HomeMy WebLinkAbout16-17181 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
� (813)780-0020 181
BUILDING PERMIT
� - PERMIT INFORMATION - ��� _ °L'O.CATION INFORMATION' . . "
Permit Number: 17181 Address: 7312 LANDOVER 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: ALPHA VILLAGE
Est.Value: Parcel Number: 35-25-21-005A-00000-1600
Improv. Cost: 5,800.00 OWNER INFORMATION .
Date Issued: 3/17/2016 Name: CUNNINGHAM MILBURN & DELORES
Total Fees: 65.00 Address: 7312 LANDOVER DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33540-1041
Date Paid: 3/17/2016 Phone: 716-372-5705
Work Desc: REROOF SHINGLE
CONTRACTOR S - - APPLICATION FEES- ' �
WIDNER ROOFING INC REROOF RESIDENTIAL 65.00
` ' �� � ' Ihs ections Re uired � - � -
DR RO I SP
TAPE JOINTS OF IN P (
FINAL � �C O
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 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.
�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Rcp1.:1756080 Ree: 10.00
DS: 0.00 IT: 0.00
C13/17/2016 K. R. M., Dpty Clerk
, PermilNo. Parcel ID No ��^ C�'.J d�f �a�SiA�-CJc�00d-.I(OU ��
�9
�� NOTICE OF COMMENCEMENT� �'_
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State of County of � ��N
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THE UNDERSIGNED hereby gives notice that improvement wilt be made to certain real property,and In accordance wlth ChaD�er 713,Florida Statutes, ��z
rm
the following i�fortnalion is provided in Ihis Nolice of Commencem nt: P •Ap��
5�- a S�`- a(-o .d - oc� � «.
t. Description of Property: Parcelldentification No. J O — � O wm s
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Streel Address: L wp o
2. General Descripfion of Improvement �� —"3 �
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3. Owner Inf atfon or Lessee infortnaGon i!tfie Lessee wntracled for�he improvemen(: . �p x
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Address City State �1" �
� Interest in Property� Q��l^��— �3v T� � �
Name ot Fee Stmple Tilleholder.
(Ildifterent trom Owner�isted above)
'� Address City ' Slate
4. Conlractor. `��� � �
a I
L.
Address ��� ���y ��3�� City St`�ate _��
Conlractors Telephone No. �}� �
5. Surery:
Name
Address Ciry State
Amount o(Bond: 3 Telephone No..
6. Lender
' Name
Address City Slate
' Lender's Telephonr.No.
7, Persons within fhe State of Fiorida deslgnated by Ihe owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida SlatUtes:
Name '
Address ' Cily State
Telephone Number of Designated Pe[son:
3. In addition to himself,Me owner designates • � p�
to receive a copy of lhe Lienors NoUcc as provided in Secilan 713.13(i)(b),Florida Stalutes.
Telephone Number ol Person or Entity Designated by Owner:
i. Exptrelion dale of Nolice of Commencemenl(the expiratian date may nol be before the completlon o(construclion and final payment to the
� contractor,bul wlll be one year Gom the dafe of recording unless a diHerent date is specified�:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
' ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.73, FLORIDA STATUTES, AND CAN
RESUIT IN YOUR PAYING TMCE FOR IMPROVFMENTS TO YOUR PROPERN, A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SI7E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOROING YOUR NOTICE OF COMMENCEMENT
Under penally of perjury,I declare lhal I have read the foregoing notice of commencement and Ihat the faUs stated lherein are true to the best
of my knowledge and beliel.
:TATE OF FLORIDA 6
;OUNTYOFPASCO ,esy� NoteryPYClkSfateMFbACa
�P- ignaWre of Own r rs or Lessee's Auihorized
Sherty Widn9r KcedDirecloNP nedM ge
'A � My Commlaelw�FF 07b166
�� Eaptro�17/OBR077
Signatary's Title/OKce /�
he foregoing insWmenl was acknowledged.before mg this�day,of ��-'`,20�q,by� ���Q '.`-�Y� N\M ,�
as �Wv'P!�' type of a lhorily,e.g.,oKcer,t lee,atlo ey in fact)for
me f pa , n.behal/of w m insl as ex cuted).
ersonally Known O�F Praduced Identificatlon❑ Nolary Sig e
/pe o!Identilicalion Produced Name(Print) ' �
�d alalbcslnulicecort�m e�cemeltl_pc053048
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STAT� aF �L�RIDA,COUNTY OF PASCO �oa�� ��
THISIS1'C�CERTIFYTHATTHE�FOREG'OINGIS.A �°�° • � '. A �'� ,
TRUE AN�CORRECT COPY OF THE DOCUMENT �,j�, ' � '
ON FILE QR�F PUBLIC RECORD iN THIS OFFICE .;� �i
WITNESS MY HAND A D OFFIGIAL SEAL THIS �4 -� ' . �
�DAY OF �Ii�L�.e�; 2 0 , �����. . iic �I
� �"8.,; •
PAUL�S.O' EIL,CLERK&COMPTROLLER � ,�
' '� DEPUTY CLERK � �, g887 •r�
BY i
'��A��.OR��' '
s»-�ao-oo2a City of Zephyrhills Permit Application Fax 813-780-0021
= Buiiding Depa�tment
+ • -
Dats Recelved Phane Con#act for Permlttin
Owner's Name �1! tZN L..,.uN�✓�/v Owner Phone Nurnber
Owner's Address !.3�Z. �t��.+Ot 8V�/�- � LJ7-- Ow�er Phone Number �
Fee Simple 7ltleholder.Name � � Owner Phone Number � �
� .
Fee Slmple Titleholder Address '�
JOB ADDRESS 7�1 Z �,Ac/�o( ie LOT# �__�
SUBDIViS10P1 � ��!7,Q V( j 1 A,g� � PARCEI.tD# �
,(OBTAINED'FROM PROPERTY TAX NOTICE)
WdRIC PROPOSED , e �NfW CONSTR 8 ADDJALT C� S1GN Q Q DEMOI.ISH
INSTALL REPAIR
PROP4SED USE Q 5FR � COMM [� OTHER
TYPE OF CONSTRUCTION � Q �BLOCK ' Q FFCAME [�. STEEL Q
DESCRIPTfON OF WORK � I
BUIIDtNG S1ZE � � SQ FOOTAG �S�HEiGHT C`_____�
���«'����' I'" � VALUATIOiV OF Tbl AL CONSTRl1GTION
L�.
QEI.EGTRICA� �� AMP SERVICE Q PROGFtE55 ENERGY Q W.R.E.C.
QPlUMBIN� L�.—�
�MECHANiCA� $�' � VALUATtO(tit OF MEGFiANICA�INSTALLATtON
� `
[�GAS �/ ROOfING. Q SPEGIA�TY C� OTHER
FINISHED FLOOR ELEVATIONS ��o� FLOOD ZONE AREA C]YES NO
BUI�DER C�MPANY
SIGNATURE REGI$7ERED Y/ N FEE CURRE� Y/N
Address License# �� �
E�EC7RtC1Atd� COMPANY
SIGNATURE �* REGISTERED Y/ N FEE CURRE� Y/N
Address License# �^ �
RLtlMBER � COMP.ANY
SIGNATURE REGI9TERED Y/ N FEE CURRE� Y/N
Address .License# � ��
MECHAJ�itCAl. COtltlAAt+IY
SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N'
Address� License# � �
OTHEt2 ���CiR�� r COMPAE+iiY ~ � •
SIGNATURE ��J ' REGIS7ERED Y/ N.. FEE CURRE� Y N:
Address (�- .a..•�� (�. � License# �-�---Q.�I�7��
RESlDENT1AL Atta'ch 2 Plot'Plans; 2 se#s of=8ulli1ln �Plans; 1 set af Etie
(_} � } 9 { ) rtJY"form§;R-O-W Permlt Eor'neuir construc#�an,
Minimum,ken(10)working;days after"subrriittal date.�Required onsite,ConsVuctian-Plans;Stormwater Plans w7 Siit Fence instailed,
Sanitary FaciliUes:&-1,;dumpste_r,Site�Work P.ermit for subdiVisionsllarge projects �� -`
C4MMERCIAL Aitact�{3}co's�gtete;se#s of Betildirig Pians plus a t�ife Safety Page;{1}set of Energy Forms.R Q-W Permit fo�new constructlon. _
" Minimum ten(10)working days after submittal date. Required onsite,ConstrucUan Plans,Stormwater Plans w/Silt Fence installed,
Santtary Facilities&1 dumpster.Site Work Permit for all new projects.All comme�cial requlrements must rs�ee!campltance
SIGN PERMIT AttacFi{2)sets af Engineered Ptans.;,.-£ .� �
•"""PROPERTY SURVEY reguireti for all NEW canshuctlan.
Dtractions; .
Fill out applicatlon completely.
Qwner&Contractor sign back of appticafion,notarized
tf aver�2500,a Notice cf Commencement is required. (A!C upgrades over ST500)
'" Agent(for the contracfor)ar Povuer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER TiiE COtlNTER PERMt1TiNG {Front of Application Only)
Reroofs(f shingles Sewers Service Upgrades A/C `Fences(PIoUSurvey/Footage)
Driveway�-Not aver Counter if on pubiic roadweys..needs RdW
NOTICE OF DEED RESTRICTIONS: The underslgned understands that this.��rmit.may be�subJect to"deed"restricttons"
which may be�more-test�ictive than County regulations. �The undersigned assumes responsibility for compiiance wlth any
applicable deed resMictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL-.ITIES: If the owner has �hired a contractor or
contractors to undertake work, they may be required..to be_Iicensed In accordance.with state.and•local regulatlons. If the
contractor ts not licensed as requlred'-by law, both the owner and contractor may�be�cited for a misdemeanor violatlon
under state law. If the owner or intended°contractor�are uncertaln as to what Ilcensing.requirements may apply�or the
intended work, they are advised to contact the Pasco County Building Inspection Divislon—Licensing Section at�27-847-
8009. Furthermore, (f the owner has hired a contractor or contractors, he (s advised to have the contractor(s) sign
portions of the "contractor Block" of this application for wh(ch they will be responsible. If you, as.the owner sign as the
cont�actor, that may be an indication that�he is not.properly flcensed and is not entitled to permitting privileges In Pasco
County. �
�'Re4MSP�RTATION IMPACT/UTILITiES IMPACT14Nb.13ESAURCE_RECOVERY_���5;_The un���!�ne�_�t�derst�nd4- -; - –
that Transportation Impact Fees and Recourse Recovery.Fees may apply to:the constructlon of new bulidings, change of
use in existing buildtngs, or:expansi�n:.of�existi�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�be�.due,:wlit tie identified at the time of
permitting. It is furlher understood that Transportation Impact Fees and=Resource Recovery Fees must be pald prlor to
receiving a "certiflcate of;occupancy" or flnal-powec-release. :If the project.does not involve a certificate of occupancy or
final power �elease; the#ees must be paid�prior to permit Issuance. Ft��thermoce;ff.Pasco County WatedSewer Impact
fees are due, they.must be-paid,prior to permit-Issuance-tn accordance with applicable Pasco�County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes�as amended): If valuadon-of work is$2,500.00 or more, I '
certify 4hat I, �he applicant, have.been provided with a copy of the "Florida Construction Llen Law—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agricuiture and ConsumerAffairs. If the applicant fs someone
other than the"owner", I certify that I have,obtained�a copy,of the above..described docurr�ent°and.promise in,good faith to
deliver it to the"owner"prion.to•commencement: '
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all.ffie Iriformation-In'thi� applicatlon is accurate and that all work
will�be done in compifance with all applicable laws regulating constructlon, zoning and�land development. Application is
hereby made to obtain .a permit to do work and installation as indicated.• °I certifjr that no work or installation has
commenced prior to issuance of'a per�it and that.all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulatiQns, and land development regulattons�in the jurlsdtction. I also
certify that I u�derstand that the regulations of other government agenc(es may•apply�to the intended work, and that it is
my responsibllity to identify.what.actions I must take.to be,ln:.corrlpliance: S.uch agencles inciude but are-.not Iimited to:
- Department of Environmental-Protection-Cypress Bayheads; Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District Wells, Cypress. Bayheads,- Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls� Docks, Navigable Waterways. ,
- Department of Health�$ ReMabilitative Serv(ces/Environmenfal Health Unit-Wells� Wasteu+rater�Treatment, ',
• Septic Tanks. � . I
- US Environmental Protection Agency-Asbestos abatement. ,
- Federal Aviation Authority-Runways. �
I understand that the follawing restrictions apply to the use of filL•� -
- Use of flll is not allowred in Flood�Zone"V"unless expressly permitted.
- If the fill materfal is to be used 1n �Flood Zone "A", It. is understood that a drainage plan addresstng a
°compensating volume" wili be submitted at time of permifting which Is prepared by a professional engineer
Iicensed by#he-State of Florlda: '
- If the fill material.is to be used In Flood�Zone °A° in�connection�with.a�permitted building using stem wall
� construction, I certify that fill�:wlll:b.e used only.to.flll the area within the�stem v�r�il.
- If flll materlal is to" be used in any area, I certify that .use. of such flll will not adversely affect adjacent
properties. If use of flll Is found to adverseEy:�ffect adJacent��properties,,the owner may be cited for viofating
the conditions of the"building:permit issued under the atEactied permit.applicatfon, for_lots less than:one (1)
acre which ere elevated�by flil, an englneered dralnage plan Is required. •
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 a�davit-prtor to commencing construction: I-understand thata°-separate permit may be requlred for electrical work,
plumbing, signs, wells, pools, alr conditioning, .gas, or.other installations not•spec�ically Included�in.the application. A
permit Issued�shall be construed to�be�a-license to p�oceed.with the work and not as:authority to.vlolate, cancel, alter, or
set asfde any provis(ons of tfie technical-cod�s;�nor sfiall issuance of,a:permlt.prevent the Bulldirig Official ftom thereafter
I requiring a correction af errors In�plans, construction or vlolat(ons of any codes: Every permit Issued shall become invalid
uniess the work authorized.by such'permlt:�s-commenced�wifhln $ix months of permit issuance, or if work authorized by
the pe�mit is,suspended or.abandoned for a:period ofsix{B)mont�is'after'the time the�wrork is commenced. An extension
may be requested, in wciting; from the'Building,Official for a period.not to exceed ninety(90) days and will demonstrate
justifiable cause for.�the extension�. If work ceas�s:for ninety(90)cons.ecutive:days,..th�job�is considered aba�doned.
WARNING-TO�OWNER: YOUR.FAILURE�:TO.:REC.�RD,A NOTIGE OF COMMENCEMENT.NFAY=RESULT IN YOUR
' PAYING TINICE FOR_IMPROVEMENTS-TO�,YOUR�,PROPERTY. IF YO.EI�II�FFEND':TO�OBTAIN�FIPFANCING;'CONSULT
WITH YOUR`LENDER'rOR AN ATTORNEY�BfFOR�.RECOR�DING;�I�OUR`NOTICE`OF'COMMENC�EMENT
FLORIDA JURAT(F.S.117 3)., - � � A 1 �
. �� w,��
OWNER OR AOENT - • '`CONTRACTOR
I Subscrlbad and swom (or aftir'med)before me this Su6scribed and'swam to(or a(flrmedpbefore me thi�
by •by - �
Who Is/are pe►sonally known to.me.orhas/haye prqduced Who Is/are p.ersonally known•M me.ar has/have:produced
�as IdenBflcatlon, as Identlflca0on.
_ _ Notery Public . Notary Public
Commisslon No. Commisslon No.
Name ot Notary typed,printed or stamped Name oi Notary typed,printed or stamped
:,
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