HomeMy WebLinkAbout08-8012
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8012
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 10,560.00
Date Issued: 6/27/2008
Total Fees: 85.00
Amount Paid: 85.00
Date Paid: 6/27/2008 Phone:
Work Desc: REROOF GAF TIMBERLINE 30YR 44 sa
8012
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6253 HUN INGT N DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-1340
Book:
Section:
Name: HElM, ROBERT & CARLEEN
Address: 6253 HUNTINGTON DR
ZEPHYRHILLS, FL. 33542
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TAPE JOINTS ROOF INSP
FINAL
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
befo recording your notice of commencement."
~
CONTRACTOR SIGNATURE PERM IT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW
(SECTIONS 713.001~713.37~ FLORIDA STATUESL THOSE WHO
WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE
NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR .
PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A
CONSTRUCTION LIEN, IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS\
SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR
NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS1 THE
PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENTj EVEN !F YOU HAVE PAID YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTORJ YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON
YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
lABOR~ MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAilED TO PAY.
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND !T IS
RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES,
YOU CONSULT AN ATTORNEY.
813-780-0020
City of Zephyrhills Permit Application
Building Department
~ ~)C(V
Fax-813-780-0021
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name v,bev'-\-'{, G'tvlc:e~ He l'jV\,
Owner's Address I ~ '2.)"3 1-hAV\. h",yf-o"" 0,'
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
Iii I-f3 t-h..tv\ t\'-"ff-v~ Or
-
L2d Vt\1 OC\ kJ
WORK PROPOSED
E3
D
D
1/4
NEW CONSTR
INSTALL
SFR
BLOCK
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B
D
D
tjl( 5(
SQ FOOTAGE I
2 (ph'J V J.,',1J F I 33 SCf 2-
PARCELlD#16 3- 2-1(;-2....\ -OI2.D -00000- 1"3 'f ()
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
LOT#
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
DEMOLISH
OTHER
STEEL
DESCRIPTION OF WORK
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3() U4/Y
r7
I HEIGHT
I
D
t;A~- /;t"Lki- It M
I
OTHER I
BUILDING SIZE
I . . I I . . I I , . . . I I . . I , I I ~. I I I . . I I . . . I . . . , I . , . . . . I r . . . 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 . . . . . . . . r . . . .
D BUILDING 1$ }q5~i), U 0
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS ~ ROOFING
FINISHED FLOOR ELEVATIONS I
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED I Y/N FEE CURRENT Y/N
License #
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
I
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1330ID'..5~ 5'2- fJaf}l)XI/RJ-:/~~ l~jI1 r/
License #
OTHER
SIGNATURE
Address
License #
1111I1111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Altach (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 submiltal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction,
Minimum ten (10) working days after submiltal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance
SIGN PERMIT Altach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
11111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111I1111I1111111111111111
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 Altorney (for the owner) would be someone with notarized lelter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
Dril~~~~: Q,~.~r ,~~~~~..~~~s.,needs ROW
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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 authorl~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 th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the)ob 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) /~ # . AU' ~_.-_....
OWNER OR AGENT CONTRACTO~ .-/~- -- /~
Subscribed and sworn to (or affirmed) before me this Subscribed anasworn to (or j1ff1IJ11~d) bpfore me this
by . &iif 7 / () Y by (' i.() LL ~/4. C/<. Pv.4//1
Who Is/are personally known to me or haslhave produced 0 i!;/are personally known to me or has/have produced
as identification. ~ as identification.
Notary Public
au~ ))~L-
Notary Public
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, prin
Commission No.
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'f\r-.~Q ~ c\..~~'f-.c-
~t..\) \,\~ ~ ' NOTICE OF COMMENCEMENT
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2008095484
Rcpt : 1188967 Rec: 10.00
OS 0 00 IT: 0. 00
: . Dpty Clerk
06/26/08
Permit No.
~t92GJ~lM~:JP~%C01CO~NTl CLERK
OR BK 7871 PG 582
Property Identification No. 0 3-z..~ -'2...1-0' 2....0 -(X)ca 0 - J~i.fO
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:) ~, 1 vo. O'lk> fh~:t One
a) Street Address: 2.53 l;t I'l +0 r z.. h h"
2.General description of improvements: c:.. 1-(.0.,1 {: J <.) <.
3.0wnerInformation C el1-~c.a::.~) .
a) Name and address: Robev~ .{ (UV JeBIW /1e..1 yv\ 675-3 (-IL1i'l. l10ff fz,~ t)". le,PIt '1Jo'h' )/.J/fl 53S-1L-
b) Name and address of fee simple titleholder (if other than owner) J
. c) Interest in property OW ~ v-
R 4.Contractor Information .' ./.
a) Name and address: S(ott &l"t..i.~ tal h~ y", L S 501 cJ 5>1:-
T b) Telephone No.: <,,$- "} (pes, J Fax No. (Opt.)
, .Surety Information
a) Name and address:
. b) Amount of Bond:
c) Telephone No.:
6. Lender
a) Name and address:
S 2- I/o 6u X II 1<< .Yl#1 /#tlf. ,0/ 'J ) S )(fI
~4"- 7 7(,:3
Fax No. (Opt.)
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(1)(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):
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 FLORIDA
COUNTY OF PASCO
-----~~~
" Signature of Owner or Owner's Authorized OfficerlDirectorlPartnerlManager
::s- 0 H- !J I~ ~", f\
Print Name
The [o,egomg ",,!rumen! was aoknOWI~d before ~ J..S day of JUn e ,2d., bY~
as ,. (!) n \ ~ r (type of authority, e.g. officer, trustee, attorney
in fact) for Ii-C t \IV\. (name of party on behalf of whom instrument was executed).
Pe"onally Known + OR Produced Identification _ Notary Signatme O:iv' ~ ~'L-
k (0 'j~
Type ofIdentification Produced
Name (print)
/"\
UV/'
CCv, h
Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofpeIjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
~~~
Signature of Natural Person Signing Above
--
FORMS/NOC,rvsd2007
"m~"'~'"'''' COR. ANN KEOUGH .
l~ ~ Notary PuIIIc . SlIII 01 ~
i' ~jM1~,...Aut 17.2OtO
\,~ ~~~ ComrnIIIio.1 , DO ..
"1 Olin; ,"
,......... Bnnrled By NaIlon8/ -.
PleAs,.< . ~ I--:- V,P ~y hkA-/'.
,JURfSDICTlON,iOF' YoUR "CHOICE.
:.BlJDjDING'~EPAR1'MENT
, .
. RE: ~emrit# KIJ/ iz. (gOt2) 9/17107
'lnSDectioD AffidaVit'
. . .'
.I SUJ tt ~ \G...~WtQ.~ . . . .J.i~'as a(n~~ tEngineeriArchitect,
(pleaseprimJllllDC aDd cixclcLic. Type) · 'FS 468 Buildwg lnspector:*
License #; CC.c.C1i7 9 ~7
On or'about '7/2-/0 ~ ~ ~J ~ personally inspect.the!!lIlt
. . Ife&moc) ,.
decknaili"and/orse~o ~ter bCD'rie,.' orkat (c 25:? 1+v (\ +;'11" hll'l Ov-
110M' . (Job SitcAddr.s). ~
2;c..f?~~V'\;t j.'U~ ,~I 33~t.fL
Based upon 1hat eJ"mn;nation I have c:lettmDined 'the installation was done according to the
Hurricane Mitigation ~fit Manual (Based on 553.844 F.S.)
_tf{';. ~ r~
"Siaaature
STATE OF FLORIDA . . .
COUNTY OF ~ J \
Sworn to and subscribed before me this ~d;,.y.of 0 J
BySCOtT /1!CL~ifJ/l-dW '.
. ' No!atY Public, State of Florida
Uv. aw.-,~.
(Print, type or stamp name)
.200~
Personally kDownLor
Produced ldea:rti:fication
Type of identification produced..
'" G=--1. Bun"" P.aidc:alial, or RoofiDs CoIIDKfM~ my iDdividJaal ~ed 1IDda'468 F.S. to mUe.mch_
iDspcdion. lIIchIde pbotop1lJlbs of eIIClh plaDc of1he toofwi1h die pendit # 01" &dd2alI-# claalY sbDWDlIIIIdcIrd OIl 1bc:
ckclc tor each iDEpcleQon. .
Coynft1;S:s10D. No.:
, .