HomeMy WebLinkAbout16-17947 ,i
� CITY OF ZEPHYRHILLS
5335-8TH SfREET
• - ' (813)780-0020 17947
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit ,f�umber: 17947 Address: 5813 CYPRESS ST
Perra�it Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ�re Feet: • Subdivision: COLONY HEIGHTS
Est. Value: Parcel Number: 12-26-21-0260-01100-0730
Improv. Cost: 6,800.00 OWNER INFORMATION
Date� Issued: 11/21/2016 Name: BAIR JOHN A& KATHLEEN
Tot�al Fees: 70.00 Address: 5813 CYPRESS ST
Amo�unt Paid: 70.00 ZEPHYRHILLS FL 33542-4460
Date Paid: 11/21/2016 Phone: 813-779-3070
Wo'rk Desc: REROOF SHINGLE
:! CONTRACTOR S APPLICATION FEES
SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 70.00
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!I Ins ections Re uired
DRY IN R� OF INSP
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TAPE JOINTS ROOF I SP
FINAL II ..�
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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�e found in the public records of this county, and there may be additional permits required from other governmental
I� 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�vements 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.
II NO OCCUPANCY BEFORE C.O.
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--- 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
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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ,
i • Building Department i
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Date Receivod '
,i Phone Contact for Permitting � — !
Owner's Name Jo h�..1 ;f Owner Phone Number ,
Owner's Address � � � 3 l_- rG S S ,..�t Owner Phone Number
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Fee Simple itleholder Name Owner Phone Number
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Fee Simple Yitleholder Address
JOB ADDRESS 1 ,3 C r��S Sfi � � y Li• I S i� I LOT# �
susoivisio PARCEL ID# l 2-Z fv- Z I - D Z- �� -o//o �J� 6�73�
I WORK PROPOSED NEw CONSTR ADD/ALT � SIGN NED FR�OM PROPERTYT�rice)DEMOLISH
e INSTALL� e REPAIR
PROPOSEDIUSE Q SFR Q COMM 0 OTHER
��'I TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME � STEEL Q
DESCRIPTIOM OF WORK ��'`�a C' �
BUILDING S ZE SQ FOOTAGE ,� o� � HEIGHT
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�BUIILDING $ /� �����J� VALUATION OF TOTAL CONSTRUCTION
(CJ
QEL CTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. �
OPL�MBING $
, f
QM CHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �(,� t2
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OGAS ' ROOFING Q SPECIALTY. O OTHER �
FINISHED F IOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY -
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N ,
' Addres License#
ELECTRICI_ COMPANY
SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/N .
, Addresa Cicense# � �
PLUMBER. COMPANY �
I SIGNATURE REGISTERED Y/ N ' FEE CURRE� ' Y/N '
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, Addres� Licen'se#_ -
MECHi4NICA� ` , - ,. COMPANY
SIGNATURE � REGISTERED - Y L N FEE CURRE� 'Y/N
Address ' ' ' _ Licens.e.#:
O'iHER`^ �..• , /%�✓��,� COMPANY ,�Go �f- f�4 c �w 6i.. I�u�r�- �L�-c
SIGNATURE . ,:= � �G> REGISTERED ,�Y/N. . �FEE CURREk ,, Y./N
� Addres .3��, � � S)?,.•S,2,,.,f�� l�h.�a�..�o. .F( 3> . . . . • License# C' C�[7 S 7���
� RESIDENTIAIL', Attach:.(2)`Plot-Flans;'(2)`sets of-Buil'ding=Plans;(1�)'set of'Energy;Forms;R=0-VV Perrriit,for new.construction,
1 �� . �Minimum;,ten.(•10)working'days after'submittal°date. Requir`ed onsite;'Constnlction Plans,Stor'mwater Plans w/Silt Fence installed,
�.� Sanita,ry.Facilities.&:1�<dumpster;Site Work Permit for�§ubdivisions/large projects � -
:;COMMERCI� Attach.(2)complete sets'of Building P_lans plus a Life.Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon.. _ _ _.
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 II Attach"�(2)`sets of;Engineered Plans.�� "
""""RROPER'fY SURVEY,requiced for aII.NEW.construction.
Directions: ,4,.;__ - ,
Fiil.out alpplication completely.
`Owner&IlContractor sign.backof application,notarized
If over$2500;a Notice of Commencement is required. (AIC upgrades over$7500)
, "' Agent(fii�tfi'e co`nt�actor)�or-Power of Attomey(for the ovuner)would be someone with notarized letter from owner authoNzing same
- OVER THE COUNTER:PERMITTING (copy of cantract required) �
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Reroofs if shin,gles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewal�ys-Not over Counter if on public roadways..needs ROW
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NtJTtCE 8F DEED RESTRICTiONS: The undersigned understands.that this permit may be subjec#to°dee�d" �estrictians" ��,
which may.be moce.restcictiue.than-County r:egulatians: The�undersigned-<assumes`�cespotisibility�for compi'iance�with'any•A""
applicab}e deed cestrictions. , t::::: -:� := ,
UNUCENSED-�CON7RACTORS A(dD CONTRAGTQR RESP_ONSlBIL!'TIES: If �the-owner-has��hired=� con#rac#or or
contractors to undertake work, they may be required to be:licensed in accordance with state and�local r,egulations: �lf,the: •�
contractor-is nat.ticensed as required'biy lainr; batli the owner and�cont�actor-may�3be cited for=a rriisdemeanqr vlolation -
under state law. If the awner or intended contractor are uncertain as to what (icensing requirements.�ma!�::app(y�fo��the.�-"�� �
intended wark, they are advised to coritact�the Pasco Caunty Buiiding lnspec#ian�Divisian-=Licensing 5ecti��n at 727=847- '
8009. Furthermore, if the owner�has fiired`a contractor or contractors, he��is advised to �have the contractor(s} sign, ; ;
: . . _.:. ".�.�. :. .,,:��
portions of the "con#ractor Block" of this application for wrhich they_w�l! be respansible. If you, as�ttee owner s�gn as:Etie . .;
contractor, that.may be an indication that he�is not.properly licensed and�is not entitled to�pe�mitting privil�ges,in_Pasco +
County. , , .! , �
TRANSPORTATiG1N tMPACTNT1LiTtES I�ffPACT-AND RE50URCE REGOVERY FEES:` The undersigne�d understands �
'� that Transportatian lmpact Fees and Recaurse Recovery Fees may.appty to the constructian af new_buililings, change�of j�` ,,,'�
' use in existing buildings, or expansion of exis#ing buildings, as specified in Pasco Caunt}r Orciinance numl�er 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may b.e_due, wil! l�e�identified a#:tlie tir�e=of� "
permitting. It is further understood that Transportation Impact Fees.and Resource Recovery Fees must b�s paid prior ta .
receiving a "cerkificate of occupancy" or final power release. If the,project daes not involve a ceiti�cate af occupancy;or -�
final'power release, the fees must be paid priar to permit issuance. Furthermore, if Pasco County W„ater/Sewer-Impact:
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTIt?N t�lEN LAW(Ghapter 713, Florlda 5tatutes,as amended}: tf valuation of work is$2,50G�.00.or mor.e,.I, - ,.
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien -Law-=Homeowmer's
Protection Guide" prepared by the Flarida Deparkment af Agriculture and Consumer Affairs. !f the applicar►t is someone,;
other than the"awner", I certify that I have abtained a capy of the abave described'document and promisefirrgoad faitFi to,
deiiver.it to the"owner"prior to commencemen#. .
CCiNTRACTOR'SJOWNER'S APFtDAVIT: I certify that all the information in this application is accura#e anci that aII worR
will'be done in compliance wi#h a!! appliaabie laws regulating cans#ruction, zaning and land�develapment. Applicatian is
hereby made to obtain a perrnit to do work and installation as indicated. I cerkify that no work or-installatiQn has
commenced prior to issuance of a permit and that all work will be performed to meet standards of a!! la�nrs regulating ,
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. -I also �
certify that i understand #hat the regulations of other government agencies may apply to the intended work, and that it is ;
my,respansibi(ity to identify what actions I must take to be in compliance. Such agencies include but are naf limited to:
- Department of Environmental Frotec#ion-Cypress Bayheads, Wetland Areas and Environment�lly Sensitive ,
. Lands,WaterllNastewater Treatment. .
- Southwest Florida Water Management District-We!!s, Cypress Bayheads, We#land Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawalls, Dacks, Navigable Waterways.
- Department af Health & Rehabilitative Services/Environmentat Health Unit Wells, Wastewater Treatment,
Septic�Tanks. '
- US Environmenta!Protection Agency-Asbestos abatement.
Federal Auiation Autharity-Runways.
� understand that the following restrictions apply to the use of filL• .
- Use of fill is not allowed in Flaod Zane"V"unless expressly permifted.
, - If the fill material is to be used in Fiood Zone "A", it is understaod that a drainage ptan ��ddressing a
'i "compensating volume° will be subtnitted at time of permitting which is prepared by a professianal 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 stem wall
constructian, I certify that fill will be used anly to fill the acea within the stem wall.
- If fiil -material is to be used in any area, 1 certify that use af such`fill wi11 not adversely affect adjacent
properties. (f use of fll is faund to adverse(y affect adjacent properties, the owner may be cited for vialating _ �
the conditions af the building permit 'sssued under the attached permit application, for (ots less than one (1} ;
acre which are elevated by fi!!, an engineered drainage plan is required. �
If I am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permitting conditions set forth in ';
this affidavit pciar to commencing construction. I understand that a separate permit may be required for ele:ctrical work, . -
ptumbing, signs, wells, pools, air conditioning,,gas, or:other instaliations not specifically included in the ap�plicatian. A _
permit issued shall�be construed ta be a license to proceed with the work and not as authority to viaia#e, cancel, alter, or
set aside any provisians of the technicai codes, nor shall issuance of a permit prevent the Building Official fram #hereafter
reQuiring a correction of errors in plans, canstruetion or violations of any codes. Every permit issued shalE be�.ome invalid
unless the work authorized by such permit is commenced.within six months of permit issuance, or if work au�thorized by
` the permit is suspended or abandoned for a period..of six(6)'rimonths after the time the work is commenced. An extension
may be requested, in wri#ing, from the Buiiding Officiai for a period.not to exceed•ninety (90) days and will ��emonstrate
justifiable cause far the ex#ension. If work ceases for ninety(90}consecufive days,the job is considered abandoned. �
( WARNING TO OWNER: YQUR FAlLURE TO RECORD A NOTICE_C?F COMMENCEMENT MAY RESULT !N YOUR
PAYING TWICE FOR IMPROVEMENTS TQ YQUR.PROPERTY,-IF YOU..INTEND.-TO l?BTAIN�FINANCING,CONSULT
W1TH YOUR LENDER OR AN ATT'ORNEY BEFORE RECORDING.YOUR�NOTICE OF COMMENCEMENT, .
FIORtDA JtlRA7{F.S.197.03) �__��-- -__- �--_.— -_-.--- ----
-- - —= - ---_ ___-_-- -._-�:�:�;
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OWNER OR AGENT CONTRACTOR ._
Subscribed and swom to(or affinned}before me this Subscribed and swam to(or affirmed}before me this
by by �
! Who is/are persanal�y known to me ar has/have produced ' Who is/are persanally known to me or haslhave produced
� as identificatian. as iden6flcafion.
Notary Public Wot�ry Fubfic
Cammission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or sfamped
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Rept:1819406 Ree: 10.00
� � - DS: 0.00 IT: 0.00
12/01/2016 J. R. , ppty Clerk
PqULq 5.0'NEIL,Ph.D PRSCO CLERK & COMPTROLLER
N01TCE OF COMMENC.Ell�Ni' 12�01/201 �j1: m 1 of 1
. ` OR BK �`!� PG 2365
Pemiit No. �����
r��«�r ra�s��rro. 1 7_ — 2 (� --2/ —G Z 6 0 —�!�l o � '
1i�LTNDERSICiNEb hereby give intbrme you thet the impmvemmt wr'Il be mnde to cermm real pmperty;ead ln eecordsace with
Section 713.13 oPthe Florido Sfetates,the following inforrnetlon i.y proyjded ia thi,y pp17CE pF CO�rxCEMEN7,
1.Descriptian ofFroP�Y(�Sa1 aasotptlp�.1 2`Z-(p `2- —d ?�(p 0 —O/'/D O
a)S�eetAddrsss: 3 ..� t ,�- !z, J /
2.Qenerel deseripdon ofimproveme�e: v
3.OWIIEt IR�p;IDIIflOII • /� � •
a)Nameendaddtes.a:�•�v�.�J -6 �'�,4 TK�Q-e�Al �ct � ✓ f'��� L �pvLJS 1�- �!�//t �/
• b)Name a�addnse of fee simple dtleholder('dother th�owner) � 3 3 S�/Z "
� e'���� �
4.Con�otbs 7afarmatlt►a
�)Naa4e and eddcess���Q/4G�r.c h �E f7 s-f .�'K 1�O�d o�(���'�' r•Ow/�/y,�..b �/ 3���
S.Suroty i foolep�honae No.: 7 �d o J6 6� Fex No (OPG)�� 7 l0 4�� I
e)Nerae apd'eddr�ass .
b)Amoops ofBand: •
e)Teleprhono No,.: • ' Fax No.(Opk)
6.Lender
e)Name�d eddnss• . �
' Phoae Na • '
7.Ida�ofperson within the State ofPlorida deei�a(ed by owner opaa whom aotiees or other doc�ents may be served:
a)Nauu md addrws:
b)Tele�phone No.: Fax PIo.(Opt)
B.Ya eddition to ldmyelfr owner desigua�s t5p fopowieig pugon to te�it o B cppy offfie�ienor's Notiea av'pmvided in Section'.
713.73(lx6�Florida SmhrtW; j
e)Name end addrese: ' •
b)TelephoaeNo.: �� '� �� ' .FaxNo.(OptJ
9.F.xpuaHoa data of Noticq of Commencem�nt(tlte exphatioa dak iv one y'tar frval the date ot'cecarding ess a diffe'rmt dato is
speclfied):
WARNIIVG TO O�VNER: A1VY PAYME111T511�AD8 BY 1'HB OWNSR AFTER T$E�IItpTION OF THE NOTICE OF
Fl:ORIDA s1'AM�+NT ARg CONSID�BED 7Mk'ROPSR PAYD'ffiN'I'S UNDFdt CSA�7 ER 713,PART I,SECliON 713.]3.• I
T�TEesi�►ND '(,AN R$SULT IN YOUR PAYII�IG TWICE FOR IN�ROV$MENI'4 TO YOYT$�ROPERTY.
A NOTICE QF C0119yIENCEMENT MIJSI'BE gECpgj)ED APjp pp51'&D ON THE JOB SIT6 BEP�O�tE THE P[R5T
INSPECTION.IF.YO�IIIVT�,ND Tp OBTAI�V FINAN'CING,CUNSIILT YOiJI!LP.NDgEt OR AN AITORNEY BEFaRE
, C�MMENCII�iG WOEK OI�RFCORDIIYO YOUR PIOTiCE OF MhIENCEMEI�i; '
S!'A1E OB Biq1iIOA � - � . , ` •
COUMYOFPASCO • G[/�/r/
, � S (hmC� OffioalD
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P+iotN�e
Tde fortgoing iosRvment wa�aelmowL:dg��day� �Y v�• .20�yy, C`�7 ff��!V /'V Y/� �j/Q'l�
�tYP of etrthmity,e.&offiar.trutteq ett°m°Y
m�)� � (aeme ofpaety ou boLalf of w Sash�eat aceeute�,
Peesonally Known_OR Produced Ide�i6cattoa V Not�y 5ignaNre �.
,�4►Mr° ��� ENf17��lAfPERATO
Type ofIdeati5cetion Produee��'V�-��- `�' Name t 3'. ���,' M tary Publlc•State ot Fiorida
�) " .. 2019
� - �•� �'+ A�� �Commisslon#FF 169902
���iFOF Fl���
Varlfieallon pmsumt to Sectlon 92.525,Florida Stahdes.Under pmelHes of ury,I
�„���•�• Ban t Assn.
the facts stated'm 8 aza hue w the best ofmy Imowledge end betieL �
, �
FOHAL4�NGCradtm/ si ofNNad Parean 9ipilnE Abova• ' ,
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g�^ T'E��FL()���AS��U�dT1'OF P�A,�Ct9 ����9��
� a o ���
�f0 CERTIFY THAT THE FOREGpING IS A �G '
D CORRECT COPY OF THE DOCUMENT � . �
�PUBLIC RECORD IN THIS OFFICE � 0 • A
�p� OFFICIAL SEAL THIS r�G�d�e r'�"�`r • �
��� .. � 2fj!`>l7 � ' a :,,A._} •�
� _ RK&CO TROLL�R �r O •
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DEPUTY CLERK ��������p.