HomeMy WebLinkAbout19-20772 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20772
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20772 Address: 5612 17TH 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: 11-26-21-0010-11300-0210
Improv. Cost: 6,804.00 OWNER INFORMATION
Date Issued: 2/07/2019 Name: PARSLEY, JUDY
Total Fees: 75.00 Address: 5612 17TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542
Date Paid: 2/07/2019 Phone: 352-424-0765
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING & CONSTRUCTI REROOF RESIDENTIAL 75.00
F, YA O�` ) I -
Ins ections Required
DRY IN ROOF I P
TAPE JOINTS ROOF INSP
I
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80 (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.
CONT CTOR SIGNATU PERMIT OFFI R
PERMIT EXPIR 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
Buildk1s'Department
Date Recelved )
Phone Contact for Pcarrnittin tp -
ff fl n U It I i
::111 -- P R n Roro • • o • j
Owner's Name Oa'aner Phone Number
Owner's Address �/ � V` ill is Owner Phone Number � -!w mas
Fee Simple a ftieholder mama Ouvner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 66
SUBDIVISION � �. PARCEL ray
- -- - - - toemlmao wpnop�sRTV T tanTlCEr
WORK PROPOSED ® drew CONSTR ADD/ALT SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK � FRAME STEEL
4
DESCRIPTION car-WORK r
BUILDIVIta SIZc — -� SO FOOTAGE HE, 3I T
=BUILDING $ t� �w VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE. PROGRESS ENERGY � W4R.E.C.
®PLUMBING $
=MECHANICAL is � VALUATION OF MECHANICAL INSTALLATION
L
=GAS ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA YES. IvO.
n=n—r n ., • n n n • n n _ n. .rt__n_n—n_�t_n—n '
..e�Y��.� —_._.-�..�.�...��,.—_ ..-,,m,. :r'�.r'+"w"'W-�✓'W'"s'Wf_l._'.,--v—.ram—v^'y- N n
BUILDER COMPANY �
SIGNATURE )XVREGISTERED Y/ N PEE CURREA Li/NU
Address License 9
ELECTRICIAN COMPANY '
SIGNATURE REGISTERED Y l W. FEEcustlxE1, Y!N
Address L License io i
PLf IAGER COMPANY
SIGNATURE RaGISTERED LILN J FEE CURREI` LYLN
Address License
MECHANICAL G®r#tti'ANY
SIGNATURE ftEG1STER60 L.14 1�d PE£cuRR51
Addrezz License; I
OTHER COMPANY
SIGNATURE E REGISTERED Y/ N FEE CURREr, Y/N
Ad di License#
AD ➢ DDf> DEDaDAD40 •➢ ➢ eae ➢ aD119 ➢ E ➢ ➢ ➢ ➢ @D86 ➢ ➢ QaD ➢ 4,l ➢ flda6Da ➢ ➢ G & OE1D9 ➢ ➢ aD ➢ 6aD
RESIDENTIAL Attach(2)Plot-Plans,(21 sets of Building Plans;.(1)set of Energy Forms;,R=O-W.Parrnit for new construction.
Minimum ton(10)workng days after submittai date, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Worts Permit for subdivisions/large projects
Gf3I'it7MERCIAL Attach(2j 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&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.
Drractloris:
-Fill out application.cornpletaly_
Owner c"Contractor sign back or application,notarized_
if over$2500,a Notice of Commencement Is required, (A/C upgrades over$7600)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTED PERMITTING (copy of contract required)
Reroofs if shingles Sewer Service Upgrades A/C Fences(Plot/Survoy/Fcbtao)
Driv�vno,�a-4Vot awox Couva4.cm+�o»Dub�io xc�dwev+�..r Si4'�i f '•,,,,\
• J
NOTICE OF DEED RESTPUCTIOMS: The urndervigne(f understands that•this permit miry be uh-ject to "died°restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with shy
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 contractor may be cited for a misdemear'nor-violation
(tinder state law. if the owner or intended contractor are uncertain as to what licensing requirements me,y apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
MOD. Fvrthernnore, -if•the owner h6a hired a contractor•or,®ontractor§, be is edAaead to have ,the contractors) 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Tre nsportatio n.Impact Fees and Recourse Recovery Fees.may apply to the construction,of new buildings, change of
use in existing buildings, or expansion of existi fig 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 e "cal Lificate of occuparidy" or rnel power release. If the project does not involve a certificate of occupancy or
final power release, the fees roust 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 Statute%as amended): If valuation of work is$2,500,00 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.
CONTRA,CTO�RIS/ qNr--R°S.AFF,WAVI T: i cedlfy.that all the i;rnforn-mban,in dais application pis accurate end-that all%Pvork
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,WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Seyheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of health u 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 of fill:
Use,of-f!l i4�,not allowed do Flood Zone"V"-unless exp•I:es:,Wy-parmifled.
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,eriginear
licensed by the State of Florida.
If the rill 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 Tor violating
the conditions of the building permit issued under the attached permit application, for lots less than one (I).
acre which are.,elevated by rill, an engineered drainage plan is required:
If i am the AGENT FOR THE OWNEI1, 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 eiside 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 fora perked or"six,(6),.mo.nths.after-Ahe,time Abs work is rnm,enced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90)�o 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 YOU
PAYING TWICE FOR IMPROVE1',riENT870 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
'WITH YOUR-LENDER-OR-AN,ATT NEY BEFORE REC®iZD G YOUR NOTICE OF QOMMEUCIIN T.
FLORIDA JURAT(F.S. •7.03)
J_
OWMAR,OR AGENT
Subscribed and sworn co(or affirmed) of me this Subscribed and sworn to(or affirmed)befog me this
by _ by
Who Is/are personally known to the 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
INSTR#2019020544 OR BK 9855 PG 606 Page 1 of 1
Paula S.O'Xei�Ph.D.,Pasco O O 00
asc Ce o County Crk&ComytrolCe
PQmdt No. Pared ID No��OHO a�� ON C% I 1 3o0 (O;k
1 NOTICE OF COMENCEdENT
e mor�nrl Omftof
i
THE
UNDERSIGNED r tle do livo mnent w be made toorW pmpa4 W h amwdue vftG713.FWft Btebtas
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AtlQrtsr � ,
hdn.�I in Pmpafy: fv
Name O1 Foe shtpleTldetelder.
(Iraerarem rmm owner Ibrd chore) .
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Contreeld'aTemphone Na
8. Stffw-
Name
Addreae Cly State
Amomd of Band:a Telephone No.: ���2-u lT . ♦f
S. Lanear: •,
Adaeoe Name
Umdw%TwepimneNo.:
7. Parsons wtthh the State of Floft deelpeeW by me amen upon wlmm notroes or Ww dc=r*a may to served as p owim"by C
Section 713.13(1xe)p).Fb tde Stndw
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8. to addIdm fo ht nmK ft ownwdsslplWee Of_
to rarelve a copy of the LIwWs Notke es pmvlded In Sw. dDn 713.13(1)(b).Flodde StahAes. LU
Telaphare Ntontwrof Patron or Endo Desmnaled by Owner. C0 Z U
Y
Y. EvIratlml date of Noft Of O m mmmlad(8o m#mflml dsfs may Trot be bite IN CmVk rn of oodatr eft W*W peylferd to do Z M U- — _t U
aontreDtor,tad vA N ore your from tlr dtda of rsoordhg todaa a dtlrrarti dams r speol9ad): Q O U�J 0
WARNING TO OyNJER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NO E pFT�pENCEMENT
RESULT IN YOOUR PA T ER
FOR IMPROVEMENTS TO CKAPTERYOUStPPOP' SE�RTTY. A NOnc3 OF�CoMMENACEMENt MMUUSTBEBE Lt_ W I=-LU N
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU WTEND TO OBTAIN FINANCING OONSULT o U: z a LU
VMH YOUR LENDER OR AN ATTORNEY BEFORE CO>MLOMNG WORK OR RECORDING YOUR NOTICE OF COA1fENMIF E Q 2
kldff gtorrfe rdp end bsirfdedarY 0W 1 franc lead 0m}DScpoYp nottoe of Oorrdronomnsrd and that tle taDW etetad fhsrah ale tme fo the beef � fr Q O
end bald = (3O U
STATE OF CINTHIA M JEWELL06
----COUNT OiLP `•;.atYGGSAMissION1o53425199. a O� �[
EXPIRES August29.2020 of Lou"ofOwrertsOr Audmm— _
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Th e t moft L�trumerd was addm iedsed Da10te rrre tllr day o 20 by a` ®fr O� Q }
m, (typo of auBrOrfty,Y y, .Yuetee attorney h for LL (, 0 S-
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( bahetrofwn nstnrd ceded). Q O p 0
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Type of taend8tadort Pmduoea _1GQL (gym fQ= :3 Lj-Z IL_y�`
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///A, BARTLETT
ROOFING CONSTRUCTION SERVICES, LL
38408 3rd Ave. f Zephyrhills, FL 33542
(813) 782-5585
Email: Coreyh@duckyjohnson.com Lic. #CCC 1325499
RESIDENTIAL - COMMERCIAL_- MOBILE HOMES
LICENSED - INS RED - BONDED
Date
Name
Address �7 5
Phone 3 -- `�a 'f - 07 6 5-
_ '�'�- �, �� � � DECK(■PT)■C)N i
tcar'e- r0t4,-- t-+ I 1--0oJ u 7s
�• ��Sf� �! ✓►t'dai' wiG�.0 .c�vi �c� '�. ��zz:�'S �"' }�� ��o. a -� 11
h Pam.- C to go V.L�-�, --
Y Lvov k � �` i,.0 s•tru .,
r I
THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.,
- Total .[�
. rtified
Si ture
r perHool3n Contractor
- City of Zephyrhi!
s
. S. , . . 335;8th St
- ephyrhills:FL'33542
�y
. 3}780 0020
Q R OFING lNSPECTIC4R!AFFIDAVIT .:
Permit
3 I� licensedunder Chapter 468,Florida Statutes as a n� p
Contractor Engineer_A thltect` Building:lnspector_
_
License N.oCC
`1'
On or about ''' did personally Inspect the;: _
Check: hoof Deck'Nailing__ Dry in. Flashing:and Drip edge
Peel and Stick,�Oth' (List)
Check.which was'used: �30#felt )
At the following
address:'. :
i 1v�
j
: .:: :,S:.: :'. :. .
Based..upon'that examination; I.have determineiithe installation..Was;done according'to the'Hurricane:
Miti.gation.fietr6fit:Manual(Based on Section SS3.844, Florida Statutes).
-Signature:.
STATE OF FLORIDA
COUNTY OF PASCO
Swor to a,nd subscribed b foreAhis cla
y.
134
Notary Public Sta a of Florida