HomeMy WebLinkAbout17-18415 CITY OF ZEPHYRHILLS �
,� � " 5335-8TH STREET
(813)780-0020 18415
BUILDING PERMIT
PERMIT INFORMATION � - LOCATION INFORMATION
Permit Number: 18415 Address: 6431 LAURELWOOD DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0272
Improv. Cost: 6,200.00 OWNER INFORMATION
Date Issued: 4/28/2017 Name: WILMOT BARBARA ANN
Total Fees: 70.00 Address: 6431 LAURELWOOD DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-4870
Date Paid: 4/28/2017 Phone: (813)997-4530
Work Desc: REROOF SHINGLE
CONTRACTOR S " APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 70.00
1�
.�
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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
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 be 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
improvements 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
, NO OCCUPANCY BEFORE C.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
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2017063229
PertnitNo. ParceIIDNo �3 `.((O'��, ol�.D—DoDOPJ-0��2
NOTICE OF COMMENCEMENT
SlelBo( �Lo��-+N//Y' COUIIIYO( �/(J~C.v.
THE UNDERSIGNED hereby glves natice thal Improvement will be made to cehain real property,end In aaordance with Chapter 713.Florida Statutes,
the follawing Infortnatian Is provlded In thls Nolice of Commencement: ��n
1. Desaiptlon of Property: Parcel Identificatlon Na. �3"o��'.F-l' ��%��"'��G��/-���z
StreetAddress; �G��I �/¢��LGUG(/� iU�LdG •
2. General DescrlpUon of Impmvement �l ��0"����
3. Owner Infortnalion or Lessea IniortnaUon If the Lessee conVaGed for ihe Improvemant:
�sA,�A� �.�..��r.
6y3 r ",�"�r�rr ur�,mo �2 ,<LS' ��-
Address O,•I��� City State
Interest in Property: W �Z U � �
Name of Fee Simple Tftleholder. `� O — ��s- (!J W �
(If dit(erent from Owner Iisted abova) U z �O � J }
4. ConVactar. CYfj/�LN /C���/N� Clty State Q Q � � J N � �
� W F-- W f-- W
Name PD �30� 136.3 �/�QE- C c� jG- +b � w z c/� � o
Address ' n City Slate Q 0 = — J �
Contradors Telephone No.: 3SZ-S�/-S�IJ3 U 33,SL� �- � f-- o Q O
I- W � � U U
5. Surety: � _ � � L~ �
Name -- _ E- } U �v
OI— r� wO� Y y
Address Clty State () = O U p �'�
Amount of Bond: S —� Telephone No.: �� � J J
6. Lender. �� � �y w � � u-
Name � 0 �� � = 0W
Address .�_ Clty Stale J w 0 � Z
Lendels Telephone No.: � O Q � � �
7. Persons withln lhe State of Florida designated by the owner upon whom nollces or other douunents may be served as provided by � � Z � (17 (/j
Section 713.13(i)(a)(7),Floride St`at�s:
Rept,a1858477 Ree: 10.00 � � w � w Q
Nama DS: 0.00 IT: 0.00 — Q � � � �.•
^�—. 04/27/2017 M. F., DptY Clerk � � � O � � �}
Address � City Stale � �
Telephone Number of Deslgnated Person:
�� _`�'� .o �
8. In addipon to himself,lhe ownerdesig� o!_ ��� a � �
to recefve e copy af the Lienors NoUce es provided in Sectlon 713.13(1)(b),Florlda Stalutes. �` ��''
Telephone Number of Person or Eniity Designated by Owner: '�' ��� �� � � ,-��
v ���� �
9. E�Iration dale af Notice of Commencement(the expireUon date may nol be before the eompietion oi,cvon�fUy ion and flnal payment to the ' ��d c p ;, �
contrador,bul will be ona year hom lhe dete of recording unless a dNferent date(s speGNed): /N��� '� ��� �
� ^ �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF E NOTICE OF COMMENCEMENT � • �y
ARE CONSIDEFtED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1 SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TMCE FOR IMPROVEMENTS TO YOUR PROP�RTY. A NOTICE OF COMMENCEMENT MUST BE � m ^ •' ��
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.;.IF.YOU IKTEND TO OBTAIN FINANCING.CONSULT �� �''r°3
WI7H YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perJury,I deGare that I have read the faregoing noUce of commencement and that the fads stated lhereln are true to the best ��]�,� A. • �
of my knawledge and belleL `tiI� lrt
STATE OF FLORIDA `�""v_�-J`- '� 1 t �
COUNTYOFPASCO � �q.-E�o�� V✓i,Irno
%Signature of Owner or Lessee,ar Owners or Lessee's Aulhorized
O(ficedDireclodP aAnedManaper
Slgnator�s TiUelOffice •
The foregofng instrument was admowledged before me thls�day of R p 2'�,20�by
ey (rype o1 euthority,e.g.,offlcer,Wstee,attomey in fact)Tor
(name of party on behelt of whom InsWment was executed).
�
Personally Known Q@ Praduced Identificallon❑ Notary Signature �
Type of IdenOfl tlon Produced Name(Pdnq ���L.��l��L 1-�C G
,��":;?�, Mouys.wuuc�
. *�rca�a�ori�r�o�et�e
exvw�s:nuc�ts,�on
�+,��M1� Bmde07NuBu0pdNatrySrlriw
PRULq 6.0'NE1L,Ph.D.PFiSCO CLERK L COMPTROLLEF
wpdata/bcslnoticewmmencement�c053048 040R7BK01��3`�m PG �515
813-780-0020 Cify of Zephyrhills Permit Application Fax 813-780-0021
, • Bultding Departrnen#
Date Rsceixed � P,hone:Canfact�for�Aermittln �
Owner's Name � �� '% Owner Phoae Number
Owner•s Address .�j ��G� — ��.� ��' Owner phone Numbe� � �
Fee Simple Tltleholder Name �_ � Owner F�hone Number �� �
,r
Fee Simple Titlehalder Address
J08 ADDRESS i�? 3 ��I�Lr�Z�Gvv�'Dj� ./�.- L07# �_.�
su�aivis�aH �7�-L�EOl-� ��"G!� I � P_ARCEL-ID# � 3"� �-� ~� fl�--�v09�r — v���
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK P1iOPOSED `_NEW CONS7R ADDtALT � SIGN "Q Q DEMOLISH
e. INSTALL 8 REPAIR
PROPOSED;USE Q SFR Q 'CQMM � OTNER
TYPE OF CONSTRUCTION- � BLOCK " r;] FRAME � STEEL C]
DESCRIPTION OF WORK ' l� d���� �y ' /`I" �p �-- .5����Dv��—�"
` „ ,
BUiLDiNG S12E ��w �' $Q FOUTAGE . - HEIGHT N��
Qevi�.ai�� � � .��p "� � l ~
��-� VALUATION.`OF TQTAL�CONSTRUCTION
�
QE�ECTRtGAL � �. � �, AMP SERVICE Q RROGRESS ENERGY Q W:R.E.C.
QPI:UMBlNG �$� -
��_ � ��
QMECtiANiGAt $ VAL.UATtON OF'MEGHANICAC INSTAl�AT10N ��
OGAS � ROOFlNG .Q SRECtAI.TY � OTHEF2
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
. � r ,
BUII.DER COMPANYe- ` '
SiGNATUR� REGISTERED Y/ N FEE CURREA Y/N` ,
Address � ' - �•' L"icense# (- �
EIECTRfClAN, : , --•CAMPANY - ., '„ ° `� � _ � � ,
, SIGNATURE � REGISTERED Y/ N FEE CURRE��� " 'Y l N
�4ddress � � � , � , > ' � .�•.r..�_License,#,(=; � . �`, � ,�
PLUMBER ` COMP.ANY � ,„ r : ' ' , ,
SIGNATURE' ` , �REGIflTERED Y_/�.N. ;FEECURREk Y�/N. _
M1 . .
Address � _UCense,# Ir � ��� �- „�
! MEC1dANICAi:` ' - COMPANY - � . ,,_
I SIGIVATURE �� � � � ` REGISTEREp Y,/ N . ' FEE CURRE�: . . Y/�N:
Addrsss P' - � ' � � � 4 ` , ,License# �..�� �
1� . . .
� , / �` /��
OTF{ER ` -t � ` ' ` `;GOMPAI�IY ��1/L' .. Q� 1N
SIGNIa►TURE =' `� �G��' " ' REGISTERED� , r Y/'N...: FEE Cuw�n' Y/N
Address ' �� � �� �1��.�' �� � , L`iceiise# ��"����P��f�
� -�.:.-. :_ t,..:.-.,.. ,_... .:;. ,
RE810ENTlAI:;.� -=Atta'cti{2).,P1of Plans,.�2)sef`s of�Bu1181ng�Ftans;{9)se#'of Energy�Foii»s;R=O=W Peirrilt for new caastructlon,
F� ""-
_ .i,� . .
��.:Minimum�ten•(•10)>woricing;days:atter,submittal"d'atet:,Requlreii onsite;:ConstrucUon=Flans;=Stormwater"Plans�w%SIIt Fence installed,
" `'- Sanitary Facllides:8,l.;dumpster�SRe Work;Petrnit for subdivisions!lange,:prolectss:,,:.;:;:" � " � " - ----
COl4f11V1ERC1Ai. A#tach{3)comptete sets of`BulldingPlans�p1us a[.ife Safetyr Page;:('f}set of Energy Farins.R Q-W Pemtit#for new construc�tian.
MiNmum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
( Sanitary FaGlides 81 dumpster.Site Wark Permit for ail new proJectst.Afl commerctal_requfrements.must meet compltance '
I SIGN PERMIT Attacti(2}sets oPEngineered-Plans., ,, � �.: ., - Y .
"'""PROPERTY SURVEY.reguired for all NEW constnicUon.
Dlrecticns: - - � -- �
Fill ouk appUcatlan completely.
t?wner 8 Contractor stgn back of appltca�on,na�rized
If aver�2500,a Notice af Commencement ls requlred. (AtC upgrades over 57500j
.. �•f.�:,,�� ',.
Agenk(for the"ccinUactor)or Povirer of Atitortmey(for tlie owner)�would be someone wikh notarized letter from owner authorizin�same
Vf .., _:,.,--,.,,.. :-_. ... V.,L , _.. _
OVER THE COUN7ER,PERMITTiN,t"'a -�-. •(Front�of-AppllcatiomQniy)�- , �
! Reroofs if shingles Sewers Service Upgrades•A%G , Fences(PIoUSurveylFootage)
, . ._ _ .. . , . ^� , -t ,.'
I Drivewaya-Not over Caunter if on public roadrniays..need's ROW •,,.��� �
, ��.�:�
,,
_1
.�
, ' �`
� - :p`.'- i•'i;..
. .. . :ersigned:understands�;th�t.this.permif:,.may.:be,,subJect to;°deed",ce�trictions .__. .�,__
NOTiCE OF DEED RESTRICTIONS: The und. ,r
which may�be:moce:r.estrictive�,th��County ceg�ilatfons:-•The-:undecslgned�assumea~responsibiltty fo�"compilance vuitf`i any-�" �"
appilcable deed rest�ictions. �.. ..:�: :: x, . .�, • ... _. _ .- -. -: :� " ' �
UNLICENSED�CONTRAC�ORS�.AND CONTRACTOR R@SPONSIBILITIES:- ••If-the-�owner has��hired`�a .contractar or
contractors to undertake woric, ttiey m'ay-�be;r�quiredxto::be>Ilcensed In-.accordance.with,state.and:local�regulatlon_s.::�If the��-=�- � ;�-T��
contractor ts-not l(censed as'�requlredkby lew,:both�the owner and-conteactorrmay be�cited for��a ml§demeanor vtolatton
under state law. If the owner or Intended,�,contractor,are;uncertain as to what Ilcensing..requlrements:'may-;appty.��for-.tiie � � " <•� ��
intended work, they are advised fo contact the�Pasco County_Bullding:`In�pection DIvlslori-.-Ltcensing Section at 72T-847-
8008. Furthermo�e, if the owner tias�liired`a cont�acto��or contractors, ne �s aavisea to have �the contractor(s),,sign ,, �I
portions of the:"conttactor Block"of.thls:_applicallon.for_.which.they,wilt..b.e�resp.onsible: ff:you,_as:#he owner�s(gn'�as-the"
contractor; that�may`tie an indication that'tie'-1s not.properly`flcensed-and"is'not entitled to permifting privlleges in Pasco ,.
County. � �'� " -
TRANSPORTATION IMPACTIUTILITIES`-IMPAC7 AND RE�OUitCE RECOVERY FEES:�The undersigned understands
thatTransportation Impact Fees and.Recouree.Recovery.Fees may;apply�to>tf�e;construction_of new.,bulldings��=change�'of�.'" � -
use in existing bulldings, or�.expansi�n��of�existi�i;g:�bulldings, as specifled.in Pascq County Ordinance number 89-07 and.
90-07. as amended.,.,The undersigned also;�understands� th�t such fee.s;,as�majr:�e::.due;�will,�be Ideritified at the'time"of.� -�- �'�
permltting. It is hirtlier understvod that Transportation Impact:Fees and'��Resource.:Recomery='�Fees: must be pald prior to
receiving-a acerfi�cate=of occupancy" or flnal•power:release: :If�the,proj�ct�;:does,not Involve�a>.certificate of occupancy�o��-'�_=��- �� �
flnal power-�el_ease�;��the•.fees-mu�it"'be-paid;p�lor to,permR issuance. Ft��thermore;if Pasco,County�lNaterlSewer•:Impact � ., .
. .:. .
..,.
fees are due,.they must.be;pald.-pNor.#o„permit:-I`ssuance°In.accordance wItFY��appiicatil�Pasco�-County ortlinances. •
COPISTRUCTION�LIEN"LAVII'(Chapter 713� Florlda�tatu�es�as�tnendec�): If valuatlon of work is$2,500.00 or=more,:) _ 7
certify that I, #he applicant;-have=been proqided with�a�-copy- of the•"Florida� Construction:`Lien `Law=Homeowner's
Protection Gutde" prepared by tFie Flor�da Department of Agrlculture and ConsumerAffairs. if the applicant is someone. ,. � , _
other than the`owner", I certffy that�l�have.obtained�a�copy.of..the:above..rfes,crlbe�d�docui�ent:and.pro�ise�in;good:fa(th_to � .,
deliver It to.the�'ownec".`pi�or'tofcommencement:'� - ' � _ . • - ' , .
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify-�.that=all:th��.Inf.ormationJn-this applicatlon is accurat� and that all work
will'be done in compliance with all.appltcable�laws regulating construction, zoning and��land'development. Application is
hereby made to obtatn..a permik:to,:do. worlc;�,and�installation as indtcefed:><�:I. certify that no work�or installatton has - -
commenced prio� to Issuance of a�permiE"'and that�.all work will be pertormed�to meet_standards-of all laws regulaling�
construct(on, County and City codes, zoning regulatio.ns, and land development cegulations=tn the jurtsdictton.�- I�:al'so
certlfy that i u�derstand that the regulations of other government agencies may�apply�to the_intended work, a�d that it is
my respons(bility to id�nti(y•what.�ct(ons 1 must take.:M;be,in:.corrlpllance:,.Such;agenoles include-but are.not iimtted to:
- Depactment of Erlvironmental��Protection-Cypress:Bayhead�, 1lVetland Areas and Envtronmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management;I�istrict=.Wells;' Cypress.� Bayheads; Wetland Areas, Altering
Watercourses. �- - -
- Army Corps of Engineers=Seawalls, Docks, Navigatile Waterways.
- Department of..Health;.�&.,,ReMabllitative.Ser•vices/Environmenfal..Heaith Unit-Wells� Wastewater>Treatment,
Septio'Tanks:.__ , ` . -- - -
- US Environmental�Protection Agency-Asbestos abatement. � . �
- Federal Avlatlon:Authority-Runways. � � �
-i understand.that the following�restrictions apply Co the use of flIL•• -
- Use of flll is not allowed in,Flood-Zone"V"unless expressly permitted.
- if the filf material ts to �b.e used:`In �Flood Zone. "A", It. is understood-that a drainage plan addresstng a
°compensating volume" will be submitted at#ime of�.permifttng which is prepared by a professional engineer
Ilcensed by`tlie Stafe of"Flor(da: � ` � _ > . . . . �
- If ih� flll materlal�.ts to be�used in Flood Zone 'A° im connec�fon�with�a��permitted buflding using stem wall
� construction, I certiry that flll:wall=b.e used only.to fill the area within the stem-�wall: =
- If flll material is to be used in .any erea; f`certify that .use. of`such fill will not adversely affect adjacent
properties. If use of flll Is found�.to adversely,�ffect adJacenf=�properties,.the owner may be clted for vlolating ��
the condl#(ons of the b�ilding:permit is'sued�under tiie�attacheda�ermit applicatbn;for.:lots-.less than one (1)
acre which are elevated�by flll,aR engineered dralnageJplan is required. . . •�
If i am the AGENT FOR THE OWNER, I;�.prortttse In,good falth to inform-the owner of-the permitttng condftions set forth in
this affidavit prior to�commer�cing construction. I undersfand thet a-separate pertnit may be required for electricaP work, .
t...-,,,_.y .,,
plumbing,..signs, wells,...pools; alr condltioning,.gas,.or othec tnstall�itlons noE�speclflcally included-tn.the application. .A
permit issued shall be construed to be~a�Ii'cense'to p�oceed with'ttie work and not�as.authoHty:to:_vtolate;.cancel, alter, or
set aslde any provis(ons of tlie.teohnical cndes;�nor shall issuance�of a.permlt.prevent the Bulldirig O(ficial from thereafter �
requiring a correct(on af errors In,pfans; constivction,or violations of-any codes: Every p'ermit�issued shail become invalid
unless the work authorized.by such permit:is-commenced•withln sfx:months of permlt Issuance. or if work authorized by
the permit is suspended�or:abandoned�•for:a:period of�six,f6)moM�is.aRer the time�the�work�is commenced. An extension
may be requested,.In wrlting,�,f�om.tHe�Building,Offlcial for a period'not to exceed-ninety�(90)�days a�d-wtll demonstrate
justifiable cause for:the extens(or�. If work ceases:for ninety(90)cons.ecutive�day.s...th�)ob�ts considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE;TO,.R�EC.ORD A.MOTIGE:OF-�COMMENCEMEI�T:MAY�RESULT IN��YOUR
PAYING T'WICE.F.OR'IMPROVEMEN.TS;Tfl YOUR:PROPER-'TY:�IF'.YO.U�I��E�ID'T�_��OBTAIt�FINA11�f11�1ta;-�QN�!!L-T- - -
__WI� = U�- -O �►� �•1T0 ��3 FOR�tY� ��r� fs�� DU ' ��C "O ' `•:' . ' E T.
FLORIDAJURA�=(F:S:1.17.03) . ' ' - "- ' .
OWNER OR A(iENT � CONTRACTOR �%��.`� .
Subscxibed and swom to(or aHirmed)before me fhls Subscrlbed and'sarom to(or afflrtnedpbefote me ttitg ,
by -
Who Islare personally known to.me or has/have produced Who.ls/a ersonallykno •to me,or heslhav.e-produced •
as Idendficatlon. � as IdentlBcadon. �
. �
Notary Publlc . J � Notary Publlc
Commisslon No: Co mla n N
- =;,��ly��� Commissibn#FF 16n422
Name of Notary lyped,printed or stamped Name of Notery • � �
'•,p�f�°.•` Bundud Tlw Tray Fu�n Inau«r,:a 0�0•389�7019