HomeMy WebLinkAbout19-22004 l j
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22004
BUILDING PERMIT
,PERMIT INFORMATION LOCATION`INFORMATION
Permit Number: 22004 Address: 37250 FOUNTAIN RD
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: 03-26-21-0010-07000-0000
Improv. Cost: 8,000.00 1 1OWNER INFORMATION _
Date Issued: 11/01/2019 Name: SMITH, CULLEN E JR
Total Fees: 80.00 Address: 37250 FOUNTAIN RD.
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/01/2019 Phone:
Work Desc: REROOF SHINGLES
CONTRACTORS APPLICATION FEES
VILLAGE SQUARE BUILDERS INC REROOF RESIDENTIAL 80.00
Ins ections R ed
DRY IN ROOF IN P
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 rinspection,whichever is greater,for each such subsequent renspection.
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.
-.-
CTOR 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
rrrrL,r .........Date Received PhoneContact for Permitting
............ .............................. ... .....
Owneme
Owner Phone Number IVY!
Owner!s!AddreS s Owner Phone Number
& Owner Phone Number
9
JOB ADDRESS LOT#
i.
SUBDIVISION PARCEL,IDIJI al—OdIO —6 I M6 -&W
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRIO ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OFCONSTRUCTION Q BLOCK FRAME STEEL
-DESCRIPTION OF WORK mr1j
BUILDING SIZE SO FOOTAGE HEIGHT
4444444444
=BUILDING
VALUATION OF TOTAL CONSTRUCTION 0, 15
=ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY 0 W'.R-.,E.;C.
=P.LUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES
.......... H4q+
7-
BUILDER COMPANY O :`. 'Lee, I_W,e
SIGNATURE REGISTERED P*:FEE*CURREN L�X!N
Address License# Fo_15c 1�cl&7,_-�_,
ELECTRICIAN COMPANY. Y/ N FEE CURREN
SIGNATURE L-Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED YIN I -FEE CURREN LLXLN J
Address License.#
MECHANICAL COMPANY
SIGNATURE REGISTERED: Y/-N FEE CURREN, .,I Y/.N.
Address License.#
OTHER COMPANY
SIGNATURE REGISTERED 1. Y/ N FEE CURREN
Address F License# F
RESIDENTIAL AttaCK(2):Plot-Plans-f,(2)sets ofiEluilding:Plans';,(1)set of-Energy Form,�;.R-LO-W,Permit fornew construction,.
Minimum ten(16)working days after;sbbmitt6l`date. Required onsit6.-C-onstruction_Plins,'Stbrmwater Plans-.w/.Silt Fence-installed,
Sanitary Facilities&I 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'.--ReqUirid onsite,Construction'Plans,Stormwater Plans ,'
i w/�Sllt Fence instdlled
Sanitary Facilities&I dumpster.Site Work Permit for 611 new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets-of Engineered,Plans. -
****PROPERTY SURVEY required for all NEW construction.
14"441 -- - ------- --
Dlreetl=�
Fill out application completely.
Owner&Contractor sign 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
,OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The under�igned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County rebulaltions. The undersigned assume� responsibility for compliance with any
applicable deed.restrictions.
UNLICENSED CONTRACTORS AND CONTR�CTOR RESPONSIBILITIEi': 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 6e' cited i6r a misdemeanor violation
under state law. If the owner or intended contra'ctor are uncertain-as to what licensing_requirements may applyfor.the
intended work, they are advised to contact the Pasco County,Building'Inspection Divisio',n'' Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a �ontractor or contractors, he is advised to have the contractor(s) sign
portions of the "contfactor 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. 11
TRANSPORTATION,IMP-ACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Tran s-portation Impact Fees and.Recourse Recovery Fees may apply:to the construction.of new buildings, change of
use.in existing buildings, or expansion of existin,g buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The..und6rsigned,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'notinvolve a certificate of occupancy or
final power release, the fees'!must be paid.prior' to permit issuance. Fuiurthermore, 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!ornended): If valuation of work is$2500.00 or more, I
certify that 1, the applicant, have been provi�16d with a copy OUthe "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida.Department of Agriculture and Consumer Affairs. If the applicant-issomeone
other than the"owner", I certify that-1 have obtained a copy of-the above described document and promise in good faith to
deliver It to the"owner"prior 4o commencement,.
CONTR,A-CTOR�S,IOWNER!.S.,,A,FFIDA,V,IT: I certify that all the information in this,application.4s.accurate and that all work
will be done in compliance with all applicable I�ws regulating construction, zoning and land,-development. AppVtcation 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 musitake to be in compliance. Such agencies include but are not limited to,-
- Department of Environmental Proiection-Cypress Bayheads, Wetiand Areas and-Environmentally Sensitive
- Southwest Florida Water Manalgement District-Wells, Cypress Bayheads, Wetland Areas', Altering
- Department of Health & Rehabi,i tive Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
Federal Aviation AuthorityRunwa�ys.
Use of fill'is not allowed in Flood Zone,"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
gom,oensating-volume" will be submitted at time of permitting which Js prepared by,,a.professlonal engineer
licensed by the State of Florida. I
If the fill-material is -to-be used in Flood Zone "N' in connection with a permitted building using stem�wall
construction, I certify.that fill will 6e-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 I 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)
�
-prior to-commencing construction.
thisigffidavit. I understand that a separate permit may be required for electrical work,
plum,'bihb,'signs, wd1ls,;'po6l9, aircohditloni6g-gas,--or other insialiations-riot-specifically-included in the-application. A
permit.issued.shall-be,construed to be a license to proceedwith.,ithe work and not as authority to violate, cancel, alter, or
ion
—' ---- -` r---- - -- ---'- - I 'Ction or violations
requiring a correcti6h of errors intiplans, con'stru , of any codes. Every permit issued shall become invalid
unless the work authorized by,such 06ft it I 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 al period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. lfwork ases 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 TOYOUR-PROPERTY. IF YOU,,INTENID TO,OBTAIW'FINANCING,-CONSULT
WITH,Y,.OUR LENDER OR,AN ATTORNEY BEFORE.'RECORDING-YOUR NOTICSOF COMMENCEMENT.
n
~�=~~.A~E.. ~~.~.~'~~ by
d6ced Who islare personally known to me
/have,produced,
'asidentification. | � ' as identi800bon
Na m
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ri
mped
__-.-_' .__- - - '_-_' Name----^ .'-_.--__- ____
/
JESSICACARTER
S.July a
EXP,==
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CULLEN E. SMITH, JR.
DURABLE POWER OF ATTORNEY
BY THIS DURABLE POWER OF ATTORNEY, I, CULLEN E. SMITH, JR., of Pasco
County, Florida, appoint as my attorney-in-fact to manage my affairs my son, LANCE A.
SMITH,hereby revoking any previous power of attorney signed by me.
This durable power of attorney shall not be affected by any subsequent incapacity that I
may suffer except as provided by statute, and shall be exercisable from this date. All acts done
by my attorney-in-fact pursuant to this power shall bind me, my heirs, devisees and personal
representatives. This power of attorney is nondelegable, except as specifically provided.
All of my property and interests in property,including,without limitation,homestead real
property; all interests in personal property, tangible or intangible; all my interests in property
held in any type of joint tenancy, including a tenancy in common, joint tenancy with right of
survivorship, or tenancy by the entirety; choses in action; and all other contractual or statutory
rights or elections, including, but not limited to,.any rights or elections in any probate or similar
proceeding, to which I am or may become entitled, are subject to this durable power of attorney.
My attorney-in-fact shall not have the power to exercise any general, limited or special power of
appointment that I have or may acquire.
Without limiting the broad powers conferred by the preceding provisions, I authorize my
attorney-in-fact to:
1. Apply for local, state and federal government (and other) financial
assistance and benefits on my behalf, including, but not limited to, Social Security Income,
Medicare or Medicaid, or other similar government benefits.
2. Collect all sums of money and other property that may be payable or
belonging to me, and to execute receipts,releases,cancellations or discharges.
3. Settle any account in which I have any interest and to pay or receive the
balance of that account as the case may require.
4. Enter any safe deposit box or other place of safekeeping standing in my
name alone or jointly with another and to remove the contents and to make additions,
substitutions and replacements.
5. Borrow money on such terms and with such security as my attorney-in-
fact may think fit and to execute all notes, mortgages and other instruments that my attorney-in-
fact finds necessary or desirable.
6. Draw, accept, endorse or otherwise deal with any checks or other
commercial or mercantile instruments, specifically including the right to make withdrawals from
any savings account or savings and loan deposits.
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7. Redeem bonds issued by the United States Government or any of its
agencies, any other bonds and any certificates of deposit or other similar assets belonging to me.
8. Sell bonds, shares of stock, warrants, debentures, or other assets belonging
to me, and execute all assignments, stock and bond powers, and other instruments necessary or
proper for transferring them to the purchaser or purchasers, delegate to a transfer agent or similar
person the authority to register any stocks, bonds, or other securities either into or out of my, or
my nominee's, name, and give good receipts and discharges for all money payable in respect to
them.
9. In connection with my account or accounts (hereinafter in this paragraph
referred to as my account) with any brokerage firm (hereinafter in this paragraph referred to as a
brokerage firm), however designated, and whether presently open or hereafter opened with the
same force and effect as I myself might or could, and, without limitation of the foregoing general
authority, specifically (a) to effect purchases and sales (including short sales), to subscribe for
and to trade in stocks, bonds, options or other securities, or' limited partnership interests or
investments in trust units, whether or not in negotiable form, issued or unissued, foreign
exchange, commodities,and contracts relating to same(including commodity futures), on margin
or otherwise, for my account and risk; (b) to deliver to a brokerage firm securities for my
account, and to instruct a brokerage firm-to deliver securities for my account to my attorney-in-
fact or to others, and in such name and form, including the name of my attorney-in-fact, as said
attorney-in-fact may direct; (c)to instruct a brokerage firm to make payment of monies from my
account with said firm, and to receive and direct payments therefrom payable to my attorney-in-
fact or to others; (d) to sell, assign, endorse and transfer any stocks, bonds, options or other
securities of any nature, at any time standing in my name and to execute any documents
necessary to effectuate the foregoing; (e) to receive statements of transactions made from my
account; (f) to approve and conf zm the same; (g)to receive any and all notices, calls for margin,
or other demands with reference)to my account; and (h) to make any and all agreements with a
brokerage firm with reference thereto for me and on my behalf.
A brokerage firm is accordingly authorized and empowered to follow the
instructions of my said attorney in-fact in every respect concerning my account with said firm,
and I hereby ratify and confirm any and all transactions,trades or dealings effected in and for my
account by my said attorney-in-fact.
This power of attorney and authorization is in addition to (and in no way limits or
restricts) any and all rights which a brokerage firm may have under any other agreement or
agreements between said firm and me, and shall inure and continue in favor of said firm, its
successors, by merger, consolidation or otherwise, and assigns. This authorization is to remain
effective until a brokerage firm receives written notice from me to the contrary, shall survive my
disability or incompetence, and shall bind my estate on all transactions by said firm after but
without knowledge of my death
10. Exercise I all rights and powers (not including the right to change or
designate my Individual Retirement Account beneficiary) with respect to my account or
accounts, including, but not IimI'ted to, Individual Retirement Accounts with any brokerage firm,
bank or trust institution, insurance company, or qualified financial institution,which I personally
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might exercise, and I understand that anything my attorney-in-fact may do in the exercise of such
rights and powers is fully binding upon me.
11. Invest the proceeds of any redemptions or sales and any other of my
money, in bonds, shares of stock and other securities as my attorney-in-fact shall think fit.
12. Vote at all meetings of stockholders of any company and otherwise act as
my attorney-in-fact or proxy with respect to my shares of stock or other securities or investments
that now or hereafter belong to me, and appoint substitutes or proxies with respect to any of
those shares of stock.
13. Participate with any other person, trust or business entity in a trust or
business entity (for example, a corporation, partnership or limited liability company) and shall
have and exercise all the powers of management and participation in the management necessary
and incidental to a membership in such entity. My attorney-in-fact may at any time participate in
the formation of any such entity. My attorney-in-fact shall have the power to make contracts and
have dealings with itself as an owner in such entity without there being applied rules prohibiting
a fiduciary from contracting or dealing with itself as a fiduciary of other properties.
My attorney-in-fact shall never be liable for a decision to invest all or any part of
my property in any type of trust or business entity which provides additional protection of my
assets or which provides for the convenient management of jointly owned family property
(including property held by one or more trusts for members of the family). This will be so even
though restrictions on transfer and liquidation may cause the ownership interest to have a fair
market value which is less than the fair market value of the assets contributed to the entity.
With regard to any contract, agreement, undertaking, covenant or representation,
entered into or made by, or on my behalf by my attorney-in-fact, any rights, liabilities or
obligations created by virtue of such contract, agreement, undertaking, covenant or
representation will be solely the rights, liabilities and obligations of mine. Any such contract,
agreement, undertaking, covenant or representation will not bind, or inure to the benefit of, my
attorney-in-fact in my attorney-in-fact's personal or individual capacity.
14. Execute on my behalf any tax return and act for me in any examination,
audit, hearing, conference or litigation relating to taxes, including authority to file and prosecute
refund claims (for any year), and enter into any settlements.
15. Sell, rent, lease for any term, or exchange any real estate or interests in it
for such considerations and upon such terms and conditions as my attorney-in-fact may see fit,
and execute, acknowledge and deliver all instruments conveying or encumbering title to real
property, including the execution and delivery of contracts to sell, options to purchase, grants of
easements, or licenses on or over real property, mortgages and conveyances. The powers
conferred upon my attorney-in-fact extend to all of my right, title and interest in (i) current or
subsequently acquired homestead property and (ii) property in which I may have an interest
jointly with any other person, whether in an estate by the entirety, joint tenancy or tenancy in .
common.
16. Prosecute, defend and,settle all actions or other legal proceedings touching
my estate or any part of it or touching any matter in which I may be concerned in any way.
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17. Take all steps and remedies necessary and proper for the conduct and
management of my business affairs
18. Transfer and convey to the trustee or trustees of any trust of which I am
the primary beneficiary during my lifetime and under the terms of which I expressly have the
power to amend or revoke such trust, whether such trust was created before or after the execution
of this power of attorney, any and all assets now or at any time or times hereafter standing in my
name(or representing my interestsl in assets owned jointly, commonly, and/or otherwise with any
other person or persons), including (without limitation) real estate, ownership rights and
insurance policies of all kinds, cash, checks, (particularly government and insurance checks),
stocks, bonds, securities, and/or oIther properties of all kinds, and pursuant to such purpose, to
terminate savings, checking, safekeeping, agency, investment advisory, and custody accounts in
my name (alone or with others) at any bank or broker by directing that all or any part of the
balance therein, including all cash, stocks, bonds, securities, and/or other properties of all kinds
(subject to any indebtedness secured thereby),be transferred and delivered to said trustee(s).
19. Pursue any judicial action, including, but not limited to, the refusal of a
third party to allow my attorney-in-fact to act pursuant to this power, and any challenge to the
proper exercise of authority by i y attorney-in-fact, and to seek damages and costs, including
reasonable attorney's fees.
20. Do anythi Ig regarding my estate, property and affairs that I could do
myself; provided, however, my I attorney-in-fact shall not have the power to do anything or
execute any document, or perform any act that would in any way affect any life insurance
policies owned by me insuring thle life of my attorney-in-fact. Provided further that my attorney-
in-fact shall not have the power to change the beneficiary designation of any life insurance
policy owned by me insuring my life.
This instrument is created under the laws of the State of Florida, but it is my intention
that this power of attorney shall be exercisable in any other state -or jurisdiction where I may
have any property or interests in iproperty.
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Any act that is done under this power between the revocation of this instrument and
notice of that revocation to my attorney-in-fact shall be valid unless the person claiming the
benefit of the act had notice of that revocation.
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While competent, I may revoke this power of attorney by destruction of the original
document,by written notice to the person or persons designated above as my attorney-in-fact, or
by recording an instrument of revocation in the public records for the county of my residence, or
any other county wherein this Idocument has been recorded. This power of attorney shall be
terminated upon receipt of written notice, or actual knowledge by the attorney-in-fact, of my
death. I hereby confirm all acts of my attorney-in-fact pursuant to this power.
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Photographic or other facsimile reproductions of this executed Durable Power of
Attorney may be made and delivered by my attorney-in-fact, and may be relied upon by any
person to the same extent as though the copy were an original. Anyone who acts in reliance
upon any representation or certificate of my attorney-in-fact, or-upon a reproduction of this
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power, shall not be liable for permitting my attorney-in-fact to perform any act pursuant to this
power.
IN WITNESS WHEREOF, I have set my hand and seal, this �_ day of
. 2010
Signed, sealed and delivered
in the presence of:
Wit print name
E. J ON B00GS Cullen E. Smith,Jr.
Witness print name Karl
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Before me, a Notary Public, the foregoing instrument was acknowledged this �24r'q day
of MGUS'i' , 20 Io , by CULLEN E. SMITH, JR., who is personally
known to me or who ❑ has produced a as identification, and who did not take
an oath.
Notary Public
2vi�Cnitir PUBLIC�TATE OF nORIDA State of
Anne M My Commission Expires:
• `Commisslon#D 59376
10 Expires; FEB.18,2013
novnED 1MUAYLA M0,U=jN(;Ca.1r,V
(Printed,typed or stamped commissioned name of Notary Public)
42744341vl
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