HomeMy WebLinkAbout18-19290 , CITY OF ZEPHYRHILLS
� �; 5335-8TH STREET
(813)780-0020 19290
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit fdumber: 19290 Address: 5613 19TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APFLICABLE Lot(s): Block: Section: '
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11200-0010
Improv. Cost: 7,100.00 OWNER INFORMATION
Date Issued: 2/09/2018 Name: LANE-WORLEY BRENDA
Total Fees: 80.00 Address: 9703 GLENPOINTE DR
Amount Paid: 80.00 RIVERVIEW, FL. 33569-5638
Date Paid: 2/09/2018 Phone: (813)475-2522
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
WAYNE GONZALEZ ROOFING CONTRACTO REROOF RESIDENTIAL 80.00
.
L�- �-Mc1� �-���' � ���'"����
Ins ections Re uired
DRY IN RO F 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �
NO OCCUPANCY BEFORE C.O.
C NTRAC O SIGNATURE PERMIT OFFI R ,
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1 e I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII �
2018023077 I I
' • 'i
Pertnit No. Parcel ID No I I ��-�C ���^�O 1�+_ I��oo`O O�O I'
I
NOTICE OF COMMENCEMENT �
State af Florida County ai Pasco �
- THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida-.Statutes, i
lhe following information is provided in this Notice of Cammencement " p p�
1. Description af Prqperly: Parcel Identification No.��-2E2�-001a11200-0010 N Uf�1 �
, � • 'O
SVeet Address: 5613 19TH ST ZEPHYRHILLS R 33542-0434 ��� �
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- 2. General Descriptian of Improvement�er ofr&ra-roof N O(O
O O W
, � B
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`i 3. Owner Intartnation or Lessee information if the Lessee contraded for the improvement: Ri N
y LANE-WORLEY BRENDA
3�
12503 RIVERGLEN DRame RIVERVIEW FL • . ��
Address Ciry State n
residence ���
Interest in Property: ��r
Name of Fee Simple Titleholder `� ��
(If different from Owner lisled ahove) n p
�• m
Address City State �
4. ConVactor. Wayne Gonzalez Roofing Contractor �
Name F
10802 Bloomingdale Avenue Riverview FL �
Address City State
� Contractors Telephone No.. �813)&53-2279
5. Surety:
Name '
@'o
Address ' City State N�
Amounl of Bond: $ Telephone No.: � �a
� - �N
6. Lender. �N o
Name
�z
, " Address City� ' ; State �OD� �
Lenders Telephone No.: �,,,,�
, �N T I
��_ ■■■ i
7 Persons within the State of Florida designated by the owner upon whom notices or other documenLs may be served as provided by ���rrr...��� o ,
Sedion 773.73(1)(a)(7),Florida Statutes: � ���i '
� D
Name �� � �
0
. Ct N�
_� Address City Stale m�
� Telephone Number of Designated Person: �� �
��w
8. In addition to himself;the ovmer designates of_ �
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. ���
Telephone Number of Person.ar Entity Designated by Owner• A
0
9. �iration date of Notice of Commencement(the e�iration date may not be befare the completion of consWction and final payment to the �
. m ,
contractor,hut will be one year fram the date of recording unless a different date is specified): '
WARNING TO OWNER: AM'PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOl10E OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 773, PART 1, SECTION 713.13, FLORIDA STAMES, AND'CAN
RESULT IN YOUR PAYING NVICE 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 perjury,I declare fhat I haue read the foregoing notice of commencement and that the fads stated therein are true to the best
of my knowledge and belieL " - ,
STATE OF FLORIDA � . �
COUNTY OF PASCO '
Signature o Ovmer ar Lessee,or Owners ar Lessee's Authorized i
O(ficedDirectorlPartnerlManager
Q�/� -
Signator�+s Tille/Office
The foregoing instrument was acknowledged before me this�day of I vb� ,20��by ��1 K� � � w�('�
as O W r�L.,f� (type of authority,e.g.,officer,Wstee,attomey in fad)for
(narne of party on ehalf of whom i�nt was executed).
r
Personally Known�OR Produced Iden6ficatian❑� Notary SignaturP,G��
Type of Idenfification Produced Name(Print) ��, �
�
_ :_;��"��"''��; JACQUELINE SaSA
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I STATE GF FLGRIDA,COU�ITY 0� PAS�O ��'��t,�
�i THf5 IS TC1 CcF2TIFY THATTHE FOREGQING ISA �t�`�• ' ��
�� TRUE RND CORRECT COPY OF THE DOGUMENT ,� ° f ' �
ON FILE OR OF PUBi.iC RECORD iN THIS OF�ICE /4 :
W N S MY HAND FFICIAL SEALTHlS � . ^he4�`,.., '�
DAY OF 2 � ��°`�'� ���..!
�
PAU A .O'N C., LE & O PTROLL R �, ' 1 �=�'"f • �
as� '�
BY , '`� UTY CLERK , � �' m ��
�� "� 3Tdt�.���
� _.—.—__
s�aaso-oo2� City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department �-
1 -
Date Received Phon�Contact for Permitting - — �
Owner's Name �!N 1 " V V DY 1 Owner Phone Number �� 0
Owner's Address � � 1� V - Owner Phone Number
. � , ;
Fee Simple;Titleholder Name Owner Phone Number '
Fee Simple�Titleholder Address
JOB ADDRESS I J I LOT# �
SUBDIVISION PARCEL ID# I�' " V l �V V� �
• (OBTAINED ROM PROPERTY TAX NOTICE)
. �
WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOUSH
,
INSTALL REPAIR
PROP.,OSED USE Q SFR Q COMM 0 OTHER .
TYPE`OF CONSTRUCTION Q BLOCK - Q FRi4ME 0 STEEL Q, '
i � �� ry
DESCRIPTION OF WORK V � • l •
BUILDING SIZE SQ FOOTAGE - . HEIGHT •.
-s
QBaU1LDING $ (�U , VALUATION'OF TOTAL CONSTRUCTION ,
> U
i
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
i
QP,LUMBING $
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' � i
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
0 ; �
�
Q.GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
(
� �
BUILDER ; COMPAIdY 2 �, 1
SIGPIATURE REGISTERED FEE C RRE� Y/N
�Address V "License# � (
{ ,
,� " ,
; 'ELEC1'RI,CIi4N 60MPANY
- SIGNATURE REGISTERED Y/ PV FEE CURRE� Y/N
Address License# � �
PClJIVI BEIt.' COAfl PAPIY
� .�.-r ,
SIGNATURE - REGISTERED Y•/'N. FEE CURRE� � Y/N
s
Address - License# �
. _ � _
"`.MECHANICi4L , COMPANY
'�'" SIGNATURE'` ' � REGISTERED , Y/ N FEE CURRE� Y/N . �
: !.-, ..
Add'ress=� � Licens.e.# .
�,i(:-,,�� ..,. .
_. OTHER:=:�='�-� ' ` COM,PANY . .
:'SIGNATURE:S,:� . _ � • ' � ' REGISTERED Y/ N FEE CURREK Y/N �
Address;: _ -� • ' , � License# �
- f��ir[.s . . .•
T`�`.ARESIDENTIAI.iz�:, Attacfi:.(2)::PIot�P.laris;';(2)�sefs of�Building�Plaris;(1j`set'of�Energy:Forrr►s;R;O=W Permit:for new construction,.
_ ,. �--�:Minitnum;ten,(10)working;days.aftecsu6initta6clafe.�`Required<onsite;GonsViiction Plans;3tormwater Plan's w/Silt Fence installed,
<<>��< �� � ' � Sanifary,,Facitities;&;1,.dumpste.r:;,Site;Worir Fermit forsutidivisions/large'projecfs�-. - ' -
- ... •,,,.
;:..COMMERCIAL Attach'(2pcoriiplete'"seYs'of'Building'Plans ptus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit fornew constn�ctlon.
- Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
_ San(tary Facilities&1 dumpster.Site Work Permit foi�-�all-new p�ojects.All commercial requirements must meet compliance
:�r:�SIGN�PERMIT �AttacFi(2)sets,ofiEnglneered Plans:�� •�
:;:;-._.
;,�,� """PROPERTY SURVEY.required for.all.NEW c:onstructlon.. .
''.Directions: � .:t•,r�� .
Fill.out:application completely. ,
�_ O.wner`8 Cantractor sign back of application,notarized
� 1f over:$2500,a Notice.of Commencement is required. (AIC upgrades over$7500)
..i.f�:i.
: "' Agent(for tti'e�contFactorpor�Power of'Attomey(for'the owner)would be someone with notarized letter ftom owner authorizing same
;;QVER�:THECOUNTER,PERMITTING. .. ,.(copyof-contract,required) � "
Re�oofs�if�'sfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) �
_ Driveways-Not over Counter if on public roadways..needs ROW
:.�,
_.._. _ ---�a����.��-..+�
1 -� ' � � i
NOTiCE OF DEED R�STRICTIONS: The undersigned,understands:that.this;permit may,be�subject.to";d.eed�.resfrictions"�"°�';,�
f, ,. �,. . �:,, :> a _w;>�.:.:.... :;:,,:. 4,... .
which,.may.be�moce.�cestrictive.�than:County.cegulations:'`The<undersigned�assu�ines=responsibility°#or compliance with,any =i
appiiaa6le deed res#riations. ��=:���,.�,,,,�„�;'_'' ;�
kJN�ICENSED-CONYRACTORS AND" C01+1TRACTQR RESPONSIBIl:ITIES:- 'if•ttie=qwnerLLµhas--liirei3'•�a���con�ractor ar .
contractors�to undertake work,�they,may,be,r.equired to be licensed in accordance with state and:tocat,r.egutatiorts:.=if ti�e-f"-::�
contractor is�not.licensed;as required'by'lavv;'both the awner:and`coritraefor=rriay'�kie<cited��fora misderrieanor violation- ;-;�
under sfate law. If the owner or intended.cantractor arer uncertain as to what licensing requirer`inents;=may:�apply=.for;�ttie::���:�
_�x,,�;,,,�._} .:.. ._:..-�,
intended work,.-they�are�advised to contact the'Pasco CountyyBaiiding Inspecfion`Q'ivision=Licensing Section at 727=847- ��
8009. -Furtherrnore, if the owner has`fiirecl'a�cont�actar or cont�ac#o�s, he is advised to�;have the contractor(s.},r sign,�...+;�
portions of the "contractor Block"of this application,for which they wi!! be responsible: ..ff-you, as'the-awner sign�as<'tiier� ".;�
cont�actor., that may 6e an indication that he is not properly licensed and�is ntit entitled�to permitting privileges�;imPasco:.,.. :r;
County. _ � _ _ � �`;`�` ` ..
TRANSPORTATION iMPACT/.UTILiTIES�IMPAGT AND RESOURCE RECQVERY FEES: The undersigned unders#andsr . .4
�,.�...� �k:-;�.
that Transportatian Impact Fees and Recaurse Recovery Fees.may.apply to the construction.of ne,w_,,buii.dings, c!i'ang,e,;of�-��,�:,��
use in existing buildirigs, or�expansion af:exisfing buiidings, as specified in Pasco County t3rdinance number 89=07 an;d. "
90-07, as amended. The�undersigned also;understantls, that such::fees, as-may;be.due, wilf be;identified=at��tF�e�'time�of��::;:";�;
permitting. �It is further understood that Transportation lmpact Fees�and Resource�tRecover}r.Fees must be paid pr.ior to '�'
receiving a "certificate of accupancy" or,final„power celease. !f the:.project does not involve;a cerkificate of occupancy�:or��== -?;
final�power rele.ase,fhe fees�must b.e,paid prior to permi# issuance. :Furthermore,-if.,Fasca�Caunty Watec/Sewecf.lmpact.�r-- ,�
fees are due,they must be paid priof to permit-issuanee in accordance with�applicable.Pasco County o�dinances. � � �
CONSTRU�TIOtd LIEN`L-A11V{Chapter 713;Ftbri+�a Statutes, as�arnended): If va(uation of work is$2,500Aq,or'ma,r.e;.l;��;:, ;
cerkify that I, the appllcant,. have .been- provfded with a copy:.of the "Flarida Cons#ruetion�:Lien l�aw .-Hameawner's y�� '
Protection Guide° prepared by tlie Florida Department of Agriculture and Consumer Affairs. If the applicant is someane:>,.,
othe�than the°owner", I certify.that,l..have obtairied a copy of the above descri6ed'�locument and:pramise-in good1faith to��,,,
deliver it to the;owne�'�priar:�to�comYnencement. f �
Ct3NTRACTOR'$lOWNER'S AFFICIAV.IT:� I.certify that a(F the information in this application is accurate and'that alf work
wifl be done in comptiance wi#h aN applicable�taws regulating cons#ruction, zoning and 1and�develapment. Application is
hereby made to. obtain; a .permit to-do:,wark and instaliation .as indicated. 1 certify that na wark or,instaliation�has
cammenced prior:to issuance of�a perrriit anii that all work will be performed ta.meet standards of all laws regulating �
construction, County and City codes, zoning regulations, and land development rsgulations iri.the jurlsdiction. �1 alsa
certify that I understand that the regulations of other government agencies may apply to the inteiided work, and that it is �
my responsibility to idenfify what actions t must take to be in compliance. Such.agencies include,but are not limitedito: ;
- ,Department af Enviranmental;'Rrotection-Cypress Bayheads, Wet(and Areas and Environmentally Se�nsitive '
[.ands,VllaterNltastewater Treatment. ;
- Southwest Florida Wa#er Management District Welfs, Cypress .Bayheads, Wetiand Areas, Altering �
Watercourses. ; - •
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ,
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater..Treatment, �
Saptic:Tanks. � �
- US Environmentaf Protection Agency-Asbestos abatement. � -
- Federa!Aviation Autho�ity-Runways. �
I understand that the foU"owing restrictions apply to the use af�II: :
- Use af fill is not allawed in Flood Zone"V" unless expressly permitted. �
- If #he fill material: is to� be used in. Flood Zane "A", it is understood that a drainage plan addres''sing a
"compensating volumeA wi11 be submitted at time of permitting which is prepared by a professiana) en`gineer �
licensed�by the State.o#F(orida. ,.
- If the.fU material is.ta be used in Ftaod Zone "A° in connection with a permitted buifding using stem wall
construction, I certifythat.fill:will be used only to fill..the area wi#hin the stem wall. °
- If fllh-rriaterial�is •to �be used in any area, I certify that use of suoh�fill will not adversely a�fect adjacent
praperties. If use of filt is found to advers.ely affect�adjacent properties, the owner may be cited for violating
the eon�iifions of�#he builtling,permit�issued under tiie attached pecmit,appticatian, for (ots iess than one (1) �
acre vuhich aTe elevated by fill,an engineered drainage p(an is required. �
!f I am the AGENT EOR TNE OWNER;=l:�promise in good faith ta infotm #he owner of-the permitting conditions set forth in I
this affidavit-prior to commencing consfrvction.� l understand that a separate permit may be required far elec#rical�work,_ �
plumbing, signs, wells, pools,,air conditioning, gas,,o� othier �installations nat specifically included in the application. A �, ,
permit is"sued�shali`be construed�to be a license:to.proceed with the wark and not as authority.toviolate, cancel, alter, or
set aside any provisions of tfie technica) codes, nor shall issuance af a permit prevent the Building Official from thereafter
requiring a correctian.of e�rars•in plaiis;`construction ar violations af any codes. �Every permit issued shal( become invalid
unless the work au#horized by such permit is commenced wi#hin si�c months of permit issuance, ar if work authorized by
the permit is suspend.ed_or abandaned•for.a�period-.af six{6)months after the tirne ttte work i"s`commenced, An extensian ,
may be requested, in writing,,from fhe Building fJfficial for a period not to exceed ninety(90)days and will demonstrate
justifiabie cause far the extension. lf work ceases for ninety(90)consecutive days, the job is considered abandaned!.
' - ,
WARNtNG TQ OIAtNER:- YOUR FAfLURE,,T;Q RECORD A.NOTtCE O� CQMMENCEMENT MAY RESULT IN YOUR
PAYING"TWICE`EO�t lMPROVEMENTS�TO Y�UR�RR�PE�tTY.. !P Yt?U::INTEND~T4�OBTAIN��FINANCING,CONSULT
WITH"YOUR'LENDER OR�AN ATTORNEY BEFdRE RECORDING YOUR-NQTICE OF�COMMENCEMENT, a
_ . . . _.�= _ _.._I
I_ FIORtDA 1URAT-(F.S.11.?.03}-. .__�_ _ _ _ _ ._-y_- - —-- -- - _--___ - - — -- ,
OWNER OR AGEIdT CONTRACTOR _
Subscribed and swom to(ar aifirmed}before me thts Subscribed and swom to ar ffi ed ef ine t is �-
bY •�Y
Wha Is/are personally k�own to me or has/have produced ' Who is/are personally known to me has/have praduced F
as IdenBficatlon. as identificaUon. '
Notary Public R!o#ary Pubtic
Commission Na. Commissian No.
I IVame af Natary typed,prin#ed or stamped Name of Notary typed,printed,or stamped
.,;, �
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19290
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19290 Address: 5613 19TH 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: 11-26-21-0010-11200-0010
Improv. Cost: 7,100.00 OWNER INFORMATION
Date Issued: 4/22/2020 Name: LANE-WORLEY BRENDA
Total Fees: 120.00 Address: 9703 GLENPOINTE DR
Amount Paid: 120.00 RIVERVIEW, FL. 33569-5638
Date Paid: 4/22/2020 Phone: (813)475-2522
Work Desc: REROOF SHINGLE-REINSTATE ONE TIME
CONTRACTORS APPLICATION FEES
WAYNE GONZALEZ ROOFING CONTRACTO REROOF RESIDENTIAL 80.00
BUILDING FEE 40.00
lJ
DRY IN RFINSP Ins ections Re uired
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 performed 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
Attention: City of Zephyrhills- Building Department
Please see the attached check of $40 to reinspect building permit #19290 exp
8/8/18 reroof shingle. �L� (( s�a
Closing date is scheduled for 4/30/20, we would like to get this permit inspected
and closed out as soon as possible.
Please contact either Ava Larkin or Rebecca Heath with any details or questions
regarding this permit.
aval@larkintitle.com
rebeccah@larl<intitle.com
Rebecca Heath
Administrative Assistant
Larkin & Larkin Title Services LLC
14130 7th Street, Dade City FL 33525
Office (352)545-0090 Fax (352)545-0091 --
To: 8137000021 From: 3525450091 4-14-20 M OO= p, 2 of 2
s
IUCN
LE SERVICES.LLC .
14130 SEVENTH STREET,DADE CITY,FL 33525
P(352)545.0090 F(352)$45.0091
1NFOOLARKINTI'MECOM
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