HomeMy WebLinkAbout17-18987 r CITY OF ZEPHYRHILLS
'a 5335—8TH STREET
(813)780-0020 18987
BUILDING PERMIT
� PERMIT INFO.RMATION LOCATION INFORMATION -
Permit Number: 18987 Address: 37400 CORNWALL DR
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0480
Improv. Cost: 6,344.00 OWNER INFORMATION
Date Issued: 10/26/2017 Name: BENBOW VIOLA
Total Fees: 70.00 Address: 37400 CORNWALL DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 10/26/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
WIDNER ROOFING INC REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF 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 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
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�e13-780-0020 Ci of Ze h hills Permit A licatian Fax 813-780-0021
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• , Buttding�Department � '`
Date Received Phane�Contac#for Permtttln
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Owner's Name , p �-.� Owner Phone Namber
Owner's Address 3 7��Q �'���� �,.J P�;,. Owner Phone Number
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a �Fee Slmple;Titlefioider Name �� �� Qwner Phone Number '�
Fee Stmple�Titleholder Address •
J08 ADDRESB �7�''�� � P` LQT# �`____�
SUBDIVISIOPt �� � PARCEL IQ# ��"�o'a� �--9�'z.�3�- E�c9��-- GP c�`�
� (OBTAINED FROM,PROPERTY,TAX NOTICE)
WQRK Pt2QPOSED :NEW CO(�STR . ADDIA�T �` SICaN' -Q � � Q DEMtJLISN
y , --e. INSTAl.L 8 ; REPAIR � .
PRQPQSED��USE Q SFR, �] �COMM '- 'Q -0THER �" ,
TYPE OF CONSTRUCTIQN Q� BLOCK " �Q FRAME � STEEL 'Q
DESCRIPTION CtF WORK � � .��-Z_
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BUlCDlN6 SlZE' �' �' SQ FOOTAGE`���, ,HEIGH'f��E� �
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�g���1Ne'' � `� VALUATICIN:OF`'t'ClT,4L CONS'fRUCI'IO1V y
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QEIECTRiCAL $ - ��� AMP SERVICE Q PRO�FtESS ENERGY Q W.R.E:C.
QPLUMBING $ - �� �
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[�MECNANICAL $ VAl,OATION OF MEGHPWIGAL liVSTAL1.ATiON �� ��,�a �,�I�
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QGAS � ROOFING ;� SPEGIALTY � : OTHER� t./" GCi'�
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F�WISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
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BUII.DER , CUMFietNY' . .. .� .
SIGNATURE REGISTERED Y/ N FEE CURRE� ' Y'/N"
A�3dres� - ` Ctcense#"� �
ElECTRICIAt�!!. COMPANY
SIGNATURE � REGISTEREp Y/ N FEE CURRE�'' �•Y/N
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Add�e`ss ` , , - ,Llcense# { .-„ �
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SiGNAYURE� ' '' � �REGISTERED ,Y/,.N,� t-;FEE;CURRE� � ' Y-/N �
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MECHANlCAL � . , „ } G.QMPANY _ � „
StGNATiJRE • ' ' � �GISTER�p. � Y./ N` `'_ � FEECURRE�-. Y./rN •
Addre�s� , .. . ` ` , . . '_ - �icense# � �
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S1GiNATURE �. ' ' " -R�GISTERED�' ' Y/ N,. � Fee Cuw�n Y/N
Address 2`�7�$i°= ,ll ct�.�,��; ��' GErerise# �C�'-�� �.�,.'�"2-� .
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RESiDENTlAL,;.: �Attach(2j.,Plot<Pla�s;.(2}sets�ofBuiti!li�g�Plarts;'(1)set'of-Energy=Fori»s;R-0iWPeiitiitfarnawconsbuc.#ion,., .
; _ : .... . .,. , . �
-:�- •Minimum�ten°(1A,);vuarking;d"ay�:atter;submittaliiste:'�Reguired onsite;Constiuctlon�Plans;Starmwater'Piens w/Sfit�Fence installed,
,~_�, Sanitary'Fac(Itties:&1*.,,d.umpste,r,i3lte�..Work�P,ertnit;for.subdivlslons/large;pru)scts-.,_;�,:;.� " � '= ' `` " - • �
COlIRN1ERCIAL Attach(3j�coiiiptete sets"bf`Bullding Plaiis pius"a Life Safeiy F'age;{'1}set of Energy Forms.R-O-W Permit far new aonstructton.
Minimum ten(10)working days'after submlttai date. Required onsite,ConsUucBon Plans,Stortnwater Pians w/Silt Fence installed,
Sanitary Facilides 81 dumpster.Site Work Permit for all new�pro)ects:All commerGal requlnements,must meet compllance � �
SIGN RERMlT Attac6'{2)sets ot�Eiig�iieered;Plans:f�� ,���= : -. `.. , �
""`PROPERTY SURVEY regufred for all NEW,c:onshuctlon..
Directian�: _. � - .. .. .. ...
Ftll out application wmpletely.
Owner 8 Contractor sign back of applicatlon,noNarized
If aver�2500,a Notice.af Commencem�nt Is requlred. {AtC upgrades aver�7540}
;.:�,�;::.':.�
'" Agent(for tFie co�tracttir)or Pow`e�of'Attomey(for tFie owne�)would be someone with'notarized letter from owner authorizing same
DVER THE COUNT�R.PERM17TfNG. ...._;..{Frontof-Appllcattan Oniy) - • . �
Reraafs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Faotage)
Drivewaya-l+tat aver Caunter if on pubtic roaduVays..iieed's RG3Vtt � �
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NOTICE OF DEED RESTRICTIONS: The undersigned,undergtands�;#h�t,this p�rm,it�`may:be:subJect,to,°deed"_restrictions",.'.. _,_,.,.
which may:be�more-�r.est�ictive�t6ac��County�fegr�lat(ons:��The�underslgned�assumes"resp�risibiltt'y'for compliance with'any� �� �'��"�"
appHcable deed restrictions. .-�., : : .: . ..� ., - - .� `, ' �,
UNLICENSED° CONTRACTORS AND CON�RACTOR RESPONSIBILITIES:� -1f°ttie��owmer has��hired��a"°contractar or
contractors to undertake work, they may:b.e.;.r,equlr:e,d�<to..bemlicensed in accordance.wlth„state.and,�local;regulations:�-1f�the�- ��- � `
contractor Is�not l(censed:a§ required"tiy law, botff the owner and-contracto��may�be,cited for�a�misdemeanor violation
under state law. If the owner or intended;cont_r;a�tor:are;uncertaln as to wh�t Iicensing.requirements;may��applya�forRthe'� ��� := °''
intended"�nrork,they are advised to contact the�Pasco Couiity,Bullding::lrispectlon Divlslon�-l:tcensing Section at 727-847-
8009. Furttiermore, if the oviiner�tias'hlred'a�conhacto�'v�contractors, he is advlsed to have �the contractor(s); sign; ,,
portions of the "conttector Block° of�thia appllcation.fo,r_.which.they,will.b.e.responsible.-. If=you,:as•-the oviiner stgn-as��the '
contractor�-that�°may be an indication that�Fie�'is'noY.properiy Ncensed'and��is'not"entiHed to permftti"ng p�iitll'eges In Pasco
County. , __ .,� .
TRANSPORTIITION�IMPACTIUTILITIES=IMPAC7 ANb ItE30URCE RECOVERY�FEES:�The understgned understands
that Transportation Impact Fees and.Recourse Recovery;Fees may�:apply�.to�the:construction of new_buildings��change�7of��"�`�= '
use In existing bufldings,-or-�expansio%r��of:�ezisti�i,g'�buildings� a§ specffied.in Pascv County Ordinance number 89-07 and,
90-07, as amended.r.,The undersigned also;-understands, thait_�such fees;�;as�tnay:_tie:�due;;wlll:�tie identified at the�time;of'� --�� �`
per�itting. It is ftirther understood that Trai�sportatlon impaaf'Fees and°�Resoucce;Recoiiery�Fees,must be paid prior to
rece4ving a 'cerfi�cate=of�occupancy" or flnal�.power>.release:-�:If>Ehe.proJBct..does,not�involve.a�.cert�icate of occupancy.��ors�=_ =�'
final power release�;the;,fees mu�t•be-paid.pcior to;permR Issuance. F.,t��tk�ermore;�ff Pascv.County`WatedSewer��lmpact -� .,
fees are due�;they.must.be;paid;prior.to;.permit';issuance�ln.accordance-wlth��appllcatite�Pasco�:County�ordinances. •
CONSTRUCTION'LIEN'LAW"(Cfiapter 713� Flo�lcJa Sfatutes�aa amended): It valuation of work is$2,500.00.;or more�;.l - � -
certify ttiat I, lhe. appiicant,--have�_been-proqided �with a�copy-�of_the.`"Florida� Construction��Llen_La�nF—Homeowner's
Protection Guide" prepared bythe FloFida Department�of Agric.ulture and ConsumerAffairs. if the appllcant Is someone: , �, .
other than the"owner", I certify:�that:l-h�ve..obtained-a�copy.of:the:abQyades.c�ibed ilocument�and_p..romise�in;good'falth�to .
deliver It to.the.'owner�:prior::to�ccrnmencement:' - �' � � '�� { - - � ' �.
CONTRACTOR'S/OWNER'S AF�IDAVIT: I.ce'rtit�r.>.tti;at�,el6the�lnf.ormatlon�,in�.thl� applicatlon is accurate.and that all work
will'be done in compitance with all appltcable laws regulating construction� zoning and:land�development. Application,is
hereby made to obtain .a.permit�.<to.,do..work;�and��installation as indl�afed:-: .�I certifji that no workf:or Installatton�has
commenced p�lo� to I§suance of�a permif"and that:all work will be pertormed to meet.standanis�-of all laws regulating-
construction, County and City codes, zoning regulatians, and land development tegulations�tn tfie,jurisdlction. i��al'so
certify that I uaderstand that the regulations of other government agencies may�apply�to the._intended work, and that It is
my responsibility to identlfy•w+hat,actions I must�take to,be;rin;,co[rlpllar�ce,_Such.agencies include but-are.not Iimited to:�. ; �
- Department of E►�vironmental�°Protection=Cypress'Bayhead�; WeHend Areas and Envfronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest FloNda Water Management: .Distr(ct:Wells, Cypress.� Bay�eads; Wetland Areas, Altering
Watercourses. ` �
- Army Corp�of Engineers-Seawalls, Docks,Navigatile Waterways.
- Depar#ment of,;Healthr:8 Rehabllitative;,Services/Environmen#al Mealth Unit:Well.s�.Wastewater Treatment, -
Se�tic Tanks: � - - - -
- US Environmental Protectlon Agency-Asbestos abatement. �
FederaFAv.latlon;Authori,ty;;Runways�� , �
I understand that the following.�restrictions apply to the use of flil:
- Use of fill is not allowed In:Flood=Zone"V"unless expressly,permitted.
- If the=fill`materlal-is to be used: in::flood Zone. "A", It. is understood that a drainage plan addressing ,a
°compeFlsating volume" will be submitted at#ime of:.permittfng wfilch is prepared by a professional engineer
Iicensed by'4he State of'F�orida: " � � :
- If ih� flll material�ts'to�be�used in Flood Zone 'A" In�connection�with�a��ermitted building using stem wall
' construction, I certif�r that flll:wall=b.e used only.to fill the area within�the�stem�nrall: �
- IF flll materlal-is`to be used'in any a�ea, I �certify t#�at .use of such flll will not adversely affect adJacent
properties. if use of flll Is found_to adversely:�ffect adJaEent�properties,.the owner may be clted for vioCating
the condl#lons:of the building;permit issued�under the.�attachedLL�ermit applicatlon, for.lots�,less�than.one (1)
acre wfiicFi'are elevated'tiy flll;a�►engineer�ed drainagi�plan Is required. •
if I am the AGENT.FOft.THE OVIINER, l,.promise in_good fafth to inform the owner of the permltting conditlons set forth tn
this aKdavit�pnor�to commencing construction. I understand that�,a;separate permlt may be requlred for elecMcal work, .
plumbing� signs, wells,,pools;.air.conditioning,.gas�.or othe� Install�tions nol�speciflcal�y included-in.the appflcation. .A
permit issued shall be conshued to°be��a�Ilaense'-to-proceed with`tlie work and'_not as:authoNty to,violate,.cancel, alter, or ,
set aside any provistons of�tFie.teohnical codes;�nor shall issuance�of a.permit.prevent the Buildirig Off(ctal irom thereafter
requiring a correction af errors In_plans, construction,or vlolaUons of-any-codes. Every�petmit-issued sfiall�become invalid
unless the work autFiorized.by such permit:ls-commenced•withln si�c..months of permit Issuance, or if work authorized by
r , ,.�.
the permtt is suspended or:aba�doned;for,:a;period;�of�six:(8)�monftis.:after the tirne the�work�is commenced. An extension
may be requested, In writln'g;-_from.the;�Hullding,Officiai-for a perlod.not-to-exceed"ninety�(90)��days and-will�demonstrate
justi�able'cause tor�the extens(or�. If work ceases:for ninety_(90)cons.ecutive•day.s...the job�Ps considered aba�doned. i
INARNING TO OWNER: YOUR..FAILIJRE-,Ttl..R�EC.ORD.A�,MOTiGE_OF:�COMMEMCEMEMT-.MAY•RESULT IN�YOUR
PAYING'T1IVICE;:FOR-IMPROVEMEN'�$�TO�YOUR�:PROPERTIf:'��IF°.YO.U{INTEND'TO,�OBTAIN�FINAwE1NG;'CONSULT
WITH -— - D �f�.At�-ATTO N �•B OR �,. �O,"�� �. Ol9 ' :G '` � ' � � E E � . - r
FLORIDA JURA��(F:Sr 1.17.03) . , • �� ' : . - , � ` _ . . -
OWNER OR AOENT CONTRACTOR '
Subscrlbed and swom to(or atflrtned)betore me thls Subscribed and'swom`to(ot afflrmedpbefote me tlitfi
by . � �
Who Is/are personaliy knovm to.me or.has/i�ave,produced Who:l p.eraone own•to me�or Haslhave�produced •
� ae Id'entlBcatl4n. __ ____es IdentlRcadon.
. �
,
Notery Public . Notary Publlc
Commisslon No: Com Issi No. ''�'�"�"'" - � ,
., ._.
�� ��,� Commission#��150422 '
Name of Notary lyped,printed or stamped Name of Notery typed,,pdnte��,, Bon a. -�c�:�r,�aou�an�tiaow�a�-rr,,� `� � �
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2017168930
Permit No. Parcel ID No
/��J10-2��� O(ZO — pm 000— O�tY�
NOTICE OF COMMENCEMENT/�
, State ot !f(_�O�(�l��.. County of �i ��
THE UNDERSIGNED hereby gives natice that improvement xn71 be made to ceAain real property,and in accordance with Chapter 713,Florida Statutes,
the following Infortnation fs provided in this Notice ot Cammencement:
1. DesaipUon of Property: Parcel IdentiTication No. �—Z�" Z —p � O B cD�O — O 0
Street Address: .�7��'� d 2- ?
2. General Desaiption of Improvement_ � S � �o-+"-e- S f�41� �j��
3. Owner Informalton or Lessee infortnalian li the Lessee conVaded far lhe improvement
� N�jo..�
3 7�0 8 Cw�..�,, oC
Address ' City State ��
Interest in Property: �'1..3Z�/� i
Name of Fee Sfmple Titleholder.
(Ii difterent from Owner Iisted above)
Address � - Clty State
4. Contrador.
Name ���� a.r.... ��•� � �
Add�� �13—�!`f `�J 3-7 �iry St3� 3 �,�� � '0 �
Conhadors Telephone No.: ,3 Z'
5. Surety. � �� >°' ��
Name `�-'� � ,a ,�= � �
�•. l�
Address City State � " �.
� �_4 ,o; h m J
Amount of Band:S Telephone No.. � °""�` �� { °,,,��o �
n o
6. Lender. l� ��, �
Name �
. \� ,•�,��,
Address City State ��� �
Lenders Telephone No.: �9 e
7. Persons within the SWte ot Florida designated by the owner upon wham nolices ar other docinnents may be served as ptovided by � •� �
Sedion 713.13(1j(a)(�,Floride Statutes:
Name Q � U �
L
C� w � � w J
Address City State � (� � � � J U
Telephone Number af Designated Person: � Z U � J � O �
8. In additlon ta himself,ihe owner designates a�_ �- � Q � W N � W
to receive a wpy af ihe Lienors NoUce as provided in Sectlon 713.�3(1)(b),Florida Statutes. O � = z J � �
Telephone Numher ai Pewon ar Entity Designaled hy Owner. � � � p Q O
9. E�iration date oi No6ce of Commencemerrt(Ihe e�iraUon date may not be before the completlon of consWction and final paymerrt to the � W Q 0 � U
c o n V a d o r,6 u t w 1 1 b e a n e y e a r fr o m t h e d a te o f reco r d ing un less a d i fteren t da te is speci fie d): � � �, w LL Y
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE E)(PIRATION OF THE NOTICE OF COMMENCEMENT Q I— � �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STAMES, AND CAN (Jr Q � � O W
RESULT IN YOUR PAYING TMCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE = V V Z J
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT v� f— �— J Q U
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WaRK OR RECORDING YOUR NOTICE OF COMMENCEMENT. � y- () 0p � �
Under penalty of perjury,I dedare that 1 have read ihe faregoing noUce oi commencement and that the facts stated Iherein are true to the 6est � � a � Q � �
of my knowledge and belief. �, � � � = Q Z
—a (.i! Q � �
STATE OF FLORIDA � U C.� � � O
' COUNTY OF PASCO �_„� N�ry pu61k Stete a Flalda �^ C� � Q '
"� � nature of r or Le ee,or Owners or Lessee's Aulhorized Cn�
\/ Sherty Widrter � h Z
����` My Cwnmiuion FP o75185 ced�IrectodParinedManager � � Q � Q
arW" Expin4s 1?/OBR017 �, � w �y, z �
nator�s Title/Office z }
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l'` I, n U F-=- � O � a o0
The toregoing instnuneM was acknowiedged before me this�day of �GT ,2p�y V l��" i-jp�-�,gu�
as_ �t�lfL'j�� (type o thori e. �
iy, g.,office,Wslee,aHomey in fad)for
(na o behalf ofwh m fnst t s exewted). ���
Persanally Known ,Qg produced IdenlificaUon❑ Notary Signature
Type of Identificatian Produced Name(Print) St-I� �
Repl:1904484 Rec: 10.00
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10/26/2017 J. R., Dpty Cle�k
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