HomeMy WebLinkAbout15-16824 CITY OF ZEPHYRHILLS
• ' S335-8TH STREET �
(813)780-0020 16824
BUILDING PERMIT
' PERMIT INFORMATION' � - - - LOCATION INFORMATION - �
Permit Number: 16824 Address: 4738 18TH ST ',
� Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
S uare Feet: Subdivision: CITY OF ZEPHYRHILLS
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Est. Value: Parcel Number: 14-26-21-0010-02600-0110
Improv. Cost: 3,496.52 OWNER.INFORMATION� -
Date Issued: 12/10/2015 Name: BAER THEODORE & KARLA
Total Fees: 55.00 Address: 4732 18TH ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-6032
Date Paid: 12/10/2015 Phone: 813-997-2564
- Work Desc: REROOF SHINGLE
�CONTRACTOR S � - ' � APPLICATION�FEES �
PAUL D S HAPER R OF I REROO RESIDENTIAL 55.00
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' • ° � � Ins ections Re uired � ' ' �
DRY IN ROOF IN P
TAPE JOINTS ROOF IN P
FINAL -( O
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.
CONT �R SIGNATURE PERMIT OFFI R
i
P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�- �� !
aisaso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 '
, • Building Department
Date Received �I`� �$� _ ���D
Phone ContactforPermitting
ti
Owner's Name f-L !N' Owner Phone Number g��� / � a S(p
Owne�'s Address ��� J Owner Phane Number
Fee Simple Titleholder Name � � Owner Phane Number
Fee Slmple Titleholder Address
JOBADDRESS � 3S O� S�e I LOT# �
SUBDIVISION 1"�«� I�� (—+���1� PARCEL ID# <<I a� oZ) ' ��� • � ��
(OBTAINEO FROM PROPERTYTAX NOTICE)
WORK PROPOSED B NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH , I
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER Q I
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 U i
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $7,�S I , 5� VALUATION OF TOTAL CONSTRUCTION
J lp
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ���
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � `�
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY S r
SIGNATURE REGISTERED Y/ N FEE aaen Y/N
Address �t l� V� � I Lfcense# C(_�_�Jo��
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y 1 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
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 I 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
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construc[ion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for aIl NEW construction.
Directlons:•
Fill out application completeiy.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage)
i 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 AfVD 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 1, 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 pertormed 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 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 inciuded 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: YOU AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVE ENTS TO YOUR PROPERTY. IF YOU tNTEND TO O AlN FINANCING,CONSULT
WITH YOUR LE OR AN A TORNEY BEFORE RECORDING YOU TICE OF MMENCEMENT.
FLORIDA JURAT(F. .117. 3)
OWNER OR AGENT CONTRACTOR
Su sc'bed nd sworn to( ff )bef re e this Sub cri d d sworn a ir y. )bef e e this
� by ✓ �)'��by �'
W o s/are pereonaily known to me r has/have d Who is/are personally known to me o haslhave
�— as identification. � as Identification.
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2015196781 •
PertnilNo. �� Parc.ellDNo ��{'�n-d.I - 001� - Oe�leflD • OI I� N N�
� • �
NOTICE OF COMMENCEMENT ''' `�
�-; �m..
s��e a �'�D r`��. counry a ���lSc D n�o�
mmw
THE UNOERSIGNED hueby gives notice thal impravement will be mede to certaln real propeAy,and In accordance wfth Chapter 713,Flo�ida Statules, ~' w
� B
the tallawing in(artnation is provided in this Nolice of CommGncement: � /� � � �a' �� ��K�(� � N
1 DesaipGon of Property: Parcelldentification No.�wI: �Oa� l_1�1�/�►t1�Cli�On� �G$7 . LO7 .
' Streel Address:�!� ������ � �)a'7'1 � �►y
z.e � 3 �e•.�.c o2 • —i�
2. General Descriptlon f Im rovemr.�nt� 3 �� n
. � .
� O�+
3. O�rtnation or Lessee in(ortnatlon if the Lessee contracted tor lhe Improvement: ���
1^i � Q �C m
4���� 1 `�`� S�et Z 1�, � l � 335�1a- �
Address City State �p
Interest in Properry: �/14)�er �
I Name of Fee Simple TiUehalder /1�1""►
(If differenl hom Owner Iisted above)
Address r City Stale
4. CanVactor. � SL� •
� �'1�1 �11 �! �i1d Z��,;�Ic �L 335'�l�
Address Ciry State
ContractorsTelehoneNo.. �3'��a'-OSaa '"'a
^ _ N
5. Surery: cClrle 6 /�JC. ��a
��l Ijme t�1 �.ta�l 3 0� 1]G,e.l�I.L�A �I` ��5� �N o
Address � Cily S�ete � _
Amount of Bond: $ �J�1. Telephone No.• /J� �N M
��� '�
6, lender. Nf..�
Neme O�'
Address Ciry Slate �F''�
�N D
Lenders Telephone No. 3 � I
7. Persons wllhin the Stete of Florida deslgnatad by lhe owner upon whom notices or other dowments may be served as provided by � �
Sedion 713.13(1)(aj(�,Floride Statutas: �� �r+�
�
Name p �
W�,�
Address City Stete ��"'o
3
Telephone Number o(Des(gnated Person: � y
t �____-.� C � 1 �
8. In addi[ion to himself,lhe owner designates �G.JnO��r �GVI�d-/`O�t_�/ af_ �
�=�ne/f�r rp,a.c�. lo recelve a capy of the Llenofs Notice as proNded In Sectlon 713.13(1)(b),Flodda Stetutes. m
— �
' THephone Number of Person or Enlity Deslgneted by Owner. R�3'7������
9, E�IraUon da[e of NoUce of Commencemen!(1he e�iralion dale may not be betore the compleHon o(construction end finel peyment lo Ihe
contrecor,but will be one year from the date of recording unless e different date is spe�fied):
' WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
' ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYtNG T4NCE FOR IMPROVEMEPlfS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUS7 BE
RECORDED AN�POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalry of perjury,I declere lhat I have read Ihe foregoinp no4ce of commencement end thet Ihe facts stated therein are true la the best
of my knowledge end beliet.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Ovmu or Lessee,or Owne Lessee's Aulhorized
OKced�Dire�c odPeMer/Meneger
j�odo���e r�
Slgnetarys TiUelOffice i
The toregoing inslrument was acknowledged before me lhis�day of 1 ,20��by �GOo'�O1^t�¢r
, es � type of authodty,e.g.,oflicer,Wstee, omey in tea)for i
(ne e of p y on behelf of whom InsW t s execu[ed).
Personelty Knrnm�O$Producetl IdentliicaUon[� Notery Sfgnature _
Type of IdentHicaUon Produced ��--- Name(Print)
�,�RY:,,B�c �UDfTH L SCHAPER
,�l � * MY COMMISSfON i EE 872261
EXPIRES:June 6,2017
�^�foF�oe-`O� BondedThruBudgdNotarySanicee
I
wpdata/b cs/noticeco mmencement�c053048 ,
� TY OF PASCO �l��C
STAT�:OF FLORIDA,COUN J , �C�,,
THIS IS TO CERTIFY THAT THE F
OREGOING ISA �°r • � , s
TRUE AND CORRECT COPY OF THE DOCUMENT ��'; C�G
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE , �
WITNE�MY HAND AN OFFICIAL SEAL THIS r� o ,
� 2 �, , � !n Gn�flve Trirst �
�DAY OF � ' i.�e..,, „
1
PAULA S. xNEIL, CLERK&COMPTROLLER ,. •*
`�.a,
BY r". ,. ^� �� �EPUTY CLERK � ' "��`j�j �*
- �`��'��FI.O �P
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