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Home My WebLink About16-17954 CITY OF ZEPHYRHILLS 5335-8TH STREEf (813)780-0020 17954 `' � BUILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit lolumber: 17954 Address: 6518 BRENTWOOD DR Perrr��it Type: RE-ROOF ZEPHYRHILLS, FL. Class bf Work: ROOF REPLACEMENT Township: Range: Book: Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section: Squa,re Feet: Subdivision: BRENTWOOD FIRST ADDITION Es�. Value: Parcel Number: 04-26-21-0040-00000-0041 • Impr v. Cost: 5,250.00 OWNER INFORMATION Date Issued: 11/23/2016 Name: TALI LOIS JOAN & TALI MICHAEL K Total Fees: 65.00 Address: 6518 BRENTWOOD DR Amo� nt Paid: 65.00 ZEPHYRHILLS FL 33542-0623 D�te Paid: 11/23/2016 Phone: 813-783-9976 Wo k Desc: REROOF SHINGLE - CONTRACTOR S APPLICATION FEES GAVIN ROOFING REROOF RESIDENTIAL 65.00 \ � � ! i�� Ins ections Re �red DR IN R OF INSP TAPE JOINTS ROOF INSP FINAL REINS�ECTION 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. NOTICE: 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. "Warning 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. _ � ONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER sz3-7�a-oazo City af Zephyrhills Permit Application Fax-813-780-0023 : Building Department Date Received Phone Contact for Permitting -- ?�G�/ L ` Owner's fdame ��- � 4wner Phone Number Owner's Address ��l ,Q�a�G�� Owner Phone Plumber � � Fee Simpie Tit ehotder Name � � Owner Phane Num6er �— � Fee Simpte Tit ehalder Address J08 ADDRES ��L L�/��`��d� LOT# �_� suaoav�s�a� �1�l�t>.� �'�'�'...f� PARCEL tD# 4�--`Z.�"�—tdd�f�`f Q��G�"t1tJ�/ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PR4FOSED e tVEW CONSTR 8 ADDtA�T � SIfiN Q Q DEMOLiSH INSTALL REPAiR PROPOSEp U E Q SFR Q COMM 0 OTHER TYPE OF CO STRUCTiQN 0 BLOCK • Q FRAME � STEEL Q DESCRIPTtO OFWORK /'� ��F'`^ �� . �� f'1! �`'�� BUIL:Q[h1f SI �E � � SQ FCIOTAGE }fE1GliT �� OBUiLDIt�G $ .r r VAI.UATICl1U'OFTOTALCt7NSTRUCT20N � DEZ �GTi21GAL $ AMP SERVIGE � PRQGRESS ENERGY W.R.E.G. 0 OPL M81NG �� OME�HANICAL �� VALUATION OF MECHANIGAI.INSTA�LATION � � � l� � OGA� �� ROOFING C] SPECIAl.TY 0 OTHER 1 FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA DYES NO BUILDER C06u�PANY SIGPIATURE _ REGISTEREb Y/ N FEE CURRE� Y/N Address License# � � Ei.ECTRtC1Ala COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � , µ � PI.UAlIBER., COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address i�icense# �� MECHAId(C , COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Adclres License# �— � QTHER G� COMPA(dY (1��'l�lf'� �I1�.�trtf�'' S(GNATCIRE � REGISTERED Y/.N FEE CURRE� Y/N Addr�s , '� �!1 -� 1� �� l.icense# ��d 7.'Y��.7_ / I RESIDENTIA Attach(2)Ptot Pians;(2}.sets of 8uiiding Plans;{i}set of Energy Forms;R-Q-W Pertnit for new construction, Minimum ten(1p)working.days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, Sanitary Facilikles.&.1.dumpster;Site;W.ork Permit for subd'ivisions/large projects GOMMERCI Attach(2)complete sets of Buitding Plans plus a Life 8afety Page;{1}set o#Energy Farms.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 Pacilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance �StGN PERMI Attach(2}se#s of Engineered Plans. "'"*PROPERTY SURVEY required for all NEW construction. DEreatlons: Fill out a plicatian completely. , Owner Contractor sign back of application,notarized If aver$I250d,a NoEice of Commencement 1s requlred. {A1C apgrades ov�r$7500) " Agent(fbr the�cant�actor)or Pawer of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE C�aU�1TER PER�Il1T7fNG {capy of confract requ�red} Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Drivew ys-Not over Gounter if on pubiic roadways..needs ROW . ._— -�-�>-��:..w:�.� NOTtCE fJF DEED RESTRICTIUNS: T.he undersigned understands thafi,this permit may be subject to"deed"restrictions",� ' which may be.more.restrictive:than County regulations. The undersigned assumes`responsi6ility"for.campliance with`any' applieabte deed restricfior�s. , : <« UNLiCENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL.ITIES: If the-owner has�hired��a contractor or contractor�to unclertake work, they may be required to be�licensed in accardance with state and lacal r.egul�tions. if"the = ` confractar is not.(icensed as required by law, botH the owner�and contractor rriay=tie citetl=for a misdemeanor violation under state law. If#he owner or intended contractor are uncertain as to what licensing requirements:may:apply for'the.�"� intendec!woric, they are advised to contact the Pascci Courity Building tnspectiori Divisiori��icerising Sectior�at.727-847- 8009. Furthermore, if the owner has hired��a contractor ar contractars, he�is advised to 'have the contractor(s). sign, ,. partians of the "contractor Biock" of this appiicatian for which they will be responsibie. If you, as�the a�iner'sigri as�ttie " - contractor, that may be an indica#ian#hat he is not properiy licensed and is nof entitled�ta permitting priVileg�s in Pasca County. _ . ' ' - TRANSPORTATEON tMPACTIUTIl.ITtES IMPACT AMD RESOURCE RECOVERY FEES: The undersigned understands " that Transporta#ion Impact Fees and Recaurse Recovery Fees may,apply to the construction of new buildings, cfiange.�of°' � �` use in existing buiidings, or expansion of.existing buildings, as spec�ed 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 ' . permit#ing. It is further understood that Transpartatian lmpact Fees and Resaurce.�Recovery. Fees must be paid prior to - receiving a °certificate af occupancy° ar ftnal power reiease. tf the project does nat invoive a certificate of accupancy.or.: - final power release, th�: fees.must be paid prior to p�rmit issuance. Furthermore, if Pasco County Water/Sewer.lmpact. --- fees are due,they must be paid prior to permi#issuance in accordance with applicable.Pasco County ordinances. C�RISTRUCTION LIEN LAW(Chapter 713, Fla�ida Statutes, as amended): If valuation af work is$2,500.OQ or more,-.i.,.. certify that I, the appiicant, have been pcovided with a copy. of .the "Flotida Construction i::ien Lav�Homeowner's ` Protection Guide" prepared by the Fiorida Department of Agriculture and Consumer Affairs. if the applicant�is someone other than the"owner", I;certify that l have obtained a copy of the above described'document-and promise-in good faitli#o , , deiiver it to the-"•awner"prior.-to commencement: CONTRACTOR'S/OWNER'8 AFFIDAVIT: ,I.certify.that all the information in this application is accurate and that all work wiil be done in compliance with ail applicable lavus regulating construction, zoning and land developmenf. Application is hereby made to obtain a_permit to do,,work-and installation as indicated. I certify that no work or installatian has commenced prior_to issuance of a pertnit and that all vuark will be performed to meet standards of a!I laws regulating constructian, County and City codes, zaning regu(ations, and land develapment regulations in .the jurisdiction. I aiso certify that I understand that the regulatians of other government agencies may apply to the intended work, and that it is . rrty responsibilrty ta idenfify what actions 1 must take ta be in campliance. Such agencies incitsde but are not limited to: - Department of Environmental Rrotection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,WaterNlfastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks;Navigable V1laterways. - Department of Health 8� Rehabilitative �ervices/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmen#al Protection Agency-Asbestos abatement. . - Federa!Aviation Autharity-Runways. I understand that the fallowing restric#ions appiy ta the use af fili: - Use of fill is not allowed in Flaod Zane"V" unless expressly permitted. - If the fill ma#erial is to be cised in. Flood Zane °A", it is understoad that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engin'eer � Eicensed by the Stats of Florida. - tf the fill material is to be used in Flood Zone "An in connection with a permitted buiiding using stem wall construction, !certify that fill will be used only to fill the area within the stem wall. - If fll material is to be used in any area, 1 certify that use af such�fill wi(i nat adversely affect adjacent properties. If use of fill is fpund ta adversely aff.ect adjacent properties, the owner may be cited for vialating tha conditions af the building permit issued under the at#ached perrnit applicatEan, for iots less than one {1} acre which are elevated by fill, an engineered drainage plan is required. , If! am the AGENT FOR THE OWNER, I promise in goad faith to inform the owner of the permitting conditions set forth in this affidavit prior ta commencing construction. I understand that a separate permit may be required for eiectrical work, plumbing, signs, wells, pools� air conditioning, gas, ar other installations not speciflcally included in the application. A , permit issued�shall be cons#rued to be a ticense to proceed with #he uvork and not as authority to violate, cancel, alter, ar set aside any pravisions 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 shalt become invalid ; unless the work autharized by such permit is commenced 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, fram the 8uilding Official for a period nat to exceed ninety(90} days and will derr2anstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO REGORD A NOTICE� OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPR4VEMENTS TO YC1UR PROPERTY. lF YQU-lNTEND-TQ OB'TAIN FINANGlNG,_C_�NSULT __ __ WITH YQUR LENDER OR AN TTORNEY BEFOR�RECCbRD6l�G Yf2UR-Nt�TiCE C}F CC1�It�UI�NCEMENT. FLORIDAJURAT(F.S.117.03) . ' OWNEit OR AGENT �--'�-� CONTRAGTOR �'-- ,_ Subscribed and swom to(or affi ed)before me this Subscribed and swarn to(or affirmed)before me this by by Who is/are persanatly known ta me or haslhave produced ` VYho islare personalty known to me ar haslhave produced as identlfication. as identification. Notary Public Notary Pubtio �� Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped - i iuiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii�iiii i�iii iiii iiii 2016185600 , � Permil No. Parcel 10 No (Y Y`�(° ��—�o�� `��Ot/ '�a'7/ `+OA NOTICE OF COMMENCEMENT '"'�^° �.•� �/ /'� N e► State of �� /L�` Counl af `�"� W�� Y � \• ►+ . N m OD THE UNDERSIGN D hereby gives nottce Ihal improvement will be made to certain real property,and in accordance with Chapter 713,Fiorida Stalutes, ��~ Ihe following info atian is provided in(his Nolice of Commencemen—t:�` q ,/ � p 1 Descripli n of Propehy: Parcef Identificalion No._�Y {��— DOy�—�OOD�/ —aOY� x v SlreelA dress: (2�l a ��/CL.��W�� D/� �H 2. Generai escription o(Improvement' /L� ��0��/� 3�n � . m.. ` mN O m O 3. Owner In/nrmation or Lessee informa:ior�if;ISe Lessee cantrac7zd for the irnprovemenC � m /�i,�NR-EG- T��/� . � m 6S B " ,�wro.� D/L. ?-��s ,�� ; Address C(ry Slate, F �n�erest i ProPerty: Q��—• .33Sr/� Name af Fee Simple Titleholder• �^ nrdiHerent(rom Owner listed above) �— /� Address ��/'�-1 �D�� Ciry Slate 4� Conlracl r: N ' Name p� r�d �� (�!7` �—( �.~,a � O�r�- Address r // City Slale.��C �N a Conlracl r's Telephone No. 35��'J��'50.�7` �3.SF� �w N . x N o 5. Surery: m m ame _ (�m� �m v Address Ciry State 0°? Amount f Bond: S `� Tetephone No. �� v � �""�y a 6. Lender 9 n Name - � � L�f+� Address r� Cfty State s Lender's elephone No. �.�,��, V�M c� 7 Persons wlthin the Slate o!FloriGa designated by the owner upon whom�notkes or other documents may he served as provided by � 3 Section 13.13(1)(a)(7),Florida Slatutes:��_ � b 0 Name ^�-- � rr- m . � Address ' �_ ' . Cily State Telepho e Num6er of Designated Person: �-- f. In additi n lo himself,the owner des�; p�_ � �y y Y �� . lo receive a capy of the lte�r`otice as provided In SecUon 713.13(1)(b),Florida Statules. �`� �• �A Telepho e Number of Person or Enlity Designaled by Owner: ' '� e � �. Expiratio date of Nolice of Commencement(the expiretion date may not be befare the campletion of �ctfon and final paymenl to ihe /g�v contract r,bul will be one year from the dale of recording unless a diHerent date is specffied): _ � � ��s� � o �y. WARNI G TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION F THE NOTICE OF COMMENCEMENT � 0 f' � o O ARE C NSIDEREO IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN � RESUL IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECOR�ED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT � •o , � , � � WITH Y�UR LENDER OR AN Al70RNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT � Under p nalty of perJury,I decfare ihat I ha��e read lhe loregoing notice ot commencement and(hal lhe facls stated lherein are tnie to ihe best �� • of my k� wtedge and belief. I :TATE OF FLORI�A /'/�„// J '( �p�' �� O � Y :OUNTY OF PAS O //// /` / * � Sfgnatuie o Owner or Lessee,,or Ow rs o�Lessee's Aulhorizetl � w W OKcer/Director/PaAner/Manager �• ' (� J U . . '` J 2 .. •� . t> > O 1 >- , '�„' ti �� k ' -�• , f� ZU (A ~ � p �- ' Signa[ory's TfOe/Office /� 1 � Q O Q N � a he foregoing inst ment vias acknowledged before me this ��day o!�OJ. ,20�,by ' 'L� ��Q'e 1 �'��`�+ � � ��jJ w� � a p as (Ll.}v�?X �C�.o.��-e�-V!1�.� ([ype of authority,e.g.,oKcer,trvstee,atlomey in fact)for O � =z J � � (name of party on beh of whom in menl was execuled). � O ~ � 4 � wu.. � U U ersonally Known OR Produeed Idenlllcatlon❑ Notary Signature � _ � � LL atf U � � �pe of Identificati n Produced Name(Print) o �a W Q � � t� = � Uz LJ l� , ��a:�u Q ~ �' m Q U - �;..;°�. (3ALE BYRD p �}(,.) � p � _ ALE p,�,,Q MY COMMISSION f FF 19Y51 W O .J *�'1��, {7,'�'* EXPIRES:June 2,2019 � F— � �- Q >- W N+:,:,`loe-P BoMedThruBudpelHahrySenkes � � �- V-- = 0 z Lil � Q �- UU � � � �datalbcslnolice ammencemenl_pc053048 LL Q Q � � � W � Q J W J H W LL, Z ha— S � z ~ � m fn F— I— O�i