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HomeMy WebLinkAbout08-7259 CITY OFZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7259 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 7,800.00 Date Issued: 11/30/2007 Total-Fees: 70.00 Amount Paid: 70.00 Date Paid: 11/30/2007 Phone: Work Desc: REROOF - 30 YR FIBERGLASS SHINGLE 7259 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 5119 2ND ST ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15900-0030 Name: POE WILLIAM & ANNA Address: 5119 2ND ST ZEPHYRHILLS, FL. 33542 ~ /\OJ) yD5 ~_ tqp rJlt/ TAPE JOINTS ROOF INSP FINAL REINSPECTlON 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, consu,lt with your lender or an attorney before recordin our notice of commencement." CONTRACTOR SIGNATURE PERMIT OFFI 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 Building Department Fax-813-780-0021 Owner's Name AlA) fr- Owner's Address I S 1/9 Fee Simple Titleholder Namel It-3o-6 pfJ6 M!2 ;),. Date Received DESCRIPTION OF WORK Ed- o o lu ADD/All REPAIR COMM FRAME I I I LOU I I PARCELlD#\ ll-~ 6 -2/- IJ 0/0 - IS ;/t90 - {)030 I (OBTAINED FROM PROPERTY TAX NOTICE) o SIGN D MOVE 0 o o Owner Phone Number Owner Phone Number I Owner Phone Number I ST '2 f/-/LL-'s Fee Simple Titleholder Address I ~I/ I :z.~ 57 JOB ADDRESS PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK I @- o o -lLotJ/IV ~ DEMOLISH SUBDIVISION WORK PROPOSED OTHER STEEL I D OTHER I BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I 111"11'11'111111'11'11'11'11'1111"111111111'111'11111111'11'11'1111'111111111111'111;'1111111'11'11'11'11'11'11'1'1111111'11'11'1111'11111'1"11 O BUILDING :$ ~rJ: O $ j/'i 80, . VALUATIONOFTOTALCO~UCTION D ELECTRICAL , _ AMP SERVICE L--J PROGRESS ENERGY W.R.E,C. o PLUMBING 1$ I o MECHANICAL 1$ I o GAS 0 ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111 I I I I I I I I VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED Y/N BUILDER SIGNATURE Y/ N FEE CURRENT License # Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N License # Address COMPANY REGISTERED PLUMBER SIGNATURE Y/ N FEE CURRENT Y/N License # Address MECHANICAL I SIGNATURE , Address I OTHER I'~ ~ COMPANY /200/'/#0 SIGNATURE '--Iv, REGISTERED FEE CURRENT Y / N Add.... I r 0 IS 0 'i- I 3 "s 0 c. ;: (... > J s261 Uoen..' 1 Jlc- 0& </.2.0/ I 11111111111'111'111 IIIIIII'IIIIIIIIIIIII~II~IIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111'111111111111111111111111111111111111111111111111I111111I1111II1 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. COMPANY REGISTERED YI N FEE CURRENT Y/N License # COMMERCIAL SIGN PERMIT DI~~~ti~~~':' , , , . , , , , . , , , . . , , , , , , . , , , , . , , . , . , , , . , , , , , , , , , , . . . . , , . , , , , , , , , . , . , . , , , , , , , . . . , , , . . , , . , . . . , , , , , , , , . , , , . . , , , , , . , , , , , . , , , , , , . , . , , , , . , , , , , . , 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 NC 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, 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 "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 Officia~ 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, thevob IS conSidered abandoned, WARNINGTO 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 RECORDlNG YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.021 J _ . /2/ ~ OWNER OR AGENT --:lY- ~ CONTRACTOR ~~ , Su scribed and sworn 0 (or affirmed} before me this Subscribed and sworn t (or affirmed before me thiS o {:)' \ 0 Who Is/are ersonall Who is/are Notary Public ~.<>---- ~~ Commission No:.",~ Karen L. Miller if! ";~ Commission # 00609664 ~l~ : - . Name of Notary . t, ' , n' Bonded 110\' FOIfI 'I_ne., ,..., 1100481-7018 Notary Public 1111111111111111I11111111I11111111111111111111I1111111111111 200719!5802 Rcpt: 114!5189 Rec: 18.!50 DS: 0.00 IT: 0.00 11/30/07 Dpty Clerk NOTICE OF COMMENCEMENT JED PITT"AN, PASCO COUNTY CLERK 11/30/07 09: 37.m 1 3/91.. ' OR BK 77VJ1 PG D l!J Permit No, Property Identification No, THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I.Description of property (legal deSCri~tiOn:) j I ?- ; a) Street Address: -) I I ~ 5 _ 2,General description of improvements: -12(Jo';:/lv,j' 1-1 0 {) (1) 2. '/'I I.t.?- J t J '1 ()() 00:30 3.0wner Information ~ /J M& (j a) Name and address II AlAI It r ()6., .) / 1'1 "J. - 512 N ;L}] '3] r L) ( b) Name and address ee simple titleholder (if other than owner) ,(//4- c) Interest in property (J w 1J t: /L... 4,Contractor Information _ /. a) Name and address: t!-Itr/{,J I<. ()()"cI;Jt.;- f 0 b) Telephone No.: '3 S 2.. ~ :\6 J - ~o J L./' 5 ,Surety Information a) Name and address: b) Amount of Bond: c) Telephone No,: 6.Lender a) Name and address; --- Phone No. 7, Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: - b) Telephone No,: - Fax No, (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713,13(I)(b), Florida Statutes: a) Name and address: --- b) Telephone No.: - Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): f)o'f.. /36J j}lttJ~ C-/ff, ~L.- 33)2.6 Fax No. (Opt.) SI?-M~ 1/ R - Fax No. (Opt.) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER-OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ~ STATE OF FWRlDA ~ ~ A COUNTY OF PASCO SIgnature of wner or own~ut~OriZ fficer/Director/PartnerlManager Print Name .. The foregoing instrument was acknowledged before me this ~t.,1J. day of as in fact) for (name of party on behalf 0 Personally Known ..JL'OR Produced Identification _ Notary Signaturfl _ ~ ::~ 'S ~ ~* : ().... Type ofIdentification Produced Name (print) , Lt is. ~ \ {QD066900 · -, "" --. " R._. ., ~. is ~ ~~ .."1-:vnaldtll"'-A... <s;~ ~ :7-..<) ...PubIicUnO&"'~.' ~ *' ~~6',iQ.~."'. 0<:: ~ Verification pm:su~nt to Section 92.525, Florida Statutes, Under penalties of perjury, I declare th~(It.~~~~ foregoing and that the facts stated 10 It are true to the best of my knowledge and belief. FORMS/NOC.rvsd2007 Signature of Natural Person Signing Above DATE: 11/30/07 PASCO COUNTY PROPERTY APPRAISER o N - L I N E PAR C E L P R I N T 0 U T 09:27:52 . PARCEL-ID: 11 26 21 0010 15900 0030 SC TP RG SUB BLOCK LOT TYPE: STATUS: A DLA: 100891 TRACK: 033003 CLASS: 01 LETTER CD- OWNER CHG- PARENT: NOTES: 1985 HX A/C PER NAME: POE WILLIAM /ADDR FSl19 CODE: STREET ADDRESS: INVESTIGATION T/C 11-30-90 C & ANNA M DATE-SPLIT: 000000 EXEMPTION OK 5119 2ND ST 5119 2ND ST ZEPHYRHILLS FL 335424021 ZEPHYRHILLS F VALUE & TAX INFO: E X E M P T I 0 N LAND AG: NUM CD H W D V T -MRKT: 46914 001 1 0 0 0 0 BLDG: 120863 XFOB: 17958 -------------------- APPR: 185735 SOH: 103125 QUALIFIER EXMT: 25000 POE M ANNA I N F 0: SOH HX APP PCT HX-OVRD YEAR DATE S YR DVD% 1995 011588 -------------------- -------------------- OR BK 7701 PG 691 2 of 2 NOTE DATE 091698 TXBL: 78125 ACRES: .29 AREA: 30ZH CHG: DENIAL TYPE: HX VAL: MKT CHG HX: MC LAND HX: PHYS HX: 185735 o o o NON-HX: NON-HX: NON-HX: NON-HX: AUTOMATIC RECEIPT DATE: PRIOR YR VALUE: PRIOR YEAR MKT: MKT DIFFERENCE: PRIOR HX VALUE: PRIOR HX PCT: PRIOR NON HX: o o o o 100610 185735 85125 185735 o YEAR MON BOOK PAGE 1971 10 0565 0376 S ALE S: SALES-AMT INST XFER QUAL ST LIFE I/V TOI 6500 WD V LEG A L DES C RIP T ION: ASSESSED IN SECTION 11, TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA CITY OF ZEPHYRHILLS PB 1 PG 54 OR 565 PG 376 LOTS 3 4 & 5 BLOCK 159 STATE OF FLORIDA, ,.". ":~,!.I> COUNTY OF PA~E:) '" '. '::; THIS IS TO CERi'lF'(THA T THE FOREGOING' J$A mUE AND CORRECT Ct1P,,= OF THE DOCUMENT ON F.ILE OR OF PUBliC RECOAllIH THIS OFFICE, WITNESS1t1V HAND NO OFFICIAl:S~t\L THIS ~ DAY' O'F ", . '~1:P..7-, . , N, CLERK OF CIRCtJ~T iJOIJRT DEPUTY CLERK I i ,) i ( ~"tDp;DsaI ~ Ga~i,nj"RDaJi;~g > Quality RoonngfSlnce rifs84 ~' P.O.:Boxt364 -, ,. - Dade City I FL"33526 ,. ' - 352';567':5034 - - - L1e# RC 004ll241~Ye~r:Leiik Warranty 11198 Page No. of Pages i4.10 .'........ PROPOSAL, SUBMITTED TO fjWIdA '06 STREET , , ,'i"tlJ $'1/9 ':t~ S I~ ClTY;STATElII1d"ZIP CODe -;;l..ePA ARCHITECT JOB LOCATION DATE OF PLANS JOB PHONE, We hereby subrrilt speCifications. and estimates for. le:AIl. ,p.#-;..t:. .,L- /t~C:Ot/Ct-L . ,'t Hl)~'Il.t?tA5'r ,/I J,.J.t--i--G (jo7 7.'/J fM~ OArc".' .},A/ AJ' .P6/L. CI1.pk- hIP ...~ 6r- /'f..tff/9 i LCLJ .4:# 1/ > f:")fP"";'- /2L;Ai'-)/C{O / If". IJOf./C::- /9J..t...--nlllJIJ /"-0 Jl t? p"':' 13G -:]0 l~ /" /t.c --N" / "--fF"v Y-- ''''.f ,) /'~ /i /7 6,J' /,vjC:f/9~: tA../O t?u WIR)r I ../) /rtl/UP,. rll :lIIlltltlTPDlf" .he~8byto 'furniSh~aterialand labor-completeirf;accordance withabovespecifications.for~ersum of: S&1/6~r/eS/~;''o/ ./J' nfll1tJN.tl r- (f2fJ. '. dollars,($ , ?}/ft?4 j)" ). payrnenuo be deas'follows; ,/ C'l/'~ n~h.O"" , ~ SCJ4,. All mat8rial is guaranteed 10 be asspedfied, All work 10 be comp/eledln 8 workmanlike manneraccordir!g'lOsland8rdpraclIces'Any IIltel8llon or deviation, fmm.Bb0v8 epecIIIcatIons Involving 'axtraC08lS,wIILbe'8X8CUIlldonly, uponwrltlanorders. ' and will become 11I1 extra charge'overimd abowJ'the8llllmllte,:AIIagreemantlt contingent uponstrlkas. accidents or'deleys'beyond our . control. '.,~"lOcanyfjre.tomaCbandolher _ry Insurance. Our 'workers '81'&" fulIy.COIIlIred ,by Workman's Compailsallon Insurance. ,Note: Thlsproposalmay be withdrawn by usff not accepted within Art~ptanrtDfi:'r~p1t'Jal_ The, above prices, 'specifications andcondltionsaresatiSfactoiyand are hereby accepted. You are authorized to do ,the work as specified., Payment will be made as outlined above. Date. of Acceptance: I I . ;'\ ,,\--' __ ....0" /;, ';-,;;,r:t,'-~~ :I ,f\...~ /" ~ Signature Signature '--........, , .\. ~ r....,___~ .. . ,JURrSDICTION.~OF YOUR ,CHOICE, ~. BUlliD~G~EPAR'l'MENT RE:Permit#~' 9/17/07 'Inspection AffidaVit' .I PI t/r' tlfl/;; , (please print name and circle Lie. Type) ,licensed-as a(~= IEngineeriArchitect, . Building Inspector License #; lLtJ OLj t , ~ / On or about J 2. J/S/(~? /' (Dafe&time) , I did personally inspect the roof' J/ / f :2.--~:j! 5'1- (Job Site Address) 2-- It-L[ Based upon that examination I have detennined the installf!tion was done according to the Hurri~ Rl:trofit Mmmal (Based on 553.844 F:S.) C''' Signature . ~.~YOf1i, _bzUA~1'" I)' I, / ' ' . ' .200~ : Notary Public, State of Florida (Print, type or stamp Personally known ! or Produced Identification Type of identification produced. Commission No.: ~ Gen~, Building, Residential, or Roofing Contractor ~r any individual certified under 468 F.S. to make. such an lIlSpection, Include photographs of each plane of the roofwith the pcmrit # or address # clearly showri marked on the deck for each inspection. .