HomeMy WebLinkAbout17-18212 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
• �__ (s13)780-0020 18212
BUILDING PERMIT /.�
PERMIT INFORMATION LOCATION INFORMATION - '
Permit Number: 18212 Address: 38426 NEW JAY AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL. �
Class of Work: ROOF REPLACEMENT Township: Range: Book.
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00100-0110
Improv. Cost: 3,820.00 OWNER INFORMATION
Date Issued: 3/01/2017 Name: HYLAND JAMES & PATRIZIA
Total Fees: 55.00 Address: 3 WALLKILL TER
Amount Paid: 55.00 OGDENSBURG NJ 07439-1160
Date Paid: 3/01/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
PDG ROOFING LLC REROOF RESIDENTIAL 55.00
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Ins e tions R re
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL ��` /�
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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 properly 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.
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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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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
,,,.' • Building Department
Date�eceived phone Contact for Permittin –
9 -
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Owner's Name a/�`�� { Owner Phone Number
Owner's Address � ZrG /l/�w�`� R L�� Owner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address '
JOB ADDRESS �q LOT# �
SUBDIVISION PARCEL ID#
(08TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B . NEW CONSTR B ADD%ALT � SIGN Q Q DEMOLISH.
INSTALL REPi41R
PROPOSED USE Q SFR Q COMM � OTHER _
TYPE':OF CONSTRUCTION Q BLOCK �- Q FRAME 0 ST,EEL Q
• .,� �
DESCRIPTION OF WORK DO �
BUILDING SIZE SQ FOOTAGE� . HEIGHT
I QBUILDING $�g�o 9d VALUATION'OFTOTALCONSTRUCTION
.
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ i�
^ ' �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
�
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QGAS Q ROOFING Q SPECIALTY Q OTHER ��
S�,,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
BUILDER -�^ COiNPANY � ���<h L C C
SIGNATURE ���� ��r �Y REGISTERED Y�/ N FEE CURRE� Y/N
Address License# ccc�.�3,�oQ�
'ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N ' FEE CURRE� Y/N
Address - License,# �
PLUMBER..: ' COMPANY= `
SIGNATURE REGISTERED , Y•/�N FEE CURRE� Y/N
, Address ' License#� �
. .<x .
flAECHANICAL' � � ; COfNPANY
''" SIGNATURE " REGISTERED , Y/ N FEE CURRE� ,• , ' Y/N . -
: ; , -
Add�ess F `• � � License.#
„r.�'LGi,�rf'. ., . . , _ _ .
OTHER� ''?` - C:OMPANY
.."SIGNATURE�i -� - REGISTERED � ..Y/.N. FEE CURREK Y/N
_< ,,,,: ,, .. '
Address.-,;. � ,:n'.. - � = � - � Cicense#
+;�`�RESIDENTIAL�^,?. ;AttacFi,(2)::Plof':Plans;`;(2)�sefs'of�Building-�Plans;'(1•)�setofEnergy;For'ms;R=Q;W.PeRnit:fornew.constiuction,.
_ __ _ �_-.�Minimum,;ten;(.1Q)working,days after•:�sutimittaGdater�Required`onsite;Gon`stniction Plans,'Stormvirater Plans w/S(It Fence installed,
� � -J �� � �u San'itary,FaciliGes;&;�1,,dumpster;Site;,UlCo_.�IePermitfor•`subdivis'ions`/largeprojects`- - � — -- � - -- - --
;��a.COMMERCIAL AttacFi��(2)�complete'sets of'Building Plans plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)warking days after submlttal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
�' Sanitary FaciliUes 81 dumpster.Site Work Permit fo��all-new piojects.All commercial requirements must meet compliance
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�.°.:SIGW:PERMIT "Attacfi'(2)sets;_of;Engineered:Plans.�� .:
�'���"" ,"'""PROPER7Y SURVEY,required for.aII.NEW.constructfon.. ,
�Directlons: .-.,. . . . ,.,
� " FfII ouYapplication completely.
•O.wner'&ConVactor sign back of application,notarized
if over$2500,a Notice.of Commencement is.requlred.,�.(A(C upgrades over$7500)
.. . ,u..,- .,..;,.�...t
Agent�(for�th'e cont�actor)•or�Power'of'Attomey'(for'tFie owne�).would be someone with notarized letter from owner authorizing same
;.OVER:THE COUNTER_PERMITTING,,.'� �.(copy_of�contract requi�ed)
'- Reroofs if sfiingles Sewers Serolce Upgrades A%C: , Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on pu6lic roadways..needs ROW �
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NQTMCE OF DEED RESTRICTlONS: The undersigned understands:that this;permit may_be.su.pject to".deed°srestnctians"�A;:?
which,may,be°more�:cestrictive.�than:County ceguEatians:.`The und'ersig�ed assumesk respoinsftift�tyt�for:•coiiipl�iance:-v�rith.any
applicable deed restrictions, -�=-��� �_��"��=4 �
UNLICEN$ED.:;CONTRACTORS AND CONTRACTOR RESP.4NSIBILITIES: If�tlie�ovirner��has"la'ired�a��contractor or r
contractors�to undertake work, they may be required to be;licensed in accordance with.state-and°local:r.egulations:,;-lf1#lie;:�'°�'r
contractor is not licensed.as:eequired;Ciy'taw, batii fhe owner:and'eontracfo�-may=�beC�cited��for;a�.��misde'rYieanor violation� , ;�
"under sta#e law. !t the awner or intended contractor are�uncer#ain as to what iicensing requir.ements:�rnay,�apply�for�;tfie.��°�;.
�jyn'�iMF._'•• �
intended work, they are�advised to contact the Pasco Courity'Buiftling fnspection'°Division=l.icensing Sectian at 727-847- �z ,
8009. Furtherrnare, if the owner has hired�a conttactor or cantractcits, he is advised to,'�have the:contractoc{s)-.sig;r�,,,�,,;a„
,� „ m.� 7.._ ._..,-Nr�.:.,,.��.�a..c;��.;.-.. ..,-,;�
partions of#he contractor Black of this application for which they will be respansible. If�yau, as'ttie�owner sigmas_'tlie ;,�
contractar., fhat may be an indication that he�is not properly licensed-and is n"o"f entitled�#o�permitting�privileges,in,,:Pasco;_._,,.� :
County. „ . ' :>..�;�.=s�.x;� ;a
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TRANSPORTATIt?N tMPACTNTlLITfES�IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands _ � �
that Transpor#ation fmpaat Fees and Recourse Recovery Fees ma�r;appiy to the constr.uctlon of new.builtl�ngs,.char'ige�of';}=n";; '
use in existing buildings, or-.eicpansian of:existing buildings, as specified in Pasco County �rdinance number 89�07 and =�} ,
90-07, as amended. The�undersigned alsa understands, that such,:fees, as-may.�be.dwe, will"be�identified�at���tti'e��time�of�'='=�$,;`�-
permitting. �tt is further understood that Transportation impact Fees�and Resource.RRecovery Fees must be paid prior to ',;-,
receiving a "certificate af accupancy." ar final,power release. If the.project does not involve a certificate of aecupancy:qr'>:���--''; '
final�power release, the-fees-m�st be paid prior to permit issuance. Furttiermore, if Pasco Counfy W..:,ater/,Sewer,-lrrrpae#"K,--r �
fees are due,ttiey must.be-.paid prtor ta permit issuance in accordance with applica6(e.Pasco County ordinances.
CaNuTRUGTlON�LI�N-LAW{Chapter 713; Florida Statutes,as amended): ff valuat►on of work is$2,.50Q.00_or more,,i:f.:�f; ;
certify that I, the applicant, have been provided with a copy_of the °Florida Const�uc#ion Lien. Law-Homeowner's .
Protection Guide" prepared�by tfie Florida Department of Agriculkure and Gonsumer Affairs. 1f the applicant�is.someone.., �
��,.�
ather than the"awner", i certify that( have abtained a copy of the abave d'escri6ed"document and promise%in goa.d`fai'tli°to.,, _
deliver�it.to.the`;awner°..prioc:to:commencement�. � �
CQNTRAGTOR'S%OWNER'S AEFlDAVIT:, ;I:certifjr that ali�the information in this application is accurate and that all�work
wili be done in compliance with al! applicable`laws regulating construc#ion, zon�ng and land_develapment. Appl'scatian.is
hereby made to abtaln_at_permit to do:_work=and insta!!a#ion .as�indicated. I certify that no work or.Installatfon-has
commenced prior to issuan'ce of a permit and�.that all work will be pertormed to meet-standards of al! laws re,gula#ing �
construction, County and City codes, zoning regu(a#ions, and land development�regulations�in�:the jurisdiation. I°aiso
certify that I understand that the regulations af other government agencies may apply#o the intended work, and that it is ,
my responsibii�fy to identify what actions I must take to be in campiiance. Such agencies inc(ude,but are not fimited.,ta: '
- ,DeparEment of Enviranmenta! �Protection-Cypress Saytieads, Wetiand Areas and Environmentaliy Sensitive `
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, ;4ltering
Watercourses. �
- Army Corps af Engmeers-Seavva(Is, Docks, Navigabie Waterways. ,
- Departmen# af Health 8� Rehabilitative ServiceslEnvironmentat Heaith Unit We((s, Wastewater.Treatment,
Sep2ic:Tanks. `
- US Environmental Protection Agency-Asbestos abatement. �
- Federal Aviation Authority-Ru�ways. � � _
i understand that<;the following:r.e`stricfions apply to the use of fill:
- Use of fitt is not allowed in Flood Zane°V"untess expressiy permifted.
� - If #he .fiil .material =is to be cised in Flood Zane "A", it is understood that a drainage plan addressing a
"compensa#ing volume" will be submitted at#�me of permitting which is prepared by a professional engineer , `
licensed by the State af Florida. � �
- If the fll material is to be used in Flood Zane "A" in cannection with a permitted building using stem wall
constructian, t certify that.fill wi(t be used only to fill.the area within the stem wall.
- if fiiF inateria( is to be used in any area, t certify that use af such fill wi11 not adversely a�Fect adjacent
properties, If use of fifl is found ta adversely affeat adjacen# properties, the owner may be c�ted for violating
the conditions"of the buitding permit issued under Ehe aEtached permit.application, for fots less than one {1_}
acre which are elevated bjr fill,an engineered drainage plan is requi�ed.
If I am the AGENT FOR THE OWNER,-I promise in gaod faith to inform the owner of the permitting conditions set forth in �
this affidavit.prior to cammencing construction. I understand that a separate permit may be required for electrical work, °
piumbing, signs, wells, pools, air conditioning, gas, or athe��installations not specifically induded in the applicatian. A. _
permit 9ssued�shall°be construed#abe a license ta proceed with the work and not as authority.to vialate, cancet, aiter, or
set aside any provisions of the technical codes, nor shalf issuance af a permit prevent the Building Officiaf from thereafter
requiring a correctian of errors in plans,�construction ar violations of any aodes. �Evety permit issued shall become inval9d
unless the work authorized by such permit is commenced within six months of permit issuance, or if wock authorized by
the permit is suspended or abandoned for a period.of six(6)months after the time the work i�commenced. An extension
may be requestecf, in writing, from the Buitdirig Officiat for a period.not to exceed ninety{90) days and-will demonstrate
justifiable cause f6r the extensian. ,!f work ceases far ninety(90)consecutive days,the job is considered aband'oned.
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WARNING TO OWNER: YOUR.�AILURE. TO RECORD;A NOTlCE 4F GOMMENCEMENT�MAY RESULT IN YOUR E
PAYING TWtCE'FOR IMPROVEMENTS TO YO,UR.PROPERTY. IF YOU�INTEND-TO.OBTAIN+FtNANGING,CQNSULT ' !
WITH Yt3UR'LENDER OR AN AT`i`ORN�Y BEFOR€.RECCfR�tI1VG-Y�3��2 ldOT��E l3�-COMIN�P�CEi�iEFi'T. �- � ^
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OWNER OR AGEFiT CONTRACTOR �� -�` �� �✓� �
Subscribed and swam to(or af�rmed}befare me tfils 8ubscribed and swom,to�qr aifirmed} fore me this � '
by :.�-2.-/"� by ri"t iS��t,.J J ��i!'i'1 �-' t!�
Who is/are personally knawn to me ar hasJhave produced ` Who 1 lare-p$rsqnall _,r�own to me or has/have produced
as Identiflcatian. �C..= ��t�t.rS'G=[.,�,�5� as identification.
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Notary Public ' 'u� � '-��� � Notary Public
'- /`` """„ JACQU LI OGES
•ih51':°Y,a%.
Commissfon No. Comm1 si fi tVo. =;' F�= ' FF 150422 �
;�; :Q: Expires pecember 12,
^'0.�' Bonded 7hm T F9in InswOnao 8003B5-7U19
Name of Notary typed,printed or stamped Name af Natary
l'his spacc tor use by C:lerk pS the Circuit Coar!onig_
I IIIIII f llll 1[ll�IIl[��Illl�I111 Illll 11111 IIIII 11111 I(�I Il0!
; Z�z��zsa�2
tiQTICE t?F CIJIYiIVIENCEMENT
Permii Number: �r
Ta.�Folio\a Gl�-Z��OG7�"'d(.'�1L7Q-+DI�f�
"i'he undersiracd hereby;;itia rsoticc thai imptv�emrnis»'i31 be made to ccriain rea��roperty,and in accardance a'iih Section 713.13 oiihr
I�Iorida Statuta,the tollo�sin�informxtion is proti•idcd in thr\OTIC.F,O�COJI�IF,\C:F,\IE\7'.
1. Le al Dcscripzion of grope �(stre ddzess re wrtd)�ti��'�� ���,,,cJ��7V_ aj��[„do,
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3 Creneral description ofimpravements:�/,'C(,��
3a, O�encr\am�. �"�'� ���
On�ser Address.����-t2-i� . e!./` �=/ _.- - - W t�l1 A
;b U�timcr's intcrest m sttc. 1y�� � __,._ m " �
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3c. Fee Simpte'3'uIc hoider(oCother than o«ncr}1+� 11 N@�
tYddress: �B.p
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�t. Cantractor Vame.� I �� � �
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Addrtss:�---I-�� �v,�-Ei..�-��-'ss-" � an�. ' � -,�� 3 a
5 5urec�•�ame�J'Y��_ Amount of bond• � �..�
:�ddress --__._�_ Phon: . -��
6. I.ender�ame:IYl� Contac; 0 m ry
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.4ddrcss: __, Phoste: � ��
7 ?�rson.rtthm thc State ai']�londa dzsignated M•outi�er upon�chom nouces or oth.r documcnu may be sen•ed�s provided h�• �y �
Scction 713,Ui 1 lta>7.Ftonda Stntu�es. "" �
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tiame:� Addtess
Phonc:�umber
8, in addizion to hims,:It;U��•ner 3es��natrs the follo�vmg persoa to rccnive a cupy of the L�enor's ttioiice as provided m Secnon
71.i.i3{!}jt�).Flor'sda Staiutes.
\amc:�f/,.rlt Addrers:
Phonc rumbcr. ___, m'°
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4. ��piradon date of I3otict of C:ommenremcn►(i�piration datc is om(11��car fmm datc af recorc+ing unlesc a diCferent date is �m 9
spcxifret3j � ' . �`v'
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l,ndcr pcnattus of perjun•,I decls,ie ilme t harc re:�d tl;e iiur;;um;;and iiiai�hc 1'acts sca�cd in ie a�c iruc ea:Lc bcxi oFm�•knoti�•Icdgc and bctief.
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�9������'�� STA7�OF FLORIDA, COUNTY OF PASC4
� o� THIS IS TG CERTIFY THAT THE FOREGOING IS A
��, _ :' ` TRUE AND CORRECT COPY OF THE DOCUMENT
�, ��. �,�, � ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
� • jnGocf�We7°"�x • WITNESS MYHANDA D OFFICIALSEALTHIS
� ,� � l.S�- DAY OF �J�f G� 2 Q�
¢r• -� �� PAULA S.O'NEIL CLERK&COMPTROLLER
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����������' BY � DEPUTY CLERK