HomeMy WebLinkAbout16-17911 CITY OF ZEPHYRHILLS /�,
r� ` 5335-8TH STREET
(813)780-0020 ��911
� BUILDING PERMIT
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'� PERMIT INFORMATION LOCATION INFORMATION f
Permit �lumber: 17911 Address: 6228 SILVER OKS DR
Perrt�it Type: RE-ROOF ZEPHYRHILLS, FL.
Class�of Work: ROOF REPLACEMENT Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
E�t. Value: Parcel Number: 03-26-21-012A-00000-0120
Improv. Cost: 9,693.00 OWNER INFORMATION
Date Issued: 11/10/2016 Name: PARTAIN DAVID &TERESA
To�al Fees: 85.00 Address: 6228 SILVER OAKS DR
Amo�nt Paid: 85.00 ZEPHYRHILLS FL 33542-4807
D'ate Paid: 11/10/2016 Phone:
Work Desc: REROOF SHINGLE �
� CONTRACTOR S APPLICATION FEES
WIDNE ROOFING INC REROOF RESIDENTIAL 85.00
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DRY IN R�� OF IN P
TAPE JOI TS ROOF INSP
FINAL '
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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
II 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 b° 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.
"Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr'ovements to your properly. If you intend to obtain financing,consult with your lender or an attorney
'�� before recording your notice of commencement."
Comp ete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
; City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
i NO OCCUPANCY BEFORE C.O.
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,CONTRACTOR SIGNATURE 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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s�3,��so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
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• Building Department I
Date Received Phone Contact for Permitting • ��J ��� — �S� I
Owner's Na I e U,A� �U R4 P� ,A (�1 Owner Phone Number
Owner's Ad�ess �aoc.() �.,tJ�V�2i... ��.�i i=- Oudner Phone Number
Fee Simple T tleholder Name Owrner Phone Number
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Fee Simple T tleholder Address �
JOB ADDRESS �a� �t V �. �J � LOT# �
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SUBDIVISIO i PARCEL ID# �3- �.�-a� -�c zA - o o a�� — O( ZO
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PRO iOSED e NEW CONSTR'e ADD/ALT 0 SIGN Q � Q DEMOLISH
� INSTALL REPAIR
PROPOSEDISE Q SFR Q COMM � OTHER
TYPE OF CO STRUCTION Q 'BLOCK • Q FRAME 0 STEEL Q
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, DESCRIPTIOI OF WORK ,
BUILDING SI� E SQ FOOTAGE p S HEIGHT
QBU�LDING $ . �� VALUATfON'OF TOTAL CONSTRUCTION
! 9G'3
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPL� MBING $ � �
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I
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QGAS Q�ROOFING Q SPE6IALTY 0 OTHER
FINISHED F IOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER � COMPANY
SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N
Addres i License#
ELECTRICI � COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N
', Addres I License# y
PLUMBER,, � COMPANY
SIGNATURE •REGISTERED Y/ N FEE CURRE� ' Y/N
. Addres' License#
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MECHANIC - COMPANY
SIGNATURE i ' Re�isTeREo � Y/,N FEE CURRE� Y/N
Add�e's I - � .. .License#.
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OTHER� ' _ COMPANY ` �
, SIGNATURE i� -' REGISTERED , Y/ N FEE CURRE ' ,/N I
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� �icense# �CC -Q,S Z
` RESIDENTI '�� Attach(2).Plof Plans;"(2)-sets.of'Building'Plans;(1)set of�Energy Forms;R,O-W:Perrtiit for new.construction, •
, _ , , Minimum_,ten.(10)working.days after subrriittal date. Required onsite;Con`stniction Plans,_Stormwater Plans w/Silt Fence installed,
-. Sanita,ry,Facilities 8��,1;•dumpster;Site Work,Permit for.�subdivisions/large projects � ---- - - — —_ __ ___ _
:_ COMMERCIAL Attach(2)'complete sets of Building Plans plu's a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
� I Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary Facilities&1 dumpster.Site Work Permit fo�:all new projects.All commercial requirements must meet compliance
SIGN PERMI� i4ttacli�(2)sets of Engineered Plans: ••;
*"'«PROPERTY SURVEY required for.all.NEW_construction.
Dt�ections: �I �- - -
Fill�out�pplication completely.
, Owner 8�Contractor sign back of application,notarized
• If over$�500.a Notice of Commencement ls required. (A/C upgrades over$7500)
"' Agent(f i r tlie cont�actor)or Power of Attomey(for'the owner)would be someone with notarized letter from owner authorizing same
;OVER THE C�UNTER PERMITTING � (copyof contract�required)�
� Reroofs if shi�gles Sewers .�Service'Upgrades'A/C" ':�Fences(Plot/Survey/Footage)
Drivewa s-Not over Counter if on publi�c;roadways..needs ROW ,`
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NOTICE OF DEED RESTRiCTiONS: The undersigned understands that this permit may be subject to"deed" restrictions° ��
which,may be more..restrictive than Gaanty cegulations: The undersigned�assumes�responsibilify far compliance with-any`��"
� �PAlicable deed restrictions. _..._. - . . ' . .
UNLlCENSED.CaNTRACTORS AND CONTRACTOR RESPONSlBILITIES: !f the owner-has hired�a-contractor or
contractors�to undertake work, they may,.be required to be licensed in accordance with state and loca! regwlations. If the:��•:
contractor is nat ticensed as�required by law, both the owner and cont�actor may�-6e-cited�for a misdemeanor vialation ;
I� under state iaw. If the owner or intended contractor are uncertain as to what iicensing requirem,ents.:may.apply for,tfie� -
intended wark, they are advrsed to contact�the Pasca Caunty Building Inspecfion�Divisibn=Licensing Sec#ion at 727-8�4,7-
8009. �Furtherrnare, if the owner has fiired a contractor or contractors, he�is advised ta have the contractor{s} sign �
portions of the "cantractor Btock" of this application for which they wil! be responsible. !f you, as the�owner"sign as°'#tie '
contractor, that.may be an indication that he is not properly licensed and is not entitled�ta permitting privileges in Pascq, .
County. , . - � '� � ' ,
TRANSPORTATiUN tiVfPACTLUTILITIES IMPACT AND RESOURCE RECOVERY FEES:� The undersigned understands .,
that Transportatian impact Fees and Recourse Recovery Fees may.apply to the canstructian of new bui(dings, change`of� �` �;
use in existing buildings, or expansion of existing buiidings, as specifed in Pasco County Ordinance number 89-07 and ;
90-07, as amended. The undersigried alsa understands, that such fees, as may b.e.due, will�tis identified at�ttie 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 reiease. If the projec#does not involve a certificate of accupancy�or, �
final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewec�lmpacf
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. '
� GONSTRUCTl4N LIEN l:AW(Chapter?73, Flarida Statutes,as amended}: !f vaivatian of work is$2,5QOAQ or more, i
certify that !, the applicant, have been provided with a copy of the "Florida Gonstructian Lien Law—Homeowner's
Pratection Guide" prepared by the Florida �epartment of Agriculture and Consumer Affairs. !f the applicant is sorneone
other than the"owner�, I certify that I have obtained a copy of#he above described document and promise�in good faitti to
deliver it to the"awner° prior to cornmencement. ' " � �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ali the infarmation in this applicatian is accura#e and that all wark j
will be done in campliance with all applicabie laws regulating construction, zoning and iand-devetapment Application is
hereby made to obtain a permit to do work and insta!latian as indicated. ! certify that na wark or installatian has
commenced prior to issuance of a permit and that all work will be performed to meet standards a# a!I laws regulating
construc#ion, Caunty and City codes, zaning regulations, and land development regulations in the jurisdiction. I also
cerfify that i understand tha#the regu(ations of other government agencies may apply to the intended work, and that it is
my responsibility to 9dentify wFrat actians i must take to be in compliance. Such agencies include but are not limited#o: ,
I - Department of Environmenta! Protectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterM/astewater Treatment.
- Southwest Florida Water Management District-We!!s, Cypress Bayheads, Wetland Areas, Altering
Wa#ercourses.
- Army Corps af Engineers-Seawaiis, Dacks, Navigab(e Vl/aterways.
, - Depar#ment af Health & Rehabilitative Services/Environmental Hea(th Unit Wells, Wastewater Treatmenf,
Septic 7anks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authariry-Runways.
i understand that�the following restric#ions apply to the use of fill: ,
- Use af fiii is not aliowed in Fiood Zone"V"unless expressly permitted.
- If the fill material is to be tased in Flaod 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 professiona( engineer �
licensed by the State of Florida.
- If the fill material is ta be used in Flood Zone "A" in connection with a permitted building using stern wal!
constructian, I certify that fill will be used anly to fill the area within the stem wall.
- If fill materiai is to be used in any area, I certify that use af such fill will not adversely affect adjac�nt
properties, !f use a#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 applicat�on, for iots less than one (9} °
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 permit#ing conditions set forth in
this affidavit priar to commencing construction. I understand #hat a separate permit may be required for electrica! work,
plumbing, signs, wells, poots, air conditioning, gas, or<other insta(lations not specifically included in the application. A �
permit issued shait be construed to be a license ta proceed with fhe work and not as authority to viafate, cencel, alter, or '
set aside any provisions of the technicat codes, nor shall issuance of a permit prevent the 8uilding Q{ficial from thereafter
requirEng a correction of errars in plans, construction or v�olatians-of any cades. Every permit issued shali became invalid .
unless the wark authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended ar abandoned for a period.,of six(6) manths_after the time the work is commenced. An ex#ension
may be requested, in writing, from the Buildirig Official for a period not to exceed-ninety (90) days and will demonstrate
justifable cause far the extensian. if work ceases for ninety(90)cansecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO REC�QRD A NOTICE O� COMMENCEMENT MAY RESUl.T IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY..IF YOU�lNTEND�TO OBTAlN•FINANGING,CflNSULT
WiTH YOUR LENDER OR AN ATTORN�Y_.�3iEFORE-R�C�lRDlidd's-YOL�E��NCITICE�t�F'�OTi11fiflEP�CEiV�EhIT:"-"�—�� " ' �� ��'
" FLOF2IDA JURAT{F.S.11 Q3}
OWNER OR AGEN7 /r� �- �_ CONTRACTOR G��litJ���
Subsc.�ibed and swom to{ar affirmed}6efore me fhis Sy,bscribed d swom ta(or affirtned}before me this
by X"" !�"�
Who is/are personally known to me or haslhave produced � Wha is/ar rsonall jr kn to me or has/have produced
as identification. ���. __as identi8catian. �
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Notary Public �"�-""^'' Notary Publfc
Cammisslan No. Cammi ' n iVo.
:=°s;�:'ev'• JAGQUEI.
�"= Commission#FF 150A22
Name of tVatary typed,prir�ted ar stamped Rlame of Riotary �d c��ed �m � �
�'%'• °�`�� gonded Shtu Ttc/Faln laauranaa AOa306�7019
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201B179842
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� PermitNo. Parce110No 0.�'..rc��p'-�1'�l2,�'�G�OS�7" O� Z.O Nu�rO
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�i1IJ1 ` NOTICE OF GOMMENCEMEM'Iyj� �m;:,
State of Y U�/�O'�'�' County oi t�'C.c7 y ' „�,��
Of (O
7HE UNDERS�G, EO hereby gives naQce that improvement will be made to certain real property,and in accoMance urith Ghapter?t3,Flo�da Statutes, X r,�, '
the ioitowing iotormatio�is provided in ttus Noiice of Cnmmencemeni: •
1. bescri�tion at Property: Parcel Sdentiheation Na. �,� ` ` -� x- '-Op0 p O - �O ��..i
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Street�ddress: � �-� J� 1/� � �� p
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2. Genera�Oescrip8on of Improvement ��„�,���_S� fv0^�w�.Q Sk.�-�-�� �
O O B
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3. Owner�nformation or less e information i!ifie lessee contraded for the improvement: , p
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C.4.Air..� 7
- ;� Name .�� 1{ �� / F
�a2B S'.� a,�- �
Addres� ^_ ,..,-- • Gity State
I'I Interest'In Property: �r"�/�---
� Name ti/Fee Slmpie Titleholder.
I� �I {If diSerent hom Owner 65ted a6ove)
Addres '�+ Cfty State
4. Conira�or. �
Name Q � `
Contra�ors Telephone No.: V I�� �1�C' (OS� ( G� 5�+5�3
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5, Surety.i
4Name F,v
Addressf City Siate y��r
Teis hone No.: �~9
Amaunt�bf Bond: b P m�
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6. Lender., X m z
Name }"'�^
(flm�
Address C!ty State �' m v
� Y S
Lender's Telephone No. �A a
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7 Persons�,withln tbe State of Flodda designaled by the owner upah_whom�nolices or pther documents may he served as provided by � �,�'„ � *
Sectlon;{13.43(1)(a)(/),Fforida SWtutes: ro 3 0 ` *,
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Name �� � � \� � p:
I N°�� ��� �, +��� ��
Addressl, ' Gly State t,,,o �,. ..3
� Tetepho�e Number of LJesignated Pecson: � v s �°`•. • ' � • �
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3. In addiUi R to himselt,the awner designafes � oi r�- �.. � &' � � �
I� �� lo recelve a copy of Ihe Lienar's Notice as prov(ded in SecUon 713.13(1)(tr),Flodda Statutes. a Q�,J � , � , �
I'�, Teleph ie Number of Person or EnGiy Designated hy Owner. �� m �� F � 1��
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t. E a e p i r a 8 �d a e e o f N o t i c e o t C a m m e n c e m e n i(t h e e�i r a ti o n d a t e m a y n o t b e b e l a r e t h e c o m p i e ti o n p f w n s t r u c f i a n a n d R n a l p a y m e n t t o I h e '�A �
coniraUo,bui wQl be one year frorn the date af recnNing unless a dEtferent date is specified}: .
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W A R N I N G T p O W N E R: A N Y P A Y M E N T S M A p E 6 Y T H E O W N E R A F f E R T H E E X P I R A T I O N O F T l i E N O T I C E O F C O M M E N C E M E N T
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ARE CO�+ISIQEf2Ed IMPROPER PAYMENTS UNCIE32 CHAPTEi2713, PART1, SECTIONTi3.t3, FLORIDA STA7UTES, ANd CAT! � �
RESULTi�IN YOUR PAYING TWICE FOR IMPROVffMENTS TO YOUR PROPERTY. A NOTIGE OF COMMENCEMENT MUST BE
RECOROED AND POSTED ON THE J08 SITE BEFORE 7HE FtRST iNSPECTtON. tF YOU INTEND T6 08TAIN FINAMCING,CONSUF.T
WfTH YOUR IENpER 4R AN ATTORNEY BEFORE COMMENCING WORK OR RECORD�NG YOUR NOTICE OF COMMENCEMENT �, uJ Y
Under pel�l aity af perfvry,t dedare that t have read the taregoing naflce ot wmmencem nt and that the faUs siated iherein are tn.�e to lhe bast (/'y z � � W
of my knoWledge and betieL O ��� � � U
;TATE OF FLORI P , V z �O � ,�.r y.
� :ouNrr oa Pas o � — C?tn O �
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I �4�'� Nofary PuClic SWte W Floride �9na ure of Owner �L ssee, r Ovmer'S or Lessee's AUlhorized a �0 = et �'LL �
Shetry WidrsBr fifcerlDiredortf'aKnxlManaggr � � w(.- rW a Q
� �c�� My Commisaion FF 075185 O O �z � �
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ignatory'sTitlelOHce �� . ,�,.. �y F-' Q "� (7
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he faregoing instnanent was acknawiedged befpre me iiris lQ day of�6"�,_,26�r?by_____� u'"�""' ,�," ��� � '�+i
4 as A't��"7�Q/l__ { �authority. _g-.otficer.trustee.attomeY in fad}tor O � a W 0 `�'
'� ( a on behalf o( m In Wment was e�wtedj. � ¢ Q LL � �'
arsonally Known OR Produced Identlficatlon❑ Notary Stgnatu _ � � � Z -�-�
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