HomeMy WebLinkAbout06-5746
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5746
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5746
RE-ROOF
ROOF REPLACEMENT
MOBILE HOME PARK
Address: 38539 CRESCENT AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: OAKSIDE MHP
Parcel Number: 02-26-21-0020-00300-0010
5,990.00
4/28/2006
60.00
60.00
4/28/2006
RE-ROOF
Name: OAKSIDE MHP-WILLlAM ZACK
Address: 38539 CRESCENT AVE
ZEPHYRHILLS, FL. 33542
Phone:
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be 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.
The payment of ins ection fees shall be made before any further permits will be issued to the person owning same
"Warning to ower: 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 reco i "yo otice of commencement. n
NO OCCUPANCY BEFORE C.O.
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/CONrRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhllls permit AppllCcHIUII
Building Department
C)~?\6..Q.
Q.ec ~
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Nam
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
1.31553C\
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JOB ADDRESS
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PARCEL ID#I
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ADD/ALT
REPAIR
COMM
FRAME
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SUBDIVISION
WORK PROPOSED
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I Re (2.oD~'
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
DESCRIPTION OF WORK
BUILDING SIZE
SPECIALTY 0
FLOOD ZONE AREA
SQ FOOTAGE I
LOT #
()2..-~v,-d\- OO~O- 60'300-
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
OO\b
DEMOLISH
OTHER
STEEL
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OTHER I
HEIGHT I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
o BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
o GAS
FINISHED FLOOR ELEVATIONS I
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W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
ROOFING
BUILDER
SIGNATURE
Address
ELECTRICIAN I
SIGNATURE ,
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE ,
Address I
OTHER I
SIGNATURE
Address I
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
1111111111111111'111111111111111111'11111'1111111"111"111,,""1111"111""1111'1"11111'111111111'111111IIIIII,I'IIII1111,lllllfllllllllllll1'
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requIrements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
OTHER
DYES
DNO
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N
I
I
I
I
I
I
I
I
I
I
Y/N
Y/N
Y/N
Y/N
IIIII ~ 1111.111111 ~IIIII.IIIIIIII ~ 1111111111111111111111111111111111111111111111111.1111III ~ III1II11111111 ~ II i..~ III ~ 111.11111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A1C upgrades over $5000)
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 (Front of Application Only)
Reroofs Sewers Service Upgrades A1C 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 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. '
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 $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. Such agencies include bu~ are not limited to:. .
_ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and EnVironmentally SenSitive
Lands, Water/Wastewater Treatment.
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.
I understand that the following restrictions apply to the use of fill:
_ Use of fill is not allowed in Flood Zone "V" unless expressly permitted, . .
If the fill material is to be used in Flood Zone "N, 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 stem wall
construction, I certify that fill will be used only to fill the area within the stem ~all. . '
If fill material is to be used in any area, I certify that use of such fill will not adversely. affect a?Jac~nt
properties. If use of fill is found to adversely affect adjacent properti~s, the.ow.ner may be Cited for Violating
the conditions of the building permit issued und~r the attac~ed p~rmlt application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan IS reqUired. . . . . .
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner ~f the permlttln~ conditions s~t forth In
this affidavit rior to commencing construction. I understand that a separate perm~t. may ~e reqUlr~d for elect~lca~ work,
I bl ':ns wells pools air conditioning, gas, or other installations not speCifically In?luded, In the application. A
p urn 't ~g, Sid hall be 'constr~ed to be a license to proceed with the work and not as authon~y ~o vlolat~, cancel, alter, or
E~:::~k~~~ii~th~~ ;'y. ~F~p~~~i~~:~:~~~~~r~[~;:cE~~r:Str.::~;~~:~~:~=~:~
unless the wor au onze .' ( ) th fter the time the work is commenced. An extension
the permit is sU~Pde~ded ~~ ab~~o~~~~ f~~ifdrne~l~ffi~:II~O~ a ~~~iO~ ~ot to exceed ninety (90) days and will demonstrate
~:~fi~~I~e:~:e ~o~ ~~:~~':'e~sion. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OTICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YO~R :~~~~~ ~~~:;~~~~~, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
PAYING TWICE FORRIMoPRRAON AETTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
WITH YOUR LENDE
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed, printed or stamped
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1\. iinrllett itnnfiug (@f otentrullJilnrillu, 3Jur.
c/o Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs
RESIDENTIAL - COMMERCIAL - MOBILE HOME
LICENSED - INSURED - BONDED
_ MEMBER OF THE CHAMBER OF COMMERCE-
OFFICE
PHONE
(813) 782-5585
(813) 973-7737
(352) 523-1944
Lic.#RC 0031769
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Are s
We have reroofed or repaired over 13,000 Homes and Mobile Homes in the last 32 years.
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v HANK YOU / /, Wit
Your Business is Appreciated. f/V t r (
Payment upon completion unless previous arrangement made. Wa;ranties pertain to original owner.
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NOTICE OF COMMENCEMENT
St~te of _ Fl or; ria
County of Pasco
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:
(Legal description of the property and street address if available)
o ~- .26-2(- 0020-
00 (lOO
-
([) 0 fZ)
1.
Description of Property: Parcel No,
38539 Crescent Ave.
2.
General Description of Improvement
Reroof
1111111111111111I11I11111I1111111111111111111111111111111111
2006086684
3. Owner Information: Name Wm. ZAck (7.Ack'!'l O~k!:d rip MHP)
Address 38539 Crescent Ave.
CityZephyrhills
State Fl
Interest in Property:
Rcpl:992984
os: 0,00
04/28/06
Rec: 10.00
IT: 0,00
. Dpty Clerk
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
State
Address 38408 3rd Ave
5, Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
StateFl
33542
City
State
JEO PITTMAN, PASCO COUNTY CLERK
04/28/06 09: 26am 1 of 1
OR BK 6959 PG 84
City
State
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:
Name
City
State
Address
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713,13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified,)
Signature of Owner:
day of
20 Ok ,
My Commission Expires:
PC93053048/ A