HomeMy WebLinkAbout18-20189 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 189
BUILDING PERMIT
PERMIT INFORMATION LOCATION-INFORMATION.
Permit Number: 20189 Address: 5830 11 TH 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: 11-26-21-0010-03700-0170
Improv. Cost: 5,200.00 . OWNER INFORMATION
Date Issued: 8/28/2018 Name: MERFELD MELISSA
Total Fees: 70.00 Address: 26780 FIDDLEWOOD LOOP
Amount Paid: 70.00 WESLEY CHAPEL FL 33544-3288
Date Paid: 8/28/2018 Phone: 813-992-0879
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A MANOS SERVICES REROOF RESIDENTIAL 70.00
-fpv
Ins pectio s Required
DRY IN ROOF rNS1P_
TAPE JOINTS OF
INSP
FINAL r-) , . ' �
VIA
REINSPECTION FEES: (c)With respect to Reinspectio'n 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 OFFICOR
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 g �$ I Phone Contact far Permitting, -W-z 333 -- 4
Owner's Name ��S e� m �� Owner Phone Number
Owner's Address '6'7 F(3 ;a/ fie.w Owner Phone Number .
Fee Simple.Titleholder Name " Owner Phone Number
Fee Simple1itleholder Address
JOB ADDRESS 5g t� -I Zw4.,11Jtr 315y.2 LOT#
SUBDIVISIC)N PARCEL ID# '/ 020- -@ip Q - O 7M -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH
ai INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION [�; BLOCK Q' FRAME 0 STEEL 0
DESCRIPTION OF WORK
g;
BUILDINGSIZE C ' -� FOOTAGE �`-I O� J HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
3•
=ELECTRICAL AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
I
QRLUMBING
i 4i,y+
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (j(9
=GAS ® ROOFING- 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
I
N
BUILDER , COMPANY
SIGNATURE REGISTERED Y/'N FEE CURREN 'LY LN
Address " License#'
ELECTRICIAN. . COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURREN Y/N
x.
Address" License#;
PLUMBER COMPANY
SIGNATURE REGISTERED'., Y,/,,N!..l FEE CURREN
Address, License# I ��
MECHANICAL COMPANY," ji
SIGNATURE < " . REGISTERED Y./.N': I FEE.CURREI`
Address License# I .
I
OTHER;;•: COMPANY 14 Sc.rv-�o Tta c
SIGNATURE . . - REGISTERED _ / N FEE CURREN. L Y/N
Address $3 u(�> } yy —r,a FZ 3d6o26"; License# CC(_ /3.26/3Fr''"
.
RESIDENTIAL Attach(2);PIot,FIans;.(2)sets of Building Plans,(1)set:of Energy:Forms;R=O W-Ferrllif for'new<constructior,,
Minimum ten''(10)working days after submittal`date. Required onsite,Construction Plans;Stormwater Plans%%Silt Fence installed,
Sanitary Facilities&I dumpster;'Site Worts Permit for subdivislonstlarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life.Safety Page;(1)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&I dumpster.Site Work Permit for a'II;new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)4ets"of,Engineered Plans.,""PROPERTY SURVEY required for alLNEW construction.
i
Di�eeti'ons:
Fill out application completely.
Owner&'Contractor;sign back of.application,notarized.If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" ,Agent_(fct the contractor),or Power of Attorney_(for the owner)would be someone with notarized letter from owner authorizing same
OVERiTHE,COUNTER.PERMITTING•:: (copyofcontract.required)
Reroofs:if,shingles Sewers Service'Upgrades AIC" ; :"Fences(Plot(Survey/Footage)
Driveways-Not over Counter if on_pulilic roadways.,needs"ROW
NOTICE OF DEED RESTRICTIONS: The..undersigned I nderstands'may be subject to"deed" restrictions"
which may be more restrictive than'County regulations_ . IThe undersigned assumes responsibility for compliancewith any,...
applicablezdeed;restrictions. 1
UNLICENSED CONTRACTORS AND CONTRACTOR[ RESP6NSI13iLITIEi: If the'owner has'hired a contractor or
contractor is not undertake
work-
as they bawed`to be licensed in-accordance.with state-and local-regulations. If the
Y q
quired-by ,. both the owner and contractor may be_'cited for a-misdemeanor violation
under state law. If the owner or intended contractor are_uncertain as-to:what licensing requirements ma' y-apply for the'
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-84778009. Furthermore, .if the owner has hired-a' contractor or..contractors,. he.-is advised to have the'contractor(s)`sign
portions of the "contractor Block""of-this-application for,which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting:;privileges;in-Pasco ..
County:
TRANSPORTATION IMPACT/UTILITIES IMPACT ANDIRESOURCE RECOVERY FEES: Tfie undersigned understands,-,
that Transportation Impact Fees an d;Recourse Recovery.Fees may apply to-the construction of new buildings, change'-of
use in existing buildings; or,expansion of existing;buildings;-as specified in Pasco County Ordinance number 89-0.7 and
90-07, as amended. 'The undersigned-also-understands, that such fees, as may be due, Will-be identified at the"time:of
permitting. It is further understood that Transportation Impact Fees and Resource.Recovery Fees must be paid,prior.to
receiving a"certificate of=occupancy" or final power release: If the project does not'involve a.certificate of occupancy or,
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact,
fees are due, they must be-paid prior to permit issuance In-accordance-with applicable Pasco County ordinances.
CONSTRUCTION LIEN.LAW(Chapter,.713, Florida Statutes, as amended):.-:If valuation of work.is$2,500 00 or more, I
certify-that I, the applicaht,' have "been provided with �a copy of the "Florida "Construction_ Lien Law—Homeowner's
Protection.Guide" prepared by the Florida Department of Agriculture,and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above.described document'and-promise in good faith to
deliver it to the"owner" prior to commencement: .
CONTRACTOR'S/OWNER'S-AFFIDAVIT I certifythat,all the:information in-this.-application-is accurate and that all.-work-
will be done in compliance with all applicable laws;regulating construction, zoning and'land development. Application is '
hereby made to obtain a permit to do .work and installation as 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 Ian" ' regulations in the jurisdiction. I 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 not limited to' :;
Department of Environmental Protection-Cypress Bayheads, Wetland Areas-and Environmentally Sensitive
Lands,Water/Wastewater.Treatment:..
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering 3
Watercourses.
Army Corps of Engineers-Seawalls, Docks,'Navigable Waterways. E
Department of Health & Rehabilitative Ser ices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. i
US Environmental Protection Agency=Asbestos abatement. ;
Federal Aviation Authority-Runways.
I understand that the-following restrictions.apply.to-the use of fill: ; [
Use of fill'is not.allowed in''FloodZone-"V" unless:expressly permitted. ?
If the fill material isi 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 the State of Florida. _
If the fill material--is.,to-be used -in,Flood Zone.:"A":in-connection with a permitted building using stem wall
construction, I certifythatfill will-be used only to fill.the area-within the.stem wall. l
If fill material is to be..used in any area, I certify that use of such fill will not adversely affect adjacent i
properties. If use of fill--is found"to adverselyaffecf adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under.:the, attached permit application, for lots less than one V)
acre Which are'elevated.'by-fill an`engineered;drainage„plan is required.
If I am the-AGENT FOR THE OWNER, I promise in good Ifaith-to-inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. .I understand that a separate permit may be required for electrical.work,
plumbing, signs, wells, pools, air conditioning,-gas, or,other installations-not-specifically included in the-application.; A E
permit issued shall be construed to be a license to proceed with,the work and not as authority to violate, cancel, alterr:or i
set aside any provisions of the technical codes,.nor:shall issuance..of a permit prevent the.Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the workauthorized by_such permit is commenced within six months.of.permit issuance, or if work authorized by
the permit is suspended or abandoned for a period=d six(6) months after the time the work is commenced: An extension
may be requested, in writing, from.the..Build'irig Official for a period not to 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' I
WARNING TO-OWNER: YOUR FAILURE TO RECORD A NOTICE OF:COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE-FOR'IMPROVEMENTS`TOE-YOUR'PROPERTY.-IFYOUINTENDTO OBTAIN FINANCINGXONSULT i
WITH YOUR LENDER'OR AN ATTRNW OEY.BEFORE"RECORDING YOUR NOTICE OF-COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) — -- — - -- —^l — - — - -- - ------- - -
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this So bscribed d sw to,(or affirmed)before me this
by _Z&-:(F by k. ?Kdg"n
Who is/are personally known to me or has/have produced Who is/are ersonally known to me r has/hav produced
as identification. FL` —1--- 1-Q,-,-z _. as identification. _
it
- i
Notary Public �� Notary Public .
Commission No. Corn ssi n N .
JACWELINE BOGES
Name of Notary typed,printed or stamped Name of Notary. Qp etliT n
•,tea Expires December 12,2018
f F40.` Bonded Thru Troy Fain Ineurence 800J95-1019
I
City.ofZephY rhills.
5335.8th St
. Zephyrhills FL 33542-
23)780 0020
'ROOFING INSPECTION AFFIDAVIT' .
.. ..
'Permit No.:
-licensed.urider.Chapte'r.:468;Florida Statutes as a(n):
Contractor..�c Engineer_:. Architect._Building.lnspector` :
License No...
On or,'about_ 2sL (S did personally in§pect_the:
Check:,-Roof Deck Nailing' � ::. Dry in � Flashing a.nd-Drip edge ?'�-
Check.which was used:: 30#1elt'._Peel.and Stick,,'Other{List) -
At the following .
Based.upon thatexamination, I have:determined the installation�was done accordirig to the Hurricane
Mitig atio. n Retrofit Manual Based on.Section 553;844 A6rida.Statutes
Signature:
STATE OF FLORIDA .. '
COUNTY OF PASCO'
Sworn.to and subscrib .d b fore ay .. : .
BY:
Notary.Public State of Florida
►.'Se • r...R NALO HSMITH !
Iff COMMISSION#GG IT1740
EXPIRES:Mardi.4;2022 `
'•FOF;;�°�'.•' BoRdedltiruNohiyPubYcUnderwrlters
r
s/H IIIIIIIIIIN111111111111111111111111111111111111111111111111�
2018146474 ,
Rcpt:1986048 Rec: 10.00
DS: 0.00 IT: 0.00
Permit Number 08/29/2018 K. M. , Dpty Clerk
Parcel ID Number _
PAULR S.0'NEIL,Ph.0.PRSCo CLERK B COMPTROLLERS'."
NOTICE OF COMMENCEMENT 09:08a
Oe R BK018 m 1 oP 1
State of Florida rriis.AH AIS.., A779 PO 328
County of PLae+t9V ?4,60 U
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal description): (t-2 6-21-pp ?700-o
a)Street fob)Address: 5 10� -4 2 4.` s 4. 335
2.General description of improvements:
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: �Lt&,, h L�,IA 26-Mo ILpi ��s�, CL�o�I �C ?554y
b)Name and address of fee simple titleholder(if different than Owner listed above)
c)Interest in property: C3fl-r
4.Contractor Information
a)Name and address: A. -053 Cumr Nwy-:#3u,-k—te 33 GZ G
b)Telephone No.: 352-u 42-53179 Fax No.:(optional)
S.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
c)Amount of Bond: $
6,Lender
a)Name and address:
b)Telephone No.:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No,:(optional)
8.a.ln addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone 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 1 year from the date of recording unless a different date is specified): ,20
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 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, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under,penalty of perjury,I declare that I hav read the foregoing notice of commencement and that the.facts stated therein are true to the best of my
lowle a fgye' f.gns re or Owner or Lessee,or er Lessee's(Author¢ed OfficedDirector/Partnerftneger) (P-nt Name and Provide Signatory's Title/Office)
The for going or
was acknowled,9ed before me this 2-5 i-A day of • 01XU 20 ( j5
by me-y,Ts" as
��a.abld.� (type o authority,e.g.officer,trustee,attorney in fact)
for _ as
(Name of Person) (type of authority,...e.g.officer,trustee,attorney in fact)
for (name of party on behalf of whom instrument was executed).
Personalty KnowpProduced dl
4a�-
Type of ID D 10 Notary SignaturePrint name
ajppy, � ,Valerie S:Andrew ,
Jr '^NOTARY PUBLIC
STATE OF FLORIDA
?�Comm#GGO68893
E Expires 2/2/2021
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING is A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND AND FICIALSE LTHIS
DAY OF 2 01i fi
RADV5�SONEIL, OMPTROLLER
BY U I Y CLERK