HomeMy WebLinkAbout16-16900 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(s13)780-0020 169 0
BIJILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16900 Address: 38625 CAMDEN AVE
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1160
Improv. Cost: 5,800.00 OWNER INFORMATION
Date Issued: 1/15/2016 Name: SMITH BRADLEY K & PATRICIA L
Total Fees: 65.00 Address: 12778 STAMPER RD
Amount Paid: 65.00 BROGUE PA 17309-9461
Date Paid: 1/15/2016 Phone: 813-714-6537
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
WIDNER ROOFING INC REROOF RESIDENTIAL 65.00
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Ins ections Re uired - �
DRY N ROOF INSP �
TAPE JOINTS ROOF INSP
FINAL F �- 2-� '-�F,
REINSPECTION FEES: (c)With respect to Reinspection fees vvill 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 you�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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. -
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIOiV - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM 1AlEATHER
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s�3-7so-oozo City of Zephyrhills Permit Application Fax 813-780-0021 �
,
• Building Depattment .
Dafe Recelved Phone Contact for Permittin ��� � — tR�'��
Owner's Name c.� Owner Phane Number
Gwner's Address �'a.7'"1''$' � t fl 1- Owner Phon+a N�mibsr � �
Fee Slmple Tltleholder Name Owner Phone Number � �
i
li Fee Simple Titleholder Address �
JOB AbDRESB �+Z� l.�Lr^�ir�� � LOT# ��
SUBDIVISION �� � PARCELID# 3 � �.�=V — �5A- �'O'��"J"�(� �
(08TAINEQ PROM PROPERTY TAX NQTICE}
� WORK PROPOSED NEW CONSTR ADDiALT C� S�GN Q [,� DEMOLiSH
INSTALL REPAIR
PROPOSED USE ,w Q SFR ` Q COMM � t?THEF2 I
TYPE OF CONSTRUCTION . Q � BLOCK Q FRAME � STEEL Q
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DESCRIPTION OF WQRK
BUiLDING SIZE � � SQ FOOTAGE� HEIGHT C��
08U!l.DING $ ��� VALUATION�OF�TOTAL COIVSTRUC710N
4� _�
QELECTRiCAt. }$� � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING $�'��� � . ��Q�
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QMEQHANIGAI $ VAlUAT1�tV OF MECHANICAL ti�ISTACLATlOiV
QGAS Q ROQFING Q SPECIALTY � OTHER
FINISHED FL�OR ELEVATIpNS �� FL.00D ZQNE AREA QYES NO
B!lILDER COMP/�I�Y
SIGNA7'URE REGISTERED Y/ N FEE CURRE� Y/N .
Addresa License# I �
ELECTRlCIAN �x CO�APANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
PLUMSER � COMP.ANY
SIGNATURE REGI8TERED Y/ N FEE CURREP Y/N
Address License# � � �
MECHAPIICA� COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/-N
Addreas License# � �
OTHER �... " COMPAfi+IY � '
SIGNATURE REGISTERED Y/ N PEe CUR�n Y/
Address l�. ,rc%w.2� D c..._ License# �C C,—4.'7 7����
RfSlDEldT1AL Attach{2}Plot Platts;{2}sets=of:8uilding Pians;{1 j set af Enargy Form's�R-O-W Permlt far�ew canstruckon,
Minimum,ten(10):working;days:after subrrilttal date. Requlred onslte,Canstructian Plans,Stormwater'Pla�s w/Silt Fence installed,
� Sanitary FaciliUes,&1.=dumpster Site Work�f'ermit for subdidisionsflarge proJects "
COMMERCIAI. A#tach{3}camplete sefs of Building`Plans plus a l.if�Safety Page;(9)set of Energy Forms.R-O W Permit far new canstruction.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucHon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles�1 dumpster._Site Work Permit for ail riew projects,Ai)cammercial requirements must meet comptlance
StGN PERMIT Attach{2}sets of Engineered P..tans. °
"""PROPERTY SURVEY required for all NEW construction.
� �irections:
Fill out applicatlon completely.
4wner&Contractor stgn back af app!#catlon,notatized
if ovsr E25d0,a Nottce af Comrnencement is required. .(AIC upgr�des over$7500)
`" Agent(for the contractor)ar Power of Attomey(fo�the ownar}would be someone with notarized letter from ownar authorizing same
DVER THE COUNTER PERMI'TTING ,` (Front`of_Applicatian Only} _ - . . -
Reroofs if shingles Sewiers Seryice Upgradas A/C Fances(PIoUSurvey/Footage) . ` � • -
t�rlveways-Not aver Counter if on pubiic;roaduiays..needs ROW ' - �- -
NOTICE OF DEED RESTRICTIONS: The_undersigned undergtands�;th�t;thls..p�r:mit.may be,subject to"deed"_restri'ctions" . e
which.may be:moce�rest�fctive-t6�n.County�regulatlons:THe undersigned�assumes responsitiiltty for compliance�witli any -
applicable deed rest�ictions.. � , `
UNLICENSED C.ONTRACTORS AND CONTRACTOR RESPONSIBILITIES:��If the owner-has�hiced�a contractor or
contractors to undertake work,"they may be:requfred�:to�be�;llcensed In accordance.with state.and•local,regulat(ons. ,:If�the
contractor is not Itcensed.=as�requlred'tiy law, both the owner and-�cvntractor�may be=clted�for�a•=misdemeanor vtolatton
under state Iaw. if the owner or Intended�contractor are;uncertain as to what Iicensing.requlrements.may-apply.��for:the - �
intended work, they are advised to contact the_Pasco County_Building."Inspection Division—Licensing Section at 727-847-
8009. Furthe�more, �tf-the owner has hired a cont�aator o� contracfors, he is advised to have the contractor(s), sign
portions of the "contractor Block" of thls appllcation for which they will be.responsible. :If you, as..#he ow'ne�"sign as'the
contractor, that�may be an indication that fie is noY.properiy iicensed and'is not entltled"to pern�iittfng privileges in Pasco
County. - -- '
TItANSPORTATIOIV:IMPACT/UTIUTIE$=1MPAC7 AND�RESOURCE RECOVERY FEES:�The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may':apply�to�the construction of new buildings,;change��of ' f
use in existing buildings,-or-;expansion>of•�ezisting'�bulldings,�as speclBed.(n Pasco County Ordinance number 89-07 and ,
90-07, as amended._,The undersigned also,=understands, thait-such fees�;as rmay_be�.due;�,:wlll:.be identlfied at the��=time of. � '� ',
permitting. It is furtlie�understood that Tra�sportation Impact Fees and�Resource Recovery�Fees.must be paid prior to �
receiving a °certificate of-occupancy" or flnal-power�release. :If�the project�,does not involve�a certiflcafe of occupancy. o�� '
final power release;the;fees mu�t-be paid prior to permit Issuance. Furthermore;if:Pasco County�Water/Sewer lmpact . -��
fees are due,.they..must.be.�paid.prior.to permit-Issuance�in accordance with�applicable Pascv County ordinances.
CONSTRUCTIOPI LIEN�LAW(Chapter 713� Florlda Statutes,�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-Const�uction Lien L'aw—Homeowner's
Protection Gutde" prepared by the Florida DepartmenY of Agric.ulture and Consumer Affairs. if the applicant (s someone
other than the"owner", I certffy that I h�ve.obtained;a-copy,of the above..described docurnent�and.promise in:good faith to ,�
deliver it to_the�°ownec"�prio�'to�cornmencement: � � �
CONTRACTOR'SIOWPIER'3 AFFIDAVIT: I.certify that�all the Information in this appllcation is accurate and that all work
will�be done in compliance with all applicable�laws regulating construction, zontng and:land developrnent. Application is
hereby made to obtatn .a permit.to do. work;.and Installation as IndlCafed:•� I certify that no wark�,or tnsEallatton has
commenced prio� 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 jurisdtction. (:also
certify that I understand that th� r�gulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to.identify.what.a,ctions I must take to beYin:.corr�pliance: Such agencles=lnclude but�are.not limlted to:
- Department of E�lvironmental}Protection-Cypress.'Bayheads, Wetland Areas and Envtronmentally Sensitive
� Lands,WatedWastewater Treatment. -
- Southwest Florida Water Management .District-Wells, Cypress.� Bay,heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Eng(neers-Seawalls, Docks, Navigable Waterways.
- Department of Health� � ReF�abilitafive Services/Environmental Health Unit Weil.s, Wastewater Treatment,
Septic Tanks. � � ,
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviativn:Authority-Runways.
I undees4and that the following�restrictions apply to the use of flll:�
- Use offlll is not allowed in Flood Zone"V"unless expressly permitted.
- If the flll material is to be .used: in-�Flood Zone. "A", It. is understood that�a drainage plan addressing a
°compensat(ng volume" will be submttted at time of permifting which Is prepared by a professional engineer
� iicensed by the,State-of Florida.
- If the fill material_is to be used In Flood Zone 'A" (n�connec�ion�wi h.
, t a permitted building using stem wall
construction, I certity that fill�:wlll�be used oniy.to..flll the area w(thin the stem wall.
- If flll material is to be used in any� area; I certify that .use. of such'-flll wili not adversely affect ad)acent
properties. If use of flll is found to adversely:,�ffect adJaEent��properties,.the owner may be cited for vfofating
the condl#ions of the�building°,permit issued�under the attacFied�ermit.applicatfon, for lots less than one (1)
acre which are elevated�by flll,an engtneered drainage plan is required. .
If 1 am the AGENT FOR THE�OWNER, I,�promise In good faith to infocm the:owner of the permitttng condittons set for�h In
this affidavit�prior to�commencing construction. I understand that a`s�parate permlt may be requtred for electrical work,
plumbing, signs, welis,.pools, air,conditioning;.gas;'or other insfallatloris not.spec�ically inclu�ied in the appNcation. .A , ..
permit issued shall be construed to be a�Iicense to p�oceed with the work and not as authority to,violate,cancel, alter, or �
set asfde any provisions of the techn(cal.cod�s; nor shall issuance�of a.permit.prevent the Bulldirig Otfic(alfrom thereafter
requtring a conection.af errors in plans, constn�ctlon or vlolatlons of any codes. Every.permlt 15sued shall become invalid
unless the work authorized.by such permit�ls.commenced�within six.months of pertnit issuance;-or if work authorized by
the permtt is suspended_or.abandoned#or a�:period of six(8)montfis:�fter the time the�work ts commenced. An extension
may be requested, in writing, irom the Building,Officfal for a period not to.exceed ninety�(90) days and will demonstrate
- -Justlfi�bl�-caus�-farQh�-�xtsns6on�:-Of work-c�a���:for�1��Qy�90)�eons:�cuQlv�.-days;..th�Job is considered aba�doned: J
WARPIING TO OWNER: YOUR FAILURE�TO.REC.ORD A,..NOTIGE.OF�COMMENCEMEI�T NIAY°RESULT IN YOUR
PAYING'YVYICE.FOR IMPROVEMENTS�TO YOUI�:PROPERTY. IF°YO.U=IN�END�T�OBTAIN•=FINFANCING;�COfdSULT
WITH YOUR I.END@R OR AN ATTORNEY B�FORE�RECOR�ING�Y(�UR�NOTICE`OF'�014AIVIENCEIVIENT� �
FLORIDA JURA�(F.S:1.17 ) . - , .
� � � � f1 .
OWNER OR A(iEN7 IL� �tia`v-R��- CONTRACTO w "
Subscrlbed and swam to(or afflrmed)before me thls Subsc�ibed and'swom to(or aftirmed)�before rtie'th�
bY �bY
Who Is/are personally known to.me or has/haye'produced sWho is/are p.ersonally known to me or has/have�produced
es IdentlBcatlon. � as Identlflcatlon.
- Notery Public Notary Public
C sslon No. Commis o o.
„„�., e� ^~ '~�.OEL E.BACON
Name of Notary �' a� � n#!FF 137073 Name'of Notary typed,p�inted or
'*: "= Expires June 29,2018
;a; P;: Expires June 29,2018 .
Bonded Thm Troy Fein Insurence 800�385-7019
%�pF�°�`' Bonded Thru Troy Fein Insurance BOD3B5d019
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�_ 2016006578 �
Rept:1740536 Ree: 10.00
DS: 0.00 IT: 0.00
01/14/2016 J. R., Dpty Clerk
Permi[No. ParcellDNo J`�r`��'21—�8✓� ��OQ� 1�IV✓
��� NOTICE OF COMMENCEMENT�
State ot County o! ��
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapler 713,Florida Statules,
the lollowing information Is provided(n Ihis Nolice of Commencemenl:
. 1 Description of Property: Parcel Identifica0on No. �.1�� ' ��� 6�
I �Slreet Address:
, 2. General Oescdptlon of Improvement
� 3. Owner Informalion or Lessee infortnalio if ihe Lessee contracted for the improvemenl:
i M' ��� ��� � � �
i e �IL i20 Q�le '♦
Address City Slate � • �„P_
\�
' Interest in Property� ���,/�� �7 30� i� .� '�� �
�G
4/ � `•�„ ti • ��-
Name of Fee Simple Tltleholder: E, ap ty,
(If diHerent from Owner lisled above) � � � � �
Address , City Siale � " � �
� Conlraclor: �'
Name / � A`� ��o � � g
, �� � R ���
Address O ^'� 1�� /�7 City 2Slrarte-x\ st
Contraclors Telephone No. I]L�� /��1'r'�U J� �JV �-� ,[� � � Y
'��� • �
, s. s��ety: `�` •dt
Name
� Address City Slate
j Amounl of Bond: b Telephone No.. Y
6. Lender �Z V � W
Name ��Jj� (p �jf J
C��-�t�z � U
Address Clly � State -' �.(� �Q J }
f—
Lentlers Tetephone No. � ' � Z U (n J N 0 �
� �O=Q � n.
7 Persons wilhln lhe State of Florida designated by the owner upon whom�notices or olher documents may be served as provided by �' � �F— W ~ W
' Seclion 713.13(1)(a)(7),Florida Slatutes: �- �W z � �
Name O O:~ � Q
u. � U - U
Z =00LL. ,�
Address ' Cily Slate � �1- V LL .
Telephone Number ol Designated Person: O F— Y
d �0 �
UQ � � w �
3. In addilion to himself,Ihe owner designales o�_ F V V
�: lo receive a copy of the Lienor's NoUce as Drovided in Seclian 773.13(1)(b),Florida Sfalutes. �
i Telephone Number of Person or Enlity Designated by Owner: � V- W = z � --�
I1. Expiralion date of Notice of Commencement(the explretfon date may not be before Ihe tampletion of conslruclion and final paymenf to the � � � � = Q W
—� WQO � Oz i
j conlraUor,bul will be one year from the date of recarding unless a diKerent dale Is specified): V- U U �
I WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT u' � � O ��I (A "�
i ARE CONSIDEREO IMPROPER PAVMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN O F— Z w U}} �
; RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE W (� Q J �LI�"�
. RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOl1 INTEND T BFAIN FINANCING,CONSULT �..� W �y, Z�wl
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR R CORDING YOUR TICE OF COMMENCEMENT
Under penalty o!perjury,I declare Ihal I have read the foregotng notice of com cemenl and t f s stated Iherein are tive to the best �'� � O � a (�
of my knowledge and bel(ef.
:TATE OF F�ORIDA
. :OUNTY OF PASCO
� � ignature er or Lessee,or Gvners or L ss s Aufhorized
i, "� NafaryPubiic$tetpa}�p ONcer/D cto aAner/Manage�
�' Sherty Widnef
i '� a j My Commbeba FF 0761l6
� �fP E+WUae 17/Os12017
� Signatory's TiUe/Otfice )�
i he foregoing insirument was acknovAedged be(ore me this�_day of�,Zd6,bY N�.��le l� �f�l,/•/YL
ias N��_ o(avlhority,�e.g.,oKcer,Irustee,attomey in facl)for
' ( o! rty on behall o! om I ru enl was execuled).
� ersonally Known OR Produced IdenOfication❑ Notary Signat
Ipe of Idenlification Produced Name(Prinl) � �� 1 V
PRUL{7 S 0'NEIL,Ph 0 PRSCO GIERK 6 COMPTROLLER
010R BK 1g311 m P� 1647
�
idala/bcslnolicecommencemenl_pc05304 B
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