HomeMy WebLinkAbout16-17599 �f�
CITY OF ZEPHYRHILLS
; • 5335-8TH STREET
(813)780-0020 �7 9
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17599 Address: 5948 20TH 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: COLONY HEIGHTS
Est. Value: Parcel Number: 12-26-21-0260-00100-0010
Improv. Cost: 6,132.00 OWNER INFORMATION
Date Issued: 7/22/2016 Name: GREGG WILLIAM & GREGG LAUREN
Total Fees: 70.00 Address: PO BOX 3037
Amount Paid: 70.00 ZEPHYRHILLS FL 33539-3037 �
Date Paid: 7/22/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
WIDNER ROOFING INC REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DRY IN ROOF IN P
TAPE JOINT OOF Ify
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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
S
Date Received Phone Contact for Permitting �� �`�( = � S 3 I
Owner's Name v-CU.I/�v�L, �r'L<'— Owner Phone Number
Owner's Address J ��� 02� ��� `� Owner Phone Number
Fee Simple Titleholder Name Ow+ner Phone Number
��i
' Fee Simple Titleholder Address •
JOB ADDRESS .J /�D 2�� S 1 � LOT# �
SUBDIVISION PARCEL ID# Z-Zb Z I - e'�Z(�p.Ca(00- �p(o
(OBTAINED FROM PROPERTY TAX NOTICE)
I WORK PROPOSED B • NEW CONSTR e ADD/ALT � 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 � � !YI
BUILDING SIZE SQ FOOTAGE ( HEIGHT
QBUILDING $ • � � Z O� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J��� ���
�GAS �� ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN , COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N
Address License# �
, PLUMBER COMPANY
SIGNATURE REGISTERED Y•/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N '
Add�ess License#
OTHER. � 1�' n COMPANY
SIGNATURE l�J�� REGISTERED Y/ N FEE CUR E� Y/N
Address ��� 0 � D•C. License# C C C- O��7�Z-
RESIDENTIAL Attach(2)Plot Fians;(2):sets of Building-Plans;(1)set of Energy Forms;R,O-W Permit for new construction,
Minimum.ten;(10)working.days after subinittal-date. Required onsite,Construction Plans,Sto[mwater Plans w/Silt Fence installed,
Sanita.ry Facilities.&1.dumpster;S.ite Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities&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 construction.
Directions: •
Fiil out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) �
'" Agent(for th'e cont�actor)or Power of Attomey(for the owner)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(Plot/Survey/Footage)
Driveways-Not over Counter if ori Pubiic roadways..needs ROW
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NOTICE OF DEED RESTRICTi�NS: The undersigned understands that this permit may be subject to"deedn restrictians"
which may.be moce�restrictive than County regutations. ti'he�undersigned�assurnes respansitiiti#y�far camp(iance with any
appticabie deeci restrictions. ��
UNLICENSEQ C�NTRACTQRS AND CONTRACTOR RE�PGNSIBlLITlES: If the owner has hired-a con#ractor or
contrac#ors to undertake wark, they may be required to be�licensed in accordance with state and local regulatians. If the
contractar is not licensed as required by law, b6th the owner and confractor may�b-e cited for a misdemeanor violation
under state law. 1f the owner or intended contractor are uncertain as to what (icensing requirements:may�appiy for.the
intended wock, they are advised#o cantact the Pasco Gounty Building Inspection Division—Licen'sing Section at 727-847-
' 8009. Furthermare, if the owner has hired a contractor or contractors, he is advised to �have the contractar(s} sign
�� portians of the "cont�actar Block" of this application for which they will be respansible. !f yau, as'the owrier s'ign as the
cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
j Coun�y.
TRANSpORTATtON tMPACT/UTiLiTtES IMPACT AND RESOURCE RECOVEI2Y FEES: The undersigned understands
that Transportation impact Fees and Recourse Recavery Fees may,app{y ta#he construction af new buildings, change of
use in existing build9r�gs, ar expansion of existing buildings, as specified in Pasca Gounty Glydinance number 89-Q7 and ,
90-07, as amended. The undersigned also understands, that such fees, as may be due, will 6e•iden#ified at the time of
permitting. It is further understoad tha# Transportation Impact Fees and Resource Recovery Fees must be paid prior ta ,
' receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occapancy or
, finai pawer release, #he fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
'� fees ara due,they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
, CONSTRUG710N LIEN LAW{Chapter 713, �lorida Statutes,as art3ended): !f valuation aF wark is$2,500.00 or more, 1
ce�tify that !, the app(icant, have been provided with a copy. of "the '"Florida Construction Lien Law—Homeawner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
� other than the`bwner", ( certify that I have obtained a capy of the above described documen#and promise-in gaod faith ta
deliver.it to the"owne�'prior ta commencement.
! CONTRACTOR'S/OWNER'S AFFIDAViT: I certify that all the informa#ion in this application is accurate and that ail work
will be done in compliance wi#h all applicable laws regulating construction, zoning and land development. Applicatian is
hereby made to obtain a permit ta do work and installatior► as indicated. I certify that na wark ar instaflation has
I� cammenced prior to issuance of a permit and that all wark v+rill 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 appiy to fhe intended wark, and that it is
i, my responsibility to identify what actians i must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protectian-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands,Water/Wastewater Treatment.
- Sauthwest Florida Water Management District-Wells, Cypres's Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-5eawatis, Docks, Navigable Wate►ways.
- Department af Health & Rehabilitative Services/Enviranmental Health Unit Weiis, Wastewater Treatmen#, "
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
, I understand that the following restrictions apply to the use af fill:
- Use of fill is no#allawed in Flood Zone"V"unless expressly permi#ed.
- If the fiil material is fo be used in Flood Zone "A°, it is understood that a drainage plan addressing a
"compensating volume° witl be submitted at time af permitting urhich is prepared by a prafessionai engineer
licensec!by the State af Florida.
- If the fill material is to be used�in Flood Zone "A" in connection with a permitted building using stem wa!!
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fil( materiat is to be used in any area, I certify that use of such fill will nat adversely affect adjacent
properties. if use af fiii is found to adversely affect adjacent properties, the owner may be cited for viola#ing
the conditions of the building permit issued under the attached permit,application, for lots iess fhan one (1)
acre whiah a�e e{evated by�II, an eng�neered dra9nage plan is requi�ed.
If! am the AGENT FC?R THE OWNER, I promise in goad faith to inform.the owner of.the permitting conditions set forth ir�
this affidavit prior to comm�ncing construction. I understand that a,separate permit may be required for electrical work, ,
p(umbing, signs, we11s, poais, air conditioning, gasj'or other installations not specifically included in the application. A
permit issued shall be construed#o be a license to proceed witfi the work and not as authority to violate, cancel, alter, or �
set aside any provisions af the technical codes, nor shall issuance of a permit prevent the 8uilding f3�ciai frorn thereafter
requiring a correction of errors in plans, construction or violations of any cades. Every permit issued sha!! become invaiid
unless the work autharized by suah permit is commenced within six months o#permit issuance, or i#work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is cainmenced. An extension
may be requested, in writing, from the Building Officiai for a period not to exceed ni�ety (90) days and will dem.onstrate �
jus#ifiable cause for the extension. 1#work ceases far ninety(90}consecutive days,the job is cansidered abandoned. ,
WARNlIdG TQ OWNER: YOUR FAILURE TO RECORD A NC?TlCE OE CQMMENCEMENT MAY RESUl.T fN Y�UR
PAYING TWICE FOR lMPROVEMENTS T�?YOUR PRi?PERTY. IF YOU lNTEND�TO OBTAIN FINANCING, CONSULT
W(TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEIIAENT, -- - --- -- - �- �
FLOR►C}A JURAT(F.S.117. ) - �`-----""-"" �
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OWNER OR AGENT , CONTRACTOR °O I �-ti.��
Subscribed nd swom to(ar affirmed)before me this Subscribe and swom to(or affirmed}befare me this
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Who is/are p rs nally k o to me or has/have produced Who is/are p onally kno ta me or has/have produced
as idenGfication. ���. as identification.
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2016114860 ____. 07/22/2016 K. D. K., Dpf.y Clerk
Pertnit No. Parcel ID No_�Z'Zro' 7iI—D2`O��O/OC9—Q�/p
NOTICE OF COMMENCEME�
Slale o( County ot �f�
� THE UNDERSIGNED hereby gives nottce that improvement will be made to certafn real Droperty,and in accoidance wllh Chapler 773,Florida Statutes,
lhe totlowing informatian Is Drovided in this Notice of Commencement:
1 Description of Property Parcel IdentificaGon No.__ �Z-ZG-Zr_O Zbo- ip O(�- �O/�
I Streel Address: S4 2O�J 3 Z�
2. Generel Deseription of Improvemenl �✓ �S'/��o�C�,
��
3. Owner In atio�or Lessee infortnation if lfie Lessee canUaded for the improvemenl:
Name
0 M`
Address ' City Stale
Interesl in Property: Q��Sli-P/\
Name of Fee Simple Titleholder: , i�
(If diHerent from Owner listed above) -
Address � Ciry State
-Conlreclor �jJ
��,j. Name � � . u}z (, � W
Address 'r r7 City Stat �(' �U-= J U
Contraclor's Telephone No. ��Z-� �I 4�� �o.l � / � Z � � � J }
5. Surety: � � � = Q N � �
Name � ��w,z � � d
A d d re s s Ci ry Slate �_ — J O
Amounl of Bond: b Telephone No.: �' 1L � � ¢
[-- Wti �V
6. Lender. � � � Q �
Name � F..: }. � ��°g
' � � a O Y
Address Clly State � �0 U � W
Lentler's Telephone No.: H Z�J �
i Q F—J Q
7 Persons wilhin the Slate of Flo�ida designaled by fhe owner upon whom�notices or other daeuments may 6e served as pro�ded by � }�U � � 11 U
Secdon 713.13(1)(a)(7),Florida Statutes: Q[ � � a Z � J
Name � 0 � � 02 pz
� �
Address ' Cily Sta(e Q �-�- z 0 (n�O
I Telephone Number ot Designaled Person- w � Q J W Q
3. In addilion lo himsel(,the owner designates - o� � (n � LL �� ?
� ;+� to recefve a copy o(the Lienor's Notice as provtded in Sedion 713.13(1)(b),Florida Stalutes. � �� O ��a m "`i,
I Telephone Number of Perso�or Entfty Designaled by Owner:
1. 6epiretlon date of NoUce of Commencemenl(the expiralion date may not be befare Ibe completion of wnstructfan and final payment to the ��` �� � �
contractar,but wlll 60 one year(rom the date of recording unless a diHerent date Is spedhed):_ '� � , � ` � �
WARNING TO OWNER; ANY PAYMENTS MADE�BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �� '� �
ARE CONSIOERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 FLORIDA STATUTES, AMD CAN
I RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE� OF COMMENCEMENT MUST BE � ` ��� ��e ' ) �
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 08TAIN FINANCING,CONSULT �J a at�� °',•,=� t\ s �
IMTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEN7 S
. � ` q 'LL
Under penalty of perJ�ry,I deGare that 1 have read the foregoing notfce of tommencemenl anA that lhe faUs stated lherein are true to the besl .� ^�+ v �
of my knowledge and belief. � � � �
�TATEOFFLO � ,� ������``/ y °, /,er�,
:OUNTY OF P ��� NMary Pudk Stste W Floride � � �� �
$h¢Ry Widfle� Sfgn t re ol Qwner or Less or or Lessee's Authorized ' �
�p� M�yCuomy nno'�076185 OK ireclar/PartnedManager d�-6` � p �
��1Y�s� �
• Signatory' Title/Office /'� �j �
I he foregoing Instrumenl vias acknowledged before me(his ZzEay of�,20�pby �4J
�T �
I as��,tT'V`�i'� (type oiauR,ority,e.g.,officer,-Irt/tee omey in fact)for
i �� ame o'p; o�ehalt ol who Inslrume was exe uled).
� ersonally Known B"OR Produced Idenllfication❑ Nolary Signature �' I/ '/
�pe o!Identification Produced Name(Print) �--�"C� � /"
PqULq S 0'NEIL,Ph D.PqSCO CLERK 8 COMPiROLLER
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