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HomeMy WebLinkAbout16-17955 CITY OF ZEPHYRHILLS 5335=8TH SCREE!' ,� . .. (sis)�so-ao2o r7955 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Nlumber: 9 7955 Address: 6520 BRENT1N40D DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. Ciass of Work: ROOF REPLACEMENT Township: Range: Book: Propos�d Use: NOT APPL(CABLE Lot(s): Block: Section: Squa�e Feet: Subdivision: BRENTWOOD FlRST ADDlTION Est Value: Parcel Number: 04-26-21-0040-00000-0040 Impra�r. Cost: 5,250.00 OWNER INFORMATION Date ssued: 1112312016 Name: HERNDON CAROLYN Tot I Fees: 65.00 Address: 6520 BRENTWOOD DR Amo n# Paid: 65.00 ZEPNYRHILLS FL 33542-4623 Da e Paid: 11/23I2016 Phone: Wonk Desc: REROQF SNINGLE CONTRACTOR S APPLiCATION FEES GAVIN ROOFING REROC7F RESIDENTIAL 65.00 � �� _ Ins ectians Re uired D YINR FIN TAPE JOINT RO SP {'J FINAL I L t REINS ECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca! overnment shall impose a fee of four times the amounfi of the fee impased far the initiai �nspection or first reinspection,whichever is grea#er,far each such subsequent reinspection. NQTIC�: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may b faund in the public recards af this caunty, and there may be additionai permits required from other governmenfiai entities such as wafier management, sfiate agencies or federal agencies. "Wa ning to owner. Yaur failure ta recard a natice af commencement may result in your paying twice far impr�vements to your property. If you intend to obtain financing,consult wifih your lender or an attorney 6efore recarding yaur notice of cammencement." Camplete Plans,Specifications Must Accompany Application.A(I wark shall be performed in accordance wifih Ci Codes and Qrdinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEF4RE C.O. C%�,_-�—�---- CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN fi M{)NTHS WITHOUT APPRI�VED INSPECTION CALL �OR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER s�a•7 0-002o City of Zephyrhills Permit Application Fax 813-780-0021 • Building Department Date Req3rr� phone Gontact tor Permitting — Owner's Nam r(�W�. G/(.!�'��' Owner Phone Number Owner's Addr ss �D�v�-� ���T��� Owner Phone Number � � Fee Simple Ti leholder Name �— � Owner Phone Number �� � Fee Simple Ti leholder Address JOB ADDRES �t S�� ��/`fT�1��� LOT# �� su���v�s�os� .�i`.0�lG:,lL �1�t-f1� � PaacE��a# ��' —�'-1`-�fi.�. ��—l1 p�JQ(�--Pd7�� (OBTAINED FROM PROPERTY TAX NOTICE) W4RK PROP SED e , NEW CONSTR 8 ADDIA�T C� SIGN Q Q DEM0�18H INSTAI.L REPAIR FROPOSED. SE Q 8FR Q COMM �� 'OTHER TYPE OF CQ STRUGTION � BLOCK • Q FRAME � STEEL Q Y ,j1 �/ ,(_f DESCRIPTiQ OF WORK �� /L..��'� G�It f"'/ �� � �'Ll���'�-f BUEGDING St I E �— � SQ FOOTAGE HElGHT �` � � QBt31 DtNC � ���0 VALUATION'OFTQTALCONSTRUCTION QE� CTRIGAL $ AlV2P SERVtCE 0 PROGRESS ENERGY Q W.R.E.G. QPL MB1NG � ._. � � � � �.� �ME HANICAL $ � VALUATION QF MEGHANICAL INSTALLATIQN ��r QGA �RQOFING [� SPEClAl.TY � OTHER �� ( � FINISHED FL OR ELEVATIONS ��� FLOOD ZONE AREA DYES NO BUILDEE2 CONIPA3�IY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addres License# �� � ELEGTRtCI COMPANY SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N Addres License# �— s � PlUlVIBER. CONtPANY� SIGNATURE REGISTERED Y•/ N FEE CURRE� � Y/N � Addres y License# � � i1+lECHANEC CQMPANY SIGNA7'URE� REGISTERED Y/ N FEE CURRE� Y/N Aiddres " License# � � OTNER t ;. �Ji-7 � COM P1�1�lY G/f'�tta 11� !C C:l�-`I�� SIGNATURE � '� REGISTERED Y/ N FEE CURRE� Y/N Addres .. � � h.: �3 t0.� ���""�i14 License# ��- 0��,l7�y'j � :RESIDENTI _,. Attach.{2}:Plot Pians;{2},s'ets of Builclang�P[ans;{1)'set�of EnergyFoizns;R-Q-Vtt Permlt far new,constnaction, -���•. �Minimum�ten�.(;10)wo�kingldays after.submitta6date. Required onsite;Con'struction Plans,Stormwater Plans w/Silt Fence installed, � Sanita,ry.;Facilities&;;1:.dumpstec;Site. .W.ork�Perr»it for.subd'ivisionsllarge projects: � t-COMMERCI Attach{2}comp�e�e"sets af Buittiing P�ans plus a�Life Safety Page;{1)set of Energy Forms.R-O-W PeRnit for new construction. � � Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence ins#alled, Sanitary Facilities&1 dumpster.Site Work Permit fo�a!!new proJects.Ail cammercial requErements must meet comptlance. SIGN PERMf Rttaicti{2}se#s of:Engineered Plans. �. '""`*PROPERTY SGRVEY required for all NEW constructian. Dlrec#tons: s.• :-- , Fill,out a plication completely. Owner CoMcactor sfgn.back of apptication,notar�zed • iE over$ 500,a Notice af Commencement is required. (AIC upgrades over$75d0) "" Agent(fqr the=contractor)or Power of'Attamey(for the owner)would be someone with notarized letter ftam owner authorizing same OVER THE C'OUNTER=P,ERMIITING {copy of contract required} � Reroofs if shi�gles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Drivew ys-Not over Counter if on pub(ic roadways..needs ROW ' _ ._�^ .. .�•,�:�,.�� NOTICE OF DEED RESTRICTI�NS: The undersigned understands that this perrnit may be subject to"deed"restncxians`' , n which may be more�restrictive than County regulations: The=undersigned assumes respon"sibility#o�compl�"iance with:ariy applicable deed restrictions. ,.. _-.�,.�� - UNL.ICENSED CONTRACTt}RS AND GONTRACTCiR RESPONStBILITIES: 1f the-owner has hired�a'�contractoror contractors to u�dertake work, they may be required to be licensed in accordance with state and:locat regula#ions:..If.the� - contractor is not licensed�as required !iy law, �ott'►�the owner and contractor rriay-�be citeii-for-�a misdemeanor vioiation under state law. If the owner or intended contractor are uncertain as to whaf licensing requirements:may appl,,y for.tiie: '` intended work, they are advised to contact'tlie'Pasco County Building Inspection Division=Licensing Section a#�T27-847- � 8009. Furthermore, if the owner has �hired�-a contracfor ar con#ractors, he is advised to�have the con#ractor(s),sign ,, - portions of the "cantractor Biock" of this appiication far which they will be r.esponsib(e. tf you, as•'tfie-awner's'ign as.tlie ' , contractar., tha# may tie an indication that he is not praperly ticensed and is riot erititled to perm'itt'ing privileges in Pasco County. _ - . - TRANSPORTATION IMPACTLUTILITIES IMPAG7 AND RESOURCE REGC?VERY FEES: The under5igned understands . that Transportatian (mpact Fees and Recourse Recovery Fees may.,apply to the construction of_new buildings, ctiange-of�� � use in existing buiidings, or expansion of,existing buildings, as specified in Pasco County Ordinance number 89-07 and - 90-07, as amended. The undersigned also understands, thaf such fees, as�may�be due, will-6e identified at�,the=time�af�-- �� � permitting. It is €urther understoad that Transportatian Impact Fees and Resaurce:Recovery Fees must be p�id prior to ° receiving a "certificate of occupancy" ar fina! power release. If the project does no# involve a cer#ificate af occupancy,or �> � final power release, the fees must be paid prior to permit issuance. Eur#hermore, if Pasca County WaterlSewer.lmpact.� - �� fees are due, #hey must be paid prior to permit issuance in accordance with applicable Pasca Coanty ordinances. � CONSTRUCTION LIEN LAW(Chapter 713,-Florida Statutes,as amended): If valuation of work is$2,50Q.00 or mare,-I-; certify thaf I, the applicant, have been provided with a copy, of .the "Flarida Constrwetion Lien Law—�Homeowner's � Protection Guide" prepared by the Fiarida DeparErnent af Agricuittire and Consumer.Affairs. If the appiicant is sameone other than the"owner", !'cer#ify that I have abtained a copy at the aboue'descri�ed�dacument and promise�in�good'faitii to� deliver it to the"owner"prior to commencement: - CONTRACTOR'S/OWNER'S AFFIDAVIT: ,I.certify that all the information in this application is accurate and�that a!I work wi(I be done in comp(iance with all applicable`laws regulating canstruction, zoning and la�d�develapment. Applicatian is hereby made ta ob#ain a permit ta do ,work and installatian as indicated. I certify that no work or installation has commenced prior-to issuance of a perrriit and�tha# all work wili be performed to meet sfandards of alI laws regulating construc#ion, County and City codes, zoning regulations, and land develapment reguiatians in�the jurisdictian. I also certify that I understand that the regulations af other government agencies may apply ta the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agenciss include but are nat limited to: ' - Department of Environmental Rratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterM/astewater Treafinent. - Sauthwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Aitering Watercourses. - Army Corps of Engineers-Seawa!!s, Docks; Navigable 1Natennrays. - Department of Health & Rehabilitative ServiceslEnvironmental .Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Prafection Agency-Asbestos abatement. - Federal Aviation Autharity-Runways. ! understand that the following restrictions apply to the use af�ll: - Use af fill is not allowed in Flood Zone"V" unlsss expressly permitted. - If the fill material is to be used in Flaod Zane "A", it is understood that a drainage plan addressing a "compensating volume" will be submifted a# time of permitting which is prepared by a prafessional engineer � licensed by-the State of Fiorida. - If the fill mater�al is ta be used in Ffood Zone "A" in connection with a permitted building using stem wa(1 construction, I ce�kify that fill will be used on}y ta fi}I the area within ihe stem wa11. - If fiU materia! is to be used in -any area, I certify that use of such`fill will not adversely affect adjacent properties. lf use of fill is found to adversely affect adjacent properties, the owner may be cited far violating the conditions af#he building permit issued under the attached permit applicatian, for lots less than one (1) acre which are elevated by fi(i, an engineered drainage�plan is required. � If I am the AGENT FOR THE OWNER, ! promise in good faith to infarm the owner af the permitting conditions set forth in this affidavit priar to cammencing construction. t understand that a separate permit may be required far efectrical work, � plumbing, signs, wells, pools, air conditioning, gas, or�other installatians nat specificafly included in the appGcation. A permit issued shall'be construed to be a license to proceed with the work and not as authority to vialate, cancel, alter, or se#aside any provisions of the technical codes, nor shall issuance of a permi#prevent the Building Official from thereafter requiring a carrectian af errors in plans, construction or violations of any-cades. Every permit issued shali become invalid unless the work authorized by such permif is commenced wifhin six manths of permit issuance, or if work authorized by the permi#is suspended or abandoned for a p�riod.of six{6}manths after the time the work is�commenced. An exfensian ' may be requested, in writing, from the Building C1�cia! for a period nat to exceed ninety{90} days and will demonstra#e justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandaned. WARNING TO OWNER: YOUR FAILURE Tt3 RECORD A NtiTICE OF COMMENGEMENT MAY RESUL.T It� YOUR PAYING 7WICE FQR IMPROVEMENTS T4 YOUR PRt3PERTY. IF YOU.•INTEND T{3 OBTAIN FiNANCING,CBNSULT � -WIT4i YCUUR LENDEE2-�!R AN A7'T_ClRNE_Y_BEFORE RECQRDlNG YClUR NtaTICE OF'COMMENCEMENT. FLdRIDAJURAT(F.S.117.03) �r%�--_ ; --__ _ ____ __ __- --- -- -- ___ --- - - �'y�����[i'�---� f�y/� _ OWNER OR AGENT GONTRACTO}2 2 Subscribed and swom to(or affirmed)before me this Subscribed and swam to(or affirmed)before me this by by Who islare personally known ta me or haslhave produced � Who is/are personalty knawn to me or haslhave produced as idendfication. as identification. Notary Pubtia Notary Public Commission No. Commission Na. Name pf Notary typed,printed or stamped Name af Notary typed,printed or stamped - i iiiiii iiiii iiiii iiiii iiiii iiisi iiiii iiiii iiiii iiiii iiii iiii :_-� � • ' 2016185601 Pertnil No. Parcel ID No �7-�p`�C�'-��7�� ODO�O �0Dlt/ � /J � Q NOTICE OF COMMENCEMENT�r n „",$� Stateof �/L/ /1` P�J�v• N �" County of W�., �, � THE UNDERSIG ED hereby gives notice fhat improvement will be made lo cerlain�eal property,and In accordance with Chapter 713,Fiorida Slatutes, B m r lhe following info�T ation Is provided in Ihis Notice of Commencefj� nt:n / �,/ /( q [��{ �. v 1 Descri lion of Property: Parcei Identificallon No. v�iW -,L!-�D yV-Op�O��-lJ�!'L[ m pAp P Street ddress: �`S�� !/�,�Tr,v9o0 " '' 2. General Description of Improvement ��/ll�Q���"� ' ��� .. � 3�f1 3. Owner I fortnation or essee infom�ation If Ifie Lassee contraGed for(he improvemenl: ' ��� �� ,� G� �. .� m d z�o " lc�,�/�uoa.� �9�91//Ltil,�d.� �� � Addres Q���� Gry Slate i � x Interesl in Property .33s r� Name o Fee Simple Titleholder: (I!different Irom Owner listed above) Addres �/ .1 DO f .!� Cily Sfate 4. Conlrac or: /U /V ' Name 'V � J Q� �/i�L !i/�y � � Addres Ciry Slate - 352 —.��7�5�.�/ ~L Contrec or's Telephone No. 3�s� �� p\r a 5. Surely: �w�n Name � �N o m Z Addres City Stale �p�� r Amount of Bond: y �� Telephone No. Am� yr�J 6. Lender., �� �p o Name �.,��+v r- w D 3 � Addres �_ Cily State � o Lender' Teiephone No. C1�..� • m A 7 'Person wilhin lhe Slate o!Florida desfgnated by Ihe owner upon whom�notices or other documents may be served as provided by Fio " Section 13.13(t)(a)(7),Florida Slatutes: �"'°° •r� Af+o �� v Name f� y a.i� o r r �H � Addres ' Cily Stale � � T Telepho e Number o1 Designated Person: ` �� �� � J�� O 3. In addit I n lo himsef(,the owner designales � of_ o • ; � I ��� lo receive a copy o(lhe Lienors Notice as provided in Section 713.13(1)(b),Florida Stalutes. � 'a i�'� �� � � �, � � Telephone Number ol Person or Entity Deslgnaled by Owner � m r , � - � I. E�iratibn date of Nolice of Commencemen((the e�epiration date may not be belore the completion of n r ctfon and final paymenl lo the � � , � � ' � contrac or,bul will be one year from the data of recording unless a diNerent date Is specified): - � � „ � , � WARNI G TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION F HE NOTICE OF COMMENCEMENT , �, ARE C NSIDERED 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 � ' • RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEN�TO OBTAIN FINANCING,CONSULT � � WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT ��► / • � Under plenalry of verJury,I dedare lhaf I have read lhe foregoing notice of commencement and that the fads slated therein are t/ve to ihe best �.8 � of my k,owledge and belieL Y :TATEOF FLOR OA C,� � ��,��� � W LL (n W W :OUNTY OF PA GO �{ \� 5f nature ol Ow r or Lessee,,o Owners or Lessee's Authorized � IL— J U OKceNDirecloNParinerlManager � z � 0 � � O � U t!! J N � � � O = Q � a � Signatory's Title/Office ^r I f ,�I � W � ~ � a. O he foregoing ins i menl vias acknowledged 6efore me this �7 day of t�f/ ,20�by \ D'NOl N�'1 Y�• Il�`���n o � =Z J �2 as bu�n Q r/GawQ.�, •✓�l�� (rype of aulhoriry, .g.,officer,Iruslee,atlomey in�acq for y- � � � Q � I (name of paAy on 6 It o!whom' lfumenl was executed). ��' W� � U U � � ZO � L.L og ersonally Know I Q'OR Praduced Identi�cation❑ Nolary Signature = ~} �UjJ � Y /pe of Identlfical on Produced Name(Prinl) �� (� _ � U O ��j,J Q � F-' J Q J Q } Um � �U ��ar vu L�- W � z O J r';�••.� C�ALEBYRD � I- � �- Q � L11 # � *MY COMMISSION t FF 19551 Q �y_ � � = a z EXPIRES:June 2,2019 � � <-% p y. � - ��'ep�noe`O PaMeOThruBuOgetNo6ry&irlcef V"'J U � � � �tlate/bcslnotic commeneemenl_pc053048 �O Q O��`(�� � s�z ~ a � cn �-- �- o �