HomeMy WebLinkAbout18-19544 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19544--"
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19544 Address: 38411 18TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-00200-0210
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 4/17/2018 Name: CARDEN PHILLIP & ERIN
Total Fees: 90.00 Address: 38411 18TH AVE
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/17/2018 Phone: (863)604-0564
Work Desc: REROOF METAL
CONTRACTORS APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 90.00
DRY IN ROOF INSP
Ins ections Required
TAPE JOINTS ROOFIrfSP
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.
ONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT,CARb"FROM WEATHER
0111-fau-uuzu L;Ity OT 4epnyrnins vermlt Application raa-o iovo�-w�
Building Department
i q
Date Received
Phone Conta�ct;for Permitting'" (o R 7 3
Owner's Name e - Owner Phone Number O l�3' 2� J / 3 b
r ^7 ! r fi�3r gay 016(�
Owner's Address �� ! � � T'z �l��lf Owner Phone Number
Fee Simple Titleholder Name ! ,1 Arcleii Owner:Ph'one Number
Fee Simple fTitleholder Address ��-I .S• �. 5"10 W, IAAALel Giver 4� 33 �C✓
JOB ADDRESS 3 ! �C /1 �� I ICJ LOT#
SUBDIVISION PARCEL ID# nQ d O r dV
} (OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NEW CONSTR' ADDIALT [�' SIGN 0 Q DEMOLISH
R.
"INSTALL e REPAIR
PROPOSED;.USE [Z] 'SFR 0 `COMM 0 OTHER
TYPE°OF CONSTRUCTION' Q BLOCK Q+. FRAME Q. STEEL 0
DESCRIPTION OF WORK 2�C ve{ J �fA/I I �Gr'1 U r U Orl'r, .f �t e1
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BUILDING SIZE ( SQ FOOTAGE HEIGHT' : a,/
[]BUILDING $ VALUATION:OF TOTAL CONSTRUCTION'
D T
�EL-ECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
�� !,
QR LUMBING $ 0 ,
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION c
QGAS ROOFING 0 SPECIALTY 0 OTHER
` FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
I '
:BUILDER ' COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURRE. Y/N
Address License#'
::•`ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N .'I FEE-CURREN - .' Y/N.
I
I
Address License#
.:P.LUMBER.p 'COMPANY,
-SIGNATURE REGISTERED 4 N, " FEECURREK Y/N
Address License#'
MECHANICAL COMPANY.
SIGNATURE.': REGISTERED Y/ N FEE,CURREK
Address,- License.#..
G�2 COMPANY e
1
:SIGNATlJRE3;r:'M; `P REGISTERED Y/:N FEE CURREN
Addrd & .: C ns� e
..y_
:RESIDENTf• ;Attach':2.t'PlotiPlansry'2'sets of Buildlri PPaans 1 set of Ener' 'Forms`R-q_,W, Permit or'new.constiuction
�N ,a;X; Minfmum ten(;10);.working?;d'ay5aftecsutirriittal:date:"Requiretl'onsite Cbn§tniction''Plans,'Sformviiater:Plans w/Silt Fence installed,
` Sanita.. Facllitles 8�«1 dum star SiteWork.Permit for_subdivisions/la a ro acts
ry'� .. ." P rg. P 1.._
% C.OMMERCIAL Attach(2)compli3te"s'ets of'Buililing Plans plus a Life Safety Page;O)set of Energy Forms.R-O-W Permit for'new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, .
Sanitary Facilities 8�1 dum star Site Work Permit for.411l nemi.:projects.All.commercial requirements must meet compliance .
ry P.:
p<SIGN`PERMIT AtfaoFi=(2){sets:;ofEngneeredFlaris: ::-
R*i*PROPERTYSURVEY.required_for.all,NEW.constructiona.
"Yt•r _
Dlcectidns:.
FIII:out:application.completely.
'OwwnerA-Contractor.sign_back of application,notarized
If over.$2500;.a Notice.of.Commencement Is required. (AIC upgrades over$7500)
Agent�(fdr`the>cuntracfor)°or Power.oYAttomey(for:the owner)would'lie someone with notarized letter from owner authorizing same
3-`OVER:•THE COUNTER PERMITTING., ,.,.: .,.(copy..of.contractxequlred)
�:'Rero°ofs ifatiingles Sewers." Service Upgrades A/C Fences(Plot/Survey/Footage)
:Driveways Not over Counter if on public'roadways::needs'ROVN'
NOTICE.OF DEED:RESTRICTIONS: The undersigned ypoerstands.that this;-Mit;maybe s'Oject�td4,'deed(.�resth"c.ions
which-maybe more restricfive`•than County regulations The.,"Ildersigned"•assurtie Iesponsibitity�for:compliance Vnth any
applicable:.deed restrictions. ';
UNLICENSED:-CONTRACTORS' AN CONTRACTOR RES..;ONSIBILITIES--`lf't"' `-bvirrter Chas:hired au contractor or
contractors`to undertake work,they may be xgquired,`to be'Ii . nsed in accocdance:witl .statevand ioeai;regulatiaris <1fi'the="-.
contractor.is,not.licensed-a§ required'')y.iavv;`laothnthe ownem-and"contractor--<may=i e-'id] d far'$a`misdemeanor vioiat�on .. :?
under state law. if the owner or.intended;:contractor-are uncertain as.to what:licensing-, em'entsf cnay=apply'for thle< :<: .
intended work,-they:are advised--to contactthe'Pasco_County`Building`.Inspenfian_',Jy. io --Licensing.Section at 727-847 '
8009. .Furthermore, 'if the owner has fiired'-4•contractor'or contractors, he Is advised to.have the.contractor(s} ,sign
:,..I
portions of.the "contractor Block"of this-application:for whichAhey_will:be..respansiblei-:If:you,°.as the,.aviti er'sign asrthe>`'
contractor., that may an Indication that he is not properiy`licensed arid is not entitled to permitting privileges inPasca
County.
TRANSPORTATION iMPACT(UTILiTIE&IMPACT AND RESOURCE RECOVERY FEES:-'The undersigned understands_.f. ,-' :':!
that Transportation Impact Fees and Recourse Recovery Fees)may apply to the.construction-:o_f..new:buildings,.ch'an'geyof
use in existing:buildings, or,expo"sion.of°."exist'ing-buildings, as specified in Pasco County Ordinance number�85 07:and
90-07, as amended.. The undersigned also enders#ands,that such=fees, as;:mayFbe,due, witlTe identified a€:ttie
permitting. `If is further understood that Transportation'Impact,Fees:and Resource=Reiyovery.,Fees must be paid prior to n :;
receiving a:"certificate of occupancy or final.power release. 'Ifj the.project.does' not involve'a cerkificate of:accupancy,,or,3 ¢t
final:power release;;the:4ees must be:paid prior to permit issuance.._:Furthermore,.if Pasco Gounty Water/S;ewer;;impact.
fees are-due,they,must;be.paid prior to permit issuance in accordance with applicaf le.Pasco County ordinances.
CON STRt1CTION'LIEN=L" (Chapter 713;Florida Statutes,.`as amendedy if valuation of work is$2,50.0;00,or,more;,i1-:;;,<:
certify that i, the applicant, have been- provided with-a copy-, ..-the "Florida Construction.:'Lien :Law=Homeowner`s
Protection Guide prepared-by-the•Florida Department of Agriculture and Consumer:Affalrs. If the applicant
1. {..r.ram..✓.:....
other than the"owner",:I.certi that).:have obtained a copy of the above'descritled-'document:and.promise-in,.good faith';to.._.
.: . I . .
deliver,it,to'the:".owner=�'priortci commencement:
CONTRACTOR'S/OWNER'S AFFIDAVIT::-I cert'ifk:ftt-all the information in this application is accurate and"that all"work
Will be done in compliance with all appi'ic:616'16- ws regulating construction, zoning-and land.,development. Application,is
hereby,-made to:.obtain,:a;;Permit�:to:•doa_.work-and installation.gas indicated. I certify that no work or°:installation°� 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 Iland development regulations in.the jurisdiction. A:-also
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 aot<limitedao:
- Department of Environmentail."Protection-Cypress Sayheads, Wetland Areas and Environmentally Sensitive r;
Lands;Water/Wastewater Treatment.
- Southwest Florida Water Management District- -ells;- Cypress .Bayheads, Wetland Areas, Altering
Watercourses. .
- Army Corps of Engineers=Seawalls, Docks-, Navigable Waterways. i
Department of.H_ ealth:,A.Rehabilitative. Services/Environmental,,,.Health Unit-Wells,:Wastewater:Treatment,
SepticTanks.,',. .. •
- US Environmental Protection Agency-Asbestos.abatement.
Federal Aviation.Authdrity-Runways.
I understand that.the;foNowing°.restrictions 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 engineer. .:::
licensed:by.theState,af 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. ...
If fill material'is-to -be used in any area, I 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 violating
the conditions"of the'builtling;perrnit issued under`thie 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,OWNERj.1;,promise.in,.good faith to inform.the owner of-the--permitting-conditions set forth in
this affidavit prior`to commencing coristtUcti6n: .1 understand that.a,sepacate permit may be required for electricai.work, .
plumbing, signs, wells,_.pools,.:air„conditionings,gas;:.oe otfie 'installations not specifically included in the application: A.,
permit issued shall tbe-consfruedsto�6e a'license;taproceed with''.the-work and not-as authority-to violate,cancel, alter,jor
set aside any provisions of the technical codes, nor shah issuance of a permit prevent the Building Official from thereafter
requiring a correction of.errors-inrplartis,'construction or violations of any-codes:°-,Every permit issued siiall`become invalid
unless the work authorized by such permit Is commenced.within six:months of permit issuance, if work authorized 1by i
the permit is-suspended:.or abandoned for:a'period-of-six(6)-months.after the time the work is commenced,. An extension
may be requested, in writing, from the Building Official for a period.not�ta 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 T- -OWNER: YOUR.,I AILURE T,O,RECORD;A.NOTICB.,OF COMMENCEMENT-MAY RESULT T IN YOUR }.
PAYING TWICE'FOR,IMPR"QVEMA NTSr;Td Y'd, R PROPERTY-,IF YOU:INTEND,=TO�OBTAIN'FINAN'CINC 'CONSULT
4ilflThi 1CC1:9fft'9:END CAR AlV/4'!?CiRi'dEY BcFORE RECORDING`YOUR`NO`fICE•OF=.COMMENCEi JNT:--`---�- ---�
FLORIDA JURAT(F.S.11.7.08)-, ' .
OWNER OR AGENT CONTRACTORS
Subscribed ands�}Q�to or,affl. ed).be re me is Subscribed and swo or mn efore a this -
C �-2d-4 8 I b �t� i r��
Wh /ar personally k own to me or hasthave produced - Who is/ a p$mon Iy�Cnown tome or has/have produced
L� 1W�5I/ems as idenUficallon. FC- Kr1�Qr Ll C4r�?r as identification.
Notary' Public Notary Public
Coin g1ssnN -6^8Ea---- Commissio (No.
Commission#FF 150422
.:
Name of Notary typed , of adThm7roy Fen Insurence8p a .7019 Name of Notary typed,punted F m
ommission#FF 156422
"'"1 Expires December 12,2018
Bonded Tfiv Troy Fain Insumce M385.7019
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site: aw
Permit Type: 6
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
' I
This comment sheet shall be kept with the permit and/or plans.
al witzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
` I IIIIII Illll IIIII I{III IIIII IIIII IIIII lull lull IIIII{III llll
2018049828
Permit No. Parcel ID No i�
eo
fl.�
NOTICE OF COMMENCEMENT W cn
State off!( A County of f(�o�C V "
Nt9(�G
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, 0 CD
the following information is provided in this Notice of Comme cement:
OD 1. Description of Property: Parcel Identification No. '" ) (J i 01
Street Address: Y1/ A {c h�r A 4 11 Ft x °o
2�0 General Description of Improvement_
M
3.I Owner Information or Lessee inf`if the Lessee contracted for the improvement: i m,PA
C9 CD
I O ,den +
CD
Address �j City St to C)
Interest in Property:
Name of Fee Simple Titleholder. 7r
(If different from Owner listed above)
rr!!11 Address
4. t cit
y
State
Contractor. P lnr101\
!/[ ) game T / a1� WIA4 a i6ye-
Address City State
Contractor's Telephone No.: D
W
5. Surety: C)
Name i7 ONl n
N
Address City State x j j o
Amount of Bond: $ Telephone No.: ®P.m
(OOD;-.1
6. Lender:
Name +(���t-�3
Address City State �iw/ o
��yyOLender's Telephone No.: ;Ww D
0
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by 1
Section 713.13(1)(a)(7),Florida Statutes: "a
n r+
m
Name
Address City State IEDr 3
Telephone Number of Designated Person: `•Li
8. In addition to himself,the owner designates of^ j o
r
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
m
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 and final payment to the
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.
Under penalty of perjury,l declare that,l have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of 0 r or Lessee,or Owner's or Lessee's Authorized
Officer/Director/Partner/Manager
Signatorys Title/Office
loTh ore ng IInn{ssttrumen was acknowledged before me thi�d �ay of 20 L�y
as (type of authority,e.g. officer,trustee,attorney in fad)for
19 (na of party on behalf of whomdnshumLnt was executed).
Personally Known❑OR Produced Ide^n^ ctifiafior� e Notary Signature!
.i� _
Type of Identification Produced T C )ai)-463 L�LT4S� Name(Print)
o�?Y°iae•. JACQUELINE BODES
COmmission#FF 150422
p
a= Ex fires D 12 2018
'� F F4O`,�.
December
,a, Bonded Thru Troy Fein Insurance SM305.7019
wpdata/bcs/ndcecommencement_rc053048
DISCLOSURE STATHAMT FOR OWNER
CITY;OF ZSPHYRXILLS BUILDING DEPARTMEKT
have read and fully understand and
agree to the provisions of this instrument.
I.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she.
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he .or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City, of Zephyrh:Llls
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will.
engage only properly licensed subcontractors and will personally supervise
such work,
4- That in the event the Building inspector shall require correctlons to be made,
the owner will assume full responsibility to insure they. are made, and upon
completion will call for a reinspection before proceeding with the building.
-5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all-City,' State and Federal laws in regard to
-social security, workman's compensation, lien laws, etc., where applicable.
a. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requ:Lres' construct:Lon to be done by licensed contractors. You have
applled .for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
ousite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built ,or substantially- improved for sale or lease. If you sell or lease a
.building you have built or substantially improved yourself with - I year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who in not
licensed to perform the work being done. any person working ou' youk building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax-
and provide workers, compensation for that. employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinmces, building
codes, and zoning regulations.
OWNER'S SIGMMTURH DATE A(o
ADDRESS 38111 41w, ZvjqAVthNU R
PHONE
PERMITWITNESS '#