HomeMy WebLinkAbout18-19203 ,
CITY OF ZEPHYRHILLS �"��
5335-8TH STREEI"
� � (813)7$0-0020 19Z03
BUILDINCx PERMIT .,��
� PERMIT INFORMATItaN. L"OCATION.INFORMATION. �'
Permit Number: 192fl3 Address: 5251 3RD ST t '
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work. RQQF REP�ACEMENT Township: Range: Book: ,
Propased Use: NOT APPLICABLE Lot(s): Block: Section: ;
Square Feet: Subdivision: CITY OF ZEPHYRNI�.�S ;
Est. Vatue: Parcet Number: 11-26-21-0010-12600-0010
Improv. Cost: 2,200.00 OWNER INFORMATlQN
Date Issued: 1/19/2018 Name: TOP FLOUR INVESTMENTS LL.0 "
Total Fees: 55.00 Address: 1406 N DALE MABRY HWY STE 300 I
, Amount Paid: 55.00 TAMPA FL 33607-2506 �
Date Paid: 1/19/2018 Phone:
, ` Work Desc: RERC?OF SHENGLE
�CONTRACTOR S APPLICATION FEES
R L BUILDIN� CONTRACTORS RERQ(�F RESIDENTIAL 55.00
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Ins ections Re uired ' - -
D IN ROOF!NS
TAPE JO(N�,.�7�IN PyS �� j
FINAL �i �'� j
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
locai governmenfi sha[I impase a fee af foar times the amaunt of the fee impased for the ir�itial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NQTICE: In addition to th�requirements af this permit,there maybe ad"ditionai restrickions applicabie to this property that
may be found in the public records of this ca�nty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Yaur failure to record a notice of commencertsent may resuit in your paying twice for;
improvements fi�your property. If you intend to abtain financing,consult with yaur lender or an attorney�
befare recording your notice of commencernent." �
Complete Plans,Specifcatians Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. Nt?OCCUPANCY BEPQRE CA.
Np OCCUPANCY BEFORE C.O. i
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' CO RACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRE� IN 6 MCINTHS WITHOUT APPR4VED INSPECTIOIV
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRUTECT CARD FROM WEATHER
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813-7ao-ooxo City af Zephyrhills Permit Application Fax 813-780-0021 '
6uiiding Depattment �'�
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Dats Recelved / F— �
�� � � Phone Canfact=for Parrrilttin ��� J � � �d� .
Owner's Name �v v d' .1.�1,��J 7!K c°✓�7" . ` Owner Phone Number j
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Owner°s Address D� � �./ [Q/Z�I =6� S��'� � � t�""'� Owner Phane Number � � � �
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� Fee Simple{Titleholder Name ` � � Owner Phane Numbe� ��� � j
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Fee Slmple;Titleholder.Addcesa �
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JOB�DDRESS J-�- f � �� �/CJ /S[��(S f"�'� LOT# ��
�uUBDIVfSfON �R � PARCEL tD# �'c�-��'"��� ��b -- � b� ~ f�6�a
' - t , , (OBTAINED FROM PROPERTY,=TAX NOTICE)
WQRK PRO,POSED �NEw'CON57R . ; ADDIAI:T � S1GN' "Q Q DEMOL•ISH �
; INSTALL �� �.=REPAIR �� ° ,
PROPOSEQ=USE . SFR. Q 'GQMFui �� �OT1iER — � ' �
TYPE OF CONSTRUGTION" [� ` " BLOCK " [� FRAME � :[� STEEC
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DESGRIPY{ON OF WORK ��f-"o � �—/'D�s� �r2c vt ( � �,�,� � �`J , � �
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Btl1lDlNG`StZE..�� ��SQ�FOal`AGE �� �� . ..FIEIGFIT ��_..::� r
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[-�Bil11.D1NG r�� '
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I L .�-�' f)r D i� VALUATI�N:<OF=T01'AL CONS7`RUCI`ION- • �
QELECTR1CAl - N�$ ' � AMP SERVICE Q Rt30GFtESS ENERGY Q W:R.E.C. .
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O�i.uMB�r�� ;� --.� ` ����3 � ,
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QMECHf1NiCRL ` $ � VALk1AT10NOF;MECHAl+IICAlIN3'f"ALLRTlQN.
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QGAS R(]OFING ,Q � SPEGIALIY,..C� . OTHER - _ �
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�', FINISMED FLOOR ELEVATIQNS r�� FLOOD ZONE AREA [�YES ,NO
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BUELDER � ���� ta L�(,o✓ �
COMPANY� �-� t;�� �;Pi=� •-y,-� S �y, C;
i SIGNATURE G��� REGISTERED Y/ N . e cuaREn ' � Y f N
Address l9 l �• �a v��u ,,��(.. a �L � License#' �'�� 1,����� �
ELEC'�RICIARd; - • . .`COMPAEIY � - - ;
SIGNATURE rt'` REGISTERED Y/ N FEE CURRE��f `� '�Y/N i
Address = • " ., , � � , , .. License# ` " ,
_ . .. � , ,. , �
PLUMBER '� GOMPJ?►�1Y. ,� _ � � � �
SiGNATURE "° ' � itEGISTERED •Y/;-N. -,FEE,CURRE� Y/N_ '
Address �.. Liceri,se,# ��� ��:• I�
MEcr��tc�: � . � = co�n��+nr � � _ . � _ � _ � �
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SIGNATURE ' ' ` REGI57ERED..� Y„/.N ' FeE.cuRtt��.. Y•/�N. . � ' •
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Addre�s� ' � - � � � ` ` � _ � License#���� � �
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a�K��t ._ - = �. ` � ' ,c���ia�ir. . . .. �
SIGNATURE • � '' � ` � � ' ' � � `REGIS7ERED` ' � Y/ N;...; :FEE CURRE�� Y/N-
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11�d�V�Y - ��F,. _ 3 �f�• j t � f � ����aSB�J * ' ,. �
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RESlDENTtAL�..: -:Atta:cti`{2)�Ptot:Pla"ris„:{2}se�of�BuEldiiig�Flan's;(1}`setof=Enerjy>Fo�'s;��R=O=WPerrri,Itforn'swi�;nstructEcri, ,� ` �
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°-- a s:_Mlnlmum�tenr(:1.0):workirig�da_ys�:atter4�subriniffai da#e�Re�ulred onsite,_�b'n'sUiicBon�Plans�,'StonnwaterPlans�w/SIIYFence installed, '
� �.�..�:�.�W...� .,*..,. �: >. :� . „ �. ,. .
Sanita Facilftles�&;:1„�dum ste,r,;y.51te�Wo.r.ic�,P..ermit#arsubdiVisio�sAa 'e',,,r,oects�"_ "`` ` - '
rY 3.; „� :-, .,�;.;.,,._.p.x . , ` ��._��..,...._. ,.> ►9. q .1.�_� ...�._._==;:_�: ":
CQMMERCiAL Attach(3}�cosrapi"ete se#s`i�f=8ultilEng Plans ptus a"GIfe-Safe�fy Page;�(1)sert of Enecgy Fomts.R-O W Permit for new construc8on. _
Minimum ten(10)workfng days after submlttal date. Requlred onsite,ConstrucHan Plans,Stormwater Plans w/SNt Fence installed,
Sanitary FaciliUes&1 dumpster.;Site Work Permit for all new,projecfs..All commercial requlrements..must meet aompllance =
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�3lGN PERli�IT AttacFi{2}sefs of"Englnee,seduPians:s::• -,, �"_.,. :a;� �__ , . � ' ,
"'*PROPERTY SURVEY reguired for all NEW construction.� � � � I
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Dlrectians: - �;�:�•.::� t .. __ , . �
Ffll out applicaUon completely. '
Qwner&Contractor sign back of appllcatlon,natarized
if ovar#2500,a Noti�of Commencement ts requirad. (A1C upgrades aver�T500}
'• A ent for the i:ontracior��or`Powrer of Attome fur the owner�would be someone with nota�ized letter from owner authorizin same
9 � ) Y� � . ) 9
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OVER i'HE CQkINTER,PERMtTTING.. _-�_.{Front-of,APAllcation•Only}-, .. _ _ . .. ,
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foatage)
.. "._ .-..,.... .. .�._ ....� � _ ... ... ... '. - ' - . ,4��
Drivswaya-Not aver Counter if t�n publfa roadv�iays:.iieeds ROW� '
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I NOTICE OF DEED RESTRICTIONS: The undersigned;underst�nds=th�t�thi��.p�rmit.may beasub ect�to,"deed"resVictions":�.v..�, �,_...r.
which may�tie�more=r.�st�tctNe�thsi�Cqunty��reg�lat(ons.��Th�undersigned a's`sumes'r'esponsibility''for'�corii�pliance with any '����`''�.
applicable deed_rest�ictions. � .;,- .r�; �.::� ��:-�::_ r.: - . . _ .�_ _.. ... -.., ._..._; w , ,.� _ , �
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UNLICENSED`CONTRACTORS -AND CONi'RACTOR RESPONSIBILITI�S: �=-If=the�•owner has��hireil��a'cantractor or
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coMractors to undertake work, they rriay.bre;reiqulre.d�to:;be;licensed In;accordance.with�state:;and_�local�;regulat(on_s,:•�If the-r = ��5��-f
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contractor�(s not�licensed�as're'qulred;tiy law, tiottr�.the owrner and co'n'tractor�may be�=clfed for°'a�misd;emeanor vlolation
under state law. If the owner or Int�nded�contractor;are`uncertaln as:to what Ilcensing.requlrements�may��appty:��r��the-�- �•r -�
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Intended iNork,they are advlsed fo contact tfie:Pasco�County�ullding Inspectlon Dtvlslon--Llcensing Sectlon at 727-847-
8009. FurtFiermore, !f the owner"fias��Filred�a��cont�acfor o� contractors� he ls advtsed to have �the contractor(s),slgn,_, :
'4',x?,i.J:il,-.�f„
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', portlons of the°conttactor Block"..,of.:�thls�appllcation.for.whlch they:.wlll,.be..responslble,- If you;��a�::the owner �ign'as"the'`" ``
contractor;-that�may�be an indicatlon'that'fi`e°Is�not"properly'llcensed�and'�ls not'entitled to permitting privlleges In Pasco,
County. � � _ �:,:;.-.�.�:; . ._ ,.
TftANSPORTATION-IMPACTNTILITIES�rMPAC'��AN�-RE�OU�tCE RECOVERY�FEES:"T�he underslgned understands
thatTransportatlon Impact Feas:and.Reco.urse.Recovery.Fees may�apply,tatF�e;construction,of new bulldings,$change'of�=�`-.:��;"�=
t. _.
use in existing bulldings�-or.�exparislan�ofvezistin���buildings, �s speclfled.ln Pasco County Ordlnance number 89-07 and:
90-07. as amended.;,,The under�lgn�d also:understands, that�such fees;.as���may�;tie��due;w►Ill:,be Identffied at the4=time�of=��° ��==` '�
permitting. It Is fiirtfier understood that Transportatlon Impact'Fees and'�Reaource�Recovery*Fees;.must be pald prlor to
recefv(ng�a.'certf�cate�of�occupancy"'�or-flnaf�power.=release:' :If°the.proJ�ct:.does::not Involve:a�cert�icate of occupancy�o�<=<"�``�'''.'�
: : .- -
flnal power release;.tlie�;fees=mti�t:�be patd';pclor to;permft issuance. Ft��tk�ermoce;�ff:Pasco>CounCy�Water/Sewer:°Impact ..-�;4�,�;
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fees are due,,they�must�,be;pald:.prlor to,.permtE.�l'ss4ance=ln..accordance w1tfi�;appllaable-Pasco',County��o�dinances. •
CONSTRUCTION`LIEN'�LAW"(Cliepter 713��Flvrlda$tatut�s�as amended): If valuadon of work Is$2,500.00�or<more,:�l �:. ,_��:.�
certify that I, �he =appllcant;�have:been :pro�lded�wtth--a=copy�of`the�"Florida�°Constrtictton�`Uen::L�v�Homeowner's
Protectlon Guide" prepared by,,'the'Flo�lda Depa�tme�t of Agrlculture and Consumer.Affalrs. If the applicant Is someone,:= .:.��..;�::�-�
other than the"owner", I certtfy:.that;l,.have,oqtai�edfia'�copy.of the�abaya:des,crlbed�docu�iientAandK.p.r.oml,se�.ln;good_faith fo .. .. ..a.
deliver it to.:the�-`.,owner.":.-pi�io��tosc:ommencement:��'� � ' ' ' � � �' � _ � - �� . , �-
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ce,rkl[y:;:tti;at�all:the;lnformatlon:,ln�thl�appllcatlon is accurate.and that all work
,.�,:
wlll'be done in compliance wlth all.appltcable`laws regtilating constructlon, zoning and:�land�'development. Appllcatlon Is
hereby made to abta(n=.a pecmit;:to,do�_work�;and.�lnstallatlon �s Indl�eted:h,-.-1. certtfy that no vuork�or Installatton ha5 � �
commenced p�ior to fssuance of'`a" permlE"and that�:a0�work wlll be p�rFormed�to meet_standaTds-of all laws regulating� _
constructlon, County and City codes, zoning regulatlons, and land development tegulatlons�ln tfie Jurtsdlctlon.` �I:kal's'o�� ,
certlfy that I understand that the regulatlons of other government agencles may�apply�to the.lntended.work, and that It is
my responsibility to identify•what,actlons I must take:to be�ln>compllance; S.uch:agencles Include but�-ar�.not Ifmited to: � ; .- �
- Department of Er�vironmental=�Protection=Cypres§.`Beyhead'9,�We`tland Areas and E►nrlronmentally Sensittve
Lands,WaterlWastewater Treatment. � � - �
- Southwest Florida Wat�r (Vlanagement: :l�istrlct Wells; Cypress.� Bay�eads;- �Wetlan�d' Areas, Alterin'g
I VUatercourses. � ? �
- Army Corps of Englneers-Seawalls,�Docks, �lavlgatil�e Watetways.
- Depa�tment of,Health:�:& ReMatillltative, .Servlces,/.Envitonmental. Health Untt Well.s;.Wastevu�ater-Treatment� � �
Septic Tahks:._`rv,,` - . � _ '. ._ .. _._.. .. ;..
- US Environmental Protectlon Agency-Asbestos abatement.:.. ����
- FederaF Avlatton:Authorlty=Runways:M �� �-"' _ . � � �
I understand that the.following:restrlctions apply-to tFie"use of flIL••
- Use of fill is not allowed in:Flood:Zone"V"unless expressly permltted,
- If the::flll' mate�lal"Is to W b.e used��In:��Flood-Zone. "A°, It Is understood that a d�ainage plan addressing `a
"compensating volume�will be submltted at#ime of-;permitting wh(ch is prepared by a professfonal engineer,= r �� -
Ilcensed by`�F►e.State of"F..lorlda:�- �� - � � � :� -; ;=s = '- ` �:'.':
- If ih��flll-materlal_Is�torvbe�used In Flood Zone 'A" In5 connectfon�wlth�a��permitted building using stem wall ._
� construction,,l certifjt,that filLv�ll.be�used only.to flll the area-wlthln�the�stem�vv�all: - ,
- If flll m�terlal��ls�to�be-used-In any area; F certlfy that .use. of`such flll wlll not adversely affect adJacent
� propertles., If use;of flll ls_found to adversely,�ffect adJaeent��propertles�.the owner may be clted for vlolating, '
the�condltlons,,.of-the building`permlt Issued�under tha'attached�ermlt application;,for:lots�.less::than.one (1)
acre whlcfi�are elevafeil�tiy flll,a�t englneered dralnage plan Is requlred. •
If I am the AGENT.FOR-THE OIMNER, I;.�romise In good falth to tnform the owner of�the perniitttng condit�ons set forth In
this affidavit�prtor�to'commer�oing constructlon:� 1 understand thet a-.separate permlt may be requlred for elecMcal'work, -
,.�.:..�<:
plumbtng,.signs, wells,.pools;. alr condttloning�.gas,:or�othe� Install�ttons nok spec�lcally lncluded-in the application. .A _ -
, permlt Issued shall be conshued to 6e°a'Ilcense`to�p�dceed wlth the�work,and�not~as:authotlly:to.vlolate;:=cancel, alter, or
set aslde any provPstons of the teclinlcal.cades; nor shall Issuance�of a.permlt.pcevent the Bullding Of�ictal from thereafter - '
requlring a conection nf errors.ln.;plans;consttuctlon or._irlotattons of-any°codes: Every��permtt=lssued"sfiall�•become invalid
unless the work autlio�lzed.by such permlt:is_commenced•wlthtn,sGc;months of permlt Issuance, or tf work authorized by I
the pe�mlt Is suspended�or.aba�doned�for:a;perlod:_of�slx�(8)�montfis.:after;the;tlrne the�work�(s commenced. An extenslon i,
may be requested� In writing;�from tli�:'Building,Offlclal for a per(od•not>to exceed�nlnety(90)`days and wlll'�demonstrate ',
justlfiable cause for.�the extension: If work�as�es:for nlnety.(90)cons.ecutive�days;..the Job:is considered abandoned. i �
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IMARNItVG TO OWIdER: YOUR;�AILIJRE:;TO.,.R�EC:OttD;A:,MOTIGE O.F°COMMENCEMEI�T,elRl�►Y�RESULT-IN°YOUR � �
PAYING TWICE..FOR:IMPIt01/.EMEId.�S-.TO::YOUR�:P1t�PER�TY:��IF�.YO.UwI1V�'�EI�ID���TO=�OBTAtN�FIN�A(�ErtNG,'C.ONSULT
—1hl�i i i�1�5��iDR-ff�EC�DIi�R:O�A��i��F:�lL�- -��F�l?�sIt�QR��IN��'YOUR'NOTIGF`OF�C�IIAIIAENC�E1WiENT�� :. ,
,.;. :,:,., . . , .. ..- . , _
FLORIDA JURA�=(F:S:117:03) � . . ; _ - � --- _---
OWNERORA(iHNY �. - ; CONTRAGTO '� �
Subscrlbed and swom to(or aiflrtned)before me thls Subs ed (ot a�fl rmed-b' re m !�I�
by � �l . y.. acf �✓t�b/ �i.
Wlio Islare personally knovm to.me or haslhave,produced o Is/are ,ersonelly wn•to me:or hasA�ave�p duced • � . .
' as Id'entlBcatlon. as Identl�caUon. -
� � _ � �i
Notery Publlc . � � Notary Publlc I
`-hfRTi �
Commisslon No: Com Iss o. `>A:'o�••, ,
:�= Commission#FF 150422 �
Name ot Not2ry typed,printed or stamped Name of Motary typed;: ,,,�t)og �� Faln Ineuranco 80p,18S7018 �
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