HomeMy WebLinkAbout17-18174 CITY OF ZEPHYRHILLS
, : 5335-8TH STREEt"
(81.3}780-0020 'f 8174
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18174 Address: 38025 9TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class af Wortc: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: ,
Square Feet: Subdivision: ClTY OF ZEPHYRHlLLS
Est.Value: Parcel Number: 11-26-21-0010-09300-0110
Imprav. Cost: 8,887.00 OWNER INFORMATION
Date Issued: 2121J2017 Name: UVATSON J W &A D FAMI�Y TRUST WA
Total Fees: 80.00 Address: 112 PINE TREE RD
Amount Paid: 80.00 SAYRE PA 18840-141 S
Date Paid: 2I21/2017 Phone:
Work Desc: RE-ROOF 5HlNGLES
CONTRACTOR S APPLICATIt3N FEES
ALAN'S ROOFIfVG INC REROOF RESIDENTIAL. 80.00
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Ins ections Re uir�d
DR IN R OF IN8
TAPE JOINTS ROOF INSP
FINAL �j-2C�-��
REINSPECT'�ON FEES: (c)With respect ta Reinspection fees will comply with Florida 5tatute 553.80 (2)(c)the
loca!government shai! impose a fee of four times the amount of the fee imposec!far the initial inspection or
firs#reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additiona! restrictions applicable to this property that
may be found in the publie records of this county, and there may be additional permits required from other governmenta!
entities such as water management, state agencies or federal agencies.
"Warning ta awner: Yaur faiture to record a notice of cammencement may resu[t in yaur paying twice for
improvements to your property. If you intend to obtain financing, consult with yaur lender or an attorney
before recording yaur natice of commencement."
Comple�te lans,Specifcations Must Accompany Applica#ion. All wark shall be pertarmed in accordance with
, Ci Codes and Qrdinances. NC!OCCUPANCY BEPORE C.O.
N OCCUPANCY BEFORE C.O.
���,'!f'r ��, �
O TRACT GNATURE PERMIT OFFI R
PER IT EXPIRES IN fi M{.�NTHS WITHCIUT APPR4VED IN5PECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRUTECT CARD FROM WEATHER
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a�3-78o-fl42o � City of Zephyrhills Permit Application rax-a��-��u-u����
' �. � : " 8uilding Department
`Date Received phone Cor�tact for Permitttng -
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Uwner's Name Ovuner Phone Number
,..(� I�S�C�EQ ���{
Owner's Address 1�• ��e�'_, Ul• . ��� �' Owner Phone Num�er� I
Fee 9impie Titlehoider Name Owner Phone Number� � ,
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Fee Simple Titleholder Address
JOH ADt}RESS '�� � 5 � � Lor# - ��� �.
SUBDtVtSiON � I PARCEL ID# { � � c.�
(OHTAtNED FROM PROPERi'YTAX NOTtCEj
WORK PROP08ED e NEW CONSTF2 e ADD/ALT Q SIGN Q Mt)VE Q dEMOLISN
INSTA�L REPAtR
PtZOPOSED USE � SFR ��- GOtvtM Q C}THER
TYPE OF CONSTRUCTIdN � B�OCK Q FRAME Q STEEt. � OTHER
DESCRlPTlON OF WORK �f'S� '1 e� �b0 � Di��fiN6��� ►'�`�U �}� � �Y�'t� Yt c�� � C��
�Ct jI� � ,
BUILDWG SIZE SQ FdOTAGE v � tfEtGfiT l} r` �-i � � y ~ V� �� � '
[� SU1LDlNG $ �! '��� �f� VALUATION O�TOi'AL GONS7#2UGTION
Q E�EC7RICA1, � '—�� AMP SERVIGE � PROGRESS ENERGY Q W:R.E.C.�
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[� PI.UMBWG ($ � � �
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Q MECNAiViCAL $ �} VALItATIt3N OF tviECt-tANiCAL INSTALLATION '
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Q GA8 ROQFlftlG Q SPEGIA�TY Q OTHER f
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FiiViSHED FLOi3R ELEVATIONS � � F[.00D ZONE AREA QYES QNO {
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BUILDER C4MPAHY � ' � U� 1 t l f t�*
SIGNATURE �2EGISTEREO Y/ N FEE CURR T Y/N ,
Address � �� �(,r��� � �i iS,+�t License# C�C 11�-t(.q1"t`-i tJ� 1
ELECTRICIAN COMPANY
SIGNA7URE REGISTERED Y! N FEE C[lF2RENT Y I N '
Address � License# �� �
PLUMBER COMPANY
SIGNATURE REG{STERED Y/ PI �EE Gllf2RElVT Y t N
Address License# C � �
MECHANiCAL GOMPANY �
SlGNATURE REGISTEREp Y/ N �FEE CURRENT Y!N
Address L9cense# �— �
OTHER COMPANY
SIGNATURE REGiS7ERED Y J N FEE Ct4RRENF Y I hF
Address License# �� �
RESID�NTtAL Attach(2)Plat Plans;(2)sets af Building Plans;(1 j set of Energy Forms;R-O-W Permi#for new construaSon,
(viinimum ken{i0}working days after subtnittaf date. Requlred ansite,Gonstruction P{ans,Stot2nwater Plans w/Silt Fence installed,
Sanitary Faclllties&1 dumpster,Site Work Permlt for subdivisiansflarge projects
COMMERCIAL Attaeti(3)complete sets of 8uiiding Plans plus a Life Safefy Page;(1}set of Energy Farms.R-O-W Permit for new consfnletlon.
- �_" �'��"�=�---14�irs;z-,u«rt3n-(?3)r•.�o�:csng dayv-att�r-�uh�:.tt�!-�+�ke:-E?�qllir��+-o�ci�p,-�r�nstneclon:Plans..Stormwater�Plaps.w/SUt Fence installed, ,_ '
Sanitary Faciiities 8 1 dumpsler.Site Wark Permit for all new projeats.AII commeraial requirements must mee#campllance �
StGN PERMfT Attach{2)sets ot Engineered Plans. .
`••'PROPER7Y SURVEY required for all NEW construction.
Dsrectinns:
Fill out application completely.
Owne�8 Contrackor sign Back of appiicaGon,notarized
if over$2540,a Notiae of Commencement is required. {A!G upgrades over$50QOj
•' Agent(for the contractar)nr i'ower of Attomey(for the owner}would be someone with natarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applic'ation Only) �� a y�� , a ,
Reroofs 5ewers Service.Upgrades A!C 'Fences(PtoVSurveylFootage) �
�riveways-Not over Counter if on public roadways..neads ROW �
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NCITICE QP DEED RESTRICTIONS: The undersig�ed understands that this permit may be subJect to"deed'restrictions"
which may be more restrictive than Gounty regulations. The undersigned assumes responsibility for compliance witH any
appticabte deed restricfions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLIT1ES: If the owner has hired a contractor or
contractors to urede�tak�work, they may be required to be lfcensed in accardance with state and loca! regulatEons. If the
contractor is nat licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended confractor are uncerEain as fo what iicensing requirements may apply for khe
infended work, they are advised fo contact the Pasca Counfy Buiiding )nspection Divisian—Licensing Sectian at 727-847-
8Q09. Furthermare, if fhe owner has hired a conEractor or confracfvrs, he is aclvised fo have the canfractor(s} sign
portions of the °cor�tractar Block" of this epplication for which they v�ril! be responsible. !f you, as the owner sign as the
contractor, thak may be an indication that he is riot properly licensed,and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATtON iMPACTIUTiLITFE$ iMPACT AND RESt�URCE RECOVERY FEES: The undersigned understands
thaf Transportation Impact Fees and Recourse Recovery Fees may appiy to the construct�on of neuv buildir�gs, change of
use in existtng buildingsT or expansion of existing build�ngs, as specified in Paseo Co�nty Ordinance number 89-07 and
90-07, as amended. 7he underslgned alsa understands, that such fees, as may be due, will be identif(ed at the time of
permitting. It is further understood that Transporkafion Impact Fees and l�esource Recovery Fees must be paid prior to
receiving a "cerfificate of oocupancy" or final power release. if fhe project does no#invoive a cerfifica#e of occupancy or
final power release, the fees must be paici prior fo permi# issuance. Furthermore, i€Pasco Coun#y WateriSewer Impact
fses are due,they must be paid prior to permit issuance in accordancs with app(�cable Pasco Caunty ordinances.
CONSTFtUCT10N LIEN LAW(Chepter 773, Florida Statutes, as amended): If valuation of work is $2,500.00 ar more, I
certify that I, the applican#, have been provided with a copy of fhe "Fiorida Cons#rucfion Lien Law—Homeowner's
Profection Guide" prepared by the Florida Department of Agricutture and Consumer Affairs. Ifi the applicant is someane ...
ofher fhan the'bwner", 1 cer#ify#haF t have obtained a capy af ihe above descri6ed document and promise in goad faifh ta�:-_,
deliver it to the"'owtter"prior Eo corramencemenk. - ... -
CONTRACTOR'S/OWNER'S AFFlDAVIT: ! certify that all the information in this application is accurate and that all work
will be done fn compliance with aft appticable laws regulating consfruction, zoning �nd land development. Appli�afion is -
hereby made to obtain a permit to da work and instatiafion as indicafed. I certify thaE no wc�rk or installafion has
comtnenced privr to issuance of a perrnit and that alf work wiEi be performed to meet standards of af! IaVus regufafing
canstruction, County and Gity cades, zoning regulations, and land development regulations in the Jurisdiction. I al"so
cer#ify that 1 understand khat the regulations of other government agencies may apply#o the intended wark, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include buf are nat timiEed#o:
- Department of Environmenfai Protection-Cypress Bayheads, Vl/etland Areas and Ernironmentatly Sensitive
Lands, WaterJWasfewafer Treatment.
- Soufhwest Florida Water Management Dlstrict-V1fe!!s, CY{�f�SS Bayheads, Wetland Areas, Altering.
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Healfh & Rehabititafive Services/Environmentai Nealth Unit-Wells, Was#ewater Treakment,
Sepfic Tanks.
- US Enviranmenfal Protecfsan Agency-Asbestos abatement.
- Fede�al AvfaEion Au#hor�ty-Runways.
I unders#and that the following resfrictions apply ta the use of fill:�
- Use of fitl is not al(owed in Fioad Zone"V"uniess expressiy permitfed. �
- tf the fili material is to be used in Flood Zone "A", 1t fs understoad thaE a drainage ptan adc�tess�ng a
"compensating volume" wii! be submitted at ttme vf pecmitting whsch is prepared by a grofessiona! engineer
licensed by the State of Florida..
- If the fill material is to be used in Flood Zone "A" in connection with a permitfed building using sfem wali
construction, (certify tha#fill wil(be used only to�lt the area uvi#hin the stem watl.
- tf fill materiai is fo be tased in any area, 1 cerfify that use of such �E{ wiil nof adversely aifect adjacent
praperties. if use of fili is found to adversety af#eck adjacenk properties, the owner may be cited for v3olating
the canditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is requir�d.
If I am the AGENT FOR THE OWNER, 1 promise in good faiffi ta inform the awner of the permifting conciittons set fiorth ln
this affidavi# p�ior #o oommencing construcfion. 1 unders#and fhaf a separate permit may be required for eRectrical work,
ptttmbing, signs, wells, paols, aic candi#ioning, gas, ar Qther installations nat specifically included in the application. A
perrrtit issued shai! be construed ta be a license tv proceed wikh the work and not as authoriky ta violate, cancel, alter, or
set aside any pravisions of the technical cades, nor shall issuance af a permit prevenf fi�e Building Officiat from fhereaffer
requiring a correction of errors in plans, canstrucfion or vialafions of any codes. Every permif issued shall became invalid
unless fhe work authorized by such permit is commenced withtn six months of permit issuance, or if work autharized by
fhe permit is suspended or abandaned for a period of six{6}months after the tEme the worlc is commenced. An extension �I
may be requested, in writing, fram the Building Kafflcial for a period not to exceed ninety (90) days and will demonstrate
]ustif4able cause far fhe extension. !f work ceases for ninety(90)consecufive days,the�job is considered abandaned.
( WARNiNG TO OWNER: YOUR FAIi.URE TO RECORD A NOTiCE OF G�MMENCEMENT MAY RESULT !N YOUR
PAYING TINtCE FOR iM RCiVEMENTS TO Y�UR PRQPERTY. IF YOU lNTEND TO CIBTAIN FINANCING, CONSUL7
��YVITH 1(tOIIR GEi�t[3P'cF� � �'il`y-- � �?�lL�� � FOR�Ft�GORDING YOUR N0710E OF COMMENCEMENT.
FLORIDA JUFtAT(F.S.117. 3) ~ `�,� -
4WNER QR ACElJT GONTRACTOR � �
Subscribed and swo to e fore e hi i (j� Subscribed and suvom Eo(ar afftrmed)before me thts
� Y�- �y ' aY
Who slare Qersonalt nawn to m or h s ve prodUced Who Is/are personalty known fo me or haslhave produced
as iden#ifiicafion. as identifica8on.
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Notary Public Nafary Pubfic
Cammisstan IVo, Cammisslon tJo.
Name of(Votary typed,pr�nted or starnped Name of Notary lyped,printed or stamped
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Nt�TiCE �F COMMENCENiENT ' PA��p s o'NEIL ph.D PASCO CtERK & COMP7ROLL,Eh
' 02I21/2017 08:28arn 1 of 1 -
I TNE UNDEl3S1GNED hereby gives notice that impravement will be ' �R BK ��y�� PG �A,S�
Made to certain,and in accordance with Chapter 713,Fiorida State - •�-�� - --- - _ _ _
Statues,the fol(owing infarmatian is provided in this Notice of ,
Commencement: '
1 Description af Property: Parcel No.: �l, �� l"�- t��� 1 ti/ ��__�;__1J� �''�
I {Lega(description of the property and street address if avai�able)
2. G nera! Description of improvement:
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3. Owner lnforma#ion: M1i me.
. Address: � � � ity � Sta#e Zip , • �02
interesi+n Property: Fee Simpie -----
Name and Address of Fee Simp(e Titiehoider(if ofher than owner) :
4. Contractor: Name: Afan's Roafinp Inc
Address: 14498 Ponce De Lean Blvd Gity Brooksvilie State FL Z�p 34601
Phone No. 352-686-3330 Fax No. 352-754-8902 i
5. Surety: Name Amount of 8ond� � :
Address: City State_ zip
Phone No. Fax No
6, Lender. Name:
Address: City State�Zip
Phone No. Fax No
7 Persons within the State of Florida designated by Owner upon whom notices or other dacuments may be
� served as provided by Sectian 713.13(1}(a}(7) Florida Statutes.
� Name. �
. Address: City State_Zip
Phan�•Na. Fax No.
8. in addition ta himself or herself, Owner designates N/A af
To receive a copy of the Leinor's Notice as provided in Section 713.13('S)(b}, Florida Statutes. ,
I9. Expiration date of Notice of Com�nencement(the expiration da#e is 1 year of recarding uniess a different ;
. date is specified.)
WARNlNG 70 OWNER:ANY PAYMENTS MADE SY 7NE RWN&(2 AFTER THE E%PtRATI�N OF THE PIOTIGE OF COMMENCEMENT ARE
CONSfDERSLI IMPi20PER PAYMENTS UNDEl2 CHAPTER 7'13,PART'i,SEC�13,�3,FLORIDA S7ATUTES,AND CAN RESULT tN YOUR ,
PAYtNG TWtCE FOR tMpROYEMENTS TO YqUR PROPERTY.A NOTICE OF COMMENCEMENT Mtt5T BE REGORDED ANO POSTED ON 7HE
J�B SITE BEFORE THE PiRST tNSPEC7}C3 IF Yf3iS fNTENQ TO ClBTAIN F.INANCING,CONSUL7 W(TH YOUR LENDER OR AN ATTCtRNEY ,
BEfORE EN iNG WORK OR REGO DIN YOUR NOTICE OF COMMENCEF.lENT.
1I X � C�.�r t?' t��a
I Stgn te af Otvne�d pwnefb Au7lloNzetl OHicar/pirectoNPnrtnerJManaBar SignatOry'S T7l!$/�(TC8
/�"'Sign ture Regufred by eamo n.,�ow ny•x��mark•••
Staie of t UV�' 1J� County oi
The far oing insfrument was acknawledgetl before me this��ay of-����20�"by � � ,
(Printad name o person ackn Ieclging)
as tor
( a lh 'ty e.g.,oKce,lrusi ,a( ey in fact) (Name of party on beha!!o!who instrument was executed)
_��d �_.,�' �1'� �R.nr �
Si na ure of Notary Print � Type or Stamp Name ot No ry
Pe naliy known pR Prod d Identification
Type nf ldentification Produced: (�
Veritica ' n ursuant to Seciion 92.525,F riOa Statutes:onder Panattivs af perjury,!declare lhat 1 have read!he foregaing and that the facts
stated n!x re tr fa ihe best of my kn nd bo�ieL
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Sig Wre of NeWrai Persan Signi�g Above �
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- MY CDMMISSlON ti FF227769
:�:��YN-�� EXPIRES M�y 05.2079
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iTA�'�(��F'a�F�IDt�,COUNTI�OF PA�CO ����,���I��
THIS IS TO CERTIFY TH�1T THE FOREGOING IS A � o (��
TRUE AND CORREC7 CQPY OF THE DOCUMENT , �►
ON FILE OR P �
OF UBLIC RECORD IN THIS OFFI
i Jlf ITNESS�Y HAND AND FICIAL SEAL THIS . .� *
' S' la � Inyo����Tnut .
� Q Y OF 2 , _.,.�.,, lk
PAU '�EIL, CLERK&COMPTROLL R �' �$
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BY DEPUTY CLERK � 18�7
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