HomeMy WebLinkAbout18-19505 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 ) 19505
f BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19505 Address: 38704 EVELYN LANE
Permit Type: RE-ROOF I ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0030
Improv. Cost: 8,886.00 OWNER INFORMATION
Date Issued: 4/02/2018 Name: HILL JULIEANN
Total Fees: 85.00 Address: 38704 EVELYN LN
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542-1690
Date Paid: 4/02/2018 Phone: (813)782-9426
Work Desc: REROOF SHINGLES
CONTRACTORS APPLICATION FEES
WIDNER ROOFING INC REROOF RESIDENTIAL 85.00
DRY IN ROOF INSP_
Ins ections Required-
TAPE JOINTS RO IN P
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
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CUSTOMER;ORDER NO. SOLD BY TERMS E.O.B. DATEORDEREDPPED j DES,CRIPTION_ PRICE UNIT AMOUNT
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A-8840 T116700/46721 ! 01.11
51,5-rcu-uuzu C:Ity OT Lepllyrnins vermlt Application rax-oio-rou-uuci
Building Department
Date Received
;•�; f. =•Phone Contact:for•Permitting" ��J
Owner's Name '�u'j"i t l Owner Phone Number
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Owner's Address . 0 Owner Phone Number -
Fee Sim ple;TitleholderHame ` " OwneraPhone Number
Fee Simple Titiehotder Address
JOB ADDRESS �� �!`� LOT#
SUBDIVISION_: PARCEL ID#. O Z- Z —Z j _0 Z7JO _ Q 0 Pm— cem 3 O
1; (OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NevV CONSTR' ADD/ALT SIGN Q 0. DEMOLISH
!' - INSTALL 8 `REPAIR
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PROPOSEMUSE Q SFR Q -COMM, Q; OTHER
TYPE°OF CONSTRUCTION 0' BLOCK 0. FRAME Q, STEEL 0 -
DESCRIPTION OF WORK sF, 4 9'U,-2
BUILDIN.. MIZE. J�` -S4'FOOTAGE HEIGHT)
OBUILDING, $ ( VALUATIONOF TOTAL CONSTRUCTION
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=:ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING $
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Q�ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
L;GAS Q ROOFING SPECIALTY OTHER
FINISHEDiFLOOR ELEVATIONS FLOOD ZONE AREA =YES .NO
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:BUILDER COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURREN Y/N-.
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Addr®gs License:#!
ELEC,TRICIAN'.'. ; .. COMPANY
;'SIGNATURE° : REGISTERED Y/ N FEE CURREN . `Y/N. '
Address` License
COMPANY:
.,.'SIGNATURE 'REGISTERED.'.., J. Y.-/_1-N1_`:, :FEE CURREN Y/NJ'
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Address License#!.:'
.,: .MECHANICAL :.,:COMPAPIY
7 SIGNATURE•'`:'° REGISTERED Y/. N FEE;CURREN. .,
Address:r' licens<e.
CONK PANY. ..t .
=;'SIGNATURE;'r;,-::>;•=r REGISTERED FEE CURREK
Address ,. ':` ' eicense'# C� C-e '?C4Z
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RESIDENTI` `-, ' �Pl i.y
lot. ,ans;,2 setsofiBuildin >Mans;' 1) setofEnel ''Forms;'R O=VVPermit r:new;constiucUon-
'`,vs �a;• ;::..,,SMinimu to :.1t).s .ork n rda'. afte .,. :,iiiittal:''aCe.aR i.._ .s: Y,.:.,,_ P..T: �.;.
equ red'`on Ite;iCbnstruction. Ians,StoT?►?waterPlans"vii%SIItFence`iristalled;
Sanita: Facilities=& tam ste .,SiC iW.oric+;Peiimitfor�subdivis'ion liar`e sets.=
COMMERCIAL Atta'cti't2)compleie sets:ofBuildind'Piansplus a'Life'Safety Page;°(1)'set of Energy Fomis.R=O-W Permit fbf new constructlon.
;:I9 .
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,..
Sanitary.Facilities&1 dumpster.Site Work Permit fot all new projects.All commercial requirements.must meet compliance-
„SLCIY;P�RRAIT "Attach='Oset'spof,E{igiFleeredte'Ians�i�;.,;., r '_-
'"'PROPERTY SURVEY regulred'Jor a!I NEW'�nstru Ition.,
UDaee'ctlon"s:
'Flll:out application completely.
Qinme�B�Contraotor,sign:backofapplication,notarized
If bvei$2500j_a Notice:of Commencement.is required. (A/C upgrades over$7500)
s Agent.(far tha:contractor:)ior�Power of Attomay"(for'the owner)would ti'e someone with notarized'letterftom owner authorizing same
s0,1%ERAHE COUNTER PERAAI'rTING ;.,(copy:ofscontract<required)
t-:Rer.Qofs if sFiingles Seuiiers: Service Upgrades A/C Fences(Plot(Survey/Footage)
iDriveways-Not overCounier if on pubiic`road way s needs:004'
NOTICE:OF:DEED::R_ESTRiCTIONS: The,::undersi'ned.uriderstandsthat, ;is .eimit:ma`;be sub'eCt to':"dee# restrict on`s&;
_ =gip'^_
whi"h' .;
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C .,r>:ta�•�be-°tiiva e's.eStf��"tiv
_ac a;ttaniCot'it''�vreN"ilatiiiiis. T1e.ctritlecsi=`rivet•'ass%rotes.r<.es�'ortsi�iti ,for.-;corgi"!i'aice:3with=an
ap licatile,deed"restrictions:
UNLiCEN; Ei� COWTRACTORS:AND CONTRACTOR RESP1 Na1BlUTtDS 'Ifi=<tk a-=o wrier has.`l ited` a carttractor or
5
contractors Ito.uridedake.work.thoy-pay:be.ro rod„td bexlicensed:in,.actor.dance-with.state,;and Ibcal ite g utattdh!M 'iffthie
- __ >>r - - - ::"ice:;>:^^a:S=x_ ;.;wr�.�:�:.+ t - 7., . -_ :-:
contras#or.:isriot"ficensedras.re uired`'ti`.'taw_°(oth:the orriiner°and`cantraetor<ma•Abe cited1fdr:;a7mie binean�r:.uioiitio"n 4
a v y
under state law. if the owner ot�=intertdbd;contractor,--are=uncertain as,to-what:. • re-uiroffib't�rr -` : " 'F' for sfFier f
intended work,.the",.are:advised`fo.:ccsrftct,ttie.Pasco"Court B"uiidiri ills':ectoDivisiori:.:ticensin•":Section°at'7274:7=
ty 9...._, p .:.:,.�.... ... �.,t . g t
80.09: Furthermore, 'if the owner has`lilted`aµcontractor or can#rasters, he is advised ta;;haue:.the .contractor(s):sign;:
portions of,the"contractor 81ock",:of_this:"application for-which,they.:will::be_::respdni§ible ;=lf:you,'as�tidl-v merstga,104he ,
contractor; tliat.Maybe an indication than he is not properly'licensed and is not entitled to permitting privileges in".P�asco r4r }1
County. :.... . _. ..
TRANSPORTATION-•IMP-ACTNTiLITIES-IMPACT AND RESOURCE RECOVERY`FEES:-Th6 undersigned understands:....',,-,,, "
that Transportation Impact Fees-and,,Recourse-Recovery-Fees=rrigy-Apply to the.construction,- new buIIdI lgs,:change=o#`` s` _
use in existing buildings, or expacsioit.'of,<e�istiig luildings,,:as specified in Pasco County Ordinance number:,$9Q7.`ffid
90-07, as amended: The.-undersigned-also understands;:that^such;'fees, as;tray be due, wilf:tie.identified54Vthe time
permitting. -1t is furt her understood that Transportation impact Fees,=and Resource:` 666verya=ees'must be paid igrao,
receiving:a:"certificate of.occupancy"or.final.:power release::="If the"pf eject.dives nottinvot've;a"c. rttfcate of:occltpalncy
final,power,release;=:tile fees trios# be:.paid,prior-,to-permit-issuance Furthefmore,-if-:Pasce Count}(Water Sewer"impact'='^ '
fees areKdue;they must bii paid prior to:pormit issuance:imaccordance=wlth=applicaiile f?asao'Co tnty ordinances
CONSTRUCTION t1EN LAW(Chapter 713, Florida-Statutes,as amended}:..,if valuation.of.wark is$2,500 Qt o nialre
certify that"1,-the .applicant;=kiave :been.:,provided"with a.copy;;of.ahe-.uFlorida` Cons#ruction`-:lien: 0*w_Hdmeowner'sr
Protection Guide" prepared-by the flodda Department of Agriculture and::Consumer Affairs. if"the applicantis:,someone :s'
other than the"owner';:.I;eeitify;ti�atthave:abtained a:capy of theabove`:descr`ibed tlocumert=and'ptomise in,:goodfaith:to:;.:;
deliver:it t6-ttie:"owner°4pdor.to caifinencdment. s
CONTRACTOR'S%OWNER'S AFFIDAVIT t certify#iiat'aii:the information in this_application is accurate and"that alf work
will be done in compliance,with all,applicabld laws regulating construction,-zoning-and land-:development. Application,is .
hereby:made to.°abtain..:a:perm i to°:tlp,work"-and: nstallation...as'`Indicated. ! certify that no work or.instaltatton",,la's
commenced prior`to,issuance 6f a permit and-"that all work will be performed to.meet,itandards-of all laws.-regulating.
construction, County and City codes, zoning regulations, and land development-regulations-iri�•-the jurisdiction: i°also
certify that I understand that the regulations of other government agencies may apply to the:intended work, and that tit is
my responsibility to identify what actlonst must take.to'be-jn:compiiance:.•Such-agencies incfUd&bUt;are not1imited<t6:11 r°
Department of Environmentai'`.Prntectioia=Cypress Bayheads; Wetland;Areas"and .Envlr'onmentally Sensitive
Lands,WaterMastewater Treatment.
Southwest Florida Water Ma iagpment District-Wells;:- Cypress .Bayheads, Wetland. Areas, .Altering ;;
Watercourses. "
Army Corps of Engineers'•Seawalls, Docks-,`Navigable Waterways.
Departmerit>;of;Health":&.Rehabilitative:-Services/.Environmental:=Health:Unit Wells,:Wasto.wvater:Treatment;
•Septie To`k4, :.:... ;
US Environmental Protection Agency-Asbestos.abatement.
Federal A4b6n,Authocity=Runways.
I understand thatrah`e;foil'"owing°restrictions apply to the use of.fill:
Use of fill Is not,;aiiowed:in Flood Zone"V"unless expressly permitted.
If the-fill -materiaf:pis"to"be used:in_ Flood' Zone "A", it is understood that a-drainage plan addressing!a
"compensating;voiume" will be submitted,at time of permitting which is prepared by a professional engineer"
licensed;by-the State of i=lorida. .
If the fill'material=is:to.be,used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I cert'rfythat:fill will be used only to fill the area within the-stem Walt: . Y
if Fill material 8--to •be used in any area, I`cert.fy.that use -of such-fill will not adversely affect adjacent
properties,. if use-offill';is;found to adversely'affbet.adjacent properties, the owner may be cited for violating.
the conditlobs cifAhe:i uiloirig pe mit:.issued underthe attached_permit;:apptication, for:lots•less'-than one i(1} R;
acre which are elevated'by fill,an engineered drainage plan Is requited.
If I am.the.AGENT;FOR;'fWE:.O1NI1lER:I�,pramisa in-good ffalth to inform:the ovitner:of the permitting conditions set forth In
this affidavit'prior-.t6borrimenclrig construction: _[understand;that.p;.separdte permit may be required for electrical.work,:. $�
plumbing, signs, wells;;pools, air;canditioiiing,gas;.::.or other�iristailatlons not specifically included in the application:
permit issued_shallY:be construetl4to`tie-a iicenselo;:proceed'with the:.work:arid riotas.-6Uthbrity:to-Violate;.cancel, altersor '
set aside any provisions 61"the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction:"of-6errors:�in plans construction:or.violations of•aiiy`codes:1'=-Every-permit.lssued`shalrbecome invalid
unless the work authorized by such permit is commeneed..within:.six months of permit issuance, er if work authorized!by
the permit issuspended:..or.abandoned,for-a•;period=;of-'six(6).months after the time.the.work 19 commenced, ,Ati..extension i
may be requested,"in""writing,frornllii Suiiding'Of clal for a period:not to eiice- ninety(g0),days and vAl'demonstrate a'
justifiable cause f6rthe extension, :If wank ceases for ninety(90)consecutive days,:tits jab is considered abandoned. j
WARNING-Tb`OWNhR,;.*00 Al1:URE�:'f�O RkGORD.A=NOTICE.OF COMMENCEMENT•Mi�Y"RESUi T IN YOOR
PAYING TWiCtEOF. IMp'i3OVEIVjE�iTC 'O lrO.lJ t PROPERTY IF YQ.0 IN kENW-10:OBTAIR FiNANCING,CONSUi,T
WITH"YOt7R I:ENDER R AN ATTORNEY BCEF't>rRE REIC.ORb11NG'YQUR�N TiCE=iDF G0111i�1E+�iCE�:9Ef�T'
-FtORtt?fC at3RAT=(E.5::11.7.03) ;.
OWNER OR AGENT CONTRACTOR !
Subscribed and"sworn to(or affirmed).before me this Subscribed and sworn to(or affirmed)-before me this
by .by "
Who(stare.personalty known to me or has/have.produced Who is/are personally known,to meor has/have produced.
as Identification. as Identification. - -
Notary Public Notary Public
Commission No, Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed.or stamped
_ Rcpt:1944131 Ree: 10.00
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03
� 03/29/29/2018 B. M., Dpty Clerk
2028052497 !PAULA 5.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLE
J 03/29/2018 02:09 m 1 of 1
OR BK 970� p� 1367
Permit No. Parcel ID No C�Z� ".1�1 -02,30 •0 0 9 00-4003m
NOTICE OF COMMENCEMENT o
State of l>~"D `-' 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 provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No. QEJJ Q
Street Address: ZM 7 O� 1-0 5
2. General Description of improvemen F
3. Owner Information or Lessee infornation if the Lessee contracted far the improvement:
ame
:3nQq Ns ��� L j,
Address City State
Interest in Property. QNAY-V�e='
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address City State
4. Contractor.
Nameclu
Address
Ci State
Contractor's Telephone No.: �� �" � ty
5. Surety:
Name
Address City State
Amount of Bond: S Telephone No.:
6. Lender.
Name
Address City Slate
Lender's 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 /�G� • ��
J O
Address City State
Telephone Number of Designated Person: • �"
8. In addition to himself,the owner designates of
to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b),Florida Statutes. . �1
Telephone Number o1 Person or Entity Designated by Owner. ��e
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the �L-
contractor,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.
LU
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best Q Z U .,,pp W
of my knowledge and belief. Q LPL _l J U
STATE OF FLORIDA -j
COUNTY OFPASCO z U O J O 0 }
S-
yp�!`; SHERRY WIDNER ign re of Owner or Lessee,or Owner's or Lessee's Authorized O Q = Q N 0 a
er lraclorlPartherlManager F- W 1- W Cammpelon yGG 10274lI LL LLl W CO IL Q
Explres December8,2021 ® O =
'�orrtoaP BakMixuCuEarNn�ryNvl�p Signatory's Titie/Office W I- Q Q O
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The foregoing instrument was acknowledged before me This Z9 day of /«^��C.20�o by to�(Q�.J" y Z = O O EL (y,
aLL-
s t�,�3l�1- (type o odty,e.g., K trustee,attorney In fact)for U 0
(na on halfofwhom strum twasexecuted). Q Q W' 0
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Personally Knowro R_Produced Identification❑ Notary Signature ll Q( F- J Q �
S � �7 cD 0 >- UDDO W V
Type of Identification Produced Name(Print) LL W 5 Z O J_ _L
O IY [3: Ll_ _
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wpdalafbcslnaticecommencementyc053048 in F- 1-- 0 �� J Q¢. cc