HomeMy WebLinkAbout17-18107 CITY OF ZEPHYRHILLS
'' ` 5335-8TH STREEf �
($13}780-0020 �$��T='•��
BU�LDING PERMIT �='�
� PERMIT INFORMATIpN - _L.00ATION INFORMATION --��
Permit Number: 18'!07 Address: 39522 8TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPL(CABLE Lot(s): Btock: Sec#ion:
Square Feet: Subdivision: SUNSET ESTATES
Est.Value: Parcet Number: 12-26-21-0310-00000-0650
Imprav. Cost: 7,990.00 OWNER INFORMATION
Date Issued: 1130/2017 Name: SA�IVA ROBERT &SHERRIE
Total Fees: 75.00 Address: PMB 141 23110 STATE ROAD 54
Amount Paid: 75.Q4 LUTZ FL 33549-6933
Date Paid: 1J3012017 Phone: 813-956-5685
Wark Desc: REROQF SHINGLE
CONTRACTOR S � APPL1CATtON FEES
BAILLIE ROOFING & CONST UCTION , REROOF RESIDENTIAL 75.00
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� Ins ection u �
DR I R OF IN P
TAFE J�INTS RC}t3F INSP '
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
loca!government shall impose a fee af four times the ar�ount of the fee imposed for the initial inspection or
firsfi reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of fihis permit! there maybe additional restrictions applicable to this property that
may be found in the public recards af this county, and there may be additional permits required from ather gavernmentai
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure ta record a notice af commencement may resu[t in your paying twice for
impravements ta your property. If you intend to obtain financing,consult with your lender or an attorney
befare record�ng yaur notice af cammencement."
Complete Plans,Specifications Must Accompany Applicafiion.AII work shall be pertormed in accordance wi#h
Ci Codes and Ordinances. NO OCCUPANCY BEFQRE C.O.
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NO OCCUPANCY BEFORE C.O.
. lJ
ONTRA OR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN fi Mt)NTH5INITH{?UT APPRC}VED INSPECTIBN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR4TECT CARD FROM WEATHER
.
� , s��-rao-oozo City of Zephyrhills Permit Application Fax-s�s-�aa-aoz�
Suitding Department
Date Received �phane Contact for Permitting ��„ - ,
�-_�-�'!'"��'c't- r-�r�-�..y. ._ _ ..i t"�'_�"� TTi' ,
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Owner's Name � Owner Phone Number
Owner`s Address[��l V ✓ �{��l(��f �L�'�'� Owner Pfione Number �^ �
fee Sfmpfe Titfeholder Name � Owner Ptione Number � �
Fee Simple Tltleholder Address o� v � , � J3��/
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JOBADORESS ^� � ll �'� f t ���! "+ �OT# {O�
SUBDIVIStON ..7��1 '��,'����"'���-3 { PARCE4 iDt7 '� `� ��/3(Q'"'���Q��CJ J(�,
i (08TAINED FRAM PRDPERTY TAX NOTiGE)
WORK PROPOSED e NEW CONS7R 8 ADDIALT C� SIGN Q Q DEMOLISH
tNSTALL REPAiR
PROPOSEDUSE C��� SFR Q COMM [_,,,,� OTHEfZ
7YPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL �
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DESCRIPTION QF WOItK C 1� VO
BUiLDlf�iG S �,�Y� SQ FQ4TAGE HElGHT'�
BUILDING T7/�'/'")Q !� VALUATION pF TOTA�CONSTRUCTION
�� �
QELECTRICAI. ($ � AMP SERVICE 0 PROGRE3S ENERGY Q W.R.E.C.
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QPttlMBit*tG � �
QMECNANICA� $ VALUA710N OF MECNANICAL lNSTALLATION ��
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QGAS R40FING Q SPECIALIY � Q7HER � � �
FlNISFiEO FLOOR EIEVATkONS �� FLOQD ZONE AREA DYES �'� NO- f�, �
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BUILOER � +_-� CQMPANY �� '
SIGNATURE RECiISTERED Y/ N FEE CURREA Y I N
Address � � �icense#
ELECTRRCtAN �� ! R OM� Y! N . FEe CuttrxE�. . Y 1 N �
StGNATt7RE _ t
Address � � License# I �
PLUMBER j � �dMPANY
SIGNATURE J REOISTERED Y I N FEE CURRE� Y/N
Addres& �icens # ( ^�
MEGHAI+IICAL COMPAt�tY
StGNANRE REGISTERED Y I N FEE CURRER Y 1 Al�
Address C.___ ,,,_� License# � �
OTHER CQMPANY ��I IL' !/��i.�IVyI��.LIUCt
SIONATURE FiEOISTERED Y/ N cuRaEn Y/N
Address � ,���+i r f/� � license# C.� � �
1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 M 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIIIENTiAI. Attach{2)Piot Plans;(2)seta o(Bullding Plens;(1)set ot Eoergy Forms;R-O-W Permlt for new consWction,
Min[munt tan(10}working days after eubmittat dafa. Reguired onsite,ConsUucttfln Ptans,Stormwater Ptans wt Siit Fence tnsiai4ed,
Sanitary Fadlities$1 dumpster;Site Work Permft far subdivisionsllerge projects
COMMERCIAL Attach(3)camplete sets of euilding Plans plus a Life Ssfety Page;(1)set of Energy Fortns.F2-O-W Permit for new constructlon.
tAinimum ten(10)working days after submittai date. Required oasite,ConsWction Plans,Stormweter Plans w/Siit Fence instslled,
Sa�Rary Fecitities&i dumpster Site Work Pertntt for stl new projects.A{t commercial requlrements must meet compiiance
SIl3N PERMI7 Attach(2)sets af Engineered Plans.
•••"PROPERTY SURVEY required for all NEW conslruction.
� DlrecHons:
Fill out application oompletely.
Qwrier&Cant�sdor sign back of applicatio�,noterized
ti ovee 52540,a Notice of Commeneemeaf is raquirad. {A1C upgrades aver 575�Q)
•• Agent(fpr the contrac(or)or Power oi Attomey(for the owner)would be someone with notadzed letter from owner authorizing same
01tER THE COtlNTER PERMITTlNG (Front pf AQpSicatian Onlyj .
Reroofs if shingles Sewers Servlce Upgrades AlC Fences{PfatlSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
�
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NO7ICE.OF DEED RESTRiCTiONS; The undersigned understands that this permit may be sub}ect ta"desd"restrictions"
which may 6e more restr'sctive thar�Gounty regulatlons. The undersigned assumes responsibility far compiiance with any
appiicable deed restrictions, ,
UNLICENSED CONTRACTORS AND CbNTRACTOR RESPdNSi81LIT1ES: tf the awner has hired a contractor or ~
coniractars to undertake work,they may be required fa be IiCensed in accardance with state and tocal regulations. If the
contractar is nat ticensed as required by law, bath the awner and contractor may be cited for a misdemeanor vioistion
under state Iaw. If the owner or intended contractor are uncertain as to what licensing requirements may appiy for the
intended work,tt�ey are advised to contact the Pasco Counry 8uilding Inspection D{vision--Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
portions of the"contractor Biock"of this application for which they wili be responsible. tf you, as the owner sit�n as the
contractor,that may be an indfication that he is not properly licensed and is nat entikled to permitting privileges in Pasco
Gaunty.
Tf2ANSPORTA7lQN IMPACTlUTlUTIES lMPACT AND RESdURCE RECOVERY FEES: The tsndersigned understands
that l"ranspartstion�mpact Fees and Recaurse Recavery Fees may apply to the construction.of new buiidings,change of
use in existing buiidings,or expansion af existing buiidings, as specified in Pasco County Otdinance number 89-07 and
94-07,as amended. The undersigned atso understands,that such fees,as may be due,will be identified at the time af
permitting. tt is further understood thai Transportation Impact Fees and Resource Recavery Fees must be paid prior to
receiving a"certificate of oceupancy"or final powe�release. If the project does not invaNe a certificate pf occupancy or
finai power retease,the fees must be paid prior to penrsit issuance. Furthermore,if Pasco Gounry WaterlSewer impact
fees are due,they must be paid prior to permit issusnce in accordance with appticable Pasco County ordinances.
CONSTRUCTION LlEN!AW{Chapter 713,Florida Statutes,as amendedj: if vatuation of work is$2,500.00 os more,I
certify that f, the appiicant, have been provided with a copy of fhe�"Florida Canstruction Lien Law—Homeowner's
Pro#ection Guide"prepared by the Fiorida Department af Agslculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify thaf(have obtained a copy oi the above described document and promise in good faith to
delivei it to the"owner"prior!o commencement.
CONTRAC7dR'S/OWNER'S AFFIDAVlT• I certify that all the information in this application is accurate and that a}{work
wiii be done in compiiance with aii appiicabie faws regulaGng construction,zoning and land development. App(ication is
hereby made to obtain a permit to do work and instailation as indicated. i certify that na work or insta!lation has
commenced prior to issuance of a permit and that aU work will be performed ta meet standards of aii faws regu{ating
construction, County and City codes, zoning regulations, and land developm�nt regutations in the jurisdiction. I aiso
certify that I understand that the regutations af other government agencies may apply fo the intended work,and that it is
my responsibility to identify what actions i must take to be in compliance. Such agencies incRude but are not limited to:
- Department of Environmenta! Protection-Cypress Bayheads, Wetland Areas and Environmentaliy SensiGve
Lands,WaterlWastewater Treatment. -
- Souihwest Fiarida Water Management District-Wefls, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps a#Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative ServiceslEnvironmental Health l�nit-Wells, Wastewater Trea#ment,
Septic Tanks.
- US Emironme�tal Protection Agency-Asbestas abatement.
- Federat Aviation Authority-F2unways. ,
I understand that the foilowing resVictions epply to the use af fill;
- �Use of fill is not allawed in Flood Zone"V"uniess expressiy permitted.
- If the fil! material is to be used in Ftood Zorie "A", it is understaod that a drainage plan addressing a
"campensating vaiume"wil!be submitted at time af permitting which is prepared by a professionai engineer
licensed by the State of Fiarida.
- If the fill materia� is to be used in Flood Zone "A" in connectian with a permitted building using stem wall
canstruction,!certify that fill wilf be used oniy to fiD the area within the sfem watl.
- if fiil materis) is ta be used in any area, I certify that use of such filt will not adverseiy affect adjacent
propertiss. tf nse of fiil is found to adversely affect ad}'acenl prope�tles,the owner may be cited for violating
the conditions of the building permit issued under ihe attached permit applicatian, far lpts tess than one{1)
acre which are elevated by fill,an engineered drainage plan is required.
if I am the AGENT FOi2 7iiE OWNBR,!promise in good faith to inform the owner of the permitting conditians set forth in
this affidavit prior to cammencing construction. !understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other instaiiations nat specificaily included in fhe application. A
permit issued shal!be cansVued fa tre a license to proceed with the work and.not as authonty ta violate,cancel,alter,ar
set aside any provisions of the technicat codes,nor shaN issuance of a permlt prevent the BullBing Official from thereafter
requiring a correction of errors in plans,constructian ot violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months o�permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)manths afler the time the wark is commenced. A�extension
may be requested, in writing, from the Building Officiaf far a period not to sxceed ninety{9p)days and wiil demonstrate
}ustifiable cause for the extension. If work ceases for ninety(90)cansecutive days,the job is considered abandoned.
WARNING 7Q OWNEt2: YOUl2 FAfL!!RE TO RECORD A NQTIGE OF COMMENCEMENT MAY i2ESULT IN YOUf2
PAYWG TW(CE FOR IMPROVEMEHTS TO YOUR PROPEFYCY. IF YOU INTEND 70 OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTQRNEY BEFORE RECORDIHG Y4tlR NQTIGE OF COMlVlENGEMENT.
FLORIDA JURAT(F.S.117.0
QWNER dR AGENT CQNTRACTOR
Subscribed and swo�}to{or a�rrr( f�ofS this-,,� Subs�c�rib.�ed�a�nd swo t ed} etore his
��bY il"L�Z.�l� .T_.l.�t�� �-��.�—�-/-.-bY � :
Who is(are ersonally knawn t�r e or haslkiave pro uced W o islare personal kno n o e or fias ave pradu
as ideotificaGon. as identificaHon.
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/ * � Notery Publle -�ie�"_,,`- . Ci`�-._._._Notary Public
Commisslon No.
Commission No. //� ,
S�Y PU
Name ot Notary typed,prinlj�4r�Wmped Name of Notary typed,printed or stamped « � A M.KRNJA(CH
�° ••••.���, � •, * MYCQh4M(SSION#FF097i92
V�RONA M.KRfdJA(CN EXPIRES:March 24,2018
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_. ' Permit No. Parcei ID No C 2'"G��i`Z.}-�t Q" (�""�?(�S-�
NQ�'EC��3F CDi1�19�ENCEMEN�'
State.of ���?K E�+-T County of �{'�S�
TNE UNDERSIGNED hereby gives notice that improvement will be made to certain rea(property,and in accordance with Chaptet 7i 3,Ftorida Statufet
the foilowing infarmation is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No. I�v"2b ��1"' �1�1{.7 "(;'OUOQ-�6�b
Street Address: �y�i J��2, ���oZC� C.1� � .�i��7 f S 3�'j "�,r"'t.��'"'t`�' �j
2. Generai Description of 1�ent ~ �l\ `� �L h e �� C2�
i
Rcpt:1$32955 Rea: 10.00 •
3. • Owner information or Lesses information if the Lessee contracted for the'improvement:DS: 0.00 IT: 0.00
, 01127I2017 C. F. , Dpty Clerk
s�11(�t�rt� ��iVC� --------- ---------- -------______- -
?.3 l 1 Q 5-E-a.�ee�'a�c� �`� C�u`�Z ��-,
� Address ( City State
� interestin Property: �/jn/�Y— PAULR 5 0'NEIL,Ph d PASCO CLERK & COMPTROLLER _
� �'� 01/27I2017 11:26am 2 of 1
� Name o€Fee Simple Titleholdar OR 8K �4�� PG '�L� -
�
(If different from Owner qsted abave} ______`_`__J_____ ._ ____-__--
- � Address i ( � City Stafe
� 4. Contractor ( t� QO n n T�t
.��Q�gm� -�r-�V't7 Sf.-�r'� �d t i�a.v� ' I Z_
Contractar's Telephone No.:�72�� ���"� r�-g l l Ci
�y � State
5. Surety:
�lame �
Address City State
Amount af Bond: $ Telephone No.:
8. ' Lender:
Name
�
Address City State
Lender's Telephone IVo.:
, 7. Persons within the State of Fiorida designated by the ovuner upon whom notices or ather documents may be served as provided by
Sectian 713.13{i)(a){7},Fiorida Statutes:
�.
Narne ,-' �
Addtess � City State
Telephane iVumber af Designated Person:
8. In addition tn himself,the owner designates of
to receive a copy of the Lieno�'s Notice as provided in Section 713.13(1)(b),Fiorida Statutes.
Telephone Number of Pe�son or Entity Designated by Owner
9. Expi�ation date of iUotice of Commencement(the expiratian date may not be before the compietion of construction and final payment to the
contractor,but wiit be one year from the date of fecording unless a different date is specified}:
WARiVING TO OWfVER: ANY PAYMENTS MADE BY THE fJWiVER AFTER THE EXPiRATiON OF THE NOTICE OF COMMENCEMENT
ARE CQNSIDERED (MPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,. FLQRIDA STATUTES, AND CAN
RESULT IN YOUR PAYING NUICE FOR IMPROVEPVIENTS TO YOUR PROPERTY. R NOTICE OF COMMENCEMENT MUS7 BE
RECORDED AND POSTED ON THE JQS SiTE BEFORE THE FlRST INSPECTION. !F YC3U INTEND TO OBTAIN FfNANCING,CQNSULT
WtTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENGING WO R RECORDING YQUR fV OF COMMENCEMENT.
Under penalty of perjury,I declare#hat i have read the foregoing nofic of co �en�ement an t at#he facts st ted therein are true to the best
of my(cnowledge and belief.
-- f,
SIATE UF FLORIDA
COUNTY QF PASCO d �'�
gnatur �of v4ner or Lessee,a ner's o essee's t#�ouzed___--
Officerl irect�or/PartnertMa er
� Signatory's 7it el0ffice
7he foregoing instrument was acknowledged before me this,�day of;,�-_,2���bY,�-u-�=�.-��� KTl�`v�
�s S}�,�/��l fZ �, {type of authority,e.g.,o�cer,trustee,attorney�n fact)for
(name on behaif of wham instrument as executed}.
Personaily Known[�O�F' Ptoduced ldentification(� Notary Signature ,
t'ype of Identification Produced � _ L--�- Name t}s�*�a:��' �
,��a ., d � . �. ,rO1�R.�.•.Bf�c V�RQNA M.KRNJAIDM
��AT��� F�.�����,��UI�YY��GO NG�lSA ��V. 4.� MYC�!dh11SS10N#FF097192
TNIS IS TG�CE�71FY THAT THE FOR � _.. •
UI�iENT
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TRUE ANQ C4RRECT COPY OF THE pQ� � sr,,r ¢�` $ondedThruBudgetNataryServ�ces
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ON FILE OR�F PUBLIG REC�RD l(�THIS OFt=1C `; >
WiTNESS MY F{AND D FFl AL SEAL TH1S ,�:�o� ; ,���
dAY QF � � q� � lfi . _ ��
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data/bcstnoticecommencement pc0 �9.8 aEp�}Ty G�ERK � � ° �� _
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PROPOSALSUBMITTEDTO PHONE DATE
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STREET � , JOB NAME
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CITY,STATE and ZIP CODE JOB LOCATION ! �
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ARCHITECT I / � DATE OF PLANS d�, �� ! JOB PHONE
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We hereby submit specifications and estimates for - �YC;/�v j!jj('7Ut2 ,��,//1L S ;�c��rr�r��
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�P �PO�JIISP hereby to furnish�material and labor—complete in accordance with above specifications, for the sum of.
dollars($ )
Payment to be made as follows: /
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:t� ir�T C�� r f�«>�i�_✓�/�-'l�� .�;1.� �/�r��o.r�i�P�d�o�' �.�
All material is guaranteed to be as specified. All work to be completed in a workmanlike '� � --'---/ �
manner according to standard practices.Any alteration or deviation from above specifications Authorized � �^� / �._`
involving extra costs will be executed only upon written orders, and will become an extra SignatUre _i3_�.- ,r'J:�?_
charge over and above the estimate.All agreements contingent upon strikes,accidents or ��
delays beyond our control.Owner to carry fire,tornado and other necessary insurance.Our Note:This proposal may be
workers are fully covered by Workman's Compensation Insurance. withdrawn by US if flot aCCepted within � d1yS.
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The above prices,specifications `" � 5--a���� �
and conditions are satisfactory and are hereby accepted.You are authorized Signature ��� � �' 'X_- -------�-
to do the work as spgcified. Paymen�will be made as outlined above. ,- � �-�
Date of Acceptance:! �� ���� Signature ��f
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