HomeMy WebLinkAbout19-20924 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (.813)780-0020 20924
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20924 Address: 4744 19TH 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-02500-0120
Improv. Cost: 4,900.00 OWNER INFORMATION
Date Issued: 3/05/2019 Name: LTD FAMILY TRUST LLC
Total Fees: 65.00 Address: 3812 N TAMPA ST
Amount Paid: 65.00 TAMPA FL 33603
Date Paid: 3/05/2019 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S - APPLICATION FEES
DURBIN ROOFING &WATERPROOFING I REROOF RESIDENTIAL 65.00
Ins ections Re 'uired
DRY IN ROOF IN P
TAPE JOINTS ROOF I S
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.
CONT TOR 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 (d Y (�+'� tt A q `�ZZ Ss =Phone Contact for Permitting
Owner's Name 2 Owner Phone Number
Owner's Address C oHr►� (,W FL Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder[C:f:-7L/1-j
Address1 lJOB ADDRESS Z I(� S 1. 5 'f 2 LOT#
SUBDIVISION F PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK PJ/M6V4 I
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ 00 VALUATION OF TOTAL CONSTRUCTION
F I
ELECTRICAL $ 7 AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ DU'� .
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
o' ,o
=GAS = ROOFING SPECIALTY = OTHER v�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO dab a`
e��rArocfia����
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED LZI N_j FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address I License#
MECHANICAL COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY 1J//_� (C-bqLX4 Ilk
SIGNATURE REGISTERED Y/ N_j tjlE CURREN Ly/
Address License#
1111111111111111 11111111111 11111111111111111111111111111111111111
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which 5inay 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 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 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 Division—Licensing 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 "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.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,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.
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.
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 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 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 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)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 TOO TAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF/COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this S bscribed and sworn to r affirmed�)/before a this�,
by
Who is/are personally known to me or has/have produced Who its/are personally known to me or has/ff6e produced
as identification. UcafL&R as identification.
F
Notary Public Notary Public
Commission No. Com is
;'.1 M ' JACQUELINE 80GES
Name of Notary typed,printed or stamped Name of WOWS7
pins December 12,2022
Bonded Ttw Troy fain Insurance 800-3857019
� S
INSTR# 2019032686 BK 9664 PG 2317
Permit Number 02/27/2019 02:10pm Page 1 of 1
Parcel ID Number 14-26-21-0010-02500-0120 Rcp t: 2032112 Rec: 10.00
__ ----------_---_-_-- DS: 0.00 I T: 0.00
NOTICE OF COMMENCEMENT Paula S. O 'Neil , Ph.D.
State of Florida Pasco County Clerl( & Comptroller
County of Pinellas
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): MOORES FIRST ADDITION PSI PG 57 LOT 12 LESS EAST 15.00 FT OF W 12 OF SOUTH 4.65 FT 6 NORTH 1,35 FT OF VIEST 53.80 FT
a)Street(job)Address: 4744 19TH STREET ZEPHYRHILLS,FL 33542 !-
2.General description of improvements: _Remove and replace roof
3.Owner Information or Lessee information if the Lessee contracted for the improvement: ~- -
a)Name and address:
b)Name and address of fee simple titleholder(if different than Owner listed above)
c)Interest in property: __OV tg -- --_---- -_�__ __._.--- -T--- -- .------ --
4.Contractor Information
a)Name and address: Durbin Roofing/Brandon Durbin 5801 Sun Glo Ave.Port Richey,FL.34668
b)Telephone No.: (727)831-4684 -- Fax No.:(optional) Durbin roofingandwaterproofing@gmail.com
5-Surety(if applicable,a copy of the payment bond is attached) - -�
a)Name and address: N/A
b)Telephone No.: N/A
c)Amount of Bond: $ —_--_---J-- ------_-�- _- _
6.Lender
a)Name and address: N/A
b)Telephone No.: NIA
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: N/A
— --- --------
-----------
b Telephone No.: N/A __ J
p _ Fax No.:(optional) N/A
8,a.ln addition to himself or herself,Owner designates _N/A _-_._.-_ - of NIA- i �_-
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: NIA
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 dale of recordingunless a different date is specified): 20
rWARNING TO OWNER:ANY PAYME S MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
j CONSIDERED IMPROPER PAYMEWS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR z
PAYING TWICE FOR IMPROVE T OUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
THE JOB SITE BEFORE T I IN ON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH.YOUR LENDER OR AN
ATTORNEY BEFORE CO ING _R RECORDING Y UR NOTICE OF COMMENCEMENT.
Under penalty of perjury cl re th a ~read the forego' notice of comme ment and that the facts stated therein are true to the best of my
knowledge and belief
(Signature of Ov, or Lesse ,0r Otv ers o ssee's(Autho' Icert Ire ortPartnenTAanager) (Pont Name and Provide Signatory's TNe/O fice)
The foregoing strument was acknowledged before me this _ day ofti8-
by C >3�1ra�__O as _f, � ZS_
ns 8 fhodty,e.g.officer,trustee,attomey in fact)
or ram` ' — N/A --
(Name of Person) (type of authority,...e.g.officer,trustee,attorney in fact)
for T^ „ _-- (name of pagonw,om instrument was executed).
Personally Known [•ry�/ Produced ID ❑
Type of ID !� Notary Signature ruca Print namesS��Ms�2t2cp_.. L n5 eal r)
Jesse MO _._. ti►t7tor%ZP�-c7�' n j
o� NOTARY PUBLIC
o" OF STATE FLORIDA owNotary Public State of Florida
g Co T GG085207 ? K ran E Emerson
y'S/ g10 513012021 • M commission.001i38032
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02/21/2019 10:37 AM Rcpt 2030413 Rec: 10.00 DS:357.00'IT:0.00
Paufa S. O'Neil ALD., Pasco County Clerk&Comptrolrer
.d
Prepared by:
Ashley MacVicar
United Title Affiliates ;
429 Apollo Beach Boulevard
Apollo Beach,FL 33572
File#8190012
General Warranty Deed
Made this February 2019 A.D.By Mary A.Phipps Spall NWa Mary A.Phipps,a single woman,whose address is:4744 19th
St.,Zephyrhills,Florida 33542,hereinafter called the grantor,to LTD Fxmfty Trust,LLC,a Florida Limited Liabillty Company,
whose post office address is: 3812 A Tampa St,Tampa,Florida 33603,hentinafter called the grantee:
(Wbenam and herein tha tent"grunter^ared"grantee"inciade all die pmties to this himaraem and the heirs,W represrnutives aa,l assigra of
individuals,and the zu==wandassignofcmpa=1ioas)
Witnesseth,that the grantor,for and in consideration of the sum of Ten Dollars,($10.00)and other valuable considerations,
receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms unto the grantee,
all that certain land situate in Pasco County,Florida,viz:
Lot 12.less the East 15 feet of the West M of the South 4.65 feet thereof together with the North 1.25 feet of the West 50.8
feet of Lot 11,all being of Block 25,Moore4 First Addition to the Town of 2ephyrhilis,according to the Plat thereof as
recorded in Plat Book 1,page(s)57,of the Public Records of Pasco County,Florida.
Parcel ID Number:14-26-21-0010-02500-0120
Together with an the tenements,hereditaments and appurtenances thereto belong;og or in anywise appertaining.
To Have and to Hold, the same in Fee single forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple,that the grantor
has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend
the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing
subsequent to December 31,2018.
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written.
Signed, and erect isr our presence_
1
��_...._(Seal)
Mary A.Phipps sit' Mary A.Phi V542
Printed X.. Address 474419th St.,Zephyrhills,Florida
(Seal)
Man Printed N&=A:: �� ��j Address:
State of Florida
County of
The foregoing instrument was acknowledged before me this V ay of F ry,2019,by Mary A.Phipps Spall n/Wa Mary A.
Phipps who isIm personally known to me or who has produced ___as identification
ra
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City of Zephyrhills
5335 8u,St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.: 20C(2q
1'. QWow-w) �n\n licensed under Chapter 468, Florida Statutes
as a(n):
ContractorEngineer Architect_Building lnspector�__
License No.
On or about- 'Z � did personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip
edge
Check which was used: 30#felt Peel and Stick Other
(List)
At the folio I
address: LA
-
Based upon that examination, I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (ELaped on Section 553.844, Florida Statutes).
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
y � 2� jq
Swam to and subscribed before this day
or v NcantP SIN O f rio4
Kar3n E !-tMon
r