HomeMy WebLinkAbout16-17135 CITY OF ZEPHYRHILLS
5335-8TH STREET
' ' (813)780-0020 1713
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17135 Address: 6944 NORTH LAKE DR
, 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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0180-00000-0650
Improv. Cost: 15,000.00 � � OWNER INFORMATION
Date Issued: 3/08/2016 Name: SCUDDER, ROBERT
Total Fees: 110.00 Address: 6944 NORTH LAKE DR
Amount Paid: 110.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/08/2016 Phone: (813)788-1683
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 110.00
,V
C
�
Ins ections Re uired
DRY IN ROOF INSP
I 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 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.
�
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
Buflding Departrnent .
r : ..
Date Received . Phone-Contactfor:Permittin '°, - -�- -
I . ,,`. -: -• -
Owner's Name � 't,v-�- s<</cl C Zv ' ' Ovvner Phone Number . -
Owner's Address !V U� � � �OwnerPhone Number -
Fee Simple Titleholder Name � - Owner Phone Number
Fee Simple Tltleholder Address °'
JOB ADDRESS �� 0 ✓����`C. � V� LOT# � �
SUBDIVISION S i`I v L� o�I� PARCEL ID# � 3 '- Z�U — —O �G —O�O�U —d6 S b I
� (OBTAINED FROM PROPERTY_TAX NOTICE),
WORK PROPOSED '� NEW CONSTR ADD/AL'T Q SIGN Q � Q DEMOLISH � -
B INSTAtL B. REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION' Q BLOCK �' Q FRAME � STEEL Q _
DESCRIP710N OF WORK T j��`v D¢ � (� 1`�+- l �`�ID tv I r 1n� f�C
BUILDING SIZE SQ FOOTAGE �0 HEIGHT :
M1t'..-+F1..;W�.... -A1+-_-..-:^"
QBUILDING $I S.O OD� O(� VALUATION�F-TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE ` Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I � � ��
OGAS ROOFING. .Q SPECIALTY Q OTHER � ���
c���� .
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES: NO � ,� 1�
/v
BUILDER COMPANY
' SIGNATURE REGISTERED Y/ N FEE cuRtt�n Y./N
Address License#
, ELECTRICIAN - COMPANIf -
SIGNATURE ""' REGISTERED Y/ N FEE CURRE� Y/N
' Address • � -.Llcense# �
PLUMBER _ COMP.ANY- •.'
SIGNATURE � REGISTERED . Y/-.N FEE CURRE� Y/N: -
Address License# .
MECHANICAL � . , COMPANY ,
SIGNATURE " � � ` " se�isTer�o Y:/ N Fee Cuw�En Y/N-,
Address- - �� � �
License#
OTHER COMPANY G��.Y3.[�lilC�a�..._. (�'" ,
SIGNATURE. ' ' ' ` �
REGISTERED Y/ N v ,- „�e cuRt�n , Y/.N>. .
Addre�s �� (��.D�C:_��� ;�.,� S'ti�i:: lAyr n•� ��. �33s7b License# GC�LO�7 !�'��
RESIDENTIAL•. �Attach,(2)4PIot:.P,lan's;;.(2)sets:of<Building'Plans;.(1)setofEnergy�Fortns;.R-O=W°Permitfornewconstrucdon,
Minimumaten:(1sU)iworking;days:a(te�;'sutimittal:date.�.Requlred onslte;�ConsfnicBomPlans;Sto'rmwater Plans w/Slit Fence installed,
Sanitary�Faciliti,es:&,,1{dumpster_:SiteFWoricµPerrnit.#or`sutidivisions/large'pro]ects��:�•:;::°�:� ' � °" � - ``
COMMERCIAL Attach(3)`compl'ete sets of Bullding"Plans plus aTL(fe Safety�Page;(1)set of Energy Forms.R-O-W Permit for new oonstructlon.
Minlmum ten(10)working days after submlttal date. Requlred onslte,ConsUucUon Plans,Stormwater Plans w!Sllt Fence Installed,
SanlNary Facllldes&1 dumpster.Slte Woric Permlt for alPnewiprojeots:All commercial.requlrements must meet compllance
SIGN PERMIT AttacFi(2).sets of'Hnglneer,ed=Plans;�:;;;%-�< ., _ .... <, _ -
"'•PROPERTY SURVEY reguired for all_,NEW,consWctlon..�. .
. Dlrectlons: , `?:�._ � .. . - '
FIII out appflcatlon completely. .
Owner&Contractor slgn back of applicadon,notaAzed
If over E2500,a Notice of Commencement ia requlred. (AIC upgrades over�T500) s „
. �.;..-:_�,..;:.:��: � .
" Agent(for the�co�Vactor)`or Power of Affoiriey(fo�fFie owner)would be�someone with notarized letter from owner autho�izing same
'OVER THE COUNTER�P.ERMITTING�� -•-:-(Front;of-Appllcation Only) • � � � ' "
Reroofs If shingles Sewers Servlce Upgrades A/C Fences(Plot/Survey/Footage)
Drlveways-Not over Counter If om publlc roadways.:needs ROW � �
NOTICE OF DEED RESTRICTIONS: The undersigned under.gtands°�th�t this:permif.may be,subject to"deed",resVictions" ' _,
which may-be�:more�r.estricfive`than County:fegulattons. �The undersigned=assumes�esponsiblltty for'compliance`with any -
applicable deed rest�ictlons. . � � . _ _ - "
UNLICENSED� CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: `If the owner-has Fiired a contractor or
contractors to undertake work, they may be:r�quired..#o be.Ucensed In accordance.wlth state.and•local regulations:-.If the:
contractor is•not flcensed as�required�-by law, both the owner and conUactor�iiiay be-cited for���misdemeanor violatton
under state law. If the owner or (ntended,contractot are�uncertaln as to what Iicensing.requirements `may-apply:;for the �
intended work; they are advised to contact the Pasco County Butlding Inspection Divlsion—Llcensing Section at 727-847-
8009. Furthermore, tf the owner has hlred�a cont�actor o� contractors, he is advised to have the contractor(s), sign . .
portlons of the "contractor Block" of thfs apptication for which they will be responsible.. If you,-as.,.the oviine��sign�as�the
cont�actor, that may be an indication that�he is-not.properly�Iicensed and"is not entitled to perri5itting privileges in Pasco
County. � �
TRANSPORTATION�=IMPACTlUTILITIES=rMRAC7�ANb 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
= use in-existing 6uildings, ot.xezpan`sion,of•�existin�g�buildings�as speclfled in Pasco County Ordinance number 89-07 and` -
90-07, as amended.,.The undersigned also-understands, that:such fees.�,as�may�tie�due;;-wlil:�be identtfled at the time of`
permitting. tt Is furtlier understood that T�ansportation 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•certificafe of occupancy o� ��
flnal power release;•_the-:fees must be paid prior to permft issuance. Futthermore;�if Pasco County Water/Sewer-Impact
fees are due,they.must.be�paid prlor to permit Issuance-In accordance wlth applicabie Pascv County o�dinances.
I CONSTRUCTION LIEN�LAW(Chapter 713� FlorJda 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 Flor(da Department of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the°owner", I certify that I have.obtained�a�copy.of the above.described docur�ent°and.pcomise in,good faith to ,�
deliver it to the°owne�'prioeto�commencement: � ' �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I cenify that all the Inf.ormation In this application is accurate and that all work
will'be done in compliance with all applicable laws regulating construction� zoning and�land development. Applicatton is
hereby made'to obtain .a permit to do work.and installation as indlCefed.� 'I certify that no work or tnstallatton 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 r.egulations�in the jurisd(ction.� I also
certify that I u�de�stand that the regulat(ons of other government agencies may�apply�to the intended work, and that it Is
my responsibility to Identlfy.what,actions I must take:to be=in:.compliance. Such agencles.include but-are.not limited to:
- Department of Er�vironmental�Protection-Cypress. Bayheads; Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management: .District Wells, Cypress.�Bayheads•, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health� 8 Rehabllitative Services/Environmenfal Health Unit=Well.s, Wastevitater�Treatment,
Septic Tanks. � .
- US Environmental Protection Agency-Asbestos abatement. ,
- Federal Avlatlon Authority-Runways.
, I understand that the following,restNcttons apply to the use of flll:
- Use of fill ls not allowed in Flood Zone"V"unless expressly permitted.
u n -
- If the fill material is to be used: in Flood Zone A , it. is understood that a drainage plan addressing a
°compensat(ng volume" will be submitted at time of permitting which is prepared by a professional engineer
Iicensed by the State�of Florida:
- If ihe fill material.is to be used in Flood Zone °A" in�connection�with�a�permitted building using stem wall
construction, I certify that fill�:wall•:be used only.to.fill the area within the�stem wail.
- If flll materlal is to be used In any area, I certlfy that use. of such'fill will not adversely affect adjacent
, properties. If use of flll is found to adversely:affect adJacent��propertie5,.the owner may be cited for viofafing
' the condi#ions of the building:permit issued under the:attached permit application; for:lots less than one (1)
acre which are elevated by flll, an engtneered drainage plan Is required. .
If I am the AGENT FOR THE OWtdER, I;;promise In good faith to inform the owner of�the permitting conditlons set forth in
this affidavtt-prior to commencing const�uction. I understand th�t;a-separate permtt may be requtred for �lect�ical work,
�•.
plumbing, signs, wells, pools, air cond(tioning,.gas,`or other installatlons not speci�cally included-in.the application. .A
permiC Issued shall be construed to be a'Iicense to p�oceed with ttie work and not as:authortly to.violate,cancel, alter, or
set aside any provisions of the technical codes; nor shall issuance�of a.permit.prevent the Bulldirig Official from thereafter �
requiring a correctio�nf errors in.plans, consti�uction or violations of any codes. Every permit,lssued shall become invalid
unless the work authorized.by such permit=ls-commenced�wtthfn sGc months of pemilt issuance, or if work authorized by
the permit is suspended or.abandonedfor a:perfod of six(6)monfF�s:after the time the�work�ts commenced. An extension
may be requested� in writing, from the Building.Offic(al for a pertod not to exceed ninety(90) days and will demonstrate
justifiable cause for.the extensior�. If work ceases.for n(nety(90)cons.ecutive days�..the Job�is considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE�TO.,REC.ORD;A.NOTIGE:OF-�COMIiAENCEMEMT�MAY RESULT Ild YOUR
PAYING TWICE,FOR IMPROVEMEN�3 TO YOUR-.PROPER7Y.-:IF°YO.U�IM'fEND"T�OBTAIN�FIN�ANCING;'CONSULT
WI7H YOUR LENDER�.OR AN°ATTORNEY�fFORE�RECORDING�l�OUR�NDTICE'OF�`CdMI1lIENCENfENT�
FLORIDA JURAT(F.S:1.17.03) . - �
OWNER OR AOENT CONTRACTO '�' �"�
Subscribed and swom to(or affirmed)before me thls Subscribed an ' m�tn(or i,rmed)�before me tFiis
by .by_ \
Who is/are personally knovm to.me or has/have produced Who Is/are p. onally me.or-has/heve•produced •
i as Identlflcatlon. � as IdendBcaOon.
Notery Public _ Notary Public
����4��••�P{;9�••, JACQUELIN OGES
Commisslon No. Commisslon�N : ••`c= F 150422
=:a: :'a: Expires December 12,
-.t,,�....•e,••
Name ot Notary typed,printed or stamped NBRIB OT N0�8�/ Bonded Thru Troy Fain Inswence 8�0385d079
, � •
�
. u , . ����I�I��u1���fN�������ltl���������
:�.��'��a ...
I,i P�ft No. Pxct410 No(.+�' ��c..V►`�+J„'.G f�"t+`l.�QLj,�f t�-G►VS� �
rlar�cE o�cqnee���cF�eNr �
s��u o!_��. _ Cawny w +t�Gc� r
, i
TM MGERSt6NED horqDy gNai nalka fh�t impTovemdht wifl Oi m��o mrlxin feal pYCp6Ry.Ond in accofdancq vAI�Ch�WN�+rr 7f 3,�Itu(da StatW06, ' '
ihe�gawnp intortnatian Is ptaddcO tn this MaAce ot Ca�rmsncanra�;
t G►ccrtphan al'propbrry: Patcet idadficaGon sVO,12�i-.�'.�v-�1-��c�"0 - aa�,�,� -- Gfs'�"6
SNbelA4d►A6B'`4f��"�� fvISY�,�.r f)v'f � r�jl�ll�.l.'.qLLd.,L�, �=1 z'3r.�"�'____�_
3. GBndtb�0�6Mt,Sdrs alHnW'aYtmetrt_.��Y(=PST ` �
3. ownt�Yntam�tion ar Cvaeo�irr tntarmnNan/if sha�zaees e�++it¢dE0 tqrih9�tnt+d:_
�.417G1r'"�' .,][��dtA"E.Y' .
ts 9`�Y��`r�C/tt..�.G ,�r^. '��,�v 1�.�'/s .�
Ado��ss Ctty stete��t,+'j''*J��•
Interezt la Property:
Name 4!Fat S�mpta YUetwka:
{tt d3 ;lra�t thvrttr Mstetl aceva)
� AEBraas . 0�Y.WtAA �i.dO��t,�„�,�,4 �ty StOt4 .
C4�4'tl410�4� �
.3_�,��""-�2 S.� Pt�a��r f t$'lr' �.r ��, �fa�s�`a ,.� ��� � �
�aQm�a 9 �M su�e�����i► '��'`� t�
ConMSGto�i Trdt{Nfot�e No.[ �7 C"s g�"+��P�0'� ,1.' � `,�.`
S. Suret :- ,��f(�}�tOt2�`'"a Q
I YName ;i ��0�� �� �
acanas ' Gty . sta:a , ����� � �
Nnaunt N�orui;S 1 ' ' Twpnrne Nn.: ��:.
s. 6erMar. � �j,���� �
Neme �� �� +�
acrarasa Ctty Stata ��"'�� �
1.l�oPq TakPhMe NO,: ��(� �.
7 Pers�a wittHe tde 6tate at Flarida 4�stag�tad tri Usa owei+�e u�m whom nat�Lw ar oa+ar d�ct�rma�ta+�Y��tnaa as txnv�4ee DY ��w�� �r
Sect;on li3.t3(r1(a)(7},ftarida 6t�Wtes: �
����� �
Name ����i.� �� �
W [f Cf�r
.aed�wc�► C�isv _ serte �(]� � �
TeMD�+a+a tvomtirr o/poai0v+alee Persan: � ; F�i� t/j
d. tn aetlft�an ta hunaa�i,tt+e ovmer aea:anstn : �,.�.�.. �,��� �
y lo reuwb t copy o!the Lienolt Npuca as nrouided's�SEW�71 y.1a(t)(b).�orar suweea. �,,. �++�
fdedMlnB NumCe►of Puson or E�+tlry Desipnsl90 DY Owner. ��F*- �+� R �
9. Ex0aA66n aatr a!Piodee al�omsnmcamefrt tme esgiration date tU9Y�ot Os tratCte ihe canptetku ei coYroNHWan u�d finet piymens tC iht
' centraqa.but wui b�one yeaC bOm vK aata oi rocbrOirg wdirrc:a diKarerA dM�la cpetldedA ��' � „�
wxRNING T4 O'w�ER: ANY FAYMEH'PS MAt�Cv Tt�Gwna�Ft AF7ER Tttr�xPlILtTlON#TME r�4i4�Lt��NCEM�NT' +
ARE GpNSioER66 itiiPiROPER{+AYi�fENrS t}»D�tt QFt+tPTER1t8 pARTi SEGi10tiTt3.13. FCORs�SSTATUIES AitO C,fN •
RESU4T Hf YQUFt PAYIMG TiMCE�Ctk 1MWiOVE N Yd YCUR PRC�� A NOTtCE OF CONMEKG�MEM�'MUSY sE • *� �
V�WTN Vp�JR LEMD6R�ORpAN nrr�GRNBY BE ORE CO�Na1NG Wt5R1(OFt�RE40Ra�MG Y�O�OYIGETO�'CUMMENG�M��T � �'+, : , ��
N
tlndar p¢natty at�Odu+y+.�d�6are s4aS i hsw ma0 pta f�miairs0�otFcb 4t t�mmm+cdrnent 6h4 t�stia tac4a atfsg0 thesa�aPo erye to 4t+a bAnt + ' r � �,�'!� � +�...�
N my kna�naaae a�+d aexet. � L ' : '}
, f�
57��OF F�ORt!?a ��l )'1/ �' .» q� � ��
C[�NTV QF PASCO w K Z�-�`'K 4
f�a pna6X4 dt O+/nar otLeaEat�t+t tAvns�G af 4,04sta's Aufib�iild r � ��
dfRCer1D�rccta1�a+M�M�Pi+ogar s t �� �tj
��. �;;•�.2
6f,� �AatsN�'1744t4KGe t ' . »�
' Yt�foreoc�n9 instnment,Sux edutawt+sd984 tx�oie me t+na 6 day of�`�4tw .20 L e+y �o bLY'�"" ��e�d�I�y . '� * j,� '�'
ac�ip�,ht.v ftyne of amhwin.e.y�..arAcer.�nutee�adaner m fad)�a�
{eunC Of 9�b�lsr�ct+sAl/��I wat 4Xtatted}
P�rrnmily Knovm(�fl F'�ml�cea kfenl�TkaUat(� Natory�Ignatura� � j���r �^
� 7y�pt tGenfihcalK�Pmduced ttame fp�q �.T� � F7J�S.`.��� -w
pe:i•rr�s� �.o; i�.e�
� �.ea zT: �.� s� � �
( i�rzmzs a. �.. �t,r az.,� ..,�....,.,,,�..,,,
i • :' sc9n c� '
, �r� + +�.+r►W�m•�aua�a,
wpi�atelbcst»ottceo0��n9ncmnenLQt7Ci930�8 _ ' �C�`�Qdib,20fi�
�f'Afb����
S.0't�I1..RFf.0.AA5C0 C4EAM{COMIPTk06lER „ �I�i.
� l08�202 i+��i e� f f 2
, qR BK ��.7� �' ����