HomeMy WebLinkAbout17-19154 , , CITY OF ZEPHYRHILLS
5335-8TN SCREEF
(813)780-0020 19154
BUILDINC PERMIT
PERMIT INFORMATI�N �� LOCATION INFORMATION �
Permit Number: 19�54 Address: 5848 12TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Ciass of Work: RQC?F REP�ACEMENT Township: Range: Book:
Proposed Use: NOT APPL.ICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ClTY OF ZEPHYRHILLS
Est.Value: Parcel Number. 11-26-21-0010-03800-0190
Improv. Cost: 4,796.50 OWNER lNFORMATlON
Date Issued: 1212812017 Name: GRANT DIANA DflYLE
Total Fees: 70.00 Address: 5848 12TH ST
Amount Paid: 70.OQ ZEPHYRHILLS FL 335�42-3738
Date Paid: 12/28/2017 Phone: 813-713-T788
Work Qesc: RERQOF SHINGLE
CONTRACTOR S APPLICATION FEES
PAUL D SCHAPER ROOFING INC REROQF RESIDENTlAL 70.00
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Ins ections Re uired
DRY�R OF I P
TAPE JOIt�I.,TS R,S�OF]NJ�
FINAL l� -`-� L'C,J
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local gavernmenfi shali impase a fee of four times the amount af the fee imposed for the initial inspection ar
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applEcable to this property that
may 6e faund in the public records of this county, and there may 6e additiana( permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Vllarning ta owner: Your faiture to record a natice of commencament may result in your paying twice for
improvements to your property. If yau intend to obtain financing, consult with your lender ar an attorney
before recording yoe�r notice of commencement."
Complete Plans,Specificatians Must Accompany Application. All wark shall be pertarmed in accordance with
�'�� Ci Cades and Ordinances. NO OCCUPANCY BEFORE CA.
�, NO OCCUPANCY BEFORE C.O.
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' CON O SIGNATURE PERMIT QFFI R
PERMIT EXPIRES IN 6 MtJNTHS WITHOUT APPR4VED INSPECTION
' - CALI. FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRQTECT CARD FROM INEATHER
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. st�7so=ooio City of Zephyrhi(fs Fermif Rppficafion Fax-813-780'-0021
Building Department
Date Recefved 1 �C�1�� phone Contact for Permittin ��'�c � Z --� �D
Owners Name �Qi'ZCL Owner Phone Number 0� ^ �� �
Owners Address �O"� � ��. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
� JOBADDRESS 5�p �2��.� h �ht11S LOT# �
-SU8D1V)SION �aRCE��n� �I-Z(s.-21-p�1�—p3 — b[c(�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPO5E0 � NEW CONSTR e ADD/ALT '� SIGN `Q � DEMOUSH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE dF CQNSTRllCTfON Q BLOCK Q FRAIv1E Q STEEL Q
DESCRIPTION OF WORK C.,7�( � e I J
BUILDING SIZE SQ FOOTAGE� HEIGHT �
BUII.DING $�(����� VALUATION OF TOTAL CONSTRUCTION
.,�,
QELECTRICAL $ AMP SERVECE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING �
QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS - FLOOD ZONE AREA QYES ,AtO
BUILDER � COMPANY �� � � ��
SIGPIATURE REGISTERED Y N FEECURRE� N
Address p � 'L Q�� I� 1 h�� L� �I License# l� ��cJ
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N �cUwtEn Y/N
AddreSs License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REOISTERED Y/ N FEE CURRE� Y(N
Address License#1
OTHER COMPANY
SIGNATURE �cis�o Y/.N �cuw�n Y/N
Address License#
� � � � � � � � o � � � � e � � � ti � � i � � � � � � a � oii � � � t � � � s � � � � � � � � � � � � � � � � � � � � � � � � � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(t)set of Energy Forms;R-O-W Permit for new consWction,
Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilitles 8 1 dumpster;Site Work Pertnit far subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanilary Facilities$1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPER7Y StlRVEY required for all NEW construclion.
Dlrectlons:•
Fill out'application completely.
Owner&ConVector sign�back.af applicaFion,notar¢ed
If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$750D)
" Agent(for the contractorj or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy af contract required)
Reroofs if shingles Sewers Servica Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs.ROW
RF'E317LE CfF UEED`hESTFitC710"RS: The undersigned undersfands fF�at fF�is permif may be subject fo`deed°resfricGons"
which may be more restrictive than County regulations. The undersigned assumes responsibitity 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 accordance with state and local regulations. If the
contrector is.not licensed.as required.by law, both the owner and contractor may be cited for a misdemeanor violation_ I
under state faw. ff"the owner or intended contractor are uncertain as to what iicensing requirements may apply for the
ir�fended 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 Tr2nspottation tmpact•Fees and Resource Recovery Fees must be paid priar 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 Water7Sewer'Impac3
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 4, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowne�s
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S10WNER'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 mad"e to o6tain a permit to do work and"installation as indicated: I certify tfiat no work or installation has
' commenced prior to issuance of a permit and that all work will be pertormed to meet standards of ail laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regutat�ons of other government agencies may apply to the intended work,and that it i"s
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Deparfittent nf Envimnmentat Proteotion-Cypress 8ayheads, WeHartd �ireas artd Envirortmentatty Sertsitive
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 abatemenL
' - 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.
- ff tfie fill materiaf is to 6e used in F(ood Zone °A°, it is understood tFiat a drainage pfan 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.
- lf fiU mat�rial is.to be used in.any area, l certify that use-of such,fill.will,.not adversely aff.ect adjacent.
properties. ff use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the bui�ding 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 speciflcaily 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 O�cial 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 pemiit�s suspended or abandoned for a penod of six(6Jtnonths after the time the work'is corrimenced. 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
PAYM66 TW{CE FOIi 4N{PROVEMEPFiS�'O YOUR PROPEI2TY. IF YOU 4WTEND TO OB�Al1�L F4PFA{�1GING,EONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 7 03
OWNER OR AGENT CONTRACTOR
b 'bed swom to or a m d)before me t is Subscribed and sworn to(or affirmed)before me this
by
o i arB e na1(y known f'o me ortias/F�ave produced Wfio is/are personaily known fo me or haslfiave p uced
asidentification, asidentification.
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Notary Public Notary Public
C miss'on No. Commission No.
��t. ���,rn�e, uCG�ll
Name of Notary typed,printed or stamped l�- Name of Notary typed,printed or stamped
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:�,; •:�,-DEBRq ELqINE RUFFELL
:.; :4_Commtssion#GO 045343
:;� ��Explres Novemher 7,�,,;:q
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' 2017205403
' NOTICE OF COMNiENCEMENT - �
State of FLORIDA County o�-���
Property Identification No: 11-26-21-0010-03800-0190
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in
accordance with Section 713 of the Florida State Statutes,the following information is provided in this Notice of
Commencement:
. 1. Description of property(legal description):
ZH PB 1 PG 54 LOTS 19,20 BLK 38, Rep t:1920181 Rec: 10.00
DS: 0.00 IT: 0.00
OR9430PG2156 12/28/2017 K. D. K. , Dpty Clerk
� PRULq S 0'NEIL,Ph.D PpSCO CLERK 8 COMPTROLLER
12/28/201 03:
�656Pm 1 77�5
Street Address 584812TH ST,ZEPHYRHII..LS,FL 33542 OR 8K p�
2. GeneralDescriptionoflmprovement:reroof �htf'lg(Q _ _
3.Owner Information or Lessee information if the Lessee contracted for the im rovement
a)Name and address:�1 CtpC�.,�(�Q QYa►'Yf' S$H 8 1��= ��hy�1��$ �1• 3�t{�
b)Name and address of fee simple tleholder(if other than owner):N/A
c)Interest in property:Owner
I 4.Contractor: Paul Schaper,8949 Gall Blvd.,Zephyrhills,FL 33541—Ph:(813)782-0920,Fax:(813)715-4875
5. Surety: Bauer&Associates, 12210 Highway 301 N.,Dade City,FL 33525-$5,000 bond
6. Lender: Name/Address: N/A
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)(7),Florida Statures: :
• a) Name and address: N/A �
b) Telephone No.: Fax No.
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8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13(1}(b),Florida Statutes:
Paul Schaper,8949 Gall Bivd,Zephyrhills,FL 33541—Ph:(813)782-0920—Faac:(813)715-4875
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9. Expiration date of Notice of Commencement(the expiration date is one yeaz from the date of recording unless a
different date is specified):
WARNING TO OWNER: ANY PAYMENI'S MADE BY THE OWNER AFTER THE EXPIRATION OF T�NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECfION 713.13,FLORIDA
STATUTES,AND CAN RESULT Il�I YOUR PAYIlVG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSI'ED ON THE JOB SITE BEFORE THE FIItST INSPECTION.IF YOU .
INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORPIEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF C011�IIVIENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO �
Si ure of Qwner or Owner's Authorized OfficedDirector/Partner/Manager
`p►ano� c rt�Hfi
Print Name
' The foregoing instrument was aclmowledged before me this_�day of ����t ,20��1 ,by
(�j�r� G�h* as Q�yZevL (type of authority,e.g.otTicer,trustee,
attorney in fact)for � (name of party on behalf of whom instrument
� was executed). � , � � _ -
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Personally Known OR Produced Identificarion �� Notary Signature
Type of Idenrification Produced �� �
' � .�,�+"''�;: KATHRIN M ROBIN80N
--- " '� M1'COMMISSlON+�FF236573
•.,a: EXPIRES June 02,2019
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�� :�ry � �`"e°� THIS IS T�1 CER71�Y THAT THE FOREGOING IS A
� ` " TRUE AND CORRECT COPY CiF 3NE DC?CUNlENT
� " ~� �, � N FILE OR OF PUBLIC RECORD IN THIS OFFICE
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� . � � PAULA�.O'NE! , K&CONIPTROL.LER
$� �8�7 � •
� �*� gy DEPUTY CLERK
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