HomeMy WebLinkAbout17-18669 CITY OF ZEPHYRHILLS
5335-8TH STREET
� : (813)780-0020 18669
BUILDING PERMIT
� PERMIT INFORMATION -° �� LOCATION INFORMATION
Permit Number: 186.69 Address: 39232 9TH 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: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0300-00000-0440
Improv. Cost: 9,335.00 OWNER INFORMATION
Date Issued: 7/18/2017 Name: AMOS JASON D & STEPHANIE
Total Fees: 85.00 Address: 5035 WHISTLING PINES CT
Amount Paid: 85.00 WESLEY CHAPEL, FL 33545-1665
Date Paid: 7/18/2017 Phone: 813-997-2147
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
SOUTHERN PRO RESTORATION REROOF RESIDENTIAL 85.00
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Ins ections Re uired
DRY N ROOF SP
TAPE JOIN ROC1F,INSP
FINAL �
REINSPECTION FEE§: (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 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 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 '�
,- � a��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Departmenl
� DateReceived Q1� ���_ 2�"�
Phone ContactforPermittin V .7
-rrrr�T - - - To-�-�-� -
Owner's Name as�� � Owner Phone Number ��7—�"1���O����
Owner's Address �"�0�7� `�� l�+v� �1`� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Numher
Fee Sfmple Titleholder Address
JOB ADDRESS Q (�[ Z �1�� �. 5y LOT# y�-I
SUBDIVISION 5��� �TtS pARCELIDq �`O(�'o{I�V�" `��v��'^'1V
(OBTAINED FROM PROPERTY TN(NOTILE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE �SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � O
DESCRIPTIONOFWORK �e"�� �F�—.S�Ju I CrU,Vlptv,�1_��{ 4- �7�t�p��c.�) U'1 QA�l1G�
BUILDING SIZE SQ FOOTAGE aS i.Z HEIGHT �
1 1 1 1 1 1 I1T1 7 1 1 1 1 1 1 1 I 11 1 � 1 1"1
�BUILDING $/� � VALUATION OF TOTAL CONSTRUCTION
�.�
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C.
�PLUMBING $ � f„� ^ _
� ]/, �/
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v
�GAS � ROOFING Q SPECIALTY � OTHER r/���''%� -
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO /
(
BUILDER COMPANY W V�Y�1 n �f�� �1CS����
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �30�g SO
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# I
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllltllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 for subdivisions/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,ConsWction Plans,Stormwater Plans w!Silt Fence installed,
I Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meel compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'PROPERTY SURVEY required for all NEW constniclion.
Directions:•
Fill out application completely.
Owner&Contractor sign back of applicalion,notarized
If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500)
" Agent(for the conVactor)or Power of P.ttomey(for the owner)would be someone with notarized letter from owner aulhorizing same
OVER THE COUNTER PERMIT7ING (copy of conlract required)
Reroofs if shingles Sewers Service U rades A/C Fences PIoVSurve/Foota e
P9 ( Y 9 )
Drlveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
� which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICEIVSED COPITRACTORS AND CONTRACTOR RESPOIdSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
pohions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATIOPI IitAPACT/UTILITIES IMPP.CT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If 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 prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work.is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensiiive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill: -
- Use of fill is not allowed in Flood 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 volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only 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
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter, or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buiiding Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid.
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
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. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNIfdG TO OWIJER: YOUR FAILURE TO RECORD A NOTICE OF CONIMENCEMEN Y RESUL IfV YOUR
PAYING TWICE FOR IMPROVEMEillTS TO YOUR PFiOPERTY. IF YOU INTEND TO OB I FINAiVCIN ,CONSULY
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIRIG YOUR NOTICE OF OM�EPICEME .
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT � CONTRACTOR' -
u scri ed and swor or affir d)before me this s r'beQ a d sworn to�(qr affq med befqr�me is
L nby 6l S �/� by M\L`f��l 1�D
Who islare personally known to me or haslhave produced "s are ersonall known to me or has/have produced
as identification. as identification.
Notary Public �V�,�tI� Notary Public
Commission No._r�'I����� Commission No. C'J�O l�O�v�
a�u s�-i n �ov���u ('� Jahrisar-�
Name of Notary[yped,printe�or stamped Name of Notary pe
o:;�;;";' COTY JOHNSON
f. �,�, II
`_' MY COMMISSION t�GG 071072
,,_�PY P�� JUSTIN DOWELL `�. '�s
.°��...�'�= EXPIRES:February 8,2021
:+; ._ MY COMMISSION li FF 163197 "'-,���p�',tq;.P:�.��,��� i
;��'�- EXPIRES:September 25,2018
%�;;qF n;;:`� Bonded Thru Nolary Public Unde+wrilers '
i iiiiie iiiii iiiii iiiii iiiii iiiii ieiii oiiii iiies iiiie uii iiii
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Pertnit No. Parcel ID No�r.,(Ip'AI�U�bo � ��— �-+'-1^-9V
NOTICE OF COMMENCEMENT
State of ���C�N Counry oi �U'��
THE UNDERSIGNED hereby gives noGce that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Stalutes.
ihe following infortnaUon is provided in Ihis Notice of Comme�n+c'e�m�ent:
1 Description of Property Parcel Identification No.�J 1����S ��i tU�,�1� (�'r (.�L�
StreetAddress: .�"1�,('�C "itY\ tfilP
2. GeneralDescriptionotimprovement_rjQ— � RCpt' 1$7U713 Ree• 10.00
DS: 0.00 IT: 0.00
06 12 2017 eRecording
3. Owner Intortnation or Lessee infortnation if the�essee contracted for the improvemenl�
�1��. A-�o5
�r���� Av2 .. Z.��h�,cC'hi��s _ �.
Add�ess /� ��,���- Cily State
Interest in Property tJ\,��I �.1
Name of Fee Simple Titleholder
(If difterent from Owner listed above)
Address ��� � �����+� Cily State
4. Contraclor
�O��A.J me�/ ��C.l.2cl 1��,� �CJ l'�'e �v� 1 �� -�—b
Address ��— City State
ContractoYs Telephone No.
5. Surery�
Name
Address City State
Amount of Bond: $ Telephone No.
6. Lender
Name
Address City S[ate
Lende�s Telephone No.
7 Persons witbin the State of Florida designated by the owner upon whom notices or other dowments may be served as provided by
Sedion 713.13(1)(a)(7),Florida Statutes:
Name
Address Cily Slate
Telephone Number of Designaled Person:
8. In addiUon to himself,the owner designatos o}
to receive a copy of the Lianor s Notice as provided in Section 713.13(1)(6),Florida Statutes.
Telephone Number of Person or EnGty Designated by Owner
9. Expiration date of Notice of Commencement Qhe expiration dale may nol 6e before the completion ol conslruction and final payirieni to the
contraUor,bul will he one year from the date of recording unless a differenl date is specified): '
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENC[MENi
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 773.13. FLORIOA STATUTES, AND CAN
RESUIT tN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEAAENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEN�TO OBTAIN FINANCING.CONSUIT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury.I dedare thal I have read Ihe foregoing notice of commencement and that the facls slated therein are true lo the 6est
of my knowledge and beliet.
STATE OF FIOR�DA
COl1NTY OF PASCO ik���— '�_
Sig re of Ovmer ar lessee,or Owne.ts or L essee's rizr.d
i cer/Dire cl orlP arin e dM an ager
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Signatory's Title/Office
The foregoing instrument was acknovAedged before me this�ay of_�,20�,by�ypn ..�saL f
as t]M,✓fLa� (lype of authoriry,e.g.,otficer truslee,allomey in fac{�for
—�9 a�Q �� �M" (name of party on behaB o{�ryom inslrument was executed).
Personaliy Known[]0�Produced Identification @� Notary Signalur� �
Type oi IdentificaGon Producad �p l._ Name(Print) t�l' �/� ��
PAULA S O'NEIL,Ph.D PASCO CLERk 8 COMPTROLLER
� 06 f 12/2U17 04:18 PM 1 of 1 ,T,�
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K; t_ MY COh,M S51
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wpdata/bcs/noticecommencement_pc053048 '%f pF�4,.• BcnEed Thru Motary Publir.Undeiwritors �.
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Authorization Letter / Power of Attorney
Owner/Jobsite: t ,Lryc.Sc?ll ��D�
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To Whom It May Concern,
I Michael Kost, hereby authorize the following persons to act as agents on behalf of myself and
Southern Pro Restoration LLC to pull and sign for the above referenced Building Permit which
was submitted under my Florida State Contractor License number CCC1329584.
This authorization is valid one year from date of signature.
Authorized Persons:
Brian Kirby John Christianson
Erick DeDios Martin Sterling
Aaron Hallich Joseph Orozco
Tim O'Malley Elianora Morejon
Frank Jaramillo Christine O'Malley
Regards,
Mic ae Kost-Qualifier
STATE OF FL f�l �
COUNTY OF
The f rg ing instru eRt was acknowledged before me this ��day
of ,�1 by Michael Kost, who is personally known to me
Notary of t e Pu lic (SEAL)
� V V��� „�„�,,,
[� ,,�ti�n+ey�,, JO ANN YYEHVER
��—.—/--�---,��� _;; r MY COMMISSION N FF 173882
Printed Name �:�a: EXPIRES:November 4,2o1a
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