HomeMy WebLinkAbout16-17891 1
, CITY OF ZEPHYRHILLS
� � 5335 -8TH STREET
(813)780-0020 17891
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17891 Address: 5139 SUMMERHILL DR LOT 21
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: SUMMERHILL
Est� Value: Parcel Number: �2-26-21-0100-00000-0210
Improv. Cost: 11,650.00 OWNER INFORMATION
Date Issued: 11/04/2016 Name: DRENNON, KAREN &VREELAND, RICHA
Total Fees: 95.00 Address: 5139 SUMMERHILL DR
Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542
Dat�e Paid: 11/04/2016 Phone: (352)567-2478
Work Desc: REROOF SHINGLE
� CONTRACTOR S APPLICATION FEES
EVERDEAN CONSTRUCTION REROOF RESIDENTIAL 95.00
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� Ins ections Re uired
DRY N ROOF INSP
TAPE JOINTS ROOF INSP
FINAL i
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
improv�ments 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.
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ONTRACTO S GNATURE PERMIT OFFI R
� PERM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
I PROTECT CARD FROM WEATHER
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` I , si�-�so-oozo City of Zephyrhills Permit Application F�-ei�-�ao-oozi '
• i Building Department
IDateReceived `3 8' — Q�a�l
j Phone Confact for Permiltin
' A n/ F N n/ 35�, 56 -� �8'
� Owners Name y O Owner Phane Number
I Owners Address �/�� J /YI M� 1'�� ��• Owner Phane Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TitleholderAddress
� JOBADDRESS 71�� sum�+�R- H�c� � zEP Y ru,S 335 �- LOT� �
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� SUBDMSION PARCEL ID# ��'�V'2'—O�bQ � �OQO� � Q.Z/�
(OBTAINED FROA1 PROPERiYTAX NOT1C�
� WORK PROPOSED B NEW CANSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTIONOFWORK R�F R�EP�A�E ��` �� S'� '��- 5�0�� /I!""(f SkIN v
BUILDING SIZE SQ FOOTAGE �5�0 HEIGHT �
QBUILDING $ / �O. VALUATION OF TOTAL CONSTRUCTION
b
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ������
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER ���
I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO O
BUILDER COMPANY �v G�r G�IN LD�s� C I�/v
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address O `C � L r(E License# CLC 330 7��
E,��.�,�„� h Bu�Zn/D � 33 COMPANY
' SIGNATURE REGISTERED Y/ N �cuw�n Y/N
Address License#
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� PLUMBER COMPANY
i SIGNATURE t�cisiEaEn Y! N �cuwx�n Y/N
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Addmss License#
� MECHANICAL COMPANY
�SIGNATURE REGIS7ERED Y/ N Fff CURREA Y/N
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� Address License#
IOTHER � COMPANY
� ,SIGNATURE aEcis�o Y/ N �cUru�n Y/N
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� Address License#
I1111111111111111111111111111111111111111111111111111111111111111111
I RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new wnstruction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWc6on Plans,Stortnwater Plans w/Silt Fence installed,
� Sanitary Facili6es$1 dumpster,Site Work Pertnit for subdivisions/large projects
ICOMMERCIAL Attach(2)complete sets of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new wnsWction. ,
I Minimum ten(10)working days after su6mittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, i
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new pmjects.All commercial requirements must meet compliance �
�SIGN PERMIT Attach(2)sets af Engineered Plans. �
� . ""PROPERTY SURVEY required for all NEW construction.
�Diredions:• • • • • • • • • •
FII out applicalion completely.
Ovmer$Contractar sign 6ack of appliqtion,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500)
Agent(for the cantractor)or Power of Attamey(for the owner)would be someone with notarized letter from owner authoriang same
OVER THE COUNTER PERMIll1NG (copy of contract required) -
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not aver Counter if on public roadways..needs ROW !I
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I ` i •NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
� which may be more restrictive than Counly regulations. The undersigned assumes responsibility for compiiance with any
i applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
I 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 Biock°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 entiUed to permitting privileges in Pasco ,
Counry.
� TRANSPORTATION IMPACT/UTILITIES 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
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
I 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. ff the project does not involve a certificate of occupancy or
i 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
I certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's
i Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the°owne�',I certify that I have obhained a copy of the above described document and promise in good faith to
deliver it to the"owner"priar 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,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Departrnent of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
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,
i - 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
i 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
Irequiring 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
i 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 Offcial 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.
I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNIENCEMENT MAY RESULT IN YOUR
I PAYIIdG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN F G,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR C NCEMENT.
� FLORIDA JURAT(F.S.117.03)
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OWNER OR AGENT CONTRACTOR
' Subscribed and swom to(or affirmed)before me lhis Subscribed and swom����or� ffirm �efare i -r��L
j by .f/—�f-(�i by NIGI O V �
Who is/are personally known to me or haslhave produced Wh s/are ersonally knov�n to me or hasJhave produced '
� as identification. � $�.L CP'�.�J� as id tification.
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Nafary Public � ��- Notary Public
_�y:.:mr
Commission No. Comm' rvo
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} :;: ��°�: Commission#FF 150422
Name of Notary typed,printed or stamped Name a �(��Se 8CB
�'.�)oF�t�°�`�� DondcA Thm Troy Fein Insurance 800-385-7019 ,
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� � 2016175484
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� Rcpt:1813600 Rec: 10.50
� DS: 0.00 IT: 0.00
� 11/04/2016 E. M. , Dpty Clerk
pRULp S 0'NEIL,Ph 0 PASCO Cl.€R{G-$ GOCIPTROLLEft
11/04/2016 12:54 m 1 gf��
PermitNumber oR BK _��45� PG �
� Parcel ID Number �]_,�� — � — D/00 — D O�— D.Z�d
NOTICE OF COMMENCEMENT
� Stale of Florida � _ _ , - . � � .
I County of_� �Q��O �
THE UNDERSIGNED hereby gives noGce lhat improvements will be made to cerlain real property:and in accordance�vith Sec6on 713.13 of ihe
i Florida StaNtes,the following information is provided in Uus NOTICE OF 0 ENCEMEMT� /� �
1.Descriptlon of property(/ega!descdptlon): l ,
� a)Sireet Uo6)Address: , � �
2.General description of improvements: ` ���
00� R��LA��i��/�( �
; 3.Ovmer Informatlon or Lessee infortnation If the ee contracte for the Improvemenh .[''
a)Name and address: f v �� � �fr � // �.!/
b)Name and address of fee simple iitlehoider(if diflerent ihan Owner Gsted above) � �,35^TZ
c)interest in property: '
� � 4.Contractor)ntormatfon * _/ �
a}Name and address: G��� /�1 CO/�s N 6T D 200� A � fZ dl L� �/�t� FL�
b)Telephone No.: D 7.2 Fax No..(oplional) 3 �
DEA R � nl, KI rJ ,
5.5urety(i(applicable,a copy of the payment bond is attach� 3 8a.
a]Name and address:
b)Telephane No.:
i c)Amount of Bond: S
6.Lender
aJ Name and address:
b)Telephone No.: �
7.Persans withln the State of Florida designated by Owner upon�vhom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Slatutes:
a)Name and address:
b)Telephone No. Fax No..(op6onal)
� 8.a.ln addltlon to hlmself or herself,Owner deslgnates of
' i to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b},Florida Statutes.
b)Phone Number af Person or entity desigmated by Umer.
I9.Explratlon date of notice of commencement(ihe expiration date may not be before the comple{ion of construc5on and final poyment to fhe
i contractor,but will be 1 ear from the daie of recordm uniess a different date is s ecTed): 20
IWARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTE�t THE EXPIRA710M OF THE NOTICE OF COMMENCEMENT ARE
� CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT 1N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOT(CE OF COMMEtJCEMENT MUST BE RECORDED AND POSTED ON
I THE JOB SfiE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WRH YOUR LENDER OR AN
� ATTORNEY BEFORE OMMENCING WORK OR RECORDING YOUR NOTfCE OF COMMENCEMENT.
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I Under penal of p ' ry, eclare that I have read the foregoing notice of commencement and that ihe facts stated therein are{rue fo the besi of my
knowled eli f.
� I�lrt/ylh/
` � . k A y�'.1/
(9ig ra ol +vner or L cee,or er's or Lessee's(Author¢ed OficadDirectoNParNerfManager) (P't Name and�"�e 9'qnatory's Title/01fice�
i The foregang uist ent was adS�p/wledged be(ore me Ihis �_ day of �s'n� ,20 ��
I ' by �j,//�/�!��6 �lt/'/l��'� (NP8 of authority.e.g.afficer.hustee.a8omey in fad)
� fOf .as G
� �Name or peisan} (type al autlmriry..--eg.olficer.wsiee,anomey in raW �
i fot � - . (name af parfy on behalf o(vihom insfrument wa�axecuted). i
Personally Knotim ❑ Produ ID /1 _ / !2_ �2�`—� I
Type o(ID r.S� CS'.��.1"� Not�ry Sign�ture
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� Print name Lj�r.G . ����
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i . . � � � �8� �
f � � Commisston#FF9878G7 .
� a '� Expire�: May 1, 20Z5
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S'�A�'E OF�=lORIDq,C�l11VTY OF PASCO � . e'A
rHis is ro cERriF e
T Y THAT 7HE F 'f �n Go�rwe r„�r • *
RUE qND CORRECT COPY OF T�NE DOCUMEN �1r � a�,5 •
ON FILE OR OF PUBLIC RECORD IN THIS OFFIC ,'�" �
WIT S MY HAND A �„a
��CIA SEAL THI �� � 18�� "
P DAY OF �' •
� . O'NEIL, CLERK&C 2 � ��`��QF����Q�
MPTROLLER
BY .� e
DEPUTY CLERK
a . s
EVERDE :: N �
C O N S T R U C T I O N
Everdean Holdings LLC
dba Everdean Construction
2004 Kirkland Lake Dr
Auburndale, FL 33823
863.888.0724 �
'everdeanconstruction@gmail.com
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To Whom It May Concern:
��,George Ryan Dean, Everdean Construction,do hereby designate the following individuals as having the ,
'authority to sign and submit applications and related documents for the purpose of obtaining licensing
and building permits from the CITY OF ZEPHYRHILLS. I further acknowledge and accept,as a licensed ,
contractor, my responsibility and liabifity for each project permitted under the authority designated on
this letter which supersedes and repeals all other previously submitted signature authority letters,and
that my failure to assume and fulfill said duty may be grounds for the initiation of disciplinary action ;
against my contractor's license.
Designated Signers: '
Nicholas Everly
�acob Copeland ;
ames Copeland
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BY: �'F���r �YR�I ��R� ;
(Printed Name) (Signature)
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State of Florida,County of /��k . Sworn to(or affirmed)and subscribed before me this ;
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3 day of a� 20 /b , by �f��i� /�yf�l1� .DL�AIv who is
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personally known to me r who has produced (type of ID)as
i l entification.
;•'�� TIMOTHY C.EVERLY
''• �'i MY COMMISSION A FF832254
. "f. EXPIRES ORobtr 2�.Z019 I
� � �oi�.e�i.t v s.evic..aom '.
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Sign ture of No ry Public State of Flori Print,type,or stamp name of Notary
My Commission Expires: