HomeMy WebLinkAbout18-19377 CITY OF ZEPHYRHILLS
'5335-8TH STREET
(813)780-0020 19377
BUILDING PERMIT
-PERMIT-INFORMATION. LOCATION INFORMATION
Permit Number: 19377 Address: 5528 16TH 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: 11-26-21-0010-14000-0190
Improv. Cost: 7,800.00 OWNER INFORMATION
Date Issued: 2/26/2018 Name: CLARK, VINCENT JR& JOANNE
Total Fees: 80.00 Address: 5528 16TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/26/2018 Phone: (813)782-3622
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
MITCHELL ROOF SYSTEMS LLC REROOF RESIDENTIAL 80.00
Ins ections Required
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 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.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department.
Date Received
- Phone Contact,for Permitting
3COOwner's Name �� 4�nv1°2. l J��� Owner Phone Number
Owner's Address � r Owner Phone Number
Fee Simple Titleholder Name r Owner Phone Number
i
Fee Simple Titleholder Address
JOB ADDRESS S4 Z 1'►' 5 Y' LOT#
SUBDIVISION PARCEL-ID#
(OBTAINED,FROM PROPERTY,TAx NOTICE)
WORK PROPOSED R NEW CONSTR`= ADD/ALT Q SIGN [� = DEMOLISH
INSTALL `REPAIR
-------
PROPOSED.USE, 0 SFR 'COMM 0 OTHER
TYPE'OF CONSTRUCTION 0` BLOCK 0 "FRAME. STEEL 0
DESCRIPTION OF WORK e ��� 5 �—T4
S, r
BUILDING.,! ' SQ FOOTAGE _ 1 i7bS HEIGHT
e-
=BUILDING $ "goo
° VALUATION'OF TOTAL CONSTRUCTION
_ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
=P•,LUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING. 0. SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
:BUILDER COMPANY -
SIGNATURE REGISTERED Y/ N FEE CURREN
Address _'License.#
::-%rELECTRICIAN COMPANY -
SIGNATURE REGISTERED Y/ N FEEf URREN
Address' - License#
%:_PLUMBER;; COMPANY . :: .
SIGNATURE :REGISTERED Y/ N•. ` .. : .FEE CURREA Y/N
Address License
MECHANICAL .COMPANY
1"'SIGNATURE'" REGISTERED Y/'N . FEE.CURREn Y/N
Address'_> License.# F .
OTHER`'_=11,;; j;, •-� r �[ COMPANY . CL 2
REGISTERED Y f.N FEE_CURREN -YIN I
Aaaress
Li6erise# '6�� 1 F2?7Z y
-;Attaches.(2)?PlotsPlansr:(2')set's:of:Buildirig'�Flan"s;`_ O° 9!!ti. -W:Pe�it=fo'r new•constiuction,:
rsMinlmum teri,l0 •workin"':da'' afte�'s6brriittal:date::=Re wired onslte`' or`" `"`'`' 'r struchonPlans,'§tormwater Plans wi/Silt Fence.insfalled'
Sanitary;Facilities Y�i�.dumpste�;Site Work Permit,forzisubdiftions/large.pro)ects'::-:-',_
w COMMERCIAL Attach(2')�co'mplete sets"of'131611 ing Plihi' us a'Life Safety Page;(1)'set of Energy"Forms.R-O-W Permit for new constructlon. '
Minimum ten(10)•working days-aftersubmittal date. Required onsite,.Construction'Plans,Storrnwater Plans w/Silt Fence.Installed,
.`: Sanitary Facilities&1,;dumpster.,Site w:projects.All commercial requirements must meet compliance
SIGN'•PERMIT "Attach(2)sets;;ofEnglneeredPlaris:t _, :r; -F
"'"PROPERTY SURVEY,[equ(red_for.all:NEW,construction._
.
F(Il:out:application completely.
'. •wner•&Contractor.sign back of application,notarized
If over;$2500;.a Notice:of:Commencement.is required. (A/C upgrades over$7500)
Agent:(fdr th`e contractorpor.Power ofAttomey(for the owner)would lie someone with notarized letter from owner authorizing same
`,OVER;THE=COUNTER;PERMITTING;.- (copy, contractdrequlred)
„1'777Reroofs.ifafiirigles Sewers .Service Upgrades A/C Fences(Plot/Survey/Footage)
:Driveways-Not over Counter if on public roadviiays needs,ROW
NOTICE:OF:DEED RESTRICTIONS: The.undersigned;understands:.that this permit:;may:be sub'ect;to
,,, �.ti+: is> ..,, s^� - ya .e. .;..��_:.:,.'.:>. "rJ.�,i�?:;.,:'Oj'•� { ;. J
whici may tie mote=;restretivestFian County regulations. The.undersigned-assurnesresponslbihty=fo�r.compiiance Wth:any;;,
applicable deed restrictions.
UNLICENSED:.-CONTRACTORS AND`CONTRACTOR RESPONSiBtL{TIES: if the owner`ias`iired`acoratractor or
contractors to undertake work;tliey;may be,.required°to bellicensed in accordance with.state•and'locatli egutations ;?if:tine r
contractorisnotslicensed�as:required bylaw; tiotl :the owner and"contractor=r�iay tie4ci#ed for a'rrtisdemeanor.vioiation
r;t
under state law. if the owner.or intended.dontractor.are uncertain as,to what.licensing,,regtit%r on,ts.,,1mayp ppl'y,�for;the;'
... .:..
intended work'Ahey:are-advised to confactthe'Pasco County'Building;ihspectio 'D:ivision- Licensing.Section at.727=847 . '.
8009. Furthermore, -iif the owner has':hired'4 contractor or contractors, he is advised to: have the.,.coritractor(sj,EsI" j
n,.,.,t
portions of the "contractor Black"of this application_for which-they wili.be.•responsible. :if,:you,',asp'tFie ownersign;'as'the. .- °:I ,;;
contractor.;=ttat.rrtay be an indicattori that he is not properly`licensed and is not entitietl"to permitting privileges-
County. -
TRANSPORTATION.IMPACT/.UTiLITIES-IMPACT AND RESOURCE RECOVERY FEES:'The undersigned.understands:,
that Transportation Impact Fees and Recourse Recovery Feet may:apply to the.cons.traction-of.new;buildings;.ct ange of'= q .
use in existing buildings,For:.expansion"of:existing""buildings, as specified in Pasco County Ordinance number 89=07am'd
90-07, as amended. The-undersigned:also.understands;:that such:fees; as`,pay,be,,due', will"tie;identified`atwfhe:f me'of .; {
permitting. 1t,is further understood that-Transportation Impact Fees:and Resourcei.Recavery:.Fees-must be paid prior•to {;
receiving"a-°certificate of occupancy or final.pawer release:"If the.project does not Involve:a:certificate of:occupancy:;at'-�'
final,-power release;,.the<fees•roust be:paid prior to.permit issuance., Furthermore,-if_.Pasco:County W-,_, terI.Sewer===:impact;
fees are.due,:they,musf be.paid,prior to,permit issuance in.accordance:withapplicaple.:Pasco"County ordinances.
CONSTRUCTION LIEN LAW(Chapter 7l•3;"Florida Statutes,as,amended): if valuation of work is$2,5.00:00,or.moreid..
certify that 1, the-:applicant, have been-provided with-.a .copy of;ttie "Florida' Construction Lien Lain%Homeowner'i Nr
Protection Guide" pie 'rid red,-bythe Florida Department of Agriculture and Consumer.Affairs. if the appiicant�is•.someone,:;.:
other than the"owner", i certi thati_have obtained a co of the above descrl6etl'^docurnoi t d romise-rn: ood'faitf 5'tg
copy p :. : 9..
deliver it..to'tkie:"owner"'prior:=to:comiriendeimeint
CONTRACTOR'S%OWNER'S AFFIDAVIT:,-.I;certify that-'all the information in this application is accurate and'that all"work
will be done in compliance with all appl16&6'Iaws. regulating construction, zoning:and.Iand development. Application Is
hereby made to obtain.a: permit:.to'-do work and..installation "as'Indicated: I certify that no work or;Ingfillation1 has
commenced prior-to issuance 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 development regulations in.-the jurisdiction: =`- 1.Iiso
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 npt•limited:tm !{
Department of Environmental':Pi dtiari=Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
Lands,Water/Wastewater Treatment.
Southwest Florida Water Mana9ement District Wells; Cypress .Bayheads, Wetland Areas, Altering
Watercourses. i
Army Corps of Engirieers-Seawalls, Docks', Navigable Waterways. I
- Department.of Health,& Rehabilitative Services/Environmental..Health Unit Wells, Wastewater:Treatment;,
Sepflc,Tanks:
- US Environmental Protection Agency-Asbestos abatement.
Federal AviationAuthority-Runways..
I understand that.the following,ri iictlons 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 englneer;
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 walli
construction, i certify:that fill will be used only to fill the area within the stem wall
If fill material is-to-be used In any area, 1 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 violatingF. M:y
the conditions.'of•.the"bulidih' permit issued under the attached_permit.application, for".lots less than one (1)'' N
acre which are elevated by fill, an engineered drainage plan is required. i
f I am.the AGENT FOR,THE,OWNER:I',promise in-good faith to inform.-the owner of the permitting conditions set forth in i +i
his affidavit prior to commencing construction': .i-understand that a.separate permit may be required for electrical.work,
lumbing, signs, wells,, pools,-air.,conditioning;.gas,...or,other`installations not specifically included in the application: Al
ermit Issued shall'be construed'to'"tie a license=ti.proceed with'th.o work~and not=as.-authority.toviolate,.cancel,:aiter, or k
et aside any provislons"ofth-e"fechnical codes, nor shall issuance of a permit prevent the Building Official from thereafter;
quiring a correction:.of errors to--plans;`�constr"uction,or violations of any codes.=<Every•permit issued shall'become invalid 1
Mess the work authorized by such permit Is commenced.within six months of permit issuance, or if work authorized by L
e permit Is suspended.or abandoned for;a period;; f_-six(6)rnogths after the time the work is commenced.-.An.extension ''?
ay be requested,.in=writing,;from the Building-Officlal for a period.not to exceed ninety (90) days and will demonstrate
stifiable cause for-the extension. .If.work.ceases for ninety(90)consecutive days,,the job is considered abandoned.
ARNING TO,OWNER..: YOU:R";FAiLURErTQ',REC.ORD-:A NOTICE,.OF COMMENCEMENT-MAY RESULT IN YOUR !
Y{NG,TWiG,E'FOR IMRROVEMENTS'TO;YOURPROPERTY:;.IF.YOU;iNTENDrT0013TA1N FINANCING;-CONSULT
TH"YOUR'LENDER OR AN+'ATfORNEY BEFORE=l2ECORDIN'G'YOUR`,MOTICE`O Ct3MMENCEMENT: { 1:
,, .•
RIDA JURAT.(F_5117.03) —
NER OR AGENT CONTRACTOR
cribed and'swom to(or affirmed)before me this Subscribed n sworn_ o(or affirmed)before-rile th's
by by M► -C L P_
Islare personally known to me or hasihave produced Who I /are pperson ly.k own t me ar has/have produced.
as identlfloatlon. �;�I.�,l:. as Identification.
Notary Public otary Public
fission No. Commission No. 0 (1-
r"ai 'el Cttm Qu���.
of Notary typed,printed or stamped Name of
., [,'EFRAELAINERUFFELL
Ck).1t,t.:5s7jon#GG 045343
yry1Y,:?'- ;,,. ,:r•. ^Insurance 800-385.7019
Rept:01934995 IT:Rec0.00"00
DS: .00
02/26/2018 B. M. , Dpty-Clerk
I!!I!lINIIlII!!I!1!!I!!llull!!ll!!!IlII!!IIlIIllllllllllll .
COMPTROLLER
j02/26/2018 04-21 of 1 2018032430
OR BK
Ps 3444
Permit No. Parcel ID I-ro
NOTICE OF COMMENCEI$%N[T
State of 4-1. County of
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following Information is orovided In this Notice of Commencemea:,
1. Descripdqn of Property: Parcel Identification No. I 2J.0 -2-i Qn(n igyno -o�i3o
Street Address: rN Chi-, iF
2. General Description of Improvement j2
U
3. Omer Information or Lessee Information if the Lessee contracted for the Improvement:
Na7L
*% 5+ ~r(Ak(5 raj
MUMS city fats e
Interest In Property:. 1;1b
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address _S State
Contractor. 't�dk 11
.3 i,�� isoeirli
Address Stato
Contractors Telephone No., City q3
Surety.
Name
Address city state
Amount of Bond:S Telephone No.:
Lender. Name.
Address city State
Lenders Telephone No.:
Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as prOvidea oy
Section 713,13(1)(a)(7),Florida Statutes*
Name
Address city. State
Telephone Number of Designated Perron:
,9,' In addition to himself,the owner designates of
to receive a copy of the Llanor's Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.,
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction nd rl payment to the
comractor,but will be one year from the date of recording unless a different date Is specified): 41 Z/
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE ExPiRATibN OF THEf NO-n6E OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART I. 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,GONSUI T
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
Under penalty or perjury,I declare that I have read the foregoing...lice of commencement and the,the facts stated therein are true to the best
,of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
F19-naig of Owner or Lessee,or Owner's or Lessee's Authorized
Office irector/Partner/Manager e
Signatory's Tille/Office
AVVE H CL Ap,k
The foregoing Instrument was acknowledged before me thIsi:1- day of 201gby 16
28 —(t f authority•e.g.,officer,trustee.attorney In fact)for
of�:P:r Y.a hall of 4orn Ins1rument was executed).
(name Al
Personally Known[I PR Produ I ant catto Notary Signature
Type of Identification Produce Name(Print) Z
NENITA 8.IMPERATO of Florida
r T Notary Public-State
ate of Florida
My Comm.Expires Jan 4,2019
Commission 1 6 0
I Ion#I FF 169902
on I 'I ry
Bonded through National Notary Assn.
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO'CERTIFY THAT THE FOREGOING IS
TRUE AND CORRECT COPY OF THE DOCUMENT
I„c.,�j��%•.. �c ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
k< �_ WITNESS MY HAND AUQ,OFFICIAL SEAL THIS
DAY OF I�
PA LA S.O'NEIL, CLERK&COMP ROLLER
S]� cj B t DEPUTY CLERK