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17-18660
^ CITY OF ZEPHYRHILLS . '` 5335-8TH STREET ==' (813)780-0020 �1•8660 BUYLDING PERMIT PERMIT INFORMATION � ���LOCATION INFORMATION . Permit Number: 18660 Address: 5635 19TH ST � 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-10900-0080 Improv. Cost: 2,490.00 OWNER INFORMATION 'i Date Issued: 7/17/2017 Name: STUMP MIKEL Total Fees: 50.00 Address: 5635 19TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/17/2017 Phone: (813)466-9122 Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES I A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 50.00 Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS OOF 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 entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to recor.d 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. i � � � � CON CTOR SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ais-�ao-ooao City af Zephyrhills Permit Application Fax-813-780-0021 . � Buflding Department �ate Eteceived Phane Cantact for F�rr»ittin -- '"tTi"'t`� . Owner's N�me t t,� Ov�ner Phon�fliumber ' Qwner's Address � �•� Owner Phone Plumber � � Fee Simple Titleholder Wame �, ' � Owner Phane Number � Fee Simple Titieholder Addr�ss JOB ADDRESS � � �:S LOT# ��_� SLlBDIVISIOtd � � P/�RCEL ID# (OBTAINED FROM PROPER7Y TAX NOTICE) W9RFC Pi�OPOSED NEW CONSTR ADi7/ALT � SiGN.. , Q ; [� DEMOLiSH e INS7ALL � REPAIR PftOPOS6D ClSE Q S�Ft • � CC3MM ,� OTHER 1'YPE OF CONSTRUCTIOM Q BLOCK' Q FRAME � STEEL Q T ' DESCRIPTION OF WORK BUILDING SIZE ��� SQ FOO7AGE���� HEIGH7 �____��� �Btl1Lt31NG (9Lc�, �/`� ��� VALUATIOP�OF TOTA�.CONSTRUGTIOIV L �� �JELEGTRiG�L � � flMP SERViCE Q PROGR€SS€NERGY Q W.R.E.C. [�PLUMBING i—.� � QMECHANICAL ($ '���� VALUATIO{V t?F MECNA�IICAL iNSTALLATION �� QGAS � FtOOF1tdG Q SPECtAI.'t'Y � OTHEF2' � FWtSHED FLOOR ELEVATt'ONS ��+----� FL�OD ZC?NE AREA �`(E5 N� y�..�- a . . . . . . . � . . . ._. . BUILDER ���, „ COMPANY ( � � . SIGNATURE � �1,;�� REGISTERED Y/ N, FEE CURRE� Y/N I Address ' License# � � ELECTRICIAPI COMPAPIY SIGPIATU02E REG(BTERED Y/ I� FEE CURRE� Y/lV Address License# � � I PLUMF�ER CONiPA�dY � SIGNATURE REGISTERED Y/ N FEE CURREA Y!N �ddre�s � Licens�# �� � N'fECHAAIICAL COMPANY � � � SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N. ' � I Addre�s License# � � OTHER - COMPAfdY SIGNATURE REGISTERED Y/ fV FEE CURRE� Y/N .---. _ Address License# � � t911 ! ! 1 ! liill � llttlfllE-i11ElitlA ! lltli111 ! l1111111 # I ! ! lEiilill ! ! i ! � RESiDEi�TiAt. Attach{2)Piot Pians;(2}sets oFBuiiding Pians;(1}set of Energy Forms;R-O-W Permit far new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence-installed, Sanitary Facilities&1 dumpster;SiEa.Work Permtt far subdivis'sonslEsrge projects -CO�iMI�RCfAI. Attach(2)compiete sets of Buiiding Plans plus a Life Safery Page;(1)set of Energy Forms,R-O-W Permit for new construction. Minimum ten(10)working days after submittal date: Required onsite,Constructiqn Plans,Stormuuater Plans w/Silt Fence installed, Sanitary�acilit�es&1 dumpster.Site Work PeaYsit#or a11 new projects.Ail commercial requicements snust snset campliance SIG�d PERMIfi Attach(�)sets bf Engineered Pians. **""PROPERTY SURVEY required for all IdEW cpnstruckion. Directlons: Fill out application campletely. . . t}wner&Contractar sign back of applicatEon,natarized !f aver�2500,a Notice o�Commencemen4 Is required. (AfC upgrade�over$7500� - *' Agent(far the canEractar)or Power of Attarney{fot ihe awnsr}would be someone uvEth notarized lettsr from owner authorizing same � OVER THE CQUNTER PERMITTING (copy of contract required) ' Reroafs if shingies Sewers �ervice Upgrades A!C ��n�es(PfaU�utv�yt�oat�ge) 'I Drivewaye-No1 aver Courrter Sf an publir.7oadwaye..nea+��4iOtPd � '(_ � . I�I: =. �k{` ��9�"�8�� ������G�����31��'I��d�, Tf�e ��d�r�i�n�d und�rsgand�rh��4i i��p�rmi4 m y��� io ac�t� °d�Q�"r���ric�o��s° w�i�h�tt�y b�mra�e rt��trictiv��f���C�unty t���l�tion�. 'i'P�� und�csE�n�d ��urne�r� p r��ibi I �ar r��li�nc�u�ri4l9��y �ppiic�bi�deed r��t�iction�, � i`�. ' �E�@�l���9��� ���9�`6�4�`���� 1��� ���t�'���'�� 6�����4����1�1 8��: If fh� ow'n�� l�� h r�d � ca�gr��t�� �r c�r���c�r��� und�r��ic�worte, ���y��y�� �e��slr�a� f�be IfcQn��d tn� ��r��e wi� ����e � � {oc i r�g+a€�4�or�s. t��� ��rkr���r t��r��4i���d�����;�c�cl b�����i,��� �� �m�ra�r ar� c��� �im���es�r�,lr! .��r��r� m�n�r �i�f��o� r� under���� 1�w. ���h�t�v�n�r or inf�nd�d c�n€��cY�r�cc� �stx�r�ln �� ta�a� licen�r�g roq i me� m�y �pp1��ar it�g i�tend�d wo�c,�hoy�rc� �dvi��d t�'�onf��t�h�P���o �eun�y��liding {ns �c�o��ivi�ion;;;Li ��ing�S�c�ion��?{7-�47- �00�. �'ur�hflm°roro, if 4h� c�uvnor 1�� hfrmd � conf+�ctar or cor�#r�cf�rs, � is �d�i��� fcr � f coe+fr�ctaP�} �i�n �c�r'r�or� �r�hea "c�nfrac�or�I�c�" o��hf� �p�11���I�n ��or��ttch ���y wll! �e r��p���i�l�� (f��ro �s �� owr����ig� �� #� c�nf�acfr�r, 2ha� m�y b� �n indic��i�n �h�� h� i� no4 pr�perly 8eons�t� and s n�t �nti�l� fa'�:p i�i� privileg�s in ����9 �o�a��y. �� ���9�����A�'��i� �M�A�SOUTIb�YI�� li�fl���`�e�6�l��3����1��L ����?����f���'�:��T ndc� igr��d und�M1�4��d� th€�4�'r r�����t��i�n lr�p�c2�+���r�c! ��c�ue�� F��c�v�sy ��.e�m�y•a�ply��tf�e�e�s�,�c�ipr� �e►�1�15 l!'tldi�l��ce L"41�41��A� c�� t�a���ing k�uiic3in��, OP t�7t�}C•iPi�t�f3 O'�02t��$�n� �3LtII�it1�3, as sp�c{��d i ��sc� Cc���n4yI;;C7 �l���c- �um�ar�9-0� �c�d 90-�7, a� �rr�onol@d. �'he undersi�r�ed al�o under��a�dg, th�t su�h f��s, s may b� d�ae, vinl �b� id� �tflod �t�hr �inne o�F ��rmE�i��. 1�is fur�h�r �nd�rrs�o�d th�f "Fc�t���c�e�f�trM 1r���c4 F��� a�d e�oc�rc� fi�e�vc��y ��e� �t�4 b� p�l� �el�r�ca re�i�ing a "c�rti�c�c� of occupahcy" or fiin�i pc�wer r�l��sa. Ifi fih� pr���ct does na�irtvalv� c�r�fl ta e�o6��ap�tt�y er �in�l �owcr rel���e, the fa�� rrnu�� �e pafd prl�e to perm[�ts�uancc�. FurYE��rmnro, ff���cxr nty Afi�t'/S�WOF 6YilpaGt ����du�,fih�y�nust��p�td p�icar�p��mi�ts�u�nr.�in�ccordanc�wi�I��pp3ic�ble a��is a nEy �rdinar�c�. ���9��'����'A��4 L@��? l�A�9���a���eY p��, �9i��I�� ��4aa������ ��rr�ea�c�): I�F v�(u�a ioni`�� rEt i5 2,5Q0.00 or r�aee, i cp�c��i�y t��k t, �h� �pp3ic�r��, hat�cb}��n prvvld�d �nttfh � copy r�f tt�� "�}�,o,�r�f,da ��n firuc�� �.yi�,,,n, L�w—Mam�o�urs�r's 1`�6�V3���'4d��'n'��'�u,��r�m���y W��s:T�1116id46S�{�'ld��l.'F7'IY�}'A�����7�'�'��i'�'7`SA;J��4d�1`9Yu�'is'i�l� ��'�. ' �!TC7 ' �����u�i`e�`9���r'"�1��i o�h�r�h�n th�"t�wc��r", !�r�ify Yi��f i h�ve ob�ined �co�y of���b�vo�l�cri�s�c!doc�am��it �+d pre ise ir€good f�Ith io c#c�Piv�r ifi�o f�o"ovvnc�r"p�ior ta comnzenac�m�n�. ? - � i�;, � C�G�9�'�a�a��°�/�t�#6Q4��t°�, ,6a��1�A1/B'�: i cct�rtify th�g�!i thr informationiin thts�ppll t��n� i �ccur 4�r��dp tf��p4�ll dvot4s { f }� f, �j�� �� td�.�� �� ���li��� VY167I �F� .�^+�}�.I4iJC"aiJ�{.�+ iS`��+� =�v������� �i��e�l��{`its{��j �.����� '�����41 �t�� ���. !'l��/1�Lrl��� ja� horaby rnacdo tcs obteir� a p�rmi� �o do warit �nd ins�all�fivn �s indic�fed. I cerfif� fhat w�rl a� in��a!lafi3on i�as �omme�c,�d pricar Ro is�uanct� o� � pe�mit �nd th�� �I! vu�rl� wil! be p�rfo;rmad fo me Q ��n a d� r �ll l��v� r�g�ala�ng c�ns�raac�ion, Co�anBy �nd CI#y �ad�s, �oni�g regul��ians� �nd I�nd de�va�opm�nf rc�g (��ibrt� i th jurtsdi�fion. i ��s� c�r�i��y th�� i und�es�and �ha4 fih� r�gutations of��h�r�ovarnmen4�,genct�a� rn�y apQiy t�;� ��frand�a�d�ucaris�, �n�l����i�t is �y e�as�on�i�iEify 2a id���i3y wh�#acfian� (mu���itie 4ct��in cr�m�l'sanc�. ��ch ager�ci�ir��lu ��uY�rc�rt��3i�tif�d�: - D���r�mc�ng o� �nviranman�ai P�o��c�ion•Gypre�� ��yh�ads, iNQtl�nd Ar as �n �n�ir nman�lfy �o�sitiv� Lanols,W�gerMl�s�ew�af�r Tre���n4, i;. � - ����hrrv�st Fi�rid� trtl��r M�e��gert�en� �i��r�c�W�31s, �ypt�ss ��y ���s� 1lVc�fi� d d�t�s�, A3f��ng W�4�rctaur��s. � '� j �rs - Am�t �o s of�n lneers-Ss�w�#fs, Doc�cs, �l�vi ��3e W���ra �. ", t�ttY � � � Y i�: - Dap�r�m�nt of He�lgh � R,�h�bili���ive ��rvic�s/�nvironmcntat hl��I�h nit-1Y`I( !�� Wa �waY�r `Cr��tm�n�, S@�3Cf��Ql1�C5. �;:. r _ t�.�.'.�t3tt�!"C?!''dY1£'Y��t'6��!'6���it3€t.l��'iCkf�sf36Stc�5 61���@T�3LYtf, f j.,. � Fed�ralAv�atiar�Au4h�rity-�unw�ys, ' �. ' y`; I 1 �and�r���d�����h���li�wing r���ricti�e���pply�xh�use of�f�. .. - 11���f flil ls r�o8�tlowc�d in�l�od�or�e"V"u�ie8��x�r�ss[y p�rmitted, 'r�j ' - If fhe �ill m�teri�! fg Yc� be ���d 1� Flood �t,�te °A", it i8 �and�r�Q�sd t �� a r��g- pl�� �dd��s�ing � °c�m�s�n����g val�mca" wili be su�mi��d �f f3m� of p�rr�9�it�� uvhich 9� �r p�r�ci � p o;��si���l �fl�i�e�P licen��d�y fiho Si���ofi Florid�. ,;;: - - [�fihe �ill mat�ri�1 is �a b� u�ed in Flood ��n� ",�u in conn���#on wi�h � �rriii �bc�11 ��g �a�In� s#�m �r�t1t , con�frucYi�n, i cc�rtifiy fh�4 fiil will be ��Qd��ly�o�il!th��e�a wi4hln Qhe st�m uirait� ' - F� �rfi e�a�ri�t is 4� �s� us�d in �ny ar��, } c�eiiSy �ftat u�� ef �uch ��ll �ri3#;<t��' dv�r �!y �f��ct ad;a�er�� PY! prt�p�r�io�. if ase af�i11 i�found 4a adv�r�s�3y�f�oc�acljs�c��t�pr�pc�r�ics, � ��,+n� �n�y ��ciQod fior�iol��ing th� condlfion5 of 4he buitding p�rmit issued undc�r fih� �4f�ch�d �ermit �� liea4i� ,�ar lo� l�ass Eh�n �n^ (�) �c��t��l�#���c�lev�f�d�y fll,ai�eng�n��r�d.drr�f[��g�pl��t��eq�ir�d. !�: If� ��th����&������`�� ���t�, i promi��in g�od��ith to frrs�orm �h� owner o�t�'h�p�er �'ing ndi�ior�s�eY for�h in fihi� a�id�vi��ric�r�� c�m¢��ncf�� construcfifan, 4 �ander�t�r�d ����� �ep�rr�te pc�rm{�rn{ay�� uir� .f�r ei���eic�1 wor�, �alt�r��irt�, s�gns, woll�, poois, �#r con�litioning, 8�5, ar othc�r in5t�(I�ati�ns not sp�cinr,�iiy �,�G c��d i fh� ��pilc�Yion. fi� p�r�it i��ued �h�lf G�e �n�krta�d fi� be-� #ir.volse �proc�od wifih ti�� w��lt�nd not�s u4h�rit to vio ate, c�nc�l, �I4c�r, or ����d�a�y.prr�v3�ic�rs�a��S��ct�n#��c���� r►or s.���1�����a��:p�������e�v��f a�-��€ 4',�� �1 f��m��rr�:��r r��uiring �corrc�c�on ofi errar8ln pl�n�, �ta��tir��tien�r viol�tfon�of ar�y r�d��. �very: er'mi�i �u�d h�alf b�come t��r��id unl�ss �h� w4rk �ut�oriz@d by such perm#�i� c��m�r�ced witif�#n �ix mor�4hs o#p�rmit is�u� �, or i wae€��uthor���d � �h��►�mnif I��u�p�ndcad 8r���ndo�md fe�r��c�riod vf�3x{6j�nnor��i���ft�r th��3me�h�a orE��i� `m�-nc��. !�n a�ons�ion m�y �Q r�que$t�d, in writ(ng, rrom tho �uildi+�g Of�clal For� period not Ra exc��d r�in 4y (90 d�y��nd wIl[der�nons�r��e ju�4i�i�bk�c�ct�s��or fho t�xt�rtsEor�. 1�vErc�elt cc����s for ninefy(�0�con��cta2lv�d�}r�,tha�o#�i� �iei�r t����rdont�d. � � �,, �'�9r�f��oS�� a� �@f�9�i��o it'd`��R �d1�8J�� �� ������ � I�i�i 9�� �� ��dt�d���9 �t�tJ���i �1� S3��1l�� �� �YfK��� �k,`��6���'�tf9��.���!6�#������f��i�i�'����t9�����i���, i�i��l� ii�T�i���'C���i� , �'ti� ,6��➢���,��b`��LD�,`� `� a �� m f ��1� �� � � ��� �+���' `�A � � i� K�' � � ��§`� t�LORlQP4 Jt1�T{�.5, i'13) ' ' //► �f"s _. �fG.dc:�.. - f�i. �tftY'�19EH�R�Q�(3El'c!�' = . � �„�,�,, G�V?54�Re �' 1:; Suk���ribed and s�uom�a(ar�i�rnse e re me th1� Sub�scribe s_am ta(ar af�rmed��befute s-- Whn istaro pars ally tcnown to m haslh�va�roduced Wha islare onaliy known to me.or has/hav p�oduc d es iden�flcation. , a�id F�ca#ia�. ,; � �; ;.; ( �otery Pub1iC 9 i� I �--_. �14otAry I�ublic � ;� � Commis�ion No. Commission No. �'" � � '�� i � Nam�of f�otary typed,pdntod or stampad Name of No4ary typad,princed or s4een�ed is� � ! .�" f Z( � . � II` � �!� � � �( � � t �W € t t � � �� � { � �. # ; 3 f4 t � � �� i t