HomeMy WebLinkAbout17-18258 , CITY OF ZEPHYRHILLS
• ' '« 5335-8TH STREET
(813)780-0020 18258
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18258 Address: 5420 16TH ST 38737 5TH AVE
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: 11-26-21-0010-14700-0140
Improv. Cost: 6,261.00 OWNER INFORMATION
Date Issued: 3/13/2017 Name: KENNEDY ROGER & NANCY
Total Fees: 70.00 Address: 38601 FERM CIR
Amount Paid: 70.00 ZEPHYRHILLS, FL 33540
Date Paid: 3/13/2017 Phone:
Work Desc: REROOF SHINGLE
� N RA
CO T CTOR S APPLICATION FEES
WIDNER ROOFING INC � RERO ESIDENTIAL 70.00
� n
Y `
�
�
�� _
�
<
Ins ections Re uired
DR 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
%��(,,..�. ..
�ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
-� _ �� � Building Department
Date Recelved Phone Contact for Permittin -
g..,
Owner's Name Owner Phone Number
Owner's Address ��eCJ( �-Pi��-�-�_ L%`, Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS ��� �� �� S LOT# �
SUBDIVISION PARCEL ID# I � -��e - � N�O 0 �J - O/��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED .. NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROP,OSED USE Q SFR Q COMM 0 OTHER .
TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME Q STEEL Q
.. � .
DESCRIPTION OF WORK (-t
BUIL"DING SIZE SQ FOOTAGE a-p s HEIGHT •
Q BUILDING $ ` � VACUATION�OF TOTAL CONSTRUCTION
b
QEI:ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. '
QPLUMBING $ `/ �n
� � ,� r�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
�
BUILDER COMPANY
III
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
'ELECTRI,CIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address - License# '
x M �
PLUMBER.,. COMPANY
�SIGNATURE t��isTeReo Y•/'N FEE CURRE� Y/N
Address - License#'
�- .MECHANICAL � COAflPANY
'SIGNATURE`' REGISTERED , Y/ N EEE CURRE� Y/N � -
Addre'ss��° � License.#
;F::. 1
. OTHER�• '"= r ' � COMPANY �
,"�SIGNATURE�.> ;= - �J REGISTERED Y/ N FEE CURREK Y/
. Address��.: ' • ����__;... � License# e L' �'- `��� �--
- - •t;.: - �-� . � ,
�• �_:�,; •���
•�`;`.RESIDENTIAL`;;-';AttacFi;(2);PloteP,lans;(2)'sets<of•Building�Plans;(1�)`set of�Energy'Forms;R,O-W Perrnit,for new.construction,
. h�.i;';>s.:;:-:_��:Minlmum;.terr(10),.working;days"afte�sutimittaGilafe. Required"orisite;CanstruCtion Plans,Stormwater Plans w/Silt Fence installed,
�;, - �� ������� ���Sanitary;Facilities;&;1,:dumpster;Sife._Work Permit for.>,subdivlsions/large`p�ojects� � � •
r,;COMMERCtAL AttecFr(2)'coinplete�sets'of�BuiliJing�Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
� - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
�=,�� Sanitary Facilities 8 1 dumpster..Site Work Permiffo�all new.projects.All commercial requirements:must meet compliance
fi��SIGN�PERMIT Atta6Fi'-(2)sets.of;Engineered:Flans:�f �. : �
""•"PROPERTY SURVEY,required for aI1,NEW constrvction..
=_Dfrectloris: , ��;:_.. . , �
� Fill:out application completely.
Owner.&Contra�tor slgn back of application,notarized
�, If over$2500,a Notice:of Commencement is required. (AIC upgrades over$7500)
'- "'' Agent(for`tFi'e�conuactor)�orPower�ofAttomey(for tlie oinrne�)would be someone with notarized letter from owner authorizing.same
'"OVER.THE COUNTER�PERMITTING, ... (copy_of contract•.required) " - ,
�`Reroof§if•shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
' Driveways-Not over Counter if on public'roadways..needs ROW �
__ ____ _-__ _ ___ �
.�_ .. '�3;..:t_:��`�7
w./' ' YI
NOTICE.OF DEED RESTRICTIONS: The undersigned under.stands,that-this;:p;ermit may be.subject to"deed" r.estyrictions"��q�',,�
.which may:be:,morerrestrictive:tthan Cauntyregulations. The�°urid`er.signed<<assumes-responsibEl�#y{#vr`�compfiiance:inritfi'any ''�
applicable deed restricfions.. _,,, �.•�-=�=:�� ��Y~�'=° -
UNLIGEN3ED CtJNTRAGTClRS AND CONTRACTOR RESPONSIBILITIES: !f-tFis-awrier,ttas� laired'�a-contractor'ar
contractors#o undertake work,.they,,may,;,be r•equired_ta be�licensed in accardance with state amd";local:r,egulations:t=.lf:tlie»:" ��
3 . _ . _ .. .. .� ._ -
contractor is not.licensedas requicetl liy'law; both4the owner`arid'cont�actor�rr►ay�6e=cited=for=a��misdemea�or viol�tion
under sfate law. If the owner. or intended.,contractoc are uncertain as to what.(icensing requirements=:rnay�appiy_fgr.�fFies;'�' ;�
,,...,.�;�,�.n ,. ..
intended wark,.they=are advised to confact tlie'Pasco County B:uilding Inspection''Division.=Licensing Section at 727�8:47= ',�A
II 8Q09. -Further-more, if the awrier-has`fiired�a conttactor or corttrac#ors, he��s advised #o`�ihave the cont�actor,{s};.sign_..,,.'�;:,
. ,,.._,��__. :;��:,
portians of#he "cantractor Black"of this applicatian for, which they..will.be respansible: _If yau, as`,fFie;�owne'�="sign;as=tlae��'�"��.i;
contractor., that may be an indication�that he is not properly licensed an�f is not enti#led to�permitking�privileges,.in..Faseo.F ,;:;;�r
County. - , ._. ' _..-_: � . v.,. ,�
TRANSPORTATION-IMPACI'/.UTILITIES�IMPACT AND RESOURCE RECOVERY FE�S: The undersigned unders,tands . `��
- �-..v�.4.:
that Transportation Impact Fees and Recourse Recovery Fees:rraay,apply to the eonstr,ucf�ora of newr6.uiJr�ings,.�change;rof��:�'�e`.5:,;;
use in-existing buildings„or,expansion of;existing buildings,�as specified in Pasco County Ordinance number 89=07�and, '�'
9Q-07, as amended. The�undersigned atso undecstands, that such-fees, as�may:be.due, will;6e�identifted�at:t#�e�tiriae••:of.����=�,:
permitting. -1t is further understood that�Transpor#ation Impact�Fees and Resource=Recovery:Fees must be paid-_prior to
receiving-a "certificate of occupancy.° or final..power release. If the:�roject does not involve a certificate of acci�par,icy>oc-;t���,�_�
final.power �elease;_the,:.fees.must be paid prior ta permit issuance.._�Fur#Hermare,�if-Pasco Gounty W�ater/Sewer,-lmpact::;.�� �
fees are.due,tfiey:�must.be paid prior ta-permit'issuance in accordance with'.applicable.Pasco.County ordinances. � �
CQNSTRUCTlON"LIEN•[:�A1N{Chapter 713, Ftorida Statu#es,,as amended): If valuation of wor,k is$2,.5.00.00,.ar mor.e„1.;;;{, ,;
certify that `I, the applicant, have .been. .provided with a capy.-of_the "Florida �Constructian :Lien Law-�-.Homeowner's �� ; �
Protection Guide° prepa"red by the Florida Depattment of Agricuiture and Gonstarner Affairs. ff the appiicant{is,someone,,.,.
other than the"owner",:i certify that.l:.have abtained a copy of the above"descritied'document�and promisepin gaod`:faitl�to,"�.,
deliver.it.to the;°owner"::prior<to.:corn%nencement:' � � � ✓ � �
CONTRACT'OR'SIQWNER'S AFFIDAVIT:�•:I.certifjr that�all the infor.rnation in th`rs application is accurate and"tFiat.alfiworic
will be done in compliance wi#h all applicable laws regulating construction, zoning�and land�d',eyelopment. Application.is
hereby made ta obtain a.,permit_to::da;�urork-and-installatmn:as�:indicated. f certify thaf no worlc or ins#allat�on�has �
commenced prior--to issuance of a p.ermit and=,that all work will be performed ta-meet-standards of all laws regulating
construction, Coun#y and City codes, zoning regulatians, and tand development regtilations�iri, the jurlsdictian. �-L.also
( certify that i understand that fhe regulations of other gpvernment agencies may apply to the intended wark, and that it is �
' my responsibility to identify wrhat actions I'must.take to.be in,compliance. Such agencies include but are not limited,to: '�
� - ;Department of Envlranmenf�l=Protec##on;Cypress Baylieads, Vlletland Areas and Environmentatly Sensi#ive
' Lands,Water/Wastewater Treatment. '
- Southwest Flarida Water Managerrterit District Wells, Cypress Ba}rhEads, Wetland Areas, Attering ;�
Watercourses. :�
- Army Corps of Engineers-Seawalls, Dacks, Navigable V►laterways.
- Deparkment,of Health & .Rehabilitative ServicesJEnvironmentaL Health Unit Wells, Wastewater Treatment,
Septic`'Tanks. ' � �
- US Environmental Protecfion Agency-Asbestos abatemenf. ��» �
- Federal Aviation Authority-Runways.
!understand that�_the.€oNawing restric#ions apply to the use of fill:
- Use af filt is not allowed in Ftopd Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating voiume" will be submitted at tirrte o€permitting which is prepared by a professional engineer "
licensed by the State of Florida, , '
'f - !f the fill mater�at is to be used in Flood Zone "A» in connection with a permitted building using stem wa11
construction, 1 certrfy tha#fiil will be used only to fill.the area within the stem wall.
- If �II material is ta be used in any area, ! certify that use of such��fill will not adverssly affect adjacent
properkies. lf use of fili is found ta adversely affect adjacent properties, the owner may be ci#ed for violating
the canditions of:the building pecmi# issued under the attached permit.applicatian, for lats�less than one (1) �
, acre which are elevated by fi11,an engineered drainage plan is requr�ed.
'I If I am the AGENTfOR THE OWNER;-I promise in goad faith to inform the owner of-the permitting:conditions set forth in �
I #his affidav�t prior Co commencing coristruction. ! understand that a separate petrnit may be required €or etec#rical work,. '
piumbing, signs, welis, pools, air conditioning, gas,._or othe� installations nat specifically included in the application: A -
� permit issued shall`be'construed to'be a license#a.proceed with the work and nat as authori#y.to'violate, cancel, al#er, or
�i set aside any provisions af the"f+echnical codes, nor shall #ssuance of a permi#prevent the Buitding Clfficsal from theceafter
I requiring a correctian of errors in plans, construction or violations of�any eades. Every permit issued shall become invalid
unless the work authorized by such permit fs commenced_within six months of permit issuance, or,i#work authorized by •
the permit is suspended or abandoned-for.a period.of six(6) rriontFis after the time the work i�commenced. An extensian
may be requested, in writing, from the Building Official for a period.not to exceed ninety (90) days and�will demonstrate �
justifiable cause for the extension. 1#worlc ceases fior ninety(90)consecutive days,the job is considered abandoned. `
WARNING�T{? QWPtER. YQUR PAlLURE TO REC..O,RO A NOTICE OF COMNlENCEMENT MAY RESULT 1N YOUR
PAYING TWICE'FI�R,IMPROVEMENTS TO YOUR:PROPERTY.. IF YOU,INTEND�STO�.OBTAIN:FINANCING, CONSULT
� _____W!_T_H_Y_AUR:L'ENDER_OR AN ATTC1RNk"Y BEFORE RECORDING YOUR NOTICi�OF�GO{1flMENG�NIENT .._
F�ORIDA dURAT{F.S.117 ) ` �
OWNER OR AGENT__ -C�,...i� •.��. CQNTRACTOR ��2 i,.l-�-s'.�--"'"L
, Sutiscribed and swom ta{ar affinned}befare me fhls Subsar3bed and swom fo(ac affirmed}before me this -
� by by
' Who is/are personally knovm to me or has/have produced Who islare persqnally known to.me or hasthave produced
as IdenBfication. as identifica6on.
Motary Public Notary Public
Commission No. Commissian No. �
Name af Notary typed,p�inted or stamped tVame of Natary typed,printed ar stamped
�
�
1 �
�, � � '� I Ilflll IIIII IIIII IIIIIIIIII IIIII IIIII IIIII IIIII Ilili IIII IIII
2017034540
Pertnil No. Parcel ID No_�/-oC.�P��'-������7�0 (J��D
4���„/�. ��/ NOTICE OF COMMENCEMENT
State of �1.6J�61.. Counly of ��-QiC.P'
THE UNDERSIGNED heieby glves notfce that improvement will be made to certain real property,and in acco�dance with Chapter 713,Florida Stalutes,
the following Infortnalion ts provided in this Notfce of Commencemenl: C'�
1 Description o!Property Parcel Identificadon No. •2.�e• - � (�- ���7(7�-p T'+�
Streel Address: �$�3� �� �J4 L U �
2. General Descriplion of Improvemenl� � �`'�ln-g.Y�a ,
�C7
3. Owner•Infortnation or�essee information if lhe Lessee contrected for the improvemenl I
o--,�-�.��, bC.�,��.
�e,� .. / ame n, � � '�
tp.o�k 1..�
Address City Slate
Interesl in Property �-��_ I
Name of Fee Simple Titleholder•
(If differenl from Owner listed above) � �1
Q�� �' I
Address City Stale �� � � �
4. Conireclor: � � ���� V
/�i_]e ' c�-�-- U Z� O� J }
� — t� cn �O O F-
� Address �L r�'�1n Cfty Sla�� " .� � Q= Q N � a
Conlraclors Telephone No. ��3- ��Yt bV U I �Z(�.v -3 �- � � � W � W
I 5. Suret: � � Wz � a �
y Name � � _ — J �
�' LL ~ � Q �
h. i.L. � U U ��
Address City State Z = Q � � �
Amounl of Bond; S Telephone No.. � � 1... U LL_
6. Lender _ � Q Q Q..' Q �
Name = UUz ��
Address City State Q r U m V�
LendePs Telephone No. � LL �yl � �J I
F-- � �- Q } w
7 Persons wilhin the Slale of Florida designaled by lhe owner upon whom�no0ces or other dowmeols may 6e served as provided by � � � � = Q Z I
I Seclion 713.13(7)(a)(7),Flodda Stafutes: LL U U � � O
Name " O � � � � ,
ll! � Q J J
Adtlress Cily State Q � � �y., � � ,
Telephone Number of Designated Pe[san: �
3. In addition fo himself,the owner designales - � ~ � � � a �
of_
to receive a copy ofihe Lienors Notice as provided in Section 713.13(1)(b),Florida Stalutes.
Telephone Number of Person or Enlity Designaled by Owner.
1. Expiralion date of Notice o!Commencemenl(the expiration date may nol be befare lhe completion o(consUuction and final payment to Ihe � � �
` .�
contractor,but will be one year from the date of recording untess a diHerent date is specified): J`"V ��
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � ' • O�
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC710N 713.13, FLORIDA STATUTES, AND CAN y� o
RESULT IN YOUR PAYING TVJICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE K �'^
I RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSUIT � ' � `�• "� � �
WITH YOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEtJT. � � o
. � 'y�
Under penalty af perJury,I declare thal I have read the foregoing notice ot comme�cemenl and that lhe faGs stated therein are trve lo the best :,�{T �•,� : �
of my knowledge and beliel. � ,, o _ �
�TATE�OF FLORIDA i.' � • �
:OUNTY OF PASCO .%��l, , 2��.-�-y �
v+" Notary PuElic Sfeta W Floritla 'SI rSature ol er essee,o�Owne �
'� � Sherry Widne� 9 Qj"� . - +�s or�essee's Authorized � , �s,
.�c�„ • My Cammission FF 075185 ONcedDireclOrlPartnerlManager ay� � �
orw� ExPires 12I082017 ' �
', Signatory's Title/OKce I � ��.� , *
he foregoing�nslrument was acknowledged before me Ihis�day o/ � ,20_,by /v ��/J
as �7�1"�- (type t auG orily,e.g.,g��er,trustee,al omey in fac!)for
(na o pa o ehalf of whom fn��v enl s executed).
ersonalfy Knawn�QR Produced Idenlificatlon❑ Nolary Signatur
�pe of Idenlificallon Produced Name(Print) �� � � 'Y ���
Repl:1844924 Ree: 10.00
DS: 0.00 IT: 0.00
03/30/2017 J. R., Dpi.y Clerk
PRULR S 0'NEII.,Ph.D.PRSCO CLERK & COMPTROLLER
>datelbcslnolicecommencemenl_pc053048 03/10/201 03:48 m 1 of
OR BK ���� PG 39_
--- -;.;p-- -a.r� - _ --;r.,:- -:;u ls:=-:'^ -_ -... ,. .- - ,. '''r(,::,.:.4 0 - - .;.-�,_ -. .—...—
�j'.__, t�. .. . . , . : . ' �. . i '` ' _ . . . �. ' " . � " .. ' :. '
�'s . ,s��: ' ` , . . , ���
1 , �-r _ -•- :--��i `'�
i � � � r. .. . :� � ;*�
� SOLDTO � i j SHIPT � , j_ - '_''�
, �c �,.J . � ` ;-=��
� ADDRESS � �� � ADDRESS � ���� �� ����
F CITY;STATE,Z!P•� - ' CITI;STATE,ZIP ?'�`�
I — �, - � -s�i�
� ;��
I CUSTOMER ORDER NQ. SOLD BY TERMS F.O.B. DATE � ;:-�
� , d � / � ,?�-�
f ORDERED SHN'PED ' ESGRIP ION PRiCE UYVIT ANiOUNT � `';
� � ` �.S �-- � "��
� j < ' : , � �1�
1 � -� "�
i � � � ` � '•� ��
i i x - �!�� � :,�
� � . ��; �..� o� ���
� I ` ��t
; ` _ :<�
s. 1 '��,y `:� �
� � � t �,l
� � , y=�. :. _
E . � �' � .
i � " " `
' 4 .
, �
� �a�etsm5@44 . . , ' ' ," :12-73
, _ : '_�.zr'':-"`-_:- - �d;;�;i>z;ri::.'� '
1 - ^.'k`: _ -��=#.:.:...,F�..a:%.,..=:%Y.. - "'+2r"�: 'v,�i'� 1:
- :;�Y l,.i. ' �.,li::,•.�'vr;%.;r�. _� ,{� .
( _ z'U�' .i:`+;"z, uFr' s' t' .r 4 i 6: �:.�'.��Y
+•1'. - i.�`e ' ''i�'��`a:-- _12'» ".1' :'k7..v:aiti:m�.`i�iw'*�S.:W,,..:�� -�
G::a!�'�.'„u`'v_-`::=r.:`��.....,%:�.x.�k.:�'��.�:c::b.id:V:#Fi=::aCl.«:.��;s;.i:<<e�iG:.ti'ta..:�i�%r�4;`=�;is.�„�.��c�c.::-�-`r�s=.'�,:�.u�a62��7:�.-".�:�'�_.i=-.::.-*„s�--= _ z..��wS�a..'�-`.:x�i.::r..v`w, - ---._. .
t �
i
t �
i � U
� .
� - 1
� .