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Home My WebLink About15-16760 CITY OF ZEPHYRHILLS i �` 5335-8TH STREET (sis)�so-oo20 16760 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16760 Address: 37406 DERBYSHIRE 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-1050 Improv. Cost: 4,000.00 OWNER INFORMATION � Date Issued: 11/19/2015 Name: MAHON AARON & TRACY C Total Fees: 55.00 Address: 37406 DERBYSHIRE DR Amount Paid: 55.00 ZEPHYRHILLS FL 33542-7937 Date Paid: 11/19/2015 Phone: 813-235-5710 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES OMEOWNER REROO RE IDENTIAL 55.00 �� l__/ : f � rl J ' � S � �� - Ins ections Re uired - � DRY IN ROOF IN P TAPE JOINTS ROOF INSPi FINAL I1_ - rf=! S 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 City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � � CONTRACTOR GNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � _ , ais-�eo-oo2o City of Zephyrhills Permit Application - FaX-a�saaaoozi ', . , Building Department Date Recefved Phone Contact for Pertnitting T ^I Owners Name Qrav�c.� L{- 1 r� � Owner Phone Number � ' � �3 J- `� � Owners Address 3�'l�� (' S Y�I��fL � � Owner Phone Number �13��3 '-J� � �• !� Fee Simple Titleholder Name Q �- r�.- • �-- �Owner Phone Number Fee Simple Titleholder Address � o� 'C�{Y, C; � Yl. I�IL U 3 3ct , JOBADDRESS �� . � h ire � � � L LOT# �OS SUBDIVISION ��G . pARCEL ID# 1 �ac.Q--a 1 � v'��"QO�dU ��S� (OBTAINED FROM PROPERTYTA%NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF INORK � Y�C�G(�'• SR 'V l3L` BUILDING SIZE SQ FOOTAGE I `��( HEIGHT Trrrrrrrr-rrrrr- r'rrrr- �BUILDING $ �� Uv VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ `(G/�_�O � �(J Y OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO -i-4i.i-".-:-.-.-:-:-i •-.-:.�6-i-6-i-i-:.i-C.i-�i-:,.i-i-:�i-�i�r: L.i-:-i •-•-:�• ••-•-•••••- . . . . . . . . . . . . . . . . . . BUILDER �. //� COMPANY `�. SIGNATURE �� 6�Y� REGISTERED / FEE CURRE� /N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Add ress License# IIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Altach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construcllon. Directions:• TT^TT^TT_ ��^�T_ Fill out applicalion completely Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) •• Agent(for the contractor)or Power of Ariorney(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 � � • 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 IMPACT/UTILITIES 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 WateNSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable 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—Homeowners 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 obtained a copy of the above described document and promise in good faith to deliver it ta the"owner"prior to commencement. CONTRACTOR'S/OWNER'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 performed 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 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 agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WateNWastewater 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 Agency-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 be 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 the 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 technical 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. FLORIDA JURAT(F.S.117 03) OWNER OR AGENT dZt � v6 � CONTRACTOR � 1 I,1� Subscribed an bswo to(or ffirtp d)yb_efore me this _ Subscribed and b orn to(or affirm before me this � Y Who' re er onaliy known t e or has/ ave pro iced Who Is/are personally known G e or has/have produced as identification. as identificaBon. Nolary Public Notary Public Commission No. � �� 'y Commission N . ��n � �L°lLf.(G/n Name f Notary ryped,prin d or stamped Name of Notary typed,printed or stamped ,. „�r'n�",,, LYNN REAOhN �,� �'; MY COMMIS510N N Ff 209624 ��a: eo ase TRru r�ta�y aubuc unde�r,ricers 11F��• ' M — IIII ' � - Illllllilllllilllllllllllllllllllllllllillllllllllllllll - 2015186313 • � Rept:1728809 Rec: 10,00 DS: 0.00 IT: 0.00 11/19/2015 E. M. , Dpty Clerk NOTTG'EOFCOMMENCEMEIVT pAULA S 0'NEIL,Ph D PRSCO CLERK 8� COMPTROLLER Pe7mitNo. li R BK015�0�Q�m PG 3347 ��o Property Sdrndficadon No. Tf�iJND�[tSIGNED haeby give infnrms yon thet the improvemeni wc71 ba made to eenam reel property,end 3n eccorde�ce with Sect[on 713.13 of tha Ftorida 5mmtes,the followiug informativn is provided in tluy NpTICE OF COMhiBNCEMENi'. I.Description ofprope:ty(legaldescr�ptton:J -.Z.�� " O l�.D -46()0 0 -•-(OSO , a)Sa�eet Addiess: D/o t r - 2.(kaeral description of improvemenb: _ -- Co 3.Owner Info�tnation A �/ ,/� a)Neme�d addr�ss: Fl�,;rbr� L ]� �� W�u-�i�oe� • b)Neme aad addrese offee s' le titleholder{ifother tl�anbwner) •.- e)Inteirst m propaty = �Vt-Pn�' � -( 33�-c�(-� ' 4.Conteactbr Iafotmeticfi � a)Name eud eddce.as:,__ �F�MF' f�S� (�C�7�11� b)Telcphone No.: g�No.�p�� S.Surety Informetlon " . e)Nmu end addras: b)Amo�t ofBond: • e)Telephone No.: ' Fax No.(Opt} 6.Lcnder �� i�� al eme ead _ L- l� � �t ci J� 5 2 t�� S r� n�r � cv. pt��u � � Tn�t �C'i 7.Identi of e�on withiu the State of F7orida d ��Y '—"" �'�6� )Name aad add:ess: ��d by owner upon whom notices or other doc�enffi may be served: b)Tale�hone No.: � Fax Na(Opt.) 8.1n addiHoa to hlmsel�owner designates the following Persop po reoeive a copy of the�iennr's Notice es provided'm Sectton 713.13(i)(b�Floride Stannrs: e)Name and add�ss� ' � b)Telephone No.: �- .Fax No.(Opk) • 9.Expiretion date of NoHce of Commencemerit(the�spiretioa date is one year frbm the dete oPrecord�g imlrss a di8btmt date is spaclfiod): WARP1IlYG'CO OWNItR ATVY PAYMENTS N1ADB BY TfIE OWNBR AFTEg T$E EXpgtATION OB THB NOTICE OF ' COMMENCBMENT ARB CONSIDEIiED 1MPROPER PAYD�NTS iJN�ffit CSAPTER 713,PART I.SEClTON 713.23, FI:ORIDA STATUTLS;AND CAN RESULT IN YOUIt PAl'Y[VG TWICE FOR II4IPROVEMENT'S TO.YOTJlt PROPERI`Y. A NOTICE O$C011QYIENCEMENT MU$T BE RECORDED AND P051'ED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTA1IV FIIVAhiCING,CbNSULT YOUEi LENDER OR AN ATCORNEY B&FORE COMMENCIIVG WORK OR RECORDR�iG YOIIR PiOTTCE OF COMMENC SI'A7'E OF cournv OP P "�S•ry,�s LYNFI REAC�IW °i- a.� I =�r •r_ MYCAf1�11SSI0N/FP208624 orownvorownef� _embortseeoffi ';� ia-` EXPtRES:Merch 15 2013 `' U�t.� .c.f-� '�g��,y �� 8andedThmNotaryPublieUnden�rtitere '[N�mo I 'Ihe foregoing Inshument wa�aelmowledged befms me thts �dey of 'IVW. .Z0�by - `��1 I'4�1 �, ,�^�-� in fact)for r � � (neme of yacty on behalf o ��e of aatheozity�e• .trust ettomey Petsormlly Known�OR Produced IdenN6ea:ton� Noffiry Sign ' Type of IdentificaGon Produced � r r L Name(ptmt) ��,h. �I�Ce�f lL G�-� ' Vert6eetlon pu�avent to Section 92.525,Flodda Staartrs.Uader peaalttes of perjury,I declere that I heve read the foregoing and thaz the facts stated in it am Gue W the best ofmy lmawledge and beliet FONMSINOC.n+�DQ/ SigncCue oCNeCud Pano¢$IfC�ln¢Above s�A��o��.o��D�;f�ou��°��p�os�o ��a��i TH1S IS TG C�RTIFY THAT THE FOREGOING IS A �� ° � '' a �� TRUE AND CORRECT COPY OF THE DOCUMENT ��, �� ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � k �' � WIT MYHANDAN OFFICIAI.SEALTHIS .ry � ►nGn�tiv�rrusr � � —__�__��DAY OF 2�� /:"�a''�.. • ' -----p,�i�LA-&--O-NEF��S6E��&S9MPTR9� � FR .----.�.' ' ( s) � _� -. --- -- -- ' M1` ` d �� Y DEPUTY CLERK � � ° a�8� � L ��OF Fi.��'`�P