HomeMy WebLinkAbout16-17986 � 4 CITY OF ZEPHYRHILLS
' S335-8TH STREET
(813)780-0020 17986
BUILDING PERMIT �
PERMIT INFORMATION " LOCATION INFORMATION
Permit �lumber: 17986 Address: 37737 C AVE
Perrn��t Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Es� Value: Parcel Number: 15-26-21-0030-03100-0000
Improv. Cost: 20,250.00 OWNER INFORMATION
Date Issued: 12/05/2016 Name: SOUTHSIDE CHURCH OF CHRIST
Tot I Fees: 140.00 Address: 37737 C AVE
� Amo nt Paid: 140.00 ZEPHYRHILLS, FL. 33542
D te Paid: 12/05/2016 Phone: (813)783-2305
Wo k Desc: REROOF SHINGLES
CONTRACTOR S APPLICATION FEES -
GAVIN ROOFING REROOF COMMERCIAL 140.00
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Ins ections Re uired
DRY IN R�OF INSP
TAPE JOI TS ROOF INSP
FINAL
/a. �,�. i�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local �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.
NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property 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 vements to your property. 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�-��o
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813I780-0020 City of Zephyrhills Permit Application FaX-s�saao-oo2�
� � • Building Department
Date Receive
I Phone Contact for Permitting --
Owner's Na le ,J��117 S+�� G�y Q/lG �� ���i_�.� Owner Phone fdumber
-a r} ,Q
Owner's Address '/ � i/ � Owner Phone Number
Fee Simple T tleholder Name Owner Phone Number �
Fee Simple T�tleholder Address
JOB ADDRESS 3 7�3� � �I(�� LOT# �
sueoivisio PARCEL ID# lS����'�L �-0�3�—0� 0 0 — D�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e . PVEW CONSTR l..-! ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED SE Q . SFR Q COMM 0 OTHER
TYPE OF CO STRUCTION Q� BLOCK • Q FRAME 0 STEEL Q
DESCRIPTIO OF WORK p!-�? ����' � l.0 1�Tr/ 3� �- �-/,�E�rL�SS ,51/Y//���-S
BUILDING SIZE SQ FOOTAGE HEIGHT
QBU LDING $�D �,v� VALUATION'OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OME HANICAL $ VALUATION OF MECHANICAL INSTALLATION � � l � '
O G Ai Q� R O O F I N G Q S P E C I A L T Y � O THER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COM PANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAW COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License# �
PLUMBER.: . COMPANY
SIGNATURE REGISTERED Y•/ N FEE CURRE� Y/N
Address License#
M ECHANICAI. COM PANY
SIGNAYURE REGISTERED Y/ N FEE CURRE� Y/N
Address �' License#
OTHER� � � COiIAPANY U`�I/U D�G/��
SIGNATURE-. - � REGISTERED Y/ N FEE CURRE� , Y./N
Address . � • Q�� ,3 G�i�G l�/"�� License# ��y��
tiii+hF+lii+H
- RESIDENTIA�` : Attach(2)Plot Plans;"(2):sets of Building-�Plans;(1)set of Energy Forms;R-O-W Permit for.new.consVucUon,
: , � Minimum.:ten:(;10)inrorking days after submittal date. 'Required onsite,Cbnstruction Plans,Stbrmwater Plans w/Silt Fence installed,
Sanita,ry Facilities&1,.dumpster;Site:W,ork Permit for,sutid'ivisionsAarge projects
.COMMERCIA 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,Stormwater Plans w/Silt Fence installed,
� Sanitary Facilities&1 dumpster.Site Work Permit foc all new projects.All commercial requirements must meet compliance
-�SIGN'PERMI I Attach(2)sefs of:Engineered Plans. �
'*"*PROPERTY SURVEY required for.all NEW construction.
Directions: .��
Fill out a�plication completely.
Owner&Contractor sign back of application,notarized
If over$ 500,a Notice of Corrsmencement is requlred. (AIC upgrades over$7500)
"" Agent(fo the coritractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
� OVER THE COUNTER-PERMIT7ING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
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Drivewa s-Not over Counter if on public roadways.:needs ROW.-. 3r, • � ' '� .., • , . •. , ,r
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NOTtCE OF DEED RESTRICTtBNS: The undersigned understands that.,this,permit may be,subject_ta"deed" restricYions"�z
which.r�ay�be.more restrictive•than Caunfy regulatians. fihe�:undersigned�.assumes`respansibiiity':fo�`compliance�witiii"any` _'
applicable deed restrictions. ;4-,:.>. • ,,= ,�. � � {
UNLICENSED CON7RACT,.ORS AND C(JN7RAC70R RESPONSIBILITlES: !€ tt�e�c►wiier has hired��a�cotztractor_ar
cantractors to undertake work, fhey may,be�ce,guired to betlicensed in accordance with state_and laca}regulations:=�If.:the-� �
contractor is not licensed�as rEquired b` law, both'the owner and:contractor rri`ay�-6e cited�for.a�misdemeanor violation
under s#ate (aw. lfi the owner ar intended cantcactor are uncertain as to what licensing requirements:;rnay�:apply for°:tlie:: k `
intencfed wpck, they are advised ta coritact'tfie�Pasco Gaunty Building Inspection`Division=Ciceri`sing Section af 727-847- ,
80Q9. Furthermore; if the awner�-has hired��a coritractor or cantractors, he is aclvisec! to�have the contractor(s) sign
partians of the "contractor Block" of this application for which they.wil! be responsible. .!f you, as�:`ttie�aviriier sign as�#1ie �� _ �'
contractar, that may be an indication tfiat he�is not properly licensed and is nof entitled to permitting privileges in Pasco �
Caunty. � '
TRANSPORTATI{�N iMPACTLUTILtTtES IMPACT AND RESOURGE RECOVERY FEES:�The undersigned understands _�
that Transportation lmpact Fees and Recourse Recovery�ees may,apply to the construction of,new,bui(dings, ciiange>of""r° -,,
use in existing bu�ldings, or expansion.of.existing�buildings, as specified in�Pasco Caunt}r Ordinance numtaer 89-07 and
90-07, as amended. The unde'rsigned also understands, that such #ees, as may:be:clue, wilf 6e.itlentifed at=rtt�te>tiirre'�of = �` �
permitting. 'It is further understood that Transportation Impact Fees and Resource�Reeovery Fees must be paid prior #a -
receiving a "certificate of occupancy" or final power release. If the.praject.does not inv..oive a certificate of occupancy<ar���4 �
fina{ pawer release, the fees.must be paid prior#o permit issuance. Furthermore,.if Pasco County Watec/,Sewer�Impact. . � F
fees are due,they_must,be paid priar to permit issuance in accordance with applicable Pasco County ordinances. �
CONSTRUGTION LIEN LAW�(Ghapter 793;Flor�da Sta#utes,as amended): if valuatian of work is$2,500.00 ar mare,.,.i. -:�
.. . z.�...
certify that I, the appiicant, have been provided with a capy,.of .the °Florida Construction E�ien l�aw-iHomeawner's
Protectian Guide" prepared�by the Florida Department af Agriculture and Consumer Affairs. !f the applicant:is someone
other#han the`bwner", I certify that I have obtained a copy of the abo�e desc`ri6ed�document-and�promise�in.good faitti to� '
deliver,it to the,'bwner"peior:to.commemcement: � '
GONTRACTOR'S/OWNER'S AFFtDAVIT:. ,t.certify_.that all the informa#ion in this appiication is accurate and�that al("work
will bs done in compliance with al! applicable�laws reguiating canstruction, zoning and land development. Applicatian is •
hereby made to. obtain a permit to do ,work--and installatian as indica#ed. 1 certify that na wark ar installaticin• has
commenced prior to issuance of�a perm'it antl that all work wiU be pertarmed to r►�eet standards of all lav+ts regulating �
cons#ruction, County and City codes, zoning regulations, and land development regulations�irr.the jurisdiction. ! also
�certify that I understand that the regulations of ofher government agencies may apply to the interided work, and that it is ,
my respansibility ta identif}r what actions 1 mus#take to be in compliance. Such agencies include bu#are not iimited to:
- Department of Enviranmental-Rrotectian-Cypress Baytieads;'1Netland Areas and Environmentaliy Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks; Navigable WatenNays,
- Department af Health & Rehabilifative Services/Enviranmental ,Health Unit Wells, Was#ewater Treatment,
Septie�Tanks. . �
- US Environmerital Protection Agency-Asbestos abatement. ,
- Federal Aviation,4uthoriry=Runways.
1 understand that the follawing.restric#ions apply to the use of fill:
- Use of fill is not aliowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used� in Flood Zane "A", it is understood that a drainage pian addressing a
"compensating volume" will be subrrtitted at time af permitting which is prepared by a professianai 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 wal!
, construction, I certify that fill wrill be used only to fill the area within the stem wall.
- (f fiiF inateriai is ta be used in �any area, I ce�tify that use of such'fill will not adversely affect adjacent
proper#ies. if use of�fiit is found to adverseiy affect adjacent properties, the owner may be cited for violating .
the condit�ons of the_building permit issued under.the attached_permit.applicatian, for lots iess than one (1)
acre wtiich are elevated by�11,an engineered drainage�plan is requited.
lf I am the AGENT F4R THE QWNER, I promise in good faith to inform the owner af#he permit#ing conditians set forth in ;
fhis affidaVit prioc to commencing construction. I understand that a separate permit may be requirsd for elec#rical work,
plumbing, signs, wells, pools, air conditioning, gas, oc other iristallations not specifically included in the application. A
permit issued shall'be construed to be a ticense to praceed with the work and not as autharity to vialate, cancel, alter, or
set aside any provisions of the technicai cades, nor shall issuance of a permit prevent the Building f3fficial from thereafter
requiring a corre�tion of erro�s in plans;�construction ar violations of any codes. Every permit issuedshall became invalid
unless the work autharized by such permit is commenced within six months of permit issuance, ar if work authorized by
#he permit is suspended or abandoned far a period._of six(6) months after the time the work is`commenced. An extension ;
� may be requested, in wri#ing, from the Building Official for a period not to exceed ninety(90) days and will demonstrate
justifiable cause far#he extensian. If wark ceases for ninety(90}consecutive days,the job is considered abandoned.
WARNING TO:OWNER:_YOUR_EAILURE-�C!-RECtQRD-A NO'£ICE-4'?F. GO,ii�lMENCEMIENT1�fiA'1P RESiJ�T IN YOUR�
�- PAYING TWICE FOR IMPRIOVEMENT$TO YOUR.PROPERTY.. IF YQU-lNTEND•TO OBTAIN.FlNANClNG,CQNSULT
WITH YOUR'LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF`CQMMENCEMENT.
FCORIDA JURAT{F.S.117.03} �
OWNER OR AGENT �ti-�"'�— CONTRACTOR �""%�'c� "`
Subscribed and swom to{or affirmed}befare me this Sub cri ed and swam to(or affiRned}before me this
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Wha is/are personally known to me or has/haue�prodnced ` Who is/are personally known ta me or has/h�uc.�-pred�eed .
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2016394791
PertnilNo. ParcellDNo (S�c.p—����3�—�31��QQ�f ,
NOTICE OF COMMENCEMENT
Slate of �4�/l/�/Y-_ County of �..SC 0• __
I I P .
THE UNOERSIGNED hereby gives notica.that improvement will be made lo certain real Droperty,and In accordance wilh Cfiapter 713,Florida Statutes,
the folfowing in(ormaEIion is provided in Ihis Notice of Commencem�en�l:/ � / Gf /y�
1 Descriptio�l of Property: Parcel Identification Na. IS o�0 —L!—�O3v���/�Q��rr(/
Slreet Addl ess: 3 �3 / C� �f�i �
2. Generel D scription o/Improvement ��i F�'�y� �
3. Owner Inf rmation or Lessee infortnalion if ifie Lessee contraded for the improvemenl: �
S'Oi.(, SiDG— Cf� O� G'y��.S T• 1 �
.. 73�me C� /r!/�- J��!"IK /f'/N"i�Lf—� • y�
Address ' City Slale �/
Interest in ropeRy 33S`r'�"
Name of F e Simple Titleholder•
(If diHerent f�om Owner listed a6ove) ,��.
., /
Address i �" City Slale LLJ Y
� Gonlractor V(d� ���`/A��i' Q Z (� 2'
Name�o� �0/� �J�C J 1�/�� �'/7y /�� V C� _ � _� W U
�Adtlress '/ Cil State
CoNracto sTelephone No.: 3So2'S���,5�37 33T.3� (n z V � ~ Q F—
5. Surety: n" � n � W � � W
N�me Ld,. W (� Q. p
�` � � 2 z �
Address Ciry State F. Q �
Amount of Bontl: S —` Telephone No.. � w LL � U \\O
6. Lender. ! _ � O O ���
Name _� ' o f— a � � �
I
Address� ' � Cily State �"� _ � U � J L
� Lender's lephone No. � � F"' �— J Q -U
i ' A >- U CO p �
7 Persons�}'�Ihin fhe State of Florida designated by Ihe owner upon whom•nolices or other documeMs may be served as�provided by V- W � z Q J
Section 71p.13(1)(a)(7),Florida Slatutes: �-- �' �- w
� —
� dL✓ � t.t_ = Q
Name ' � �� C/ Oy. � O
, u- Oo � �
Address ' Cily � Stale o � z � � �
Telephon Number ol Designaled Person: ' W � Q J g
�� LL' _
l. In addition to himsell,the owner designales • o/ � _ � z I_' ¢ }
I '"to receive a copy of lhe Lienor's Notice as provided in Section 713.13(1)(b),Florida.Stalules. - � I— I"' � � n- m
Telephon�Number ol Person or Enlity Deslgnaled by Owner. �—
1• Ernirelinn da1=ocp��pce rt Commencemenl(the expiratien dsL_may not�he.he!eee the-com�le:ie.^.o(constvc;ion anC final�pnymar.t lo�the , n �
conlraclor but will be one year Gom the date of recording unless a different�dale Is specified); ��r �
WARNIN TO OWNER: ANY PAYMEN7S MADE BY THE ONMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � ��� �
ARE CO SIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.1a, FLORIOA STATUTES, AND CAN � � 0 • � ��
RESULT N YOUR PAYING T1MCE FOR IMPRbVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
I RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENO TO OBTAIN FINANCING,CONSUL7 � �
WITH YOIjR LENOER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. C-� � `a�� h
i
Under penalty of per�ury,I deGare thal I have read the foregoing notice of commencement and that the facts slated lherein are trve to the best � ' .��,t�� � �
of my kno�lrledge and belief. � . - � � p�
:TATE�OF F LORID
ti '+ �
:OUNTY OF PASC C�. . .r^---�� � � t7� �
Signalure ol Qwner or Lessee,,or Owners or Lessee's Authorized ' �� s ;� � o���
, OKcer/DirectarlPartner/Manager
O@
, �VP S i C��F1'�' �► M
" Signatory's Title Office l� e `'T
he foregoing Inslru enf was acknowledged before mLe this�day of �ccm �� ,20�,by L.F _5u��I UrY� �� � • �
as �Si C1C'nJ (type of aulhority,e.g.,officer,irvslee,attumey in fact)fo[
'• � c ' . C. (nam f parly on bnehalf of whom Instrument was exewled).
ersonally Known OR Produced Idenlification� Notary Signatur !n'l!'/R l'/�l L/G��
I /pe of Id'enlificalio Produced Name(Prinl) �lll.�Ci J��. NG2l!I
«"'"�"'•� UNDA M.YOUNG '
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