HomeMy WebLinkAbout18-19734 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19734
BUILDING PERMIT
PERMIT-INFORMATION LOCATION INFORMATION
Permit Number: 19734 Address: 5929 17TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):7-9 & S 1/ Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010=04200--007
Improv. Cost: 7,600.00 OWNER INFORMATION
Date Issued: 5/25/2018 Name: SLOAN BEVERLY
Total Fees: 80.00 Address: 5929 17TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/25/2018 Phone: 813-361-0334
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 80.00
/4J
DRY IN ROOF INSP Ins ections Required
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received /�;� Phone Contact for Permitting -
Owner's Name JYT4/Cd�L L t/,�I+/ Owner Phone Number'
Owner's Address ��z-y 1?���T Owner Phone Number
I
Fee Simple':Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 9 LOT#
SUBDIVISION F PARCEL ID# 1-yd
I' (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL e REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION 0,•, BLOCK 0 FRAME = STEEL
DESCRIPTION OF WORK
`BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ D/v VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
i
PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `
=GAS ROOFING = SPECIALTY = OTHER 0-A
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER ;: COMPANY
SIGNATURE REGISTERED Y/ N-i FEE CURREN
Address License#
-ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N"
Address License#
PLUMBER!: COMPANY
SIGNATURE REGISTERED •Y./ N` FEE CURREN
Address License#
MECHANICAL COMPANY =
SIGNATURE REGISTERED YJ N:- I FEE CURREN -Y/N
Address / License#
OTHER. COMPANY:SIGNATURE:. ,REGISTERED Y/ N FEE CURREN. Y/N
Address �. 1� 3/ U ®� C/_t .License# C
RESIDENTIAL Attach:(2).Flot Plans;.(2)sets.of:Building Plans;,(1)set..of Energy.Forms;R-O-W.Permlf fog riew_constructiori;..
Miriimum't66--6 )workiiig days after submittal date:-'Requir'ed'onsite,Construction Plans;Stormwater Plans.w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
:COMMERCIAL Attach 1(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.daysafter.submittal date..Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary.Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of.Engineered Plans.'.' _
.*"PROP,ERTY.,.SURVEY required for all NEW construction.
------------
DUections:
;Fill-out application completely. -
Owner&Contractor_sign.back.of.applicetion,notarized
If-over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent:(for the contrd6tor).-or"PoWer"of Attorney(for the-owner)would be someone with notarized letter from owner authorizing same
OVtFt;THE:C.OUNTER-PERMITTING . . -(copy.of.contract.required)
Reroofs if shingles Sewers Service'Upgredes A/C "Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The;undersigned understands that this permit may be subject to"deed" restrictions"
which may.be more'restrictive than'County._regulations. The undersigned assumes responsibilityfor:compliance,with,any,.,:
applicable deed:restrictions.
'UNLICENSED CONTRACTORS AND' '-CONTRACTOR RESPONSIBILITIES: If the. owner has :hired a .contractor or
it
contractors to undertake work;.they may be'required to be licensed in accordance with-state-and'-localregulations'z If the
contractor is not licensed as required by law,_both the owner and confractor may'be cited`fora misdemeanor violation
under state law. If-the owner or intended-'contractor•are.uncertain-as-to,what.-licensing requirements;may.apply=for`the'`
intended work, they are advised to contact the Pasco County Building Inspection DivisionLicensing Section at 727-847-
8009. Furthermore, if the owner has'hired''a contractor or..contractors,. he. is advised to.:have the`66nt6actor('s)'°s1gn
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 AND RESOURCE RECOVERY FEES: The undersigned understands... -
that'Teansportation.lmpact Fees andRecourse.Recovey..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 89-07:and._..
90-07, as amended: The unde'rsigned.also.understands, that such fees, as-may-be-due;Will-be identified at the'timeof
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`inyolve a,certificate of occuparicyor
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;ors more; I
certify that I, the applicant;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 l 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•certify that.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 land"development 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
Watercourses.
Army Corps of Engineers-Seawalls, Docks,:Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement
Federal Aviation Authority-Runways.
I understand that-the following restrictions apply.to the use offill:
Use of-fill-is not allowed in'Flood Zone W" 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 the State of Florida.
If the fill material--is. to be used in Flood Zone "A" in connection with a permitted building using stem twall
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 building permit issued undertthe, 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 OWNER, I promise-in good faith 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 4,ork,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included'in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
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 work authorized 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 of six(6) months after the time the work isjcommenced. An extension
may be requested, in writing, from,the,Building 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
WARNING TO-OWNER: YOUR FAILURE-TO--RECORD A NOTICE-OFF--C-OMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR.IMPROVEMENTS`TO.,YO.UR PROPERTY.M IF YOU INTEND70,OBTAIN FINANCING;CONSULT
WITH YOUR LENDER OR AM ATTORNEY BEFORE'RECORDING-YOUR,NOTIC OF'COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) _ '
G
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 is/are personally known to me or has/have produced Who is/are personally known to me or 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
IIII((1111(11!((I(II(111111111111((111[illllllll(I(IIl((llll
2018088236
Rcpt:1960198 Rec: 10.00
DS: 0.00 IT: 0.00
.05/25/2018 K. D. K., 'D/ptynClerk
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT!� /
State ofy atLtQ County of it /J Si✓
THE UNDERSIGNED hereby gives notice that Improvement wig 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 identifiication No.
Street Address: S'!.7 9
2. General Description of ImprovementG
Q h W tY
3. Owner information or Lessee Information if the Lessee contracted for the Improvement: Z U ♦Y W
U W u- C/)
iCt1d_�tL�L-� _ Sit (D p M "..� >
ame ,2 S� tG _ G 4t3 Z U u) ' Q
Address / city State CL 0 Q ul c t - III
interest In Property- t f VR1U��' W W F— a p
Name of Fee Simple Titleholder. ram. 5 Q =
(If different from Owner listed above) �— LL � i Q
Address �a City State T Q Q 06
4. Contractor U'"/ AAJ �P4ftdF 5(— � W
Noma r 4 /�� l a 0/}•tt C"— Lo t Ty �'L 0� Q 0 Lip
Address �7 City '�— State U U � J
Contractors Telephone No.: 3$2-"`��. I' S��� f__ 'J
9r-W� Z 0_i
5. Surety J — elf 0
Nerve �--- 0 M Lt_ d
tWUO
Address City State LL �U Q
Amount of Bond:E - t G Telephone . O Cl) (Tj
0t ¢ W �
N
8. Lender —�� U7 U) J W
ame
Address City State M Q Cif
Lenders Telephone No.: Q
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)M,Florida Statutes:
Name
t �a
Address City State a ',
Telephone Number of Designated Person: ✓r `r h ! co
8. In addition to himself,the owner designates of_ " w
o +he
�o receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b),Florida Statutes. mod$
Telephone Number of Person or Entity Designated by Owner. s CO
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of coo Won and final payment to the a
contractor,but wig be one year from the date of recording unless a different date is specified): J�j
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF HERE 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,i declare that 1 have read the foregoing notice of commencement and that the fads stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
CO PASCO
" DIANNA MARIE NUFFSTUTLER1 Signature of OwnerVI'Lessee,or Owners or Lessee's Authorized
r 4' Officer/Director/Partner/Manager
,F Commission t GG 43403
MWOMy Commission Expires
Oetobst 31,.2020 Signatory'sTitie/ORlce
The foregoing Instrument was scknowtedged before me this2_Eday of Apri i ,20M by se ye'-c' --sl or,
as (type of authorfty,e.g.,officer,trustee,attorney in fad)for
(name of party on be ha of whom Instrument was executed).
Personally Known'Q Og Produced Identification❑ Notary Signatu
Type of Identification Produced Name(Print) t
PRULR S.O'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER
05/25/2018 09:12am 1 of I
OR EIK 9730 Pr- 2259
wpdatalbcshro8cecommencement„pcO53048
City of Zephyrhills.
35 8tn St .. .
• .. . . .
53
Zephyrhill5 FL:33542. .
.. . .: {813}.780-0020
. . ROOFING INSPECTION'AFFIDAVIT_ ..
1.
2
Permit-No:::. 3
licensed under.Chapter.468;.Florida Statutes as a{n}:. ..
Contractor'. Engineer .'Architect' : :Building Inspector.
License-No.:. .RC:Da �
,
On or about S 24 did personally inspect the::
•
Robf:Deck Nailing Dry in
Check which was.used: 30#felt_:Peel:and Stick Other{List}_. Ile.l%/!i
Afthe following
address:: .: .. .
Based upon that examination-.1.have'determined.the' installation.was done according.to'the Hurricane:
11tlitigation Retrofit Maniiai{Based on.Section 553.844, Florida Statutes}::.
T
.'Signature:
STATE OF.FLORIDA:
COUNTY OF PASCO.
Sworn to."and subscribed.beforeAhis day
BY: 1 G1GWII'1
Notary Public State of Florida
%;pL•••,,C R IINA 01A5C0AGA RODRIGUEZ
My
CdMM1SS30N 142868
r; EXPIRES:May.9,2021'
-%,zff d��',�v Bonded Thru Notary Public Underwriters