HomeMy WebLinkAbout16-17866 r
CITY OF ZEPHYRHILLS J/
r � 5335-8TH STREET
(813)780-0020 178
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit �lumber: 17866 Address: 38112 15TH AVE '�
Perm�t Type: RE-ROOF ZEPHYRHILLS, FL. '
Class�of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Squ�re Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-01200-0250
Imprqv. Cost: 21,000.00 OWNER INFORMATION
, Date�Issued: 10/28/2016 Name: NYE, McALVANAH & HENSON
Total Fees: 140.00 Address: 38112 15TH AVE
Amo�nt Paid: 140.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/28/2016 Phone: (813)715-0228
Wo k Desc: REROOF SHINGLE '
CONTRACTOR S APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 140.00
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/ �
Ins ections Re uired �
DRY IN RO� F INSP
TAPE JOINTS ROOF INSP
FINAL I
REINSP�CTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local g vernment 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 ound 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.
"Warn�ng 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."
Comple'�e 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.
, �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��a-�8aoo2o City of Zephyrhills Permit Application Fax a�a-7eo-oo2�
� . Building Department
Date Recelve P,hone-Contact°for Permlttln �
Owner's Nam �� � G • Owner Phone Number
Owner's Addr ss ��� ��,���,� ,�/�L lil�� Owner Phone Number
Fee Simpl�Tit eholder Name Owner Phone Number
' , +;r .
Fee Simple Tit eholder Addresa �
JOB ADDRES ��`l� 1 S i�'�� LOT# �
SUBDIVISION PARCEL ID# �l������� �--� O�..._ 4�
. (OBTAINED FROM PROPERTY,TAX NOTICE)
WORK PROPOSED r NEW CONS7R ADD/ALT Q� SIGN` �Q Q DEMOL•ISH
INSTALL B : REPAIR
PROPOSED.0 E Q 'SFR- Q �GOMM Q OTHER
TYPE OF CON TRUCTION � �' BLOCK ' Q FRAME [� STEEL [�
DESCRIPTION OF WORK � � ���� GI`G �� D/�'1� .�s1����L S/`l���
BUILDING SI �- ' � SQ FOOTAGE � - HEIGHT� .
QBUIL ING $ s1 / �Q� � VALUATION40F'TOTAL'CONSTRUCl'ION � "
� oC.,�l
QELE TRICAL $ � • AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
.< �
QPLU BING $ ' '
QMEC ANICAL $ ' VALUATION OF MECHANICAL INSTALLA7'ION �
. � �
. ���1
QGAS Q�ROOFING Q SPECIALTY Q OTHER Z�a�
FINISHED FLO�R ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPi4N1f`
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N ,
l0.ddress � Cicense#'
ELECTWCIAN. � . COMPAI�IY -
SIGNATURE _' REGISTERED Y/ N FEE'CURRE�• Y/•N
Address ' . ,. Ucense#. � �
PLUMBER C.OMP.ANY , , �
SIGNATURE' � ' , REGISTERED Y,I,.N. �;�ecuRRE�` Y/N � '
Addres$ License,# �.
MECHANICAL" � � C.OMP..ANY.
SIGNATURE ' ` REGISTEREO Y,/ N , FEE CURRE� Y/N
Address� �•= � � � y� � ll " License#
OTHER " " �� ' •� ` ` .;COM,PANY � /�l!✓ O�!//��
SIGNATURE' ":; '� (/� ' 'REGISTERED Y/ N.. FEE CURRE� Y/N
� _ _... . . .
�,d�.� o a o�. ::,3(3 � �i1�� :�� ��.r �, . u��se# a 6�.� � ,
Y:;"'
RESIDENTIAL';• � ;Athacfi`(2);Plot%P,lans;:,(2)sets;of�Builili'n`g''•Plans;(1)sef of'Energy�Forms;R=O=W`Perrnit for new construction,
,:MinimumHtenh(•1;0);working�daysnafter,,submittal`date�;.•Requlred onsite;:Con'striicdon�Plans;-StortnwaterPlans w/Silt'Fence tnstalled,
+'�' Sanitary Facflitles;851;dumps.ter,;Site•Work�P...ertnit for subdivisions/large p[oJects; � .;� ' ' ' �
COMMERCIAL Attach(3)`oomplefe�sefs�of Bulldfng Pians�plus a Ufe Safe{y Page;(1)set of Energy Forms.R-O-W Permit for neW canstrucdon.
Minimum ten(10)working days after submittal date. Requlred onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FacillUes 8 1 dumpster.Site Work Permit for all new;projects:All commercial requlrements.must meet compllance �
SIGN PERMIT AttacFi'(2)"sets ofEnginee[ed'Rlans.; :� ���_ =, � � `
""PROPERTY SURVEY reguired for all NEW constructlon. _ ,
Dlrectlona: �. �� < '
Fill out appli tlon completely.
Owner 8 Co tractor sign back of applfcaUon,notarized
If over 52500,a Notice of Commencement i�requirede (AIC upgrades ov�r ST500)
,�:;�,..
'" Agent(for e contractor)br Powe�of Attoriiey(for tFie�owner)would be someone with notarized letter from owner authorizing same
DVER THE COU TER PERMITTING.: -�-(Front of Application Only)- -
Reroofs If shingl s Sewrers ` Service.Upgrades;A%C � Fences(PlodSurvey/Footage)
,:�,�•- , , � • _„
Drivewaya- ot over Counter if on pubiic�roadways..needs ROW'_ �
�
NOTICE OF DEED RESTRICTIONS:. The undecstgned undergtands�;th�t.thl�;p�rmlf„may.;be,sub)ect to,"deed"rresUictlons";:.�_,,,�;:�,_::,
which may be<more`.restrrictive�th��t County'�regr�latCons:`The underslgned=assume9�ces`ponsibiltty:for"compNance'with-any
appNcable:deed rest�ictlons. , ,...<; .,.. : - _ _ • _ , . , .. _.. ,- ..,` '-.;: ., .-' ..
UNLICENSED�CONTRACTORS :AND CON�'RACTOR RESPONSIBILITIES: =aif°the-�owner�has^hired��a�`contractcr or
contractors to undertake work,-ttrey may:b.e;re�quire.d�_to-be;,licensed-In.accordance.virith state.and�local�regulatlons:�.if�th'e� �' ' •
contractor is not licensed=as reyulred�by law,=both the ovmer and=contracto�;rriay��be�°ctted for�a�ml§demeanor violatton
under state law. If the owner or Intended=ycontractvr�ere�.uncertaln as�to what Iicensing:requireRnents,;'may.=appiy�for�the`.�t � '�=��`
,...,,N.:.. .,; .,
� . .-�
Utended work, tFiey are advised to coritact the.Pasco County;Bullding`Inspection�Dlvlsion,-Ltcensing Sectton at 727-847-
8009. Furthermore, (f the owner�has�hired��a conUactoF'o��contractors. he ls advised to have the contracbr(s),.sign_;: _
port(ons of the "contractor Block° of.this�application:forwhich..they,will�.be:,responsible.-.�lf-you,_as:#he_owner'sign`�as"the" ''��
contractor,�that��may�be an indlcatlon�that`he=1s`not:properiy Iicensed and`is'nof entitled to permittfng prhilleges In Pasco ,
County. ' �= =-` ', �,-;.
TRANSPORTATION;IMPACTIUTILITIESs(MPAC't��ANb�RESOURCE RECOVERY•FEES:�The undersigned understands
that Transportation Impact Fees and.Reco.urse.Recove.ry;Fees mey<apply�t��the constructlon,of new.bulidings�;change�of�`" `�=�-"='
use in exi"sNng buildings, or�expansi�nrof�ezis`ti�g:�butldings, a§ specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended.,....The undersigned also;understands, tt�ait��such fees;�a���may:be��due;;�will:�be Identtfied at the��time°of�� ����'�' �'
permitting. It Is iur'tlier understood that Transpo�tation Impact�Fees and"Resour.ce.,Recovsry�Fees.must be paid prior to
receiving�a "cerfi�cate.of occupancy" or flnal�.powerrelease. :If the.project�..�oes�:not;involve�a�certfficate of o�cupanc�r'o��=�"`���'�"`�
flnal power-release;the;fees-mu�t.tie paid;p�fior to,permft Issuance. Fu�t,h�rmore;if Pascc�,County"1Nater/Sewer-olmpact ��:,.��*:���
fees are due,..they�must be-pald:•pNor�o permit-issuance=�n�accordance.with:��ppltcabte Pasco�.Gounty�'ordinances. •
CONSTRUCTION"LIEN'LAW�(Cli�pter 713� Flot�da$tatute��as amended): tf valuaHon of work is$2,500.00;or,more,.l� .. -:-;�:
certify that .I, the �applicant, have=been provided with -a copy vf. the "Florida--�onstructlon� Lien�Lau�—Homeowner's
Protection Gu(de" prepared by;the Flo�ida Department�of Agriculture and Consumer.l�ffairs. If the app8cant Is someone .., � ,_ •-�
other ihan th�"owner", I certify,:-that,l.;have,ob.ta.ined�a�copy,of the=abave.de�,crlbed�docui�ent:and=.promis�in,good�faith.to � .
deliver it to:the.'owne�:pHor�-fo�commencement:•'� - � .� �= � ' - , �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certiiy-;tii�at-all�the�informa8qn:in�thi�applicatlon is accurate.�nd that all work
will�be done in compltance w(th all.applicable�laws regulating constructlon� zoning and�land�deyelopment. Appltcatlon is
hereby made to obtain..a pecmit,.b,do�work:,;and�ihstellatlon as indicafed:. �-:°I• certffy that no work�or (nstaliatton has
commenced prlor to issuance of'a permif"and that.all work will be pertormed to meet standards•of all laws regulating•
constructton, County and Clty codes, zoning regulatlans, and land development regt�latlons�in the.Jurisdtctton.� I.al'so
certify that I understand that the regulations of other government agencies may�apply to the intended.work, and that it is
my responsibility to ident(fy�what.actions I must-take:to bedn:.compliance: Such,agencles�include but=are..not Iimited to:
- Department of E�lvironmental>�Prctection=Cypress.�Bayhead�, Wetland Areas and Envtronmentally Sensttive
Lands,WetedWastewater Treatment. - �
- Southwest Florida Water Managerrment:I�istrict-Wells;"'�Cypress.~Bay�eads;-'Wetland Areas, Altering
Watercourses. . � -
- Army Corps of Engineers-Seawalis, Docks, Navigatile Waterways.
- Department of. Health�'.8.,ReMabilitative,.Senrices/Envitonmenfal.-Health Unit-Weil.s; -V1Fastewater�Treatment, �
Septic Tanks:._� _ _. - . - -- - - - _ •
- US Environmental Protection Agency-Asbestos abatement. �
- Federal�Aviattvn_Authority--„Runways:- � �
I understand.that the following.restrictions apply to the use of flIL•�
- Use of fill Is not allowed in;Flood:Zone"V"unless expressly permitted. �
- if the :ffll mate�lal�=ls to �b.e used.`in.:flood Zone. "A", It. is understood that a drainage plan addressing a
°compensating volume"will be submitted at�ime of permitttng w61ch ts prepared by a professional engtneer � -
Iicensed by the StaCe of Florida: - -�
- If ihe iill material�is to.be used in Flood Zone 'A" In�connection�wlth�a��ermitted building using stem wall
� construction, i certify that flil:wall=be-used only.to.flll the area witlrin�the�stem�wall: • � '
- If flil mate�ial Is to be used in �ny area, 1 �certlf�r that .use. of such flll will not adversely aNect adJacent
p�opertles. If use of flll Is found:.to adversely.�ffect adJacent pr�perties�.the owner may be cited for violating �
the condiflons.of the bi�fldtng�.permit issued�under tha attached..permit gpplicatlon,.for.:lots�less than.one (1)
acre which are elevated�6y f111,ar.r engineered drainage plan Is required. •
If I am the AGENT FOR THE OWNER,.I�promise In good_faith to fnform th��owner of�the perniitting condftlons set forth In
this affidavtt�prior to commer�cing constructlon. I understarid that�aTseparate permit may be requtred for elect�ical work, � _.
plumbing,_signs, wells,,pools; alr conditioning,,..gas,:qr otMe� instalf�tions noE.spec�iaaqy included-tn.the�appitcation. .A .
permit Issued shail be constcued to be�a'license'to�proceed with ttie�work r�nd not�as:authoNty:to.-vlolate,�cancel, alter, or
set aside any provistons of the.technical codes;�nor shall issuance�of a.permit.prevent the Bulldirig Official from thereafter
requlrin.g a conect(on af errors in•plans; construction.or vlolatlons of-any codes. Every permlt�issued"sliall become inval(d
unless the work authorized by such permit:•Is-commenced•wlthtn sUc;months of permit Issuanc�, or If work authorized by
the permtt is suspended�or.abandoned-for a�;period._of�six(B)mon[Fis:after the time the�work�ts commen�ed. An extension
may be requested� In writing,f�om tfie.�Bullding,OTflcial for a perlod:�not.to_�xceed'�ntnety=(90)-days and-wlll'demonstrate
Justifiable cause for.�the extension�. If work ceas�s:for ninety.(90)cons.ecutive days...the job�is.considered aba�doned. "
WARNING TO OWNER: YOUR..FAILURE.TQ..R�EC.ORD /4.:NOTIGE:OF:�COMMEMCEAAEMT;MAY RESULT IN�YOUR
PAYING TWICE;I=OR IMPROVEMENTS�TO.Y�UR�:PItQPERTY:�•I�°YO.U�IN'�EIj1D�T�`'�OBTAIN�FINAI�EING;'CON9ULT
WIT :O A O � FOR �, ECO �71�1���XOl1R'NO'1���'O��C(�IIAlWIE�IG�E�'lENT'_-� - - - - -
FLORIDA JURA�'�(F.S:1.47.03} " ` " -� " -
OWNER OR AOENT C� � CONTRAGTOR' C i���� �
5ubscrlbed and svuom to(or aflirmed)before me fhls Subsaibed'and'awom�to(ot atflrmed)�before me ftiis ,
bY ' �-
Vlfio Islare personally knovm to.me or;haslhave produced Who.is/are . rsonally wn�to me;or has/heve-produced •
� ae Id'endflcatl4n: as Identlflcation.
. ���.
Notery Publlc �— - Notary Public
Commisslon No:� Co . ssion� . •
,.•":��'e"'••, JACQUELINE BOGES
Name o/Notary typed,printed or stamped Name of Nota " " e ' 'efdomerB�
�';::- :o; Expires December 12,2018
� ''o'F�p�°�e'� 8onded Thru Troy Fein Inautence 804385-7019"
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{I'llllllllll IIIIIIIIIIIIIIIII�{IIIIIIIIIII��IIIIIIIIIIIIII'I DSPt01001560 ITeCO 00.00
20161 0687 10/28%2016 K. D. K., DplY Clerk
Pertnit Na. Parcel 10 No��'�.�.IP L./�D 0/D—0/ZOO-- �I�� �
/J� Q NOTICE OF COMMENCEM NT
State of � ���-GO/7' Counry of_. /�J(il/
THE UNDERSIGNIED hereby gives notfce that�impravement will 6e made to ceAain real property,and in accordance with Chapter 713,Fiarida Statules,
Ihe followtng infamiIa6an Ig provided in this Notice of Commen en't:/ -1 n
1 Descriptlon of Property: Parcel Identifieation.Na. �syp"d���/Q�D '— ���QQ— ���,
StreetAidress; _ 3 O I1� 1Saf /��� .c..�-�/���,���� �L
2- General�Jescription of Impravemenl __ /C� /L,QO�'���
I
3. Owner I fonnation or Lessee informadon i(tFie�essee conlraded fofthe impravemenC
F G��s-t N �- �
�30�' " FoX � D/t ��s�y c��P�� f� �--
Address Clty Slate
Interest i Properry: C�W�2-. 33$y�
Name of Fee Simple Titleholder.
(If ddterent from Owner fisted above)
Address ^n�`� n 00`/ `/� �ity Stale "
�. Confrad r. l)�i /� /✓ ^
Name (1�, f1 Q!\ 13 /� �ilY/�' Lf/� _�-
l��U IJ {P
Address � Q�� City . Slafe
Coniract rsTelephone No. �S��� �`� 335�
5. Surety: 1 '
Name �� '
Address ^� City State �
Amaunt f Bond: b Telephone No.: �
6. Lender:� Q �— W �
ame Z V �� �
� C� W � � W �
Address r, Clty �C� � �_� � V
State Z � F� �
Leaders elephone No.
� 40p= ¢ `�'� a
7 Persons Withtn the State of Florida designated by the avmer upon whom•no0ces or other doeumenls may be served as provided by a'� ��. Eil � {y�
SecOon 7�13.13(1)(a)(7),Flodda SWWtes: � � � a 0
Name I ^- Q O=Z� �
_� � �� Q � O
���U U
� �O�v- otS
Address ' Gty 5late� � f- }
Telephon�Number of Designaled Person: U Q a� a'� � �
=UUz LU
3. In additio lo himsef(,fhe owner designates - o� �
�� to recelve a copy of the Lie�_ors Notice as rovfded in Section 713.13'I � �~.,,V�� .�U
� ()(b),Rorida Stalutes.
Telephon Number of person or EnGty Designated by Owner. � lL �,J �z O J -
�. Expiralla date of Notfce of Commencement(ihe expiretion date may nol be befare the canpletion nstrudion and final payment to t}ie � � C u'_ �Z
conlracto�,but will be one year/rum lhe dale af recardng unless a diflerent dale is specifled); �� L6� () U � � O
WARNIN TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRA7ION F THE NOTICE OF COMMENCEMEM u' U � Q
ARE CO SIOERED IMPROPER PAVMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLORfDA STqTUTES, AND CAN � �' Z � �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEh1ENT MUST BE W (n Q J� �
RECORD AND POSTED ON THE JOB SITE BEFOR£THE FIRST INSPECTION. IF YOU INTENp TO OBTAIN FINANCING,CONSULT w
VNTH YO R�ENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING VOUR NOTICE OF COMMENCEWENT ~ (n � LL- z �
Under pe�lty o!perjury,I declare Ihat I have read the foreguing notice of commencement and thal the fads stated therein are tnie to lfie 6esl � � �� � a m
of my kno edge and belte/.
tTATE OF FLORID�i
:OUNTY OF PASCO
Signature of ner or Le se , ers or Lessee's Aufhorized -y
ONce^dDiredorlPartner/Manager +�ta �r
,�1 rl`�^�� +�1^ .� '�
C�/s / ki +
S�gnatory's"4�1e/Offi e �
he faregoing insW ent xias adcnowledged be(ore me fhi�day q(�j�,2��py ��l � �� � � � ��� �
as � (lype of authorily,e.g.,o r,huste ,aHo y in(ad)tor � F � � � ,J
��;�� � �L
(nam paAy on behatl fnsttvmenl wa rewted). _ o..
ersonally Kno n OR Produced Identifiwtion❑ Nolary Signature � o � � �
'� �/pe of Idenlificado Produced Name{Prinl) � �,g.,
� `�Q
,v j,x'�, DEBOHAH LYNN LAVING � � � �
{ I � MYCOMMISSION*FF151B84 � � •
�?�,y� EXPIRES Auguat 17,20/B
(<m1 aGe-0�s7 PbrltleMatarySeMce.wm
PpI1LR 5 0'NEIL,Ph D.PRSCO CLERK 6 COMPTROLLER
�data/bcslnoticec mencemen1yW53048 100R8BK01�448m P� �667