HomeMy WebLinkAbout16-17387 , � CITY OF ZEPHYRHILLS
� : ; 5335-8TH STREET �
' (813)780-0020 � 17387
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17387 Address: 5747 5749 11 TH 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: 11-26-21-0010-05400-0040
Improv. Cost: 2,250.00 OWNER INFORMATION
Date Issued: 5/26/2016 Name: PF ALLIANCE BORROWER LLC
Total Fees: 50.00 Address: PO BOX 566
Amount Paid: 50.00 ZEPHYRHILLS FL 33539-0566
Date Paid: 5/26/2016 Phone: 813-325-8413
Work Desc: REROOF SHINGLE �
CONTRACTOR S APPLICATION FEES
TKJ CONSTRUCTION COMPANY INC REROOF RESIDENTIAL 50.00
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• Ins ections Re uired
DRYI ROOFINSP
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 counry, 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 reco�ding 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 TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78D-0020 City of Zephyrhills Permit Application F�$��-�eo-ooz�
�� � Building DepartmeM
r
Date Received Phone Contad for Pertnitting
Owners Name � rt I 1 �C�YI C..e_ _ �Owner Phone Number 13 3�S�'�i i
Owner's Address �� (� J{p 3�Oswner Phon Number /
Fee Simple Titleholder Name Owner Phone Number /
Fee Simple Titleholder Address
JOBADDRESS �� I I� �� • � S r J� 7 �T# �
SUBDIVISION / PARCEL ID# � '�6-aJ-- ao�o�" �S dQ^Q (�C�
(OBTAINED FROM PROPERN TAX NOTIC�
WORK PROPOSED e NEw CON57a e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK , • l
%
BUILDING SIZE SQ FOOTAGE I� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION /L�]
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
/ � 7 (
QPLUMBING $ ��' I ���
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
, o � � � ( ��.S"
I :��t5z�o n VD� , � (�
QGAS �� ROOFING Q SPECIALTY � OTHER� � � l� / �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO C�^ �
BUILDER •COMPANY• ��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTFRED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
, SIGNATURE REGISTFRFD Y/ N FEE CURREn Y/N
Address License#
MECHANICAL COMPANY �
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY � � C3]'LS��G<-L�b�.��b , 0.Ny J�Y�-�,_,
SIGNATURE � � REGISTERFD N I FEE CURRE� Y/N
f � F./ ��
Address 37�s V C � f'_ �h�Y�t�(5 �-I�nse# Cc c.13 a 7 �
IIIIIIIIIIIIIIIIII111111111111111111111111IIIII11111111111111111111
RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)vrorking days a8er submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projec[s
COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction.
Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Pertnit for all new projeds.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consWdion.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner author¢ing same
COUNTER PERMITTING (copy of conVact required) '`/`./v v_ 1 �
Reroofs if shingle Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW 1
:=_�`'��`°'4'� EVA MARIE MARSHALL
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' ' MY COMMISSION#FF080465
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�",'e`o«drA'' EXPIRES April 11, 2018
��t�7)398-0153 FloridallotaryService.com
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' 10710E OF-DEED.REST.RIC'CIONS: Tlie�uddersigned;understands�:tt�t;lhls;p�r�nt��may.be.subJact:ta"deed"�rest�c#Ibnsy'�;;��� __ �
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� �hich mey 5e�more=reet�tcNve�t�a�i_Gou�iqr�gwletfons Th�undsr'st�ned'�a��am�a iespor►sllimry�tor'compilanck�witFr any '
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{ INLICENBED`•:�dNT�i"AG�'OR&>�i41�D CONTRAGTOR.:RESROKISIk�IL'-191E5i:�-1�-�he>,ovimer.'�has��hlred=eTisontractar;or .
' �ntr�cto�s ta undertake'wor,k,.itr�y m�be r�q[illedtotfe�ll�eria'e`d�ln.iaaroidarice:wit�.s'tat�;and:toEal:regula�Hvns +IF<the<�::��. -
� onfractor;ls:nct°Itcerised_ee�'r'si�Er�esf'tiy 1aw,°tiotlr.the.owner a�can�actdi~�irts�b��cited for a�Fadenseaiiot vtotatlon
� �nder state tew. itthe ovvn�er or tntertd�d,cc�ractor�are;unc�rtaln-ae to what ilcensing requiremeMs may:aPply�idr.ftie.?:=:�-y.-•:
i �tended'worle;'they°arfre"advfsi�at:to:cantea���i�';Fesco..L`ounly.8iillding.lriapectloi%;Dlvlalon,�=�i:fciansl►ig�9ectton at'727-847-
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' � 009. Fu�tfieririci�,'ti=the��owrierFia`s'litrs�t�`e con't�dtor or'coniiaclots;`tie'.ls'advi�ed-to'liave;�itto cantractor{s).stgn_.,:, �.;.: ,
� ortlons of�the:cor�ector.Btaok'..of�thte.apgltcallon.far.whtch.they wlil;.ba rea�ponattite,.;t�yau;�as`.ihewowner�stgn-estdie`.. ; ,
� ontraotor,:tFiat�mejr be�an`inidlcadori that�he�ls-not'propetlji=llcen's'e'd and fs�tiut�e►f8tleil`fo�per'm"IEfing'prhiileges;In Pasco , .
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! RANSPORtATitiNlMii11LT'�ila't'iES�iNIt�11�C'�lNf3=i�ESOdit£E'R�COVEttX FEE8:--�n�raer�i�neai,na�rs�anas
1 �at TreAsporlatlon Impact Fees:and Reco.urse Recoveiy.�'ees may�applyito:the_conatrvcNoo„c�.new.,l�ulldinga;,chan�e�of"�'- '�"��-
� 0-OT,as amende.d���g��n�giiedt els��'s�t�ds#�e�It atich fee§;;�s�tnaj��dneY,�tie ldantittted at tir�aEtme o��-'"e:->-.�1
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� ermltHng. It Is furth`ier underetood.that Tretisportatlbn.lmpsct`Fees artd:1`tsac�wae'ReooveFy�'Fees:mi�sf be pald prlor to
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} ace{ving.a:'certNl�ate:of=oxupa�c�==or fl�al��rerFeleas�;t,.If�the proas�E�do&s=ndt�ipvolve<&'.Ce�{C818 0#OCCU�8t4Gjt'Ot�'a`-;'s� "
` nat pawer�tetease,;the<fee's;�.ma§�:tie`petdtpitor:to per+mft iss�rice. :F�il�thet�tiore;tif'Pasco;GouMy;�IVaterlSe�ver�;lmpact., ..
, i ies are due,,lhey must.be-pald;prloc ta perml�Issyanceiqa�prdance�v1t�;apqllcatife.Pasco�>Caunty ordlnances.
� :ONSTRUCTIQN�tfEN'til►W'(Cliapter 713�'�`Io�Ide$l8ttitel�r.�.e[t19[ltled} it vatuatlon ot work ts�2,SOO:OQ;or mote:}t: :. :�
ert(ty that.l,..ttse_spplti�t,,�dave:.:�eer�:pr��ldeil�with=a-copy.._ai,ttie:`F.torida°�on�ffii`natto"riVl:lerr�i:aw—Nomeowner's
�roteaUon Gulde'prepared by fhe Florlda De�rtmer�t of Agrlc�ilture and Corisumer�l�Us: tf the eppllcant Is.sohneaae.; ,,
ther Ihan the"owner",!certlty th�t I h8ve dbt�ItiedfetcaAY,of..the,sbetve des,a'�Geti t�cti{nent:�utd plotttf��ln:gdotl:#ait�t:to. -
@��YBt'(�t0'.fF10-�GYVflBF`�1�Qi'�i3*E:Otllltt6tit�til$tI�«,t_,�:; �r-�. :;:.,�:�J-.-_ _ ..Z�,�•t<,.:�s:�;r��.�rr,-.r;,. , _. �-
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tOMTRACTOR'810YYNER'8'AFFIDAVIT: l�ceillt�ytli�kell,thetlnfiar�tatlon�l�.lhl�rapplicaUon Is accutat9.and that all wark
rlll'be done In compllance wtth all.apjallcable lews regulatlng c6nstruc8on.zpning and,lattd�develbpmen� AppltcaUon Is
erelay mada;.M.,obt�tn;a;.permtt�toydo=�„w4flc;,,anr#,:i�`#tatte#ton as 1�dt�:;a•��;;cetUfy.xtfiat no iruotk��iiF.tnstattatton�'fiss•
ommenced`pi'lor�b Issoance`�f'a=periiiilC"arii�.thaf:all'"work will tie peiformed�to meet_standards_W::ell laws reguladng-
onsfrucUon, Caunty and Clty oodes, xoNng.regula8ans, and land developmenE regUfatton�rin-tf9es���sdtcllor�.�s=sl�'a!'so.°
�rtify fhat 1 anderstand that the regutattons o�irther goverc�meM agenctes may-app�Eyt_#a the.ltttended,vucrk,and tttat it ls
Iiy responalbllfly to Identffy•whak.ecf(oita Lmu9f�,�keto be,,In:,comRl�a�a�..,S_.uch;a�ertcfes=lncfudebut=ara:not Ilm)ted.to:. ,- ,•
� pepartrtient oi Eatvlronmentel�Proi�actlbn�G�ipress�e�r;�eaa�;'�rv��a�a r�eaa.and��rnlronme�tally Sens{t(ve ,
Gands,WaterlWastewaferTreati►ten�. �
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- Southweat Florida VUater ManagemeriE�:blsfrlct-Wells; �Cy�rsss. .Bay�i�ada�, WeUa�td Areas, Altering '
Watercourses. - .. _ :._ _ - ,. ,.
- Army Corps of Engtneers=Seawalls;=D4i�cs,Navigatile 1tVaterways.
- Department„oF_Heatth;��Et,eliabUlti�flys;;Servlcea/Emrironmental:;h��,altti,.Lintt�Well.s;.-Westeuirater.fTreatment,
SepUc Tanks:. �< ... ::,�r� .:.:.. .. - ' -
- US Ersvtronmentei Pratectlon Agency�tsbesMs atiatement�;�
� Federel Avletton:Atiiti0ri�,;Ru�ys: �:. : .
F•�. :..:.; .,�.-J.�_„
understand that:the:fqllawlrig:res,._,bns�apply"Co'tfi'b ase�of flll:•
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- Use oifAi Is not altowed 1;rt�_oad;Z.�ne`V`un}ess e�ressfyr permif�d, _.. ,
- If the_ti(i;�mateH�'il�l"s�.�;:tie';ueecl':tn-�f_tood�Zane.•A",'it Is underetcod-ifiet-a dratnege�'pian addressing a
"compeFlsatfng volume'wlll.be aubmltted at#ime of Pe�nlH�ng wFitch la prepared by a profesatonal englneer
, Ucenssd�by�.#F,s"e.rState��cfsFto�ida:- . �..
- , If ihA.fill,tnateiiaf't�:tarttie�used tn�lood Zone•A"In+�onnectlon�with�:a'�permiKed bultding using stem�.wafl
co�ahucdon,I.certify,;fhat ftll;�rllhae;uaed onty•to.ml ttre.aie�a�wlthln�Ure�atem-:wall. . -
- Et"tIH'�ms1e�#al�te=�to��6�-esed°in�.eEny.atea,:l<-aartlFy that.use of�eucft`f11(`vv111��j6t adversety afiect aiil�c�nt
praperties. tf ese�fttt.ts,foyn�_ta advers�ty.aff_ecf'adjaeent�pruperttes,.ihe owner mey be clted far.vtote#1ng
lhe cond�loils;�af`,the:tiull'd�i�g�errriit fssued�urider tlia-attEi&Fied_{yermlt_appUcaUon,for�lots less-.than:one(1)
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acre whlcli ai8 sf�vaEei!'fiy�'flll;��,�arsgtnee►�+d dralna�e pfan is requtt�ed, .
i am the At3�fit,T...f.OR-THE:OItItHER�'t�ioiiit'se?tn.,gcod faith M:tc�fatm-tt�e�awner-vflhe.permiWng condriibns:set forth in
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ds aNidavlt'p'rlor�fo;cammencing"constrti�tfofi:'"1`und,efstenil"that e�a�perate permlt mey be requlred ior elecirical wark,:
lumbing,slgns,wells.,�pooJs,�elr_cont!(UaNrtg,,�gas,..or_othec lnstel"I�Aliona°not.spec►tical(y itzdtided-tn.tha appltcaUan. .A _ _ �''
ermlt{ssued"shalt tie�:rk�stnied?tc`tie°a�11r':ense<to�Prtsce�d wltti fhe�woik:srid not�a�:euftsonty;ta_vlotate,canceE,'atter�ar �`�
st aslde en "" ""..`� . " . �:
y provlstbns of�'the"tedinli�l�codeig;nor shell=lssuence�off'a.peimlt:prevent tkie Bufldlrig OH1del from thereafter
�qulring a corc�lon,,;at_erro�s,In_ptans,;:,con@;�iictlon,or vlolaUons�of�ar�y-ccdes:-��ve[yup'�rmlt:Is�ned:shalhber�ome�Invalld �
ntesa the work�author'ned;Eijr sitcti pei�nilt�s.i�Eiimsnceii wifttln�6c,mRnfhsiof�permSt tasuance,at tf work authodzed by ;
ie perm(t Is suapended:or_.ebehdo�edrfor�a:p.aModAf;Blx;{6};montEie��ft�eR ttie tfrne the�rtiork�ls comme�. An extenslan ''
iay be requested,ln wrltlitg;r�[rom'flier9ulPding;Offlcleh:for.a p�ri'o`a:�o�to:_exaeed�n�r��{���tlays:a�d�.w��r�deRrionatr_ate
st�labla c�use`for�fhe exferisi"or���tf"tiroctc,c�a$es,ior nineiy.{90j cons�rct�tive:day��ther�ab�ts.c�tnsidered akandoned.�.
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IARNINOT4°OWNEI�:'"1!OUR:FAIL:WRE�',ClrREC;OI�Qz�1�NO�CE:QF;��COMMEMCEMEI�';MAY�°RESEIL•T;lN-.Y,QUR �
AYtNG1 T1AtiCE;FOR,1MPt�tQ1�lllEf�t��z�}��(��!&�F�;QPER7Y�f�IF.�Y-t}l!?INl�'Elit�:'�Q-�l8�1��t�1�%FIN�iQ��tt?;''Ct)�l3tlCT
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ho lelam pemorrelly knoxm to.me or.hadhave ptoQuced Vy��ir�re. . �y e.or:t�t�eveq�codixred;
� - aa:tdendffea�ort. ° i=t�*� rti.tx'�� } ` °
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Noffiry Public ' •_(.��-��.� Notary P.ubttc
� �mmlaelon No: i�m Me� .No
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mie of Notery lyped,Printed ar elamped Neme of Nalery w'y , �.p,�rEX , sion#FF 150922
�,;�•....•P pires December 92,2098
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