HomeMy WebLinkAbout16-17178' CITY OF ZEPHYRHILLS
5335-8TH STREET
` ` (813)780-0020 17178
Bl1ILDING PERMIT
• PERMIT INFORMATION � � � ' - - �: LOCATION INFORMATION � � �
Permit Number: 17178 Address: 6908 STEPHENS PATH
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: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0160-00000-0420
Improv. Cost: 8,200.00 - - OWNER INFORMATION
Date Issued: 3/17/2016 Name: CONL.EE BERNARD & MCVEY SARAH
Total Fees: 80.00 Address: 6908 STEPHENS PATH
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-0656
Date Paid: 3/17/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S . APPLICATION�FEES Y �` "
GAVIN ROOFING REROOF RESIDENTIAL 80.00
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� � �
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� � Ins �ections Re uiced � . ' •
DR N ROOF INSP
TAPE JOINTS R06F IIW�P S��
FINAL j
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 pertormed in accordance with
Ci 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 �
a�s-780-Op20 City of Zephyrhills Permit Application Fax 813-780-Oq21
BuEiding Department -
�' �M
Date Recslved Phone Contact for PermitEing —
Owner's Name — ,+�� C..Q��C"�. Qwner Phone Num6er
Owner's Address /D d S�� l7��--5 7 Owner•Phone Number � �
Fee Simple Titleholder Name � � Owner Phone Number �� �
�
Fee Simple Tltleholder Addre�s '
JOB AbDRESS �B �TGG`�/�"L/�� ��"�J� LOT# �� ,
, �i<
SUBDiViSiON �1��c� t��<<.0 � PARCEL ID# �9��� � 1^�j��-��d�� "� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PR4POSED � NEw CONSTR ADQlAl.T Q SIGN [� Q DEMOt,ISH -
INSTALL REPAIR
PROP08ED iJSE Q SFR Q COMM �� OT#iER �' 8 � /
TYPE QF CONSTRUCTION [� BLOCK ' Q FRAME [� STEEI. Q
_ �
DESCRIPTIdN OF WORK DO� jR/{t"7'� I� J'� � �' �iJ,jlJ/lf��"L �0`t/Af�-G�
BUiLDING S12E � � SQ FOOTAGE C� HEIGHT C„_ .�
����L����'" � q '� VALUATION`C'1F TOTAL CONSTRLICTIOIV
G► �-����
QEl.ECTE2ICA� $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMSING $ .�� �V
C,_... � �
QMECNANICAL $ �VAL{fATtON OF MECHANICAt INSTALlAT10N ��
QGAS � FtQOF!!VG Q SPECIAl.'fY Q OTHER
FINI$HED FLQOR EL.EVATIONS �`--_� FLOOD ZONE AREA QYES. NO
BUt�DER COMPAIIdYY
SIGNATURE REGISTERED Y/ IV FEE CURRE� .Y/N
Addres$ License# � �
E�EGTRtC1At�! COMPAFtY
SIGNATURE �"' REGISTERED Y J N FEE CURRE� Y/N
Address � License# �� �
PLUNIBER GOMPANY
SIGNATURE REGI9TERED Y/ N FEE CURRE� Y/N
Address License# � �
MECNAN[GAL. COMPANY
SIGNATURE REGISTERED Y;/ N FEE CURRE� Y/N
Address � License# �� �
OTHEft � ��r COMAANY - , L tTyt� �+�tl�ylr'f� .. -
SIGNATURE� REGISTERED Y/ N.; FEE CURRE� , Y L N. .
Address 9�30 ��63' Df}'p�--a. L'J� �"�c— Cicense# /�-L-f7a��,,�-�f �
RESIDEN'FIA� A##ach{2):p1ot F.lans;.(2}seEs ofBu�lding`Ptans;{1)'set of Eriergy Foims;R-0=W Pemi,it far"naw construction,
Minlmum:ten,(10).woric,ing;daysafter,subrinittal`date. ,Requlred onsite,-ConstnicHon�Plans;°Stormwater Plans w!Silt Fence installed,
SanitaryFaciliUes&;.1�,dumpste,r.-Site�Work:,Permitfor;subdiyisionstlarge�proJeots: � c`` ` -_
C�fi�t�tERGIX41. Attach{3)"complete sets of Baildlrig Plans plus a�ife Sa#ety Fage;{1}set a#Energy Forms.R-O-W PeRnit tor new canstructian.
Minimum ten(10)working days after submlttal date. Required onsite,Canstructlon Plans,Stormwater Plans w!Siit Fence installed,
Sanitary Facilitles 8�1 dumpster.Site Wark Permtt for all�ew proJecks:All commercial.requirements must meet compilance
St6N PERM!'f Attacti'{2)sefs af'Eiiglneer,ed Plans.;��-,�.:_ ° •
""'PROPERTY SURVEY reguired,for.ail NEW.constniction. , ,
Dlrectlons: �
FIII out applicaUon completely.
Owner&Contractor stgn back af appltcadan,notartzet!
tf aver 52500,a Motice of Commencement ts requireci. (NC upgrades over 57500j
- �,. -
" Agent(for the�cont'ractor)�or P'ower of Attomey�(furthe owner)would be someone writh notarized letter ftom owner authorizing same
DVER TME GOUHTER PERMIT-TtNG , (Front of-Application On{Y)
Reroofs(f shingles Sewers � , Service Upgrades�A%G - Pences(PIoUSurvey/Foatage)
Driveways-Not over Counter if on public roadways.:needs ROW
' ; �
NOTICE OF DEED RESTRICTIONS: The undersigned.under.stands.that this.:p�rmit ymay.be.subJect to"deed"restrictions" „
which may be.°more:�rest�ictive:tfi�n County:�regulatlons:=The undersigned�assumes responsibili#y for�compliance witFi�any
appllcatile deed restrictions. • - . -
UNLICENSED CONTRACTORS -AND -CONTRACTOR R@SPONSIBILITIES: --If tlie owner-has fiirei! a contractvr or
contractors to undertake work, they may.be;requ,'Ired::to;be,Ilcensed In.accordarce.wtth-state.and�local,regulations.,�.�If the- -
contractor�.ts_not_I(censed�as�.requlced"tiy law, both the owner and�contracto�Amay be�cited-for-a�-misdemeano� violatton
under state law. If the owner or intended�contractor-are,,,uncertaln as to what Iicensing.require�nents,';;may-apply�for tFie
intended work; they are advised to contact the Pasco County Building_Inspectlon DIvlslon-Licensing�Section at 727-847-
8009. Furthermore, If the owner has hlred a contractor'�o� coniract�rs. 'he ts advl§ed to have the contractor(s) sign
portions of the "contractor Block" of this appl(cation for,wliich they will..b.e.responsible....lf..you,-as..#he ovimer'sign as�the ' �
contractor, that�may 6e�an indication thet•fie is not.properly licensed and'is not entitled to permftting privileges tn Pasco �
County. ' � � ' '
TRANSPORTATION�IMPACT/UTILITIES�IMPAC'�ANb�RESOURCE RECOVERY�FEES:�The undersigned understands
that Transportatfon Impact Fees.and.Recourse Recove.ry.Fees may:;apply�.#o°the construction of new buildings,;change•of �
use in existing build(ngs,-or:expansion:of�existing��buildings, as spectfled.in P�sco County Ordinance number 89-07 and -
90-07, as amended..,,The undersigned also understands, that such fees„asrtnay�be:due;�.wlll�:be identified at the�ttime of�� ���
permitting. It is fu�tFier understood that Transportatfon Impact Fees and�Resource Recodery��Fees mu'st be paid prior to
receiving a "cerfificate-of-occupancy"�or#inal.power.release. .If�the project..does:not Involve:a:.certificate of occupancy or - ' ` �
final power release;,the.fees mu�t.�be paid peior to permit issuance. Furthermore;�if:Pasco,County Water/Sewer=lmpact .
fees are due, they.must.be�paid:prior to permit:lssuance-In accordance wltfi appllcable.Pascv,County ordinances,-
CONSTRUCTION`LIEN LAW(Cliapter 713� Florlda Statutes,�s amended): If valuatlon of work is$2,500.00.or more, I- .
certify that I, the-,applicant,__have-been provided with a copy- of the "Florida-Constructlon� Llen'�Law_—Homeowne�'s
Protectfon Guide" prepared by_tfie FloFida Department of Agric.ulture and Consumer Affairs. If the appllcant Is someone
other than the"owne�", I certify that„I have.obta(ned�a copy of the:above..described�document°and:promise in,good faith.to _ �
deliver it to the°ownec":pNoc�to>cvmmencement: � � � ' � � �
CONTRACTOR'S/OWNER'3 AFFIDAVIT: I ceniPy�:that all the�Information,in this appl(cation.is accurate and that all work
' will�be done in compliance with all appiicable laws regulating constructlon, zoning and�land�development. Application is
hereby made to obtatn .a .permit to do work,and installation as ind(cated:�:; I certify that no work�or tnstallation has ,
commenced prior to Issuance of a permlt and that.all work will be pertormed to meet standards of all laws �egulaking�
construction, County and City codes, zoning regulations, and land development regulations-In the�jurisdtctfon. ( :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 identify.what.actions I must take:to be,in:.compliance:, Such agenbies include but-are.not Ilmited to: ,
- Depa�tment of E�vironmental�-Protection-Cypress�Bayhead�; Wetland Areas and Environmentally Sensitive
Lands,Water]Wastewater Treatment. '
x.
- Southwest Florida Wate� Management District-Wells, Cypress. Bay.heads�, Wetland Areas, Altering -
Watercvurses. . �
- Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays.
- Department of Health� & ReMabilitative Services/Environmenfal Health Unit Wells� Wastewater�Treatment,
Septic Tanks. � � .
- US Environmental Protec4lon Agency-Asbestos abatement. _ . .
- Federal Aviatton Authorlty-Runways: __ --
I understand that the following:rest�lctions apply to the use of flll:� -
- Use of fill is not allowed�in Flood Zone°V"unless,expressly permitted.
- If the flIF inateria) is to be used. in �Flood Zone. "A", it Is understood that-a drainage plan addressing a
"compensating volume" wiil be subm(tted at#ime of permitt(ng,which is prepared by a professional�engineer
Iicensed by the;:State-of Florlda:
- If the fill materlai_is:to be used in Flood Zone,°A° in�connection with:a�permitted building using stem wall
construction, i certify that fill:wJll::b.e used only.to.fill the area within the stem.wall.
- If�fill matenial "Is to be used in any area, I certify that .use. of, such fill will not adversely affect adjacent
properties. If use of flll is found to adversely.affect adJacerit�properties, the owner may be cited for viofating
the conditions of th�e buildtng:.permit issued under the attached permit applicatfon, for lots less than=one (1)
acre which are elevated by�flll, an engineered drainage plan Is requtred. , .
If I am the AGENT FOR THE OWNER, I;:promtse In good faith to inform the•ownerof�the permitting conditions set forth in
this affidavtt'prior to commencing constructiori. a understand thata=separate permtt may be requtred for elect�ical�work,
plumbing, signs, wells, pools, air conditioning,.gas, or othec insfallations not,spectftcally included in.the application. .A
permit issued shall be construed#o be�a Iicense�to.p�oceed with the work and not as�authority to.violate,cancel, alter, or
set aslde any provisions of the technical.codes; nor shall issuance�of a.permit.prevent th�Bulldirig Offictal from thereafter
requirin.g a correction nf errors in plans, coristniction or vlolatfons of any�codes. Every permit Issued shall become invalid
unless the work authorized.by such permlt:is-commenced�withfn sGc months of permit issuance, or if work authorized by
the permtt is suspended or.abandoned for a.:period of�§ix�(8)monffis.after the time the�work ts commenced. An extension
may be requested, in writing, ftom the Bullding.Officfal for a perfod-:not to exceed nlnety�(90) days and wilf demonstrate
justifiable cause for:the extension�. If work c�ases:for nlnety(90)consecutive day.s...th�job is conside�ed aba�doned.
WARNING TO OWIdER: YOUR FAILURE.TO..REC.ORD.A.NOTIGE:O�-COMMEMEEMENT:IIIFAY�RESULT IN YOUR
PAYING TWICE.FOR iMPROVEMEN.TS T0 YO.Utt PROPERTY: ;IF�.YO.0�INTE�D�'TQ OBTAIN�FIPFANCING,�CONSULT
- t�leTH VS�UR-��[+1D�[t.Alt-�1�ATT�1tf��1•l_��FfJR��RE�ORDING°�YAUR'�N�TIC�`OF���AIIAMENC�E1�lENT� -- -,
FLORIDA JURA�(F.S.1.17.03) . - — —_-- ---
OWNER OR AOENT . ~���"��^`/ CONTRACTOR �i��L �
Subscribed and swam to(or a(flrtned)before me lhis Subscrlbed'and'swom to(or aff(rtnedpbefore me tht�
by - ..
Who Is/are personally known to.me_or hasR�ave praduced Who:is/ p.ers naliy kndWn to "e or haslhave�produced ••
as IdenUflcatlon. - as IdenBflcaUon.
Notary Public . �f�- � Notary Public
�,• �:i•"e"' JACQU NE BOGES
Commisslon No. Commission� yr'G•.
_�r :.. o i
a:;.�;r= :;�: Expi�es December 12,2018
Name ot Notary typed,printed or stamped Name of Notary type ,p or `°r �"""` `
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* i 2016�40366 i
Permit No. Parcei 14 No�2�-2l-t9/60-r�c�p�f7-�y,��
n /'�,Q._ NOTlCE OF COMMENCEM N7
, Staie of ��^0��-t j(,/Y( Gounry of_ �J4�
, THE UNDERSIGNED hereby gives not(ce that improvement wili 6e made to cerlain real property,and in accordance with Chapter 713.Florida Statu{es,
� the SOtSowing infortnation 35 provided In this Notice of Commentement: r !! �/�m
I i DescdAtian ot Property: Parcef IdentifcaGon No. R�-�-���-e tR�"�DN��-"�7�Lt/
� Street Address: �
2. General Desuiptron otlmprovement_j_„t� jS�d���� �t�tW
i
3. Owner Intarmalion or l.essee informalion i(�fie Lessee contraUed tar the improveme�L•
; ��2D C�1�t1l.L'-�. .
, d'9a8 .��!'N uS ���N ' � Z.�o�I.Y/1,�/�.GS .��-.
Address G��Y � �a�s�l�
� tnterest in PropOAy� ._ �
Name o!Fee Simple Titleholder•
� (I!diHerent from Owner listed above)
i
�� Address �Jr� /\����h,t� Ciry � � 5tate
Conlraclor q
Name pa BaX. l363 �E"� t,l'� �1•.
� ! Address ,5 F n� Clty Statg3s�
Conlractors Telephone No. 3 Sd'J 6 /SQ�y � ``�'1� +�'L
� f, . ��'�"� '�t
5. Surety: �, � �� �i
Name ��iA . ^r
..�,.
a � Address �.._._ Ci:y State � � „ �
Amount af 8ond: 3 P - 4
Te�e hone No.
6. Lender � � �'� '��� �
Name ,�.-._.. � `� � s�
i Address �_ City State �""� � �� � Sy�
�� �
Lender's Teiephone No. � w ��
7 Persons witMn the Slate of Flodda designated try the owner uDtirt whom�notices ar other dowmenls may be served as provided by �� �
Section 713.13(7)(aj(7),Florida Statutes: � m '��`
Name �� � • � !"�L #
� ' ' ,
Aadress Gly Slale
.-�..,
Telephone Nom6er of designated Pr.tson:
3. In addiNon lo himself,the owner designales � "'!' ot,_,_
�"..� to receive a copy o(the Lienor's Notice as previded Vn Sectlon 7f3.73(1}(b),Florida Staiutea �
Telephone Numbei of Person or Entiry Designa(ed by Owner ,,��U � �
�. Exptratfon date ot Nottce of Gommenceme�t(the e�¢pEration date may not be hefore the compietlon f constructton and final payment lo Ihe � W LL- (fJ �
�� J >-
, contractor,but wiki be one year from the date of recording uniess a differeM dafe is saeufied): 7�- (� � �C1 h
; WARNING Tp OWNER: ANY PAYMEN7S MAdE'BY THE QWNER AFTER 7HE EXPIF2A7i0N�THE NOTICE OF COMMENCEMEN7 � � U (!J _,.1� � �
ARE CONSIDERED IMPRQPER PAYMENTS UNOER GHAPTER 713, AnRT t, SECTtOiJ 7t3.t3, FCORlOA STATU7ES, AN6 CAN Q �O � d � � �
� RESULT IN YOUR PAYtNG TWICE FOR �MPRQVEMENTS TO YOUR.PROPER7Y. A NOTICE OF CQMMENCEMHNT MUST 8E a-C9 Q F...UJ � Q
; RECOftDEO AND PpSTED ON TNE JOB S17E BEFORE 7HE F(RS7 iNSPECTtON. If YOU iNTENO TO OBTAIN FINANCING,CONSUL7 � W � CJ7
WITH YOUR IENOER OR AN ATfORNEY 06FdRE COMMENCING WORK OR RECORDtNG 1'f)UR N051GE OF CqWSMENCEMENT Q' � �, �
of inerk ena y�p(� f declare that!have read the foregaing notiCe ot cammencement and that ihe faUs sfated therein are trve to tfie best O ������
Y\�����..��d 1�lj ��/ � � w � a l!� �3
'TATE�OF FI.��ID� �OMAMS O�fP! :.�.�,•t.�� �� }. CJ t,� Y
�OUNTY OF�tA�QL�y�g�,S�Qy"'G'ii �LtS O
�"t �,b,c^.�T,. Si t o( r or essee,or C�wnels or�esse'e's AulhodzeE ' �Q �� � W�
� _�_ ����, tly'�y ONicertDfrectorlPaAq tFt.anager �� � �Q� �
yG�'�"�y���g i�� Signatory'sTitteJ ice Q }���� �
r��ip���t��rrl����� �� il.'jy,1:� ,"�.� C7--J .
♦ �.w• A t� Rp � F-• 2 a-.<C. >- (jJ'
he foregofng ins{4{�ljf�.��!C�dged before me this�day of���.20(,{�,by� ^�S �_[Y� � Q� w \
r irJlrrtitutiti�t� r ! � �s.i C� C]y: `
! as {typ¢of authodty,e.g.,oKcer,lrustee,ariome in fact (or
{name C part on b��e�alf 1 who Stnr�enl was executedl. �"7 � � b
� � essonally K�own 8 OR ProduceC lde�2ffication� Natary Signature '{�'�""��._. 0,� � O� � ��
� � Q J ��� `�
, �{pe oi tdentiTicatton Produced Name(Print} W — Z
✓ /_,�°r�c��—�..�+��'"'+� � ��� � Q, m
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RapL:1755608 Rec: 10.00
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@3I16/2016 J. R., Rpty Clerk
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