HomeMy WebLinkAbout07-6357
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6357
Permit Number: 6357
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 31,770.00 3J 171"0
Date Issued: 1/09/2007 (_A
Total Fees: 190.00S-o' i<-~',
Amount Paid: 1-00.00 $"0 <.."iU ~, ~()'f"
Date Paid: 1/09/2007 Vc?--qt'eJ
Work Desc: REROOF
Address: 4951 19TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-00200-0010
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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 inspection fees shall be made before any further permits will be issued to the person owning same
"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."
NO OCCUPANCY BEFORE C.O.
~ ,/ ~.
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhllls Permit Application
Building Department
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OWner'. Nam€.
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OWner'. Addn 55 I '-I C) S-I /9 I"-
Fee Simple Tr; '.holder Namel
Fee Simple TIl:eholder Address I
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Owner Phone Number g J .3 - 7 51 ~- Sd /
OWner Phone Number I
OWner phone Number I
Date Received
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pARCEL /0.1 p/~ ~l, ~d..)-OOIO ~ ()O~CO -0010
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
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WORK PROPOSED
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INSTALL
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REPAIR
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PROPOSED USE 0
TYPE OF Cot~STRUCTION 0
DESCRIPTlOII OF WORK I e.. e. f' () (:)+:"
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D BUILDING 1$ .'31, /17 0 '3ll1.~O VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
o GAS 0 ROOFING D SPECIALTY 0 OTHER , '
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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BUILDING SI~E
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AMP SERVICE
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VALUATION OF MECHANICAL INSTALLATION
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BUILDER I
SIGNATURE,
COMPANY
REGISTERED
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PLUMBER
SIGNATURE
V/ N FEE CURRENT
License #
YI N FEE CURR::t1T
License # 1\
YI N FEE CURRENT
Ucense #
Y/N FEE CURRENT
License #
V/N
Address
',n
.~'l:
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
V/N
Address
OTHER /~-_. ' COMPANY I g~ f ;2~~ l/w9
SIGNATURE .-t-- ' .)' REGISTERED /I l Y I N I FEE CURRENT
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
Minimum ten (10) working days after submittal date, Required onslte, Construction Plans, Stormwater Plans wI Slit Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsllarge projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-Q-W Permit for new construction. '
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
.....PROPERTY SURVEY required for all NEW construction.
111111111111111111111111111111111111111111111111111111111111 I 11111 i 111111111111111111111111 i i 111111111111111111111 II i 1111111111 i III Ii II i 11IIIII1II
DIrections:
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attomey (for the owner) would be someOne with notarized letter from owner authorizing same
OVER THE, COUNTER PERMmlNG (Front of Application Only)
ReroofS Sewers Service Upgrades Ale
Y/N
COMMERCIAL
SIGN PERMIT
Fences (Plot/Survey/Footage)
Drlvew~ys-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 b) 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 mlsdemeanot violation
under state law. If the owner or Intended contractor are uncertain as to what licensing tequlrements may apply for the
Intended work. they are advised to contact the Pasco County Building Inspection Dlvlslon-Llcenslng 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 YOLl, 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 wotk 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 GuldeB prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the -owner", I certify that I have pbtalned a copy of the above desctlbed document and promise In good faith to
deliver It to the Bowner" 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 ineet 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 thClt 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 SenslUve
Lands. WaterlWastewater Treatment:
Southwest Florida Water Management District-Wells. Cypress Bayheads. Wetland Areas, Altering
Watercourses.
Army Corps of Englneers-5ea\'ialls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment;
Septic Tanks.
US Envlrorimental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use offill Is not allowed In Flocd Zone.V" unless expressly permitted.
If the fill material Is to be used In Flood Zone .AB, It Is understood that a draln&ge plan addressing a
.compensatlng volumeB 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 -AB 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.
!f 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 for violating
the conditions of the building permit Issued under the attached permit application, for lots less thah one (1)
acte which are elevated by flll, an engineered drainage plan Is required.
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 separatf:) permit may be requ:. ed fot electrical work,
plumbing, signs, wells, pools, all' condltiof!ing, gas; or other Installations hot specifically Include.J In the appllcatlort 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 cudes, nor shall Issuance of a permit prevent the Bulldlnr OffIcial from thereafter
requiring a correction of errors In plans. COilstruction or violations of any codes. Every permit Issuld shall become Invalid
unless the work authorized by such permi. is commenced within six months of permit Issuance; r:r if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work Is cOil menced. An extension
may be requested. In writing, from the Building OffIcial for a period not to exceed ninety (90) daY3 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 RE8UL t IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
Y BEFOru: ~~RQIHG ygU8iN~ ~ COM~CEIIE/IT.
OWNER OR AGENT "';:'~ONTRACTOR.~'/'
Su _ and, sworn ~) melhls '!Ie . ,';',..'.....~" and,a~)~methIS
. t by, ,', ',"". '~~,~~ !
, 03l11onally known to me hailhave produced~~ ' .: i', .: or haslhave produced
, as IdanUllcallon. '-', ' .',. ": aaldenUllcaUon.
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~ . -----:- '. . No"'y .- ~. ,-. , , Hotary Publ~
(' Comm sion No. ,./t
Ii ,.
NameofNotary~~~ OFFLOND!' NameofNo~~~mD~~ I:
~'" ".I,c",,,,,,,,,,,,:,T,3"j:~'?"ofnl, #DD3Dn4ige3102' 5 ~ Jason Daniel " >,
~ "" ' , CJ:nmission # D9493025
't L:\pirc~: 'SOV 21. 2009 Expires: NO\!, 21, 2009
~ Ihru~tic Bo~ ~lltt':.. ~ ThruAtlantic Bond:in& ~
STAT~ OF.' FLORIDA
COUNTY dF-P.ASCO
,:~." THIS IS TO CER-IIFtJHAT THE FOREGOING IS A
JRUE AND CORRECT COpy Of THE DOCUMENT ON FILE
'~ OR OF PUBLIC RECORD IN !HIS OFFICE, WITNESS MY
~:~A}ib AND OFFICIAl.SEAl THIS-L.. DAY OF
".~"2~
_ J$_ p. ~:: OF CIRCUIT COURT
BY , , " , ~ ~ DEPUTY CLERK
111111111111111111111I1111111I1111I1111111111111111111111111
2007004984
Rcpt:1063632 Rec: 10.00
DS: 0. 00 IT: 0. 00
01/09/07 __.a__Wd _ __ Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
01/09/07 10:21am 1 ~f91
OR BK 7343 PG:)
Permit #
State of Florida
NOTICE OF COMMENCEMENT
Key #
County of P 4-5 C c
~..~!
~~~i
, . The undersigned hereby gives notice that improvement will be made to certain real property and in
accordance with Chapter 713, Florida Statures, the following information is provided in this, Notice of
Commencement.
1. Description of Property: Parcel No. I c.j.. arc,. J.-. I... 00 10.. {J 0 ot 00 - (J (5/0
2. General Description of Improvement. Reroof. Roofreplacement.
3. OwnerInt:o~ation: Name J../o.tt ~~ )/,IlAo/J
Address. <19-5'-/ /9 M :;l7Q,";/ lo/Is /. 3~s-t/;;} - f";)'(Y?
Interest m property: Owner
Name of Fee Simple Titleholder (If other than owner) N/A
4. Contractor Name: Alan's Roofing, Inc. 329 West Jefferson Street. Brooksville, FL 34601.
5. Surety Name: N/A
6. Lender Name: N/A
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as ~rovided by Section 713.13 (1) (a) (7): N/A
8. In addition to himself, Owner designates Alan's Roofing. Inc. 329 West Jefferson Street. Brooksville, FL
34601 to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statures.
9. Expiration date of Notice of Commencement is 1 year from date of recording.
~D~
..~~ Public
Signature of Owner d~ ~1;'..u..;:I2~ J-/~3/"-3'11-37-iil5-D
,
.
The foregoin~ Instrume~t was acknowledged before me this 'J day of .:r A--V
by 'ftc.1cI IIdvmN who is () personally known to me or H'whc:fproduced
;' for identification and who ( ) ,did or ( ) did not take an oath. '
1\TdrAltYl'tmTJC-STATE OF FLOR,l''f)A
l. ~ Jason Daniel '
\"~,i ~C:)!:;r;:i:'sioIl # DD49, _;'S
I. ..~t~ 4Pires: NOY. 21, 2009
t~1ded lbru A11anticBoJ1l.lini 'A..1Iit.
Stamp of Notary .
2007
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