HomeMy WebLinkAbout17-18079 � CITY OF ZEPHYRHILLS
� � � 5335-8TH STREET
; (813)780-0020 18079
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18079 Address: 38904 8TH AVE
Perm�it Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa¢;e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Impro�. Cost: 4,490.00 OWNER INFORMATION
Date Issued: 1/17/2017 Name: RIVERA GLADYS
Total Fees: 60.00 Address: 38904 8TH AVE
Amo�int Paid: 60.00 ZEPHYRHILLS FL 33542-4510
Date Paid: 1/17/2017 Phone: 786-942-5089
Woek Desc: RE-ROOF
� CONTRACTOR S APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 60.00
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I Ins ections Re ir =
DR IN R�OF INSP -
• TAPE JOINTS ROOF INSP
FINAL II
REINS ECTION 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 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
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
�� before recording your notice of commencement."
Compl'ete 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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� ICONTRAC � IGNATURE PERMIT OFFI R �
� IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
; CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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I NOTICE OF COMMENCEMENT
State of ����� Counry of ��CG
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THE UNDERSIGNED hereby gives notice lhat improvement vnll be made to certain real property,and in accordance wilh Chapter 713,Florida Statutes,
lhe following infortnation is provided(n thfs Notice of Commencement:
1 � Description of Property: Pra�rcel Identlfi"ca�tion No.�
� StreetAddress: �v �`�' / �TV) ]�j�����Y1T��C � ����7—
/G.Od ! Gl�1 � �-y�
2. General Description of Improvemenl���_ �-�I 5���Q�f-e� C7T"'t'
3. � Ownper�Infortnation or Lessee information if the Lessee contrdcted for the improvement:
I lSi f0,
' n .pl�ne
7 TYL vR. � . a.�
�d�es�� � r Ci �� State/`�
Interest in Property� .�.�5`7�,
Name ot Fee Simple Titleholder:
(If different from Owner listed above)
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� Address �4� ��,\ � City State
� Contractor• � Q C� �'�L.Q�
3 y o°'�„e�_ro�l �-�3 s� ,��,�1�, I 1S �
I Address �l 3 -'�-ga --�,"A� City �3�—( �
Contrector's Telephone No.. ,,
5. i Surely:
Name
Address Ciry State
� Amount of Bond: S Telephone No..
6. Lender ����� Y �
Name � e . ,Q
Address City State � • �
Lentlers Telephone No. �,° ,;� w �
7 I Persons within the State o(Florida designated by the owner upon whom notices or other documents may be served as provided by � �.� a ! �"v
I Sedion 713.13(1)(a)(7),Florida Statutes: � • y�� . � .''�'� � �
Name �
' s � � ����/� �
Address Cily State ��`C' � �
Telephone Number of Designated Person: �� v ���`
8. In addition lo himsel(,the owner designates of_ f� •� {$
lo recefve a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Noiice of Commencement(the expiralion dala may not be before the completion of construction and Mal payment to the ¢ � W Y
contredor,but will be one year tran the date ot recording unlesa a dtNe�ent date ls speGTied)�. (� z U �- W
' WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � � � LL. � J U
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN C� � O = J
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERIY. A NOTICE OF COMMENCEMENT MUST BE (� z �— }
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT � � � _ � N � �
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
C7p � w � �
Under penalty o(perjury,I declare that I have read lhe foregoing notice of commencement and tha t facts stated therein ere lrve to the best � � W z � �
of my knowledge and belief. o Z — _l
STATE OF FLORIDA ° � O ~ � ¢ �
�RfCHARD C.BARTLETT �" w �- � U U
COUNTY OF PASCO MY COMMISSION N FFOI2098 ' � = O O � �
EXPIRES:July31,2oi7 Signa of Owner or Less or s or essee's Authorized � � } U LL
�a� Office IDI dorlPartner/Man ger Q N. d � O �
��n� ��`l� V = � c..� � w
Signatory's Tit�e/Office P— � Q � I— J �\�, �
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The f Ilegoing inslrument was acknovAedged betore me this�day of�20[�by s(2� ����� � Z O J
as (type of authority, g.,aKcer,truslee,attomey in fad)far L: � � �, � Q L!1
�� (name of party an behalf of whom instrument was executed). {.�L U �� �-- ��
Pers I�ielly Known�OR Produced Identffication;� Notary Signature Q � � Q ��
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Type�Ifldenl'�icalionProduced ��l(�P.YI.S� Name(Print),�i,C�QY"(X ��/=�/._P-�-�— W V� Q J� Q
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Rept:1829986 Rec: 10.00
D5: 0.00 IT: 0.00
01/17/2017 J. R., Dpf.y Clerk
' wpdalalbcs/noticecommencement_pc053048 Pi7ULfi S U'NE[L,Ph 0 PpSCO CLERK B COMPTROLLER
, 010R7BK01�4$,�m PG 1068
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81�s-�s -oazo " P rmi licatian Fax-813-780-0021
. .� G�ty of Z�phyrk�ills e t App
Butlding Depsrtmertt
Dats Rsce�'ed phone Corrtact far Permitting �3 �.- — ����
._.�..�,.,¢.�_.���..i...�,. - - - _r-�_�..�-�. i
Owner's M�me ` Owrner Phor�e�1um6er ��"' t� '-�4� �
Owner's A�dress � � ,.�L. Owner Phon�P4umber � �
Pee Sfmple Titleholder Name � � Quvner Phone fdumber �� �
Fee Simgle,7itleholder Address
J08 E1DD�tESS � L f1� LAT# �„�
sUBDIVISf�N � � PARCEL 1Di�
(OBTAINED FRQM PROPERTY TAM NO7lCB?
WOFt{C PR �POSED � NEW CONSTR� ADD/AL.T �,� SIGN [� [� DEMOLISH
INSTALL REPAIR
PROP�SEt�USE [� SFR Q COMM � OTHER
TYPE OF CI� PISTRUCTION � BLOCK Q FRAME � STEE� [�
DESCRIPTI IV OF WORK /lrt �-�
BUILDING ifZE � � SQ FOQTAGE � HEIGMT �_,�
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0�I «����' �� �� VAWATION OF TQTAL C0�ISTRUCTIOM
QE�ECTRICAL $ AMP SERVICE � PRO�RESS ENERGY Q W.R.E.C.
[�P�UMBING $ l V V� i�
Q CHANtCAI. �� VALUATION OF MECHAhliGAL ENSTALlAT10N
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�G S � R{}OF1ttfG � SPECIAt,TY �� Qi'HEFt
FINISHED LOOR ELEVATIONS FLOOD ZONE AREA QYES iV0 �`~f-�"
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BUtt,DEi2 - - � CQMd��tY �.r2 1+'�-� t"���t�t.+� ��Q.�
SI�xfUATUR „ REGISTEREt7 Y/ N FEE CURREP Y 1
Addre � 'rJ T� (� i � 3 SA�'2,._. License# �(.,C°�..}. ��„�� g�
EL�CTRICt1� COMPAI+�4Y
SICaIdATURIE�, REGISTERED Y/ N FEE CURRE� Y I IV
Add s Llcense# � �
PLllMBER C01�IPAtdY
SIGiVAYUR R�c�isre�o Y/ N FEE CURRE� Y/N
Addre�s liaense# � . , �
11l��CHA�IC�1. COMP,4�IY
SIC�ATUR'� REGISTEREp Y/ PJ FEE CURREP Y/N
AC1d[8S� �iCL'ti38# �Y �
OTHE� � � COtVIPAtdY
� Slt#NA'NRE � � REGisTERED Y 1 N FEE CUt2REM1 Y!N
Atldre� Llcersse# �� �
tY11p �� i11S11i1tfMIQ1lPial� P6 � 1IP1 { 1@Itp � MDltlt1t11181ttCii11 / tililA �
RESIDEtdTlbL Attach(2)Plot Plans;{2}sets of Building Plans;(1}set of Energy Forms;R-Q-W Pennit for new construetian,
' TV�lnimurn ten{10}wa�r�g days after submittai date. Requtred onslte,Constructlon Ptans,Starrnwater F�lans w/Silt Fenc�tnstailed,
Sanitary Faalities&1 dumpster;Site Wark Perrnit for subditisions/large projects
COMMERC!'AL Attach(2�complete sets of Bullding Plans glus a Life Safety Page;{1)sei of Energy Forms.R-C1-W Permit for new construction. J
Minimum ten{14}working days after submi#tai date. Fteguired onsite,Cans#ruoUon Plans,Stocmwater Ptarts w!Sitt Fence tnstatied, I
Sanitary Facilities&1 dumpster.Site Wark Permit for all new proJects.All commercial requirements must meet compliance
S(GW PERM�T Atfach{2}sets nf Engineered Plans.
`*'*PROPERTY SURVEY required for at!MEW construction.
D9r�ct9ons: (i
F►1!auf�pplicatian comptetely.
Owner Contractor sign back of applicatfon,notartzed
If over 2500,a Notice of Commenaement is requ4red. {AtC apgr�des over$7500}
** Agent(or the contractor)or Pawer of Attomey(for the owner)wauid be someone with notarized letter from owner authorizing same
OVER THE QUNTER PERM17'CIRlG (copy of contrac!required) ,
Re�crofs ifsh�ngtes Sewers Ssnaice Upgrades AtC �ences(P#of/SunreyiFootage)
Rrivew ys-f�ot over Counter iF on public roadways..nseds ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which�inay be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLI�ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contra tors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contra� tor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under�state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. � Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portior�s of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be,an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRAN PORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that T � nsportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified 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
permi ing. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receivi��g a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final p�wer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees a ie due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONS RUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Proteo,ion Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other t�han the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
delive�j it to the"owner"prior to commencement.
CONT CTOR'S/OWNER'S �►FFIDAVIT: 1 certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereb � made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
comm nced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
constr�ction, County and City codes, zoning regulations, and land development regulations in the jurisdiction: I also
certify�that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my re ponsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I unde stand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permifted.
- If the fill material is to be used in Flood 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 professional 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 wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of 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 application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGEPIT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this af�idavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbi'ng, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit�issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set as ide any provisions of the technical codes, nor shall issuance of a permit prevent the Building O�cial from thereafter
requin g a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unles the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the pe�mit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may b� requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiai le cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WAR ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIVT MAY RESULT IN YOUR
PAYI �G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH I OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEfVCEMENT.
FLORIDA JURAT(F,S. 3) J
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OWNEFt OR AGEN COPITRACTOR -
Subscri� and swo (or affirmed) e this Sub rib d and sworn to(or affirme�re me this
/ � by 1 "/ by
Who is/'re personally known to e o s/have produced Who is/are personally known to me or has/have produced
� as identification. as identification.
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� One of the Larg st, Q�Id�st, Most Depen�dable 1'3oofing Compar�ie in Central Florida
� ,�, S ecia izing in IV�lobile Hom� Wfiite Comrr►ercial Rubber, Shingles & Color Meta!Roofing
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� �We J�ave e-raofe�l or repair�d more roofs(18,000)in the asf 41 years, than the fourlocal 1'"e,ading roofing companies combined.
`'`���� �We do not cP�arge extra fees for credit car�'par hase.Most companies;charge 3 to 5%.
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-RlCriard G•.1�Baitlett�RiesidBn1;& Ni e A.Bartlett Roofing of Central FL,Inc. ' 'i°y .,�,,��"" -_..-�-°'� ��s"����' `" ""�`''"' - ��`�'�
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��"'�� �r 6� THANK YOiI,#'�} •- =`�• ,�,r f ��� � '�' f�' �'�
Your Business is Appreciated. ."�f��..'��.'���'�'°.�� ,�`� �'`�"�'�""��"�f`'"'f-� `' '`��'I
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i Paymant upon completion unless previous arrangement made.Warranties pertain to original owner. �
AI�arrangemenis contingent upon strikes,accidents or delays beyond our conirol.Owner to carry fire,tomado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.d'.�" {r j F�,,.,
� Rotten wood Is an extra$35.00 per sheet(4-p1y).Rotten tascle 1s$t.0o per nnear toot. ��'� Total '���F f�'i �--�-�-�
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