HomeMy WebLinkAbout16-17484 CITY OF ZEPHYRHILLS
5335-8TH STREET
• " (813)780-0020 17484
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17484 Address: 5035 18TH 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: 11-26-21-0010-21400-0060
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 6/17/2016 Name: KFP 1106 EDITH AVE LLC
Total Fees: 50.00 Address: 21615 69TH AVE E
Amount Paid: 50.00 BRADENTON FL 34211-7111
Date Paid: 6/17/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
TKJ CONSTRUCTION COMPANY INC REROOF RESIDENTIAL 50.00
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,
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS�O��F�f�Sp
FINAL 1�
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 properly 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C N TOR SIG ATURE PERMIT OFFI R
RMIT E PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� -
81&780-0020 City of Zephyrhills Permit Application Fax�13-780-0021
Building Departmeni
� Date Received phone Contact for Permitting
Owners Name � � L � Owner Phone Number �
Fl 3�+a�+
Owners Address �� �� ~h 1/'� � �wner Phone Number �
Fee Simple Titleholder Name � Owner Phone Number '
Fee Simple Titleholder Address
JOB ADDRESS S��S I� S� .��I LOT# �
SUBDIVISION PARCELID# I I-ac�-a �- oo i�°"�1`I�� — ��
(OBTAINEO FROM PROPERN TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL R
PROPOSED USE 0 SFR Q COMM Q OTHER _ "
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � ��
DESCRIPTiONOFWORK r��Ubd- LLS ,/L C� A � L r�.i kl. '�iA C F"
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ �'7 VALUATION OF TOTAL CONSTRUCTION
4
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �� �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �9 f
"l ',
T ^
FINISH�ED FLOOR ELEVATION� ROOFING � FLOOD ZONE A�REA OTMEQyES���NOO 1 O U �Y ���
� BUILDER COMPANY
i SIGNATURE REGISTERED Y/ N FEECURRE� Y!N
Address License# I
ELECTRICIAN COMPANY
SIGNAIURE REGISTERED Y/ N FEE CURREf. Y/N
Address ' License#
PLUMBER COMPANY
SIGNATURE REGISTFRED Y/ N FEE CURREt� Y/N
Address License#
' MECHANICAL COMPANY
SIGNAIURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
II ���77)
OTHER �� � COMPANY //�, C�'1 S U � Co I ,�
SIGNATURE REGISTERED N FEE CURRE� /N
Address 111 �1 - 0. r����S�3��icense# Cc�.I3a745Z�
1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new consWction,
Minimum ten(10)woriting days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projec[s
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days aRer submdtal date. Required onsite,Construcfion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construc[ion.
Directions:•
Fill out application completeiy.
Owner 8 Cantractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the conVactor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
I
: NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
' which may be more resVictive 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 conVactor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended conVactor are uncertain as to what licensing requirements may apply for the
intended worlc,they are advised to contact the Pasco County Building 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 wiil 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 exisGng 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 WateNSewer Impact i
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. �I
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°owne�'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 ail applicable laws regulating construction,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 pertormed 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 govemment 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:
- DepaRment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management DisVict-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Welis, 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 Fiood 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"wili 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
construction,I certiTy 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 Iots 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 electrical 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.117.03)
OWNER OR AGENT CONTRACTOR� � �
Supsai¢ed antl swofi�to(or affirm d)pefore�rj�e is Subscriped and svortj to(or affirmed)befor me is
�1/7/I� b C`,�ll4�r IC fC 1'P�1{)� �n��7l��a bV /C�V2.V/le � ����P��
V�o is/ar ersonally known o e or has/have produced 1/�i ho i ar rsonally known o or has/have produced
as identification. as identificafion.
��-�SJ�' ' I ����J�l�o.�`Notary Puhlic ���_�J I '� (1_� (L� Notary Pu61ic
Commission No. ����.� 'I�s Commission No._F F cCS O ��o S
�J� vLl n'1�,��s l��11 }=,�� m v�'��.,Ys 1�al(
:�a°�Y°"°��:.EVA MAFiIE 11flARSHALL � ..............
ti�ar o�,,,,
`�' MY COMMISSION#FF080465 � :�_� �B��;.EVA MARIE MARSHALL
=;�a... oQ> a'• ! .:
i _ - -"�•oF�,�?,.�' EXPIRES April 11,2018 ; ;_�. Q, MY COMMISSION#FF080465
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TKJ CONSTRUCTION COMPANY, INC.
37606 MARCLIFF TERRACE
ZEPIIYRHII,LS,FLORIDA �ate Invoice#
33541
6/17/2016 882
Bill To
KFP ADMINISTRATNE SERVICES LLC
P.O.BOX 566
ZEPI-IYRHILLS,FLORIDA
33539-0566
Terms Due Date Rep
Due on receipt 6/17/2016 ID
Description Quantity Rate Amount
LABOR&MATERIALS TO DO ROOFOVER ON ABOVE PROPERTY 12 200.00 2,400.00
Total $2,400.00
Pnone# Payments/Credits $o.00
1-315-398-0235 Balance Due
$2,400.00
Thank you for your business!!!
June 14, 2016 '
City of Zephyrhills
Building Department
Zephyrhills, Florida 33542
�
Re: Authorization ,
�i . I
Dear Sus:
My name is Laverne C. Fowler, and I am owner of TKJ Construction Company, Inc. I hereby give
permissions for Eva M. Marshall, Jeff Du�on, Paul Correia, Mark Correia, Keith Correia, Jennifer
� Marshall, Kristi Whittle to drop off and pick up permits and applications, and to act on my behalf for
any other matter.
Thank You,
�— C�-
Laverne C. Fowler
State of o` �
County of— ���
cc: file On this.�"'_day of�_ ..s�� a�
before m�personaily appeared
. 1._cev�.rh� L �awle �"
to �ne knowr� to be tne uerson who executed the
foregoing ,nstrument and acknowledged that he
executed the same as his free act and deed n/'�
SEAL(s�gned) � ► rr,�.�`Y1 �'��•,.,, ,� �„\/fJ
NOTARY PUBLIC
, � . � �Chti�
�, , =05�Rrp4e4n EVA MARIE MARSHALL
�'� �;�.,, ,� ~." MY COMMISSION#FF08QAS5 .
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