HomeMy WebLinkAbout15-16792 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
PERMIT INFORMATION. LOCATION INFORMATION -�
Permit Number: 16792 Address: 6500 SILVER OAKS 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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0260
Improv. Cost: 10,200.00 - - OWNER INFORMATION - - I
Date Issued: 12/03/2015 Name: POMFRET ANNE E
Total Fees: 90.00 Address: 6500 SILVER OAKS DR
Amount Paid: 90.00 ZEPHYRHILLS FL 33542-4818
Date Paid: 12/03/2015 Phone:
Work Desc: REROOF SHINGLE
. CONTRACTOR S . . -APPLICATION FEES �
GAVI R F NG REROOF RESIDENTIAL 90.00
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12 -! � �! S
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� � ` Ins ections Re uired. - � �
DR N R OF INSP
TAPE JOINTS ROOF INSP .�
- FINAL � Z -"I �� .��
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 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 ��X-s�saso-oa2�
t � Bullding Department
Data Received Phone-Contact far Permittin –
Owoer's Nams Q !��"~l. Owner Phone Number
, � �
Owner's Address (p S�� .Sl�,.(/�/L (�G'��,�' �i,� Owner Phone Number
Fee Slmple Titleholder Name �— � Owner Phone Number � �
Fee Simple Titleholder Address
JOBAbDRESS .?'�� �/ U��. m�S � L.OT# �"�
SUBDIVISION S l G-1jGIL- ���L�j � pARCEL ID# �3� �—2..1-- �I �D— A OlIO� p 2�
(OBTAINED FROM PROPER71f TAX NOTICEj
WORK PROPOSED , e NEW CONSTR�ADD/AtT � S1GN• � Q DEMOL�SM
INBTALL REPAIR
PROPOSED US� [� SFR Q COMM � OTHER
TYPE OF CONBTRUCTION �'"""/BLQCK R Q FRAME �] STEEL Q
DESCRIPTION OF WORK �po� Q 1�17? �� /� J �L�` � //`//i»��C�S
BUtLDING SIZE ��—� SQ FOOTAGE HEIGHT C��
�$���'���� $ � VALUATION OF TOTA�CONSTRUCTION
� '��
QELECTRICAl. $ AMP SERVICE Q PROGF2ES5 ENERGY C] W.R.E.C.
QPLUMBING �"� ��.}��
OMECHANICA� $ VR�UATION 4F MECNAN{CA�INSTPa.IATIt}N �
QGAS [i/ �' RC?OFtNG Q SPECIALTY [� qTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYES NO
', BUIIDER COMPAFiY
I $�IGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
' Address Lfcense# � �
Ei.EC7RIClAN � COMPAt�1Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres� License# C —�
PUlMBER COMF.ANlt
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
� Address License# r— �
MECHANlCAI. COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
' Addres�
License# r� ��
OTHER �/ COMPANY tJl� ��ll�J�l��
I SIGNATURE „cit.C.� �,�fhl'7��/ REGISTERED Y/ N. FEE CURRE� Y/N
Address � �1� .S�3 �f�/�� �!`Z' ,� License# ���7�p,�-�� �
E2EStDE1V11Ai. Attach(2)Pldt�Plarts;.(2}sets�af.Building Plans;{1)se#of Eriergy�Forms;R•0=W Pertnit for naw construc�on,
_ Mlnlmum ten_(10):working days.aRer submittal�date:-Reqalred onslte,Construction Plans;Stortnwater Plans w/Silt Fence installed,
Santtary FaciltUes:&1.dumpster Sfte�Work�Permit for subdivislonsflarge'projacts
COMMERCIAL Attach(3)comptete set"s of Buildirig Plans plas a E.ife Safety Page;{1)set of Energyr Forms.i2-O-W Pennit for new consUuctlon.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Pians,Stormwater Plans w/5ilt Fence installed,
Sanitary FacAitles&7 dumpster,Site Work Permit far al!new proJects.A!I commerciai.requlrements must meet carrzpflance
SIGN PERMIT Attach'{2)""sets of`Eingi�eered P1ans.;� ��
•`••PROPERTY SURVEY required for all NEW conshuctian.
Dlrectlons: .
FIII out applicatlon completely.
Owner 8 Contractor stgn back of appiica8on,natarized
If aver 52500,a Notice of Commencement ls raquired. (A/C upgrades over�,�500j
" Agent(for the contractor)or Powe`r afAttomey{for the owner)woulr!be someone with notarized letter�fram.owner authorizin�same
i
OVER TFfE COUNTER PERMt1TING' ' ' Front ofA'�Iicafiiin Oni" "; � '',- � , ,
t , . pP Y) i .. . j.-_t. ...,.,..,._..�+,1,:,, ,r
Reroofs if shinglss Sewers Service;�Upgrades;i4/C� `�en�es(PIoUSurvey/Footage) � � ��'��� �•., , � ` `
, -f . .. ,i . •��a 4'
(` �j:"' . ��. � rxt:,�� -� -�• �t:3� _ � _. .. ..._.....,. - _ ' ,
drivswaya-Not over Counter if on public,roadways§::neeilSxROW� % . �;'.,,„v,.r h 'µ " ' •- � �
.. .... . ... .....r. -.., _..,..,... .=.__ .. ,y . , � .., ....,.. ,9 ...,.�
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NOTICE OF DEED RESTRICTIONS: The undersigned under�tands�th�t:this:p�rmit.may be,subject.to,"deed"restriction"s"
, . , . �__ : . . :.
which may be<more=rest�ictive=�ths�n Gounty'�egnlations:�-�The�:underslgned`as'suiiies"responsibility�for'compliance with any
app8cable.deed restrictlons. . � • . ° '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: �-�If�the owner has�-hired��a conhactar or
contractors to undertake work, they may.be;tequired::to<be;Ilcensed In accordance.with-state.and�local regulations: If the �
contractor is not llcensed as required`by'law, botti the owner and conUecta��may be-cited�for a�mi'sdemeanor violation
under state law. If the owner or intended contractor are�uncertaln as to what Iicensing:requiremenfs;may apply=for�tfie - •
intended work, they are advised to contact`the�Pasco County Bullding Inspection Divislon—Licenstng Sectton at 727-847-
8009. Furthermore, tf the owner has-hl�ed� a contractor o� coritractors, he ts advisecl to have the contractor(s).,sign
portlons of the "contractor Block" of this application for whtch they will be tesponsible...If.you,.as..the owner''slgn°as the �
contractor, that�may be an indicatlon that he is�-not.properly licensed and is'not'entitled to permitting p�ivileges in Pasco
County. ' "
TRANSPORTATION:IMPACTIUTIUTIES•rMPACT-ANb RESOURCE RECOVERY�FEE3:The undersigned understands
thatTrensportation Impact Fees and.Recourse Recove.ry.Fees may.�apply;to�the constructton_of new_buildings,.:change of
use in existing buildings, or:.expansion�<of��existin��bulldings� as specffied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also-understands, thait such fees�:as�may_��e�:due;;will:.be identified at the=time of
permitting. It Is furtfier understood that Transportatlon Impact Fees an.d��Resource Recouery�Fees°_mu�t be paid prior to
receiving a "certi�cate of occupancy" orflnal power-release. :If the project�.does not involve:a-:certfficate of occupancy, o�
finai power release; the�:fees mu�t be paid prior to permft issuance. Fu�thermore;If Pasco.County�Water/Sewer��impact
fees are due, they.must.be�pald prior to permit-Issuance�in accord"a.nce with applicable Pasco'.County o�dinances.
CONSTRUCTION LIEN LAW(Chapter 713, FlorJda Statutes�as amended); If valuation of work Is$2,500.00:or more, I �
certify that I,_ !he applicant,_ have-been provided with. a copy� of the "Florida Constructton� Lien Law—Homeowner's �
Protection Gutde" prepared by.the�Florida Departmenf of Agric.ulture and ConsumerAffairs.- If the appl(cant Is someone
other than the"owne�", 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.ce�ttfy;:tFrat�ail.the,inf.ormation:in this applicatlon is accurate and that all work
will�be done in compliance with all�.applicable�laws �egulating construction, zoning and land�development. Application is
hereby made to obtain .a.permit Co .dp. work..,and :Installation as lndicafed:;; °I certffy�tfiat no work�.or installatfon 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 cegulations-in�the jurisdtctton. 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.actfons I must take:to.be�in:.corrlpliance: Such agencies Include but�are:not limited to:
- Department of Ehvironmental.Protection-Cypress.'Bayliead�,�Wetland Areas and Env(ronmentally Sensitive
Lands,Water/Wastewater Treatment. �
- Southwest Florida Water Management: .I�istrtct Wells, Cypress. `Bayheads; Wetland Areas, Altering
Watercourses.
- Army Co�ps of Engineers-Seawalis, Docks, IVavigable Waterways.
- Department of Health'& Rehabilitative Services/Environmental Health Unit Well.s, Wastewtater Treatment,
Septic Tanks. � .
- US Environmental Protectlon Agency-Asbestos abatement.
- Fede�al Avlation Authority-.Runways. -
I understand that the following.restrictions apply to the use of flll:�
- Use of fill Is not ailowed 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 permitt(ng wh(ch Is prepared by a professional engineer
Iicensed by the State of Florida:
- If the fill material_is to be used in Flood �one °A" (n�connection�with.a permitted buliding using stem wall
� construction, I certlfy that fill�:wtll:be used only.to.fill the area within the stem�wall.
- If flll materlal is to be used in any area, I certlfy that use. of such flll will not adversely. affect adjacent
propertles. If use of flll is found to adversely:�ffect adJaeent�propertles,.the oinrner may be'cited for viofating
the conditions of the building:perrriit issued under the.attached permit application, for�lots less than one (1)
acre which are elevated�by flll, an englneered dralnage pla�is required. ,
If I am the AGENT FOR THE OWNER, I;�promise In good faith to Inform the owner of the permttttng conditions set forth In
this affidavtt�prior to commerncing construction. I understand that a:separate permit may be requtred for elect�ical work�
plumbing, signs, wells, pools, air conditionfng, .gas, or ofher Installattons not:specmcally included in.the application. .A
permit issued shall be avnstrued to be�a Iicense to�proceed with tl�e work and not as authority to.violate,�cancel; alter, or
set aside any provisions of the techntcal codes;�nor shall Issuance�of a.permit.pcevent the Bulidirig Official from thereafter
requfring a correction.Qf enors in.plans; construction or vlolatlons of any codes. Every permit Issued shall become invalid
unless the work author(zed.by such perm(t:�s-commenced wtthln sfx months of permit issuance� or If work authorized by
the permit is suspended or.abandoned for a period of�six:(8)montF�s�after the time the�work�ts commen�ed: An extension
may be requested, In writing, from the Building.Official for a period.not to exceed ninQty(90) days and aviil demonstrate
justffiable cause for.the extension: If work ceas�s.for ninety(90)consecutive.day.s�..th�)ob�is considered aba�donec�.
WARNING TO OWNER: YOUR FAILURE_TU.,RECORD:A NOTICE OF�COMMENCEMEMT MAY�RESUlT�IN YOUR
PAYING TWICE.FOR IMPROVEMEN�S TO YOUR:PROPERTY..1�°YO.U�INTEND'T�'OB7�AIN��FIPFANCING;�CONSULT
�"i�"r�Yl�i-ifiiii�-�E�ID�tR t?i�t�►1�"f�"i'Yf�R�1t1f��F6�t�����OR�II��a�YOOIrT+f�►Ti�C�'O��COMA�IENC� ENT. --
FLORIDA JURA'��(F.S.117A�1 � ' �
OWNER OR A(iENT `'i'�-� t'i�i CONTRACTOR ��
Subscrlbed and swom to(or aflirmed)before me this Subscribed and'swom=to(ot afltrmed)�before me this
by �by
Who Islare personally knwm to me or has/have produced Who Is/are p.ersonally lcnown to me or has/have�produced •
as Identlflcatlon. _ as IdentlBcatlon.
L, /a �
Notery Public L-- Notary Public
Comml I No:,�. Co I Ion�No.
,,,,��,., „��,
,,,.tis��,ryaF;,,, JOEI E.BACON 3 ,,••;;�:rv'�•,,, JOEL E.BACON
Name of Notary typ ;� �Qr ,�ne 29,2018 Name of Notary typed, :pt R
:'� o?` go�llwTroyFainlnw�ence80P�57019 :�• •o`: x ires June 29�2��8 -
'�',p��'•` �� �'��'� Brnded Ttw iroy Fdn Insweirce 8003851019
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Permit No. Parcel ID No P 3�.6 -�.I����v — D D9�p""Q��/�
�
�"'��n NOTICE QF COMMENCEMENT
State o( �`�"t/���� P�`J"'�
Covnry qf
THE UNDERSI�,NEp hereby gives noUce that imprpvem8nl witl be made to certain real property,and in accordance with Ch2pter 773.Florida Statutes,
the fotiowing intormation is provided in this Notfce o1 Comme�cement: /�
1 DescripUon of Property; Parcel Identifiwtlon No. U 3��6;,�1— Q/�i.,,d-^ (,�B(���^ Qv7.,p�
StreetAddress: 6s�� J!LI�E�"G l9/9'{f�" ,�/<-- ZG'�r7�{�Q�/i'�L.(' ZL ��j�,�'� ..
2. General Desuiption of Improvement 1C..C"' /WQ�n,r(�i %/�(.(�)6
3. Owner Informalion or Lessee infortnalion.if tfie Lessee contracted for lhe improvement:
/9/i1i{l�' /°Oti1�,P�-T. - .. •. _
t�O�Name..5/.C,(/t7./L �J47�J f/�1.,• '.�.E�/7 y/�-i-//�Gl ?'"�'G._
�2
Address ��/ �-/j City State P�
Inleresl in Property: �w�"�"' � ��d� w �
Name of Fee Simple 7itleholder, Cn � � � �- 4��LI
(It diftereat trom CN+rrer Sisted above} �-� � c L {�
Address /J��j ,�y Cit State �!) '"r' � � � � ��
a Conlracror• (!"/TVLA.� �O4��G'"` Y . :;t` �,� � �) 1� �
� _. tSame f}n D�k l3bJ L/�'��' �/�Y ��i tir <!7 �-��-'., � ��� W
v r� s� /�'y �7 �+�/� � Z J �.
Address � City � Slate C!C Z � �"
Contractor"sTelephoneNo, ?�.L.'—S4 /�SdJ� �,!?H�? d F-. � ` Q
5. Surety: r'� a'"^�'�' � O�O U a
Name --- � 1..�•_}U � °is
Address r,,.,.r Ciry Stete � ¢ �� �
Amount o(Bond: b � Telephpne No.: x U U z � '
/- "�[ �"' E--J
6. Lender. (;� }- ()m,� �
rlame ,,..._.,,,.�� LL W �z Q .J
� F'- � n- Q } --
Address �,/•"' Ciry �State G1 � � � _ ,Q W
Lender's Telephone Np. � W O Q y, O � -`
7 Persons wlihin the Siale of Fiorida designated by the owner upon whom�nottces or other documents may be served as provFded by �- Q � � O
3ectian 713.13{1){aj(7j,Flodda Staluies: C�-F-- z O � (,J)
Mame �� !-- � W � z� 4
f !U t-�- � O � Cc�L p'}..t
Address ' City Sfate
��
Teiephone Number ot Qesignated Persfln:
��
� $. in additioo to himseif,the awner desig�ates - ol�
��' to receive a capy af Ihe I.ienor's Nptice as provitled in Seclion 713.13(t)(b),Florida Statules.
� Telephone Number ol Person or Eniity Dasignated by Owner: �"'�r
9, Expiration date pf Motice pf Commencemeni(the ea�piration date may not be before tbe comptetion qf�oLr��strvction and tina!payment to the Y
contractor,but wiit be one year from the date at recording untess a diHerent date is specifiedj: „��f/r T *
WARNING TO OWNER: ANY pAYMEN7S MADE BY THE OWNER AFTER THE EXPIRA7{pN OF THE NQTICE OF COMMENCEMENT r-,�a� .e *
ARE CON5tDERED tMPROPER PAYMENTS UNOER GFiAPFER 7t3, PAR7 t, SECTfON 773.t3, FLORIDA 57ATU7ES, AND CAN � � �
RESULT IN Y4UR PAYING TWICE FQR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENGEMENT MUST BE � b
RECORDED AND POSTED QN THE J08 SITE BEFORH THE FlRST lNSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT t.+u� D
WITH YOUR LENOER OR AN AITORNEY HEFORE COMMENCING WORK OR RECOROING YOUR NOTICE QF COMMENCE(�tENT, � � d„
Under penalty o1 Der�ury,t dedare that i have read ihe foregaing notice ommen and that he taGs stated therein are tnte to the hest � �
� �� 0
of my knowledge and belief, � d �' � 3� �
STA7E'OF FLORIDA 61n n v � � �
V�v` � � � � I
' C4UNTY OF PASGO �q ,�
Signature of pwner or 6essee,or Qwner's or tessee's Authorized t,a+ � � �
i OKcedDirectodPartnedManager � ,'��
( (�j�n��-�, '�
Signatory's TitietOtfce �adL • # �
n �_ r
The foregoing inStrUment was acknowiedged betore me this�ay of���j t�.20 t_J�,by j� ��� � �S �. �
as p-Gwit.a- (type of aulhorily,e.g.,oNiCer,4'fustee,attomey�n fact)far
(name ol party on behalt of whom�nst�vment was e�recuted}.
Personally Known OR Produced Identificallon❑ Nolary Signature I�tJ�-�LGU� Q"'G��
Type of identification Produced Name(Print} rn4'£?G �.�' t+ . �",�''�'�k t2-Sa+J
,,�rP„ Rept,1731465 Ret: 10.00 �
' •'�'�c MAA(itiRfTAPATtfASON D5: 0.00 IT: 0.00
���*MYCRMMISSIONtEE876845 12/03I2015 E. M., Dpty Clerk ...
EXPIRES:Marehg,2Qi7
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PAU�A 5 0'NEIL.Ph � PRSCO CLERK & COMPTROLLER
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