HomeMy WebLinkAbout17-18363 �--
CITY OF ZEPHYRHILLS
" - 5335-8TH STREET
(813)780-0020 18363 �
_ BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18363 Address: 6133 SILVER OAKS DR �
Permit Type: MECHANICAL ZEPHYRHILLS, FL. ;
Class of Work: ROOF REPLACEMENT Township: Range: Book: I'
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS �
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Est. Value: Parcel Number: 03-26-21-0120-00000-1271 �,
Improv. Cost: 12,400.00 OWNER INFORMATION
Date Issued: 4/13/2017 Name: DANIELS RONALD H & DEANNA J '
Total Fees: 100.00 Address: 7709 KINGSBURY RD �
Amount Paid: 100.00 DELTON MI 49046-9628
Date Paid: 4/13/2017 Phone: �
Work Desc: REROOF SHINGLES
CONTFL4CTOR S APPLICATION FEES
GAVIN ROOFING A/C CHANGEOUT 100.00 ;
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Ins ections.Re uired
DUCT INSTALLE
DUCTSINSU
FINAL `-
REINSPECTYON 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 i,
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. � �
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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s�3-7saaaza City ofi Zephyrhii(s Permit App(ication Fax-813-780-0021
,� � Building Department ;
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Date Recefved .Phorte Gontact for Permittin �� — c� � �
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Owner's Name l�/Q"L-� (J�/�/� Owner Phone Number
Owner's Address �J �>�V�� �+�.5 u� Owner Phone Number �— ��
Fee Simple Titlehoider Name �� � Owner Phone Number � �
Fee 5lmple 7itleholder Address
J08 ADDRESS IQ ,�� S 11-U�L. �!�"1�.� U� LOT# ��
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su�o,v�stoH Si�tfb-/�-�,a�af � ��c��.io# D 3:2�'�" 1,�1�.D�--�1(t�11� � i
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e .. NEW.CONSTR'8 ADDIAI.T Q SIGN Q Q DEMQI.ISH ,
INSTALL REPAIR ;
PROPQSED'USE Q SFR � -COMM � QTNEt2 . �
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TYPE"OF CONSTRUCTION [� BLOCK - Q FRAME [� STEEL Q
DESCRiPTtQN-OFWORK /`-�-� ��� �dZl�' �"�1 ,/�s I�J�C�S '
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BUII:t3iFtG SIZE � � SQ F.00TAGE HEIGHT ����
UiLD1NG � ^y �� � �Ai.UATtOt�'OF TOTAL CONSTi2L'ICTION
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..QELECTRIGA� $ AN2P SEF2VICE Q PROGRE$S ENEF2GY Q W.Ft.E.C.
QPLUMBiNG $
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QMECHANICAL $ � VAi.UATlON QF MECHANICAL iNSTAIEATiQ�V
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QGAS RQOFING Q SREClAI.TY � QTHER �
FINISMED FLQOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
8U1E.DEEt COMPAtdY
SIGNATURE REGISTERED Y/ IV FEE CURREP Y%N
Address -License# � �
ELEG,TEttG�AN < COMPANY
� SIGNA7URE REGI$TERED Y/ PV FEE CURRE� Y/N.
Address License# �— � � {
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PLUMBE�2,; , CONtPANY
��SIGNA�URE 'RECaISTERED Y�/'N FEE CURRE� Y/N II
Acidress License# :.
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NfECHi4N1CAt; � � COMP,ANY ,
'' �SIGNATURE? REGISTERED -�, Y/ N FEE CURRE� Y/N
Add�e`ss�� � ` - Llcens,e.# �ii�
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�`SIGNATUREc"a,��:5 .�� \--`��� (,,r'�-"' - REGISTERED Y/N FEE CURREK ; Y/N
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�'':RESIDENTtAt.,;;,:,. :Attach;{2);:PEot;Plaris;'(2}fsefs-df�Buililing�Rlans;(1�)'set of�Energy,For'tns;R-Q-t(Y,Permit,for new,constivc6on,.
r' � �� - Minimum tenc(,10):wo�rking�days�:afte��submittal.date.�Required tin'site;Con's`tr'uction Plans;Storinwater'Plans w/Sllt Fence ins#alled,
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`<�>•._ Sanifa,:Facilttie.s;&j;l�dum ste_r,:Slte;=Wor,k P.errn'tt for:,subdivisions!!a e; ro ects -. `: �
_.,,_< ,. �!!s.-, .�._.�r:;� P .�'°. _ ,_ _ �9 �P �
;riGOMMERGIAl, A#tacti°°(2}�corriplete sets ofBuitding'Plan`s pliis a L'ife Safety Page;{1)set of Energy Forms.R-O-W Permit for new construotian. _
� Minimum ten(10)working days after submittal date: Required onsite,Canstruction Plans,Stormwater Plans inr!Silt Fence inskalled,
Sanitary Eacillties&1 dumpster.Slte Work,Fermit fa��aH-new projects.AI!commerciai requirements.musk meet comptiance
:,�-SIGN.PERMtT "Rttaoti(2}sets�gf,Engineered'Plans:<<��:��'� �. ' - �
`-� ` "*"PROPERTY SURVEY required for aII,NEVIG canstruction.. , -
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.�;Direc�toris: ,��� _- . -.� �
� �'Fill<out:application completely
t)uimer&Ccintra�tar.sign:kiack of applica#ion,natarized
�if oVer.$2500;a Notice:of=Commencement is required. (A/C upgrades over$7500)
',="�-_..AgenY(far'ttie�cant'racto�)�or�Power of�Atiamey(for'ttie'owner)wauld be someone with notarized letter from o+nmer authorizing same ,
��,�O.V".ER�.THE"CQUN'fER'PERMI7TtNG., ,(capy..of-contract:required) ' '`' � `
�Reroo'fs•if sliingles Sewets;,n„,_,_:Serv,ic�;,Up.,gra�l,es.A(�,,a:,,.F,�itGes(PIoUSurveylFoatage) . ,,,,.,.,,,,,�,�rr
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. Driveways-Not over Counter if on;pu�lic ro�d�va�/s ne,ed�'RQP1V� :� r• r��y; � '''-''''` :'�:' ,
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NOTICE OF DEED RESTRICTIONS: The undersigned undecstands.that this pe�mit may be.subject.to'�deed°_restinctions�_�;�Y,,,_��
' i.h.�;-'.n�._... . ;4., � 't � 3
which:may::be:moce.restrictive;than�.County�.regulations: The�undersigned�•assurries�espans`ibility'for compl�ance;with�any <
appiicabie•deed restrictions.. . °> ,:>;`�,�°;:;:�:��:`':�=,
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UNl.lCENSED: CONTRAGTC�RS ANC.? CON'fRACTQR RESP4NSIBIL-ITIES:: �if�ttie=-c►wrier=tias��tiirecl�a;�cctnt�actor or �
contractors�to undertake work, they.may.;be r:equiced:to be<licensed in accordance with.state and:'local,regulations:=-.lf;�tti:e=�--.-_��
�. _ .�,.�_.,.... ,v , _ ; ,
contractor is�not:licensed:as required liy"law, both�the owner:and'�eoritracfor�may,6e ctted�=for a.amisdemeanor violation� ..� ,��'
under sfafe law. �If the owner or intended,contractor are uncertain as ta what.licensing requir,.e�ments:�mayf�apply:for�;tFie:�`,:;"� �
intended work,they are�advised to con�act#fh`e'Pasco Caunty Buildirig'Inspecfion�Division-=C:icensing:Section at'727�84:7= `-
8009. Fu�therrnore, if the owrter-has F�'rred`a� caritractor-br cantractors, he is aclvised ta;ihave the, aontractor(s}„signF,..,..;,',
� .,.� .• ,. .: ;..,..�w:::.. �. ,
portions of#he "contractor Block"of this,application.far which.they-wil! be responsibfe>=�If yau,,as,tlie°�aviriiet sign;as;�tfae�'="�.y`�'
con#ractor, that may be an indication•that he is'not praperly licensed:and is nof entitled'to`permitting privileges�,in Pasco:-,�,y;`;
County. . - ._ ...._ ' � , ;zs::�;..�.
TRANSPORTATION tMPACTNTIL-ITtES�tMPACT AND RESOURCE RECOVERY FEES:�The undersigned under.stands �,.;��;
•� �f�f�� �a;:..,_.�
that Transportat�an fmpact Fees and Recourse Recovery Fees:may.apply to fhe construct�on_of.new_buiidings,.�ci�ange�o.f�j�.�.:���,
use in-existing buiidli�gs,.dr.expansiori�o#.:existiiig�buildings, as specified in Pasco Caunty Ortiinance number$9�07=an.",d '�-;_'��
90-07, as amended. The•undersigned also understands, that such.<€ees,:as�:may;.b.,e.due, witl;be�_identified�at=�tt�ie�:tiriietof;.==����;�.
permitting. �It is furthervnderstood that�Transportation Impact�:Fees�•and Resourcc�Recovery,Fees�must be paid prior°to
receiving a "certificate.of-occupancy° or�,final;,power.release. If the prp�ecf does nat�,involve a certificate of occupancyryar��<;��:.�fr_
finat power release,;#he�fegs-must�•be_.paid prior to p.ermit issuance.,_�urthermo�e,..if Rasco County WateclS.e.,w,er,-Impact°�.<.,�- :-
fees are due,ftiey,must_be.paid prior to-permif'issuanee;in�accard"a'nce�withsapplaca�le.Pasco County ordinances. `'
Ct?N57RUGTION"LIEN'•lA1tU(Chapter 713, Flo�ida Statutes,as amended}: If valuation of wor:k is$2,500.00,or.more;;,i.��;� �
certify that I, the applicant,, have been-.provided�-with�-a-copy�,of�the "Florida--Consf�uction �Lien .i�aw .—Fiomeowne�s ',
Protection Guide" prepared'by ttie Florida Department of Agriculture and Consumer.Affairs. !f the applicant�is.s.omeone;..,_
,,:,:.�.
other than the"owner",:l,certify_that.l..have obtained a copy of the aboVe described'documenfi and-promise�in,goo,d`:fai�h-,to ,.,._
deliver it,to.#he"owne�;�priar.to:comrnen'cement:� ' � � �
CONTRACTOR'S%OWNER`S.AFFIDAV.IT:.°:1�.cer#ify that-aIF the informa#ion in fhis application is accurate and that all�work
will be done in compfiance with aii applicable iaws regulating construc#ion, zaning�and iand_�develapmen#. Application..is
hereby made to obtain._a .permit..to;do:.wark and insfalfation.:as�indicated. E�certify that no wark or instatlation�has
commencetl prior'to issiaance of a perrriit and--that all work will be pertotmed ta.meet standards of all laws regtalating �
construction, County and City codes, zoning regulatians, and land development�regulations�in..the jurisdic#ian: �I°also
certify that t understand that the regulations of other government agencies may apply to the intended wo�k, and that it is �
my responsibility to iden#ify what actians I must take to be in campliance. Such.agencies include:but are npt:limited:,to: �
- ..Department af Environmental.:Protec#ion-Cypress�BayFieads, 1Netland Areas and Environmentally Sensitive `
Lands,WaterNVastewater Tceatment. � �
- Sauthwest Florida Water Management District Wells, Cypress .8ayheads, Wetland Areas, Altering
Watercourses. ,
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitafive SenriceslEnvironmental Health Unit Wells, Wastewater Treatment, �
Sept�c°Tanks. � � - �
- US Environmental Protection Agency-Asbestos abatement. ,,�; ,
- Federa!Aviation�Authority-Runways. ��
I understand that;#he.follawing restricfions apply to the use of fill:
- Use of fitl is not aliowed in Flood Zane"V" unless expressly permitted.
- ff the fili materiaF is to be used in Ftoad Zone "A", it is understood that a drainage plan addressing a
"campensating volume° wil! be submitted at#ime of permit#ing which is prepared by a professional engineer "
licensed by the State of Florida. � -
- If the fill material is to be usad in Flood Zone "A° in conrtec#ion with a permitted building using stem wa!!
construction, I cerfrfy that fill will be used only ta fill.the area within the stem wa!!.
- if fiil maferial is ta be used in �any area, I certify that use of such�-fill will nat adversely affect adjacent
properties. If use of fiii is found to adversely affect=adjacent properties, the owner may be cited for violating.
the condi#ions of�the bu�fding permit issued under the attached pe[mit.application, for (ots tess than one (1) `
acre wtiich are eleva#ed by�Il, an engineered drainage plar�is requited. •
If I am the AGENT FOR THE OWNER,=! promise in good faith to inform the Qwner of the permitting conditions se#forth in -
this affidavit prior to commencing const�uction. I understand that a separate permit may be required for electrica! wark,.
ptumbing, signs, wetls, pools, air conditioning,.gas, ar ather installations not specifically included in the applicatibn. A.
permrt issued shall°be cons#rued to=be a license-to proceed with #he vuork and not as authority-to viota#e, cancel, alter, or �
set asicle any provisions of tlie fechnical eodes, nor shali issuance of a permit prevent the Building Glfficial from #heceafter
requiring a correction of errors in plans,�canstr.uction or violationsof any codes. =Every permit issued shall became invalid
unless the work autharized by such,permit is commenced within six months of permit lssuance, or.if wark authorized by ,
#he permit is suspended.or abandaned for.a�period:,of six(6)Months after the time the wark i�commenced. An extens�on �
may be reques#ed, in'writing, from the Buitd'r`ng Official for a periad not to exceed ninety(90) days and will demonstrate
justifiable cause for the e�ension. tf work ceases for ninety(90}consecutive days,the job is considered abandoned.
WARNING TO OWNER:� YOUR FAlLURE T,O RECQ.RD,_A NOTlCE OF COMMENCEMENT•MAY RESU�T IN YOUR
PAYING TWICE'FOR.IMPROVEMENTS TO YQUR:RRQPERTY.. !F YOU>.lNTEND-TO�OBTAlN=:FlNANCING,CONSULT
WiTH YDUR`l'ENDER OR AN ATTORNEY BEFORE REC.4RDING�YOUR NOTIGE OFSCOMMENCEMENT.
FLORtDA JURAT{F.S.417.Q3j �
"' _ ��� __� -. -�_--._- _ _ _
I OWNER OR AGENT _l��_ � CONTRACTOR� _ �,''�,,,�,'.�' .____.._ _ - --
8ubs G and swom to{or a nned}before me this Subscrib d and swom ta(or affirmed}before me this -
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h is! re perspnally known to me ar has/have produced o is/are personally known to me or has/have produced
as Identifica�on. as identification.
����� . ,!/lQ. �.�������-Notary Public � Notary Pubtic
Commission iVo. �� �1.1�'11� ��. Commission Na.���io� ��..�/� h�.li�-1`�it-+�
Name of ��L Name of Nota n
,,,,"'� DE9EtA ELAINE - . �:Commissian#G�045343
!irp:. . �.
��°"...��Commission#G����3 '*D
2020 �,;� �o,:Explres November 7,2020
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Pemifl No. Parcel ID No � �� �"�'�l�D-OB090~l2 7�
NOTICE OF COMMENCEMENT -
State o! ��'0/�-/P//�' County of ��SLV:
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THE UNDERSIGNED hereby glves notice that improvement will be made to certaln real property,and in accordance with Chapter 713,Florida Sl'atutes, ��
' the following Infortnation is provided fn this Notice of CommencemenL• �= �
0 3 -�`-�.�-m/�o-o�ooa—1z7� �_
1, Description of Property: Parcel Identification No. N=
StreetAddress:�r.3� S/�vE/� ��'�S U� ��/�[�/�JT-/LL� �L— N= �
2. General Descriptlon of Improvement /�%/���/`%�� ���-��''' � '
3. Owner Infortnalion or Lessee infortnatfon if the Lessee conlraded for the improvemenl: — �
��N��D �/�-nlicl�' _ � z � �
�/3� �iCdE2 B�/f�llS ��• 7�CONV/L,4�i�GJ', �� = ��� � cn w v
Address ��/ Cit� Slate � �Z� Q � J �
InlerestinProperty: �W�E� Q o� Cn J N � �
Q. (�� 2 Q � �
Name of Fee Simple Titlehalder. � ' ' ���z � � WQ
,_ (If diHerenl hom Owner listed above) —
C�oS- J �
� Address /I� �/ �� � Clry State } ��-- � Q 0
ConUador. l�Ir!/�/� ,�Q��"�ii/� 1— W �1- �1= U U
Name�� A�� �c�� � (r L 1 rG 33�� � ��� �,. °�
Address City Stale O � �t}1 � Y
3S�-S&�SD3�/ a a�
Contractor's Tetephone No. t3 =U� z
5. Surety. __� ' ?u�i o Q~ f"' J Q J
Name r" ,v�, � 1- U pp � U
Wm-. LL W� z OJ
Address .�_ Ciry Stale N m� O � � Q Q � w �
Telephone No. �m� � = Q •
Amount of Bond:S J p � W Q � } Z i
6. Lender. �� s � LL Q � � � � ��
Name . � Q F— Z (n (n
�M W � I
Address �� Cily �. ; State , -1� � � w � Z�¢
Lenders Telephone No.. '`^; `' �m� Q'� � �_,,,�� �
Z
7 Persons wilhin lhe State of Florida designated by lhe owner upon whom notices or other documenls may 6e:served as provided by �m� (n � � Q � Qa.
K mO
Sedion 713.13(1)(a)(7),Florida Slatutes: ' ' � •
n m � � � �
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Name � * ,' � ��0'`
,_— 7c
� Address � City State ��� �� �• ��
Telephone Number of Designated Person:
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_ �\ ��•..... �
8. In addition to himself,the owner designales , °�— � a , �j
^—� to recelve e capy of lhe Lienors NoUce as provided in Sectlon 713.13(1)(b),Florida Stalules. � m D'� ��� �
�� �c.'�� e um
Telephone Number of Person or Enlily Desfgnaled by Owner: �r a -� , ' +. �
�W
9. Expiration date a(Notfce of Commencement(the explratlon date may nol be before lhe compleUon of cqnstruclion and final payment to the ��o
/�l�
contractor,but will be one year from the dale of recording unless a dlRerenl date is specifled):_� !� ��m �`�,,�' � 9 • *
WARNING TO OWNER: ANY P A Y M E N T S M A D E B Y T H E O W N E R A F TER TH E EXPIRATION OF THE NOTICE OF COMMENCEMENT �O�� � �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART i, SECTION 713.13, FLORIDA 5TATUTES, AND CAN ��z ���N1�� �
RESLILT IN YOUR PAYING TIMCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED'AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT N�j o
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ��D
N
Under penally of perjury,I dedare that I have read ihe foregoing noUce of commencement and thal the fads stated Iherein are lrue to lhe best �3 0 .
of my knowledge and belief. ��.,�
�P � '
STATE OF FLORIDA � �J /�� p x
COUNTY OF PASCO —' �"+°°
Signature of Owner ar Lessee,or Owners or Lessee's Authorized ��o ,
OKceADirectodPartnedManager � �
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0
Signalory's TillelOHice m I
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The foregoing Instrument was acknowledged before me lhis�day of �1 ,20I7,by R�nl� ��5 !
as (type of authorily,e.g.,officer,trustee,atlorney In fact)for �
I
(name of pa n behatf of whom insirument was executed).
Personally Known❑Og Produced IdenUfica/t�ion� Nolary Signature � �"' ^ �
Type of Iden60cation Produced �� J��1��LPS/I P Name(Prinq ��o/����3
BRIRN DANIS
��°� Notary Public,State ot Flai�da
Commisslonq FF 167342
My cqmm.e�ires OcL 9,2018
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