HomeMy WebLinkAbout16-16879 CITY OF ZEPHYRHILLS
, � 5335-8TH STREET
� (813)780-0020 1687
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16879 Address: 7313 APPLEGATE 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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1000
Improv. Cost: 2,700.00 • OWNER INFORMATION
Date Issued: 1/06/2016 Name: WHITE DANIEL
Total Fees: 50.00 Address: 7313 APPLEGATE DR
Amount Paid: 50.00 ZEPHYRHILLS FL 33540-1033
Date Paid: 1/06/2016 Phone: 813-782-3521
Work Desc: REPAIR TO ROOF S/W SIDE BY THE POOL AREA
CONTRACTOR S ' APPLICATION FEES� "
WIDNER ROOFING INC REROOF RESIDENTIAL 50.00
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Ins ections�Re uired • -
DR IN R OF INSP
TAPE JOINTS ROOF INSP
FINAL ( -- ZZ ^� b
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. I
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CONTRACTOR SI ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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a��-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
, Building Department _
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Date Recelved
Phone•Confact for,Permittln $� 3 S3
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Owner's Name Owner Phone Number
Owner's Address � � Owner Phone Number
Fee Simple Titleholder Name � Owner Phorie Number
Fee Simpte Titleholder Address
JOB ADDRESS ��7 r.3 1� � LOT# �
SUBDIVISION P.ARCEL ID# y
, . (OBTAINED FROM.PROPERTY.TAX NOTICE)
WORK PROPOSED • NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
':e. INSTALL e REPAIR
PROPOSED?USE � Q SFR [� COMM Q OTHER
TYPE OF CONSTRUCTION • Q � BLOCK ' Q FRAME � STEEL Q �
DESCRIPTION OF WORK � � 1 �1�(�Q �
BUILDING SIZE ' �`SQ FOOTAGE HEIGHT
QBUILDING $ r..�.,.�._- .�,- ._- � •
� p VALUATION::OF TOTAL COMSTRUCTION
QELECTRICAL $ " AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING � '�$ '
� �� ���
�MECHANICAI $ VALOATION OF MECHANICAL INSTALLATION
D�S Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY�� �
SIGNATURE REGISTERED Y/ N FEE CURRE� - Y/N
Address - License# �
ELECTRICIAN_ 'COMPANY "
SIGNATURE � REGISTERED Y/ N F�CUR►te�- � 'Y/N
Addre�s , , , License#, �
PLUMBER ` •COMP.ANY � � -
SIGNATURE' ` ' , , REGIBTERED Y./.N . .;FEE CURREA ." Y�/N.
Addre�s � Llcense.# . � �
MECHANICAL � C.OMPANY . � ` _ , '
SIGNATURE � ' ' ` ReG187EREo , . . � ,,.Y./ N . ; FEE CURREP. . Y•/�N
Address" . ,. , � ` License# .
OTHER � � - ' ' ;;COM PANY
SfGNATURE- ;. ' ` RECIs7EiiEo ' Y/ N... FeE Cuw�n Y
Addreas (-2 �,�.;.�� � .p• , . Llcense# CC C �O�]7�Z. � -
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RESIDENTIAI;�-; �Attach'(2),P:,Iot+P,lans;:(2)sets.ofrBulliiing`�Plans;''�(1)'sefof-Eriergy�Fo'rms;R=O-W"Perrriltfornewconstruction,
r �Mfnlmum:.ten;,(;1.0):vuorking,days;after„subinlftal`date:�Requlreil onstte,;Construcdon Plans,Stormwater`Plans w/Sfk Fence lnstalletl,
' � �Sanitary�Facll(Uesy&r.l�dumpster_Site�,Worfc;.P,ermlt,for subdiyislonsAarge.projects � _..;: '' -
COMMERCIAL Attach(3)complete seCs`of Buildirig�Plaris plus a Lffe Safefy Page;(1)set of Energyi Forms.R-O-W Parmit for neW canstructlon.
Mlnlmum ten(10)working days after submlttal dafe.. Requlred onslte,Constructlon Plans,Stormwater Plans w/Sflt Fence Installed,
Sanitery Facllitles&1 dumpste�•Site Work Permlt for all new;projecCs:All commerclal requlrements.must meet compllarice �
SIGN PERMIT AttacH'(2)setsofEnglneered�Plans.. ,�:.�• ��- �.
"'•PROPERTY SURVEY required for all_NEW.constructlon.
Dtrectlons: . • -- ..
Fill out applicatlon completely.
Owner 8 Contractor slgn back of applfcatlon,notarized
If over 52500,a Notice of Commencement Is requlred. (AIC upgrades over s7500) .
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Agent(for ttie contracto�)or Pbwer of Attomey'(for tFie�owner)would be someone virith notarized letter from owner authorizing same
DVER THE COUNTER PERMITIING •�- •(Frontof-Appllcation Only)- �- � ` " �
Reroofs If shingles Sewers Servlce Upgrades A/C Fences(Plot/Survey/Faotage)
Drlvewaya-Not over Counter if on publlc roadways..needs ROW�
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NQT10E-QF QEER,.RESTRIG�'IO�IS: The utnder�l ned,under�ttands-;th�t�,thi�: r=.mlt:.ma be,sub ect,toi�'deed",cestricttorisW.� ' ` � `
f 9 . .. "Pt�. ;.. .Y,�;.�.. 1.:., . ,:. �,. ._. 4.
which may:tie=more��res#�Icttve�t�an'Gounty�aregufa#Cons:��The u"n'derslgned°�a§sumes �e'sponsi6111ty�for compitance wtth'�any
appHcabte.deed_rest�ictians. -...:_ � : .. . � :. � . :._,,. �:.. ; - '•- , =� . . , .
UNLiCENSED�CONTRACTORS A#�D CCtNTRACfiOR•RESPONStBICITiES: °!f �he��avmet`hasYfilred`�a.`contractar or
aontraators to unde�take work, they may:be;r,�q�ir,ed�.to.be�licensed�ln accordance:with.state�:and;local,-regulatlons: �If��the����� � � �
contractoF E§ not�ttcenseii as�requlred,"tiy law,-both�the owner and�con#factof=�may�bs=ct#ed�.for,-a'�misclemesnor vlola�on
under state law. If the awner or intended;�contraG,tor;ara,;:uncertain �as to what ilcensing requirements.�;mey-apply>.ior:''the`- �� �
.` ` sco County Bullding 7nspe,,:. . .. _� s- . '
.., s.,.,, . . ,W ., ,
8009tl�Furthermareaif�ttie iowne�'tiast hi�dea a ��°��?�!lslon..-t:icensing Sectbn at 727-847-
Y _ , .
` � can�acfot'o� con�ctors, he Ts advtsed to have the canitactar{sj;.stgn; .
portions of the "contractor.Blocic" of this._applicatian.for:which.tHey.will:be>r.esponslble,- �Ifryau;.as:#he oviiner'stgn�'as`the �
contractqr, that in�y.be an indica#Ion thaf`fie'ts-nat.propee�y ili:ensed�arid�is.tiot enti�etl tb petmitt#rig�pi�vileges In Pasca
County. • r. . ., . . � r.:�= . . . . .
TRANSPORTATIQN-IMPACT/UTlUTIES�INIPAC"�ANb RE$C�UItCE RE�CIKEEtY�FEES:The tinde�signed'understands
thatTrernspartation Impact Fe�s and.Reco.urse Recavery.�ees may;°:apply:�td°tF►e:constntctlon:af new.buiidings,�change�'of��=;`'��' �r
use in exisNng bulldings, or.,expansi��rsof��existi�i�:'rfiuildings, as specffled.lo� Pasco County O�`dinanae number 89-07 and •
90-07� as amended. ._The undetslgned also;understat�ds, that.-such faes;�as�tnay:b�:due;:anrltl.=be tdent�Eed at the��time�o#=��=" ..r. -..
permittl�g. It is fu'rtHer understood that T�ir�sportatlon Impact Fees and'Resource.Reco�ery'Fees�must be pald prtar to
rece�ving a"cert�Rcate=of�occupancy"or flnal��power�elease; :}f�the.pra#ect.:does>no�lnvolve<��certlFtcate of ot�upartcy=oT:���:=: ;
finai power retease; ,tFie fees mu�t be paid;pi�or#o,permit issuance. F�tthermore;ff.Pasco:�County"VllaterlSewer.,��impact �- .� .
fees are due,.ihey�rrwst.be-pald.prior to,permit?Issyance°:In,accardance wlth:appllaabte.Pasco'�County�ordinances. •
CONSTRtlCTiON�C1EN�I.AW�{Cliepter 715,Flortda'Statute��aa.amendedj: If vaEua�on,of wark is�2,500.OQ=ar rrtare�,l�• ; ==..
certify that-I, the applicant, have.been proylded �wlth-�a�'copy-of._the��"Florida��Cons�vottan��Lien'Law—Homeowner's
Protectlon Gu1cSe" prepared by.tlie Ff��1da Depa�rtmet�t af Agrlculture and Consum�erAffairs. 1##he appltcant ts someone - �� -
other than#he"owner", I cert(fy,�that_i,;have,o�talnedfa"�c'�ipy„of..the,above.:de�cribed�tlocuii+ent;and.pra,misieh;tn;good`faith.to _ ��..:,�
deliver It to.�the"owner":prior-to�cor�m�ncement:` '� , . . ' . . " . } .. ' . - �
CONTRACTOR'S/OWNER'S AFfIDAVIT: ir.et��'jr��.that>ali�the,informatltm.:in.thi�applicatlan is;accurate.�nd that a11 work
will'be done in compliance w(th all applicable`laws regulating construction, zoning and:land°develvpment. Appllcation„is
hereby made to obtaln .a permit::to do;wa�;;and�I�istaliat#on as Indi�ated;.t..:'f. cerf�}t tha# no work°or Ir�stallatlon Ftas
commenced prior to issuance af a pemitt-'and that.all work wlll be perFormed ta meet,standards�of�all laws regulaxing�
conshva�on, County and City codes� zoning regalatians� and land devel�pinerit r.egisiatlon"s�in ttie.;t�risdtctlan: 1=ai'so
ce�ify that I understand tha#the regul�tions af other government agenctes may�apply�#a the intended work, and that it is
my responsibility to Identify�whak.actlans I must•take:to.bedn�carrlplfat�ce�Such.agencles lnclude bu#�are.natllmlted to:.• _ �
- Department of Et�vironmental��Protectiori`�Gypress�`8aytiea��; We�and Areas and Envlronmentaliy Sensitive
Lands,WateNWastewater Treatment. ��,
- Southwest Ftortda Water Management :C?istrlct Vite!!sr CI+Rress. Bey.#�eads; Wefiand Areas, AIfe�ing
Watercourses. � . �
- � Army Carps af Engineers-Seawalls,Docks,Navigable Waterways.
- Depa�#ment af:Heaith::,� ,Ret�abllitative.ServtcesJEnvtronmental i-He�lth llhit Wetls,-Wasteti++cater��-Tr�atment; �
Septic Tanks.. � ' ,�
- US Environmental Protectlon Agency-Asbestos abatement.
Federal A�clatlon_Authocity-Runways: .
!undecstand.that the following:'resUlctlons apply�ta"the use of flll:�
- Use af fitl is not aliawed in�F1ood,�;Zone"V"unless expressiy permifted.
- li the>fill mateNaf Is to`'b.� useid:In.��Flood Zone. "A", ik Is underetood that a drainage plan addressing a
"compe�sating volume*will be submltted a##ime af,permt#Ing wtalch Is propared by a professlonal engineer
Ilaensed by�lie�tate-of;Flairida:� � - ` _
- if th� #1!I mater#ai-!s�to:be-used tn Ffood �one 'A" Ins cnnnection�wlth�a��ermltted buildlr�g using stem wali
' construction, i certify,that till:wall:b.e-used onty.to fill the.area within�the�stem�wa1L •
- � If flA material�is ta be used in any area;"I�'"certify tha# .use af�such�flll wlll not adversely afFect adJacent
' praperties. If use of.flA is f�und�to adverse�y:.,affect ad�i�rit�prc�pertles�.the owner may be clted far uio�ating.
the cond�ions..of tha b�ildtng;permit.issued-u�der the:at�acfied�permit appllcatlon,.foc�lots.less than.one (1)
acre wtileFi aitia elevated�Eiy flli;a�ang3neer�d drainag�plat�is required. • . ..
If 1 am the AGENT FOR.THE<OWNER; i;�.promise,in good,.falth#o l�form the�awner of�the permitting condi#lans set forth in
this aHidavit`jarior to commer�oing constructian. t unders�tand #hefi a-aeparate petmlt may be requlred for electrlca#�work, ,. - •
ptumbing, signs, wetis�.Poots;.atr,cflndittoning�-.9a�s,'or ather Install�i#iotis not,spea�laatly induded�in.#he apptication. .A -
permit Issued shaq be constcued to"be``a'Naense`-ko��proceed wlth tNe wwork�ntl:not�as:authoHty.:to.vialate;�'cancel, alter, ar
set aslde any provlstans af the.tecl�ntc�1 aodes;�nor shail issuance�of a.permlt.preuent the Buttdirig CtFftcta�iram therea�ter
requirtng a,correction af errors in�pians, aons#i�uctlan,or vlolatians of any codes. �very.permtt I.ssued sliall become invalid
unless the wark authortzed.by such permlt��s,commsnced�withln stx.mar�th� of�permlt Issuance. or If work sutharized by
the permit is suspended�ar:abar�doned,for:a:period,rof siic{8}�monf�as.:after.,ti�e#Itne the�wark��s cornmenced, An extension
may be requested�.t�.wrifing, from tlie:Building,Offlcial for a period.nat to exceed':ninety_(90) days a�d will+demonstrate
_ ___ _�_�_
_yusti�abie aaa�e ior�ihe extenston:_ii wor�c ceases:far niaety�90}cons.scut#v+��days�.:tFie job:is cons#dered abani�oned:
. F„�� [ , - � . `
WARNING TC? OVYNER; YOUl�.FAIl..WRE.,TO.f�E.CO�tD;A:.NC}�71GE�:QF��COMMEMCEMEMT:NtAY°RESL!!:T fN`YQUR
PAYiNG TWtCE;.�QR�tMPROVEMEN'���T�.Y:OUI'�:PRt�PERTY.��1��YO.U{t1��Efi�tT'TQ���C3iB7'AiN�FIN�I�EING,'CCINSULT
WIT U D O AN TTO NEY FO.E�, OR'�1 f� OU � � .� "O ;". :� . E
FlORtdAJtJF�A'i= F.S�11�: ` •-.� ... ,. ..;_ , - , .�, � .
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OWNER OR AC34NT �Q��,. � CONTRACTO
8ubscrlbed and swom to{or a�inned}bstore tne lhts Subscrlb+�f and' m'#a{ot af�nnedpbafore rtie�t�i�� .
by .�y.. - �-
Wlio is/are persanally knc�wwn to.me.or heslhave.p►oduced Who.ls/are p.ersonallyknown•hr me;or has/have�rodiice�d •
� as Id'en8flc�8pn. ' as tden��cation.
Notery Publtc . ' Notary Publtc
Cammisslon No:`�� CcmR+i�aton No.
Narae ot Notary typed,Printed or stampsd Name of Natary typad,Pd�ted or s#amped
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2015206841 .
Permil Na. '
Parcel ID No�.�'_��GD�O SA- O pO00.�(O�O I
� , NOTICE OF COMMENCEMENT I�
State of
County o/
THE UNDERSIGNED hereby gives notfce Ihat improvement wili be made to ceAafn real property,and In accordance wilh Chapter 713,Florida Statules,
the following infortnation Is provided in Ihis Notice o(Commence^ent: ,
1 Description of Property: Parcel IdeAntificatioIn No. r�� — " ��O� — (Q pQ
, StreetAddress: '?31� /��p�plt Pi,l� '�� � 3�14'Z. ���
8 ���yyy
� 2. Generel Descriptlon of Improvement /���s�� J��, �CJ z r�
3. Owner Information or Lessee infortnalion If.lfie lessee canlracted for the improvemenl:
� t�/� m -� � p --� -� cn
!3/3 �mA�� C.dTz �R C� � � m (n �
Address
ary � � � DcnT
Inlerest in Property Q-�III�A_/l �`3�2. � � O � � O
Name o(Fee Simple Titleholder: T
�� �
, (I!diHerent from Owner lisled above) � � n n T
Zo =OOmr
Address • Gry State m "� � � �
I ; �� ConlrecloC • r Q � � � �
Name . C fT1
a�r1 P.� Le..1 �,J ,� „ v W � � v
Address �j `' ^� City Sta(e r Z n (") _�
Conlraetors Telephone No. O� '�l�{��j� �?.�� � � 0 D �
5. Surety: ✓" � �
Name Qp O O O C
Addr¢55 C��Y _ � �Z
n n � �m �
State Q , D � —i O
Amounl o!Bond: S Telephone No..
� � z =��
6. Lender � '� � m (�7�
Name m � m � p �'Eg
c—{ � N � � � 0�
Address Ciry State -G r '� � C Z
Lender'sTeleOhone No. �� m� � � �.p�
I m u�
7 Persans wilhfn lhe Slate o!Florida designated by the owner upon whom�nolices or other documenls may be served as provided by � '� C7 z D
Sectfon 713.13(1)(a)(7),Florida Statutes: ,� m .—{
Name
Address City Slale
Telephone Numher ol Designated Person: � � ��
! 3. In addition lo himself,the owner designates • � • ��
� , ,' o!
• to receive a capy of Ihe lienor's Notice as provitled in Section 713.13(1)(b),Florida Statutes. P {I�
Telephone Num6er o(Person or Entfly Designaled by pwner: =�r � � o
' 1. Expiration dale of Notice.of Commencemenl(the expiretion date may nat be before the complelion of constructton and finat a y�' ' � o
p yment to fhe R1 '� � �
, contraGar,bul wfll be one year from lhe dale of recarding uNess a diHerent date Is specifled): � e � � ..�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT .� � � •�., �
, ARE CONSIDERED IMPROPER PAYMENTS UNDER CHqPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, ANO CAN �
RESU�T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE P� �' � `�
RECOROED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN7END TO OBTAIN FINANCING,CONSULT y,
, WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT �Qa� �i/
� Under penalty of per�ury,I declare ihal I have read the foregoing notice of commencement a�d that the faUs stated lherefn are true to fhe best -7 � �
of my knowledge and beliel. ,, �� `
i �TATE�OFFLORIDA I��� %G /�CI,� � � � �
:OUNTY OF PASCO
� ;��� Note p�p�K Signature ol pwner or L ssee4 or Ovmers or Lessee's Aulho�zed
ry Sy�eaFlorftle OKcedDirector/PaAneNManager
Shetry Wfdnef
� � Mr��mfubn FFW61lE �
�p~ �������� Signatory's'T(Ile/0lfice )
� he foregoing inslrumenl was acknowledged before me this��day o! � ,20��by l�L W V�.� �
as of authority,e.g.,o icer,tru ,atlomey in facl)(or
� e o p y on behall ol whom strUment s exewted).
� ersonally Known OR Produced Idenlfficalfon❑ Notary Slgnafur
I !pe of Idenllficalion Produced Name(Prinl) Tl l �L�
�
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RcPt:1737471 ITeO0.00'00
D5: 0.00 Clerk
12/30/2015 E. M•. flPtY
>datalbcs/noti�ecommencemenl_pc053048 PQ��p 5 �,NEt��ph p PRSCO CLERK 4 COMPTROLLER
�zoR�01g30�m PG 383 .
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