HomeMy WebLinkAbout17-18486 CITY OF ZEPHYRHILLS
, ,
5335-8TH STREET
(813)780-0020 18486
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION-
Permit Number: 18486 Address: 5029 MEMORY LN
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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0040
Improv. Cost: 8,950.00 OWNER INFORMATION
Date Issued: 5/16/2017 Name: ROSADO JOSE TARSICIO VARGAS &VA
'� Total Fees: 80.00 Address: 5029 MEMORY LN �
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-8206 �I
Date Paid: 5/16/2017 Phone: ,
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 80.00
�
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOI�S ROOF INSP
, FINAL 5 '2�('/
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 properly. 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.
� �.
CONTRACTOR SIGNAT E 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 af Zephyrhilis Permit Application Fa�c-813-780-0421
' Building Department
Date Received .. Phone Contact for Permitting � -
•-�1--
Owner's Name 'J 4� °t.� U�'��/�`� Owner Phone Number O��J "- � .S-" .S`�,5
Owner's Address ��� �1���K (r '�l�J� �' /,(f/� Owner Phone Mumber �� �
Fee Simple TiElshotdar Name �- �� Owner Phane Number � �
Fee Simpie Tttieholder Address
�oa�a�ess 5 f� 2 q �'Mt3t�' �1� �t� � �l f�L �or# L�.._J
Su�D�v�s�oN SUM,�d�t4 /,�'l�t �� Pa�xcE�.lo# �'�'33 j f'��,� 3 8-�3�j
( BTAINED FRdPA PROPERTY TAX NOTICE) �
WORK PR4POSED � e . NEW CONSTR� ADDlALT � SIGPi Q � Q DEMOLtSH
INSTALL REPAIR
PROP..OSED USE SFR Q COMM �� OTHER
TYPE'.OF CONSTRUGTION BLOCK • Q 'FRAME �. STEEI. Q
DESCf21PTiON OF WQRK � I t d(�� �I� L r� �{�. �'/�'�" �?U�} _
BtttLA1NG SIZE �.�r d11 �G�i I��I�..� SQ FOOTAGE -I Y' �� NEtGHT -.�� �
_„
„ ,,.... � 1
�8���'���G ��' ��C� � ��, VALUATtON'OF TOTA�CQNSTRt1CT10N
�=
QELECTRtGAL $-------�~�"Y AMP SERVlCE Q PROGRESS ENEFtGY Q W.R.E.C.
QPLUMBING $ ' �C�Y(��Q.'" �
��
QMECHANtCAL $ VALUATtON t?F MECHANICAL INS7ALLATIOIV �i(� �-
� \�
�,GAS � R40FING [� SPECIRl.TY � OTHER `�
FINISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA QYES NO
�_
sui�a�r� ���, , cor���r ��'3���A./�
SIGNATURE ��� REGISTEREp Y�/ N FEE CURRE� Y%N
Address "License# � �
ELE•G,TE2i,G1AN : GOMPANY `
SIGNATURE REGISTERED Y/ N FEE'CURRE� Y/N
` Ai#clress Licettse# �- � �
PCUNIBER: ., CQMPANY-
SIGNATURE , REGISTERED Y•/ N FEE CURREf� Y/N
Address License# � �
MECHANICAt * COMPANY �
SIGNATURE�'" ' REGISTERED , Y/ N EEE CURRen : Y/N : .
Adil�e"ss�= � � ' Licens.e# � �
, OTHER'� ` , � . , ' GOMFANY
:'SIGNATURErI; � � ' REGIS7ERED .,Y/ N. FEE CURREK Y/N
�iidres5. ' - - - - _-_- Licans�#�-�- �
�r;t.:` ;::;,. .: .. ; �., ;. ,,. . .. .
�'RESlDENTIAI.`: Attach?{2);P1ot�Plans;�'{�)asetsdf•Building�Plans;(1}�set of�EnergY,Fottn,s;F3=0:VY Fe�tt.far n.ew.const�uction,.
;�.-:.��;�--.Minimum„tern.(:10),working;daqs=afte�su6mittal�daCe: Requ'ired'onsite;Constr'uction`Plans;StormVuater'Plans w/Siit Fence instalied,
� n`''` �� �Sanitary�FaciUtiesr8��.1>.dumpster;Sife;Wpck:Fermltfor..ysubdivisionsAarge'.projects� ' " '>' - � -
�:.;COMMERCtAL At#acti(2}�compteCe'se#s"of'Build3rig�P'lans plus a l.ife$afety Page;(1}set of Energy Fotms.R-O-W PermEt for new canstrucEion.
•• � - Minimum ten(10)working days after submittal date. Required ansite,Gonstruction Plans,Stormwater Pians w/Silt Fence installed,
� SanEtary 1=aciliUes&9 dumpster,.Site,Wotk Permit foi�aA•new proJects.AU commercial requirements must meet compliance
�:�•:StGN�PERMIT `Attacti(2)se'#s.of`Engirieerecf Plans: � � •
� � '""*PROPERTY SURVEY required for.aILNEW.cpnstructlon.... � ,
::� _ - - - - -
��Directions: , - a • . ,
'�Fill�out applicatlan completely.
� 'Ovuner.8 Contractar sign back of apptication,natarized
. 1f aver$2500;a Notice ofCommencement is required. (A!C upgrades over$750d) _
.�...'M' P.:i i-t.�r.:�:�
..Agent(for the•contractor)°or Power-of`Attomey.(for ttie owner)wauld tie someane with notarized letter.from owner authorizing same
'��OVER:THE�COUNTER:PERMITTING,�'...; ;;,(copyofconfract�reqyired) ' � ' _ Y�� ' � �
;?�Re�oofsif shingles Sewers Service,Upgrades AlC ' Fences(Plot/Survey/Footage) , � ' � .
� _ ,. , _ _;.., �. ,_. F,1„ i. ._. , ' � ' ,.
Diriveways-Not over Counter if on,pubiic°roadways..needs ROW, - _`
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NC1TlCE OF DEED RESTRfCT10NS: The undersigned undecstands:that.this.p,ermit may.be subject.to"deed"�restriction's,"�``'
which.may.:.be.moce:cest�iGtive:than:Counfy r.egtalations: Tlae�,undersignetl�assuriies`:�esporisibi!*ity;fo�=corripliance.wifh`any-"y �'
applicabledeed`�estrictions. . �. '.��'4y`>:;`�`'.°`'.��'` -`
UNLICENSED-�CONTRACTORS AND CON?RACTOR RESP,ONSIB1LiTtES:� =af�the-awner�has�•�liire`d'��a���eontractor .or
contractors ta undertake wark, they may:;bea required to-be!ticensed in accordance with..staCe and local:.reguiations:��"(f'ttie�:��=`��-�
, .. . _.. ,:,.. ...:_.:.�,. :--_��
contractor�is.not 3icensed.as required`tiy'law, bbtFi:the awner anti"contractor:.riiay;jtie�cited--far.;,a:m►sd`errieanor violation� ,:;. �
under stafe law. If the owner or inter�ded.co.ntractor are uncertain as ta what licensing �equirer`t�ents;rnay�:appiy for:°`the..>`�: .' •'
intended work, the are�advised to contacfxttie Pasco Couri Buildin �Inspectiori-0ivision
�
' � I3ISCLOSIIRE STATEE�NT FOR QWNER
CITY OF' ZLPHYRIiILLS BIIILDING DEPARTP�NT
_. '" d s� ���"���� hav� read aad fu21y uaderstaad aad
agree to the provisiona of this instrumeat.
T3se unders3,gaed sta�es aad affirms that he or she is desiroue of canstructiug,
renovatiug, adding t�o ar reroofiag his o h r own domicile, that he or she
actually occupies, ar wi13 oecupy by ���� said domicil�. and same is aot far
reat, lease or sale. That he or she shall compZy wi�h th� fallawiag eonditions:
I'. That the owaer aad he os eh� aloae shall act as the builder for all phaaes of
coastruction.
2. That the owiter will ccmply �vith all provisiaas of the City of Zephyrh311s
ardin�aces and codes pertineat to the buildiag.
3. That in the event various phases of conetruction �re subcontracted, h� will
engage anly prop�rly licensec� subcoutractars aad wi11 p�arsonally supezvise
such work.
4. That ia the eveat th� Buildiag Iaspector shall require correctioas to be ma�de,
�he owaer will assvme fu13. r�sponsibi2ity ta iasure tSey are made, and upon
complet3on will ca11 for a reiuspection befoze proee�c3iag with the build3.ag.
5. That the otaaer shall assuaae iEull respoasibil3ty for t�e coas�ruction and will
not expect supervision af hia work tram th� City af Zephyrhills Suildiag �
, Department. _
6. That pricr to final iaspeatiaa any adc�itioaal fees, incZudiag reiaspection
fees, must be paid ia full. A writ�ea request fram this offiee shaZl
coa�titute aa afficial notice to pag additfonal fees.
7. That� the owaer shall comply wa.th �11 City, State aad Federal laws ia regard to
social security, workman's campensa�ian, lien laws, eta. , sahere applicable.
8. That the o�va�r sh�31 camply with �11 the safety codes issu�d by the Fla=ida
'. =adustria]. Commissioa. �
, 9. Stat�e law zequires coastruction ta be dosie by 13.e�nse�. eantractars. You ha.ve
' appli�d �or a� permit uader aa exempt�.oa to that law. Th� exempt3on allows
you, �� the owaer of your property, to act as your own coatractor s,rith certaia �
reStrictions even though you do aot have a licease. Yau must prov3de direct
aasite supervision of the eanstruetioa yoursalf. You may builc� or improve a
one-f�xnily or t�o-familg residesice or a farm ou�,buildiag. Yau may also build
or 3mprove a comm�rcial buildiag, pravided your costs do aot �asceed $75,4QQ.
The buildiag or resideuce must be fox your owa use or occupaacy. It may ao�
be built or subst�ntially improved far sal� or lease. Tf you sell or leaee a
buildiag you have built ar svbs�satially improved yoursel� withian 1 year after
the aoastruction is complete, the law vaill pr�swme that you built or
substaata.ally impxoved i£ for sale or le�se, t,rhich is a vs.olation of this
exempti.oa. You may mot� hire sa ualiceased pezsoa to act as your coatr�atax or
ta supervise people workiag oa your bu3lding. It ie your responsibility to
m�.ke sure that p�aple �mp2ayed by you ha�re licenses r�quired by stat� law aad
by couaty ar mun.icspal 2iceasing ozdiaaaces. You may aot de3egate the
r�apoasibility for supervisiag rvork ta � liceased caatractor taho is aot
liceased to per£orm th� work b�eiag done. Any persoa warkiag oa your buil8iag
who is aot licens�d must �ork uader your direct supervisiaa sad must be
—�__�loy�d byyouu�v�rhicb m�aas—tha.t_�rau--must-deduct-1�.�.-C-.-3i��aad-withho3-ding--taxv-------_i
and grovide work.ers' eompensation fcx that employee, aZl as prescribed by 2aw. �
Your can�tx�otiaa must aomply with a12 applicable laws, ardiaaaces, bui2diag
codes, and zoaiag regul�tions. �
06�1i3ER`S STGNATT[3RE � ' DATE � l� ��'
1aiDDR833 fP2�" /`� /� 3S-��,`�
pxorr� ���—�5--� �� �' ,
wz�ss PSRPPBIIT #
—�
. . � � � I111111111111111111111111111144l1111111111411111111111111111
2017072827
Rept:1863659 Rec: 10.00
DS: 0.00 IT: 0,00
05I1612017 M. F. , OPtY �lerk
rraTrcE ci�c�►��r���
PRUL�IL,Ph D PRSGO CLERK 8� COMPTROLLER
PennitNo. 05/16/2017 11:49am 1 of 1
PrapertyIdentificationNo. ���`Z�--2,—�J�UD—D dOG�G`—DU�c3 OR BK ��,4� PG ����
TF�LTNL?�RSIGNED hereby give iafonns yau thatthe imgrovcment wiIl be made to certain reai pmperty,aad 3n accordaaea with
5ection 773,I3 of the Florida Stetntes,ihe foflpwing informetlon is provided in this h10�'ICE OF COM[l1�NCEMENT.
Pa Fr P n}'t 8 fi� 1 .� (�/� �-t�( �y �n"j'� � i��.�.S�lf?,f`�J�i71�.4�u�j ,,�'
l.Descri on af o s !e o!deser on: S�� -!�a� ��Ses'� ' Z
a}Stte�t Addrecs: �(fi L "3_ Sc3Le.�j �e 2% �
2.C3enera!description afimprovements: � �,,, •
3.Owner Iaf'orma6on , p /
a)Nsme�d addcess:_ —�0�' D� V/9 fi.�s A�1 '^ �.� 2 �' �f�' M D�i ti/ L,./I.�,��i�°��j�°)� l�4`�C,���
� b)Neme ead eddtess of fee simple lrtte6�Qlder(if other thau owner) ' ����
c).fnterest in'prapasiy_ 8 t.+�N� x'1 � r'i i1 Iln/� "�!
4.Can�actbr7nfoimatitln (� S�. 9
a)Name and address:. (� '� �/✓1� �l 7��, � /:��i//1,�� .3 3 .,a�'�'�
b)Tatcphaae Na.: Fmc No.(Opt}
5.5�ety Informetion
a)Name end eddress:
b},Amount afBond•
c)Telephoae No: ' Fax No.(OPt-)
6.Lcnder
a)3+fiame and address:
Phoae Na.
7.Tdentity of person within the State of Fiorida dQaig�oated by owner stpon wLam notices o�other doc�unents mey be served:
a)3Vame sad address:
h)Telephone No.: Fex No.(C}pt.)
8.In addirion to himsel�owae�designates tiie following pGrsoa to receive a qopy offfie I.ienor's Notice as provided in Section
713.13(1)@},Ftorida StaWtrs:
a)Name and address: '
b)Telephono No.: � . Fax No.CUP�)
9.Expuatioa date of Notice of�ommencemsrii(tha exguation date is ane year&'bin ihc date o�rccord'mg untess a diffe'rent date is
����
W�BRtYYNG T'd7 4�TfVER: �PAYIi�NTS 215ADE BY THE Q'V�&i2AY�#'EYL TF��X'k"�i.ATIf7TY OF'2�iE Pt01'ICE OF
COhINiENCEM�NP�:RE CO1VSIDlE�1D�i"'ROPER PAYD9�NPS DN.QIER C�A�TER 713,PART I,S�EGTION 913.13,
FtiORIDA STA,Tt)TES;AND�AN RESULZ'IAT'�OiJkl.PA7CII�l�TFVdCE FOR IINIPROVEMEN7!'S TO YOYA2 PROP�RTY.
A 1Ht3TICE QF CO�N{�li?�EN�`MLT3T BE Y2ECOlIiDED Ai�POSTE�}Qi�t'I'�E JOB SI1Z,8EFU�tE THE FIRST
INSPEC�'IO1V, IF YdU INTENID 7l'0 OBTAI�!FINANCING,G(DNSUILT YOUIL LENDEIt OR AN ATTORNEY BEFCIRE
GOMIVIENCING WORK OR ktECORDffiVG 1'(DUId 1�t1TXCE OF COMMEIVCENJ[ENT:
Si'ATE OF FLt3RIDA '--�--`.,.,-;�r1s��--�
COUNTY OF FA5C0 � �
Ss�,atuneofOwneroz 's'7�tl�e�/UireaurlPaztrxrlMmegc
� dS� �d��I��
PfmyTTame
/ YZ-, yJ,
e foregoaeg instn�ent was aclwowIedged be£cme me tltist� day of f".�Q�� .2tl�by .
pI,�,L� t�C r%4-��as (type of nuthority,a.g.officery izustee,attomcy
in fact)fo-� �1 (neme ofperty on behelf of whum instmme�was executGd).
� - --- - - -- - _
-- - - - --
- -
- - —Peisonslly Known_OR Produced Identificetion;� Notary Signafrire .
Type ofIdeatificationProdttced '�"L iL/�l�1��SU�I'�Namt(prmt) l f +�. .
Verlficatiaa pursusn#ta Section 92.52i,Ftorida Stat�rtes.Uader penalties ofperjury>I declare that 7 2tave reasi the foregoing and that
the facls stated in it ate uue W the best ofmy lmowledge end belie£ i
s;g,an,n nrrtewst Ponoa s;gning abovo �
FORMSMOC,mdtM!
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w�ti�:Y.'e'ym;. JACQUELINE BOGES'
°� Gommission#FF 950422
. a.. .,�:
;� o�;�; Expires December 12,2018
. !�oF F�,, Bonded Thru Troy Fein Insurance 800-385•7019