HomeMy WebLinkAbout17-19137 � CITY OF ZEPHYRHILLS � \
' S335-8TH STREET �
, (813)780-0020 19137
BUILDING PERMIT
PERNiIT INFORMATION -- � � , � �. -LOCATION INFORMATION
Permit Number: 19137 Address: 6151 12TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-00200-0020
Improv. Cost: 6,700.00 OWNER INFORMATION
� Date Issued: 5/31/2018 Name: FIRST CHURCH OF NAZARENE
Total Fees: 112.50 Address: 6151 12TH ST
i4mount Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 5/31/2018 Phone: (813)782-7032
Work Desc: REROOF METAL
CONTRACTOR S APPLICi4TION FEES
i OWNER REROOF COMMERCIAL 112.50
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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 fnancing,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 �EFORE C.O.
/ ���� �
CONTRACTOR I AT RE PERMIT OFFI R
PERMIT EXPIRES IIV 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIOM - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department �
Date Received � -- C � _ �
Phone Contact for Permitting
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Owner's Name � �yis� G y. ��� �A�fyT' C Owner Phone Number %3- "�C�.3 Z
Owner's Address �,S /� ST 2� �f���f S, �L Owner Phone Number �..� ��/�"�b�y
Fee Simple Titleholder Name Owner Phone Number
,
Fee Simple Titleholder Address
JOB ADDRESS b�.5�/ JaZ��S>. Z � �/ �P �zs a�'G 3�� � LOT# �
�
SUBDIVISION PARCEL ID# �0�, ^�6"Z � "d0�1� " Od�d d 'Q t7 '7C,
� � (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PRQPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
. TYPE OF CONSTRUCTION - [�,]�, BLOCK Q FRAME 0 STEEL Q� t
DESCRIPTION OF WORK �✓✓�Sry` Ll / IC�l �C.00 �(/� �X/57'�i�� ��j'7/��o�F- l�d��
. `BUILDING'.SI2E yD j �. , SQ FOOTAGE 3.Zc�O HEIGHT �
QBUILDING $ �p VALUATION OF TOTAL CONSTRUCTION
� ��Do .i
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QRLUMBING $ �
� � ���`t3�
011AECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ,
BUILDER - ( �C M'� �GP�/l/�/�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
.. Address ' License#'
-ELECTRICIAN COM PANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addr"e'ss License#
PLUMBER; COMPANY
SIGNATURE REGISTERED Y/ N • FEE`CURRE� Y/N
Address License#
MECHANICAL COMPANY' � '
- SIGNATURE � � REGISTERED Y./ N • ,FEE CURRED ; .Y/N
Address License# '
OTHER.. ;, - COMPANY
SIGNATURE ,REGISTERED Y/ N . FEE CURRE�. Y/N ,
Address _ _. ,- License# .
�RESIDENTIAL � Attach(2)PIot;Flans;,(2)sets.of_Building Plans;�:(1)set,of Energy-Forms;;�R-O=W-Permit fo�,new.construction,.
Miniinum.ten=(10)wo�lcing�day's•after submittafd'ate.- Required onsite,Con§truction-Plans;�Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects __
`�COMMERCIAL Attach(2)complete sets of Building Plans plus a Life..Safety Page;(1)set of Energy Forms.R-O-W Permit for new construotion.
Minimum�ten(10)working days.aftec submittal'date.,.�Required onsite,Construction Plans,.Stormwater Plans w/Silt Fence in§talled,
Sanitary Facilities&1 dumpster.Site Wor1c Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sefs of:Engineerecl.Plans:' . � ,
*•"PROP,ERTY„SURVEY required for all NEW construction.
Dt�eoti`ons: �
Fill;out applicadon completely.
Owner'&`Contractor,:sign,back.of.application,notarized` _ ' • •
If over$2500,a Notice of Commencement is requlred. (A!C upgrades over$7500)
� •* Agent.(for the contractor):or�Power of Attomey'(for the owner)would be someone with notarized letter from owner authorizing same
'OVERsTHE-COUNTER PERMITTING .�� :(copy.of_contract�required) - ' � . .
Reroofsifshingles Sewers Service`Upg'redes A/C " �.Fences(PIoUSurvey/Footage) ' � � -:
Driveways-Not over Counterif on public roadways..needs ROVU . } • '
, . •• ; .
�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 untlersigned assumes responsibility for,compliance,with_any,. ,; �
applicable deed:restrictions. . -', •• ... .: .. ..:.: . , -:,. r.._: , , .. .,.._. .., ,, ,.; `.._. ,-�s, --�,�:.-... ; , -
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIGTIES: If the owner has���hired�a�contractor or
contractors to undertake work;�tliey may`be�requi�ed'to be licensed in accordance-with state-and�.local:regulatio�s:` If the` - �� -
contractor is not licensed as required by law,,both the owner and confractor may�be cited for a misdemeanor violation
under state law. If the owner or intended�contractor-are.uncertain asrto what_licensing.-requirernemts-=may...apply`fo�`the� -�`-- �
intended work, they are advised to contact the Pasco.County Build'ing Inspec4ion D'ivision-Licen'sing Section at 727-847-
8009. Furthermore, if the owner has 'liired''a contractor or..contractors,. he..is-.advised to .have tFie•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�Recoucse Recove.'ry Fees may apply to the construction of.new buildings,.change�of
use in existing buildings, or expansion of existing buildings, as specifed in Pasco County Ordinance number 89.-Q7rand_ ; ,
90-07, as amended. The undersigned also.understands, that such fees, as�may�be�due, will�be�idenfified at the�time of � '
permitting. It is further understood that 1'ransportation Impact Fees and Resource_Recovery Fees must be paid;prior to
receiving a certifcate of occupancy or final power release` If the.p�oject does not`involve a certificate of occupancy�'or� -
�� n
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 7_13, Florida Statutes, as�amended): If valuation of work.is$2i5U0:00�or more; 1 �
certify-=that I, the applicant, have been provided with a copy of the "Florida Construction Lien, Law—Homeowner's
Protection Guide preqared by the Florida Department of Agriculture and Consumer Affairs. If the applicant�is someone
,�
other than the"owne�', I certify th�at 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�fAFFID�AVIT:r�lt:¢ectify.that:all-fhe 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 indioated. I certify that no work or installation has
commenced prior to issuanc,e:,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 devetopment regulations in the jurisiiiction. 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 T�eatment. ,
- 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 Seruices/Environmental Health Unit-Wells, Wastewater Treatment, '
Septic Tanks.
- US Envi�onmental 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 cerfify 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 6y 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 wo�k 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 irivalid
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 isticommenced. An extension
may be requested, in writing, from.the.Building Official for a�period not to exceed ninety (90) days �nd will d`emonstrate
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'TOVYOUR PROPERTY.�IF YOU INTEND'TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER.OR AN ATTORNEY BEFORE RECORDING`YOUR..N TIC OF C MMEN'CEMENT. ' '
FLORIDAJURAT_(F.$.117_ Ci) . _ __ _._ ---_ -_ --__ - _-
OWNER OR AGENT � CONTRACTOR
S`u�bscri��nd swo ��r affiL L khgf �e this S����and by���iY.7���). L.`Y e tieJ
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�is/ re personally known to me or has/have produced Who is/are pg�s o� ally kqown to me or has/have produced
���i�¢.�S G��- as identification. . ��f-Rt�t,t��Ca,...S.�_ as identification. _ �
�� C'�4.. Z`� Notary Public � Notary Public
Com ion Comm' ' n N . ,
,r�ln;:cu'••,, JACQUELINE gOGES ,.•��rs:Y�?'y'e'•.. JACQUELINE BOGES
Name of Notary ' d ni$d Name of Notary, �etl, ,: 6o�taia�d#FF 150422 .
;�. r'o<; Expires ecember 12,2018 =�: :a: Expires December 12,2018
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� /��
Date Received: ��-���
Site: �(j J� � � ���
Permit Type:
Approved w/no comments:C�� Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
` )V`J
Kalvin Switzer x iner Date Contractor and/or Homeowner -
(Required when comments are present)
j t ' Illllilll�l�lllllll��llllll�lllllllll IIIII IIIIIIIIIIIIIIIIII �i
2018089501 I
Pertnit No. Parcel ID No ��. `�—`+ � r�� r��O� rO��D� �� I
NOTICE OF COMMENCEMENT ���a I
State of �L�/���� Counry of �/T.5 G�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following infortnation is provided in this Notice of Commencement:
1. Description of Property Parcel Identificatian No.
j � ^� /�/l pj�,
StreetAddress:����� /� � S/ G �/"/7y/��//y�s. �L _�3.� yz--
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2. General Description of Improvement �.1/�1 I�L L ��—�L �OOF p ✓�'� �jC/,s Jy,R/v
�/�.i/�1 �� �oo F
3. Owner Infortnation or Lessee information if the Lessee contracted for the improvement:
Z��//YK/�il�j �i2.s� �'�2��� or .�7� N�-2.�'���
G/�`/ la.C%S� ZG/'t�yl�/�/C�j �
Address Ciry � �rGJz State
Interest in Property: �
Name of Fee Simple Tifleholder
(If different from Owner listed above)
Address _/ � Q 1i,���� City State
4. Contractar___/V �q/
Na�
Address City State I
Contractors Telephone No..
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No..
6. Lender
Name
Address Ciry State
Lenders Telephone No.
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
6. In addition to himself,the owner designates of_
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Slatutes.
Telephone Number of Person or Entity Designated by Owner•
i 9. E�iraBon dete of Notice of Commencement(the e�iration date may not be before the campletion of construc6on and final payment to the
conVactor,but will be one year from the date of recording unless a different date is specified):
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
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of peryury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA j
COUNTY OF PASCO
Signature of Owner or Lessee,o Owne or Le ee's Authorized
Officer/D irector/Partner/Manager p
/�S�/STJI,a�T f!fS?b '�' '
ryi Signat rys Title/Office
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The{�e�goinyg�in�t�rum\nt v,�s a�nowledge�b f r�t'q►e�.m�t is�?day of ,2p 6 by
a �P.�-A � .11C� as Tt'N�di�Cl+ (type of authority,e.g.,officer,lrustee,ariomey in fad)for
(nam party on bet If of whort�insWment was executed).
Personaliy Known❑OR Produced Identification❑ Notary Signature
Type of Identification Produced���„ZC F�r ��n� Name(Print) 2�
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Rcpt:1960968 Rec: 10.00
DS: 0.00 I T: 0.00 ` y�P�i� �p�(1UELINE 80�50 22
05/29/2018 K. D. K. , Dpty Clerk "9"'y°`� ission#FF Z018
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