HomeMy WebLinkAbout17-19003 CITY OF ZEPHYRHILLS
5335-8TH STREET
• � ' ($13)780-0020 19003 I
BUILDING PERMIT �'`✓'r �
PERMIT INFORMATION � - LOCATION INFORMATION �
Permit Number: 19003 Address: 5044 9TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: 655.00 Parcel Number: 11-26-21-0010-20500-0110
Improv. Cost: 6,980.00 OWNER INFORMATION
Date Issued: 11/02/2017 Name: GOLD DUSTIN
Total Fees: 70.00 Address: 5044 9TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/02/2017 Phone: 813-363-9490 �
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
FOSTER ROOFING ENTERPRISE 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 property. 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.
�
CONT TOR SIGNATU E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�aa-oozo City af Zephyrhills Permit Application Fax-813-780-0021
Buiiding Department
. �
Da#e Recelved phone Confact for Permi#f�ng �J�2- �"1 — �� �
���$������ �(��j-�j("� �}Q�� Qwner Phane Number ( •.3� q
Owner's Address ���� `7 � �� Owner Phone Number �� �
Fee Simple Titleholder Name �— � Owner Phane Number � �
Fee Simple Titleholder Address '
JOB AQDRESB v��`f � V� LOT# � �
SUBDIVISION �� l� U� 2�� � PARCEL ID# `� '�� • �� ��dt�• `��� � ' �,� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPQSED e EW CONSTR ADD/ALT [� SIGN Q 0 DEtviOk.ISFI
INSTALI, REPAIR
PROPQSED USE SFR Q COMM �� CJTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL �
DESCRIPTION OF WQRK� �� � \ � �< <
BUILDING SIZE �- � SQ FOOTAGE ����✓ HEIGHT
[�8UlLDING �9�. � j'� O /1� VALUATION OF TOTAL CONSTRUCTION
L lD'70v .,J
QELECTRICAL � � AMP SERViCE Q PROGRESS EiVEf2GY Q W.Ft.E.C.
[�PLUMBING $ ���J U� �
� 'U'
OMEGtiANICAL $ VALUATION tYF tvIECHANICAF.fNSTALLAl'ION ����
��Y�
QGAS R04F1NG Q SPECtA�TY � OTHER ��
FINISHED FLOOR E�EVATIONS �W� FLOOD ZONE AREA QYES NO
BUILDER COMPANY �dS��S t'C. . L.( t�
SIGNATURE REGISTERED N FEE CURRE� Y N
Address ` License# �� �
ELECTRfCIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License# � �
PLUMBER COMPANY
SIGNATURE REGISTEREq Y/ N FEE CURRE� Y/N
Address � License# � I
MECHANICAL. COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y I N
Address License# � I
OTHER COMPANY
SIGNA7URE FtEGIS7ERED Y/ N FEE CURRE� Y/N
Address License# � �
t
RESIDENTIAL� Aftach(2}Plo#P{ans;(2)sets af Building Plans;(1}set of Energy Forms;R-O-W Permit for raew constructian,
Minimum ten(10)working days after submittal date. Required onsite,Construckion Plans,Starmwater Plans�v_/�ilt F_�IIc��ns+a!!ea;�-------
Sar?itary Facitities&-1�dumpster,Site Werk.R��^.^.�±'L:vu.".v�visi'v�sriarya�projec[s -"��_, �
" -C�!:!fi�EO�iAi. ;�tiacn(3}compie#e sets of Building Pians plus a Life Safety Page;�1)set of Energy Farms.R-O-W Perm'st for new construction.
Minimum#en(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facitities&1 dumpsfer:Site Work Pecmit for al!new projects.At!commercia)requiremenks must meek complfance
StGN PERM17 Attach(2)sets.of Engineered Plans. - , .
`�""PROPERTY SURVEY requir�d for all NEW constniction. ''
DirectYons: �
Fill out applicatlan complstely.
Owner&Contrac#or sigcs back of appiication,notarized , �
If over$2500,a Notice of Commencement is required. (AJC`upgrades over$7SOOj
"* Agent{for the contracto�)or Pawer of Atkomey(for the owner)would be someane with notarized letter from owner authorizing same
OVER THE.CQUNTER FERMITTING.,'�. (Front;of Applioation Only)
Reroofs if shingles� �Sewers Service Upg�ades A/C Fences(PIoUSurvey/Footage)
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priveways,Not�over Counter'if on publia roadways..needs RQW
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 accordarice 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 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 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 "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, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- = F,ederal 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 1fOUR L�TVDE�c�R;yid-R►'�T"�-'42'��Y BFFIJRF-RECDRQING YO R NOTICE OF COMMENCEMENT.
FLORIDAJURAT(F.S.117.03) - — --=^—=--__-'--_ _ _
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sw, to(or irmed)before me this
by Id- - by
Who Is/are personally known to me or has/have produced s are pers n ly known o me or has/have produced
as idenBfication. as identification.
Notary Publlc Notary Public
Commisslon No. Commission No.
\,`O;��Y 6�j�,, HEATHER D.HOSFELD
Name of Notary typed,printed or stamped Name of Notary typed,printed o 2i d*€ '
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2017165811
PermitNumber Rept:1903135 Rec: 10.Q}0
DS: 0.00 IT: 0.00
KeyNumber 10/20/2017 K. R. [7. , Dpty Clerk -
� NOTICE OF COM.MENCEMENT
. THIS AREA IS RES�2VED FOR CLERK OF TFiE COURT�ERTIFlCATtON
TNE UI�DERSIGNED hereby gives notice that improvemenis wrill be made to cerhaio real prope�ty,and in�cordance w�h Secdon 713.of the
Florida Statutes,the following information is provided in tl�is NOTICE OF COMMENCEMENT.
1.Description of property(legaldescripGo'nI ' ' ��- �1 D- �D�-O 1 �
a)Street�%o�Address: �� y �1 �9 t" � . Z e,�G��� �_ �� FL 3 3 S�1 �
� 2.General descxipeon oF improvements: Reroof
i
� 3.Owner Infam�atiort or L informadon if the Lesse�contracted for e improvement
�ee 0
� a)Name and aadress:�l7i-�-s-�`� ZI—���`�r�a� �-o � 021 (00 5 0.,�a��al�pa KS L., /�p�T��L3a7o3
�
' b)Name and address of fee simple titleholder(if d'rfferent than Owner Gsted above)
c)lnterest in property: Owner
4.Contractor InFormation-
, a)Name and address: Fosters Roofin Enterprises Inc P.O. Box 633 Brooksville, FL 34605
b)Telephone No.: 352-799-0045 Fax No.:(optianal) 352 544-1003
5:Surety('d applicable,a capy af the payment bond is atta�ed)
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, a)Name and address: ; o�N a
b)Telephone No:: m N
' W o
� c)Amount of 8ond: _$ ��m
6.Lender I r 1 �(fl�'�
a)Name and address: _ �'7��e- L-0 C�-� �n v'e S�Y�-�eiti'�' �c,.►'�- � ��N�
� b)Telephone No.: ��0- a�3 � 1�D c� . ;No�
-�
! 7.Perso�wRhin the State of Flarida designated by Qwner upon whom notices or otherdocuments may be served as provided by Section ��3�
� 713.13(1)(a)7.,Florida Statutes: � �
a)Name and address: "'+�
rn
�
b)Tslephore No.: Fax Ne.:(o�tiona� �w�,�
8.a.ln addidonto himseif or herself,Ownerdesignates of �Ifl�o
to receive a copy of the Lienors Natice as provided in Section 713.13(1)(b),Florida Statutes. '1V �
i b)Phone IVumber of Person or entity desig�ated by Owner: '� �
! �9.Expiration data of notice of commencement(the expiration date may not be before the completion of aonstruction and final payment bo the m
�
cantractor,but wifl be 1 year tram the date of recording unless a d'�fferent date is s ecifi : ,20
' WARNING TO O1M4lER:ANY PAYMENTS MADE BY THE OWNER AFf ER TNE E7�IRA710N OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STAMES.AND CAN RESULT IN YOUR
I PAYING i1MCE FOR IAAPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMEiVT AAUST BE RECORDED/WD POSTED ON
THE JOB SRE BffORE THE FlRST INSPECTIOIV. (F YOU IMTE{ND�0 OBTAIN FlNANCING, CONSULT WITH YOUR lENDER OR AAf
' � ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEM.
�- , �-�� �,�.5 f,� �o l�
(Si o O�n�or Le�ee,or Owne�s or Lessee's(Aufho�ed OfRcerlD'uectodPa►��RA� (Print N�ne ar�d Pravide�gna0onfs Ti6QJ016ce)
� 5tate of Florida Caunry of Hernando
The foregoin ment v�ras�no gef� fore me this day of � 20 �'�- I
� by l.�A�p R, S as �( G
ame a rson) (type of auth ,...eg.offi�r,trustee,attomey in fact)
far � Tt c� Lf� (name of party an 6eha�of whom insbvment was execute�.
Personally Known Praduced ID ❑
Type of ID Notary Signature '� �
• � Print name
:a�`"°�; cuuoE'rr� w►r�s
` . A/Y COh�I�FF917883
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� EXPIRES Q�p��1.ZOt�
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���i��� �LORIDA, COU�TY OF PAS�O .�d� �° ' `' & �'
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TMIS IS 1'O GERTIFY THAT THE FOREGOING IS A �'' � , o �o
.i �
TRUE ANp CORRECT COPY OF THE DOCUMEN � � �. .
ON FILE Of1 JF PUBUC RECORD IN THIS OFFI o ;,,Gnd14'e7+���" 0 *
WITNESS Y HAND AN�j OFFICIAL SEAL THIS : ,,��. � .
DAY OF v 2 �� �r � . ��'�aT '
PAULA S. ' EIL,CLERK&COMPTROL EL R � y'R��; F�,< �
B�, DEPUTY CLERK �°�'������������
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� �os�t�r's I�o�firtg �nt�r ris+�� I
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� Brooksville, �'4 �4bQ5
: 3�2-79�-6b�b �
352-799��04�
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` T, J'ames Foster,awnerllicense holder of Foster's R�ofin� ��rthQri��
Ta�ra Fi w�roa John F�s� r Karlte f-fos e1d Sa� gasiie Ni k Fi ueroa Mor an
Vanhau�en to apply, sign,Qnd receiv� permits � City a �ephyrhiils buifdina I'
D2partment. Tf �Phere ure�ny questians, please con#act m� at tlte ncamber
abov�,
�ank �ou,
�
�tateof "t"rbr'"f Gj�
` Caunty of
Ta`'tnes Foster ���5 �dayc�f
me ersnnaffy a �a},_,d �
.
� to n,e known to be the
: ��9o�ng fnstrumeni,a diadcn �,�execut��d rhe
exQCuted t}te sa as ►s � 4 ledg�d that F�,�
S�q�-(sfgnect? e act a
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- .::-: �: �tYCphLS4f8SfCf��Pf472$65
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