HomeMy WebLinkAbout19-21285 CITY OF ZEPHYRHILLS
5335-8TH STREET
C (813)780-0020 / 21285
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21285 Address: 5817 12TH 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: 11-26-21-0010-05300-0011
Improv. Cost: 3,949.00 OWNER INFORMATION
Date Issued: 5/23/2019 Name: HOPE, MARK &ANTHONY CLARA SUE
Total Fees: 60.00 Address: 37505 ATWATER RD
Amount Paid: 60.00 DADE CITY, FL. 33523
Date Paid: 5/23/2019 Phone: (352)567-7402
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 60.00
/JU G,
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.
/////,r de
ldc5NTWC OR SIGNATU PERMIT OFFI R
PERMIT EXPI ES 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
t Building Department
Date Received Phone Contact for Permittin
Owner's Name •�� Owner Phone Number
Owner'mm Addreea Owner Phone[dumber
Fee Simple Titleholder Name Owner Phone Number
Fee Sim pid Titleholder Address
JOB ADDRESS AS LOT#
SUBDIVISION PARCEL iD#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NBNOOIdsrR ADD/ALT F SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM; OTHER
TYPE OF CONSTRUCTION BLOCK' FRAME STEEL [�
DESCRIPTION OF WORK:
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ L .Lin VALUATiONOFTOTALCONSTRUCTION
[ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY. W.R.E.C.
=PLUMBING $.
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION',
[ GAS [5;4 ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
P
BUILDER COMPANY W&A A=1�-
SIGNATURE REGISTERED' L Y/ N EE CURREP L)ZN
Address ! License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y N FEE CURREP
Address License# �� I
PLUMBER COMPANY j
SIGNATURE REGISTERED Y/ N I FEE CURREP
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y[N I FEE CURREP Y/,N
Address: License#
OTHER COMPANY.
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#,�
.# # t t.t.� t.i s t t t !,! t..l:t t.t #.! t't.t 1.>E. t t..t.t t # t t.t. ! t t t t If ! Il.t f. [.t..t.6•t.#..! !< !..! # t t.d. t II..t.t.t t.t t
RESIDENTIAL Attach(2)Plot Plans;(2}sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new construction,
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 for subdivislons/large 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/Sift 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.
*"*PROPERTY SURVEY required for all NEW construction.
Dlr+ectlons: '
Fill out application completely.
Owner&Contractor sign back of application,notarized}-
N over$2500,a Notice of Commencement is required. (AIC upgrades over$7600)
'* Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (ropy of contract required),
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewmmy"ot over counter if on public roadways.-needs ROW
NOTICE:OF:.DEED,NOTRICTIONS:,Theundersi ned::understands Dmt this permit.may be sub ect to"deed".restrictions"' "
which may be more restrictive than County regulations. The undersigned assumes responsibiiiry for compliance with any':
applicable-deed restrictions.....
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: - If the'owner''has-hired�a contractor or
contractors to::undertake.work, they may be-required to be licensed In accordance with state and local regulations.,;.if.the::.:-
contractor Is not licensed as,required by law; both the owner and coniaactar may-be cited for a misdemeanor violation
understate law. if the owner or:intended..contractor are uncertain as to what licensingrequirements,may apply
for the
intended work, they-are advised.to contact the.:Pasco County Building Inspecon Division=-ilcensing Section at 727-847
8009. Furthermore, if the owner has hired 'a contractor or,contractors, he is advised to'.have the contractor(s) sign
.portions of the. Block of this application for-which they will be.responsible... if..you, as the-jowneusign as:the:•
contractor, that may be an indication that he is not properly'liderised and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION iMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: Tine undersigned understands
that.Transportatioll Impact Fees:and 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 Ordinande number 89-07 and
90.07, es amended. The:undersigned also.understands,that such,;fee% 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.projedt 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/Seger Impact
fees.are.due,Oey.mttstbe paid priorto_permit issuance in accordencewith applicable Pasco County ordinarices".,
CONSTRUCTION LIEN LAW(Chapter 793,plorida Statutes,'as amended): If valuation of wbrk is$2,500.00 or more, I
certify•that 1; the applicant, have been provided-with-a copy- of-.the-."Florida. Construction.Lien Law--Homeowner's-�;
Protection Guide"prepared by the Florida Department of Agrlculture'and ConsumerAffalm.: 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 Me°owner'prior td.6br mmende''m t
CONTRACTOR'S/OWNER'S AFFIDAVIT'.,i.certify.that all the information in:this application is accurate and.thit:allVork
will be done In compliance with all applicable laws regulating construction, zoning,and.land development Application s;
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 alllatirs 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,106
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,WaterANastewater Treatment
Southwest Florida Water Management Dlstrict-Wells, Cypress Bayheads,.. Wetland Areas, Altering
Watercourses.
Army Corps ofEngineers-Seawalls,Docks;:Navigable:Waterways:
Department of Health & Rehabilitative Services/Environmental.Health-.Unit Wells, Wastewater Treatment,
US Environmental Protection Agency Asbestos abatement
n.>-:e.:.r.>.;th.:,n.dF;thdaetrahle:Avoilalttoin Authority-Ronawaya;:o:t,t_e.. .s... .o... fud : _ : e re . . .
._- .. -
-
Use offilfis not'atlowed in Flood Zone W"unless'expre'ssly permmed:`
If.the fiII,material 1s to be used in Flood Zone W, 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.
0 the:fill:material Is to be.used in.Flood Zone "A°-in connection-with permitted building using stem wall;:
construction, (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 cerfy that use of such fill will not adversely affect adjacent
properties: If use of fill Is and to adversely affect 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`(7)
acre which are elevated by an fill, en ineered draina a Ian is required.
9
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. ,l 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
permit issued shall-_be-oonstrued to be a license to proceed with-the Work and not as authority to violate, cancel;alter;or.;
set aside anyprovislons...tile technical codes, nor shail issuance:of.a.-perrnit.prevent.the Building.Officlal_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-:..:permit issuance, or if work_autharied'by
the permit Is suspended or abandoned for a period of six.(0)months after the time the work is commenced. An extension. .
maybe requested;;.in writing,.from the Building Official fora: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 OF;COMMENCEMENT.MAY:.;RESULT IN.:YOUR
PAYING TWICE FOR-.IMPROVEMENTS:TO YOUR PROPERTY.: IF YOU.INTEND,TO.OBTAIN FINANCING,CONSULT,:
=A YOUR.LENDER_ORAN_ATTORNEY 13EFORE RE2OR-�,DING YQUjj NOTICE OF COMMENCEMENT.:
FLORIDA JURAT(F.S. 7.03)
OWNER OR AGENT CONTRACTOR — --
Subsccibed and swom.to_(or.atflnned)t? me this Subscribed:and swom to.(or Affirmed),before me this
by by
Who Is/are peraonaily known to me o a"ve produced Who Is/pre persona4viknown tome or has/have produced
as Identification. as identification:,
Notary Public � Notary Public .
Commission No. Commission No.
Name of Notary typed,printed or stamped Nartte.of Notary typed;printed.oc,stemped
INSTR#2O19087865 OR BK 9911 PG 152 Page 1 of 1
05/2312019 02:39 PM Rcpt:2057416:Rec:10.00 DS:0.00 IT:0.00
Paula S,O'.Neir Ph.D.,Pasco County CCerk&Comptroller
r `
Permit No. Parcel ID No 1 A t.a l P%&1 a o One\ 0o L�
NOTICE OF COMMENCEMENT
State of f l�r 1 County of face-n
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. 11 S2 in al esn i n�.S,�j'_nI,1
Street Address: 5g/2 1��� e' - '/�_�J 3 !SL4 Z
2. General Description of improvement JUL� `� C Li► AAm
3. Owner Information or Lessee Information-If the Lessee contracted for the Improvement:
11_c
Address 1 — t f^ ,i
Interest In Property: 4AU 11rt
Name of Fee Simple Titleholder.
_ Lu
(If different from Owner listed a�bovvee)� �Z U �1
Address 1 �'l=�T 1`�fll��lVi4 `c L�115�C���l 1t r n S 1,.L�— state Z U o - }
4. Contractor.
3NLo
r ?. fAddres (D <
a � CV a
Cantractofs Telephone No.: ® Cr LU Z C1 O
5. Surety: >- LL I— Q Q
Name LL it ' U
=iQQ�
Address City State FP— >W LL 0
Amount of Bond: $ Telephone No.: •U Q Q(r U Fr
8. Lander. W
Noma U CO ILL LU 0 LL
U
Address City State F— tr d Z U--I
Lender's Telephone No.: ®W iY LL 2 Q W
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by LL O o IY g� Q
Section 713.13(1)(a)(7),Florida Statutes: Q
C�,
Name W l Z
Address City State �' Elf O 11 m
Telephone Number of Designated Person: t}
8. In addition to himself,the owner designates of_ �!7`e e
to receive a copy of the Lienor'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 and final payment to the a
contractor,but will be one year from the date of recording unless a different date Is specified): U. . F U.
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT r p'
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN ® f !
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 ~ �
WrM YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
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 ��� a
of my knowledge and belief.STATE OF
COUNTY OF PA FLOROA+Y CINTHIA M JEWELL less�%VfOZ—wners
MY COMMISSION#GG025698 Signature oor or Lessee's Authorized
,f EXPIRES August 29,2020 OfficedDlrecto�rr//P1artner/Manager
la/O nt i,
Signatory'sffice II
The foregoing Instrument was acknowledged before me this —day of ,20,Yby t2 r& -AV 1).,
as (type of authority,e.g.,officer,trustee,attorney in fact)for
(rLaTM of DRft on behalf of whom Instrument was executed).
Personally Known❑O$Produced Identification jg Notary Signatur M
Type of Identification Produced �[ Name(Print)