HomeMy WebLinkAbout15-16710 /
CITY OF ZEPHYRHILLS
. ' S335—8TH STREET
�sis��so-oozo 167 0
BUILDING PERMIT
` PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16710 Address: 5434 5438 23RD ST
' Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book: li
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: ��
Square Feet: Subdivision: ZEPHYR HEIGHTS I
Est.Value: Parcel Number: 12-26-21-0040-00100-0120
Improv. Cost: 5,885.00 OWNER INFORMATION
Date Issued: 11/03/2015 Name: CORNERSTONE RECOVERY SERVICES L �
Total Fees: 65.00 Address: PO BOX 1021
Amount Paid: 65.00 LAKELAND FL 33802-1021
Date Paid: 11/03/2015 Phone: 863-255-0068
Work Desc: REROOF SHINGLE DUPLEX
' CONTRACTOR S APPLICATION FEES
P U D HAPER ROOFIN I C REROOF RESIDENTIAL 65.00
V
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� Ins ections Re uired � '
DRY N R F INSP
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 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.
CONT SIGNATURE PERMIT OFFI R
P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
; sia-�aaoo2o City of Zephyrhills Permit Application Fax-813-7860021
Building Department
Date Received ��J �p�. _ o q a o
Phone Contact for Pertnittin
Owner's Name C��n�i",�OY'►� 2COUQ�' • Owner Phone Number W� '�5 � �a(pp
Owner's Address •�� �Q �Q� FL 3 3 D�-Owner Phone Number
Fee Simple Titleholder Name N/� Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S �(' ��d �� J LOT# �
SUBDIVISION � ` , (�.C/J PARCEL ID# �oZ ' � ' �y-D ^ ���� �'a.
(OBTAINED FROM PROPERTY TlJI NOTIC�
WORK PROPOSED e nIEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q 5FR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �1 3 I� �'/LO
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $T''�q C,O� VALUATION OF TOTAL CONSTRUCTION
�7 0 V
�ELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C.
QPLUMBING $ s/j // �/O
�� � l0
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ^
QGAS Q ROOFING Q SPECIALTY 0 OTHER � � ��
FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO
BUILDER COMPANY .QY �1L,�U
SIGNATURE REGISTERED Y/ N FEE Cll E� Y/N
Address ,1 V �� �ST/ License# C C. �S$�>
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PIUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERE� Y( N FEECURRE� Y/N
Address License#
OTHER COMPANV
SIGNATURE REGISTERED Y/ N FEECURREP Y/N
Address License#
� � � � � � � � � � � � � � � � � � � � � � � � � � i � � � e � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwa[er Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Si[e Work Permil for subdivisions/large projecls
COMMERGAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/5ilt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requiremen[s must meet crompliance
SIGN PERMIT Altach(2)sels of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencemenf is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey(Footage)
Driveways-Not over Counter if on public roadways..needs ROW
J
NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or ,
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the '
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation �
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands, that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation 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 certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applica6le Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida 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
Proiection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
' other than the"owner',1 certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
� CONTRACTOR'SIOWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment 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 agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
• - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Age�cy-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to 6e used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- 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 will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, 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 fill,an engineered drainage plan is required.
� If I am the AGENT FOR THE OWNER,I promise in good faith to inform ihe owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter,or
set aside any provisions of the technicai codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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.
� FLORI DA JURAT(F.S.177.
OWNER OR AGENT CONTRACTOR
Suq S�q�1 and sworn o(o affi ed)bef e m this Subs rib �nd sworn to(or md)b fore meQ�is
��/3//� by �C �� t l 7��J by InC� J 1�
Who is/are personally known to me or has/have p Who is/are personally known to me or ha have prede�sed
as identification. �� as identification.
� Public � NQ[ary=ub��
da..
Commjg,sion No. E ALLEN Commission No. , SULANNE ALLEN
`,OtiPHYP�Ai. • l, _'�'' .
°�: Notary Publfc-State ot Florida ;r�� ,•�"; Notary Public-State oi Florida
:,�n � ts�ry ty{j$��i &&9t15 e Name of Notary typed, 'ff o c� 6
_". �P; My Comm.Explre:Oct 25,2019 :,�,, A;, My Comm.E�Irea Oct 25,2019
��'�%%,;o;,ti�• gondedtlxaqhNatiamlNotar�+Assn. �''�%l�;���t�tl`' gmd�d I�lon�t�UryNa11. �
/
- n .I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII II l
NOTICE OF COMMENCEMENT 20151770
• , State of FLORIDA , • County of PASCO �
Property Identification No: I�-oZ4^�lI - �04�• b�I�a• D1 aD � �
THE UNDERSIGNED hereby gives notice that improvement wil]be made to certam real property,and in �'�—
accordance with Section 713.13 of the Florida State Statutes,the following information is provided in this Notice of
Commencement:
1. Description of property(legal description):
Z.�,4.�, �S�.to 1�� �d�� �i C3 $ �'G- a� L.flT �a. 31�ck� 1
e�2 �i��� P G ���
',.,�AH',11,, -�L 3 3 s4a - 4 e��
Street Address 543$ a.3�,d �'�-� . Z�' �•
2. General Description of Improvement: �l �-��6 "
3.Owner Information: i0 a,, [„q�qr,v�, ��- 3 380�' A�
a)Name and address:COMers�'Ore IZ.eE�over�1.Se rv�CU,L� ,��� • '�
b)Name and address of fee simple titleholder(if other than owner):N/A ;
c) Interest in property: Owner
4.Contractor: Paul Schaper, 8949 Gall Blvd.,Zephyrhills,FL.33541 —Ph: (813)782-0920,Fax: (813)715-4875 �
5. Surety: Bauer&Associates, 12210 Highway 301 N.,Dade City,FL 33525-$5,000 bond � �
6. Lender: Name/Address: N/A - - �''-"
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may
be served:N/A
a) Nameand Rcpt:1724874 Rec: 10.00
address: DS: 0.00 I T: 0.00 I
11/03/2015 E. M. , Dpty Clerk I
b) Telephone No.• Fax No.
(Opt)
8. In addition to hunself, owner designates the following person to receive a copy of the Lienor's Notice as ,
provided in Section 713.13(�1)(b),Florida Statutes:
�aul Schaper, 8949 Gall Blvd,Zephyrhills,FL 33541—Ph:(813)782-0920—Fax: (813)715-4875 �
� � 4
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a �
different date is specified): �
WARNING TO OWNER: ANY PAYMENTS MADE BY TfiE OWNER AFI'ER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IIVIPROPER PAYMENTS UNDER CHAPTER 713,PART I,SEC3'ION 713.13,FLORIDA
STATUTES,AND"CAN RESULT IN YOUR PAYING TWICE FOR IIVIPROVEMENTS�'O 1'Oi1R PROPERTY.A NOTICE OF -
COD'II14ENCEMEN'�'MUST BE RECORDED AND POSTED ON THE JOB STfE BEFORE THE FIItST INSPECTIOT�I.IF YOU
INTE1�D TO OBTAIIV FITIANCING,COI�SULT YOUR LENDER OR Al�ATTORNEY BEFO.RE GOMMENCING WORK OR �'=
RECORDING YOUR NOTICE OF COM14fENCEMENT. ,
STATE OF FLORIDA
CbUNTY OF PASCO
�
Signatur of Owner or wner's Authorized Officer/Director/PartnedManager
� E-ILf��f � ��S'���-,
PrintName
The foregoing instrument was aclmowledged before me this�.�day of dC�o� ,20 15 ,by
' I�rn, i'N�• l�.11 as V�c,v�a�e� (type ofauthority, e.g. officer, tee,
attorney in fact)for . (name of n behalf of who strument �"
was executed). ��,
� , i
Personally Known OR Produced Identification � Signature�
Type of Identification Produced �L. t�Y PU •
r°,•••;�o JUDITH L SCHAPER
,� * MY COf�MISSION#EE 8T2261
' EXPIRES:June 6,2017
���rFOFF���\oe BondedmruBudgelNotaryServices ��
PRULR 5 0'NEIL,Ph.D PRSCO CLERK & COMPTROLLER .,
110R BK 192��m PG 22�
��� �..��
STATE OF FLORIDA,COU�'Tl(��'P,4SC� ��� a ' ' o � �
THIS IS TO CERTIFY 7HAT THE FOREGQING 15 A � �'i'
TRUE ANC CORRECT COPY OF THE DOCUMENT g�j . • �
ON FILE 0�OF PUBLIC RECORD IN THIS OFFICE •. �
WITNESS NY HAND AND OFFICIAL SEALTHIS � � InGod"WP'r�t e
�DAYOF � 20;� � ' �: �����; �
PAIJLA S j NEIL, CLERK&COMPTROLLER ��f •
� ' . 188I ' �
gY �% � DEPUTY CLERK �� � a���.
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