HomeMy WebLinkAbout15-16864 CITY OF ZEPHYRHILLS
, � 5335-8TN STREEf
tsis��sa-oo2o 16864
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16864 Address: 474'f SILVER CIRCLE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: RQOF REPI..ACEMENT Tawnship: Range: Book:
Propased Use: NOT APPLiCABLE Lot(s): Block: Section:
Square Feet: Subdivision: CHALFONT VILLAS
Est. Vatue: Parcel Nurnber: 15-26-21-0190-00000-0130 �
Imprav. Cost: 6,800.OQ OWNER INFORMATION
Date lssued: 12i3012015 Name: CHA�F4NT VIL�AS ADU�T HO
Total Fees: 70.00 Address: 4741 SILVER CIRCLE
Amount Paid: 70.00 ZEPNYRHILLS, FL. 33541
Date Paid: 12/30/2Q15 Phane: (813)779-0765
Work Desc: REROOF"SHINGLE
CONTRA.CTOR S APPLICATtt3N FEES
CAPSTONE CONSTRUCTION REROCtF RESIDENTIAL 70.00
Ins ections Re uired
D INR OFl P
TAPE JOINTS�OQF IR�S�
FINAL (I1 I
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
locai gavernment shall impase a fee af four times fihe amaunt of the fee impased for the initiai inspectian or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In additian to the requirements of this permit,there maybe additional restrictians applicable to this property that
may be faund in the public records of this caunty, and there may 6e additianal permits required frorn oth�r governmental
entities such as water management, state agencies or federal agencies.
"Warning ta awner. Your failure to record a notice af commencement may resalt in your paying twice for
impravements to your property. If you intend to abtain financing,consult with yaur lender ar an attorney
before recarding yoor natice of commencement."
Complete Plans,Specificatians Must Accompany Applica#ion. All work shall be pertarmed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
O OCCUPANCY BEFORE C.O.
/'� � ,
��
CON TOR ATURE PERMIT OFFI R
PER EXPIRES IN fi MC?NTHS INITHGtUT APPRi)VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRtJTECT CARD FROM 1NEATHER
813-780-aozo City of Zephyrhills Permit Application _ Fex-e�aa$aoo2�
, Buiiding Deparkment .
r -
Dat�Racstyed Rhone=Cantact for�Perm[tfin
Owrner's Name � � Owner Phons Number
Owner's Address ! � � Qwner Phone'Number • � �
Fee Simple Titlehalder Name � • � Owne�Phona Number ��' ' �
Fee Slmpla Tltleholder Address _ -
J08 ADDRESS "Y r}' E'� � �!f" r� LOT# C�
SUBDiVIS10N �� ] PARCEL td# — � � "'(�} �
(OBTAINED F,ROM.PRdPERTY TAX NOTICE)
WORK PROPOSED. �,HEw C4N5TR ADQ/A�T � S1GN` Q Q DEMOI.ISH
-e, INSTAI:L 8 REPAIR
PRC?POSEQ•=USE Q SFR Q 'GQMM C� OTh{ER ' �
TYPIE OF CONSTRUCTION • Q ' BLOCK Q FRAME � STEEL Q
I ' .
, DESCRiPTIQN OF WORK ¢ ' �'✓
BRl1GDING SlZE �� �` 34 FOt3TAGE ' , HEIGNT .���
QBUI�DING $ } .-� --..- . .
, �^a�r �., VAI.UATtON``OF�'Ol'ALCC3NS'f`Rt:lGIION
t.L�
QEI..ECTRICAI $ - AMP SERVICE Q PROGRESS ENERGY Q W.E2.E.C.
QPi:t1MBiNG ��— _. G0�'���
� a
[�MECHANiCAL $ ' VAl.UATION OF'MECFiANlCAI iNSTALIATIQN
,� �"
QGAS ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO '
BUtl.DER COMPIWY�
SIGNATURE REGISTERED Y/ N �e CurtttEn � Y Y N
Address Ltcense# � �
ECEC1'l7tC1AN,, ° C'tJMPANY ' ' - .
SIGNATUR� '� �GIs7eRED Y/ N FEE'CURRE� '� "Y/N
Addr8s8 . . , _ � , L.Iq@ASe# �° ,�
PCtIMBEt2 ' . COMPANY ' ., �
SIGNATURE' ' _ :REGIs7eRED Y�/..N ,-FEE�CURREN . ' Y/N
Addre�s ` , k + l.Icanse# I,... - . . �
. � ��
MECF!!4NlCAL" � ' � ` � CC?MPANX : `� �; _ ;
SIGNATURE� � ` � ` REGI§TERED .� � Y_/ N . ., ; FEE�cuw�n Y/�N
I Addres�s'1 . . . '- . ` Licens.e# ( �{�,( `.
�I .. - � . };: � . p �
i07#iER : � � ;Ct?lI�PAN'Y C� r/'tA
SIGNATURE - �` REGISTERED ' / �•FEE CURRE� � . Y/N
� ,,,��- � . �
� AddrBss ..C� ,� — , . F:itferise# ������ �� j�
.,T .� .. �: i"�Y: . .. �`. . , .• '
RE8IDENT4ALt'°: Attacti;(2).;PtofPlans;�(2}set`s.ofBu[I�ing'Ptans;{1}sefof-Energy�Fonns;'R-O=W-Peimitfar�awconsttuc#tan,
� -, Minimum;rten�(�10):working;days;aftei_"submlttal`date::.R`equtretl onsite,.�nstiuoHon'Rlans;Stormwater Plans w/Stlt�Fence Installed,
' ��y 5anttaryFaci�litie5s;&,1:dumpsterSite;Work,,Permit#crsubdivlsfon§/large:projects_,._ ,:. � ` -
COMMERG114� Attach{3)�cbin}itste sets'tif'Bultiliiig Pla�is plus a tlfe Safety`F'age;(1}set of Energy Forms.R-O-W Petmit#ur ne+ni constructton.
Minimum ten(1Q)working days after submittal date. Required onsite,ConstrucUon Plans,Starmwater Plans w/Silt Fence instelled,
San(tary Facilides&1 dumpster.Site Work Permit for all newprojects::All commerciel requlrements.must meet compliance`
( SIGN PERMIT Attacti(2)`sets cif'Eisgiiieered�Piaiis.: .r.�:��-- _ �� -
I "•"PROpERTY SURVE'1f requlred for all_NEW,constnuction.
Dlre¢tlons: � r � • - ' ',
Ffll out applicatlon completely. �:.T,' ' � ` r 1 �,
Ownar&Contcaotor slgn back of applfcaflon,nolarized ( '•1�• '� � �1 ' `, { ,
i !f ovar a2500,a Notics of Commeacement!a reqglred. '{A(¢up�radeg!+over 57500} . -...--�j'{-� w ?,�"' _
_ . : , � ' ..
" Agenk(for tfie contractor)or Power'of:Attomey(fo�tlie qwner)would;�ie;5om+e�one with notarized letter from owne�aGthorizin"g"�same"�'.�: " "� " ",�', �
�, �:-;:,.> � _a�.� , '- ; � � � �; ��,.�� . .� „ , t ..,
DVER THE COUNIER.PERM17'C1NG---.,._�(Fron#af�APRlIca#3on.t3rrly)=;�''��:. ';�..� , � x' , i .-s;t<< . , � ,
, :
Reroofsifshingles Sewers ServiceUpgredes j4%C�r ,.,'Fences�fPioU�urvey/Foatage) i; �. . .t:� �:�: � ���'_. :: ��. ' ..
.-- :='i; �` �t ,_.� .,�,�.�:.,: . „ .., ,._ +`' ;;a; .;�
.. _, ._.. ': ._ . '..� '�ir..-zi:: .�,a:^:�r�l. - � , _. . _. � .. ._ ...
Drlvewaya-Not over Caunfer if on publlc roadways:.iieed"s��RG1W LL�� `. """". � ;r .-.�_ . __ _= ��. �- r •- . � •
� ' �
NOTICE OF DEED RESTItICTIANS: The unders(gned under�tands:.th�t;thi��p�rmit�.may,:be,sub)ect ta�."deed"restrtctions" .. � ...
which may-be<more�-r.e§t�ictive-th��County��fegulatfons:�The��undersignedsssurries �esp�nsibtlity for�ibmpliance'with=any ' " �
applicable deed rest�ictlons. , � -
UNLICENSED� CONTRACTORS i4ND CONTRACTOR R�SPONSIBII�ITIES: ��If-the owner has hired'�a :contractar or
conir�ctors to undertake work, they may be:r,equlred<.to.;be,licensed In accordance.with state.and;local.regulatlons:.��if�the�����
contractor Is not Itcensed as�required=,tiy law, both�the owner and cont�actor�may be�clted�for a°�rnisdemeanor vtolatlon
under state law. If the owner or Intended�contractqr;�are,,uncertaln as to what Ilcensing.requirements�,may�:apply-�or�the •
tntended urork, they are advised to contact the�Pasco County Bullding'Inspect(on Dliilsfon=-L(censing�aectton at 727-847-
8009. Furthermore, If the ow�er fias"hl�ecl a con&actor or contr�ctors, he Is advised to have the� contractor(s),,sign.
portions of the "contrector Block" of thla.application.for which.they will.be responsible.- If�you, as.fhe oaimer`stgn�as"4he
cont�actor, that�may'be an indication thaf Fie is not.properly Iicensed �nd i's nof entitled to perniitting�privileges in Pasco
County. `�"' - '
TitANSPORTATION..IMPACT1l1TILITIES°IMPACrt�AI�b RESQUi3CE RECOVERY FEE�: �The under.�Ogned�understands
that Transportatlon Impact Fees and.Reco.urse Recove.ry.Fees r�iay�-apply�to:th�:construction of new bulldings,.-change of ��- �
use In existing bulldings, or:�expansi�n-�of;ezistin,g�6uildings, as specifled.in Pasco County Ordinance number 89-01 and •
90-07, as amended.,.__The understgned also:understands, that:�such fee����as,may:be��due;<.wilL�be idenlfifled at the��time�of -�
permi0ting. It is furtfier understood that Transportation Impaof Fees and�Resource:Reco�ery`Fees.mcist be pald prior to
recefvtng a °certfficate-of�occupancy" or flnal-power-release: :If the project..doe�:not Involve<a-.certfficaite of occupancy o� �� '
flnal power release; the,fees mu�t be paid,prlor to.permit issuance. Ft��thermore;�if:Pasco,,County`1Mater/Sewer��lmpact •
fees are due,.they must be-pald.prEor#o permit Issuance=ln accordance with�:appllcabte.Pasco�County�o�dinances. •
CONSTRl1CTION�LI�N'l./�W(Cliapter 713� Florlda Statute�,as amended): Bf valua�on of work is$:�,500.00 ormore, I� .
certify that-I, the applicant, have.been provlded uvith a copy of the°°Florida� Constructton Lien L�v�Homeowner's
Protection Gu(de" prepared by the Flo�ida D�partmenC of Agriculture and Consumer.�Affairs. if the ap��licant is someone
other than the`owner", I certffy.that I�.h�ve.obtained�a��copy.of.the,abovs.rJescribed docurnent;and.promise�in,good,fa(th�to
deliver it to.the�"ownee"'-pHor`to•commencement:' ' ' � = -
COIdTiiI�CTOR'SIOWN�R'�AFFIDAVIT: I.cer.tity:that>.all.the;inf.ormation.,l�thi�s appllcation is accurat�s and that all work
will'be done in comptiance with ail.applicable laws regulating construction. zoning and land�developme�nt. Applicatlon is
hereby made to obtain .a.permit„to -do.:work,,and installation as indi�ated:- �I, certify that no work�'i�r Ins4allation tias
commenced p�tor to issuance of a permit and that.all work wlll be pertormed to meet standards-of �11 laws �egulatirag-
construction, Cou�,t�+,,and,City codes, zoning regulations, and land developm�nt tegulations�in the jtirisdtct(on. I al'so
certify that I understand�tNat�th�regul�tions of other government �gencies may�apply�to the_intended work, and that it is
my responsfbility to Identify.what:acQons I must take to be,in�compliance: S.uch:agencies Include but are.not limited to:
- Department of E�1v(ronmental rProtection-Cypress.'B�yhead�; Vfledand Areas and Environmentally Sensitive
Lands,W�tedWastewater Treatment.
- Southu►►est Florida Water Man�gement: .District-Wells, Cypress.��Bayk�eads; �Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health��� Rehabl8tative Sen�ices/Enviroramental Health Unit Wells, Wastewiraater<Treatment,
Septic Tanks.. ,
- US Environmental Protection Agency-Asbestos abatement.
Federal Avlatton_Authority-Runways.
I understand that the following.restrictions apply to the use of flll:•
- Use of fill Is not allowed In:Flood:Zone"1/"unless expressly permitted.
- If the fill materfa) is to�b.e used_in�:Flood Zone. "A", It. is understood that a drainage plan addresstng a
°compensating voluroie" w611 be sube�i�ted at#ime of permitting which ts prepared by a prof�ssfonal engineer
Iicensed by the State of:Flor(da: �
- If th� fiil materlal is to be:used In Fiood �one 'A" in�connection�with�a�permitted building using stem wall
construction, i certify that flll•:wlll�be used only.to.fill the area within the�stefn•wall.
- If fl�ll material is to be used in any area; I �certify that .use. of such flll will not adverseyr affect ad)acent
properties. If use of fill is found�to adversely:�ffect adJacent properties,.the owner may be ctted for v(ofating
the condi#lons of the building'.p�rmit-Issued under 4he_attached__permit appllcatlon, for.-lots I�ess than.one (1)
acre which are elev�ted�by flil, a�r engineeced dr�inage plan is requtre¢i. � .
ff I am the AGENT FOR TME OVIINER; I,��romise In good fafth to inform the owner of the perrr�itting condftlons set forth tn
this afifidavit prior to commer�cing constructlon. I undersf�nd thet a-separate permit may be required fo� electric�l�work,
plumbing, signs, wells,:pools; alr conditioning,..gas,�.or�other instali�ttons not,sp�c�ically included�in.th� application. .A
perm(t Issued shall be construed to be�a'license=to�proceed with the work and no4~as:authority to.viola,te;cancel, alter, or
s�t aside any provis(ons of the technica!codes;�nor shall issuance�of a.permtt.peevent the Bulldirig Otfiicta�l from thereafter
requiring a correction af ercors in.plans, constivction or vlola4lons of any codes. Every permlt issued sfia01 become°invalid
unless the work authorized by such permit:�ls-commenced•withtn sfx mon4hs of permit Issuance, or if woUk authorized by
the permit 9s suspended or.abandonedfor a:period of.six f�)mantf�s.after the.tirr�e the�work��s commence�d. An extenslon
may be requested, tn writing, from tNe Building,Official for a perlod:not•to excee� ninety�(90) days a�d�wlll demonstrate
justifiable cause for.�the extension�. If work ceases.for ninety(90)cons.ecutive days..-th�job�is considered abandoned:
lNARNIMG TO OWNER: YAUR..FAILIJRE.TO.,REC.OltD,A::,NOTIG��OF:�COINIV�ENC�M�NY:MAY-PtE;aUL:T IN XOUR
PAYINGTWICEFORiMPROV TS�TOYOIIl��.PR(�PER-TY.��I��YO.Ua1RF'F ' • '�OBTAIN��FIR�f�E11NG;�C.ONSULT
WIT �O � O NEY FO. ��.� OR�i -Cs.�� AU : ;C,�'O ' . � � E E � NT'
FLORIDA JUF�A��(F.S:1.17.Q3} - — - --� . -,- -- - - =---�--° -- --- - - -
OWNER OR I40EP1 CONTRACTO � �
Subscxibed an b�vdo to(or aflirmed) me this Subscrlbed' nd'b m=to(ot a rmedpbe� e tFii�
Wlio isfare personally known to.m�ar haslhave prod.ced Who.ls/are p.ersoneliyaci�own•to rne or ha fiave-produced
' as Identlflca8on, as tdenBflcaUon.
Notery Public . Notary Publlc
Comml o [��°i%a•., JOEL E.BACON Commis n •'ti�"e`'•. JOEL E,BACQN
:.: ':.= Commissi0n#FF 137073 :•: ':.__ ommission#FF 137073
:�� �'a: Ex ires June 29 20f8 :�� {a: Ex ires June 29 2018
Name oi N ta � ,pN�tekP+od�st�d�e�%�a+e Name of Nol ry �rir4F��fii��ed+��eero•�es�aie
. ,
� 11111111111111111111�1i11illlillll1i1111{III{illllllllllllll�
2015205959
PermitNo. Parce110ho/V�-dt,G�"�Si.G "tlr��" ���7(�—�")(��
NOTICE OF COMMENCE 7
State of ����F�/) County of_ ��v C1 _
� Y 0 r�
7HE UNOERSIGNEO hereby gives noQce Ihal improvemen(will be matle to certain real properry,and in accordance with Chapter 713,Florida Statutes, N N'0
Ihe following information is provided in this Nolice of Commencement: N R"
l0 B�.
7 Oescription ot Property: Parcet tden�cation No. ' "QOOO �� �• �-'
Nm�..1
�67W
Streel Address:
��11 C�9
2. General Oescription pf improvemen! � � W
.'L7 M
• -1.'O
•• ro
3. Qwner fnf rmaCon or Lessee Information if yi Lessee cantracted!or the improvement: 3 h
. m..
/ � O�Q
L Na v vr,, ' 'S'L ��--J � i9
Address City Sk� at� , �c c9
IMerest in Property: ' �
I m
�
Name of Fee Simple 7itleholder' — i 7c'
(If ditferenf t+'am Owner Eisfed atrove)
t
Address City Slate '
4. Conlractor � .
� �� � � ame ��J/1
�i_L�! .�� 7 t� t'C� ' � ��r
ddress ,+ ^y �./"� Ci y tale
Confractor's Telephone NoL���� � 7 ��! � �.,/� il .7 1 r+b
N
a�r
5. Surery: ��g
Name
w�
XN c+
Atldress City State B> -
µtn
Amount o(8ond: 5 Telephone No.: ��r
w.+v
6. Leoder N S
Name ���
Address Gity Slale ��r� � � y
o '"'� ja
I.e�der's 7elephone No. � ���`� ��
��+� 74}
7 Persona within the S(ate oi Flanda dCSignaled by the ownet upoa whom�notioes or other documents may be served as provided by +�
$ection 713.13(1)(a)(7),Floride SlaWles: ��� ��°°' �'
r5 '" ����\ ��
Name /.i`�� � � -_ � ;7� i�` �
� � � �
Aadress ' Cfly Slale m � � � � @ 6;„
Talephone Number of Designated Person: � � � �
� a 1.7t � �
B. In addilion to himsalf,the owner designales ~ ~
of� y'g • �,.
.1` lo recelve a Copy o!!he Lienors Nolice as provi0ed in Section 773.13{7)(G),Flodda Stalutes. a"� ., o C��
Telephone Number of Person or Entity Designated by Ownee� ��j� a
'� �
g. Expiralion dale of Nptice of Commencemenl phe e5cpiretion dale may nol be before lhe complelion of construction and final payment tp the � �,$
coM�actor,but wiii be one ye->r from the date ot recording urstess a diHerent daKe ts specified};
WARNING TO OWNER: ANY PAYMENTS MADE BV THE OWNER AFTER THE F.XPiRATiON OF 7HE tJOTiCE OF Ct7MMEMCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNOER CHAPTER 713, PART 1, SECTION 773.13, FLORIDA STATU7ES, ANp CAN
i2ESUlT IN YQUR PAYING TWICE FOR IMPROVEMENTS TO YQUR PROPERTY. A NOTICE OF COMMENCEMENT MU57 BE
REC6RBED AND POSTED ON TNE JOB S1TE 86FORE THE Fti2ST iNSPECTiON. SF YOU lN7END 70 467AIN FINANCiNG,CONSULT
WiTH YLiUR LENDER 6R AN ATTORNEY BEFORE CQMhiENCthi�WORK 4R RECORDING YOUR NC7TECE O�C6MMENCEMENT
� � a
Under penalry of per�ury,I declare thal I have read lhe foregoing notice af commencemenl and lhal lhe facls stated lheiein are lrue to the best '� z S.7 ` �
of my knowledge and belieL � � �� (n` � �
STATE�OF FL ._ _ _.,r,_..... ....,...._.., ,t' OC..S�YwL.�' � Z �a� ,`,� f-�-
COUNTV OF P C(1.���o. ��_!L_�;L�/� �' � Q o t.n O �
�" �e,'•, STEPHANIE WISNIESKE �Si nalure of Qwner or Lessee,ar hwners or Lessee'&Aulhorized —�
:� ��s NGtiry Ptd}tk-S2btE Ot FIOfIQ# OtticedDireCtortAarinerlManagEi In.. (�.� � � � d-
',� ����Iriy f.�iNil�il.f.ltpitM MYt 2l.Y61T ���'�`� ��..�. �� �- � �,y� �,� {J3 d p
.'Q,a��..+° �COIIImItelOn/PF 001603 �' � S — J �
n�+' „ i ignatorysYl�le/OfGce '�'"`� � � � � Q O
The t r ing insirumenf was ackr�awtedged befo me this � day o�����,zd�?bY / '`�`��'� - - � T Q � �
as �^�, PX �Ufl (lype of aulhority,e.g.,officer,trustee,attomey in tact}for � � r � �
� l.,�t,./ (nam (pa n beh t o hom inslrument was execuled). Q �— �- � Y
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Personally Known�j J'�R Produced tdent�ficaRon❑ Notary Signatvr _ = U C) z
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7ype ot Idenlificalion Produced � � U � � l.L
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