HomeMy WebLinkAbout17-18326 CITY OF ZEPHYRHILLS
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(8i3)78o-0020 1832
BUILDING PERMIT
PERMIT INFORMATION LOCATION.INFORMATION
Permit Number: 18326 Address: 4759 SILVER CIR
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: CHALFONT VILLAS I
Est. Value: Parcel Number: 15-26-21-0190-00000-0080 '
Improv. Cost: 5,290.00 OWNER INFORMATION
Date Issued: 4/05/2017 Name: HARBESON RITA
Total Fees: 65.00 Address: 4074 37TH AVE N
Amount Paid: 65.00 ST PETERSBURG, FL. 33713-1227
Date Paid: 4/05/2017 Phone: 727-253-1074
Work Desc: REROOF SHINGLE
' CONTRACTOR S APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 65.00
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Ins ections Re uired
DRY IN R OF INSP
TAPE JOINTS R F 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
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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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CONTRA ' ATURE PERMIT OFFI R
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
= Building'Department
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Date Received Phone Contact for Permitting —
Owner's Name � Q Q SO Owner Phone Number - � ��
Owner's Address '�} . ��+h 1.�� V , i� �S ! , Owner Phone Number
33�13
Fee Simple Titleholder fdame Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � ! �.� ��I��1� I [�I � LOT# �
SUBDIVISION c� �( c� PARCEL ID# b0� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRIJCTION Q BLOCK • Q FRAME 0 STEEL Q
i. � .
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ � VALUATION'OF TOTAL CONSTRUCTION
1
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS � ROOFING Q SPECIAL.TY 0 OTHER ����
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � . COMPANY ,�
SIGN14TURE - REGISTERED Y N �FEE CURRE� Y/N
Address y� �. 1 License# C :3aS� `�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address Cicense# - +
PLUAABER COMPANY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address License#'
IVIECHANICAL � , COMPANY
SIGNATURE' ` Re�ISTeReo Y/ N FEE CURRE� Y/N
Add�ess � _ -License.#�
O'THER=• "- COMPANY '
SIGNATURE=- ;'• - ` REGISTERED Y/.N.. FEE CURRE�' , Y/N
Address - � License#
.RESIDENTI.AL ., Attacli•(2).Plot Flans'(2);setsof Building•Plans;'(1)'set of�Energy Forms;R-0-W Permit.for.new construction,
, • , Minimum,ten;(,10)working;days after.subrriittal dafe. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed,
Sanita.ry,Facilities.&°1•dumpster Site.Work Permit for subd'ivlsions/large projects� ' - "
_ 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.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance � �
�'-SIGN PERMIT ;4ttacFi(2)sets of;Engineered Plans.
� "*"PROPERTY SURVEX required for.aILNEW construction.
'�`Directions: � -. �
- Fill out application completely.
Oinrner&Contractor sign.back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
" Agent(for the�contractor)'or Powerof Attomey(for ttie owner)would be someone with notarized letter from owner authorizing same
;OVER THE COUNTER PERMITTING-�,�,�,;�� (copy.of contract�required)
" Reroofs if shingles Sewers ,.��Service Upgrades A/C' Fences(PIot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW.
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NC}TtCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" _,,
whieb.may;be.more�.restrictive than,Caunty regulations: The=.undersigned�assumes tesponsibility°for compiiance witFi any' `"
applicable deed�res#ric#ions. . .,, �••,;�
UNLICENSED.CCINTRACTORS AND CQNTRAGTOR RESPC►NSlBILlTIES: !f the�owner-has hired �a cont�actor or
contractors to undertake�work, they may,be required to be licensed in accordance with state and loca! regulations: lf.the: ��
contractor is nat.licensed as required by law, both the owner and contractor m`ay�6'e cited for�a misdemeanar violation
under state law. If the owner or intended contractor are uncertain as to what (icensing requirements,�may�:apply:for°the.� �" i
intended work, they are-advised to caritact the Pasco County Building Inspection Division=L:icensing Section at 727-847- j
80Q9. -Furthermore, if the owner has hired'�a contracior or contractors, he�is advised to �have the contractor(s} sign ,,;, �
portions af the "cantractor Block" of this application,for which they_wiA be responsible. !f you, as•ttie�owner"sign as't}ie �
contractar, that may be an indica#ion that he is nat properly licensed and�is not entitled�to�permitting privileges in Pasca
Caunty. � " . . � .
TRANSPORTATI4N IMPACTJUTILITtES IMPACT AI�D RESf3URCE REGOVERY FEES: The undersigned understands �
that Trarisportation lmpac# Fees and Recaurse Recavery Fees may.app(y to the constructian of,new buildings, cfiange�of�` "
use in existing buildings, or expansian af exisking buiidings, as specified in Pasca Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be.due, will-be identified at�ttiertime�of�� .
permitting. ft is further understood that Tra�sportation Impact Fees and Resource Recovery Fees must be paid p�ior ta
receiving a "certificate of occupancy» or final power release. lf the project does not involve a certificate of�occupancy,�or =
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer.Impact:.
fees are due,they must be paid priar to permit issuance Pn accordance with applicable Pasco County ordinances. �
CONSTRUCTIQN LfEN LAW(Chapter 713, Piarida Statutes,as amended}: If valuation of work is$2,500.QO.or more,:i., ,..
certify that I, the appiicant, have been provided with a copy of the "Florida Construction �.ien Law Homeowner's
Protection Guide" prepared by the Flarida Qepartment of Agriculture and Consumer Affairs. !f the applicant�is someane,
other than the"awner", I certify that I have abtained a capy of the abave'descri6ed'tlocument and promise�in goad'faith to' �
deHver.it ta the."awner"prior to commencement. '
CCa►NTRACTOR'S/OWNER'S AfFlDAVIT: I cerfrfy.fhat all the information in this application is accurate and�that al(work
wi!! be done in campliance with all applicable laws reguiating cons#ruction, zoning and land develapment. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no wark or installation -has
commenced prior to issuance of a permit and that a!! work will be perFormed to rneet standards of al! laws regula#ing
construc#ion, Caunty and City codes, zaning regulations, and land development regulations in the jurisdiction. I alsa
certify that t understand that the reguiatians of other government agencies may apply to the intended work, and that it is
my responsibifity ta identify what actions I must take to be rn compliance. Such agencies include but are not limited to:
- Department of Enviranmental Protectian-Cypress Bayheads, Wettand Areas and Environmentally Sensitive
Lands,WaterM(astewater Treatment.
- Southwest Florida Water Management District-Wslls, Cypress Bayheads, Wetland Areas, Altering
Wa#ercourses.
` - Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways.
- Department of Neaith & Rehabiiitafive Services/Environmental Heaith Unit We11s, Wastewater Treatment,
Septic Tanks.
- US Environmenta! Protectian Agency-Asbestos abatement.
- Federal Aviation Autharity-Runways.
1 understand that�the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone°V"uniess express�y permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
°compensating volume" will be subrr�itted at time of permiiting which is prepared by a professional engineer
licensed by the State af Florida.
- If the fill material is ta be used in Flaod Za�e "A" in cannection with a permitted building�using stem wal!
constructian, I certify that fill will be used anly to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such��fill will not adversely affect adjacent
prop,erties. I€use af fili is faund to adversely affect adjacent praperties, the owner may be cited for vioiating
the conditions of the building permit issued under the attached permit application, for lots less than one (9}
acre which are elevated by fi8, arz engineered drainage plan is required. i
If I am the AGENT FOR THE OWNER, I pramise in good faith to inform.the owner of the permitting canditions set#orth in �
this affidavit prior to commencing constructian. I understand that a sepa�ate permit may be required for elsctrical work, �
p{umbing, signs, wells, pools, air conditioning, gas, or ather iristallations not specifically included in the application. A �
permit issued shall be construed ta be a license ta proceed with the work and not as authority to viaiate, cancel, ai#er, or
set aside any pro"visions of the technical codes, nar shalf issuance af a permit prevent the 8uiiding t)ffcia(from thereafter
requiring a correction of errors in plans, construction ar violations of any codes. Every permit issued shall became invalid
unless the work authorized by such permit is commenced within six months of permit issuance, ar if work authorized by
the permi#is suspended or abandoned.for a period.of six(6)'manths_after the time the wark is commenced. An extension
may be requested, in wri#ing, from the Buildirig Official for a period.not to exceed•ninety (90) days and will demonstrate
justifiable cause for the extension. !f work ceases for ninety{9d)cansecutive days,the jab is considered abandoned. �
WARNING TO C?WNER: YC?UR FAILURE TO RECORD A NOTICE 4F GOMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YO.UR PROPERTY. IF YOU=INTEND.-TO�?BTAlN FINANCING,CUNSU�T
-!��l�'E!Y�UR�L-E�lD�F!�!R�►N-�'�T'ORNEX-��FORE=F�I�CORbING_Y.OIJ OTIGE_OF_CbMMENCEMENT._ _
FLOREDA JURAT(F.S.1 . }
OWNER OR AGEN7 ^ CONTRAC70R -
8ubscribed and swom to{or affirmed} e me fhis S cr�be d s n to(or affirme efore me this
ay —S
Who is/are personally known to me as/have produced ' Who is/ar p rsonally k wn t e or has/have produced
as idenfifica6on. as idenHfication.
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Notary Public �"�`"� Notary Public
Commiss(an No. Co mis on ,��
;*�' Y�:= Commission#FF 150422
Name of tVotary ryped,prinfed or sfamped Name of tVotary � '
�,��f � •ro Bon�d ru rny F�In Ineuraneo 600•385•7019
;�,�. ��.rtrPtt �i.Doffr�� �f �C���r�.Y ,�Yori��c, �r�c.
C/0 Richard Bartlett
38408 3rd Ave. � Zephyrhiils, FL 33542
(813) 782-5585 � (352) 523-1944 � (813) 973-7737
Lic. #CCC 1325499
One of the Largest, Oldesf, Mo�t Dependable Roofing Companies in Central F/orida
Specializing in Mobile Home White Commercia/Rubber, Shingles & Color Metal Roofing
RESIDENTIAL • COMMERCIAL • MOBILE HOME
LICENSED - INSURED - BONDED
• MEMBER OF THE CHAMBER OF COMMERCE& BETTER BUSINESS BUREAU • I
We do everything we can to maintain our A+ rating from the Better Business Bureau �
Serving Zephyrhilis, Dade City, Crystal Springs, Quait Flollow, We�ley Chapel, and S�rrounding Areas.
We liave�e-roofed oP repai�ed moPe Poofs(i9,000)in tfie pas�44 yeafs, lfran iFre iou�local leading roofing companies com6ined
i lNe do not charge extra fees for credii card purchase.Most companies charge 3 to 5%.
Date �/3/17 �
Name ��a, t-fQ���S��
Address 4759 Silver Gircle,Zephyrhil-1s ;FL: 33541
Phone �,�?� 3 — �Y���
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Remove complete shingle roof, complete haul away . 2 sheets of I
1 wood included in bid. �xtra is $ 35 .00 per sfiee ( labor &
material . Nail on a 30 lb base sheet. Install new wide white
dri ed e . Nail on a Silver Birch Dimentional shingle . Install
40' of lomanco ridge vents . New lead boots . No sales tax .
Per�it incliided. 5290.
Home Owner:
Richard C,Bartlett,Pres(dent&Owner A.Bartlett Roofing of Central FL,Inc.
THANK YOU
Your Business is Appreciated.
Payment upon completfon unless previous arrangement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado and other necessary insurance.
Dur workers are fully covered by Vi/orkmen's Compensat'ion Insurance,Cus4omer is liable for any charges'incurred in co�lecting this bill.
Rotten wood is an extra$35.00 per sheei(4•ply).Rotten fascia is$2.00 per linear foot. TOt81
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RCpt:1852375 ReC: 10.00 pAULA S 0'NEIL�Ph D PRSCO CLERK & COMPTROLLER � I�L 1�
DS: 0.00 IT: 0.00 04/05/201 03:5 m 1 f �� b��
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