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HomeMy WebLinkAbout15-16747 CITY OF ZEPHYRHILLS ' x ` 5335-8TH STREET (813)780-0020 T�7 ^T � BUILQING PERMIT � ,r PERMIT INFORMATION LOCATION INFORMATION � Permit Number: 96747 Address: 38635 5TH AVE Permit Type: RE-RQOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Tawnship: Range; Book: Proposed Use: CHURCH Lot(s): Biock: Section: Square Feet: Subdivisian: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15000-0090 Improv. Cast: 42,138.87 OWNER INFORMATION Date tssueci: 1111712015 Name: UNITED METHODIST CHURCH Total Fees: 250.00 Address: 38635 5TH AVE Amount Paid: 254.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/17/2015 Phone: 813)788-4405 Work Desc; REROOF SHINGLE C4NTRACTOR S APPLtCAT10N FEES M BAR R OFIN IN RERO-�O -�tESIDE TIA 254.00 �� �� \ �4 Ins ections R uired DR I CIOF 1 TAPE JOt TS ROOF INSP � FINAL .,.,_ �'"' REINSPECTION FEES: (c)With respect to Reinspection fees will comply wi#h Florida Statute 553.80 (2)(c)the lacal gavernment shall impase a fee of faur times the amount of#he fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequen#reinspection. . NOTiCE: In addition to the requirements of this permit, there maybe additiona! restrictions applicable to th9s property that - ` may be found in the public records of this caunty, and there may be additionai permits required from other gavernmentai entities such as water management, state agencies or federal agencies. °Warning ta owner: Yaur failure to record a natice af commencement rnay resuit in your paying twice for impravements to your property. If you intend to obtain financing,consult with your lender or an attorney befare recording yaur notice of commencement." Complete Plans,Specificatians Must Accompany Application. All work shall be performed in accordance with City Codes and�rdinances. NO OCCUPANCY BEPORE CA. NO OCCUPANCY BEFORE C.O. � � ��?-�-�_, .�..- CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN fi M4NTHS WITHQUT APPR4VED INSPECTIQN , CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRCITECT CARD FROM WEATHER ' 813-780-0020 City of Zephyrhilfs Permit Application Fax-813-780- 1 � o ��}' : Building Department �o�r'1. . �Date Received Phone Contact for Per,nitti��g -- � c ;r's Name �' ` a � � ` (,.,�'�c9.a°�' y Owner Phone Number �� � � Owner's Address �Q(o.� � � ,���� ?J 3� Owner Phone PJumber � � Fee Simple Titleholder Name Owner Phone Number �� � Fee Simple Titleholder Address JOB ADDRESS (ll� t l��'�. � � LOT# � ,,,n:.rr,.....,N,.,...�,i.�,.��. .,.,. � � St!BdIViSiON PAf2CEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW Gt}NSTR [� ADDIA�.T Q BIGN Q N1t7VE � dEMOLiSH INSTALL � REPAIR PR4POSED USE � SFR � CC3M3V1 d 4THER �.-fL , TYPE OF CONSTRUCTION � B�OCK Q FRAME � STEEL 0 OTHER �� -� �=��—� �. . �� DESCF{IPTION OF WORK N c� .�G 6'12� l� > d:1 f� l� . `� �`;�, ,� BUILDING SIZE �� SQ FOOTAGE � � HEtGHT �� � ���� � s �• u� �% � �. V� BUILDiNG $ J �r-/ � VALUATION OF TOTAL CONSTRUCTfON ����� d � 0 ELECTRICAL � � AMP SERVlCE � P�OGRESS ENEEZGY Q W.R.E.G.,%,� � � PLUM[31NG � � � � , r� , �� � �[ � MECHANICAL $ � =,�"' ' VALUATION 4F NlECNANICAL INSTALLATION / � ; - Q GAS �^ ROOFING �� ' SPEGlAI'.Tl' ',� OTHER FINlSHED FLOOR ELEVATIONS � Fl.00D ZONE AREA �YES �NO AF VR"�9BIi4BBg�in�Vfl�NNWHlII� V.GQal9 hNIIpiVVIInVBIIVIIN��n�oluptlpGVVBANWI�N'uNBII��VVVIy�V�bLNN0110R�VMIIYtlIBL�J�911NBIIV011VBIWl�IIIl011flVMI���GVA96p�@W@9NOp��VIIIIIlO�ONV9II01I�I1GI�N9W119V4VAlllll�l�llldllnlin��ll�ll � � � � pp�p�II�IImI0V2�60V��G9GP118B�p0p�ppy�ppl�"p§Ij��p�I� BUILDER � COMPANY ��� V�a'.� ��,y°����;,,_,��� � SIGNATURE REGtSTERED ' / N FEE CURR NT Y N � Address ��R�) (;,�5 �� �� Ct �� 3�i��J License# ��, �'��'j�`�'Z,� ELECTRICIAN COIVIPANY SlGNATl1ftE REGtSTERED Y/ N FEE CURRENT Y/N � � - __ Address License# �� � PLUt1iiRER COMPANY SIGNATUR� ftEG{STER�D Y 1 N , �EE CURRENT' Y!N � � �Address License# �—� ^nECHANICAL COMPANY 3NATURE REGISTERED Y 1 N FEE GllRRENT Y J N Address _License# �� - �'.: � OTHER COMPANY S]Ui�4nH3U�'ic REGt�T�R�^ ;r! P! ��E GURF.ENT Y I N Address License# �— � �'p��'p�ryn���pp'����F,�B��mpig.�unuoomrmivminrmmno�mo;m�n i in �. u ,�"2 P ^ i n � I I i n� n n ���u�'�G��-���I���p�QmlOd��d9APh�'mllll'if�'IQGD�I� RESIDEhJTIAL Attach(2)Plot Plans;{2)sets of Building Plans;{1)set of tnergy Forms Minimum ten(14}working days a#te�submittal date. Required onsite,Construcfion Plans,Sanifary Fac'slifies&1 dumpsfer � COMMERCIAL Attach(3)sets of Building Plans,(1)set of Energy Forms. ` �';; I Minimum ten(10)work9ng days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster . AI!comrnercial requ'tr�ments must meet compliance. � � SIGPI PERMIT Attacl7(2)sets of Engineered Plans. , """'PROPERTY SURVEY required far al!NEW canstruction. "°Y� '�VNf�'Vt�B�'I�fi�GVVV9V9VV0VVtlVVV�9Yu�11IR�G011tlpIIrVWIVti�V6VdVI�V➢IVI6VV9VI�!I� ��VW��IV r � ' 'VCVWOIIIVIVIIW�IWIV�IVIVV�VVV'JNVNVV4V�@'J6'V�J19�VN0 OII�II�ODV"� " VllB�G�001�99V9W119➢CV960➢6�Cui 6k��Va�VV�IN� rections: �i11 out application compSefeiy � Owner&Contractor sign back af application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over 55000) - . "" Agent(for the contractor)or Power of Attorney(far the owner}would be someone with notarized letter#rom owner autharizing same , ' OVER THE COUNTER PERMITTlNG (Fronf of A��plication Only) ' Reroofs Sewers Service tlpgrades A1C Fences{PIotlSurveylFootage} Driveways-Not aver Gaunter if on public roadways.needs ROW ' . �� NQT�CE OF�EED FtiES�'!�lCT14iVS: The undersigned understands that this permit may be subject to"deed" restrictions" � which may be more restrictive than Caunty regulations. The undersigned assumes respansitaility for campliance with any applicable deed restrickions UNLICE�lSED CON�'R�CTORS A�l� COh]Tt�AC1'OR �t�SPt7�1S1�1�.9T1ES: If the owner has hired a contractar or cantractors to under'ta{<e work, they may be required to be licensed in accordance with state and local regulations. If the I contractor is not licensed as required by law, bath the owner and contractar 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 fihe intended work, they are advised to contact the Pasco County Building lnspection Divisian—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a cpntractar ar contractars, he is advised to have the contractor{s} sign portions of the "contractor Block" of this application for which they will be respansible If yau, as the owner sign as the _._�._can.tr.actor,-that-may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasca County. TRANSPORT,ATION INlPACT/UTtLlTIES IIVrPACT AND RESC)lBkaCE F2�COVERY FEES: The undersigned understands that Transportation impact Fees and Recourse Recovery Fees n�ay appiy to the construction of new buildings, change af use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amsnded. The undersigned also understands, that such fees, as may be due, vuill be identified at the tirr�e of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to , receiving a "certificate of occupancy"' or final power release. lf#he praject does not invalve a certificate af occupancy or final power release, khe fees must be paid prior to permit issuance. Furthermore, if Pasco Coun#y WaterlSewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. Ca�STRt1C"CIO1V LIEN Ll�W�Chapter 7�3, Fiorida Statutes, as amended): If va(uatian of work is$2,540.00 ar mare, 1 certify that I, the applicant, have been provided with a copy of il�e "Florida Constructian Lien Law—Homeowner's Protection Guide" prepared by the Flarida Department of Agriculture and Cansumer Affairs. If the applicant is sorrteone other than the"owner", I certify that I have obtained a copy of the above described document and promise in gaad faith to deliver it ta the"owner" prior fa cammencement. CONTRACTOR'SIOWfVER'S AFFID�►VfT: I certify that all the information in this application is accurate and that aii work will be done in compliance with a!! applicable laws regulating construction, zoning and land development. Application is hereUy made to obtain a perrnit ta do work and installation as indicated. ! cerfify that no work or installation has commenced prior to issuance af a permit and that all work will be performed ta meet standards of all laws regulating eonstrucfiion, Caunty and City codes, zaning regulatians, and land development regulatians in the jurisdiction. 1 a{so certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is �ny responsibility ta identify what actions 1 must take to be in compliance. Such agencies include but are not limited.to - Clepartment of Environmental Protection-Cypress Bayheads, Wetlarid Areas and Environmental{y Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Wa#er Management District-V1/eHs, Gypress Bayheads, Wetiand Areas, Altaring Watercaurses. - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Enviranmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Fnvironmental Profection Agency-Asbesfios abatement. - Federal Aviatian Authority-Runways. ' ! understand fihafi the failowing restrictians apply to the use af f1i: - 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 "campensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - if the fiil material is to be used in Flood Zone "A" in cannection with a permitted buiiding using stem waH construction, I certify that fill will be used only to fill the area within the stem wall. - 1t fill material is ta be used in any area, { certify that use af such €ili 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 canditians of the building permit issued under t#�e attached permit application, far 3ots less than one �1} acre which are elevated by fill,.an engineered drainage plan is required. If( am 1he AGENT FOR 1'F9E OWNER, ! pramise in good fai#h to info�rn the awner af the permitting canditians set far#h in this affidavit prior to commencing cons#ruction. I untierstand 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 shal} be construed to be a license to proceed with the work and not as authority to vialate, cancel, alter, or s�et aside any provisions af the fiechnical codes, nar shall issuance of a permit prevent the Building Official from #hereafter �equiring a correction of errors in plans, canstruction or violations af 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 wark 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 Clfficial for a period not to exceed ninefy (90) days and wili demonstrate justifiable cause for the extension. If work ceases far ninety(9Q1 cc�nsecuti�,�e da}��, th�;^h :���n�:d�red abar�oned. VilAI�fVI1VG TO OWNER: '�OUR FAILUfZfE TO RIECOFtD A IVOTlCIE OF COIVIIl�ENCEMEiVT MAY RESULY IN YOUR PAYING TWIGE FOR[NtPRO01EMENTS TO YQUR PROPERTY. IF YOU INTE�lD'F't) t"�BT1�1� Fli�lAA1Ct1VG, Ct�NSUL7 �QTb"����� w.��L��C� �i? A,Sl1 �7'Tfl�AVCV�GCr'1�C �1r.nn'��+r,� u�.,..r...� xo.-.-T .-., �;.. . -f.. . .-. �. v � :.,.,.vi�:.00Evt.� �v�;���v �a,.� u�` irC.Pik�ilPiiLYVL:f�'�'IUIC6V I. FLORlUA JUF3A"f(F.S. '!17.03) � QWNER OR AG�NT �.(.J � CONTRACTOR Subscribe�d sw,o�n to(or affirmed)qefore me this Subscribed and sworn to{or a ' e before me this by . �'J lA� o � by t � ����CL Wk�p onall known to m has/have produced W o is are perso - y fcnt� e or Yias/have produced as identification. as identification. I � �1��,[alti�t���� Q����a•�'��� Notary Rublic Commission o ��k�� �9,2�"�bmmission Na. �C�l Pl1bIIC,State of Florida Com.No. EE828i29 � �����,�Q = Name of Notary typed,prinled or stamped Name af Notary typed,printed or stamped � � 9 ` I t I `I _,•!.� •- ' ' IIIIIIIIIIIII�IIIIIIIIIIIIIIIIII�IIIfIIIIIIIIIIIilllllllllll � � NOTICE OF COMMENCEMENT 2015178407 MRI#4811 Permit No. � Tax FolioNo 11-26-21-0010-15000-0160 THE UNDERS[GNED hereby gives notice that improvements will be made to certain real properiy,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in thisNOTICE OF COMMENCEMENT. 1.Description of property(lega!description)ZH MB 1 PG 54 LOTS 16 17 18 19&20 RB 645 PG 181 OR 9129 PG 3213 11�-26-�21-0010-15000-0160 _ --- Address: 5400 IOT"STREET,ZEYHYRHILLS,FL 33542-4324 Rep{,:1725419 Ry:c: 10.00 DS: 0.00 IT: 0.00 Clerk 2.General description of improvements:ROOFING 11/05/2015 K. R. M. , Dpty 3.Owner Information a)Name and address: FIRST UNITED METHODIST CHURCH OF ZEPHYRHILLS INC TRUST 38635 5T"AVENUE,ZEPHYRHILLS,FL 33542-4302 PAULA 5 0'NEIL,Ph D.PRSCO CLERK & COMPTROLLER � b)Name and address of fee simple title holder(if other than owner): N/A il/05/2015 09:17am 1 of 1 c)Interest in property: OWNER OR BK �2�1 PG �3� 4.Contractor lnformation � a)Name and address: MILBAR ROOFING INC., 15911 U.S.HWY 301,'DADE CITY,FL 33523 � b)TelephoneNo.: 352/567-6047 Fax No.(Opt.) 5 Surery Information . a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: � Phone No. ' " i 7 Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) B.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: ' a)Name and address: ; b)Telephone No: Fax No.(Opt.) i 9,Expiration date of Notice of Commencement(the expiration date is one year from the date of rec�rding unless a differeilt date is specified): WARNING T'0 OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMEI�lCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713 13, FLORIDA STATUTES,AND CAN RESULT IN YOUR P.4YING TWICE FOR IMPROVEM�NTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE F1RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN ;CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTI OF COMMENCEMENT. STATE OF FLORIDA , � • � COUNTYOF�La7 lO �J 'i ture of Owner or Owner's Authorized Officer/ v ctor/Partner/Manager ' T �bl �Lb���'ti+ �e3 Print Name and Title The foregoing instrument was acknowledged before me this h day of ()i� ,20�by � ,� rj' as rY��� (rype of author' ,e.g. officer,trustee,attorney in fact)for ' (name of party on beha[f of whom instrum t e ute . _ Personally Known R Produced Identifcation Notary Signature �.p1l9tt Type of]dentification Produced Name(print) �t„b�,o���,u��e��fwf Florlda ---AND--- My Commission Expires August 19,2016 Verification pursuant to Section 92.525,Florida Statutes.U er penalties of perjury,I declare tha�Q t��'re�tt�'��going and that the facts stated in it are true to the best of my knowledge a d be ' �`� I Sign u of atural Person igni g'�line# 10.)Above I j FORMSMOC.rvsd2007 I - -- _.... .-- ,- , ,� ,., � I t a: �-r�T�o� F�.c►�ir�w,cau��°���=����� � e��c� THIS 1S TO CERTIFY THATTHE FOREGQING la�l� ���+� c " �' ° ��+� TRUE AND CORRECT COPY OF THE�O�UM�NT < ON FILE OR OF PUBLIC RECORD IN THI&QFFICE � • �� �' '�:� ° ��._'. WITNESS MY HAND AND OFFIGIAL EAL THIS � - �, � .. , �DAY OF � � � e ?n y^adl�le 5rreas� Q � ' PAULA 'NEIL, C RK&COMPTRC�L� �^ " (� , ' � • '� • ,U,� � � � BY DEPU7Y CLERK � fl��7 •� ���....�Q����`��