HomeMy WebLinkAbout16-17884 � CITY OF ZEPHYRHILLS
5335-8TH STREET r
(813)780-OOzo 17 8"4
• BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit f�lumber: 17884 Address: 4901 8TH ST
Perm�t Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): • Block: Section:
Square Feet: Subdivision: MOORES FIRST ADDITION
Es�. Value: Parcel Number: 14-26-21-0010-01800-0010
Impro�v. Cost: 11,140.00 OWNER INFORMATION
Date Issued: 11/02/2016 Name: LAIR RALPH
Total Fees: 95.00 Address: PO BOX 399
Amount Paid: 95.00 ZEPHYRHILLS FL 33539-0399
Date Paid: 11/02/2016 Phone:
Wor,'k Desc: REROOF SHINGLE
' CONTRACTOR S APPLICATION FEES
PAUL D'SCHAPER ROOFING INC REROOF RESIDENTIAL 95.00
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Ins ections Re uired
DRY IN RO F INSP
TAPE JOINTS ROOF I '
FINAL I
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REINSPECTYON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local c�overnment 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.
"Wacning 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.
�
� -
�4-�0
�CONT T IGNA RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUIt NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�:
� - ais-�aaoo2o City of Zephyrhills Permit Application Fax-813786�0021
Building Department
; Date Received Phone ContactforPermittin 1�Z — V�LZ�
Owner's Nama I }'1 �I Y Owner Phone Number
Owner's Address �� �—i� �e �1� 9� �Owner Phone Number
, Fee Simple Titleholder Name Owner Phone Number
�
iFee Simple Titleholder Address
JOB ADDRESS �I �J} , � I�aJ •�� LOT# �
ISUBDIVISION PARCEL ID# I ^L �Z�� ��V� O��— 1
I (OBTAINED FRON PROPERTY TAX NOTIC�
WORKPROPOSED e NSTALLSTRe REPAIR � SIGN Q Q DEMOUSH
IPROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
� ` ^ '
DESCRIPTION OF WORK P� ���I �c �
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BUILDING SIZE SQ FOOTAGE� HEIGHT �
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�BUILDING $ ' VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUM8ING $ ���,%
� ��
�MECHANICAL $ VALUATION OF MECHANICAL INSTALIATION
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QGAS � ROOFING d SPECIAL"fY � OTHER � � �
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � ,
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IBUILDER COMPANY �� Y �Y�
SIGNATURE REGISTFRED / N FEECURRE� N
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Address �C � � � �}� License# �J�
�
i ELECTRICIAN COMPANY
SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
Address License# ��
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
� SIGNATURE REGISTFRED YI N FEECURRE� Y!N
Address License#
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� OTHER COMPANY
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� SIGNATURE REGISTERED Y/ N FEECURRE� Y/N �
I Address License#
I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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 I 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 oi Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructian,
� Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/S�lt Fence installed,
� Sanitary Facilities 81 dumpster,Site Work Permit for subdivisionsllarge projects '
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Slt Fence instailed,
Sanitary Facilities&1 dumpster.Site Woric Permit for all new projects.All commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sels iof Engineered Plans.
; ""PROPERT�'SURVEY required for all NEW construction.
IDvections:•
Fill out application completely.
Owner&Contracior sign back ot application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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(PIoUSurveylFootage)
Driveways-Nol over Counter if on public roadways..needs ROW
/
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NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to"deed"restrictions" �i
_ which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any II
applicable deed restrictions. ,
UNLICENSED CONTRACTORS AiVD 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 coniractor 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-
8D09. 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 wiil 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
iCounty
TRANSPORTATION IMPACTlUTILITIES IMPACT AND 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
I90-07,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 7'13,Florida Statutes,as amended) If valuation of work is�2,500.00 or more, I
certify that I, 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
Iother than the`owner',I oertify 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
iconstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
certify that I understand that the regulations of other govemment 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.
I - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
, - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
i - US Environmental Protection Agency-Asbestos abatement.
i - 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 included 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
j unless the work authorized by su�h permit is commen�2d within six months of permit issuance,or if work authorized by
� the permit is suspended or abandaned 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.
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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 TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
' FLORIDA JURAT(F.S.11� \ �/'�
! OWNER OR AGENT`�>► � CONTRACTOR �' V' "'
Subscribed and sworn to(or affir ed)bef re me this Subscri6ed and sworn to(or irn ed befor me this
-�j( �_$ by
Who islar�ers�,i cnown to ;has/have produced Who is/ar ersonally known o or hasR�ave produced
as identification, as identlficatlon.
I ���N'�'Y'._Y�, �.XJU U��lel�ry Public ��-c+C1A� . �C.�_)� �UVLA.s7�1 Notary Public
Commission No.��a3�PS�I 3 Commission No. a a4 5�3
i '��' . YiY''
;3?' a �pf e , �i d o e Name of N tery d;• dnt d or stampe �
'• : MY COMMISSION#FF236573 z�;. ' " �Y COMMISSION it• 236573
��� ''•?ai�;�;•�`� EXPIRE
�',�';,�;,.• EXPIRES Jurre 02,2019 '• S June 02,2019
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� NOTICE OF CONIMENCEMENT �
State of FLORIDA County of PASCO �� I
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Property Identification No: 14-26-21-0010-01800-0010 wo
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in c�i �
accordance with Section 713 of the Florida State Statutes,the following information is provided in this Notice of �� �
Commencement: _ �
1. Description of properly(legal description): =
� MOORES ADD MB 1 PG 57 LOTS 1 TO 5 INCL EXC RR BLK 18 OR 3956 PG 1838 �
I —
Street Address 4901 8TH STREET ZEPHYRHILLS FL 33542 —
2.�General Description of Improvement: Re-Roof =
3. Owner Information or Lessee information if the Lessee contracted for the improvement = I
� a)Name and address: RALPH E LAIR _ �I
PO BOX 399 — 'I
ZEPHYRHILLS FL 33539
b)Name and address of fee simple titleholder(if other than owner):N/A
c)Interest in property: Owner
4. Contractor: Paul Schaper, 8949 Gall Blvd.,Zephyrhills,FL 33541–Ph: (813)782-0920,Fa�c: (813)715-4875
5. Surety: Bauer&Associates, 12210 Highway 301 N.,Dade City,FL 33525 -$5,000 bond
6.i Lender: Name/Address: N/A r v� ,
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7: Identity of person within the State of Florida designated by owner upon whom notices or other documents may � •� �
m � �
be served as provided by Section 713.13(1)(a)(7),Florida Statures: : � m•• ,
a) Name and address: N/A � m� �
b) Telephone No.: Fax No. �-' N �,
i �OPt) , � � I
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8i In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as 3 �� II
provided in Section 713.13(1)(b),Florida Statutes: ' " � �
P,aul Schaper, 8949 Gall Blvd,Zephyrhills,FL 33541–Ph: (813)782-0920–Fax: (813)715-4875 a m.. '
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9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a �, m �
different date is specified): � m I
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R'ARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF ;
COMIVIENCEMENT ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CE�IAPTER 713,PART I,SECTION 713.13,FLORIDA �
STATUTES,AND CAN RESULT IN YOUR PAYIlVG TWICE FOR Ill4PROVE NTS TO YOUR PROPERTY.A NOTICE OF
COMNIENCEMENT MUST BE RECORDED AND POSTED ON THE STTE B ORE TEIE FIRST INSPECTION.IF YOU
INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER AN ATTO Y SEFORE CONIl�IENCING WORK OR
RECORDING YOUR NOTICE OF CONINIENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO �.� �
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gna e of or Owner's Authorized Officer/D'uector/Partner/Manager �m a ��
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� Print Name �z
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The foregoing instrument was aclaiowledged before me this Z�day of ('�-�(��r ,20�Q,by ,.�N 7
��Dh l-.Qlr as �'�l,L�,��– (type of authority, e.g. officer,trustee, (��o �,
attorney in fact)for (name of party on behalf of whom ins�-ument :�n>D ',
was executed). � s o `!
c�i ,�� �,
Personally Known OR Produced Identification�� Notary Si ture � �
,Type of Identification Produced ��_Ll� �,�o � ��
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;�`""••`�ti;;. NIARI5SA JEAN JONES
- �'- MY COMMISSION#FF236467
��� EXPIRES J.une 02,20 t g
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f�C:)39�•0'S3 floriclallo:ayService,:ort.
��°��'���'s���t�f4�A, �Utl�! �
THIS(S TO CERTIFY THAT THE OREGO NG�IS q �`���� l��
TRUE AND CORRECT COPY OF THE DOCUMENT � � � ���
ON FILc OR OF PUBLIC RECORD IN THIS OFFICE �
WITI�ES$My�{ANDA OFFICI SEALTHIS � ' �„Go' G
—�_DAY OF 0 �
PAULA S. O'fVEIL, CLE 2 � , ��eT�r • *
&COMPTROLL R � '������`-
BY � . ., rr�8 O . '
CLERK �'d�,9� � �
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