HomeMy WebLinkAbout17-18472 � CITY OF ZEPHYRHILLS
� 5335-8TH STREET %��
(813)780-0020 1 472
BUILDING PERMIT
- � PERMIT INFORMATION � � � LOCATION INFORMATION ' -
Permit Number: 18472 Address: 5153 20TH ST �
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-19900-0090
Improv. Cost: 8,160.00 OWNER INFORMATION
Date fssued: 5/10/2017 Name: BETZEN MICHAEL & DEANNA
Total Fees: 80.00 Address: 5153 20TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542-5217
Date Paid: 5/10/2017 Phone: (813)380-2303
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
W D HUTCHINSON CONSTRUCTION LLC REROOF RESIDENTIAL 80.00
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Ins ections Re uired.
DRY IN ROOF INSP
TAPE JOINT�OOF 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.
NOTlCE: 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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C NT CTOR SIGNATURE - PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-aa2o City of Zephyrhills Permit Application Fax-813-780-0021
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Building Department
Date Received '��—'� �r�� phone Gontact for Permitting `�j �j _
Owner's Name rn.� �1, �.�'" Owner Phone Number � ^� � , �
Owner's Address � �-.�'-�"" � Owner Phone Number �� �
Fee Simple Titlehotder Name �� � Owner Phone Number C �
Fee Simple Tltieholder Address
JOB ADDRESS � � � S LOT# C��
SUBDIVtSlON �i,T t-i �S���l�t'�t��� PARCEL ID# ���a�'�,� '' ����'� ���j�-^� �„1Q a �
(OBTAINED FROM PROPERTY TAX NOTICE) F
WORK PRQPOSED e NEW CONSTR 8 AdDJALT [� SIGi� [� [� DEMOLISH
INSTALL REPAIR
PFtOPOSED USE � SFf2 Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION O�WORK �F tM a��� � G� � ` t��f2,� ��1 �f�i n� � 1i v\����S
4 v
BUILdlElG 31ZE ���� � SQ FOOTAGE�� NEIGHT �
�g��LQ��� ��`�� � VALUATtON OF TOTAL CONSTRUCTION
QELECi'R1CA� r>� AMP SEt2VlCE Q PROGRESS ENERGY Q W.R.E.C.
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QP�UMB�NG ��� _ , �� �,,
QMECHANlCA� $ VA�UATtON OF MECHANICAC lNSTALIATIQN ��
QGAS `�� ROQ�ING Q SPEGIAITY � QTFtER j lj�� �
c._�
FINISHED FLOOR ELEVATIONS FLOQD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �i �
Ei.ECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �—�
Pl.UMBER � COMPANY
SIGNATURE F2EGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
�THER � � - CONtPANY tJ�� C`1V�r G ^ �fVl ��rYI �
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address [,� �j3 1 L�K.. �� � License# �` ,` ,�j�,�,��� �
2ESIDENTIAL Athach(2)Plot Plans;(2}sets of Bu9lding Plans;{1}set af Energy Fotms;}2-Q-W Permi#for new canstructian,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
_ - - SaNtary_Facllitles-&=1_dumoster,.Site Work Permit for subdivisionsAarge pro}ecfs__ _ _ _
:OMIIIIERCIA� Aftach{3}complete sets of Baitding Plans plus a�ife Safe#y Page;{1}set of Energy Forms.R-O-W Permit for new constriiction. ` - - —
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for aik new projeats.Ail comrnerciai requlrements must meet campliance
a1GN PERMFT Attach(2}sets af Engineered Plans.
'""PROPERI'Y SURVEY required for all NEW construction.
�l�ections:
Fill aut application completely.
Owner&CaniracEor sign baak of appEication,nota�ized
If aver�2500,a Natice of Commencement is required. (AlC upgrades over$T5d0}
' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
7VER TNE COUNTER PERMITI'iNG (Front of Apptication Onty}
teroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubtic roadways..needs ROW
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NOTICE OF DEED RESTRICTICINS: The undersigned understands that#his permit may be subject to"deed"r�estrictians"
which may be more res#�ictive than County reguEations. The undersigned assumes responsibility fo�campl'tanae with any
applicable deed res#rictions. -�
UNLiCENSED GpNTRACTORS AND CONTRACTOEt RESPONS1�tLiT1ES: If the owner has hired a con#ractor or
contractors ta undertake work, they may be required to be licensed in accordance with.state and tocal regulatians. If the
contractor is not licensed as required by law, bath the owner and contractor may be oited far a misdemeanar violaklon
under state law. If the owner or intended cantractar are uncertain as to what licensing requirernents may apply for the
intended work, they are advised to cantact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
8009. Fu�#hermore, if the awner has hired a cantractor or contractors, he is advlsed to have the contractar{s} stgn
partions of the "contractar Block" of this application for which they will be responsible. If yau, as the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and !s not entitled to perm6tttng privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IIIA�AC'T AND RESOURC� RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees and Recvurse Recovery Fees may apply to the constructian af�ew Eiuilc#ings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
9Q-Q7, as amended. The undersigned aiso understands, that such feest as may be due, wii! be identified at the time of
permit#ing. It is fur#her understaod that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
receiving a "certifioate of occupancy" or�na! powsr relsase. If the project does not involve a certifieate of occupancy or
final pawer release, the fees must be paid priar to permit isstsance. Furthermore, �f Pasco County WaterJSewer impact
fees are due, they must be paid prior#o permit issuance in accardance with applicable Pasco County ordinances.
CONSTRUGTt�N �1�R1 lLA1�!{Chapter Z13, Eioc�d�St�t�t#�s, ��am�ncfed�: !f valuatlon of work is$2,�ao.oa o�more, 1
certify that I, the appiicant, have been "provided with a capy of the °Florida Constructian Lien Law—Homeowne�'s
Protection Guide" prepared by the Fiorida Department af Agriculture and Consumer Affairs. Ef the appticant is someone
ather than the"owner", i cer#ify that t have abtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AF�IDAVIT: f certify that atl the inforrnatian in#his application is accurafe anci that atl work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatian is
hereby made to obtain a permit to da work and instatlation as indicated. t eertify that no work or instal4ation has
commenced prior ta issuance of a permit and that all work wiil be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations� and land develogment regulations in the jurisdictian. ! aiso
certify that I undersfand that ttte regulations of other gavernment agencies may apply to the intended wark, and that i# is
my responsibility ta identify what actions I must take to be in compliance. Such agencies include bu#are not limited to:
- Depa�tment a# Environmental P�otect'son-Cypress Bayheads, We#land Areas and Ernironmentally Sensitive
(�ands, WaterMlastewater Treatment. '
- Southwest Fiorida Watee Management District-We!!s, Cypress Bayheads, Wefland Areas, Altering
Watercaurses.
- Army Corps af Engineers-Seawalls, Doeks, Navigable Waterways.
- Depa�tment of Health 8 Rehabi(itafive ServiceslEnvironmental Health Unit-Wells, Wastewater Treatmenf,
5eptic Tanks.
- US Environmental Protection Agency-Asbestos abatsment.
- Federal Aviakian Authority-Runways.
I unclerstand that the fotlawing restrickions appiy to the use of fil1:�
- Use of fiil is nat altawed in F1ood Zone°V"unless expressly permifted.
- If the fill material is to be used in Flood Zone °A", it is understaod that a drainage plan addressing a
"campensating volume° will be submi#ted at time of permifting which is prepared by a professionai engineer
licensed by#he State of Flarida.
- If the fill material is to`be used �n Fiood Zone °A" in connection with a permitfed building using sterr� wal#
canstruction, 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, ! certify that use of such �11 wili not adversely affect adjacenf
properties. (f use af fili 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 lats less than one (1)
acre which are elevated by fill,an englneered drainage plan Is required.
If I am the AGEfVl'FOR THE OIIi1NER, I pramise in good faith ta infarm the owner of khe permitting conditions set forth in
this affidavit prior to commencing constructian. 1 understand that a separate permit may be required for etecfrical work,
plumbing, signs, welis, poois, air conditioning, gas, or ather 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
se#aside any pravisians of the technical cades, nar shall issuance of a permit prevent the Buildirig Officia(fram thereafter
requiring a carrectian of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenc�d vtirithln six months of perm€t issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the�Buifding O€Ficial for a period not to sxceed nine#y (90} days and wilf demonstrate
justifiable cause for khe extension, If work ceases far ninety(90)consecufive days, the job is considered aband4ned.
WARNtNG Tt� OVIINER: YQUR FAIE.URE TO RECORPJ A NOTICE OF COMMENCEMENT �iIAY RESULT IN Y�UR
F'AYING TWICE FOR IAAPROV�MENTS TO�YOUR PR09"ERTI(.__IF XO�J INT_END TO.OBTA11d FINe�IVCIIVG,-GCa��U�T-
Vit1`Tti YUU�2 LEN�E�2 OF2 AN i4,TTORNEY iB�FORE RECORl31NG Yt}UR NQT#CE O�COMNIENCEMEII[T. `
FLORIDA JURAT(F.S.117.03) ��,,
O1fltNEf2 R A{sEhlT .�. CONTItACTOt2� �ir/`� "" �'^•—
5ubscribe a worr�to{ r me }befp r,e, me this Subscribed and wom to(Q a irm d) fore me this
�-/�-- by AC�v „`�� �"-�o--r`7 by �.Z1�`(l;a,�, D� ��h�.�.sr���
�lare persanaNy kn�iwn to me or haslhave produced 1Nho Islare personally knorrm ta me ar haslttave prodnced
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as ldentlficaUon. � as identlficatian.
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Commisslo� _o''i"~��'= Notar Public-State of Florida � Commission Na. `;1 �'����'"�a;�,� ^ • �
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P.O.Box 1308�Dunedin,FL 34598-1308•(727)723-8581 �Fax (863)686-7274
Emaii:wilf(amdhulchlnson�yahoo,com
- Lfcensa Number.CCC1328714
PROPOSAL SUBMITTED TD PHOt�E pATE
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`CfiY.STATE ANO ZIP CODE J09 IOCAT10N
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FAX e DnTE OF PUNS JOB PftONE
We hereby submil specifications and estimates for:
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MD'TE:Niood R�placertseirl,H rsqulnd,la rtat Includsd In thl�quoto.Wood rmplrearrrnl witl b�chrrgW on t Um�6 matsrfafs basis,
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Iabw not lo excssd_>G pir men hour plu�coat of matQrlab. y/
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�[ �COpOSt h�rvby to fumi�h materiei�nd labor-eomp3eta In�ccordance wkh abovs tpociHeatlons,for tt�eum ot:
L�iG/1;�//7c'k�fl.n..� C��7�h�n��/"Ptd ��lJ a� / c l��J ^-
l � doflera($- � 4 ),
Pmy nt to be me�am tollowa;
/� NpTICE TD QIVHER:As r�qu�red Cy Ine fbrda Consitucl�ot�Lwn Law(FS713.06�{2)(6).
� ( n,�n IC��-�'�/l bv�idcr hereby nobhea o,mer�nai persans o�comoan'ree lum�shinq�abw or maferials Oor tne
conshuctwn on vwner's Innd may nave hen nghu on orrrwYs lard buikiffps if nrn pad.
Those eni�'Jed la Len nghts,in adQitans lo Ihe uMers+gnad builde�,are Ihose wtw WntracS
arect y with Ino owner or thosa wFw grve!ne owner tne nol�ce ehar mcy Lral tumish tebor u
maleriala br me torulrucfa�
All material is guaranleod ta be as specifiod. A11 work to be completed�n a work-
menlika manner according lo stnndarti pra�tices.A�y atteration ar devretion from WD.HUiCN�M507i CDNSTFtUCT10it,L1.0 rrlll rw1 pa he+d Ita,y1�}or crs�#�d dt}�++sy`,
abo�e spxifiCations im�olving ex12 cosfs vnll bs ereculed oNy upon writton orders, `��"�'^'°;d'^"qe to wyfk tsnka dw to th�u.e of wr Y�rary�qulpm.nt owr��
and wiil bocome en exire cherge w9r and above Mp estimale.Ail agreemenls con• �°'�OP1������O P`01��"'�"�h""y°Quip�.
tinpent upon sink�s,accidents or delays beyontl our control. Qwner lo carry tite, ���y�y�S,t�wr�1 w dN�uh,ell let.psrmertt■.eotkction caot�end a etteme�i a
tomedo and other necessary insurance. Our workars are Iuily cowred by t�es wm es peb ey dsb�o,. s ch,rpe o�t iitx wiu b�chup�e-monuM-on N�
Workmcn's Com(iensatian Insurartea. �ceouma o-nr 3p day�oM,
h}UTE: This pr�,,al may be wfthdrawn A,��=�
by us il nol accepfed wilhin ����^ days. s�gemurs _ �1�`'�`
�[[Eptdillt Of �COpO!(dl- The above prices,specilicafions and con- -� � -
dilions are satislactory and are hereby accepted. You are authorized to Signature • � �
do the work as specified. Payment will 6e made as outlined above ,� "
Oate ol Acceplance r�-�� Signature
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�'';��,�'�� EXPiRES August 11,202Q
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,�1�`�'�C� STATE OF FLORi�A;GQt�HTY 0�PASCt�
�� ° � ° �f� 1"HIS IS TO CERTtFY THAT THE FOREGQING IS A
A TRUE AND CORRECT COPY OF THE DClCUM�l4T
� ' ON FiLE OR dF PUB[.iC RECC}RD IN THlS QFFlGE
� ' �G�,�Q�,�C . � WI NE S MY HANDAN OFF(ClALSEALTH{S
_rg.., ` DAY OF 2
+ � � � PA LA S.O'N !L,CLERK COMPTROLLE
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'� • ���1 BY DEPUTY CLERK
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