ,
SIGNATURE � REGISTERED' Y;/ N FEE CURRE� Y/N�
. � � � �
Addrsss- � � Ucense# �� � �
�,,r �
OTNBR � ,/ � ,f COMAANY A. � �lrY/1� �Ot)v�/��'
SIGNATURE. �'L`�' ` ��v//`� � REGISTERED Y/ N � � �FEE.CURRE� � .,n Y:/,N .
� . . �,......
i L '
�ddress t� .F�'u'�-�' .���.�,. ° � jTf � Lir`:ense"# - ��G-Gf/=�i��l �
RESlOENTIAI:. -�A##act�:{2j:P,Iot:P.:lans;r.{2)sefs:of�8uitdlttg'Pia�is;`(1}seEof�Energji>Farins;R-O--WrPemiifforiieinr`;,coiishuc#�on,
� Minimum4tenY(�1�p);working;days,.afterssu6'mittal:tlefe:�:Re:quUed onsite;,Constiuodon��Plans;�Sto'rmwafer'Pians w/Stlt Fenqe installed,
. '. .Sanitary�FacillUes.�&�1;dumpsterSltetWocks.Pertntt[Qr.,sutidlvislonsllarge:proJects;;.:�.�<;��a� '�';, .:;. . � • -
COA�I��RCiRL Ai#ach{3}ccriiptete se#s of Bu1laEng'Plans plus a life_Safety Page;�{1)set of Energy Farms.R CI-W Permit for new constructfan.
Minlmum ten(10)working days after submlttal date. Required onsite,Construction Plans,Sfornrwater Plans w/Silt Fence installed, -�
Sanitary Facilitles 8�1 dumpstef.Site Work Pertnit for all:new'sprqJects:Al!cammercisi.requf�ements must mesi comp{lance
SI�N.FERMtT Attadi{2j sefs iif Eng`,i`neer,ed:Ptans:�;:r;;-��, ... _ ... .� ..
. . .
"'*"PROPERTY�UR17EY reguired,for;all,NEW canstruction.,.
Dlrec:tlons: ;:.< ._
Flll.out applicaUan completely.
C?+nrner 8�Contrackor sign back-of applica�on,notarized
if over.�?.500,a NotCce of Commencemant Is required. (A/C upgrades over 57500)
" Agent(for th'e con�'tractor)'or:Povuer of�%�tforr�ey(fo�the owner)would be someone with notarized letter from owner authorizing same
' dVER THE COUNTER�P.ERMITflNG«- - (Fron#:of-Application Only) - • f -
Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Faotage)
„ , .. .. ._ _ __, .. . - ---.
_,_.,� -. _ . , , .�
Driveways-Not over Counter if an pubiic roadways::needs itOW
4 • ` IIIIIIIIIIIIIII�IIIIII IIIIIIIIIIII�IIllllllllllllll�llllllll
2016070912
Rcpt:1769045 Rec: 10.00
DS: 0,00 IT: 0.00
� 05/06/2016 K. R. M., Dpty Clerk
PermitNo. I�' ParcellDNo oy-���1-o�yD--Ov�Or����,� pD
i . N c
��a
n NOTICE OF COMMENCEME�1NT
State o( �hl//L/1//� County oi 1 /�JG�U ��Z
THE UNDERSIGNED hereby gives notice lhal fmprovement will be made to ceAain reat property,and in accordance with Chapter 713,Flonda Slalules, ��� I
lhe lollowing inlortnation Is provided in this Nollce o!Commencemenl: wB v
1 Description of Property: Parcel Identification No._�'y=�.6-2/-DD�/B-60fI00 _OO��U �o
/ �f'�w
SfreelAddress: US�D ��jVT/7�00l� Q� Wd�
D
�/J� 1� > 3 0
2. General Desc�ption of Itnprovement /C.C� �o�f�/✓� H�/�[=- ���
m
a
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Nr�w
3. Owner Infortnation or Lessee infom�ation if lfie Lessee conlracted forihe improvemenl: �N�o
SC07T �R/A�E� �'c.n � �C�r Y �-rf n n�e-c/ �
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�S/D ���Tu/o a� DGL_ _7_C-�,/���i�S .�� �
a �
r
Address n G(ly S�tp„s Jq �
m
Inte�est in Property� (%Wi✓G� � �`
Name o!Fee Simple Titleholder
(If different from Owner listed above)
Address n,� Ciry Slate mq
� e. Contraclor U-�7[�/N /�OOf/��' F�
Name�� �PJK /3�� Q/�� G'/7y f� B`�
Address 351 -.S d�-So3 y ct�y � S1a1e33Sz� �
� Conireclors Telephone No.
� 5. Surely: '�
Name �—_
Address City State
Amount of Bond: 3 -�� Telephone No.; I
6. Lender: � '
Name �� �
"• �}
Address Cfty Stale q�B � • -
LendePs Telephone No. ��m �„
��a ti �
7 Persons withfn the Slate of Florida designated by the owner upon whom�noflces or other documents may be served as provided by '� v` �j'� � , �
Seclion 713.13(1)(a)(7),Florida Stalutes`J_ . �,.��i•'� �, � Q
�\, V � 1
Name � '` v � � d
— _ � � � � s �
•
Address ' Cily State �� .�., �,��
��
Telephone Number of Designated Person: a �
��9
3. In addition lo himself,the owner designates o� !f�' � �� Y
�--�—'lo receive a copy of ihe Lienor's Notice as provided in SecUan 713.73(1)(b),Florida Stalules. � � �'�
Telephone Number of Person or Entity Designated by Owner:
�. Expiralion dale of Notice o!Commencemen((Ihe e�iration dale may not be be/ore the compleli�on/of/c�on5lrucfion and final paymenl lo Ihe
contractor,bul will be one year from the date of recording unless a diHerent date is specified):_J✓/�'7'--
WARNING TO OWNER: ANY PAYMENTS MADE BY THE ONMER AFTER THE EXPIRATIO OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER�PAVMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLOR{DA STATUTES, AND CAN Q�-- w �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST 8E Z V � 111
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �u,J�� �jJ J
VNTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOROING YOUR NOTICE OF COMMENCEMENT � � =lL=� J U
J
Under penalty of perjury,I declare that I have read the foregoing notiee of commencement and that lhe faGs stated lherein re We lo lhe besl � � V�� ,J Q ?
of my knowledge and beliel. N �
,TATE OF FLORIDA � ,� �- CJ Q � �a►J I"' W
�OUNTY OF PASCO �� �y W w Z cn n- o
gnature ol Qwner or Lessee,or Owners or Less e's Aulh rized Q � _— J �
OfficerlOfrecfadPadnedManager �� {—�Q Q Q
LL" � � U U
Z =00 �
SignatorysTtlle/O�fice nKQ,,,.� � �"�}, W LL Y
ha foregoing inslrumenl vias acknawledged before me this"I day ot,�f t� ,20�p,6y,��XCS[1 1'6J1 R Fe-� `�' 1�((�.� .• o Q� � Q �
/� as �'j(a 1f1P� (lype of aulhority,e.g.,officer,tnislee,attomey in fact)for Q���¢�-U
_ (�(1\I� IS� (�na�+ of paAy o behal of whom Inslrumenl was executed). yT,� m
ersonally Known�OR Produced Identfficalion Notary Sfgnatur�.-!l/I.C.CX � "�W= Z � —
/pe of IdenUfication Produced V�d�l����1;eec�e- Name(Prinl) `�'� O w'Q O Z Q z
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,n�e�cn p }-G—z� vi� cn
8TATE OF F1.ORIDA W �Q J W g
, Cafr�FF223821 hQ— ��z F= Q �-
�resansno�s v� ,--F- o� a m
�d a l a/b cs/n oli cecommen cem e n I_pc053048 '
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