HomeMy WebLinkAbout17-18838 CITY OF ZEPHYRHILLS
- . 5335-8TH STREEC
` A (s�s}�sa-ao2a 18838
BUILDING PERMIT
PERMIT INFORMATION � � LOCATIO.N INFORMATION
Peemit Number; 18838 Address: 5�43 10TH ST
Permit Type: RE-ROOF ; ZEPHYRHIL.LS, FL.
Class of Work: ROOF' REPLACEMENT Township: Range: Book:
Proposed Use: NOT RPPLiCABL.E Lotts}: Biack: Section:
Square Feet: Subdivisian: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: '1'E-26-21-0010-00600-0020
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 9l07/2017 Name: LAWHORN LETA
Tatal Fees: 70.00 Address: 5943 10TH ST
Amount Paid: 74.00 ZEPHYRHILLS FL 33542-3564
Date Paid: 9I07/2017 Phone: 813-335-5840
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATtt3N FEES
SUMMITWOOD WORKS LLC REROOF RESIDENTIAL 70.OQ
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REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Fiorida Statute 553.80 (2)(c)the
lacal governrnent shall impase a fee of four times the amounfi of the fee imposed for the initiat inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTiCE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this property that
rnay be faund in the public records of this county, and there may be additional permits required from otFrer governrrrental
entities such as water management, state agencies or federal agencies.
"Warning ta owner: Yaur failure to record a natice of cammencement may resalt in yoar paying i�nrice for
improvements#o your property. If you intend to obtain financing,consult with your lender ar an attorney
before recording your notice of commencement."
Complete Plans,Specificatians Must Accompany Apptication.All wark shatl be pertarmed in accordance with
City Codes and Ordinances. NCI OCCUPANCY BEFORE C.O.
Nta OCCUPANCY BEFORE C.O.
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CONTRACTOR�IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi Mt3NTHS WITHC}UT APPRt�VED INSPECTION
CALL FOR TNSPECTION - 8 HOUR NOTICE REQUIRED
PRt�TECT CARD PROM 1NEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
' , Building Department
Date Received Phone CoMact tor Permittin
Owner's Name � Owner Phone Number ��' 'J�"(�
Owner's Address �d J� 9/� Owner Phone Number
Fee Simple Titlehoider Name Owner Phone Number
Fee Slmple T(tleholder Address
JOB ADDRESS S �� � � ��+{.Q,�C LOT� �
SUBDNISION PAACEL ID� ��ty� \'V4 Q—l7O�QQp�IJ�A�
(OBTAINED FROM PpOPERTY TAX NOTICEJ
WORK PROPOSED e NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTHUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ��i 1�k1�1'�— � t
BUILDING SIZE SQ FOOTAGE 1'O � HEIGHT �
� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � n
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �� �� 2[Q�
J(J
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED F �0\R ELEVATIONS FLOOD ONE AREA QYES NO
i
BUILDER COMPANY �S{�(� \ ��)
SIGNATURE REGISTERED Y/ N FEE CURREf� Y/N
Address �' � License# CC� � �-l�
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 REGISTERED Y/ N FEE CURREA Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.AII commercial requirements must meet compliance
SIGN PERMR Attach(2)sets of Engineered Plans.
""PROPERN SURVEY required for all NEW constnrction.
Directlons:•
Fiil out application completeiy.
Owner&Contractor sign back of application,notarized
I}over$2500,a Notice of CommencemeM Is required. (A!C upgrades over 57500)
" Agent(for lhe conlractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contred required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/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 conVactors, 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 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 appiicable 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"owner"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 Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8� 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 NO CE OF COMMENCEMENT Y RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. YOU INTEN TO T I FI ANCIN�,CONSULT
WITH YOUR LENDER OR AN ATTORN Y BEFORE RECORDING OUR NOTI E OM N EMEN� .
FLORIDA JURAT(F.S.117.03
OWNER OR AGEN i i I/��CDNTRACTOR i
S b crib and sw (or a irmed) efore me lhis Sub crib and swor to(or a ed)befor me thi
by �ETA L AW+kCl�� �by E �
Who is/ re ersonally known to me or s/have produced o is/ re ersonally k wn to m r has/have prod d
� entification. 1. t� as identificati .
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, ary Public otary Public
Commission No. ���(//��1 Commission No. �/ �
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Name of Notary typed,Printed or sta �y. NEAL R SCOPPEIT�I�L(�pr ted or stamped �;� NEAL R SCOPPETTUOLO
=�. �= =F' '"•'.�::
'���� MY COMMISSlON#G(3Q87974 =`. .•: MY COMMISSION 1!GGQ67974
EXPIRES Jenuary 30,2021 '�oa, � EXPIRES January 30,2021
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3. �►���«�emrorm�«,nub��n.a,eraebr�,�ro,�„r 09/01/2017 K. R. . Dpty Clerk
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Intereat In Properiy: {'K/�'�� �n�
Nertro of Fee Simple Titleholem;
(B diRer�t hom Orme�Ibted above)
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Add�ess �
Amourrtoigmp;s T����; ; PAULA 5 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEi
; 09/01/2017 10:30am 1 of 1
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Addiess �yb , -- -. S4U
Lenders Telephotre No.: '
7. Persons within the Stete M FloAde deslynated by the otmer upon whom�qryoes ur a�er�axnenta mey be served as prwkled by
- Seetion 713.13(1He)(7),Flalda StehRea:
NM�e
AddreSS �Y Str�
Telephone Number of Oeslpneted Persore
8. M addiNon to himself,the owner designapes a
to reoeive o eopy of tl�e L�wra Notlee es provlded In Sedbn 773.13I1}Ib)�Florida Stah�6es
Telephona Number of Person or Entlty Deslgnat�by pwne�
9. F�iration date of NoUce of CammencemeM(the expiraUan date may not pe be(pre tl�a campletion of mmtrucHon end ftnai payment Eo the
eoMrador,but wip be one year from the date of reeording unless e drfferent dete is apadfied):
WARNING TO OWNEt� ANY PAYMENTS MADE BY THE OWNER AFTER TFiE D�IRATION OF THE NOTiCE OF COMMENCE1NINf
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAFTER713, PART 7, SECTION 713.13, RORIDA STATUTES. AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YpUR PROPERTY. A NOTiCE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSIA.T
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penatry of parjury,I deGare thet I have tead fhe forepoinp notice o}mmmer�cement and thet the tacts etated y�ere�n ere true to the best
of my Imowiedge end belief.
T�.�; �oR�AL R 3COPPETTUOLO
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'� EXPIRES Jenuary 30,2021 ��'�' �e'����s�
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The toregaing inshument was acknowledged betora me this�dey or +J J�,zo�by �T Ic+ L�i,J H a 2�.1
as i7 uJ 1J E 2 (tYPa ot authority,e. otfi r�trustee,ettomey In teet for
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Persenelly Knovm❑OR Produced Identificadon� Notary SlgnaWre
Type of IdentKcatlon Ptoduced�2(J G� �-�GC.NS� Nema(Prlrtt) �l4L S P T T
wPde�/b�Jnoticeeommencement�c053048
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SUMMlTWOOD _
I
August 16, 2017
City of Zephyrhills �
{
Building Department i
5335 8�h Street j
Zephyrhills, FL 33542 ,
RE:Authorization Letter for Permit Pick Up �
To Whom It May Concern: `
�
Please allow this correspondence to serve as confirmation that the individuals listed below �
are authorized to pick up permits on behalf of Summitwood Vllorks, LLC: i
i
• Hank Smith I
• Katelyn Mabe �
• Daniel Bradley t
• Marshall Rhodes �
• Courtney Jones
Should there be any questions,please do not hesitate to let us know.
Thank you, {
/� � �;� �
� ;
Courtney jones i
Director bf Office Logistics +
I
9�4�I� NEAL R 3COPPETTUOLO
`�=
:�� MY COMMISSION#GG087974
EXPIRES January 30,2021
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4 � ' 1 1 � � � B 1 . • °
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Phone: ($13) 328-3525
, r CONTRACT FOR �ERVICES
< EXt:
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CCC1331248
SUMNIITWOOD
Date:_J�J Customer.# Customer lUame. ��''��l �I"�_tA_3!'1+`1 l`s�l
Best Phane: �G�J ��� ���l,V Job Address: ��t-�3 1�J���
y: �u=-�dit"l�f"Y ��� 5tate: �\ Zip: ���`4�
Cell Phone: Cit �
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Work Phane: Email: � ��-V�q 4't'�.. c�S � c�6N1� t � � C.C..Y�t�-
I/We the awners of the above referenced property agree ta hire Summitwood Works, LLC.to Perform the following services
and ta provide all materials and labor to complete any and all wark performed accarding ta the terms,specifcation and provisions.
Description of the work and materiai#o be used:
Tot�!Squares�� t'`� ` MFG f�� ' � �Color f'� � C-'�' -
A
1�`l C. t..� � � , �c.�a. �'r��I c:�-c, .
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Payment: Contractar proposes ta perform the above work(subject to any deductions or additions pursuant to authorized change order
For the surn of: ��
Totat Sum of: ���� � Dawn Payment of:
**Final Pavment Due Upon Campletion un(ess otherwise na#ed above**
Approximate Start Date: Approximate Finish Date:
IJWe understand there are no oral agreements or understandings between the parties of this agreement. The written terins and provision
Represent the entire agreement between the parties. Changes shall be dane by written change orders only and will be approved by both
Parties.Changes may inclucle extra charges.This contact daes not become binding untii afl parties have signed.You the buyer,may cancel
this transaction at any time priar to midnight af the third business day after the date af this transaction. Canceliations after the third day
are at the discretion of Summitwaod Wo�ks,LLC and may result in a cancellation fee.
Additional provisions are on the back side of this agreement.
,/�i�// �E��"' �i;%����Lo'�----
ApprovaE of the Customer Date Approval of the Customer Date
��y,Z �� u-a L.z'� (
Approval of the Cpntractar Date
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�t4fficial A�ttkorization:T11is affiant�is autltor'ized anzler�the provisions ofFlorida��t�ttie�§4Si222�an�i-eYtapt�r 1-§1�5:G�Flori�ia
Building Codes to conduct and per£orm building cofle compliance inspections.
Praject Address: 5847 14th Street
Nature of Bnilding: SFD
Pernut# 18783
Nature�f 1�U'ark: I�ER:�fOF
�I�-Bruce�Lipper:Archit�ct�an autkorized�agent��f tYse�tat�c�f Florida pursuant-to cl�apter 4Si of tl�e-Florida�Statues and ckapter-l-
ofthe Florida Building Code,did perfarm a visual inspectians on the premises at the above-mentianed location.Said inspections
included but were not limited ta the following:
=6�5:�»R9Q�_�J��G =E���=
684 ][t�-ROOF F�NAI.. PA�S
-B�sed�u on our examin�tion and'findin s'Vl�e 11ave det�rmined�t�tat�tite installatian was�f�ctual- d
p g , an perft�rmed�correctly autl�in
compliance to the 2014 Sth Edition Florida Building Code with supplements.And to the Hurricane Mitigation Retrofit Manual
(553.844�.5.)
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