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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6816
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 6/28/2007 Phone:
Work Desc: REROOF 30 YR DIMENSIONAL SHINGLE
6816
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6033 20TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR BREEZE
Parcel Number: 02-26-21-0190-00000-0060
3,800.00
Name:
Address:
MOORE, JULIE & PAUL M
6033 20TH ST
ZEPHYRHILLS, FL. 33542
813715-6550
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.
~~
NATURE PERMIT OFFI
LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Nlft
Fee Simple Titleholder Address I
I (003 3
bp~(
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
30
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1$
1$
1$
1$ 31S"O O.a,.q..
D GAS ~ ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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JOB ADDRESS
SUBDIVISION
WORK PROPOSED
DESCRIPTION OF WORK
BUILDING SIZE
D
BUILDING
D
D
D
ELECTRICAL
PLUMBING
MECHANICAL
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Ble.-<€."Le S~
LOT # I
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PARCELlD#lo;J-dh-,;>/- Olfio.-'{)oooo -00"0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
1~e'51ci-f1~ sh (~\l
D OTHER I
NEW CONSTR
INSTALL
SFR
BLOCK
B
D
D
D
DEMOLISH
ADD/AL T
REPAIR
COMM
FRAME
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y-eOJ
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SQ FOOTAGE
HEIGHT
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
D
W.R.E.C.
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
FEE CURRENT
Y/N
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Y/N
FEE CURRENT
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Y/ N
FEE CURRENT
Address
License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT Y / N
Address t License # I
~F CtlYrtra ~~ ~ of-
~~HN~URE -<(' ~ ?4 ~~:~:R~~ I ~Af~1 F~C~RRENTt;'~ Y/N
Address 14501 SJe.fi ijolLDw Ln fllttt+ Ct~5 License # Ieee 13;) ~<67q
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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
COMMERCIAL 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
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
Di~~~ii~~~': I I I I I . I I . I . I . . I . I I I I I . . . I . I . . . I . . I I I I I I I I I I I I . . . . . I . I . I I I I . I I I . . . I . I . . . I I I I . . . I I . . . I I I I I . . . I I . I I I I I . . . . . . . . I I I I . . . . . . . . . . . . . . . . . . . . . . . .
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 (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 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 offill 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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authon~y ~o vlol~t~, 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 t~ exceed nin~ty (.90) da~s 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)
CONTRACTOR ~
Subscribed and sworn to ~ affirmed) befor me this
J-. Z T IffIC d.aJ7 by I ,'''''] .J=;'J rl z-
Who Is/are person/"y known to me or has/have produced
D C-- as identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or haslhave produced
as identification.
Notary Public
..?
~0- c=- ~
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
I This space for use by Clerk. of the Circuit Com1 only.
State of Florida
County of Hillsborough
The undersigned hereby gives notice that Improvements wiD be made to certain real property, and In accordance with
section 713.13 of the Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT.
1111111111111111I1111I111I1111111111111111111111111111111111
2007111053
Rcpl: 1110782 Rec: 10.00
OS: 0.00 IT: 0.00
06/28/07 Dpty Clel"k
~i~2~~~~"Art : r':~o fOUNT:, CLtRK
OR BK 7550 PG 1200
NOTICE OF CO,.,MENC:;&MEN]"
Permit Number
1.
'l- e
2.
General description of Improvements:---,2ccf-- ,~C) C{ fJrrI L/} ;(;mcwJ1 ())/lG j)
OwnerName .:JUlt~ ~~Q-~ MOOfe...
Owner Addreaa: c,n(':)f"1\-'~~ cer- 7rprhYf'h/lt~: ~L ~;z.,~;:}.....J
3a.
3b. OwneN interest in site: t' "v i'~
7.
Fee Simple Title holder (of other than owner) I J 4
Address: IV I I.
contractorName:~1 ~Inc.
Address: l/f\n7 \j~1...T] PJ~ r:l.~~SlaSPhQheNumber (f'=\){o5S-SSiDl?
Surety Name: . tt-. Amount of bond: ~
-.s: .:~ 1_: - N.-r. (tJ' .
Lender Name:. . \L ~ ..Con\aCI: I._-
Address: ( Phone Number:
Person within the State of Florida designated by owner upon whom notices or other documents may be selVed as
=by_713.13(lX~'Frr' Add_ tV It!
Phone Number: .-- - -
3c.
R 4.
rW'
~1 5.
I i
U
6.
8.
In addition to himself, Owner designates the following peI80fl to receive . copy of the Ueno,. Notice .s provided
in Section 713.13(1)(b), Florida Sfa\u
Name: .'\J Address:
of recording unlea8 .
9.
Expiration date of Notice of Commencement ( i
different date is specified). 7 ';>0
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing Instrument was acknowledged before me this ~date of
r~ lie fY) 00 r-e..
~
known to me or produced /J 11_____
~th~ 1
U~ ~~)
Signature -Notary Pl,lbJic
7it/1
. 20../1:1.. by
who (is)(are) personally
as identiftcation, who dididid not take an
My CommiasionExplres
Comml
..,:~ Notary Service. com
(A copy ,of any bond must be attached ~ the time of recordation of this Notice of Commencement.)
., ;':,,~W~;-_iY!~~.,.II<. :,,~,,~~~"'~~;mT\W1;~~i~_~*~~i_;.. };'Z"'4-t~ij~~..~~,..i:'t:rt.~~~<!..;,":~I:;~: ,'/ "'-" i!"_~'~"~~.i1:XIt~~~, ~_ _-~ 'i"'?~. ~.Ji. .i,;ya~.r::~:ii'~~-~'~:~;..;');~'f':n,\i'W.., .;'~1.l.\'.t;,:,~ '.I?\j~'-~_";~~~~~C,;~l:I;~\M~lAP:If;;.~
A-DEAL ROOFING INe
4S07 Sleepy Hollow La PI8IIt Oty, FL 33565
PhoDe (813) 655-5560
Fax (813) 659-9069
PROPOSAl/AGREEMENT
TIM FULTZ, Owner
Lie # CCC1326874
CIlY, STATE AND ZIP CODE
PROPOSAL. SUBMlliS) TO
STREET
/)033
1\ FL 335C{L-
~~C)\\J\ 0 :z r
We herIby. . propclI81o fumillllIIII8Itf8 and II,bO{ ~ lor the ClIIllIIiIlIon of
I J LQrJOf bUVt~
~~~~Z'5{~~ ~IV 8:=ex,snNG
ALL NEW PIPE COVERS .C'd(A?t. a SHINGLE PLY
~~TALL NEW VALLEY FLASHING . a INSTALL
Ui'fJlSTALL 26 G.A. ff' DRIP EDGE COLOR 2> e ';0 -e a INSTALL
~.Gi"i~b1STALL SHllrJE OF CUSTOMERS CHOICE flr"'\ a INSTALL
~I~TALL LF OF RIDGE VENT COLOR ~nw U
~.9JI'1nagnet around job to pick up any loose nails or staples
~Yr Labor Warranty
ADDITIONAL NOTES
BASE SHEET
LAYERS OF PLY
CAP SHEET
CARPENTRY RATES AS ~~i1
1/2 COX PLYWOOD 0 ,@ER SH
FRAMING MEMBERS 0 PER LF
FASCIA AND TRIM 0 PER LF
v
WE ~ ~reby\'jfumls~aI &ni labor. ~~~.~~ for....1UIIl at.
.::::I.....M~~ ~ 0' ~\,l ~ 1.5 doIanI S
Payment to be rrBde as fcIIows ~
25 YR. 3-tab $ 30 yr. DIM $
AlIIlIlIIIIII" lIl*MIMd 10 be -1P8CIIIcl AI work 10 be ClllIIIl*-IIn .IUIlIlanlIIIMIf........ alXlllnIIng III per 1lIndIId....... Nfl
IIIIIalIon or cMIIIIan lnlm 1IIlCMI1IP<<- ~_ IS inwlIIIIng ... __ .. be --..lId only upon wrIleIn wit cIwgII_ ... ... Ila..........
AI ...-.. ClllIIIIrvent upon.....1CCkIInla or dIlayI beyond our conlnlL Owner ~ CIrIy .... lIlrI.m... ...-.y 1rwIn1lCll. Our warlIIrI... ..., ~ IIr
~ CcIn_~.1Iluw1oe.
.....,.ANO. OP ~"L T1Ie", prlOeI, .........1Ild 00IlCIIII0nB lie
aIIfIIcIory ... ... hnbrllCOlpllld. You ...1IlllhaIll.IlId to cb Ilalllllk IllIClIIIec1 Pawment
... be _ 0UlI1necI aIMwoe.
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AuIhorIDd
SIgnIIure
IIOTI: TO .......: OIlIng ... ...-.J of your okI rrD .xl Ilalnlllllllllan of your
... RIlII . II ~ wInIIan wi! be gene.-ed bJ ... varIouI DlIIlIlIUlIlIll.......
....DaII RoclIng Itlc. ___ thIll.. --. oollecdlIIe 8Ild ClIlat "....... ..... be .-
IlIlMId rnm..... ~..,.... or _ \IIhIr8 ...... mIgIIt be..... ~... .., InIk.
I ma~ f<<lIIpI oflMlIIlCMIlIdlImy and 11III88 III hold ....De8I RDoIIng 'nc;. ~ In'"
-- I cb lICIl fall!lW'" IIIlCMIIUggIeIId pnICaUIIona and dIIIMgIlllDllln.
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