HomeMy WebLinkAbout15-16706 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET
' (813)780-0020 �67�
BUILDING PERMIT 1%
� PERMIT INFORMATION . � - � LOCATION INFORMATION ' - �
Permit Number: 16706 Address: 6707 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: 03-26-21-0150-00000-0090
Improv. Cost: 8,200.00 � -� OWNER INFORMATION .
Date Issued: 11/02/2015 Name: STEFANEK WILLIAM & JUDY
Total Fees: 80.00 Address: 2585 NORCREST CRT
Amount Paid: 80.00 BURNABY BC V3J 1 C7 CANADA �'
Date Paid: 11/02/2015 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S • � � - APPLICATION FEES F
GAVIN ROOF N RER F RES DENTIAL � 80.00
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"Ins ections Re uired � _
DR I ROO NSP
TAPE JOINTS ROOF INSP-
FINAL_ L��(�6--(�
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 properly. 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 INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8T�-T8aaa24 Ci#y of Zephyrhilis Permit Application F�X-��saaaoa2�
Building Department
1 �' .
Date Received Phane�Contact for Permittin
Owner's Name ��l��-1�c'�"' S��%„�i�a�`/t;��: Qwner Phone Number
Owner's Address Q� ���/�L�7'."G�'" � Qwner Phone Number � �
Fee Simpte Tittehotder Name � � � Owner Phone Number �� �
Fee Slmple Titlehoider Address
.�oe aau�ss �� �f�141 G,�-1ti�-- l� �or# Q
sueaivisioN ..'�lL-f/�aL ���.� � PAEtCEL IQ# m �r —�.sSG�� �f1 Q�4.� (t1p
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSEp NEW CONSTR ADD/ALT � SIGN' Q Q DEMOLISH
� e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q CQMM � OTHER
TYPE t3F GONSTRUGTiON � BLOCK A Q FRAME � STEEL Q
DESCRIPTION QF WORK !�-� ��"� 3� U�t;�7� �!t'�?/1�j1�,�tJ'�¢'G..- ,s�if+O�,G�=j
BUILDING SIZE ����� SQ FC?QTAGE�� HEIGFIT C��
QBU�LDING $ t����s � VALURTION OF TOTAL CQNSTRUGTION _
tt
QELECTRtCAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
OPLUMBiNG ($—�
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QMECHANIC,4� $ VA�UATION OF MECNANiCAL INSTALLATIQN
���:
QGAS �F ROOFitVG Q SPECIALTY � OTHER
FINISNED fLOOR ELEVATtONS �� FLOOD ZONE AREA QYES NO
BUILDER COMRANY
StGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address l:icense# �� , �
ELECTRICIAN � COMPANY
SlGNATURE REGISTERED Y J N FEE CURRE� Y/N
Address l.Icense# �—� �
PLUMBER COMP.ANY
SIC,NATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# � � ~�
MECHANIGAL COMFANY
SIGNA'fURE � t�E�ist'E�o Y/ N �E cu�tEn Y/N
Address License# C� �
OTHER �� COMNANY �//"�' I/� ��/��`�
SiGNA"fURE �� " REGISTER£D Y/ hl FEE CURRE� Y 1 N
Address (�� ��/��i�� - /2,. Ltcense# { U�-�a���-�� �
REStDENTiAL• Attach(2}.Rlat�Rlans;,(2)sets•of>Building`Plans;{1}sat of Energy�Form's;.R-0-W Permit far new construction,
Nlinimurt►•.ten:(10}_workingilays aftec_submtttai c]ate: Required onsite,Ganstruction Pians;Stormwater Plans wJ 311t Fence instalted,
Sanitary FacillUes&1;,dumpster;Site Work=P.ermit for subdidisionsAarge proJects �
COMMERGtAL Attach(3j complete sets of Building Plans ptus a Life Safeky Page;(1)set of Enengy Forr►�s.R-0-W Permit for new construction. �
Minfmum ten{1 Q)working days after submlttai date. Required ansite,Constructtan Pians,Storenwater Pians wl S11t Fence instatled,
Sanitary FaciliNes&1 dumpster.Site Work Permit for all new proJecks.All commercia!requi�ements must mea!compllance
SIGN PERMiT Attach'(2)sets pf`Erigineered Flans.�: �� � ,
"'"PROPERTY SUR1lEY requJred far ai(NEW canstructlon. _
Directians: .
Fii!out applicatlon campletely.
Owner 8 Contrac�c sign badc o€appficaNaR,notarized
If aver S2S00,a Notice of Commencement is�equired. (AlC upgrades over S7500)
" Agent(for ttie contractor)or Power'ofsAttbmey(fo'r`tFie owner)"would�be:someone w(th notarized letter from awner authorizing same
OVER THE COUNTER.P.ERMITTING .;:�,,.,(Front of Application Only):i ` �'
Reroofs if shingtes Sewers Service Upgrades AiC : �.,Fences'(PiotJSurveylFaotage}
,� , ,;,. � .. ,. -. ";` ` ' ;, '�t., j.
Drivewaya-Not over Counter if on public roadway�:�rieeds'ROW"°''�" `'
' �,
NOTICE OF DEED RESTRICTIONS: The undersigned-undergtands�:th�t.this,p�tTnif.may be.sub)ect,to,"deed"resttictions" ._.
which may:be..more�rest�ictive:than Gbunty��regulatfons:�TFie.uridersigned'assurries-'responsitiilitji�:for�compl'lance'witFi_any
applicable deed reshictions. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: -If�the�ownerhas�-fiiced��a contractor or
contractors to undertake work, they may:be;required:_to:be:llcensed In accordance.wtth:state.and•local_regulations. if�the• �
_ . _
contractor ts not Itcensed as�cequlred'tiy law, both the ovmer and�cont�actor'inay tie�cited for�a-misdemeanor violatton
under state Iaw. If the owner or fntended�.contractor,ere•uncertain as to what Ilcensing;requirements.-;may apply':fo�'�the �
intended work, they are advised to�contaot tFie Pasco County Buildtng"Inspecfion.Dlvlsion-Licensing Section at 727-847-
8009. Fu�thermore, ff�the owner has'hl�ed�a contracfo�or'contractors, he is advtsed to have the contractor(s) sign
portlons of the "contractor Block" of.this application for which they wilt be.resp.onsible. _ if.,you,..as.the owrier`'stgn�a��the
contractor, that may be an indication that he-Is not�.properly•Ilcensed and�is"not entitled"to permitting p�ivileges.In Pasco
County. , _ . �
TRANSPORTATION IMPACTIUT141TIES rMPAC�'�ANb-RESOURCE RECOVERY�FEES:-�The understgned understands
that Transportation Impact Fees and.Recourse Recove.ry_Fees.may��apply,to�the construction_of new._buildings,:change of '
use in existing buildings,�or..expans(on�.of��existin,g�6uildings, as specified.in Pascv County Ordinance number 89-07 and
90-07, as amended.,.The undersigned also-understands, thait:such fees,-.as�may�,be:due;;wlll;.be identifled at the�time�of� �
permitting. It Is furtFier understood that Transportatlon Impact Fees and�Resource Recovery��Fees,.must be paid prior to
receiving a "certificate-.of occupancy"-or flnal-power.release. :I�the project does not,involve=a:.certificate of occupancy or
final powerrelease; the fees.mu�t be paid prior.to permft issuance. Fu�thermore��ff:Pasco�County�WatedSewer-Impact ,
fees are due, they.must be,paid prior to,permit�-lssuance-In accordance with�applicable_Pasco County ordinances.
CONSTRUCTION�LIEN`LAW�(Chapter 713� Florlda Statutes,aa amended): If valuadon of work is$2,500.00 or mor.e, I
certify that I, the. applic�nt, have•been provi.ded with a copy� of the "Florida� Constructlon� Llen.Law-_-Homeowner's
Protection Guide" prepared by the Florida Department�of Agriculture and Consumer Affairs.- If the applicant is someone
other than the"owner", I certify that_I have:obtalned a copy.of the:above.,rJescribed tJocuii�ent°and:p.r.omise in,good fa(th to
deliver It to.the`owne�"-prior to�commencement:�� � ' "' '
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify:,that;all�the,information.,in;this applfcation is accurate.and that all work
will�be done in compliance with all applicable laws regulating construction, zonfng and�land development. Applicatlon is
hereby�made to obtain .a.permit.to do. work:.and .installation as Indlcefed:,�..=1 certify�tFiat no work .or installatlon has
commenced p�lor to Issuance of:a permiC'and�that':all work will be�pertormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development cegulations-in�the jurisdtction. I also
certify that I u�derstand that the regulatlons of other government agencies may-apply�to the intended work, and that it is
my responsibility to identify.what.acttons I must�take to be<In:.corrlpliance. Such agencies include but�-are.not Ilmtted to:
- Department of E�lvironmental�Protection-Cypress:Bayhead�; Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress. `Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways.
- Department of Health�'8 Rehabll(tative ServiceslEnvironmental Health Unit Well.s� Wastevkater Treatment,
Septia Tanks. ,
- US Environmental Protectlon Agency-Asbestos abatement.
- Federel Avlation.Aulhority-Runways.
I understand that the following:restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill 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 petmitting which is prepared by a professionai engineer
licensed by�he State of Flortda:
- If the fill material.is-to be used in Flood Zone "A° in�connection�with.a �ermitted building using stem wall
construction, i ce�tify that fill�will=b.e used only.to.flll the area wlthin the�stem�wall.
- If flll materlal is to be used in any area, 1 certify that use. of such flll will not adversely affect adjacent
properties. If use of fill is found to adversely:�ftect ad)aeent propertles,,the owner may be'cited for violating
the conditions of the building:permit issued under the attached permit application, for lots less than.one (1)
acre which are elevated�by f111, a�englneered drainage plan is required. . .
If I am the AGENT FOR THE OIMNER, I;:promise in good faith to inform the owner of�the permftting conditions set forth in
this affidavtt�prtor to commer�cing const�uction. 1 understand that a-separete permlt may be required for electrical work,
plumbing, signs, welis, pools; alr conditioning, .gas, or ofher Install�tions not�speciflcally inciuded�in.the application. .A
permit Issued shall be conshued to be a�Iicense to p�oceed with the w►ork and not as:authority to.-vlolate; cancel, alte�, or
set asfde any provisions of the technical codes; nor shall issuance�of a permit.prevent the Bulldirig Official from thereafter
�equiring a correction af enors In plans; constructlon or vlolations of any codes. Every permft issued shall become invalid
unless the work authorized.by such perm(t�Is-coEnmenced•wtthin sGc months of permit Issuance. or if work authorized by
the pe�m(t is suspended ar.abandoned for.a period of six(B)montfis.after the time the�work Is commenced: An extension
may be requested, in w�iting, from the Building.Offlcial for a perlod-not to exceed ninety(90)-days and will demonstrate
justifiable cause iotthe extensior�. If.work ceases:for ninety(90)consecutive:days�..th�)ob�is.considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE�TO.,REC.ORD A NOTIGE.OF�COMMENCEMEMT.MAY�RESULT IN YOUR
PAYING TWICE.FOR:IMPROVEMENTS TO YOUR•;PItOPERTY. IF�.YO.U-1N'FEND'TO��OBTAIN•�FINFANCING;�C.ONSULT
WITH Y U LENDE O AN A ORNEY FO'RE��RECO G�� OU = D �C :O � ' • � E �E EN �
–�_ .. - .
FLORIDA JURA�-(F.S. 1_7.7.03)-- - — - — - - - - - -- — .---- -- - -- ---
OWNER OR AOENT � CONTRACTO
Subscribed and swom M(or a rmed)before me thls Sup§C�J�ed m (or afflrmedp6efore me'tfiis
by !!'4`.
Who Is/are personally known to.me or haslF�ave produced Who.ls/a personally�m wn•lo me or has/have�pmduced
as Identlflcatlon. as Idendflcadon.
�
Notary Public � Notary Publlc
Commission No:,-. Com 1 on N �•"Y'.�•.,
=:' �':� Commission#FF 150422 '
Name o/Nolary typed,printed or stamped Name of Notary e'�f ; d�„�,p�p��,i,�,,,�,��.7019
i IIINI IINI IINI Iilil Ilill Illil IIIII illf(illll IIIII lill lili
„w i p 2015275261
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Rcpt:1724167 Rec: 10.00 �
D5: 0,00 IT: 0.00
10/3012015 K. R. M., Dpty Clerk
Permil No. Parcel ID No �J"�c.p.'�..�5/ '^����—Q{�Q�V�aopp, m�
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NOTICE OF COMMENCEME T m 0`"
' �".CO/112�'fl-- ,dt'.Sc c� "``'p
State of Gounty e!� �m
. �t31�'
THE UNDERSIGNEO hereby gives notice that improvement will be made lo certain real property,and in accortla�ce with Chapter 713,Florida Statutes, �@�
ihe Coltowing iMormation is provided in this Notice of Commencelm�enk P
i t Descfiptian o!Property: ParcelldentificaUon No.___y-�..—2.{s-^2�-����S�r.�Q—(��9� �m;�
n / 1D
� Streel Address:��D�J ND/c��/�{.R"'�L�'"" �� ' 3 Q
��-- � � l�4GL5� � "
I 2. Ge�eral Descriplion pf Improvement ��� �� ���
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O x
�.�cn
3. Owner InformaGon or Lessee intormation if tfie 4essee conUaMed for the tmprovement: �F''3
a�u.D Y� �rtjz'c�z"A��' c�?`�,�'A-.v�f� . •.J p
� • / / �j� �! r
(C7 �07 Name il,�.('�-H 4 R"I�i� .!i!'C�V� .2,�P���/L L.� ,f�� . m
/V
Address ��l'�� City State �
Interesl in Property: /���
Name ol Fee Simple Titleholder� ��
(if dtfterent trom OwneNisted aaovej
� Address A/ Ciry Stale
j 4. Conlr,gctoc ���� �A��/,N�� q �.�^�
� � Name j1'p �('�X 1�� !�� GL� _ �.
!
Address �Sz �f�� �Q�� Cily State33S,�`
� Contraclor's Telephone No. J �`N
5. Surery�
Name -�._.
Address Ci[y Stale
Amount of Bond: b �"—' 7elephone No..
z .�-.._
� 6. Lender.
, Name �,,,_.
Address �,,,,�• Gly State * .���
ILender's Telephone Na. e"��� .�
7 Persons wilhin 4he Slale of Flodda designaled by tfie owner upon whom�noUces or other documents may be sen+ed as provided by �j" 4 ' �'�,
I Section 713.13{t}{a){7},Plortda Statules:�` �
� ���� �
Name ..,�—. ��• j'�"�--' �.�'`o • LS.
Address �_, Ciry State �s+e + � � � �
o , �
TeieQhone Number of Des�gnated Perso�: � � �'
8, in addition ta himselt,khe awner designates • of_ �I,� �" �•G�
I �� � lo recelve a oopy af the Lienor's Notice as provfded in Seclion 713,13(t)(b),Florid2 StaWtes. �
Telephone Number ol Person or Entity Designaled 6y Owner: ���� Q ir �
� 9. E��retion dale oi Nolite oPCommencemeni(the e�Niration date may nat be before the rnmplelionp �q nstructtan and fina!payment ta ihe � �' T
�ry� �/ ,�,/
confractor,but wili be one year fcom the d8te of recpcdi�g unSess a diNerent date is specified): r" '`�
WARNING TO OWNER: ANY PAYMEN7S MADE 6Y THE OWNER AFTER THE EXpIRA710N dF THE NOTICE OF COMMENCEMENT
` ARE CONSIDERED lMPROPER PAYMENTS UNDER GHAP7ER 713. PART t SEGTI4N t93.t3, FLORIDA 57A7UTES, ANO CAN
RESULT IN YOUR PAYWG 7WICE FpR IMPROVEMENTS TO YOUR PROP�RTY A NOTICE OF COMMENGEMENT MUST 8E
RECOR6ED ANO POSFEO ON 7HE JOB SITE BEFORE THE F{RST WSPECTION. IF YOU WTEND 70 OBTAIN FINANCING,CONSUL7 ¢ F. W Y
WITH YOUR LENDER OR AN ATTpRNEY BEFORE COMMENCING WORK OR R£CQRDiMG YQUR NOTICB OF COMkiEPlCEMENT � U d.'
Under penairy of per�ury,I dedare ifiat t have read the toregoing notice co emen e tacts stated therein o•Rhe�besl '�'��� � ��W �
of my knowledge and 6elief. �� � O � �J �
STATE OF FLORIDA --i
� �� O � Q �
CQUNTY OFPASCO N � �
Signature pwner or Lessee,,or o essee's Authrnized ��� � (— !U }-- �
OKceNDiredor/PartnerlManager �� � z � � �
°�"Ft�..� � '� Q
iSignatorysTftte/OKce �^ ��O Q C,3
The foregotng tnstrument v+as acknowtedged be{ore me thisa�,�day of Q�,,�,201?.bY�e j ��_t�[H-4 `�'����N�� �6—�- � � t� �
a s 9 ��.rJ��2,� (tyPe of aulhorily.e.g..oKcer.ltuslee, Norney in faCq far � �� � Q �i
(nam pa y on behalf o/whom instniment was xecuted)� Z'(,�(� 2 _(j,J
Personally Knpwn,'�]OR Produced Identlfication❑ Nptary Signature � � �- (j � p � C.}
Type of Identification Produced Name(Print} V � �—'" 3.=. �� � � —�
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