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HomeMy WebLinkAbout17-19021 ,� CITY OF ZEPHYRHILLS 5335-8TH STREET (813)7so-oo20 1902 BUILDING PERMIT PERMIT INFORMATION � LOCATION IfVFORMATION -� Permit Number: 19021 Address: 4735 SILVER CIRCLE 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: CHALFONT VILLAS Est. Value: Parcel Number: 15-26-21-0190-00000-0150 Improv. Cost: 4,039.00 OWNER INFORMATION Date Issued: 11/06/2017 Name: HAMLETT HAZEL Total Fees: 60.00 Address: 4735 SILVER CIR Amount Paid: 60.00 ZEPHYRHILLS FL 33541-6509 Date Paid: 11/06/2017 Phone: Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES WIDNER ROOFING INC REROOF RESIDENTIAL 60.00 Ins e 'on ired ' 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 properly 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. �� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER aasasaoo2o City of Zephyrhills Permit Application Fax 813-780-0021 � ' �uilding Departrnent - � Date Recelved � Q (¢ � , ° Phone�Contact for Permittln � � �� — � S 3� Owner's Name N Owner Phone Number Owner's Address '"f'-7 3S �s(!V e cK 11�� • Owner Phone Number t ' • � Fee Slmpls,TltleFiolder Name Own�r Phone Number - ., Fee Simple;Titleholder Address � ; j� JOB ADDRESS � `C"�3� S�`I��'''� � � • � LOT# �� SUBDIVISION PAItCEL ID# I S � �-� `oZ-� ����0 �� v o � — p / 5� � � (OBTAINED F,ROM.PROPERLY,TAX NOTICE) WORK PROPOSED , NEW CONSTR ADD/ALT Q SIGN� `Q �Q DEMOLISH � INSTALL � REPAIR -� � - PROPOSED:USE � SFR Q COMM Q �OTNER ' TYPE OF CONSTRUCTION ' BLOCK ' [] FFtAME �� Q� STEEL Q . ` � ' s . ' : . , DESCRIPTION OF WORK �S ' � ` ' BIJILDING SIZE'- � SQ�FOOTAGE � �.3 ; ,.HEI,GHT��_._ � QBUILDING $ �3� VALUATIOIV'"OF`TOTAL CONSTRUCTION � QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E:C. QPLUMBING � `$ � ' r Q MECHANICAL � $ VALUATION OF;MECHANICAL INSTALLATION �q Q�� � � QGAS Q ROOFING .[1�SPECIALTY-Q OTHER - FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ��,.NO BUILDER ; COMPANY-� � '-"" SIGNATURE REGISTERED Y/ N FEE CURREP' Y/N Addres� Ltcense# � ' � � ELECTRICYAN: .�COMPANIf ' ' ' � SIGNATURE � REGISTERED Y/ N F�cu�n�� ''�Y/N ` Address ' ' . License#. - ' y PLUMBER'_ , = COAAP:I4NY ; ;' � _� SIGNATURE� � � _ REGIST.ERED< Y-./,.N . � •;FEE CURRE� ' Y/fV . ., _, . .. .. , Address ` , � - . , .License„# �T � w, - MECHANIC74L" � � COM,PANY.. ' , . � � ' • SIGN14TUIZE � ' " � REGIS,TERED Y,/ N. _„, ,�,, FEECURRE��- . Y��/�N = � , ;l.r ' , rv _ Address `: , , . � , - . ' � • ` - . � , License#� - , , . _ . . ' µ ` � - . , . ,: � . OYHER '.` . ., . -,. _ , " `' � ,,COMPANY�� � ±. �. .... . : _ ;r:. , - • ,. , . . SIGNATURE '=� �� i - ' ' REGISTERED ` Y/ N:... FEE CURRE_ ` Y/N Addre�s ��D_.:_ X�F ' - .r:��' ` Ucense# C�- � �t'Z ,�,_,,.,� . . RESIDENTIAL;.,�;: Attach'(2)„Plot�.Paans;'•,�(2)sets'•:of BuilBing�'Flans;(1)set of Ertergy�Foim§;'�R=0=1N:Perrrilf fbr new conshuction,,, ' - ; r,3"-;fNinimum ten(10)woricing;dayg_after„subriiiftal date�:Requi�ed onsite Co`n§trucdon°Plans;Storrnwate�Plens w%SIIt�Fence installed, ' „__ .,,f �..�.: h ._ .�t � .. SanitaryFaciltttes.&;�1kgdu,m.psterTSite'�IVorIc,�P,ermit�farsubtlivisiohs/lafge'projeots�_,,..,":;.;� �_ - - � � COMMERCIAL. Attach(3)`comple4e'sets`ofBuilding Plans plus a Life Safety Pege;�(1)set of Energy�Forms.R-O-W Permit for new construc4lon. Minimum ten(10)working days after submittal date. Required onsite,ConsUucNon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facflitles 8�1 dumpster.Site Work Permit for aII new.projects:.All commercial requirements_must meet compliance� _._, _. .... : SIGN PERMIT AttacFi(2)"sets'ofEngineer,edyPlaris:;:�,:-��,° .. � ::� ....� ' : , �- ""PROPERTY SURVEY required for,all�NEW_const[uction.., • Directlons: . �.=�x�. � .- ,, :.. Ftll out applicaUon wmptetely. Owner&Contractor sign back of applfcaUon,noharized If over 52500,a Notice of Commencement la r�quired. (AIC upgrades over 57500) , , " Agent(for ttie contraotorj`'or'Powe�of AtEomey(for ttie owner)Fvuould be someone with'nota�ized letter from owner authorizing same ,.. - - =� . .. ; .__.. ,.. DVER THE-COUNTER,PERNIITTING=- .--�-�(Front of-Applicetion Only)�"' � �- Reroofs if shingles Sewers Service;Upgrades ,NC Fences(PIoUSurvey/Footage) _ Drivewaya-Not over Counter if an public roadwiays..needs ROW. � .. �, , � N�'i'�I�IE QF QEE��tE�T.R1�TIf�NS: The underslgcaed.und�r�tands�th�t�thl�:p�rrr�if may.be.sub�ect to"deed"_rest[I�ttans" , which may be�:moce-r.esti�ictivertha�a County�raagula�lons:•�The�underslg��d�assurries-responsibillty"far`compllance'wilh �ny � applicable deed restrlctlans. , - UNLIGI�NSED Gd.�N'PRACTOR� I�tdD ��i11TiSACT�R RE�Pf3N�tBiL1T1�S: --if°the owner°has-fiired�a�contractor or contr�ctors to under�ake work, th�y r��y:be�r.e�quir:ed�_to.be,:licensed In�ccordanae.wtth stat�.and�local:reguEatlons: ,�If the� �ontractor ts-n�f IEc�ris�d-as�r�qulced��}r�l�tVir, b'otit the ovtmer and con#cactor=rriay�be��dted for a�enis�emesnc�r v1a�a�tion under state lav�. If the owner or Intended;,cantra�tvrr ere.,un�ertain as to vbhat Ii�en�ing.requirements,:rnay apply��for.'the� � intended wark,ttiey ara advfsei!to caritaci'tlie Pasca�Cou�tty SuNding'lrtspectlon DEvislon—L•Icensing Sectton at 727-847- 8009. Furthermore, if the owner'fias tii�ed a ccin#racfor or contracfors, he ls acivtsed ta have the cantractar(s) sign portions of the �contrackor Block" of.this applic�tian for vehich they v►till.b.e.�responslble. If you�; as.#he ovimer sig"n a� the ' contractor, that tn�y be an Indication that'�ie Is a�ot`.properiy la�:ensed arid ls nat enU�ed to per�nitting privlleges in Pasc� �ounty. ' �` - TItd�M�P�RTATIGN.INIP'i��T/UTll�ITIE�r�lllR�1�°��iNl��E�t�F�R�E RECQVERY���ES:. T�te underslgned understands that Transpartatton impacf Fees and.Recourse Recover.,�.�ees may••a�pply�.to:the constnuction of new buildtngs,:change�of- ` ` use !n existing buildi�gs, o�.expar�si�n.•of-:exi�t3ng''�buildings, as speclfled.in Pasca County Ordinance number 89-07 and 90-07, as arnended, The under�igned aiso,aund�rstands� that°-such#ee�;�as��may:5e:.due;�w311:=6e Identified aE the�tiivte�of:. � permitting. It is ftirttier understood that Tr��spork�tion Impact Fees an.d�Resource Recovery�Fees�mu'sQ be pald pNar to rece�ving�"ce�E#icate ot�oc�upancy"oi f��al-power:release: ;If�the pra�ect;,does,not lnvotve:a�.�e�ttficate of occ�pae�cy�or��.µ . final power-release; the;fees mu�t 6e paid.prior#o permf4 tssga�nce. Fu�th�renoce;If Pasco,County�lNaterlSewer�lmpact , fe�s are due,.they�musQbe-paid�pelbr to pecmit_Issuance=in�ccordance with appltcabt�Pasco County ordinances, • CO(dSTRUCI'10N"i�t�N'tmAW"(Chapteir 713, Elor��da Statut��,as�rnen€tec�: ��vatuation of work is�2,500,Op�ar more, }� . certify that I, the appiicant,:-have�been provided �with �a copy- of_the.�"Elorida� Const�vction� Llen.:L�v�---Homeowner's Pro#�c�to� Guide� prepared by the �at�da Depa�tme�f of Ag�lc.ultur� a�d Co�rsu�n�r-Aff�tr�. if the appitc�nt ts someot�e �4her than the"owner", I certffy�-th�t.l h�ve::db#einetl�a copy;of.th�;abave..r�escrlbad document�and.promi�e.in,goad faith.to , deliver it ta.the.�owner"�.prioc to�corrimencement.:. � - �O¢VT�C'P�JR'S/�WN�R'��,F�IDAdIT: I.certify:fti_at,�tt the;inf�rm�tion.l�thl�appiicatton is accurate.and that aH wark wiA'be done in compU�nce wfth all.applicable laws regulating constructlon� zoning and land develapment. Applicatian is hereby made #o ob#atn .a petmit;t� da work:,ao�d-installation a� IndE�afed:• `1 c�ctify #hat a�o urork ja� tnstaliatian has comm�nced prior to Issuance of'a permit`and thaf.all work wlll be pertormed to meet standards of all laws regula�ing� constructlor�, Gou�tfy and City cades, zoning regulatlans, a,nd Eand developrnettt r.egalations�in the j�cisdtction,- 'i�al'sa certify khat 1 u�ders#and that the regulatlons of other gavernment agencies r�ay�apply�#o the.intended wark, and 4hat it is my responslbll(ty to ldentify-what.acttarts!must take,:to,be,ln:.cx�cr�p!lance,. S,uch agencles•Include but-are..coat Iim{ted to: - �epat#ment of E�vironmental��ot�ction-Cyp�"s�.'�ayfieai�s�, iNeNend Area� and Environmental#y Sensitive Lands,VNaterNVastewater Treatment. - Sautb�west Ftor�da �Vlater M�nag�ment :t�istrict We11s, Cypress.�"�ay.heads; Wetlae�d �ir�as, Aifer�ng Watercourses. - Arrny CoPps of Engineers-Seawallst Docks,Navigatile Waterv4rays. - Depaa#ment of Heattfi�'& Reiiabllitafiv� Services/Envitonmenta9 HeatEh Unit W�lis, Wasfevuater�Treafinen#, Septic Tank�. � . - US Envi�oi�mentai Pro#ectiort Agenc�yr-Asbesto��bat�m�nt. - Fede�a)Avlat(on.Authorlty-Runweys: i understand that the�fvilouvfng.�restrictlons appiy'to the use aF flil:� - Use of fili is na#aliowed in�Fiood�Zona"V"unless expressly permidted. - If the fil0 material is to be used:ln.:Flood Zone. "A", it. is understood 4hat a dra(nage plan addresstng a "comp�ansating voiume"will be submi#ted at ti�e of p�rmitting�rhich is pcepared by a prcp€esst�nal engineer Ilcensed by 41ie State of�Fdorida. � � - If the fill material is ta•.be► used 1� Flood �one °A" in�aonne�ti�r� uvlth�s�g�erm�tted bu3iding ttsing stem wa#1 � construct(on, I certif�►th�t RII<v�ap:b.e used only.to fill the area�vtthin the�stem vvall. - If #ill materlal is to be used 1n any a�ea, 1 cer#Ify that use of such fill will not adversely affect adJacent properties. if use of fill is found to adversely:�ffe�t adjaeent�propertie�,.the or�ner may be cited f��vloCating the conditions_of_the building,permit issued under Qhe attached,permit appllcatian;for lots.9ess than.one (1) acre whi�t�are elevated 5y flEl,art engtn�er�d draln�g�plac�is regulred, . If I am the AGENT FOR TH�OVI4MER, I,�prorni�e In goad faith to inform the ownee of�the permitting condi#tons set forth tn th�s afl�davtt`prio�to commeracing canstructlan. t understand that a�separete petmi! ratay be tequlred !or�lect�tca! work, piumbing, signs, welts, poots;. air conditioning,.ga�s, or other. tn�tall�itions t�ot.spec�ftcally inctuded�in.the application. .A permit lssued�shall be construad to be�a�Iicense'-ta,proaeed with tNe work arad nat�as:authoHty to.vlolate..cancel, alter, or set aslde any provlslons of#h�techntcal code�;�nor shall iss��nc��of a.perm6t.prevent the�ulldlrig Clfficlal f�om therea�fter requiring a correctlan af ercors in�-plans, construction or vlolat(ar�s of any codes. �very�permlt issued sfi�ll become inv�lid unless the wro�k authorfzec! by suah perm{t:ls-commenced�wlthln sFX.m�nths of pem�tit lssuanc�, or If wark authori�ed by the pe�mit is suspended or.aba�doned:�for:a:period,of sGc(6)m�ntiis..after the tim�the�vvopk�is cammenced. An exter�sion may be requested� in writirig, from tFie Building.Official for a perlod.not#o exceed"niri�ty(90) days a�d uvill demonstra�te �usfifiable��u�e for.the ext��tsio�: If work ceas�as.for nl�ety{90}cons.ecutive�day.sr..t�e�ab��s consider�d�ba�doned. i MlARNtt�� TC� QWN�R; Y�1�R..�A1l.URE;T�..R�Cfl�tQ A,PlE}TIGE:O�����NIMi�NCEME�T=.�41lAY�RESt�l:TlN�YA1lR , PAYING TVVICE.FOR�I1VIPfZOVE1NENTS TO Y041R:PRL�PERTY.`�iF°.YO.U�IPI'F�MD'�TO'�OBTAIP1���i1�Ai��1�1G;'CON�UI.T WirH uR ID � AN TTO N � F�RE� . ECOR�� �:}YOIJ :� O � . � E �E � � T� �� FL�RICrA3i7PZAt3-{r.8.f.9T.ii3j_— ____ -- - -- – -- ----- -----.-- --- • _ , . dVNNER Odt/�M3EN'� CONi'6t�CT0 � Subs«ibed and swom M(or afllnned)beior�me this Subscdbed and'swom-to�at af�rmed)�baiore rtie ttii� by Who Is/are personally knovm to.me or haslhave produced Who.is/are .ers ally own• Ime or haslhave�produced � aa idenUflc��on, as[dentlftcation. Notery Pubiic . ; � Q�otary Publtc Commtsslon No:` C m slan.N , ..,�{r�. �*4� e':`__ Cpmmission#FF 150422 Name af Natary typed,ptinted or stamped Name of Nota t �� , 8 .,�F �� 8onded Thm Tmy ain tnsuranca 800.385-7019 � • Illllllllllilllllllllllllllllllillllllllllllllllliilllllllll i2017175342 • Rcpt:1907238 Ree: 10.00 DS: 0.00 IT: 0.00 i 11/06/2017 K. D. K_,_Dpty Clerk PertnitNo. ParceIlDNo��i'�'Z1�Q�Q� ��OOmO�O(�0 NOTICE OF COMMENCEME � ��/ J � SWte of V�lfMr County of I � THE UNDERSIGNED hereby gives natice that improvement will be made ta ceAain real property,and in accordance with Chapter 713,Florida Statutes, i the fotlowing information is provided in this Notice of Commencement � 1. Description oi Property: Parcel Identification No. I � �`���"' Q Z � '� 9 O o aB-.i p i � J Street Address: 2. General Descriptian of Improvemenl ��� 3. Owner InfartnaUon or Less e infortnation if the Lessee conVacted for the improvement: � ���s NaJ�.Y�rew. �+ � W � � W Address City State O � � � ��w J IntereslinProperty: Q+.•SZ^-eiC 33SY1 � Z � Q �� J - U Name of Fee Simple Titleholder: Q O Q� —�� � � j (I(difterent from Owner listed above) �' w p �w N� � I Address City Stale � 0=Z J � � 4. Contractor. Name ` ' A E-}-� � ~ � ¢ � Z�� a�.-,.�_� ae�,� � = O O� U Address t� Ciry Stat � �-- } U � � ConVadors Telephone No.: ��,3'�� Y�" b�7 c331T� O ¢ O � 0 Y � � � -5. Surety: Name `r ~ p— J � J � >- Um ��U Address City Stale � � �a Z O J Amount of Bond: S � Telephone No.. � � � � _ �} W 6. Lender. �- U � �� p Z Name IL � � O � � Address Clty State o � Q W� Lenders Telephone No.: � � j �z Q 7. Persons wilhin lhe State af Flodda des(gnated by lhe awner upon wham notices ar olher dacuments may he served�as provlded by `` 2 � Z ~ � Sedion 713.13(1)(a)(�,Florida Statutes: � I— I— Q � �.. m Name , Address City State � � ��l��j Telephone Number of Designated Person: � �e � '�V - .��\ A d� B. In addition ta himseN,the owner designates a�_ � � �: �� e�� to 2ceive a copy of the Lienors NoQce as pravided in SecUan 713.�3(1)(b),Florida Statutes. � �• y � � . •ry_ •,...� ,�v . �� 4 Telephone Number of Person or Entity Designated by Owner. � • ��� J . q�1 fa. �`' ''�� ' , 9. Expiratlon date of Notice of Commencement(the e�fration dale may not be before the completlon of construcllon and final paymeM to the � � �'%';.i �',S - wntrador,but w11 be one year from lhe date of recarding unless a diHerent dale is specified): � �: j �' �' � WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT '� +� ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN � ++ m� 0 � �I RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �� yB RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT ,q� . WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT �V,��lb���� � Under penalty of perjury,I dedare that I have read Ihe faregofng noUce of wmmencement and that the fads stated therein are We to the best of my knowledge end belieT. STA7E OF FLORIDA COUNTY OF PASCO �*� H�ry P���S�a nat of er or Leuee,or Owners or Lessee's Authorized Sherty W�� Floriaa icedDirectar artnedManager ��a� �P�°a m��0�075185 gnatory's 7fGelORice The foregoing instrument was adcnowledged before me this day of �J ,20��,by �� 11� 2� as ��� (type � uth ty,e.g.,offlcer, st� aHomey In fad)for (na Fp� behalf of wh m ins ent was execute�. _ Personally Known QR produ�d IdenliflcaUan❑ Notary Signatu � Type of IdentificaUon Producetl Name(Print) � PfiULq S.0'NEIL,Ph.D.Pp5C0 CLERK 8, COMPTROLLEF 11/�R6BK01963�m PG 3�� wpQatalbcs/noUcecommencement�c053048 J' ."a@� �i�YM(n'"+�tY'S°'M^•+aCw�Y.Y`� '^^-+M�nr�,^?-��.ve•�n.dsnn��rn.� �f.:t�.a%a!R-i?WM'��&d+eS�MF,Ail✓w�'�� �.dO"rt-n�� n� s;V �r:rr��t�s�a.wu�..;ne.�,�nsroa.•�M,�y,x�,r�r+�'a»..u:^�c,�.,wetq-c^`.�,.;�R,.,•,.,rt^nn m,7 �-Y.. h....,,,�,,...:.. , M"'+.....:-.:.. „N,:455^Y_ u� ^r"i�;rtv�MNW'w.. `� _. , _ _� ..� , , . .. .. ,.f'w . ... , , . ;r � .. .,, �� , , . , � , ,. . ... �.. � . , , � , :� tr+. - , • :..t) 1�,LL . - . l:°` � p, ;'+: P;�'' � '� �� '., �,�� . >:t� , 1:- � •� � � � o� � � = �, {��� �: � ����: ;� �r. �... .�; c, 'k ;: . . �. �' � ,��;�: �;; � ���,_ SOLDTO SHIP � {;.. �� ' tlp. ✓ 1�=r ADDRESS ` ADDRESS� � ��:: - �� 3 5 �, ���i ���c:�. � ��� 3� �-- � �.`5;� � :� � r'��' CITY,STATE,ZIP - C"' . .�CITY,'STATE,ZIP � � -Q^ •;,��� � , o�-��+i� ��` `�� CUSTOMER ORDER N0. SOLD BY TERMS � EO.B. DATE `, �'= �� ;�� t,;,:. /� � � i • PRICE U�97T �i�409DfNT �;� F'.. , . OBDERED SHIPPED DESCfl PTlUN � ' , I,:;.•' ,'�` ' , � , t'. : :`'� }4` ._�� � Q�,� � _ i�.� f 8 , - J �',; _�� ` .'� ' I t . � � }�,� s n - - ��� - I ,f:., � . E� . � , �?� � �.:. � , ---� ���i, �-c�. � -��;� �_ . � �-', . �,. mP�; �J � [_� � . .' p. - , �1��� � .;� P� l::. . .. . _ ,'�*� I y;�': f:. , ';l� . ,,. �` os-,s f y �c�m.6gAp ., _. ._.. .._. __ ..'_'._`_....__._ ..... ... . ... ... .... � -. ...� �> ..._ ." _, _ ' , ... __......,.__._.__._._.. ._ . _ �j. - - _ :�:�; 1= - � . . ,.:<,,�: ,.�._,;�,,,.;,, �, �,,.. :.....f _ _ _ _ .:,�,.,.,� ;:w:.,t.,.,,;��:,.,:�2�;:.��<�.;;;;,. �_� - - . � ,