HomeMy WebLinkAbout15-16813 i i
. � CITY OF ZEPHYRHILLS '�
• 5335-8TH STREET
(813)780-0020 168
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION -�
Permit Number: 16813 Address: 39142 6 TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0030-00100-0230
Improv. Cost: 4,000.00 = OWNER INFORMATION
Date Issued: 12/08/2015 Name: SMITH M JEFFREY
Total Fees: 55.00 Address: PO BOX 292646
Amount Paid: 55.00 � TAMPA FL 33687-2646
Date Paid: 12/08/2015 Phone: 813-382-4540
Work Desc: REROOF SHINGLE
CONTRACTOR S r APPLICATION�FEES '
T K ROOFING RER F RES DENTIAL 55.00
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Ins ections Re uired '
DR F INSP
TAPE JOINTS OF INSP
FINAL I " '-1 �
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.
CONTRACTO SIGNA RE PERMIT OFFI R
PERMIT EXPI ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- IIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIlllllll �.,
`��r�T����OF�C4MtI1�EN�Ei��i�'�' 2016@08273
���y�� _�.�._— Ropt:27�41288 Rec: 20.0@
Perniit t~lo_ DS: 0.00 IT: 0.00
01/19/2016 K. D. K. , Dpty Clerk
�rdx�=o��n N�> �.___
'�-�����-c�'?:?�~t�i4��-c�a3CJ
"CHE UNDEfZSICNED hereby gives noCice thaT i�nprovements.4vi1!be cnade tu certa'tn rea!property,and in accordance ti�ith Sectitro
?13 t3 oPtiit:Florid�Stari�tes,the foll�wing informatian is�arauided i.n this �O�'I�E OF CIJMM�NCEMENT
..!,� J+_. L�
2.Deses-iptiou of'property{legal descr,�i rion : ``1� �tl�;����� t �i�1� � �, ���`i�""7��_
a)S�-eet(jnb) Address: z�Nh�l,�,���-w �.���j�-: � ��� f?" � CT ' �. [- _. _ .
2.�enerai d�_scriptioa of improveniettts� _R� � fL' �+ t ' G�J ��' 'fYl � �'[3 �,�1` �_�;��'��� _
_�E�������.R��;-r�cru l .� s,v�°i � � _._.._ __ _
3 CJwncr fnl:ormation �^- n M '1 �+ . (� ��rr . t 7
a}Atame and adtiress.,.�et"��/���'�" ��� .}r+!�!�� �t�a {�C�� �'�1����'3 ��'}�p1 1'Ij 7��,�f�
b)Alame and address of f e simple titleholder(i�c�ther thaci owner).�_.,,__.__ __ _
c}6z[eresl in praperiy �t.'L�l�k�. ---__._.�_ ___._�.._-- -- -
�t�antractor Infara�tatioee -�-� ,, j}^ ,�,�,�,.
al Alame ai�d address.� ' �I{11('Y'�iU4t_���C.r/JU/1,�Q.a��.J����-4t���.�.��� .
i�j't'eleplzone'ho.. ..�:�����___—._._ —_Fax No.(f}pt.j..�1:'��"�G ��__ __
�.., rety lnl'orm�atirir►
a)Alame and address• N.�____._ _�,_ _ A .,..._
b}Eunount�f Band. --- -
c)1'elephune No. �-- .._�_--_,....._ Fax Nia (C1pt)__�(,� _�_.�_..._..
6.Lender
a)t�dame and adc�ress:.��++i— -----..._._...__. _ --�-�-�- .___..__ .
l�hone No. (�1LT�
7 [demtity c�f person 3vithin the State af��orida desi�nated by ov+rrner tepon wt�t�m ��otices or c}Ylter cfocuments may l�e servcd:
a)*�ame and address. ._ _„_ �__,_.,.
b}l'elephone Nn _..._ Faac No.{Oot.} _ .
$ In addition to himself,ownei•designates tii..foliowing,�ers,�n t�receive a copy af the Lienor's Notice as pravided in Section
7A3.13(lJ(b;�, Florida Statutes•
3}P�3ame and adc�sess. � _____ ,
b)":('elephone No. �C ____ �.._...., � .�_.};ax I�o~(Upc.)_..�� .
9.I�xPiratioin date of ptice of�:om�nencement(tlie cx�iratyon date is onu}�ear fio�n ihe dace ot recording unlass a differe*i�:date
is specifie�i}�-�� ___._....----__.-- -.�... —_._,._.___
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� ���srn �-���I� _ �_ �_____. .M(h•pe of authority,e.g,of�cer,trustee,
j attnrney ir.�i'act}for ______ _.(name af fiarty f�n beha[f of whom insirument�Was e!tecutedi.
� 'ersona!!y fCnown „ _ C?R Produee�ldentiriea[ic>u�,�. Notary.S�gnaturc. ����t�1+- - - • - --
` "I"yoe oi�tdentification N�aduced ���____ N�me�Prinij �}.� �Q(J _ �
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' Verificatior: �ursuan�tv Secti�n 92 �27,Ptr�rid�,Statutes ?.Fa A�Ities o['• cr> > L� $
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( , "'�'�"'�'Y PRULA S 0'NEIL,Ph D.PASCO CLERK 6 COMPTR04LEh
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STATE�F FLOFt9DA, COUNTY OF PASCO ��� �o. ; � ��G�
TFiIS IS TO�CERTIFY THAT THE FOREGOING IS A � . �� , � � A
TRUEAND CORRECT COPY OF THE DOCUMENT e:`y�y�n,4 , •, �
ON FILE OR OF PUBLIC RECORD fN THIS OFFICE z� 0 Inyo�tive�'*-�+.�� e
WIT ESS MY HAND D OFFICIAL SEALTHIS ,� , ��V/.�"-,, ,�
`�- DAY 0 2� � • � �� '
PA LA S.O'NEI , LERK& PTROLLER � �g$� �
� �,� o o-o � ,
DEPU'fY CLERK 69����,'p�
a�sasaoo2o City of Zephyrhills Permit Application Fax 813-780-0021
� Building Department
Date Recelved ° Phone-Contact for;Permlttln — -
Owner's Name Owner Phone Number � � `� V
Owner's Address e � Owner Phone Number
Fee Slmple Titleholder Name � Owner Phone Number
Fee Simple Titlehold�r Addresa
JOB ADDRESS � � U 1 -'U � LOT# �
SUBDIVISION ' PARCEL ID# v`C�/ �'V '�� �"'
• � „ (OBTAINED FROM PROPERTYT NOTICE)
WORK PROPOSED • NEW.CONSTR , ADD/ALT Q SIGN� Q Q DEMOLISH
:B: INSTALL B REPAIR
PROPOSED..USE Q SFR. Q COMM Q OTHER
TYPE OF CONSTRUCTION Q- " BLOGK ' Q FRAME � STEEL Q
.?-=.
DESCRIPTION OF WORK � J I{�
BUILDING SIZE '� � - `SQ FOOTAGE� HEIGHT��
OBUILDING $ �y}.�` �� �� �-�� -. � ,
w VALUATION;:OF`TOTAL"COf�STRUCTION
QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING< $ - - �
'. , ���1 ,
QMECHANICAL $ VALUATION OF;MECHANICAL INS7'ALLATION. �
QGAS Q ROOFING .Q SPECIALTY Q OTHER�- ,
FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
�
BUILDHR COMPANY', ,
SIGNATURE v����,/ REGISTERED Y/ N . � 'FE RREA Y'/N
Address - - , ' License•# �
,. - ., , - �
ELECYRICIAN_, .'COMPANY ` _ - •
SIGNATURE ' REGISTERED Y/ N FEE CURRE�' = Y/N '
Address � , , _; Ucense_# `• = -
PLUMBER ' , COMPANY -_= � ^ � � -
SIGNATURE' ' � ; 4;REGIS.TERED � Y./<-N, .,: �,EEE CURRE� , . . Yn/N:.. .; �
Address .` � - . License# " • ,
MECHANICAL' � � , . � C.OMPANY " � ' ,.
SIGNA7URE- � �cIs7EReo , , Y/ N -' FeE CuwtEn� YJ.•N
Address'"�. _ . � , , , <. .,. Cicense#
OTHER � � `;COMPANY ` � _
SIGNATURE ` �; • ' ' ` ' REGISTERED Y/ N.__ . FEE CURRE� . Y/N
Addre�s � .� � � Cicense# -
��:,.�,, :� ._. ..: . . _ ,. - r, "
RESIDENTIAL_,; :;Atta;cFi'(2)nPlotfP,laris;,(2)sets.of�Building;Plans;`(1)'sefof�Energy�Fo'rin's;��R=O-W Perrriltfornewconstruction, � '"
;•-_-�Minimum,ten�(�1.0);,wo,rking,days;after"submittal`date:;.R`equired onsite;.'Constii,ioBonFPlans;Stormwate'r Plans w/Sltt Fence ins�lled,
� � '�v�SanitaryFaciltties;&?:1;dumpsterASite•Worlc�Permit.forsubdivislons/large�projects�, -_-;..�- � ' ' -
COMMERCIAL Attach(3)complefe se4"s�of`Buildfng Plans plus a'Life�$afefy Page;(1)set of Energy Forms.R-O W Permit for new constructlon.
Minimum ten(10)working days�after submithal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciliHes 81 dumpster.Site Work Permit for all new projects.Ali commerciaLrequlrements must meet compllance
SIGN PERMIT Attach�'(2)sets of�Engi�neer,ed:Plans::<<�� ��= . � ` � ' �
""PROPERTY SURVEY required for all,NEW consWction.:
Dlrectlons: � ..- � '
FIII out applicadon completely. ,
Owner&ConhacMr sign back of applicatlon,notarized ,
If over�2500,a Notice of Commencement ts raqulred,,�(N&:upgrades�over b7500) _ .- - �-- �-�;..,;;� ;, _
��..,,;.;;, •. _;_.., ..:-�- ._ .. � _ ,_ >_.-�;,� � :-,-�_ -�- -- 1-,-, •..,:�::;: r
'" Agent(for ttie cont'ractor)'or'Powe�of Attoriiey'(fo�:tFie�owner)would•tie:someone with notarized letter from owner'authodzing same; � :t;
. � - . ;,; , -- .,,,,.;, ..
DVER THE COUNTER PERMITTING '� --•(Front•of App�lication:Only)�,- r� p ", �' ' ';`�,�;,. '. ,�' - E �
Reroots if shingles Sewers Service,Upgrades,,A%C _�.r.;Fences:�;(Pfo�Survey/Footage) � ` ..,_ � � �� _�,,. '_; ,
.... _ - � ,-- - - _ ,. . - .. ._.,.._ .--��- , .. . , � . � :,,,
Drivewaya-Not over Counter if on publfc roaduvays.:needs ROW�
� � �
'�r_`''i.
NOTICE OF DEED RESTRICTIONS: The undersigned understands;th�t�thl�°,pertr�it:may:,be,subJect to.,°aeea",restricttons°;.. .,,;_^,ru.
which may�:be:more'�restticttve-th�n'County���egrila'tfons. TFie undecslgned��assumes'respvnsitiil(ty for�compiiance�with any
appNcable deed:resMctions. - � ' -.,. .. . . -. �: ,.. ,s. ° . , � �, ', �.., .._. : �=�-� �- �
UNLICENSED�`CONTRACTORS AND�CONTRACTOR RESPONSIBILITI�S: ==If the owner°has-Fitred�a'"contractcr or
contractors to.undertake work, they may.be:r�qulre,d�:to<�be;.pcensed�;in:accordance.with.state,and.�local;regulatlons: �Ifthe°•��� � �
contractoe�ts not Ilcensed-�as requlr�d;tiy lativ, both�the owner and��conUacto�erriay��be�°cited'for a�misdemeanor violation
under state law. If the owner or intended,cont_r;a�tor�:ar,"e„uncertaln as to what Ilcsnaing.requirements�'may�apply�for�=the -, - �
,...... . , .. .. ..,_... .. .- : ...�
intended Hiork, tFiey are,advised to,contact the,;Pasco County'.�ulldtng;Inspection,Dtvislon�,-l:icensing Sectton at 727-847-
8008. Furthermore, if the owner�tias'hlred a con�acto� or contractors. he ls advised to have'the contractor(s)�,sign, y
t,.ac4,�.. � ,
' -�'
portions of the "contractor Blockp of#his,application..for?whlch they.will.be:.responsible. .If-you;-as_.the owner"sign�a$''the�
cantractor,that tnay�be an indication'that'he��ls-not:properly�1lcensed'antl-�is`nof entiNed to,perniitting.priuileges In Pasco ,;
County. ' _ , ,, - . , , . 1. . . _. :::_�:.:4 .. ..
TRANSPORTATION.IMPACTIUTILITIES�rMPAC`�ANb RE$OUItCE RECOVERY�FEES:�The underslgned�understands
that Transportation Impact Fees and�Reco.urse Recovery.Fees may�rapply���to�tf�e°construction of new:.buiidtngs,<change�'of��'''`-�-� �;'�
use in existing bulldings, or-�ezpansian���of�eiiisti�i��buildings, as spectfled.in Pesco County Ordinance number 89-07 and ;
90-07. as amended,,-,The undetsigned aisaunderstands, thaE:'such fees;�,as,may�'tie:=due;;wll��ibe tdentifled at the«time`��of`� � °==�: ,"
permitting. It Is fu"rtFier understood that Transportation Impacf Fees and�ResourcelReco�ery'�-Fees.,must be pald prbr to -
receiving a"certificate�of�occupancy" or flnal�.power.�;release:°�':If�the.p�oJ�ct:does�.not involve�a�.certificafe of occupancy�or���������� _ '
final power.release;�the�,fees:musf be`paid;p�tor to:,pecmR Issuance. Ft��th�rmore��H Pasco C,ounty'1NateriSewer��lmpact - _ � �
fees are due,,they�must be>pald prior�o,.permif-lss�ance�in..accordance inritFi�.applicatite.Pasco��County ordinances. -
CONSTRUCTION"LIEN"LAW(Cliapfer 713� Florld�Statut�a�as emended):� If valuation of.wo�k'is:$2,500.00:,or.more; 1 : ,.�;,_
certify that .l, ihe.,applicant,_have,been;proyided�with- a=cvpy-.of�the•�".Florlda� Constructton� Llen.:Lavu�Homeowner's
Protectfon Guide" prepared by the Florida Department�of Agriculture and Consum�rAffairs. If the appitcant is someone ; _� .��-t
other than the"owner", I certffy_-that_i;h�ve,o�,tained�a^copy,of:#he;aboye.desc�lbedtlocuinent�and-:pro,mis�:,in,good::faith_to .. .: v �
deliver it to.the.:'owrie�'��p�io�:to�commencement. '` � ' ' ' � � �� � �; . , . � -
CONTRACTOR'SIOWNER'8 AFFIDAVIT: I.ce�tify;�.th;akall,the;Information:J�-thl�appllcation is,accurate.and that all work
„�_.
will'be done in compliance with all.appiicabie laws regulating constructlon, zoning and�land development. Application is
hereby made to obtatn..a .permit;.to:;do..:wo�...and�installatlon as indl�ated:•;•�`f certify that no work=or installatton has
commenced p�lo� to I°ssuance of�a permif"and that`.all�work wlll be pertormed to meet standards of all laws regulating•_
construction, County and City codes, zoning regulatlans, and land development cegulatlons�in ttie jurisdtction:= I al'so
certify that I understand'that the regulattons of other government agencies may�apply�to the_intended work, and that it is
my responsibility to identify•whaf.acttons I must:teke:to,be�in�c�mpllar�ce:.S.uchRagencies�include but=are.not Iimited to: � - ;
- Department of E�vironmental=Protectton=Cypress.'Bayheads, Wetland i�reas and Envlronmentally Sensltive
Lands,Water/Wastewater Treatment. � �
- Southwest Florida Water Management :Dtstrict-Wells, Cypress.� 9ayk�eads; �Wetland Areas� Altering ;
Watercourses. � �
- Army Corps of Englneers=Seawalls�"Docks, Navigable Waterways. �
,
- Department of,..Health;',B,..Refaabllitatirre:Services/Environmental-.-h�ealth Unit Weli.s� V1lastewater�Treatment, '
Septic Tanks:..' '; `, � : ; , ,. - �, � . '
- US Environmental Protection�Agency-Asbestos abatement. ; , - ;
Federal Avlatton;Authority=�unways: �� � � , � � �'� � ' !
I understand.that the.following:Festrlctlons apply to"tFie use of flIL•• - -,
- Use of fiil is not allow�d in,Flood;Zone"V"unless expressly permitted.
- If the:flll'matei�ai=ls to tie used:ln��flood Zone. "A", it is under"stood that a dratnage plan addressing a '
"compensating volume" will be submitted at#ime of:permifttng which is prepared by a professional engineer '
licensed by�the State of'Florida: � � • • � � '
- If the flll material=ls to be�us.ed in Flood �one 'A° in�connec�ion•v�rith�a��permitted building using sfem wall
� conatruction� I certif�r that flll�:wJll:b.e�used only.to.fill the area within the stem Mrall: •
- � If flll material is to be used in any erea; 1=�certify that .use. of'�such flli will not adversely affect adjacent
properties. If use of flll Is,:found to adversely..�ffect'adJaEent��properties,.the owner may be cited for violating
the condi#ions..of the building`.permit.issued-under the'�attached,,,�ermit application,�for:lots-.less.than:one (1)
acre whicfi are elevated�by�fllt, an engineer•ed dralnageyplan is required. •
If I am the AGENT FOR.THE-AWNER, I;promise_In good fatth to Inform�the owner of�•the permitting condftfons set forth In
this aifidavlt�prior to commeracing constructlon. "I understand that:a=aeparate permit may be required for electrical work, , �
�ma- ^'^
plumbing,_,signs, wells,.pools;, alr.condttioning,�.ga�,��o�:�other install�ttons nol.spec�icaliy Included-tn.the application. .A, ,
permit Issued §hall be constcued to be a'Ilaense�to�proceed with'fFie jviiork and:not�as:authoNty to.vlolate,:cancel; alter, or
set asfde any provistons of the.teclinlcal codes.; nor shall Issuance�of a.permtt pcevent the Bulldirig Offictal from thereafter �
requlrin.g a correcNon af enors In.plans;constructlon or vlolatlons of-any codes. Every-�p�ermlt�lssued�sfiall�become invalid
unless the work authorized.by such permlt:�ts-commenced•wlthln sfx:months of�permlt lssuance� or tf wark authorized by
the permit Is suspended or:abandoned-for:a�:pertod.of�slx�E�)�monf�s.after the tlme the�work�ts commenced. An extenslon
may be requested, tn writlhg,,ftom the,�Bullding,Oiflclal for a pertod-�not�.to exceed�nlne�r(90)�days a�d-wlll�demonstrate
—jusltfiable cause for.�ihe extens�ion�. If wo�k ceases-fo�nlnety.-(90)-cons.ecuttve.day.s...the Job�is�consldered-a .a-b�done-d:`---�- - �--�
WARNING TO OWNER: YOUR.FAILWRE.TO_,R�EC.ORD A MOTICE:OF:�COMMENCEMENT-:NFAY RESULT'IN YOUR
PAYING TWICE_FOR=1MPFtOVEMENT3 TO:YOUR;:P�PERT1f: ••I�°YO.Ua1NT�D'T���OBTAIN��FIRtAI�E1NG;'C.ONSULT
WIT U . D �O. AI��1 ORN �_ F�R � �OR� �:�i OU � E E � ` �
FLORIDA JURA'�(F:S:1 7 ) .� . _ . �
OWNER OR AOENT CONTRACTO
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ti••- '*� ':' Commission#F :�'�r'°�r�;: �OEL E.BACON ,
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T. �. R���F� NCa �-�t�� I NC�. PROPOSAL AND ,�:+, �
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PROPOSA�SUBiu11Ti'ED TCl � '" Y PHONE / DATE=--�,;4� ����z�,
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ARCHlTECT�r , - 1 DATE�OF Pl.ANS ' �`�(` � 1}j^ Y�. J08 PNONE 1 � �'� �
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' We ereby submit specificatians and estimates,`or•. �'�y�����; "' Jf
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, We Pt'opose.heretiy to�furnisfi material and IabQr'—complete in accordance with above specifications,for the sum of.: ,
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�Payment fo be made as foltows: �, .� , . '
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�- All materiat is guaranteed to be as specified.All.work#o be completed in a workmaniike -Authorized � '�M���
� manner according to standard practices. Any alternations or deviation from '°above .Signature ,�
s p e c i f i c a ti o n s i n v o l v i n g e x t r a c o s t s w i l l b e e x e c u t e d o n l y u p o n w r i t t e n or d e r s, a n d w i l l' �` .
become an extra charge over and above the estimate.Alt agreements`coMingent tapon No#e:This prapasat may be withdrawn by us if not
§trikes, accidents or delays, beyond our control. Owner to carry fire, tornada and other accepted within_days.
necessary i�surance. ..., _ ; „
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_ _ Acceptance of Proposel ,.- The above prices, specificatioris and. � �r ^-
conditions are satisfactory and are hereby.accepted.You are authorized to . �' � �
do the work as specified.Payment wilf be made as autlined above:; Signature,` `
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Date of Acceptance. � , ' , � . `Signature
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