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17-18796
CITY OF ZEPHYRHILLS .. • 5335-8TN STREEf ($�3}7so-oo20 18796 BUILDING PERMIT � � PERMIT INFORiIlIATION. � " -LOC-ATION INFORMATIOPI Permit Number: 18796 Address: 5239 10TH ST HISTORIG Permit Type: RE-ROOF _ ZEPHYRHILLS, FL. Cfass of Work. RQOF REPLACEMENT Township: Range: Book: Propased Use: NOT APPLICRBL.E Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Vaiue: Parcel Number: 11-26-21-0010-18200-0010 Improv. Cost: 13,920.00 OWNER INFORMATION Dafe Issued: 8123/2017 Name: GEITHERN 4PERATIONS �LC Tatal Fees: 105.00 Address: 11927 PASCO TRAILS BLVD Amount Paid: 105.Q0 BR4QKSViLLE FL 34610-4802 Date Paid: $/23/2017 Phane: Wark Desc: RER(7QF �HINGLE CCINTRACTOR S APPLICATIt3N,FEES THE ROOFING CQMPANY REROOF RESIDENTIAL 105.q0 � 4 � Ins ections Re uired DR N R OF I P TAPE JOINTS RO�F 1�5�,�'Q� FINAL 'Y// �,I REINSPEC7'ION FEES: (c)With respect ta Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the loca!government shall impose a fee of four times the amount of the fee imposed for the initia! inspection or first re�nspec#ion,whichever is greater,for each such subsequent reinspection. NOTlCE: 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 caunty, and there may be additional permits required from other governmentai entities such as water management, state agencies or federal agencies. "Warning to awner: Youe�fiai[ure ta record a notice of cammencement may result in yaur paying twice for impravements to your property. If yau intend ta obtain financing,consult with your lender ar an attorney before recording yoar natice of commencement.° Complete Plans,Specificatians Must Accompany Application.All wark shall be performed in accordance with Ci Codes and Ordinances. NO QCCUPANCY BEFORE C.O. NCI OCCUPANCY BEFORE C.O. �i�� �'�<i'� �„r' CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MCINTHS WITHGIUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PRfJTECT CARD FROM WEATHER � a��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 , . Building Department Date Received phone Contact for Permittln Owner's Name � �QI r +� G Owner Phone Number 1� ""L"L � p� Owner's Address �l �� O ` q Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � Fee Slmple Tltleholder Address JOB ADDRESS 1��-�'1 � r � .5 LOT# i a 3 5 SUBDNISION PARCEL ID# L l 1 d�� _�l ������C�Z�-V -• �� (OBTAINED FROM PROPERTY TAX NOTICE) WORKPROPOSED e WSTALLSTRe REPAIR � SIGN Q Q DEMOLISH PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTIONOFWORK {Y7CU'e— �5 �l LI� "l y`� ���(��� BUILDING SIZE SQ FOOTAGE `l U HEIGHT � QBUILDING $ ^• VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS � ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED YJ N FEECURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY - SIGNATURE REG�STERED Y/ N FEE CURREA Y/N Address License# OTHER • COMPANY � �� `l+� ln �y�t� IR,. SIGNATURE REGISTERED Y/ N FEE CURT2 Y/ `���'�-/ Address � License# �� � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllt RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Facilities&1 dumpster;Site Work Pertnit for su6divisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Satery Page;(1)set of Energy Forms.R-0-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 8 1 dumpster.Site Work Permil for all new projects.All cammercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Dfrections:• Fill out application completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is requtred. (A/C upgrades over 57500) " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of conVact required) Reroofs ff shingles Sewers Servfce Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-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. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 portions 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. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings,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"owne�',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 instaliation 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 Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. ; Army Corps of Engineers-Seawalis,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,wells, 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 Building 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. 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 FINANCING,CONSULT � WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) , v r �Q OWNERORAGENT CONTRACTOR �-� '" ' Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by bY Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced � as identification. —� as identificaUon. Notary Public , lX otary Public Commission No. Commission No. �� v L Name of Notary ryped,printed or stamped Name No ed,print�d������ERALD =°f��'```� MY COMMISStON#GG098132 ��� EXPIRES:APR 26,2021 Bonded through 1st State Insurance I I � � l Illlll Ilill ll111IIIIl Illll l�ll l�llllllllllll 1111i IIII illl � • 201?12884? � Rept: 1887251 Rec: 10.00 DS; 0.00 IT: 0.00 1�4TiCE�FCfliYtI+�ENCEMEI�t"I` 08j15j2017 eReoording ?er�r►ii Iio. PAULA S.O'NEIL,RhD.PASCO CLERK�CQ{�+IPTROLLER os/�.5�r2oa.� o�:x6 ,�rs i o� i Praperty identification i�o. i�-262��oosa�e2oo•oa�o OR BK ��0� PG ��� 1 't'KE UI�ZIERSIGNED heteby gives novice that improvemeats will be made to cerraia real property,and in accArciance•�ith Section 7 i 3.i;af the Ftorida Sta�vtes,the foIlowing inforraatian is pmvided in the�14TICE OF COMMIENCEl4t�iVT_ t i_ Descrintion of proPerrY(Iegr�descriprinn:} ��r�����ar,se Lou:.zsa a,s�isz a) StreetAddress: �,ou,se�nyn,a���saz 3. General description of improvement� R� S. Owner lnformatian a) Tvame and address: ����uc 1�92i pssw�raas er�a e�n��.�s+o b; fi:amc�d address of fee simple ritieholder{ifother than awner) c� Iaterest ir.property �'� - — .�_ 4ornactor Information a; `ame and adds�ess: n+e�9 co,�vanx sas sr3,e aom�.r�Pa,wa�y p..�sss • b} Teiephone No,: T�At&3t51 Fax No.(Opt) �-�a°� �. Surecy Information a) Name and address:`__. b) Amounc ofBond: c) Tetephane ltiio.: Fax N0.({3pt.} 6. L.ender a) Name and address- _ P .. id;:ntity af persan withia the Scate af Ftorida desigaaud by owner upan whom notices or other documents may be served; a) �ame and address• b) Telephane No.: Faac IQo.{QpL) 8. In additior to himself,o.vner desi�nazes the ioliowing person to recerve a copy of the Lienor's I`'otice as provided in Section i I3.I�(I)(b).Flotid2 SLaiuFes: a) :�az:�e azd addrecs: b) Telepnone No: Fax No.(Opt.) 4_ Eapir2tion date ofNatice pf Comnaericement{the expiration date is one year from the date of reoording unless a diffarent ciate is sgrc�sed): ti��I2�Fi�iG TE�O'iNiVER ANY PAYMlE1VTS M[ADE BY TAE OVV:YER AFTER THE EXPkRA.�."1'ICDN d�'THE NOTiCE OF C�?i�ZYtEitiC�MEt+t'T ARE��ONSIDER�ED IIYtP'RdYEFt PAYMEi'VTS iiNDER CKAPtER 7I3,Pr�R'3'1,S1ECTi0i�I;13.23. FL43RIAA STATL'TLS E'.ND Cr�.l\IItESULT I�t YClUR PA,I'7�1G'lCWT�F F4R�'ItOYEYlENPS Tt}�'Qi:dt PRflP�R'g't',�1 ti0'�'ICE�'3F�O�d17EN�CJEI►�iE?N?MUST BE RE�ORUED AlYD POSTED 4N THE.IOIg S1TE B�,FORE'Ti;E FIRST t\SPEG31iJ�.IF Y�U 1CN3'EM3 TO QSTA.ii'V k'P.�iANCI�iG,CO1�tSULT YOtiR LENDER OR AA'ATTOi2iVE3'BEF014E C43?�1'V�EI`i�I1'{G WO'l2K t}R i2ECL1RDING YOt3 N'�TICE{}� CFa'Vt�NT. STaTE 4F FLORIDA � GO�.;riT'r`OF P�aSCO Sigoature or cr's Authori¢ed OfncvJDirectodParmerlM��er � �--����-��" �G�r , ��� 't?se fom�raiag snsuumes►t was acimowledged me this 'l day oF,.,,�"��V C��S`_,,,.__,2U�by ��ylCl�.. ��l�f�-�/I/-� as ,��tM G,tJtT– '� (tyPe of authat�iiy,e.g.afficer,nvstee,attorne±+in facz)for .�-��'��!'�'� L !(mame of parry on behalf of whom insmanent was exeartal�. ti /� ?�rsana;it ICnown�dR Produccd Idearitiaixioa� Notar Si�sature`! ���.�.,,�..�{..7i5.o�.,,eit1 _.._. # Tt•�o;if.:rnifrc�tian Praduced _ i�iame(print} _� _ 1'er'fica�os:pursvaa;to S.-.ction 92.525,Florida SU.tutes.Uader pe�abties of peijuq+,t declare that i ha��e read the focsgoing and that th�facts stated :,it are sue.o�a bast ofmy?tnowiedae�td bctief. =oa�t,c.:er�ar. � �+�?eis"' R�lTE!AtdP!TROI'ER st r —" ��+"�, "' �"�iSt1�.i,�EtipIIC,��1,��i�i$ R��f�'y.`' Ct��ta'tir�?a�.s�na�,e+T+135470s9 S��'�a.�� T�t,��:. - :�:;r;>�,�s���,.��_�� �- ,,. .����•:;,���-_�.,;,,..�,r iq,9;`,.,..�:�;�'',i°.'y..;i:{,' s.-�'7..1� v-x,.., �''� �t� ._$y/.: . ;r �t:�f.r. ,,;�j.,,,,„ \.� � �`:�;�, ,,• _k,t:�':���:y;�,�'`'� ;+ �' �"�,''� / - ' �3;y i�=;`,��:,.':�t,„�., _:.. ;`i,i�L'I'�� �F ;+���� �.. .���'*4ir,�'�, ( 7?� ���.`_., f���� �=r: N.�:�k:�-'.-� ,��._ki.; ��. - \� `-.`<;�.�"<C c;s`�;"y`�:s�'� ``;h c u�:;`x`�'=`%,'�":r:`�'=2'�;a^;`�y,��,?� r � -- ♦ ..�;� �';?c,:� ';:•�-��`.r.; i� -�v:�. ;`amx..fi',dNx.�St�y%;L�,K,3s,. .af`'r-`ru y��,-. 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Yt}s,Y3,,.��,�r?a�s�':�r�';Jk r�3�� ` �......... .+-.,�.�v�v yrl' .'Fie�ab ��`i.sw'��,vfm+�".wi,i"F�4w�':'�'s-r�.,:'�`s�....�`* _.�..z�=._.a..4<.�w'�.:. 5635 State Road 54 *.* y� Pasco: (727)916-3151 New Port Richey, FL 34652 THE RooFING Tampa: (813)601-8704 www.TampaBayRoofs.com ` C O iVi P A N Y J Fax: (866)700-4929 CCC1328373 OLD FASHIONED SERVICE To Whom it May Concern: Please allow Brian Hloska to act as an Authorized Agent for The Roofing Company of Tampa Bay, Inc. Thanks, ,�jl ' `2=G�-�- Christopher Hloska President l�7�ao ��� (� i The foregoing instrument was acknowledged before me this �� day of h1U W�� 20!� - `'�; by��i \'�l�� N�C�`L� as for ` ��ur K,�m � � � `� �l Personally Kno n� Produced ID [] � LAURA FITLGERALD � ooax►'•u�t� r�'`"''� MY COMMISSION#GG098132 Type of I D ���� IXPIRES:APR 26,2021 J Bonded through 1st State Insurance E , Notary Signatur U� � �tZ(�i� G�� G�. , � Print Name l.._C�(..��'C�'.` E- l