HomeMy WebLinkAbout16-17504 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(8�3)780-0020 175
BUILDING PERMIT �
PERMIT INFORMATION LO.CATION INFORMATION '"
Permit Number: 17504 Address: 5617 10TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Boak:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ClTY OF ZEPHYRHlL.LS
Est. Value: Parcel Number: 11-26-2'I-00'10-08700-0040
Improv. Cost: 2,400.00 OWNER INFORMATI4N
Date lssued: 710812016 Name: RDPD 11 ��C
Total Fees: 75.00 Addr�ss: PO BOX 566
Amount Paid: 75.00 ZEPHYRNILLS FL 33539-0566
Date Paid: 7/08/2016 Phone:
Work Desc: REROOF TPO
CONTRACTOR S APPLtCATION FEES
TKJ CONSTRUCTIQN COMPANY INC RERO(JF RESIDENTIAL 75.00
Ins ections Re uired
DRY IN R F IN
TAPE JO( TS ROO [NSP
FINAL�t J�"��O
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Flarida Statute 553.80 (2)(c)fihe
loca!government shali impose a fee of four times the amount of the fee irnposed far the initial irtspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permitf there maybe additianal restrictians applicable to this property that
may be found in the public recards of this county, and there may be additiana( permifis required fram other governmental
entities such as water management, state agencies or federal agencies.
"Warning ta owner: Your faiture ta record a natice of commencement may result in your paying twice far
improvements to your property. If you intend to abtain financing,consult with your lender or an attorney
befare recording your notice of cammencement."
Camplete Plans,Specifications Must Accompany Application. All work shall be pertormed in accardance with
City Codes and Ordinances. NO QCCUPANCY BEPORE C,O.
NO OCCUPANCY BEFORE C.O.
CTOR 51GNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MCINTHS 1NITHOUT APPROVED INSPE{;TION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRt?TECT CARD FROM 1NEATHER
a��-�eaoozo City of Zephyrhills PermitApplication F�$��-�8aooz�
r ' Building Department
Date Received s � �
Phone Contact for Pertnitting
� �t 1
Owners Name � � l^�l� Owner Phone Number
i Owners Address � � _ IS 33�wner Phone Number /
Fee Simple Titlehotder Name Owner Phone Number
Fee Simple TiUeholder Address / II
JOB ADDRESS � , i� � S �3 I�LOT# �
SUBDIVISION PARCEL ID# I I� �W'—o� �'— DO�O ^ O�70O"C�O D
(OBTAINEO FROM PROPER7Y 7AX NOTIC�
WORK PROPOSED e NEW CONSTR �T � SIGN Q Q DEMOLISH
INSTALL REPA
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OFCONSTRUCTION 0 BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �Z�O O I�D��1 n , C
, BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATIONOFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ( ��v �
� /��� ,�
QGAS r� ROOFING Q SPECIALN 0 OTHER Q`
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
I ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N '�
' Address License#
PLUMBER COMPANY �
SIGNATURE REGISTERFD Y/N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTER Y/N FEE CURREA Y/N
Address ( License#
SIGNATURE <i '� � � ROMPANY� �J N��SE�R C�v�'1 C6 �Y�G �
Address 37�e��o M0.a`GIIY� — 0.c�Z ��.If��11S335cense# c�� 13a��ISb 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 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 �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Permit for new consVuction, I
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisionsflarge projects
COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)vrorking days after submiital dffie. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
DirecGons:
' Fill out application wmpletely.
Owner 8 Contrador sign back of application,notarized
I 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)wouid be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 i
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
�I 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 woric,they are advised to contact the Pasco County Buiiding 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 responsibie. 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—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',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: 1 certify that all the infortnation in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a pertnit 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 alI 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:
- Department of Environmental Protection-Cypress Bayheads, Wetland 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 & 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
construction,I certify that fill will be used only to fiIl 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 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 worlc 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)
OWNERORAGENT CONTRACTOR. �il� � �
�Sub crib d and swom to(or a e bef�re me this Sub aib d and swom to(or aKrtned)before me this , � ,
_by 1��by cA 'f . —[2Ss2��
Wh is/r ersor�aNy�KP�oWtrto.cQe or haslhave produced Wh is/re personall�cri" n o m has/have produced
as identification. as identification.
otary Public Notary Public
Commissian No. � � ��D� Commission No�l— — � tJ 1 l0 S
�Je� I� ll�rn�r5��� �=vO� �'l /�o�rst�ll
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
��,�.,, „�„��,,.��,,,
� ,.•=o��"�"°B%�:EVA MARIE MARSHALL :io�'"�'"'4�:.EVA MARIE MARSHALL
"� '� MY COMMISSION#FF080465 "' ': MY COMMISS�ON#FF080465
:n:�,;�_ '; '�:�
+o�........-'�,a ;•�i......•o'�'' EXPIRES April 11,2018
'•...'�aFa,o?.• EXPIRES A ril 11 2018 ••...,oF�;°,..•.
P . ,
(a07)3s8-0153 FloridallotaryService.com (407)3s8-o153 FloridallotaryService.com
i
June 14, 2016
City of Zephyrhills
Building Deparmient
Zephyrhills, Florida 33542
Re: Authorization
� Dear Sirs:
i
My name is Laverne C. Fowler, and I am owner of T'KJ 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 �I�r� i al o` �
County of—'��, ��� . "
cc: file On this�""`_day of _.� �.�..Q a c�i l„
beforE�r�e personally appeared
1._a.v�,rc-�e_ L Fow�e +�
to �ne knowr� to oe tne �erson who executed the
foregomg mstrument and acknowledged that he
executed the same as his free act and deed �
SEAL (s�gned) � �.r-c�YY\ �
NOTARY PUBLIC
� ��
�
��`'"�``°�� EVA MARIE MARSHALL
� MY COMMISSION#FF080G65
i•9���� ., •
'•••�oFF,.�`��" EXPIRES April 1 l,,2018
�•(407)398-0153 FloridallotaryService.c,om
�....•
� TKJ CONSTRUCTION COMPANY, INC.
37606 MARCLIFF TERRACE
ZEPHYRHII.,LS,FLORIDA Date Invoice#
33541
6/17/2016 881
Bill To '
RDPD,LLC
LOT#5617 l Oth ST
ZEPHYRI-IILLS,FLORIDA '
33542
Terms Due Date Rep
p{aK SHAI-�COMP�Y W� HDue on receipt 6/17/2016 CHRIS
Description pREVAIL BUILDING CODE, �antity Rate Amount
LABOR&MATERIALS TO INSTALL TPO ROOFING �qT10NAL
��T(OF Z�RHY���Lb��RD1 A 2 200.00 2,400.00
7M' �{b z�- ��
��9��� M�1��jYN��L'.� d
J V���� ����� �"t
���
Total $Z,aoo.00
Phone# � Payments/Credits $o.00
1-315-398-0235 Balance Due $2,400.00
Thank you for your business!!!
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City of Zephyrhiils
BUIL;DING PLAN�tE�IEW COMIV�NTS
ContYactor/�iomeowner: ��`�.J� t��fi,�YGt.C.�'1 d�
l�ate Received: �P j �7 � (� ,
site: , ��� l 7 �•�
Pe�mit Type: ��tJ �C. � ` ' �
Approved w/no comments: Approved w/the below commeaits: ❑ I3enied w/the below comments: ❑
, 's
, I �i
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This cflmment sheet sh ll e kept with the permit andlor plans.
. � _�Z l .
Kalvin S 'tzer— Examiner Date Contractor and/or Homeowner
(I�e�uired when coxnments are present)