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Home My WebLink About07-6368 .1 .1 .. CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6368 Permit Number: 6368 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 4,000.00 Date Issued: 1/16/2007 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 1/16/2007 Work Desc: REROOF Address: 5216 9TH ST HISTORIC ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-18200-0160 Name: PARSON,MARYLEE Address: 5216 9TH ST HISTORIC ZEPHYRHILLS, FL. 33542 Phone: / . JO~, / "a-l t.g,~ \'nspeJ' p -r ~. REINSPEcrION 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. , ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED . PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application r: /1 to II. Building Department v' t Fax-813-780-0021 OWner's Name Owner's Address I}; 2. r/ b q ft.., St Fee Simple Titleholder Namel OWner Phone Number Owner Phone Number I OWner Phone Number I Date Received Fee Simple Titleholder Address JOB ADDRESS C;2JC:, qfh S-t- LOT # PARCEL ID#I E3 PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I Re Roof 1'30 XhD I 0"'" ~~,:;;;~~"""'" [~"~ ~:".""". i"'" ~~~~~:~~ .~~ ~~~~~ :~~';;.~~~,~~"""""""""""""""""""'" , D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E,C, D PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 :~~~~RE ~ ~~~'::= ~~~'" VIN License # I NEW CONSTR INSTALL SFR BLOCK I ~ D D (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH SUBDIVISION WORK PROPOSED ADD/AL T REPAIR COMM FRAME D D D OTHER STEEL I o OTHER Il?e POd;:: BUILDING SIZE SQ FOOTAGE I / '615 D HEIGHT I Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT License # Y/ N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N Address COMPANY REGISTERED PLUMBER SIGNATURE Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED OTHER SIGNATURE Y/N COMMERCIAL Address License # 11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 subdivisions/large projects Attach (3) sets of Building Plans; (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 Attach (2) sets of Engineered Plans, "..PROPERTY SURVEY required for all NEW construction. SIGN PERMIT DI~~~ii~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 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 AlC Fences (Plol/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW Ncl)TICE~FDEED RESTRICTIONS: The undersigned understands that this permit may, be subject to ."deed"te.strictions" I,\tKiChf!la~.~~.lJIore restrictive than County regulations. The undersigned assumes responsibility for compliaticeWith any !;aPIH~at>le~~~(l.re~trictions. ' . ~~;.,.."~,..,I,'!,.,'~,'..,.,~,.','{"r,t,.,';,,..,Ct,.~".,;"'f;,'.,'~,,I,",rl,','f,','i,,5~;~i.e;~~:~~~r~R ~~;ES:~~E::,:~~:,i"~'"e,'~,~,~i~,.~~,t...,~,.~,, i,,!,,~H,r.,~i,:,,;~;1,,~~ I. .\.;~~&~l'it~Wi.~~.: =i~~~n~~= :ng:~: ~~u~~~~~n~SI~~~~~~ib;~~~g~~~ri~~~n~~~.2~~~ ~Q~9.F ;.. ,..< pr~, if the owner has hired a contractor or contractors, he is advised to have the. ~ohtractor(s) sign .~orti?~spft~~}~P?ntractor Block" of this application for which they will be responsible. If you, as the owner sign as the co"ttactotjt~~tlT\ay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco 9duntx. > ..,.. ......, 't~NSP~~~~,..I()N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands th+t TrahsPCl~~tiol'1, Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of us;e inexisti~~'~Hildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89~07 and 90[07, as ame?de? The undersigned also understands, that such fees, as may be due, will be identified at the time of pe;rmitting.lt ,Is,f~rther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to reyeiving 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 fe~s are due,t,hey 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 but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater 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 "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 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 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 for violating the conditions of the building permit issued under the attached permit 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 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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S, 117.03)/) OWNERORAGENT9~ ~ CONTRACTOR $ub~<;rlbed and s to (or affi ed) fore me this Subscribed and sworn to (or affirmed) before me this 1_( b-01 by ~ by Who islare P4ilrsonal y kn to me or has ve produced Who Isfare personally known to me or has/have produced F/I':>r\~ ~ ~ as Identification. as Identification, ~~~ Nom~PubA' Commisslo o. ,..f~t:,~ JACQUEUNE B~ES W Commi~nn~~1833 Name of Notary ty .:.... ". 6ixJlk89fbltember 12, 2010 .Rf"f;\'" BondedThru TroyFair1lnsunmce 800-385-7019 Notary Public Commission No. Name of Notary typed. printed or stamped ~ D:ISCLOSURE STATEMENT P'OR OWNER CITY OF ~EPB:YRB:ILLS Bm:LDJ:NG DEPARTMENT have read and fu2~y understand and , , of tids instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile~, that he or she actually occupies, or ~ll occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply~th the :following conditions,: 1. That the owner and he or she alone shall act as the builder 'for all phases of" construction. 2 . That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to 'the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and ~ll personally supervise such work., 4. That in the event the Building :Inspector shall require corrections to be made, the owner will assume full responsibili tyto insure they are made, 'and upon completion will call for a reinspection before proceeding ~th the building. 5. That the oWner shall assume full responsibi~ity for the construction and ~ll not expect supervision of his Work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall . constitute' an official notice, to pay additional fees. 7. That the owner shall comply ~th all City, State and Federal laws' in: regard to social security, workman's compensation, lien laws, etc., wherEl applicable. B. That the owner shall comply ~th all the safety codes issued by the Florida :Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for' a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve ,a one-family or two-family residence or a farm outbuilding. You may also 'build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. :It may not be built or, stibstantially improved for sale or lease~ If you sell :o~ lease a building yoti, have built or substantially improved yourseif ~ th:Ln' 1 year after the construction is complete, the law will presUme 'that you built or substantially improved if for sale or lease, which is a, violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. :It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not, delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct P'.:I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by iaw. Your construction must comply with all appl:i..-cable laws, ordinances, building codes, and zoning regulations. OWNER'S ADDRESS PHONE S :IGNATlJRE 52..1<.. ~f1. ~t- 71.+ ~(k~' u' , '"," ~ , 6 Fl' 3 3> S;'f 2.. DATE 1-/), - tJ 7 r w:J:'l'NES S PElUO:T # APPUCATlON FOR A HISTORIC DISTRICT "CERTIFICATE OF APPROPRIATENESS" By staff: Appliqation #. Contributing: Yes / No Date Submitted: . (Applicant Please provide information between the double lines) C ,: Property Address or Location: ....!f 2 I ~ q i{ g Owner's Name: Freel .f P /t( I?G k r ~/)7.S Phone: 7 J s-:- } <1 z- -r Applicanfs Name & Company (if cftffetefJt): AI / ~ I Applicanfs Mailing Address: St1177e- as a .hnc- App. Contact Info: Phone: Type of Property: ResidentiaL.L Fax: ' Email: Commercial Public or Other PROPOSED RESTORATION I RENOVATIONS I REPAIRS I RELOCATION I ETC: Exterior Walls - _ Signage == Exterior Doors _ Ughting _ Windows _ New Main Building or Addition to Existing Building Pon:hes _ New Accessory. Bldg. (garage. carport. shed) == Awnings or Canopies _ New deck. ramp. patio. ete. _ Fencing _Building, Demolition or Relocation ~ Exterior Painting & Color Changes _ General Repairs (describe below) ~ Roofing _ Other (describe below) ~ ~y~~rposed_"'OO (- other sheeld necessary) Kc TO of? 1'} Iv . Wnc- The Historic Preservation Bo8rd requires that the fOllowing Information M.Yn be included with an application prior to the application being accepted by staff: . Detailed Plans, including a site elan and elevationls}: . Color and material samelas: . Manufacturer's sales literature: . Photoaraehs: and ~~~~_~~_m=Si__~aOOpmd~ SIGNATURE OF THE NER and/or APPUCANT :4 icant do NOT write BELOW this Dne AC710N TAKEN: Date: j 1 t 67 ~y Staff: Approved _ Denied_ Reason for Denial: ~PB: Approved oK-.. Approved with modifications noted below. and/or on attached sheets Denied _ jYA-' ~NU'__~WI JtJ0,,- /j~~A.) 1/17107 · HPB Condition(s) of Approval: Signed: jjJ- ~Af Date: 1/ \'r I'D? NOTICE OF COMMENCEMENT State of C L 0 t2. l f.) A- County of _PAS La 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: 1. Description of Property: ParcelNo:-rbl~() v.r 2-ep~rt}I\)~ Lo+~ 110... \1 d- .tj iSH of: . Lot ) ~ oY' S to 4-q t\) &- q 2 q (}?c.~ 1\ '2t3 "Z. \ Q 0) 0 I ~ 1. 00 0' \. 0 (Legal description of the property and street address if available) 2. General Description of Improvement -Re- v--oc ~', (l c?r- ~~~~~ll~~!~III1II11IIIIII"11I1111I1111111111111II Rcpt: 1069717 Rec: 10.00 DS: 0.00 IT: 0.00 01/31/07 Dpty Clerk R3. Owner Information: Name-Fv-cd Di o..ne. Mu'YV\ L~ ?QrS 0 nS .J I 0 Address S" 21 b <1 ~ Sf CityZ €: p\-rl y h '~ \ 1 So State_F L 335 '12.. JED PITTMAN, PASCO COUNTY CLERK 01/31/07 11" :28, a, m, 1 if J.. OR BK 7368 PG ., 8~ City State City State City STATE OF FLONIDA COIINTY OF PA~CO Srate_ THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE, WITNESS MY HAND AND OFFICIAL SEAL THIS~DAY OF \Jff:1l/ 2 !YO/) JEDJ~MA~IRCUIT COURT BY, tl Sta~PUTYCLERK City 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 Address City State 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: ~~ ~d..IAu ~~ Sworn to and SUbSCri~fOrn me ufs\ _3. t day of ~ Notary PublIc: ~ ~~ My Commission Expires: ,20~. "".,,"" T 'ON T~ IlIXON ~)uJ~ MY COMMISSION # DD573380 ,~~ EXPIRES: July 12. 2Q\0 ~ OF....cf' FI Nol~ PI,,,,,,,ol Aoo,,", CO, !-l'\{)U-)-NOTARY . PC93053048/ A