HomeMy WebLinkAbout18-20416 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20416
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20416 Address: 6614 FOXMOOR DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0560
Improv. Cost: 9,100.00 OWNER INFORMATION
Date Issued: 10/30/2018 Name: JAMS OF PASCO INC
Total Fees: 90.00 Address: 6806 STEPHEN PATH
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/30/2018 Phone:
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 90.00
Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROO 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 OFFItYR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813a80-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Date Recelved Phone Contact for Permitting
Owner's Name Owner Phone Number
Owner's Address JLF(74 :ST6P 6,64 -7 - Owner Phone Number
Fee Simple:Tltleholder Name Owner Phone Number -
Fee Simpie Titleholder Address
JOB ADDRESS � �� Ail r:�f�lt... � LOT#
SUBDIVISION F 511_y g_ PARCEL ID# Oc ;Zi`A• i
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT S16N' Q Q DEMOLISH
R INSTALL 8" REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL Q
i'
DESCRIPTION OF WORK11J�J
-,BUILDINGISIZE SQ FOOTAGE HEIGHT �^
44.
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY. Q W.R.E.C.
7
PLUMBING $r
1$
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
. r
=GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA AYES NO
's
i
BUILDER (: COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN• LXLN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED LLLNz_J FEE CURREN,
Address' -License# � �
PLUMBER" ` COMPANY
SIGNATURE REGISTERED Y/ ND__ FEE`CURREN T77y/N
Address: License# I
MECHANICAL COMPANY
SIGNATURE 'REGISTERED., Y./ N . FEE,CURREh_' ,Y/N
Address: License# ;
OTHER;;_; COMP,ANY /}� fs� Q.�//c��
SIGNATURE ,REGISTERED I Y/ N FEE'CURREN.
Address - �Y(i - y'i" l/ License# C P
RESIDENTIAL. Aftach,(2)Plof,Plans;,(2)'sets.of Building Plans;:(!)set of Energy.Forms;R-4=W-Per`mif c foi.new. onstrucooh,,.
Minimum ten"(10)'working days after submittal•date:Required onsite,Construction Plans;Stormwater Pians:w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/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,,Starmwater Plans.w/Silt Fence installed,
Sanitary L 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.
Diteettoiis:
Fill'out application completely.
Owner&Contractorsign.back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
*' Agent(for the contractor),or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
r
"OVER:THE,COUNTER•PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service•Upgrade's 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 responsibility 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`requiredito be-licensed in-accordance..with-.state-and Iocal._regulationg; 'If the
contractor is not licensed as required:by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. :If-the owner or intended`c'on6actor-are.uncertain as.-to-what-licensing requirements=may..apply for the
intended work, they are advised-to contact the Pasco County'Build ng Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has -hired'''a-contractor or.-.contractors,, he.is.advised .to have the conti'actor(s)'sign
portions of the "contractor Block" of-this-application forwhich 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,:privileggs,in:Pasco- -.
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE'RECOVERY FEES` The undersigned understands-.
that Transportation 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 Ordinance number 89.-07..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$2500.00 or-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 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 certify that all-the information in.thissapplication-is accurate and that alllwork
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. .1 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. f 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 Sen%sitive
Lands,Water/Wastewater Treatment: .
'r
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.
understand that the following restrictions•apply,to-the use of'fill:
Use.of fill'is-not-allowed in'Flood Zone''V"unless;exp.essly 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 stern.wall
construction, I certifythaffill 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 maybe cited for violating
the conditions of the building permit issued under,:the attached permit application, for lots less than one (1)
acre Which.are elevated-by'fill,Aft-engineered drainage,plan is required. n
If I am the AGENTfOR 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 'work,
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 code's,-nor shall issuanc&-of a permit prevent,theBuilding 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 is commenced. 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)'corisecutive 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
-- WITH YOUR-LENDER'OR-AN_ATT-ORNEY_BEFORE-RECORDING-YOUR-.NOTICE-OF COMMENCEMENT—. -
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by . .
Who is/are personally known to me or has/have produced Who is/are pe ovally to me or has/have produced
as identification. as identification.
NotaryPublic Notary Public
ry
Commission No. Commiss o o.
Name of Notary typed,printed or stamped Name of Notary typed 'nted or stamped
��ti n:ey = C mQ s oln#BOG50S
Expires December 12, 2
'9t',�t+g' Bonded rnn,r 018
fOY Fan lnsura„C.8 5.7019
' f - :.
CityaZe h rhills
5335.Rt!'St ,
Zephyrhills FL:33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
•
Permit No. .
>fr licensed under.Chapter 468, Iorida Statutes as a(n):
Contractors Engineer.Architect` Building.Inspector`
License No:
on or about 1 i 1. // did personally inspect the:,:
Check: Roof Deck Nailing �"� D in Flashin and Dri ed a .'
g rY_ g p g
Check.which was used:: 30#felt Peel and Stick Other(List) : S'11AJ l IC%i C
'At the following
address:
Based upon that examination; !,have determined.the installation was.done according,to the Hurricane
Wlitigatiori Retrofit Ma al(Based on Section 553.844, Florida Statutes).:
1 .
-Signature:. .
STATE OF FLORIDA
= n -�- --
iJMMtN 6SCOLiTY OF PASCO fi2349 56? MY EF
;
EXPIRES: un'.20;2019 .
Sw .to and subscribed before this day, BondedThruAaiaryFchtcUndawcSers .
or
se�
BY: .
Notary,Public State of Florida
20INIIIlIINIIIIIIlNIII!lIII IIIIIIIIIIIl111111111181111
zasesesess
Permit No. + Parcel ID No 11.3-1f;-,zQt). -OGGC L'-•C�S�,Z•
�; NOTICE OF COMMENCEMENT
Stateof County of pr4~SC?)
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance virth Chapter 713.Florida Statutes,
the following)nfamiallon is provided in this Notice of Commencement:
1. Description of Property:Perot Identification No. L107�EdGGiiJ
Street Address: 6 6 l q --V�t1r�l,,.0a �7/L4' �����{J
2. General Description of Improvement
3. Owner information or Lessee information if the Lessee contracted for the improvement:
SK S/t Ll T'G 57hrt
b80CNameS%Et A/77ot 2(5'-1i11(/dr�ZS i=[�
Address City State
Interest In Property: �'�--
Name of Fee Simple Tdleholdec
(if different from Owner listed above)
Address r /} City State
a, Contractor. "f�tl./✓ /L NamaFtt f-X i � 7JfI/JE c Ll
Address _ ,/ City Stale
Contractors Telephone No.: *- •�L J' �Y �� S
S. surety: �~ z 0 a
Rama ..�'"' W ILL LL. {/}�W W
Address .-.r-- city Slate (O.� J U
Amount of Bond:S Telephone No.: W ? 0a 0
J
6. Lender. Name Q W W CV 0-
Address City State 0 X -' J 2
Lender's Telephone No.: �- 0
}� W !!�
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by eZ 0 0
Section 713.13(t)(a)C7),Florida�tes: = }- W LL
Name __-. Q 0 rr
X0U W
_ � U
Address City State y V m Q
Telephone Number of Designated Parson: '�• IL
F_P W a Z 0
8. In addition to himself,the owner designates of— 0 W X W Q
to receive a copy of the Uenges Notice as provided in Section 713.130)(b),Florida Statutes. -j W 0 0
Telephone Number of Person or Entity Designated by Owner, IJ. � a } Q
Ix
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construct,n and final payment to the 0 h0 Z 0 U)
contractor,but will be one year from the date of recording unless a different date is specified): /�/�' W _) Q J
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER SHE EXPIRATION OF THE NOTICE OF COMMENCEMENT' (,� W LL "�
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,SECTION 713.13, FLORIDA STATUTES, AND CAN `'� -)7) 0
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE X of Z
W1TH YOUR AND
OR AED N ATTON THERNEY OB BEFO E COMMENCRE THE ING WORST K OR RECORDING YOUR IF YOU INTEND
0 R NOTICE OBTAIN COMMMMENCEMEENT. GTl F--}-
Under penaby of pelary,I declare that I have read the foregoing notice of commencement and that the facts stated therein are hue to the best
of my knowletlge and heOe(. ¢` a
STATE OF FLORIDA
COUNTY 0 N11 ,•,/7 IZL�I 5 ✓r-tr Cl C(1rf"' �JI��S U PG.I _ �f
Signature of tamer or Lessee,or Owner's or Lessee's Authorized f m
•��R fry00yv� � s OlgcerlDfrectorlPartnerfManager m 7 o
]3S BorrldThuhbyy/Wie0nd�rd4q ,.,r
Signatory's 11Uel0t8ce ( •�
The foregoing instrument was acknowledged before me this Z- day of ,20(�by y S- 5'/ ,L illp iqq• CT
as (type of authority,e.g.,officer,miss,aaomey In fact)for b+A 6 - � • �w.
(no"party on behalf o!whom Instrument was executed).
Personally Known 93 Produced Identification l7 Notary Signature ,�--✓i�"� L�._.�t,Z./��iT�1i�L�
Type of Identification Produced Name(Print) `"� b! .. O •
Rcpt:20009A0 Rea: 10.00 PRIAM 5 o'1IE11. Ph D PASCO CLERK►COMPTROLLER
DS: 0.00 IT: 0.00 i0OR 0K 16 09 PG 1122
10/25/2018 E. M., Dity Clerk
wpdatalbc4/nallcecommencementye083048