HomeMy WebLinkAbout15-16780 CITY OF ZEPHYRHILLS
5335-8TH STREET �
, , (si3)�so-oo20 16780 ',
' BUILDING PERMIT '
" - PERMIT INFORMATION � - ' ' LOCATION INFORMATION '
Permit Number: 16780 Address: 5327 TANGERINE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):10 Block: 3 Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00300-0100
Improv. Cost: 4,000.00 - OWNER-�INFORMATION -
Date Issued: 11/30/2015 Name: ALFONSO ERNESTO A& LIBNI MARTIN
Total Fees: 55.00 Address: 5327 TANGERINE DR
L
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/30/2015 Phone: (813)330-8811
Work Desc: REROOF SHINGLE
.CONTRACTO.R S � � APPLICATION FEES �
OMEOWNER REROOF RES DENTIAL 55.00
�
� � � Ins ections Re uired � ' � � - � ' �
DR R OFI
TAPE JOIN OOF IN P
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 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
4
n
�
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Bullding department
r � , .
Da#a Received � ��j '���^j r.�� � �
Phane-Contact for Permitfln �'S'13 Ga ,Y11
Owner's Name �-rrh�J'i l��1C�cf���'? ; Qwner Phone Number �/3 �53d"" '�'�('"J t "
�
Owner's Address S 3Z� �Gr'� �d'���,a ,., �/ • � Owner Phone Number �- �
Fee 5lmple Titleholder Name Owner Phane Number � �
Fee Slmple Titleholder Address
JOB ADDRESS LOT# C�
SUBDIVISIOW �_ �� PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
W4RiC PROPOSED NEW CdNSTR ADDJALT [� SSGN Q Q pEMOI.ISH
INSTALL 8. REPAIR
PROP4SED•USE Q SFR � COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME [� STEEL Q
DESCRIPTION OF WORK ,/U��G/ � , ��J -,-�'�7 C� ���'�
BUILDtNG SIZE �� � SQ FOOTAGE� HEIGH7 �`�
�BUIt,DING $ -�...,�. - �
�Q� VALUATiON GIF TOTAL CONSl'RUCTION
QEIECTRtCAL � � AMP$ERtliCE Q PRQGRESS ERtERGY Q W.R.E.C.
QP�UMBtNfi., �$ � ����C��
L
QMECNAHICAE. � VAlUAT10N OF MECHANICAt lNSTAIIATlON
OGf.1S � ROOFIl�tG Q SPECIALTY C� OTIiER
FINISHED FLOOR ELEVATIONS �--__� FLOOD ZONE AREA [�YE$ NO
' ���R ,!
BUIIDER . COMPANlt
SIGNATURE REGIS7ERED Y/ FEE CURRE� Y/N
Address � �7 rGt/� 9i��� ,� h t Lfcense# � � �
ELEC'fRIC1AN COMPANY
SIGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N
Addrass License# �- �
PLtlMBER COMPANY
$IGNATURE , r, _, REGISTERED Y/ N FEE CURRE� Y/N
Addre�s License# � �
MECFf�4l�i1CAC. COMP.ANY
SiGNATURE REGISTERED Y,/ N FEE CURRE� Y/N
Address License# � �
OTHEE2 CONIPANY
SIGNA7URE REGISTERED Y/ N- FEE CURREA Y/N
Address License# �� ��
RESiDENTiAl. °Attach(2}Plot Plans;{2)sets�of Btiitding'Atens;{1)set of Energy Forms;R O-W Perrnit for new construetian,
Minimum,ten_(1.0)working;days after,submittal date: Requlred onslte,ConstFuction Plans;Stormwater Plans w/Silt Fence installed,
Sanitary Faoilttles&1.dumpster,Site Woric Rermtt for subdivislonsflarge proJects
G014tMERGiA1. Attach(3}comPtete sefs of Suildltig Plans plus a l,ife Safety Page;{1)se#of E�ergy�'omts.R-Q-W Permit for new c:onsttuction.
Minimum ten(10)working days'after submittal date. Requfred onsite,Construc8on Pians,Stormwater Plans w/Silt Fence installed,
Santtary Facilitles&1.dumpster.Site Work Permit for all ne9nr proJects.All commercia!requirements must mest complfance
StGH PBRl4lIT Attach{2}sets af Eng3neered Plans.�
"'"PROPERTY SURVEY required for all NEW canstrucUon. �
Dlreatlons: _
Fill out applicatlon completely. '} � ', _.` _ r'
Owner 8 GQntractor sign back of applicaUon,notarized '� ;', ,� ? „ �, .. �. r�o.�.. :��»��.�.r,..� �,__..,,. , , .
If over�2+30Q,a Natice of Commenaement-is-reqaired. {AIC upgrades�over 57500 ''� `�"'�'``y jK i�}�'4 � .�
2 `�� . --f' , ,,. �:
. . ..0 j = , ;�;t.' �'�.%�;;C;,r^'r,r:��:.•i�:�:�)��•.,���.,
�» .. . - _ � :.,: �,
Agent(for the con6ractor)or•Power of Attomey�(�o�,the_o,wn�[).would 6e sameane with nota�ized letter from own�r authoriiing same?'�� - �
OVER THE CCiUNTER PERMiTfiNG,;�� .;;.(Front:ofrAppllcatEoii Oniyj � -,;,;^� .,.. ... ..'� "''_,,�`�..'`"� ''�.:r..;:•.;�+;' ; ,
y4-' »,y�.Y�au..q.rY':`r:Na+s�wanu'i.�q�.LT.
Reroofs if shingles Sewers ����^Service�Upgrad�s AI,G'r`"�-�;Fences(PlobSurvey/Footage) ',
„ .U <,._ ,.« . < < ,,�,. . .,
Drtvewaya-Not over Counter ifion�pubiic`roadweys..�eeds ROW
�
I
_ _ �
r ' v`
NQ'fi'iGE C�F DEED RESTRICTIONS: The unde�'stgned under�tands:th�t.th€s:permt#.maybe.sub}ect to�,deed".restric#lons"
. .
which may:be:�more�r.est�ictive th�n Counky'regu�ations:�The und';ersigned as`sumes responsitiiitty for compliance witFi'any
applicabfe`�deed rest�tctlans. . . : •
UNLtCENSED Ci3NTRACTQRS AND Cl7NTRACTOR RESPONSiBIL1TtES: �if the awner has hired �a contrac#ar or
contractors to undertake work, they.may be cequ'ired.#a:;be:l(aensed in accordance.with state.and�lacal regulations. .IFthe
contractoc.is no# licet�sed as t�qulred=tiy (aw, both the owrrer arn! contractoT�rriay be�ct#ed far�a�mistlemeanor vialation
under state law. If the awner or Intended>�contr�ctor�are_uncertaln �s to whaC Iicensing.requirements may:apply.�for�the
iMended+�rork, they are advfsed to contact ttie Pasc:o Couttty Bullding inspectloti_Divlslon—!_Icettsing Seation at 727-847-
8009. Fur#hermore, if the owner has hlred a contractor 6�corifractors, he is advised ta have the contracta s sign
K..)r;,, .
portions of the "cantractar Block° of this applicatlon for_which they wlll,be .responsible. .if..you� as.fhe awner`sign as'the
co�ttractar� that tnay 6e an Indica#ion that�he is-nof.p�oper#y 13censed ancf�ls not entltled to permltting pr�ulleges in Pasca
County. r
TRANSPQRTATION=IMPACT/UTIUTIES�iMRAC'�ANC!RESQURCE RECQVERY�PEES:�The underslgned understands
that Transportation impact Fees and.Recourse Recove.ry.Fees may,:��apptyto:the cons#ructian of new bulldings,:change�of � - °
use in existing buildings,�or;_expansi�in.,of��existing�!fiulldings, as speclfled.in Pasco Caunty Clydinar�ce number 89-07 and
9D-07, as amended. The undersigned also understands, th�t�such fees.,as,may.tie.d�e;�witt,6e identi#ied at the��time�of
permitting. It Is furtlier understood that Transportation Impacf Fees and�Resource Recovery�Fees mus# be pald prior to
recefving a pcerEif�cate.of accupancy"-or fina�powe.r.release: :l�-the pro�ect does.nat invotve:a certiEicate of occupancy oE��-
finai power release, the fees mu�t be paid pcior to permit Issuan`ce, Fu�thermar:e;�if Pasco County�Water/Sewer•Impact - ��
fees are due,they:musk be-pald.prior to permi#•lssuance°In accordance wtkli app!lcable Pasco-County-ordlnances. �
CONSTRUCTION CfEN�tAW'(Ciiapter T�13� Flor�da Statutes�as amendedj: {f vatuation af wark is$2,500.00.or mpre,-i ,
certify that I, �he, appllcant,. haye been provided with�a copy� of the° �Florida� Constructton_Llerr�Lav�—Homeowner's
Protectlan Gu#de" prepared by the Florlda Depat�ment of Ag�tcult�tre and Gonsumer Affalrs. If the appticant Is someone
other than the"owner", I certify that:lwhave�.abtained-a-capy;of.#he:above.described document;and.pmmise�tn,gaod`faith to ,
deliver It to..the_�owner".prior..,torcommencements" • . ° � '�
CONTRACTOR'S/OWNER'S AFFiDAViT: I cerfiEy�,ttiat aii the-,infonmation:in�thi�appllcation is ao�urate.and that ali wock
wlll'be done in campliance with all appiicable�la�is regulating construction, zoning and land devebpment. Applicatlan is
hereby made to obtatn .a permit #a do�work;.;and .Installa##on as tndtceted.=:; `i certifjr th�t no work.:or Installation has
commenced p�ior to issuance of`a�permif°�and that.all work wlll be perFo�med to meet standards of all laws �egulating-
construatlon, County and City codes, zonfng regulations, and land devetopment regulattons-fn #he Jurfsdtctton. 1 also
ce�tify that I understand ttial;tne,rQgulations of other gavernment agencies may apply�to the intended work, and that it is
. ��,
my�esponsibiliiy ta-tdentify what:actlons!must take:to be.ln..corr�p!lance; Such agencles lr�clude but are.not Ilmited to:
- Departmen# of Er�vironmental��Protectibn=Cypress,BsyFiead�, 1dVettand Areas and E�vironrnentalty Sensitive
Lands,WatedlNas#ewater Treatment. �
- 5authwest Ftor�da Water ManagemenE l�is#rfct Wells� Cypress. 8ay�heads; Wetland Areas� Attering
Watercourses.
- Army Corps of Englneers-Seawalls, Oocks, IVavtgable Waterways,
- Deparlment of Health S ReMabilitaftve Services/Environmenfai Health Unit Weiis, Wastewater Treafinent,
Septtc Tanks. _ �
- US Environmentat�Protection Agency Asbestos abatement,
Federal Aviation.Authority-Runways.
1 understand that#he foltowing restrictions�apply to the use of flll:
- Use af fiil is not allowed in Ftood Zone"V"uniess expressty permifted. `
- If the fiiF inaterial is to be usedR�in.;Elood Zone. "A", it. is understood that a drainage pla� address(ng a
"campensating volume"will be submltted at#ime of permitttng avhich is preparod by a profess�onal engir�eer
Iicensed by�he.State of Florida.
- 1# the fil! materiai is.to be used tn Fload �one "A" in>connec�Eon�with�a permttted buiiding usfng stem wali
� eonstruction, I certi�r that flll:�r�li::6.e used only�to#ill the area wlthin the stem waU.
- !f fill material is to be usad in any area� I cet#Ify th�t use of such-flil wiA not adversely atfect adJacent
properties. !f use o#fil) is found to adversely��ffect ad�aEerft��properties,.the owner may be cifed for viotating
the canditions of the building:permit issueid��u�der the attached permit application, far:lots less than one (1)
acre whlch are elevated by flll,an engineered dralnags pian Is requlred, .
If I am the AGENT FOR THE QWNER, I,�promise in gaod faith to inform the°owner of-#he permltting condi#ions set forth in
this atfidavit�prior to commencing constructlon. 1 understand that a-;separate pecmlt may be requt�ed for electrical wark.
ptumbing, signs, welts, pools; air condttloning,.g�s, or o#het instalt�itions not,speci�cally inctuded�in the application. �A
permit issued shall be aonstcued to be a llcense 10 proceed with the work and not as:authorlty to vlolate, cancel, alter, or
set astde eny provtsEons of the techr�tcal codes; nor shalt issuance af a.pecmtt.prevenf tF�Buildirig C?#ficlal from therea#ter
�equiring a conection af errors In.plans; consttuctlon or violations of any codes. Every permit Issued shall become invalid
unless the work authorized.by such permit��ls-commenced withln s,C�c�nonths of permlt Issuance. or Rf wock authorized by
the permit is suspended ar.a6a�daned for a:period af six f8}montt�s after#he time the wotk�is commenced. An extension
may be requested, In wrlting, from the Building,Offlcial for a perfod�not#o exceed Nnety�(90) days and will�demons#rate
justlfiable cause for the extensior� If worlc ceases,for nlnety{90}cons.ecutive days,..#he�ab��s considered aba�dor�ed.
WARNING TO t)WNER:. YOUR.f..A1LURE�TOs REC.t?�2D A.NQTIGE QF�COMM�NGEMENT-14�1Y RESUlT IN YORlR
PAYING TWICE.FOR IMPROVEMENTS�'�YOUR;PROPERTY. �IF�Y011�iNTEND�`TQ'OBTAIN��iNtANCtNG;'CONSULT
WIT YO E. Q ' A . TTORN � F-RE- CO �D �•� OU `� � �C 'O � �•` E E T� �- -�---__---
- -- - _ - ---- _ _--- -- - ---
FLO�i1pAJllRA�{F.S:-1T 3)�___._- _--• --- –._—_ �-
OWNER OR AOENT ?(�� CONTRACTO `
Subsaribed and swom to or atflrtnedj efior�nn�th s Subsc�lbed and'swom to{ot af8rmeilpba re me ltii�
by �by
Who is/are pers nally known to.me ar has/have produced Who Is/are p.ersonally known tn me or has/have produced
as IdenUflceBon. as iden�ftcation.
�*„ �
�-
r •�. ' � No ry Pubilc . Notary Pubitc
���
_; 4r; Expires June 29,2018 � ;;�ti�+'�i:�,, JOEL E.6ACON
I {iOTTi � �Q [+��l,f,Fi�Qs'�` BatdadfhsufnyFaatMs�¢anc�NM'i/5 69 Ci0(T1t� il-�0. '�`s
I """"""""�""' ;;� K; Expires June 29 2018
• a '
Na e af Nota�ry typed,printed or stamped Name of Notary iyAed,
� �
� � � !I��II�liiil����i i!�!I III�!Illil IIIII1111I IIlII Irlfl�III IIII
2015190205
� � :
F�c�st:1 f 3P�5�5 i�ec: 10.�c�
. d5: 0.00 IT: 0.00
� 11/30/2015 E3. M. , Dpty Clerk
P4uLA S 0 P1E?L Ph 6 PASCO CLERK 8 COPiPTROLLER�
I1/30/2015 11:19am 1 ���
OR BK ���� PG
NOTICE OF COMMENC�MENT
Permit No.
Property Identification No. !d 'o��•o�1 - UO`l0 - aa 3 00-p!p 0
Ti�i7NDERSIGNED hereby give informs you that the improvement will be made to certaia real property,and'm accordance with
Section 713.13 of the Floride Statnies,the following informetion is provided in this NOTTCE OE COMti�NCEMEIVT.
1.Description ofproperty(legal descrtp8on:
a)Street Address: $ 2 � P
2.Qeneial description ofimprovements: /',o_ r :n w
3.owner Info�ma6on .3�5 u
a)Neme and address: � �'�� S'�7� To /J�i� Q�/' ��Jl9Li e�ij����'�j
b)Name aad addtess of fee simple Htle6ol if oer�(' d►er than owner)
c)Interest in ptoperty . . ,
4.Con�ctbrinformatitfa ,
a)Name and addtess:�,n'��' r'i S /�G✓�.�'�l
b)Telephone No.: Fax No.(Ojrt.)
5.5urety Informatton
I a)Natne and addresss
b)Amomµt of Bond:
c)Telephone N.o,.: Eax No.(Opk)
6.Lender
a)Name and eddress:
Phone No.
7.Identity of peison within the State of Florida deaignated by owner�on whom notices or other doc�ents may be served:
a)Name and addcess:
b)Telephone No.: Fax No.(Opt.)
8.Ia addiaon to himsel�owne�designates tha following petsoa to receiva a copy of the�,ienor's Notice as�provided in Section
713.13(1)(b),Florida Stat�rtes:
a)Name ead address: '
b)Telephone No.• t� ' Fax No.(Qpt)
9.Facpiraflon date of Noace of Commencemsrit(the wcpiretion date is one year frbm the date of record'mg unless a diffe'rent date is
speci5ed):
WAIt1vIIVG TO OWNER: e11V1'PAYMENTS MADE BY THE OWNER AFTER TAE EXPxRATION OF THE NOTICE OI+'
COMMENCEMENT ARE CONSID�D�MPROPER PAYMENTS UNDER CSApTER 713,PA.RT I,SEGTION 713.13,
FI:ORIDA STATTITES;AND CAIV RESULT IN YOUIt PAYII�iG TWICE FOR IIVVIPROVEMENTS TO YOTJR PROP�RR`Y.
II
'I A NOT[CE QF COMMENCEMENT MUST BE RECORDED AND POSTED ON'd'HE 30B SITE BEFORE THE FiRST
INSPECi'ION. II{YOU INTEND TO OBTA11�i FINANCING,CUNSIILT YOUIt LENDER OR AN ATTORNEY BEFORE
COMMENCIIYG WORK OR RECORDING YOIIR PiOTICE OF NCEME�
STATEOFFI.O�iID ra� � �
COUMYOFP c�o �f°`� PATRICIA L.JOHNSON ��iw�
���.SyQ MYCO'vIM1SSION#Ff185847 SlgnapueofOwnvorOxmer•eAuthorindO�adDirectof/Putna/Mmega
'�+��o�� EXf'I RES.Dzce�nber 28.2018 �/Q/�f( M A�T/r(,�
�.�3:L�s'�:��.,�va�b*a3'sc3�' PrintName • �
The focsgoing iosmiment was aclmowledged before me this 3� day of NDV• .20 �.S by �r6N�
hH�.r�r� es (type of authority,e.g.officer,trustee,attomay I
���)�r (neme ofperty on behalf of whom mshument was executed).
PersonalIy Known_OR Produced Identificetion `� Notuy Signature pa�,oy��.d°—
Type ofIdentification Produced D•L• Nazne(prmt) fa�RIC/R t• JOf1�U� '
Vertficallon pursuent to Section 92.525,Florida Stahrtes.Under peaahies of perjury,I declare that I have read the foregomg and thai �
the facts stated in it aze true W the best of my Irnowledge end belie£ �i
FOHMSMOC,rved]�m Signenue ofNeL�rel Pesoa 3ig�ing A6ove