HomeMy WebLinkAbout17-18188 :
. CITY OF ZEPHYRHILLS
' � 5335-8TH STREET
(813)780-0020 18188
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18188 Address: 5433 11TH 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: 11-26-21-0010-13700-0070
Improv. Cost: 7,780.00 OWNER INFORMATION
Date Issued: 2/27/2017 Name: PEDIGO CHARLES & PATRICIA WILT
Total Fees: 75.00 Address: 5433 11TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2017 Phone: (813)715-7082
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
BROTHERS ROOFING INC REROOF RESIDENTIAL 75.00
� '� /
- � Ins ections Re u
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.
������
CON CTO 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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2017026864
NOTICE OF COMMENCEMENT R�p{,:1841164 Rec: 10.00
Permit No. DS: 0.00 IT: 0.00
�' 02/27/2017 E. M. , Dply Clerk
ProperiyIdentificarionNo. ��-�2�-a°�a�s�oaao�o - � - �
THE LJNDERSIGNED hereby gives notice that improvecnents will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Description of property(/egal description:��'h'���'�''�1 pg 54 bb 78B blodc 137 m 5188 pg 122 ar 8781 pg 1 fi65
a) Street Address: �����"�-��Fl�
2. General description of improvements���^�
3. Owner Information
• a) Name and address: �+����� �
b) Name and address of fee simple titleholder(if other than owner)��"��z��F.3as'z
o) Interest in property ��.
. Contractor Information
a) Name and address: s����ne i�= ccc�szss�s
� ' b) Telephone No.: 813-�� Fax No.(Opt.)
5. Surety Information
' a) Name and address: wA
b) AmounY of Bond: NlA ,
' c) Telephone No.: w^ Fax No.(Opt.)
6. Lender
a) Name and address: wA
� 7. Identity of pe�on within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address: w^
b) Telephone No.: wA Fax No.(Opt)
8. In addition to..himsel�owner iiesignates_the,following.person:to receive a.copy of the_Lienor's Norice.as provided in Section
713.13(1)(b),Florida Statntes:
a) Name ar_d address: w^
b) Telephone No.: wA Fax No.(Opt.)
9. Expiration date of Norice of Commencement(the e�cpiration date is one year from the date of recording unless a different date is
specifted):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER TI3E EXPIRATION OF THE NOTICE OF
COII�IlVIENCEMENT ARE CONSIDERED IIKPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMF.NTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE T�E FIRST
INSPECTION.IF YOU INTEND TO OBTAIIV FINANCIlVG,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT.
STATE OF FLORID .. �
� COITNTY OF PASC , y��"'+� IAELISSA R CUMMIN(iS
;� �'� MY CAMMISSION 9 FF 234956 Signatute OF Owner or Ownei Au ' ed OfficedIJirector/PartnedManager
:.:
� EXPiFlES:June 20,2019 �,
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�;• , BondedThNNotmYPubl'�cUnde�rMers �+9>' �'S �.� /Gl �D
Print Name
The foregoing instrument was acknowledged before me th�'day of 20�by�� ��
�_�,� ��n0 (ty f authority,e.g.o@'icer,trustee,attomey in fact for
(name of party on behalf of hom inshnment was execufed). �
Personally Known^OR Pcoduced Identificadon� Notary Signatme ^
. � i �
Type of Identification Produced . � � Name(p t `.�
Verification pursuant w SecNon 92.525,Florida Statutes.Under penalties of perjury,I declare that T rea We foregoing and that the facts stated
in it are true to the best of my lmowledge and belief. �
I FORMSMOCtvsd2007 ,
Si�aRue of Nstaml Pason Sigoing Above
� PAULR 5 0'IJEIL,Ph D PASCO CLERK�f COMPTROLLER'
� 02/27/201T 2:56 m 1 nG .
OR BK ��0� P� �!v__.�
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SYATE OF F�.C?RI�A,COU6��Y 0�PASCO °� �
. �
THIS IS TO CERTIFY THAT TFiE FOREGOING IS A �. ' o
TRUEAND CORRECT COPY OF THE DOCUMENT � �,ve�"'�`
� • I�LGo6 :•� �
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE O . �
WITNES Y HAND AND FFICIAL SEAL THIS �• -�
J DAY OF 2 DI 18870 `o@.
PA S.O'NEIL, C ERK CO PTROLL R � �A�������
I BY DEPUTY CLERK I
,,,
81.3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
^' ' Building Department
'� -�.. '"�
Date Received � •Z2 �. � � phone Contact for Permitting � — S�1�
Owner's Name q' TNi �P.i � Owner Phone Number ^I�i-[ � S �7
Owner's Address � / Owner Phone Number
Fee Simple Titleholder Name `jqV��yF- �'/�iG��, �� Owner Phone Number
Fee Simple Titleholder Address ��.'f 3 � � �h
JOB ADDRESS � � � �� LOT# ' G 9�0
SUBDIVISION PARCEL ID# �l`2�i 'Z 1'O(�/�0'' �3 700"0070 Cqroc�Q9/o /
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED e . NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER _
TYPE':OF CONSTRUCTION Q BLOCK �• Q FRAME � STEEL Q
. " -�
DESCRIPTION OF WORK y► �i h �p��C��i 2,5 Yrc,.r- ��y�H 0�.S
. ' �1
BUILDING SIZE i'�� SQ FOO GE Z�d � , HEIGHT �.
�,- .
QBUILDING S ����I�
� �' ALUATION'OF TOTAL CONSTRIJCTION
QELECTRICAL (�i�``� ^,' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
_ � _
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` � �
���� �
QGAS Q ROOFING �
Q SPECIALTY Q OTHER �J,�'�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OXES NO � �., ;'
i�
BUILDER COIIflPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address -License,#
ELECTRI.CIAN - COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Address . License# �
F ' ' �
PCUMB,ER.,_ COMPAIdY :
SIGNATURE REGISTERED Y/'N � •� :FEE CURRE� Y/N
. Address. � License#� :
- MECHi4NICAi:' � , COMPANY -
SIGNATURE" � REGIS�TERED , Y/.N, � FEE�CURRE� .` Y/N -
; .,
Add�ess- � � Licens.e#
,:;f�:;�-� - � . .
. O'fHER° :'�:,= � � ���� COMPANY � � i� G . ��']G ��I G
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_ ;'�SIGNA7'UREu� s:= -�'C/.�G�i�"' ,,,�p��� ' REGISTERED /.N.. FEE CURREK v ,. Y/N
— -- .Aaa�ess. ._ .J•S�Sor�t.�=�eNi1 v�Yu1- - - --- - ------ .- - -;;�c�;�a�= C-'�C--/-3-2 =- -/-9 _-
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�;=>'RESID,ENTIAL�^•:. :Attacfit:(2):PIot�Plans;`((2)':sefs-of�Building'Flans;_(1�)`set'of�Energy.Forms;,R=O=W Permit,fornew.construction,. .
<•�;,�-:.c.�. -:Minimum;ten,(1Q)working;days afte��submittal•date. Required`on§ite;'Cori`striiction Plans;'Stormvirater Plans w/Silt Fence installed,
�•..-.�,,,..; ... -. ,
�y:-.. Sanitary;FaciNties,&�t,1;,�,dumpster;SiteiWor,k P.ermiYfor;subdivisionsflarge:projects ' '
,°;c;COMMERCIAL Attach`(2)_complete'sets of'Building Plans plus�a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
� Mlnimum ten(10)working_days after submittal date. Required onsife,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
`�` Sanitary�Facilities 8 1 dumpster,.Site Work'Permit"fo�•�all•new projects.All commercial requirements must meet compliance
'r".SIGN PERMIT �Attach(2)sets of;Engineered Plans.�� � �
� ""'PROPERTY SURVEY required for aII.NEW.construction. , `
�x.
°�:Directions: +::;,_;.;_.�,
`� ` ��Fill out application completely. -
; Ovirner�B�Contraotor sign back of applicaGon,notarized �
If over$2500,.a Notice.of Comm�ncement_is requlred. .(AIC upgrades over$7500)
,. "' Agent(fo�'the�cont�actor:)•orPower�of'Attomey(for'ttie owrier•)would tie someone with notarized letter from owner authorizing same
�,OV'.ER:THE-COUNTER;:PERMITTING,�� � �_;,(copy-of,contragt•,required) � �
�:1Reroofs if sliingles Sewers ' Service Upgrades A/C.,,,. Fences(Plot/Survey/Footage)
Driveways=Not over Counter if.on public roadways.:needs ROW
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Nt3TICE OF DEED RESTRiCTiONS: The undersigned under.stands_that.this;permi#may be,subjectrto_,;deecl�,restrict�ons�,,4,�;*;s
whicb'may.be.�mqre=resErictive.<than:Caun#y,.regalations:�'Tiie�undersigne`d assumes�=responsitiilityfar'�camptian'ce��with an.y.` � �;
applicable deed restrlctions. � , - , -,, a4.,a::,,:Ar�;;�,::,'� „
UNLICENSED='CC1NTRACT.ORS AND COIdTRACTOR RESPO(VSOBILITIES: '�If-tlie�owrier�has�ti'irec!`�;a-=contraGtor or
contractars to undertake wark,�they.may::be r.equired ta be,'licensed in accordance.with state and"l"ocal;regulations:�slf�:tfae��=���':
contractor is not licensed.as requirei3 tay�(aw, 6otti �he owner=and�contracfor=rriay�tie�ci#ed��-for�•a�misderrieanor�violation�
under state law. if the owner or intended,contractar are uncertain.as to what.iicensing reqairements;�rnay�,ap'piy�.forM;tF%e����;`-:;� ;
intended work,they-are�advised to confact`tfie"PaSco Courity'8uiiclittg'tnspectian.:Divisian=Licensing Sectian�afi 727=847- '
. y'",
I 80Q9. Furtharrnare, if the owner has"hi�eii�a�cont�act'or or cant�actors, he is advised ta`�;have the contractor(s.}:�:sigrt.�,;., s
t y;•,,...,:.,:.`:-'l._,.:_;:. .,, 5 .
I portions of the "contractor Block" of this application,for which they will be responsible::-If,you, as"fhe.�owner"sign as-•tlie � '"a
cantractoc, that may be an indication that he is not prope�ly�licensed�anii�is not`entitled�to permittingYprivileges,.+nxPasco;_.:,;,�,_
Caunty. ` - � .. .,__ - � ,�. =;:`k:�.x.�_��,- �
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TRANSPORTATIt3N-tMPACT/.UTtLITtES tMPACT AND RESt3URGE RECOVERY FEES:�The�undersigned understands ��:;
.�:.,u..,,,:
that Transportation Im,pac�Fees and Recourse Recouery,Fe.es�may:appty to#he construc#ian.ofinew,,buiicl9ngs,=cFia�ge�of'�=`�.r,,s#;.;
use`in existing�buildirigs,`or��expansian of,.exisfing buildings, as spacified in Pasco County C?rdinance nurnber 89=07-and ��,s
90-07, as amended. The�u�dersigned also understands, that swch.fees, as�may�,b.e.due, will�JSe'iden#ifled�atl�tlie�fiiiae=of.�'�����:� �
permitting. It is further understood that Transpoitation Impact Fees and Resource�=Recovery Fees must be paid prior.ta ��
receiving a "certificate of occupancy." or final.power release. (f the project daes not involve a certificate af occupancy=�oc�,��'�a�;
final power release, .the fees�-must be-paid prior to permit issuance. .Furttiermore,sif Rasco�,County W,a�erlSewer;-lmpac#`�,�� :� ,
fees are due,they must be paid priar to permit issuance in accordance with�applicable,Pasco.Coun#y ordinances, � � �
G�NSTRUGTlOAf.LlEN lAW{Ghapter 713,"Flai9da Statutes,as amendeci}. if valtaatiart af wor'k is$2,50QAO.or moce,4f:fr�,w e
certify that 'I, the applicant, have been provided• with a copy of #he���°Florida Constri:etian �ien -Law-=Flameowner's
Protection Guiden�prepared by the Florida Department of Agriculture and Consumer.Affairs. !f the applicant�is.someqcne.., �
ofher than the"owner", I:cerEify that 1 have abtained a capy of the�above'desc'ribed',document and promise�in goo.d`:f.aith to;,.,.
deliver,it.ta#he:`towner".:prior#o.;commeneement. � '
CC3NTRACTOR'S/OWNER'S AFFIDAVIT:, .I.certify that ail the irrFocmation in this appiicatian is accurate and'that alI"work
will be done in compliance with all appl'rcable�laws regutating construcEian, zon�ng�and land-devetopment. Application.is
hereby made to- abtain_a pe�mit to do:work-�and instalfation.-as irtdicated, ! certify that no �work or..lnsta!latiort has
commencecl prior-to issuan�ce of a p.ermit and��that all work will be pertormed to.meet standards of a!! laws regulating
construction, County and City codes, zaning regulations, and land development�regulations�in,�the jurisdiction: 1�also
certify that I understand that the regu(ations of ofher goverr�ment agencies may apply to the intended work, and that it is {
my responsibifrty to identify what actians I must take to be in compliance. Such agencies inctude bu#are notdimited:,to: -
- ,Department of Environmental%Pratec#ioia-Cypress BayFieads, We#land Areas and Enviranmentally Sensitive '
Lands,WaterlWastewater Treatment: �
- Southw►est Florida Water Management District-Wells, Cypress _Bayheads, Wetland Areas, Altering �
Wa#ercourses. -
- Army Corps af Engineers-Seawails, Dacks, Navigable tNaterways,
- Department of Heatth & Rehabi(itative Services/Environmentai Heaith. .Unit VVe(Is, Wastewater Treatment,
Sepiic°Tanks. � �
- US Environmenta!Protection Agency-Asbestas abatement, , .
- Federal Aviation Autharity-Runways.
I understand that�:the fallowing:,restrictions apply to the use of fill:
- Use of fill is not allowed in �iaod Zane"V" unless expressly permitted.
� - If the .fiff..material.is'to 'be u5ed in. Flood Zane "A", it is understood that a drainage p(an addressing a
"compensating vofume" will be submitted at time of perm€fting 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 connec#ion with a� permitted building using stem waH
construction, I certify that fill will be used anly to fill the area within the stem vuall.
- If fiIF inaterial�is to .be used in �any area, 1 certify tha# use af such fill will not adversely afifect adjacent
properties. Ef use of fll is found to adverse(y affect adjacent properties, the owner may be ci#ed for vialating
the condi#ions af the building permit issued under the attached permit.application, far lats less than one (1) `
acre which are elevated bjr fi!!,an enginee�ed drainage plan is requi�ed.
If I am the AGENT FOR'fHE OWNER,-I promise in good faith to inform the owner of-the permi#ting conditions set forth in
this affidavit prior fa commencing constructlon. I understand that a separate permit may ba requised for eleetricaf wark,
plumbing, signs, wetts, paols, air conditioning, gas, or other installations not specifically included in the application. A. �
permit issued shalt`.be canstrued#o�be a license to praceed with the work and not as authority.to violate, cancel, alter, or
set aside any provisions of#he fechnical codes, nor shall issuance af a permit prevent the Buiiding Officiat from theceafter
requiring a carrection of errors in plans,constru�tion or violations of any codes. Evety permit issued shaH become invatid
unless the wark authorized by such permit is commenced writhin six months of permit issuance, o� �€work autha�ized by
#he permi#is suspended or abandoned for.a p.eriod.of six(6) months after the time the;wark is oommenced. An extension
may be requested, in writing, from fhe Building Official for a period not to exceed ninety (90) days and-will demonstrate_ � �
justi�able_cause.fot.#he,extension. tf work ceases far ninety(90)consecufive days,the.job is cansidered abandoned.
- � "'WARIVI�l��TQ L1MlNER; YQUR.F�:I�:U�3l� "�C!-�I�CORD A NO�'�CE-4F-COMMENCENIEN'1'=NlAY RESULT IN YOUR ��` I
PAYtNG TWICE`FOR IMPRClVEMENTS_TO YO.UR.PROPERTY.: IF YOU:�lNTEND TO�OBTAlN.FINANGING,CC?NSU�T 1
WIFH YOUR CENDER OR AN�ATTORNEY BEFORE RECORDING YOUR NO[ .I E OF�CO C ENT. i
FLORIDAJURA7{F.S.947.Q3) __ _ +' i
� �. _ j .# -
' C3WNER OR AGEFIT CONTRACTOR O t'" Od i /I�I L' �
Subsc�ibed and swam to{or affimied}before me thls 8 cribed n swom to{or aft'irmed)before me thi >• � (
by �.
Who is/are personatiy known to me ar has/have produced ' ` Who�/ar onally k to me ar has/have produced ��
as IdenBfication. as identiBcallon.
�
Notary Public � "� Notary Pabl3c
� " ,,� i;1�'�£ JACQU Ll BOGEB -
Commissfon No. ssion o/r
;;�� .�4���,' �xplres DecemDer 12,2018
ea,aoa rnN
Name of Natary typed,printed or stamped Name af tVotary
F ,