HomeMy WebLinkAbout15-16772 ` CITY OF ZEPHYRHILLS
5335-8TH STREET �'
. (sis)�so-oo20 167
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16772 Address: 3832 LAUREL VALLEY BLVD
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Ciass of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 3,855.00 OWNER INFORMATION
Date Issued: 11/25/2015 Name: NHC-FL115 LLC (STEVENS)
Total Fees: 55.00 Address: 6991 E CAMELBACK RD STE B310
Amount Paid: 55.00 SCOTTSDALE AZ 85251-2493
Date Paid: 11/25/2015 Phone: 813-715-2352
Work Desc: REROOF SHINGLE
' CONTRACTOR S APPLICATION FEES
PAUL SC APER ROOFIN I C REROOF RE IDENTIAL 55.00
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Ins ections Re uired
DRY IN ROOF IN P
TAPE JOINTS ROOF INSP
FINAL '-7� FJ
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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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON CTOR 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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, sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Departmen�
Date Received Phone Contact for Permitting �� �p�-- �
� � � e � � � � � � � � i -
Owner's Name �V� J 1'e�.� Owner Phone Number �� � ��S ' ,3 oZ.r
Owner's Address 3 S 3� '^�l+l �` �1 � Owner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �0 J� L� ��"`� I`� LOT i/ �
SUBDIVISION PARCEL ID# a�'1" u�'d I"QO (7
(OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER ��,(7�
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0
DESCRIPTION OF WORK � Q S • /LL'/�..L7�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ � f� c�'C'� VALUATION OF TOTAL CONSTRUCTION
a J�
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ ���� �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (n� � �
� v
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I I V J I License it �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� 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 I N FEE CURRE� Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new cons[ruction,
Minimum ten(10)working days after submittal dale. Required onsite,Construclion Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for suhdivisionsllarge projects
COMMERCIAL Attach(2)complele sels ot Building Plans plus a Li(e Safety Page;(1)sel of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after subminal date. Required onsite,Construction Plans,Stortnwa[er Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permil for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required tor all NEW conslruc�ion.
Directions:•
Fill out application completely.
Owner 8 Contractor sign back of applicalion,notarized
I(over$2500,a Notice of Commencement is required. (A/C upgredes over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroois i(shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Nol 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 Water/Sewer 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—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 obtained a copy of the above described document and promise in good faith to
deliver it to 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,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 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 in(orm 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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.11 .0
OWNER OR AGENT CONTRACTOR
Su , wom o or a o Sub cn d�pd swom to(o ir ed)b re e this
� ' ' N ►r � b bv—s Sua�'v ,�c�t.+�
Who i 'e .sb elly-�o �v pr Who islare personall known to m or haslhave redeeed
MY��V� Ml��on. �;�73 ....._
'•',�r;,y• EXPIRES June 02,�a�s _y�� .�, K;�i f�RIN M ROBINS�
i�Cl,1s�G��S FknidrYuarySa��+n.nar •
' {'+ :::?MMISSION it FF236
Notary Public "'' *`'� Notary Public
`' ' � 13
��Co mission No. Co mission ���il��'� •• rknr(L�, •
��. � - �c�� . � U�-_..�
Name of Nolary lyped,printed or stamped Name of Nolary typed,printed or stamped
, 1
. NOTICE OF COMMENCEMENT
� � I
� 'State of T'LORIDA County of PASCO '�
W •
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� Property Identii"ication No: ac.�^�,(,�.al -l900D•f101�'D-009a , '
oQ, THE UNDEI2SiGi�IED hereby gives notice that improvement will be made to certain real property,and m 'fi-
.a ,
� at' �s ro�ided in this Notice of I
��(V; accordance with Section 713.13 of the Florida State Statutes,,the follow�ng inform �on p
Y o�l Cammencement: '
w�� 1. Description of property(legal description): i
U a THAT PART OF EAST 80.00 FT OF NW 1/4&THAT PART OF WEST 1/2 OF NE1/4 OF SEC 24 LYING
NE NORT}i OF 2EPHYRHILLS BYPASS EAST AND LYING WEST OF MA7ESl7COAK5 COMMUNIT(-PHASE
ONE AS PER PB 35 PGS 107-112 EXC NORTH 20 Ff THEREOF FOR RD R/W&MA]ESTIC OAKS
o N�� COMMUNIT'PHASE ONE PB 35 PG 107-112LOT 1 THRU 16 INCL&LOTS 19 THRU 24&LOTS 26
"�' THRU 31&LOTS 33 THRU 74 OR 6825 PG B7
W��� StreetAddress 3g3�- �urc.� U'°l��e,y�l�`'�� � 7�`91.�h���' �C-' 3?5�/'a.. .
�a 2. General Description of Improvement: ��•ti.00�
��m 3.Owner Information: v � --t �1) �� �
a c�� a)N a m e an d a d d r e s s�pK S'h t,�A t M� 3�?3 a. L�w r i, J I����� �-�6''`� y 33�1:� '
J\O ,
a r+ bj Name and address of fee simple titleholder(if other than owner):N/A s
a� c)Interest in property: Owner • �
I
4.Contractor: Paul Schaper, 8949 Gall Blvd.,Zephyrhills,FL.33541 -Ph:(813)782-0920,Fax: (813)715-4875 �
5. Surery: Bauer&Associates,;12210 Highway 301 N.,Dade City,FL 33525 -$5,000 bond y �
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) Name and �
address:
b) Telephone No. Pax No. �
(Opt) �� ,
, i 8. In addition to himself,owrier designates the following person to receive a copy of the I:ienor's Notice as , �
01 provided in Section 713.13('1)(b),Florida Statutes: �
m � �Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 33541-Ph:(813)782-0920-Fax:(813)715-4875 :r
m�� �, , ..
..a o 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a �
� d .. . different date is s pecified)� _ .
�f- • .
� M(,7
WARNING TO OWNER: ANY PAYMENfS MADE BY TFIE OWNER AFTER THE EXPIRATIOTV OF THE NOTICE OF
N Y COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SEC'fION 713.13,FLORIDA
i m � STATUTES,AND=CdN RESULT IN Y.OUR PAYIIVG TWICE FOR IMPROVEMENTS�'O YOCIR�PROPERTY.A NOTCCE OF �
COMMENCEME]V7'MIiST�BE RECORDED AND POSTED ON THE JOB SITE BEFORE TfiE FIRST INSPECTION.[F YOU
�0 N INTEND TO OBTA�IN FINANCING,CONSULT YOUR LENAER OR A1V ATTORNEY BEFORE COMMENCING WORK OR '•
��N RECORAING YOUR iVOTIGE OF COMMENCEMENT. �
i
V�� STATE OF FLORIDA
��''' CbUNTY OF PASCO � � ����iN
Signature of Own�er s Authorized Officer/DirectorlPartner/Manager I
� �v��f�c( S �vr'.�s'
= Print Name I
�
� �he foregoing instrument was aclrnowledged before me this�_day of��p�e�- ,20�,by
�pb� S-(�p,ti� as c�Wwe r' (type of authority,e.g.officer,trustee,
= attomey in fact)for (name of party on behalf of whorn instrument ��
�
� was executed). �'
�' �..1-ln..' ��1.-l. ��.�,..`� {
= Personally Known OR Produced Identification � Notary Signature
'= Type of Identification Produced ��A l�Q• Ls C.- •
�
�m —• i
=m •��"R• .,. KArHRIN III ROBINSON
�� ' r:'• • :,IY:JMMISSION p fF238573
�� "•,?' ,�'� EXPIRES June 02,2019 ��
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THIS(S TO CERTIFY THAT THE FOREGOING IS � •
,� '�; �� .'�' � ;:� ' . �
TRUE AND GORRECT COPY OF THE DOCUMEt�1` �' ��G^��+'Q x��
ON FILE OR QF PUBLIC RECORD IN THIS OFFI � � 4'_°, o
WITIVES Y HAND AfV OFFICI L SEAL THIS h~ . O ' �
� DAY OF .v 2 _ � �:"-�` d88� �
PAULA S 'f�EIL,CLERK& fViPTROLL �'��� � 0 0 �,
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gv DEPUTY CLERK
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