HomeMy WebLinkAbout16-17137 + _ ; CITY OF ZEPHYRHILLS
5335-8TH STREET
(8�3)780-0020 17137
BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17137 Address: 6911 OAKCREST WAY
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: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0120
Improv. Cost: 8,384.00 OWNER INFORMATION
Date Issued: 3/08/2016 Name: DAUME, STOY&YVONNE
Total Fees: 80.00 Address: 6911 OAKCREST WAY
Amount Paid: 80.00 ZEPHYRHILLS FL 33542
Date Paid: 3/08/2016 Phone: (813)779-8942
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
' WIDNER ROOFING INC REROOF RESIDENTIAL 80.00
� ^ �
Ins ections Re uired
DRY IN ROOF INSP �
TAPE JOINTS ROOF SP.
FINAL �
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I
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. �
a��l.J�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�saao-ooao City af Zephyrhills Permit Application Fax-818-780.0021
� �' Bu3lding Qegartment
Date Recetved Phone•Contac#for Permitting -
Owner's Mame ����Q � ��'Q Owner Pbane Number
Owner's Address � ` �( lti✓ � � Owner•Phone Number � �
Fee Slmple Tltleholder Name Owner Phone Number � �
Fee Simple Titleholder Address '
JOB ADDRESS j0 �( � kJ � LOT# ��
SUBDiWSiON �- � PARCEL iB# '���.�,.te-.�) - C�a3�-- o o a�d-- o Z O
(OBTAINED FROM PROPERTYTAIX NOTICE)
WOEtK PROPC}SED � NEW CONSTR ADD/A1.T �� S1GN Q Q DEMO(.iSH
INSTAI:L REPAIR
RRQPpSED,USE Q SFR [� COMM Q 4THEE2
TYPE QF CONSTRUCTION • Q BLOCK ' Q FRAME [� STEEL Q
DESCRIPTION OF WORK OYL_ c� f- �'"�'"�-�._
�UILDtNG SIZE � � SQ FOOTAGE +�� � HEIGHT C��
����`���G � "���; (�U' VALUATIOIV`Z)F TOTAI CONSTRGC`fION
.J
QEI.ECTRlCAi. � � AMP SERVICE Q PRqGRESS ENEFtGY Q W.R.E.C.
QPLUMBING [$� � . �����
� �
�MECNANICRL $ VALUAS[ON OF MECHMltCA�INSTALG4TION
QGAS � ROQFING Q SPECIA�TY Q OTHER
FINISHED FLOOR ELEVATIQNS ��d� FLOOD ZONE AREA QYES. NO
` BUli.DER COMPAI�tY
SIGNATURE REGISTERED Y/ N FEE CUItRE� -Y/N '
( Address License# �� �
� ECECTRICIAN � COMPANY
i
SIGNATURE ,, � REGISTERED Y/ N FEE CURRE� Y/N
Address ` � License# � ��
PIUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# �_ �
( MECNAPi1GAt. CpMpq�y
�, SIGNATURE REGI$TERED Y./ N FEE CURRE� Y/N' �
Address License# � ��
. .,
I� QTHER �..@�� lp��l,ti%t�' COMPANY � N�� '3 . .t•.V
� SIGNATURE REGISTERED Y/ N FEE cuRFtEn Y/N
Address �t j Z. �t,•r.,�� , L-lt}� License# ��'-�-'- �S 7���.,.._�
RESID�NTIAL Attach{2)ptat Plans;.{2)sets_of BuElding Plans;"{1)set af Energy=Fa�ns;�F2-O-1N Perinit far new constructian,
Mintmum;ten,.(•1,0)working,days:after submittal date. Requlred onsite,Construction Plans;Stormwater'Plens w/3tlt Fence installed,
Sanifary Facilides:&;,1,dumpster,51te.Work Rermit for'subdiyisionsAarge proJects _ ,
COM{If1ERC1AL Attach(3)cainplete sefs of Builillrig P1ans ptus a l.ife Safety Page;{1}set o�Energy Forms.R-t?-W Pernnit far new construction.
- - Mlnimum ten(10)worktng days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/$flt Fence instailed,
Sanitary FacilfUes 8�1,•dumpster.81te._Work Permit for all neinr'proJects,All commercia!requirements must mee!compliance
SiGN PERMIT Attact�"(2}`sefsof Engi�eered Rlans;. ;� -'
"""PROPERTY SURVEY requlred for.all NEW constructlon.
Dlrectlons:
Fill out applicatlan completely.
Owner 8 Contracka�sign back.of appllcatlon,notarized
If cver�25d0,a Notice pf Camrnenaesr�ent i�requi�ad. {A/C upgrades avet�7540)
`" Agent(for the cantraotor)or Power�of,Attomey(for�tFie ovuner)wauld be someone with notarized letter from owner.autharizing same,.
DVER TFFE COUNTER PERMI'FTiNG'• " {Front of.Appltca#bn Oniy). .. � '. , .f
Reroofs if shingles Sewers "Service Upgr'ades,tA/C., :Fences(PIoUSurvey/Footage) ,. ,
_ , - . ,t
Driveways-Not over Caunter if an public roadways::needs-RflW ` . ., .- ., .,, ,
y , \
NOTICE OF.DEED RESTRICTION5: The undersigned under�tands��,th�t.this.;perm(t:may be_subject.to°deed"restrictions"
which may:be:�more'=r.est�ictive�th�rr County regulatfons:�The'undersigned'-assarries'�responsiblitty for�compllance'witli'any
applicable deed-restrictions. ' • �� � • ' ' , �
UNLICENSED CONTRACT.ORS -AND .CONTRACTOR RESPONSI�ILITIES: -1f�the owner-has �h(red a.contractor or
contractors to undertake work, they may.be;c�qu,'(red�.to:.be<Iicensed In accocdance.wlfh-.state:and-�local regulations: :If the
cont�actor 1s not llcensed as�requlred:°by law; both�the owner and-contracfo��inay be-cited�for�a-misdemeanor vtolatton
under state la�r. If the owner or intended�contractor.,.are uncertain as to what Iicensing.requirements_�may-.apply'for�the
intended work, they are advised to contact the�Pasco County Buliding Inspection Dlvislon-=Licensing Sectton at 727-847-
8008. Furthermore, If the owner has`hl�ed� a contracfor or-contractors, he ts aclvised to have the contractor(s), sign
portions of the "contractor Block" of this applicatlon for which they wlll,be responsible. -If you�-as..fhe owner`�sign as tlie
cont�actor, tHat may be an iridicatfon that he•is not�.properly flcensed and�is not entitled to permitting privileges in Pasco
County. � - �' - � � �
TRANSPORTATION..IMPACTIUTILITIES=IMPAC�'�ANb�RESOURCE RECOVERY�FEES: The undersigned�understands
that Transportation Impact Fees and.Re.course Recove.ry.Fees may�applyto:the construction of new_buildtngs,;change of
use in existing buildings, or�expansion-•.of-ezistin��buildings,"�s specifled.in Pasco County Ordinance number 89-01 and
90-OT, as amended.,.The undetsigned also understands, that_such fees��,as�may�be�.due;:.will�<:be identifled at the�=tirrie�of • '
permitting. It is furtFier understood that Transportation Impact"Fees and Resource Recov.ery'Fees.must be paid prior to
receiving a "certl�cate-of.occupancy° orflnal-powec�release. :lf�the project;does:not fnvolve.a-.certificafe of occupancjr o� -
final power release;the fees must�be-paid prior to permR issuance. Furthermore;if Pasco;County 11Vater/Sewec•Impact =
fees are due, they.must.be:paid.prior to permit lssuance-in accordance with applicable Pascv County ordinances.
CONSTRUCTION LIEN'LAW(Ciiapter 713� Florlda 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� Llen_L`aw—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the applicant is someone
other than the"owner", I certffy that I have_.obtained'�a copy.of.the.above..described�ocument°and.p.r.omise ln,good faith.to
deliver it to..the`owne�'pdor:.to�commencement. ' � � ,
CONTRACTOR'S10WNER'S AFFIDAVIT: I certffy.that all the.information in this applicatlon is accurate and that all work
will�be done in compliance wfth all applicable laws regulating construction, zoning and•�land�development. Appltcation is
hereby made to obtain .a permit Co do work,and Installallon as tndicafed::; I certffy that no work ior installatton has
commenced prior to issuance of a perrriit�and that.all work will be pertormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulatians, and land development tegulations-in the�jur(sd(ction. ( .al'so
' certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to iden4ify�what.actions I must take to be,in.compllance: Such�agencles include but are.not Iimited to:
- Depa�tment of E�vironmental Protection-Cypress. Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands,WaterlWastewater Treatment. �
- Southwest Florida Water Management .District-Wells, Cypress.fi Bayheads�, Wetland Areas, Altering
Watercourses. �
- Army Corps of Engtneers-Seawalls, Docks, Navigatile Waterways. �
- Department of Health� & Rehabilitative Serv(ceslEnvironmental Nealth Unit-Welis, Wastewater�Treatment,
Septtc Tanks. _
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Avlatton Authority-Runways. �
I understand that the following:restrictlons apply to the use of flll:•
- Use of fill 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
"compensating volume" will be submitted at time of permitting whlch is prepared by a professfonal engineer
Iicensed by the State-of Florida: ,
- If the fill material_is to be used in Flood Zone °A° in�connect(on�wlth:a�permitted building using stem wall
� construction, i certify that fill�:wlll::b.e used.only.to.fill the area within the�stem�wali.
- If flll material is to be-used in �any area, 1 certify that .use of auch flll will not adversely affect adjacent
properties. If use of flll is found to adversely.,�ffect adJaeent�properties,.the owner may be clted for violating
the condltions of the building:permlt Issued under the.attached permit application, for lots less than.one (1)
� acre which are elevated by�flil,an engineered drainage plan is requtred.
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 affidavlt prior to commencing constructlon. I understand thet_a�separate permit may be required for electrical work,
plumbtng, signs, wells, pools; afr conditioning,.gas,or othec insfallations nol•specfficaily included�in the application. .A _
� permit Issued shall be_construed to be a Iicense to�proceed with tNe work and not as authortty to,violate, cancel, alter, or
set aslde any provisions of the.techn(cal codes; nor shall issuance�of a.permit.prevent the Bullding Official from thereafter
requiring a correction of errors In.plans, consfruction or vlolations of any codes. Every permlt issued shall become invalid
unless the work authorized.by_such permit�s.commenced�withfn sfx months of permlt issuance, or if virork authorized by
the permtt is suspended or.aba�doned for a:pertod�of six(8)montf�s:after the tirne the�work ts commenced. An eztension
may be requested, in wclting, from the Building,Offlcial for a period.not to exceed niroety�(90) days and will'demonstrate
)ustifiable cause for.�the exEension�. If work ceases:tor ninety(90)cons.ecutive:day.s;.th�job is consldered abandoned.
WARNING TO OWNER: YDUR.FAILURE TO.,RECO[tD.A.NOTIGE OF�COMMENCEMENT:MAY RESULT IN�YOUR
PAYING TWICE.FOR IMPROVEMEN.TS�TO YOUE��:P.,R�OPERTY:��IF�YO.U;IN'�EI�ID�'TO OBTAIN��FIPtANC1NG;'CONSULT
afVV1Yk�Y0UR-kENDl�R�Ol3-A�1 ATTOItNEX�B�FORE•RECOR��eNG�YOUR'�t�OTiCE=OF�'COMMENCENlENT
FLORIDAJURA'��(F.S.1.17. 3 ' ' -- `-- —
.
OWNER OR AOENT � CONTRACTOR � �_
Subscribed and swom ta(ar aNiRned)before me this Subscribed and swom to(or affirmedpbefore me this
•b
Who is/are e a . to.me or haslhave produced Who:ls/are p onal to me orhaslhave produced.
as IdenUflcatlon. � " as IdenBflcaUon.
(.�1�-. ' Notary Public Notary Public
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2016036112
PermitNo. ParcellO No oa-�6-a�- oa3 0 �QO�Op—O/2 C�
NOTICE OF COMMENCEMENT
State of_ ��tlfJ`fJ�.. County of_ �Q.Q�(�
THE UNDERSIGNED hereby gives nolice thal improvement wiit be made to certain real praperty,and in accordance with Chapter 713,Florida Statutes,
lhe following information is provided In Ihis Notlee of Commencement:
i Descriplion ofProperty: Parcel ldent�calion No. � — o� 1' a 3O� O OC7�O - p��O
StreelAddress: �Q�!_�n�C�.¢d�7 �AluwA 5.3�
2. General Oescription of Improvement J�2�t.9A�R �S t— �� eS Le 1.r.iXdJ
J
3. Own r Information or Lessee infortnatian if�he Lessee contracled for the improvemenl:
' D,A��✓�¢.. �
��(( ,(�me eie.�_� 1.�.�n 3_�`�Z
Address • CRy Slale Q ' W �
I Inlerest in Property �'t�tTl^Q� a p� (,!) "' U � W
Name of Fee Stmpte Titleholder� �N� � (' � � = J J U
Q(diKerent from Owner lisled above) �1
°°m�. �� Z U l A J S� � �
I Address Ciry Slale m B� a �Q 2 Q N � a
�Contrattor: � , {� . O1 lA (y„ I.L� � Z� a �
QQ�amg . , � d L..a) dJ � m N 0 �S — J �
ti a0 `
' Address F��T �/ �1 Q n c�ry State � F- p a Q
� Conlrectofs Telephone No.. D I f�71�� �!� / 33��~ 3�� z(J,J O O V V -
� � � } Ul�i � °�
5. Surety: ��r O � a�O �
Name
Address City Stale � �� v = O V Z W
Amount of Bond: $ Telephane No.: � a � ~U m Q � (�
'7 �L1� � z � J
6. Lender x O � � � = Q
' Name ~� a Q }LLJ
Address Cily State �j V � �� �? �
lende�'s Telephone No. LL Q 0 � � O
� � Z O� �
7 Persons wfthin the State of Florida designaled by lhe owner upon whom�notices or other doeumenls may be served as provided by W � a W W �
Sectlon 713.t3(1)(a)(7j,Florida Stalutes: —•r
Name � � Z�Z� Q �
mrro � a m
� Address ' City Stale
� Telephone Number ol Designated Pe[son:
;. In addition to himsell,the owner designales of_ � � �
, :� to receive a copy of the Lie�or's Notice as provided in Section 713.13(1)(b),Florida Statules. W c �o` ,� *
' Telephone Number of Person or Entity Designated by Owner: ��N � • ��.
��o � " Vj�
I. E x p i r a t l o n d a t e o f N o l i c e o f C o m m e n c e m e n l(t h e e x p i r a t i o n d a l e m a y n o t b e b e f a r e I h e c o m p l e l i o n o f c o n s i r u c l i o n a n d fi n a l p a y m e n t l o t h e 7�B z �� � �
� contraclor,but will 6e one year Gom Ihe date o1 recording unless a diflerent date is specified): �� "� ���'
r � 1 ��,
WARNING TO OWNER: ANY PAYMENTS MADE'BY THE ONMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT w�7 � . � � �,
ARE CONSIOERED IMPROPER PAYMENTS UNOER CHAPTER 713, PART 1, SECTION 713.1a, FLORIDA STATUTES, ANO CAN � „y � �
RESULT IN YOUR PAYING TVJICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE �
RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING,CONSULT ��D �, . o
WITH YOUR LENDER,OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT �3 a o • , � , Q
Under penalry of perjury,I declare lhat I have read the Toregoing notice Of commencement antl that the faUs stated lherein are tnie to lhe best y � � • �
ot my knowledge and belief. ��m n
�TATEOF FLORIDA �O��y, �it�� • • �
:OUNTY OF PASCO �O � �
�o��� Notary pudie Stato of florlCa S a re of Qwner or Lessee,or Owners or Lessee's Aulhorized �N o
Sherry Widner OKc�r/DirectorlPahner/Manager (� v�
�� My C6mmiseion FF 075185 � �
.:�� �are.izaenon
Signatory's Tltle/OKce y
he foregoing(nsWment was acknowledged before me this�day of�,20L,by�71f��e �LA H�
as ���1 (lyp /y�orify,e.q.,oKcer,trustee,a om in facQ(ar
(na rt fi behalf of whom insl nt as xe led).
ersonally Known{��R Produced Idenlification❑ Notary Signalure � I
�pe o!Idenlification Produeed Name(Print) � � E� �`''+
i
�d ata Ibcslr.oli cecomm en ce me nl_p c05304 B