HomeMy WebLinkAbout17-18782 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18782
a •
BUILDING PERMIT
PERMIT INFORMATION - - - � LOCATION INFORMATION
Permit Number: 18782 Address: 5205 RIDGE ST
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: SHAW LAKE RIDGE
Est. Value: Parcel Number: 10-26-21-0040-00300-0030
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 8/17/2017 Name: CHINCILLA RIVERA MARIO E & MARIA
Total Fees: 55.00 Address: 5205 RIDGE ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-5484
Date Paid: 8/17/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
IACOBS PROPERTY MGMT INC REROOF RESIDENTIAL 55.00
� ^
VL
; Ins ections Re uired
DRY IN ROOF INS 1
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 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 property. If you intend to obtain finarrcing,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.
C TR CTOR SIGNATURE 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 of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent
: • - '
Date Received _ Phone:Contact for Permlttin � � � — �
Owner's Name CI��I S�L� LLTy � G(�. �/`�/U b Owner Phone Number
� ��u GL�A- 4��0 �� p `
Owner's Addrass � � /tyt.(� � Owner Phone Number
, r�s
Fee Simple Tltleholder Name � - � ' `} Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS .�Z���C/� �\ LOT# ��
SUBDIVISION PARCEL ID# lD-��2��D�f `�� �-�j�
- (OBTAINED FROM.PROPERTY.TAX NOTICE)
WORK PROPOSED ���NEW�CONSTR ADD/ALT [� SIGN� `Q Q DEMOLISH
. ,,B. INSTALL B' ; REPAIR � �
PROPOSED:USE � , , Q SFR Q �COMM Q OTHER ' -
TYPE OF CONSTRUCTION Q� ` BLOCK � Q FRAME [� STEEC 'Q
�
DESCRIPTION OF WORK ��A�DU�i �JC/Sl f�� �� � � �' �//�(� �{��f,�
�� �� � ,�7--��Ti�. L�ac/�i
BUILDING SIZE 'SQ FOOTAGE�_l�'1G�; , HEIGHT �
QBUILDING , $ ��Q VALUATION�OF�TOTAL'CONS7RUCTION `
QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ,
QPLUMBING $ - - '
QMECHANICAL $ VALUATION OF;MECHANICAL INSTALLATION �
Q�►S Q ROOFING .Q SPECIALTY Q OTHER�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA - QYES NO
BUILDER * � ���������T /��M/,\/!�J(� ;
,- COMPi4Nlf�
SIGNATURE REGISTERED Y/ N . FEE CURRE Y/N
Address �` � T�UjQ�� �� , License# �1—C_ (�Z�
ELECTRICIAN_ , � 'COMPANY ' " - �
SIGNATURE '� REGISTERED Y/ N FEE CURRE�� ` Y/N
Address ' ` �� - � _ .:. License# ,—�
, PLUMBER , � . COMP,ANY • -
, SIGNATURE' ' ' ' "' REGISTERED � Y./�.N,� ,. - FeEcu�n Y�/N •
Address ' Ucense,# :� - ,
MECHANICAL:" , y . • , , C.OMPANY - -
SIGNATURE ` REGISTERED .�.. Y/ N _; FEE CURRE�- Y/-N-
.' „ . : ,,. .�.� �� , : • -- . , „ '
Addre�s� ,. '
_ L�cense#� �
O'THER • , � - ' - ' , ' � � �`;COMPANY -- . - - ' .
SIGNATURE _•- • � � `^ =REGis7Eii��`� Y/ N_.. FEE CUR�n Y/N.
:7. .,.-�. i � .. .. ,. . .. . . " . - � . _ 1
Addre�s - - � r License# ' ' -. �
,�,.,_,. .. ,, , . s., ,•.,;;.�,,; :..;., . ;_ . _. .
RESIDENTIAL;;--:�•AttacFi?(2).;Plot�Plans,;;(2)sefs.of�Bufldtng�Plaris;'(1).set of-Energy�Forms,;.R-0-V11 Permit far new construction,,,. -� - ' ' ' �
� � - . �, .. . .
; �.:Minimum,ten;(:1,0)worktng;d'a,ys;after,;submiftal�date:.'R:equlred onsite,=Constiucdon-Flans;�3tortnwate'r'Plans•w%Silt Fence�installed,
�� �Sanitery'��Facili8es;&i_1�dumpste_r,.Site:Work;.P.:ertnit#orsutitlivislons%la'rge.proje'cts�:.__--..�,.-:,� __ ' ' ��� "'" , �
COAAMERCIAL Attach(3)complete se4s�of-8uilcJing`Plans plus a'Life Safety Page;(1).set of EnergyrForms.R-O-W Pertnit for new'construcflon. ' �'
- Mfnimum ten(10)warfcing days after submittal date. Required onsite,Construcdon Plans,Stortnwater Plans w/Sflt Fence installed,
.. ,
Sanlfary Facilitles 8 1.dumpster.Site Work Permit for all new'proJect"s..All commerGal requlremen�must meet compllance�'�'� ^ � � -
SIGN PERMIT Attacli'(2)"sets�of'Eng(nee[ed�Plans:; �°;��-�-' '., . ,: - . � ' �. � � ` .. . � . .
�.<< . - �.
i ""PROPERTY SURVEY:r _uired,forall�NEW_construction... . - :> > .-.� --- -- �-
---- ..�. . _ . ;<_� - . ,.. .
Di�ectlons: . ._,. . , . - - � --. . . ._ . . . _
Ffll out appllcatlon wmpletely.
Owner 8 Contractor sign back of applfcatlon,notadzed
If over'$�500,a Notice of�Commencement Is requlred. (AIC upgrades over 57500)
� 'R :..�:,�.Y�17�,�tw.��` _ ... . .. r _" _ _
Agent(for ttie cantiaotor)or Powe�of Attomey(for�the owner)woul'd be someone with notarized letter from owner authorizing same _,
DVER THE COUNTER�.PERMITLING-- --,•�(Front of�Application-Only)•- -� - � • � - � ' ��� � ��
Reroofs If shingles Sewers Servlce Upgrades A/C Fences(PIoUSurvey/Footage)
Drlvewaya-Not over Counter if on public roadways:.needs ROW " - :
-� -- - �_ ,. =%;
' • :
NOTICE OF DEED RESTRICTIONS: The undecsigned,undergtands�;th�t,this=p�rmit may.be.subJect to"deed".,_restrlctions"`�'�.; _�;�"�
which may�,be�more=r.est�ictive•�the�t Counfy��fegulatfons:`�'fFie~underslgned��assumes�res`pon"sibillty"for compliance wit1►'any"�' ' "" ��
appHcable deed restrictlons. _ .. • - �. - -- �_:� :-�
UNLICENSED��CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: �°If°the��owner has`�htre�d'�a�`contractor or
coMractors to undertake work;.they may:b.e;required;to,:�be411censed In accordance;.with;state.and:local;regulati.ons���if-the• � � �`
contractor f§=not�itcensed:�as�re�qulred;tiy law,-botti'��ttie owner and-contractor�may��be clted for�•e��misd."emeanor vtolatlon
under state law. If the owner or Intended��contra�tor,eret;uncertaln as�to what Itcenatng;requlrements�may=.apply�:�for.the�-- = -� ��
Intended"work, they a�e advised to contact the�Pasco:County_Bulliling;Inspection„Dhiislon�-Licensing Sectlon at 727-847-
8009. Furttiermore, If the owner'has`Nlrad��a .con�ac{or'or contractors, he is advtsed to have the contractor(s),_sign ,
d .,-�,.:_. :a_�., �.. .-... ,:-,._-'.
portlons of the� contcacto� Block°,of.this�applicatlon.for whlch._they,will.:be.,responsible.- If:you;=as_�#he owner st"g'n`as'the �
contractor, that�may�be an indication that�'fie`�is fiot:properly`flcensed-antl°is'not'entftled`to permitting pri�ileges (n Pasco
County. � „- ._, _.,-T
- TRANSPORTA710N.IMPpCTNTILI'TIES�(MPAC'�ANb�RESOURCE RECOVERY°fEES;�The unde�signed understands
that T�ansportation Impact Fees and:Reco.urse.Recove.ry.Fee§mey�;apply�tv�tf�e:construction.of new.,buildtngs�.:change�of`��� '==-`� '��
use In existing bulldings, o�:_expansi�n�of��existi�i�:;6uildings, as spectfled.in P,asco County Ordinance number 89-07 and
90-07, as amende.d.,,.,The undersigned alsoRunderstands, thait��such fees;�;as:tnajr_be�°due;,will,�be identtfled at the'�time�of��� •• � ° .-
permitting. It is furtFier understood that Transportatlon Impact�Fees and�Resource.�Recovery��Fees,must be pald prlor to
receivfng a.°cerEificate=of occupancy" or�flnal�•.powerFele�se. �:If�the,proj�ct.:does:no��involve<a�.certfficafe of occupancy o��`-'=���`�'��
final powec release,.the�;fees�-mu�t;`be�paid,p�ior to;permit Issuance. Ft�,�thermor'e;'If Pascro;County�Water/$ewer;impact� �__��-<-��w�
-. ...... . . . ...
fees are due�_they,must be-.pald•:prior to permit�,Isauan�e=ln.accoedance.with�appllcatite.Pasco'�County ordinances. •
CONSTRUCTION"L'IEN'"LAYV�(Cliapter T73� Flortda Statute��as amended): If valuatlon of work is$2,500.00:;or more, I• � = �
cerlify that I, �he,appiicant;,-have:.been-:provlded��with--a•=copy=:of_.the:,"Florida��onsCruction Lien .L'av�—Homeowner's
Protection Guide" prepared by�the Flo�ida D"epertme�t�of Agriculture and Consumer,:Affairs. If the applicant is someone; . = -
other than the"owner", I cert(fy,-that,i.have,o.btained9a�-copy,of:#he;above:.rJescrlbetl�tlocuri�ent-and:p.r.omige'in,good'.faith�.to. _. . ,
deliver ft to:.the.`owner"�p�ior��to�commencement-;:�� �. ` . _ � - � •� .-._- � _ .. -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cenifjr;�that:all.the�,informatitm:Jn-thi�appllcation is accurate and that all work
will'be done in compliance with all.applicable`laws regulating constructlon, zoning and�land°development. Appltcation (s
hereby made to obtain.a.pecmit,�to,.,do-work;y,and�lnstallation as indi�ated:>,�,°I certffy"fhat no work='or Installatton has'
commenced p�lor to Issuance of a permit"�and that.all�work will be pertormed�to meet-standards-of:all laws �egulating-
const�uction, County and City codes, zoning regulatians, and land development regulatlons=ln the jurisdiction. I al'so _
certify that I uaderstand that the regulations of other gov�rnment a0encies may�apply�to the.intended work, and that it is
my responsibility to identify•what.acQons I must take;to bedn:.compllance. S.uch agencles include-but=are..not Iimited to: � _
- Department of E�1v(ronmental>�Protection`=Cypress�Bayhead�; Wetlend Areas and Envtronmentally Sensltive
Lands,WaterNVastewater Treatment. "
- Southwest Florida Water Management: .District-Welis, Cypress.r Bayheads;� Wetland' Areas� Altering
Watercourses. �
- Army Corps of Engine�rs-Seawalis�Docks, Navtgatile Waterways.
- Department of .Health,:'8..Rehabllitative SenticeslEnvironmental. Health Untt Well.s� VlFastev�tater=Treatment,
Septic Tanks: " ' � � � _
- US Environmental Protection Agency-Asbestos abatement. �
� Federal Av.lallon_Authority-Runways,�� ,
I understand that the.following.:rest�ictlons apply to the use of flIL••
� - Use of flll is not allowed in�Flood�Zone"V"unless expressly permitted.
- If the flll material- is to•be used:in :Flood Zone. "A", It is understood that a drainage plan addressing a
°compensating volume" will be submitted at#ime of:permitting which Is prepared by a professional engineer
Iicensed by the State of':FloHda: �- - � , �
- If ih� flll-material.ts�to-.be�used in Flood �one "A" In�connec�ion�wlth�a��ermitted�building using stem wall
constructton, I certify:th.at,flll:�rlll�b.e�used only.to.iill the area wtthin�the�stefn�wall:
- If flll materlal is to be used �in any area� I certifjr tt�at .use. of�such flll will not adversely affect adjacent
properties. If use of flll is found_to adversely:�ffect adJacent��properties,.the owner may be'clted for violat(ng,
, the condi#ions�_of.the.building�.permit Is'sued-under the��at�ached�ermit appl(cation;�for�lots�less than.�one (1)
acre which are elevafed�tiy f111,a�r engineered drainage plan ts required.
If(am the AGENT FOR THE OIMNER; I;.promise In good falth to inform the�owner of the permitting condftlons set forth in
this �ffidavtt�prtor to commeracing constructlon. I undersfand that a;aeparate permlt may be requtred for electrical�work, .
. �.,.�
plumbing,�.signs, wells,.;p;vols;. alr condttioning,.gas,.or othe� install�tlons not.spec�ically included�tn.the�application. .A
permit Issued shall be construed to be�a�Iicense'-to�proceed with'tlie wor`k and not-as:authoNty�.to.violate;�cancel, alter, or
set aside any provisions of the technical codes; nor shall Issuance�of a.permit.pcevent the Bulldirig Official from thereafter
requir(ng a correction af errors_In plans; construction,or violatlons of-any codes:� Every�permit-Issued�sfiall beaome invalid
unless the work autho�tzed�.by such permit:�s-commenced•withfn sGc m�nths of permit Issuance, or If work authorized by
the permit is suspended or:aba►�doned;�for.a�:period,of six�f 6)�montiis.aRer the time the�work�ts commenced. An extenston
may be requested,,ln_writirig;-�from"the:Building,Officlal for a period:�not.to.exceed�ninety'(90)�days a�id-will demonstrate
justHlable'cause for.the exfension�. If work ceases.for nlnety.(90)cons.ecutive�day.s...the job�is.considered aba�doned.
. ..._ ._.. �. .� , . . �
WARNING TO OWNER: YOUR;FAILlJRE.TC3,RE�.ORD,A::.MOTICE�OF,-COMMEi�CEMENT.MAY-RESULT IPI>°YOUR
PAYING TWICE_FOR�IM.; , O.VEM_ � .TS•TO:YOUR::PF€t�PERTIf:°IF°YO.U;IN��END�-T�'��BT: N��FINiAf�E1NC;�ONSULT
�
lNt� -_ _ �� _ '_ p . Id : .R! ..- �'. ��,� � � �'� �ddP' :, ; ;. : ,-. � _:�, 4'= "— =- -- -_ —.-- -_
FLORIDA JURA�(F:S�.t1 . - .. . _ •- - - .
OWNER OR AOBNT • � CONTRACTO '� � �
Subsalbed and swo fflrmaE f e me thls Subscribed and's o atflrmed)�b' " ' e� t
by �
Who Islare pe[sonally known to.me.or has/have.produced . Who.ls/are p.ersonallyknowmto me or liaslhave-p uced •
' as IdentlflcaBpn. es Identlflcadon.
Not�ry Publlc . Nofary Public
Commisslon No: Comr�Isslon�No. ,
Name ot Notary typed,printed or stamped Name oi Notery typed,pdnted or stamped
This space for usc by Clerk of the Circuit Cnurt unl��. I('llll IIIII'IIII II'll IIIII IIIII IIIII I'lll IIII)I'lll IIII IIII
,� � 2017129007
Rept: 1887338 Rec: 10.00
NOTICE OF COMMENCEMENT Ds: o.oo iT: o.o0
08/15/2017 eRecorciing
Pennil Number: /� jF����..,�/� ff�?�e,7
Tax Folio No.��". "" — Lf" ��•�'U" G `
Thr undersigned hereb�Rives notice that improvements will be made Io certain real properly.and in accordance'vl�h Section 713.13 oC the
}'lorida Statuhs,fhr following informadon is pro�'ideci in thc NOTICE OF C011MEhCEMFNT ,1 .
`�?(�:� I�,.�. � ,�.. `��`
1 l.e�,al Descriplion of propetty(strcet a�dress rcquired): � _� 4
.e'.�iln, �.� }
~a . . CLERK&COMPTROLLER
�� ,'� ,_ �8/15J2017� 10:54 A23 1 of 1
2. General dcscription of impro��einents: ���0
, OR BK G
3n. O�vner Name: 4'�' .C.EY`l`--� 4 ��� ' �" � 1�y'N^ -
O�cner Address: �--r�-��? p;%��r,'c+f'� ��=�'' I�c�%��� ` !`� "'��i�?�/�
3b. bwner's interesl in site:
3a Fcc Simplc'fitle holder(of other Ihan o�cner)
Address:
�' ,;�
4. Contractor Nmne: � .,�_L -��+'_G�J.�l�'
� �hone: '
Address: — ''� ' � ` ' �
S Surety Name: Amount of bond:
Address:
Phone:
G. Lcnder Name: ('ontact:
Phone:
Address: '—
Z Person H-ithin thc State oF Florida desi�,nated by o��'ner u�mn�vhrnn nolices or othcr documcnis may Lie scrved as provided by
Section 713.13{1)(a)7,Florida Statutcs.
Name: _ Address:
Phone Numbcr•
8. In addition to himself,Owner designates the fo11oH•ing person to receive a copy of the Lienors Notice as provided in Section
713.13(I)(b),florida Slatutc,.
Name: Address: �
Phone Nwnber —
9, Gxpiration date of Notice oCCommencemem(expirntion dalc is one(1}ycar from date of recording unless a di(Cercnt dute is
specificd).
�YARNIKC 1'U O��'NER: .►nv ravnit:�7's nfnnE av T��e O��'NER AFTER TLIG EXPIFL1TlON Of THE NOTIf.E OF'COAiAIENCEaf�d'�nae
CONSIDERED 1�1PROPER PAI;NF.NTS UNPER CHAPTER 713,PART l,SECT[ON 713.13.FLORIDA SCA"fUTFS,AND CAN RESULT IN 1'OI:R
PAl'INGT�1'ICF,FORIDiPROVEINENTS701'OURPROPERTY.d.NOT{(:EOFCOh1h1ENCE�fE�TMUS'fBERECONUED9VDPO5TEDONTHE
JOB 511'E BEFORE THG FIRST 1NSPECTION. IF YOU IKTGND tU OBTAIn FINA\CIhG,CONSULT��'ITII VOUR LE�DER OR AN ATTURNF.Y
REFORE CO�IDIENCINC WORK OR RECORDING YOUR NOTICE Di�tENCE�lETT.
�t,./ r���/'a��
Signature of O��mer or Lessce.or O�sner s or Lesseds Amhorized Oi'licerlDirector/PartnedMunager
—�`f����� �
Signatory�s TitlelOffice �
N �
� � o
STATE OF FLURIDA ' o N
COUNTY OF I11LLSf30ItOUGH � - �..�' C9 � N
` �---- �_ �;1,,/�•' .i:S�------ .20 � , (� # Oo
The foregoing instrument���as ackno��•Iedge bzforz me this,_ day of � —
`r1'�\ �.i V�''as � ��7_______;.L �ur � O 3
by�oi w i v C�,�nr�.-•—�.---=� --�Ca} --—---- --- .�.__ -- v�
—n
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PenonallyKnown,_„----nRPtvJuceclldentification_..._..,__ �� � a Q Q,
Typenl'IdcntificatiunProdua:d_,�,�Y�1���_`?_��"�f'.!'-_�1�----__-__.---_ j �� ax
— -- � '- Q U W
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Signeture-\ocery ublic �u �
-�... �
lmdzr�i�alties ofpequry.1 dcclaro i e �uve n:�d�hr fi regning nnd�hat ihe f:�ns staicJ in it arc true io�he k�cst nf my knowledge and balirf. '�. �
� ;.'":`'4:: YA' . � .�l1EZ ';�,•,,,
'=c' ��. ..i013303
Signature of Natural Pe ' 'C
�'%�i; ���,yr t9,z�i�n:y ovzoi:
(:\m{w of anr 1 musl be auachM anht�itne of rcmnlatwn of Ihic NoUU uf Cominarcan[n0 ���