HomeMy WebLinkAbout17-19002 CITY OF ZEPHYRHILLS
`� ' S335-8TH STREET %
(813)780-0020 ��2�
BUILDING PERMIT
' PERMIT INFORMATION - LOCATION INFORMATION -
Permit Number: 19002 Address: 6921 OAKCREST WAY
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: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0140
Improv. Cost: 11,128.00 OWNER INFORMATION
Date Issued: 11/02/2017 Name: MEDINA LUIS CHRIS & HEIDI
Total Fees: 95.00 Address: 6921 OAKCREST WAY
Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/02/2017 Phone: (813)715-6099
Work Desc: REROOF SHINGLE
CONTRACTOR S - APPLICATION FEES
WIDNER ROOFING INC REROOF RESIDENTIAL 95.00
,� � � � �
; , r - �
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
frst 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompamy Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCG�UPANCY 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
.813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� R Building Departrnent -
Date Recelved ��3 �� - � 3 -
Phone=ContactforPermlttln '
Owner's Name �e�oC.� �ui o Owner Phone Number
Owner's Addrass �� 2� o Owner Phone Number
Fee Slmple,Titleholder Name Owner Phone Number '
� -
Fee Simple�Titleholder Address �
JOB ADDRESS Co� 2-� O �t..3 / � j' LOT# �
SUBDIVISION PARCEL ID# � O - �o —Z� -O 23 O -�O O p �J .— �J� �O
i , (OBJAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADQIALT Q` SIGN .,"Q � 'Q DEMOLISH
--e INSTALL B REPAIR �� �
PROPOSED:USE � Q SFR. Q COMM Q OTHER
TYPE OF CONSTRUCTION Q" � 'BLOCK ' Q FRAME [� STEEL` Q
DESCRIP7I,ON OF WORK � �l �naS� S
i , .
BUILDING SI2E SQ FOOTAGE '��Q�S , HEIGHT F M1
[�BUILDING $ ' �Z$,�- VALUATION"OF TOTAL CONSTRUCTION" h `~
,
QELECTRICAL $ . " AMP SERVICE Q PROGRESS ENERGY Q W.R.E:C.
QPLUMBING �$ '
i ' ���
QMECHANICAL $ - VALUATION O.F MECHANICAL INSTALLATION. � 1�
QGAS Q ROOFING .� SPECIALTY Q OTHER�
FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
BUILDER COMPANY -
SIGNATURE REGISTERED Y/ N FEE CURREA Y'/N�
Address - Llcense# �
�
ELECTRICIAN- ,. COMPANY
SIGNATURE � REGISTERED Y/ N FEE'CURRE��' 'Y/N `
Address ' � , . : �. � _ _ License# ,
PLUMBER` , � -• COMPANY - - ' �
SIGNATURE ' �REGISTERED �Y/.,.N. : L;FEE CURRER ' Y-/N . .
Address ; � � . .:License�#, - • �
MECHANICAL` ' � ' COMPANY, '
. ;� , , z , -� , . . � ..._. _ .
SIGNATURE� ^ REGISTERED Y./ N. , _ . FEECURRE�- Y�/�N -
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Address ''�-: ', ' . _- ` • _ ' License#
�. . .
OTHER ; _ � - (� )� � p' � � ;COMPANY ,. � - , �, ,
SIGNATURE ,+ "'" `" ` { ' RE� ISTERED
� ''�'""'\ G � Y/ N ._ FEE CURRE� Y/N-
Address �t,�',7-��; _ - _ � Ucense# C C�--p S�l`1�Z . '
RESIDENTIAL;f�-: �AttacFi;(2)�P1ot�P:lans;:(2)sets.of:Building',Plan's;'(1)'sefof-Energy�Forins;�;R=O=W`Pertnitfornewconstruction,. � ' �
_r,�Mi.nimum;ten;(�10):�uqo.rliing;days'after;submitital date.�,Required onsite;.'Ctinstnic8on Rlans;`Stortnwater Plans w/SOf�Fence installed,
�Sanifary FacllfUes;&x1<,dumpster�Stte�Worlc,;Permltfo[`subdivisions/large.pro)ects;�.. ;'.,;._ �" ` `' '
COMMERCl/4L Attact�(3)-complefe setis of Building�Plans plus'a�Life Safety Page;(1)set of Energy Fortns.R-O-V11 Perm(t for new construcUon.-
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all naw:projects:All commerGal requlrements_must meet compllance' '
SIGN PERMIT Attach(2j"sets�of Engineer,ed.Plans:;-.�-.;�-•�" .• �, , �
"'•PROPERTY SURVEY required for aII,NEW gons.Uuctlon.._
Directlons: , . � = „ `
FIII out appllcadon completely.
Owner&Contractor sign back of applfcaUon,notarized
If over�2500,a Notice of Commencement i�requlred. (AIC upgrades over 57500)
.. �r::.•...,�-._ - -
Agent(for the contractor)or'Powe�of Attomey(fo�ttie ovmer)would be�someone with nota�ized letter from owner authorizing same
DVER THE COUNTER.PERMITTING�- -.--,-(Front of-Application Only)
Reraofs if shingles Sewers ' Service Upgrades A/C Fences(PlodSurvey/Footage)
- - -- - _ _ _.. . .. _ ..�. : .. . -
Driveways-Not over Counter if on public roadways..need`s ROW ` �
,,/
� y � ' :�"'.A ,•r_:i_.a.,y..:
NOTICE OF DEED.RESTRICTIONS: The understgned undergtands�:.th�t�this;°��rm,it�.maysbeYsub)ecfi to,,:deed_re5trictions.._...�. ...�,�..
which may-tie�more`rest�ictive-th�i�Cou�ity regulatfons �TFie undersigned��assumes-'�esponslbillty for"compliance with any ' "`� '�
applicable deed resMctlons. ,, ' � . - . ,�_
UNLICENSED-CONTRACTORS -AND CONTRACTOR RESPONSIBILITIES: �-1f�the�owner has"`hired"a":contractar or
contractors to undertake work, tFrey may;be;r,e�quired.<to.be,pcensed ln accordance.with_state.and,local:regulattons: �If the� =� � °=�
contractor Is not licen§ed'as�re�qulred°6y law, tioth-the owner arid-conGacto��may�beyclted�for a�misdemeanor violatton
under state law. If the owner or Intended=,co..n;,tractor;�:ere,,uncertaln as to what Iicenaing.requlrements-;may��applyt.��forr�the'� = �Y��'�
intended work, they a�e'adi►ised fo contact the�Pasco County Building'Inspectlon�pivlslon-.-Licensing Section at 727-847-
8009. Furttiermore, If the owrier Fias'�NIrei1��a con�acto� �o�contractors�. he 1s advised to have .the contractor(s),,sign ,,. ;,;:,.,.
portions of the:°contractor Block" of.thla_application..for,which.they will::be...responslble.-.. If.=you;:as•:#he oviine�'sign`�'as�'tFie "
contractor, that�rnay�be an Indication that he°is not�properiy`Ilcerised`anii�is'not'entiNed to peririifting priiilleges In Pasco
County. --. , ._ �:: _,, . .
TRANSPORTATION�IMPACTNTILITIE$�IMPAC'-1=�ANb-ItESOU�tCE RECOVERY�FEES: The�undersigned"understands '
that Transportatton Impact Fees and.Reco.urse Recove.ry,Fees may�apply�to�th�_construct[on of new_buildtngs,�change of"°" = -
use in existing buildings,-or�:.expar�sioirYof��ezisti�i,g`=buildings, as speclfled.in Pasco County Ordinance number 89-07 and„
90-07, as amended.,�wThe undersigned alsoa�understands, that"such fees,�as,may�be<.due;;.w,ill;�tie Idenfified at the�.time-of`r -� � '
permitting. It Is furtlie�understood that Transportatlon Impact Fees and,Resource._Reco�ery�Fees.must be paid prior to
recelving a "cerfificate�of occupancy"�or�flnal��.power>.Gelease. ':If�Ehe.project.:does�:not Involve��a;.certfficate of occupancy°o�i��'•"��" �•
flnal power-release;..,the-#ees.mu�t"tie�paid;p�lor to,.permit Issuance. Ft��thermor:e;H Pasco:�C,ounty�INatedSewer�lmpact ��:, {•�.
fees are due,..they��must.be=pald�prior.�o_permit_�Issuance°�n,accordance.:wlth:appllcabFe=Pasco��County'oi�iiinances. •
CONSTRUCTION'LIEN�LAW"(Ctiepter T13� Flortda$tatutea,as amended): Ifivaluaaon of work is$2,500.00z.oc more,3.l�� ��� _��.�:� �
certify that I, the.,appiicant;-have�:been provided=with-a-copy of�the,".Florida� Constructlon�_Llen�Lav�--Homeowner's
Protectfon Gu(de" prepared bythe Flo�da Department�of Agriculture and Consumec-Affa(rs. If the appltcant Is someone. ,. _
; •-;
. . ..., , .. ...a :,,.,
otherthanthe'owner", Icertify_that:l=ha�e.ob.tained-acopy.of..the.abcve..rles,critied�docur�ent;and,:p.r_,.orxiise�:tn,good:faith�fo .,
deliver It to the�'ownec"'.p�ior to-commencement:`�`� ` � � : = -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cectlfy.-�;th:at-ail�.the;information;,l�:thi�applicatlon is accurate.and that all work
will'be done in compliance with ail.appilcable laws regulating construction, zoning and_land�development. Appitcation is
hereby made to cbtatm.a .pecmit>to-do_:wor,'k;�and;Installation as indi�ated:.::..�1. certifji that no work��or tnstallatton Fias
commenced p�lor to issuance of'a permit�and that�.all�work will be pertormed to meet�standards of all laws regulating�
construction, County and City codes, zoNng regulations, and land development regitlations�in`the:jurisdtction. 1-al's'o� _ .
certify that 1 u�derstand 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:.conlpllancs,..S.uch,agencies include but-are.not limited to: �
- Department of E�lvironmental-�Protection=Cyip�ess.`Bayhead�� VVetland Areas and Environmentally Sensittve
Lands,WatedVllastewater Treatment. -
- Southwest Florida Water Management�:District-Wells, Cypress.' Beyheads; Wetland Areas, Altering
Watercourses. � �
- Army Corps of Engineers-Seawalls, Docks, ldavigatile Waterways.
- DepaMment of,Health�',8. ReY�abllitative ,Servtces/Environmental-Health Unit-Well.s� WasteHtater Treatment� •
Septla Tanks:..' � � � , - �- ,
- US Environmental Protection Agency-Asbestos abatement... • J
- Federal Av.latlon Aulhority,=Runways;N �
I understand that.the.folloviiing.-restcictlons apply�to the use of flll:�
- Use of fill is not allowed in':Flood,:Zone"V"unless expressly permltted. �
- If the-fill material` is to=b.e�used.�In:.:flood Zone. "A", i� Is under"stood that a drainage plan addresstng a
"compeFlsating volume"will be subm(lted at#ime of:permittUg which Is prepared by a professional engtneer
Ilcensed by the 5tate of Flo�tda: � � . �
- If ih� flll material is-to��be�used in Flood �one "A" Im connection�with:a��ermitted building us(ng stem wall
� constructton, I certify;that fill.wlll=b.e-used only.to fill the area within�the�stem�wall: '
- if fill mate�lal-is to be used 'In anjr area� I certify that .use of such flll will not adversely affect ad)acent
p�operties. If use of flll is founc#to adversely.,�ffect adJacent�propertfes,.the owner may be cited for violating
the condlilons_of the buildtng;permit Is"sued�under the°at�ached�ermit �ppllcatbn,�for:lots-less than.one (1)
acre whicfi a�e elevated��byr flil;a�engineered dralnage plan is required. , . '
If I am the AGENT FOR THE OYVNER; I;promise in.good.fatth to inform the owner of the permitting conditlons set forth In
this affidavft prlor to commencing constructlon. "I understand that�,a=separate permlt may be requlred for elecMcal work,
plumbing, signs, wells�,pools;. air,conditioning,.gas, or..other Install�tions not,spec�ical�y included�in.the application. .A
permit issued shall be constcued to'be�a'license'to���proceed with''tFie work and•not-as�authoHty_to..violate;'cancel, alter, or
set aside anjr provisions of the techntcal codes;:nor shall issuance•of a.permlt.prevent the Buildirig Offtclal fronn thereafter
. _.._.. .
requiring a correction af eRors_in.plans; construction..or vlolatlons of any codes:_Every�permit-Issued`sfiall-become�invalid
unless the work authorized.by such permit:�ls-commenced�wlth(n sGc..months of permlt Issuance, or if work authorized by
the permtt is suspended�or.aba�doned:for.a�:period:of�six(�)�monfiis...after the'.tirt�e the�work��s commen�ed. An extension
may be �equested� In writing;:from tNe;Building,Off'icial for a period:not=to-exceed;nlnety�(90)�-days and-viiitl demonstrate
justi�able cause for.�the extens(on�. If work ceas�s:for ninety,(90)cons.ecutive.days...th�Job�ts.considered aba�doned. ,
_. , . , . ,
WARNING TO OWNER: YOUR..FAILURE>TCl.,R�EC.ORQ,A>,NOT�CE•:OF�COMMENCEMEMT�.MAY�ItESULT IN YOUR
PAYING 71APICE;FOR�IMl�ROVEMEN�'S;TO�YOUE�.:PRL�PER�7Y:=�IF°.YO.tJ;1�V��EKID�'T���0�1'AIN�-FIIiFAt�E�NG;'C:ONSULT
WIT U D O AN TTO N � FO'R�A.�-ECOR� G� OU :. : �C `p r ��. � E �E . '
FLORIDA JURA��(F.S:t17.n3) - -- - . . ,�:; - �- ...: - - __- - - -- - -... — - -
OWNER OEt AOENT �. CONTRAGTOR' • �
Subscribed and swom ta(or aRirtned)before me this Subscribed'and'swom=to(or afflrmed)�befcre me ttii�
by •-
1Mio Islare personally knovm to.me.or hes/have.produced Who.is/a rsonelty own•to m.e..or#tas/have•produced
' as Id'enUflcatlon. es Identlftca0on.
- �
Notery Public _ 6CR.. Notary Publlc
Commisalon No: Com .Nc�'�,:, '" ' ,,
f, ,� � ¢,, ,
�`�� � := Commission#FF 150422
Name of Notary typed,printed or stamped Name oi Note ,tj+pr ., �t '
,.�eF � Bontlad ru ro Inaw2ilea800385•7019
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iRcpt:1905903 Ree: 10.00 M1
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� 'll/01I2017 K. R. t7., OPty Clerk .�
Pennit No. Parcet If?Na A�-��„6-2..j^- �Z.3Q' 40 Do�-�?(�O
_�/ n NOTICE OF COMMENCEM�`N �
�
State ot 7' �M/`� Cuunty oi �n'a'C'4
iTHE UNDERSIGNED hereby gives natice that improvement will be made ta ceAaln real property,and In accordance wAh Chapter 7'13,Flodda Statutes,
the tollowing infarmatian is provided in this Notice of Commencement•
1 OesGiption af PropBrty: Paccet identii�cary8on No. �2^21a- . �2 O�-�oo Q O� Q (�C7
SVeetAddress: b92^� � C..J -S
� 2 Genera)Ltescsiption of Improveme�t/i.��-24c� S � 4'+"'�-p- �'�� t��{`-'a�
3. Owner infomtation ar L irtfo�mat on it th Lessee contraded for ttze ImprovemeM:
��
6 !Z� Nar��� � � .�
v
Address City State -
Interesk in Property: Q�i�n/`�^"� ����Z` "
Name of fee Simpte TiOehoider:
{If diflerent irom Owner tisted a6ave} % ��-
Q'�v
Address City State � �!a N
4. Gontrado� � �p�o
Name /(,-��� � () � � x m z
T ��r�.�.. r m
Address `/ Ciry �— Sta ��v�
� Coniractots Fetephaae No.. �f 3"��T-��_ 335�3(�m s
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I 5. Surery: ��py v
Name 3 n
0
Address City State ���
Amount of Bond:$ Telephone No.. �
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6. Lender. ���°°
( Name - ��,..3
9
Address City State �� o
Lendets Tetephone No.. ,r-
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7. Persons within the Stete of Flodda designated by the owner upon whom nopces or oRher documents may be served as prodded by - '
Sedion 713.13(1)(a)(�,Florida Statutes:
Name
Address City State ���� �� e � � ���
Tetephone Number ot Designated Persan: � �� C°;lf'�
'�. 'r'•\ o..`
8. !n addition to himselC.lhe owner designates of� �y,,� - � '.�����1 ��°.�
to receive a w of fhe Lieno�s No6ce as rovtded In Sectlan�13.t3 t !-�r
PY P (J(b),Ftatida Statutes. � � �� � � �
Tefephane Number oi Person ar Entity�esignated by Owner. � .• +�" � �� M' 4 �
µ � ,
9. Expirattan date of Nofice of Cammencement(fhe eacp(ration date may not be betore the compSeBon ot cAnsirudlon and fmat paymeM to the � "_,,,` L� �f
wntractpr,but will be ane year from the date af recotding unless a diRerent date fs sperJfled): � �� � w � w `��{
' WARNING TO OWNER: ANY PAYMENTS MADE BY THB OWNER AFTER THE IXPIRATION OF THE NOTICE OF CQMMENCEMENT �
ARE CqNStDERED tMPRdPER PAYMENTS UNQER CHAPTER Tt3, PAFt71, SECTION 713.18, FLORtDA STATUTES, AND CAN ��
RESUC7{N YOUFt PAYING TWiCE FOR lMPF20VEMENTS TO YOUR PROPERTY. A NOTlCE OF COMMENCEMEi�(i MUSZ BE ' 8 'l�.
RECOROEO AND POSTED qN THE JQB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YqUR LENDER OR AN ATTORNEY BEFORE COMMENGNG WORK OR RECORDING YOUR NOTICE OF'COMMENCEMEN7. � •� �
Under penalty of pe�jury,[declare that 1 have read the f�regoing no8ce of commencemenf and that the faGs sfated theresn are We ta the besi
of my knawiedge and betlef. ¢ � Y
STATE OF FLORIpA .,! y/�� /� yy� C� � U � W
GOt1MY QE PASCO /`�/A,�.f.t� l . /�tE,�"� � �r �Lt- � _i U
�,N°� t�otary FuWic gmte ot p,�e 51�ia re of 6wn or Lessee,ar Owners or Lessee's Autharized l'.3 z �� ��_{
Sherry Widner ���DirectodPartnerlManager t✓5 - � � � � �
��� My Commiaslan FF 075185 ' � � O = c� N � Q
W w F�piraa t?/GA/2Q17
Signatocy'sTiUetOflice tL � � � (� �~„ �
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The ipregoing InsWmentwas acknowledged befo me this�day of���,20��,by �lAIJ ! 1�.,� � � F.. p Q O
as P� (ty avthoriiy,e.g.,of�icer, ,attomey in tad}far � � u- � C.�
(nam arty n behaH of whom ns ent as exewte�. � _ ��V" °u
o r~- a '-'-' a �c
Personally Known R Produced fdentification❑ Notary Signatu � Q �ty �
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Type of tdentificaUon Produced Name(Print) � !� �F �m ¢ J _�
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