HomeMy WebLinkAbout09-9881 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9881
BUILDING PERMIT
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Permit Number: 9881 Address: 5342 16TH ST
Permit Type: RE -ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 17200 -0075
Improv. Cost: 4,170.00
Date Issued: 12/10/2009 Name: GOLDNER, DONNA
Total Fees: 55.00 Address: 1021 RED RUN LANE
Amount Paid: 55.00 NEWAYGO MI 49337
Date Paid: 12/10/2009 Phone:
Work Desc: REROOF SHINGLE DUPLEX
NY = • • 1 R R• • - • N IAL 55.00
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TAPE JOINTS ROOF INSP
FINAL 2-2-1-0?
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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."
/Or lit
CONT' • CT;� GNATURE PERMIT OFFI �R
PE • IT 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 Fax- 813 -780 -0021
Building Department
Date Received , Phone Contact for Permitting --
Owner's Name S ,,,,,i t�° /dam -,,r Owner Phone Number
Owner's Address /0 a / ,d /f i.,/ /.r e y p 3'2 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS -T3 YE 1 AC13 V .Z /(- C,rrli LOT #
SUBDIVISION PARCEL ID# /7- 0 26 `:i-/ P' /C _. /7s cv._ 00;')..C—
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED _ NEW CONSTR I I ADD /ALT I I SIGN I MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR [ COMM I I OTHER I I
TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL I I OTHER I I
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE /7 „; HEIGHT
I BUILDING $ VALUATION OF TOTAL CONSTRUCTION
q/ 90 -0-
I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C.
I I PLUMBING $
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
1 I GAS ROOFING I I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 I YES 1 INO
BUILDER COMPANY _ ( CURRENT I Y/N SIGNATURE lvz/J EGSTERED N
Address JAR. /bo X ,Z7 0744 Y/c / ,3 -f-3j I License # C' -,- - or e ris - ._
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # F
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) complete sets of Budding Plans plus a Life Safety Page; (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.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C 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 A/C 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 Tots 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 is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING YOUR LENDER TWICE FOR FINANCING, CONSULT
AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT.
WIT H
WIT
FLORIDA JURAT (F.S. 117.03) -
OWNER OR AGENT CONTRACTOR ��`10 -
Subscribed and sworn to (or affirmed) before me this Subscribed and • -q tr or . ' rm-d) befor- - his
by /2-(0 by '
Who is /are personally known to me or has/have produced Who Is /are,perso - nown to me or has/ / /ha produced
as identification.
z JACQUELINE Notary Public
i•I Commission DD 621833
Notary Public �
• • `; : QUCLINE BOGtS
'
Commission No. s off; Expires December 12, 2010
Commission No. Bonded Thru Troy Fain insurance 800.385-7019
Name of Notary typed, printed rinted or stamped Name of Notary typed, printed or stamped
Kenny's Roofing, Inc.
#CC- CO58152
P.O. Box 867 Zephyrhills, FL 33539
(813) 949 -6890 office and fax
Serving Your Roofing Needs Since 1983
Roofing Proposal & Contract
Duplex December 7 2009
Attention: Donna Goldner (Owner)
Bill & Laurie Johnson - Manager
5346 & 5342 16 Street
Zephyrhills, FL 33541
813 -
Jobsite Address: Same
Contract Proposal: $4.170
Scone of Work
• Tear Off existing shingles & remove from jobsite
• Re -nail all plywood decking to 6" O/C to meet new Florida Building Code
• City of Zephyrhills Roof Permit
• We will cover the first sheet of plywood in this original bid. Any additional wood repair will be
the quoted $65 per sheet and $10 per lineal foot on the fascia.
• Supply and install new 25 year Tamko 3 tab shingles.
• Underlayment will be 30 pound asphalt saturated felt.
• 6" Painted white aluminum eave drip
• Replace with new lead boots
/ - 8 — O cl
(Signature of Acceptanc0 (Date)
(Print Name & Title)
— 7(E)2JZ9�O/ZF...i
Kenny's Roofing
(813) 949 -6890 office & fax
PO Box 867, Zephyrhills, FL 33539 -0867
fibesman@yahoo.com
Scott Tiliett
813 -469 -8401 cell
Conlldenhialty &atonout This message is confidential and may contain confidential information it is intended only for the individual[s]
named herein. if this message is being sera from a member of the legal department, it may also be legallyprivileged Ifyou are not the named
addressee[sJ you must delete this email or document immediately do not disseminate, distribute or copy.
Pasco County Parcel: 11- 26 -21- 0010 -17200 -0075 001 Page 1 of 2
Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Parcel Cards: 1 1 2
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: I Weekly Archive - Saturday, December 05, 2009
Parcel ID I 11- 26 -21- 0010 - 17200 -0075 (Card: 001 of 002)
Classification [ 08 - Multi - Family - Less than 5 units
Mailing Address Property Value
GOLDNER DONNA S Ag Land $0
1021 RED RUN LN Land $8,220
NEWAYGO, MI 493378095 Building $43,242
Physical Address - See All 2 addresses (First Shown) Extra Features $1,024
5342 16TH ST
ZEPHYRHILLS, FL 33542 -5060 Market Value $52,486
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
See Plat for this Subdivision ..1"' Taxable Value $52,486
CITY OF ZEPHYRHILLS PB 1 PG 54
SOUTH 50 FT OF LOTS 7 TO 10
BLOCK 172
OR 4572 PG 367 &
I Land Detail (Card: 001 of 002)
Line II Use IlDescriptionll Zoning II Units II Type II Price II Condition ll Value
I 1 11 0800 IIMULTI FAMTII 00R2 II 6,000.00 II SF II $1.37 II 1.00 II $8,220
I Additional Land Information
I Acres II 0.14 Q Tax Area JI 3OZH II FEMA Code II X IlResidential Codell ZHLHLP1
Building Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002) I
Year Built 1976 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Radiant Electric
A/C Window Unit Baths 2.0
Line II Description II Sq. Feet II Repl. Cost New
I 1 11 FOP ll 324 II $5,199
I 2 II BAS II 918 II $73,422
Extra Features (Card: 001 of 002)
Line Description I Year I Units I Value
1 II UDUM II 1980 I I 1 $60
2 UDG II 1980 II 252 II $454
3 II DWC II 2007 lI 240 lI $510
Sales History
Previous Owner II GOLDNER DANIEL A &
Year lI Month B ook /Page II Type II Amount
2009 li 02 0 8041 / 1265 1 2C 11 $0
2009 lI 01 1 8005 / 0892 11 QC II $0
2007 1 03 7441 / 0742 WD I $0
http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &... 12/10/2009
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NOTICE OF COMMENCEMENT 2009178519
?ermit No. Rept : 1278057 Rec : 10.00
Tax Folio No. DS : 0.00 IT: 0.00
P144 .eL � 1t . 4.I 0010- 119.60 12/14/09 Dpty Clerk
THE UNDERSIGNED hereby give informs you hat the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
2ephyr
1.Description of property (legal description:) Per , • I ,Sv F 7 F �-o - / ,D e /ocK / 7 �
� 1 5, r ,
a) Street Address: 5 3 '42 hl-' .5 9 4,1 t l b rk s i 2 � h y f h /� . , 35 e
2.General description of improvements: Ale co 1/ -Da.65 .s t
3.Owner Information
a) Name and address: amul G1o('QKet. Io 2t R$cP 121A. keldo M I U4ct331-Se0
b) Name and address of fee simple titleholder (if other than owner) D
c) Interest in property
4.Contractor Information W a'
F
- �
a Name and address: .� S
7C m
b Telephone No.: K � ��i J •3//G, P0.1X bc.►� �6(p' f 2eekr41, i �� J ►�C. 33 s3� ��M
P f�h9[h �J.3 �i f - 1C� ax No. (Opt) S �4 NtE r
5.Surety Information
a) Name and address: t
b) Amount of Bond:
6.Lenderc) Telephone No.: Fax No. (Opt.) , m
v a)
a) Name and address:
4
Phone No. • e-1 3
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
limb - 73
a) Name and address: o
b) Telephone No.: Fax No. (Opt.) m
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 T 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
COMMENCEING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA t�
COUNTY OF PINELLAS t / , A d [O
Signature of Owner or Owner} thorized Officer/Director /Partner /Manager
•
Print Name
The foregoing instrument was acknowledged before me this O day of IN, F. , 20 O , by
as (type of authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification X Notary Signature A • ,
, � o M
Type of identification produced }' L . t�. L •k Name (print) ' , 4` �'►` �J ' DERBY
:TS 2 Sc1 Rp Ex ��. 3 -- g o -� �a"!_,�. - MY Comm. Expires Oct 12, 2012
Commission I OD 830494
Verification pursuant to Section 92.525, Florida Statutes. Under penalties erjury, I declare that . _
the facts stated in it are true to the best of my knowledge and belief.
FpRMStNOC,nistl2067 /nature of Natural Person Sigpin Above
W O Ve
yy a
STATE OF FLOkIDA, COVNTY,OF PASCO
Ti-ii] 15 TO O RTIFY THATTHE REDOING 1AA
TRUE AND CQRRECT COPY 01=: THE,DOCUMEixl'T
ON FILE it,* t PUBLIC RECD IN THIS OFFftE
AtITNES E YHHAND AN OFFS L tpA : THIS -
i DAY OF ! %, _ 2 fsA
PA LAS.O'N L. C ERK & CO 'O R
.,,� s_ DEPUTY CLERK
-- STOP WORK
By order of the Building Official: Wiliam A. Burgess
All Building, plumbing, electrical and mechanical work
shall cease at the below mentioned property.
Address: 7 34) Z 5;1 ii 1 i 9
Date: c Z ). - 0
Code Enforcement Officer: 5S, etip/)
Contact the
Zephyrhills Building Department
5335 - 8th Street
813 - 780 -0020