HomeMy WebLinkAbout16-17381 CITY OF ZEPHYRHILLS
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(813)780-0020 17381 ,f�
BUILDING PERMIT / I
PERMIT INFORMATION LOCATION INFORMATION `
Permit Number: 17381 Address: 5249 TANGERINE DR
, Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
I Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0040-00600-0010
Improv. Cost: 10,205.00 OWNER INFORMATION
Date Issued: 5/25/2016 Name: DUNSMORE SHARON
Total Fees: 90.00 Address: 5249 TANGERINE DR
' Amount Paid: 90.00 ZEPHYRHILLS FL 33542-4658
Date Paid: 5/25/2016 Phone: 813-830-3644
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
PARLAMENT ROOFING & CONSTRUCTION REROOF RESIDENTIAL 90.00
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Ins ections Re uired �
DRY IN RO F INSP
TAPE JOINT ROOF INSP
FINAL '''Z�-��
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.
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,
O TRACTOR SIGN RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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_ , a��-�so-oozo City of Zephyrhills Permit Application Fax-813-78a0021
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Date Received phone ContactforPermittin
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Owner's Name � � Owner Phone Number
Ownar's Address ��� � LY Owner Phone Number O J� a 3v"367 �I
Fee Slmple Titleholder Name Owner Phone Number i
Fee Simple Titleholder Address I
JOB ADDRESS a y �� Q �V Y��e LOT# � II
SUBDIVISION PARCEL IDl� I C�L P a L�
(OBTAINED FROM PROPERTYTA%NOTICEJ
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME. 0 STEEL Q
DESCRIPTION OF WORK Y(, 2�
BUILDING SIZE ` �S� SQ FOOTAGE �J HEIGHT �
QBUILDING $ �D �u 5 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I O 1
QGAS ROOFING Q SPECIALTY � OTHER //�✓�/
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �f
BUILDER COMPANY � ��� f Cu�'ru�
SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N
Address � 1l�1 �U(,l N S1 � 3��b License# C�� �3 / �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COA9PANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
i111111t1111111111illllilllllllllltlllltlltllllllllllllllt1111111 �11
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence(nstalled,
Sanitary Faciiities&1 dumpster,Site Work Permit for suhdivisionsllarge proJects
COMMERCIAL Attach(2)complete sets ot Building Plans plus a Life Safety Page;(1)sel of Energy Forms.R-O-W Pertnit for new consWction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence fnstalled,
Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERIY SURVEY required for all NEW construclion.
Duections:
Fill out application completely.
Owner 8 ConVactor sign back of application,notarized
If over 52500,a NoUce of Commencement is requlred. (A/C upgredes over$750D)
" Agent(for the conVactor)or Power of Attomey(for the owner)woutd 6e someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITI'ING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
e �
� 1 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive 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
contractors 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 the
intended work,they are advised to contact the Pasco County 8uilding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to 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 entitled to permitting privileges in Pasco
County.
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 applicable 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 certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construcGon,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 all 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, WeUand 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
consVuction,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 adjacent
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 THE 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 elecVical 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 ninety(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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.11 .03) �
OWNER OR AGENT "^^�-- CONTRACTOR
Su scrib d and swom to(o ffirm d before me this Subscribed and swom to(or affirmed)before me this
as 1�P b �aC� �1�-'�- by
o is a persona y n to me or haslhave produced Who is/are personally known to me or has/have produced
as identification, as identification.
Notary Public Notary Public
ommissfon No. mission No. �
�
me of Notary lyped,printed or stampe ame of Notary typed,printed or stamped
GEIDRA RUSSELL
Plo:ary Public,State of Florida
Po7ti�Comm.Expires Feb.9,2019
No.FF 797586
THIS INSTRUMENT PREPARED BY: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIlI
Name: _ aParlament Roofing&Construction
Adalress: 12101 315'Court North 2016081673
St. Petersburq, FL 33716
Rcpt:1773929 17eC0.00•00
NOTICE OF COMMENCEMENT D5: 0.00
05/25/2016 K. K. , Dpty Clerk
PRULA S 0'NEIL,Ph D PRSGO CLERK & COMPTROLLER
Permit Number: 05/25/2016 12:08 m 1 of 1
Parcel ID Number: �a-07 b=�� -- '60 � -bf'j�0� -O C�[(7 OR BK ���� PG '��'��
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the
following information is provided in this Notice ofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal de cripti of the o erty and street a dress ifavailable)
°Z � �� �05��,��� I Lo-�
2. GENERAL DESCRIPTION OF IMPROVEMENT: �e �(,�
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:�FIGiYo� Du,�, s��re Say9 T no,��-�►�� �r Ze D her��I�S�-� . �55 ya
Interest in property���W ✓���
Fee Simple Title Holder(if other than owner listed above)Name:
Address:
4. CONTRACTOR:Name: Parlament Roofinq&Construction Phone Number: {727)571-4110
Address: 12101 315t Court North. St. Petersburg, FL 33716
5. SURETY(If applicable,a copy of the payment bond is attached):Name:
Address: Amount of Bond:
6. LENDER:Name: Phone Number•
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7.,Fiorida Statutes.
Name: Phone Number.
Address:
8. In addition,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone number
9. Expiration Date of Notice of Commencement(The expiration is 1 year from date of recording unless a different date is specified)
WARN/NG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF 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 MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
�` . �i,., G�/'��) 1JUn.S'rr�(�r'-?�.
(Signature of Ovmer or Lessee,or Ownefs or Lessee's �Pnnt Name and Provide Signatory's TiUe/Office)
Authorized Officer/Director/Partner/Manager)
State of Florida
County of Pasco
The foregoing instrument was acknowledged before me this ` ` day of 1 � Lc"�'J�-� ,20
by � ` _ � i
�iD�l �.JU Nl S 1'ti'LO l�� . Who is personally known to me OR
Name of pe�rson meaking statement C
' Who has produced identification `�--Type of identification produced�� �7� J -�$� L�� —��a—�
I � 3�09
DEIDRA RUSSELL
N�lary Public State of Florida 5
fVOTARY STA�nP OR SEAL N1yComm.ExpiresFeb.s,2o�s �
No.FF 19�586 NotarySignature
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0� ,L ��; �� THIS IS TO CFRTIFY THAI i HE FOREGQWG IS A
/� F;- , �_;��y��: ��,�„ TRUE AND CORRECT C01'Y OF THE DOCUI��NT
�., ��; `�V �3.s�;�;. • � ON FILE OF2 C)F Pl.'BLJC:�F�:(;�`; !�i THl^nF�IC�
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Roofing & Construction
12101 31st Court N.
St.Petersburg,FL
CCC1329729 CRC1329809
727-571-4110
Office: (727) 571-4110 Fax: (727)571-4112
City of Zephyrhills '
I,Jesse C. Rock, hereby authorize the following to act as my agents in obtaining permits in the City of
Zephyrhills for all projects. I
Matt Rayl 11624 Ocklawaha Dr., Leesburg, FL 34788 R40453793440 �I
Peter Wozniak 2 F P I
05 orest arkway N., Largo, FL 33771 W252665392270
Jacknel Diaz 2712 W.Tampa Bay Btvd.,Tampa, FL 33607 D265420804240 I
Steven Rodriguez 5435 N.E. 12th Ave.,Ocala, FL 34479 R362780824640
License Holder
State of Florida
County of Pasco
The foregoing instrument was acknowledged before me this �� day of�, 20�� .
By �2�'vs� C-� `c��9 C,�
Personally known �or produced identificatio T e of identification protl ced
,
DEIDRA RUSSELL
Notary Public,Siate of Florida
My Comm.Expires Feb.9,2019
No.FF 197586