HomeMy WebLinkAbout10-10014 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10014
• BUILDING PERMIT
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Permit Number: 10014 Address: 39725 MEADOWOOD LOOP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13- 26 -21- 0140 - 00000 -0530
Improv. Cost: 2,390.00
Date Issued: 1/20/2010 Name: AHNEMILLER, EARL
Total Fees: 45.00 Address: 39725 MEADOWOOD LOOP
Amount Paid: 45.00 ZEPHYRHILLS, FL
Date Paid: 1/20/2010 Phone:
Work Desc: REROOF SHINGLE SINGLE FAMILY
A. :A L R•• N • N - LF R - ••FRE •ENTIAL 45.00
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TAPE JOINTS ROOF I SP
FINAL
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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 yo property. If you intend to obtain financing, consult with your lender or an attorney
before recording g < r notice of commencement."
- - TOR SIGNATURE PERMIT OFFI OR
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 rax-rs IJ- irsu -uuz l
Building Department
Date Received AO Phone Contact for Permitting --
/l Owner's Name ,, rLfl % Q � c� '� Owner Phone Number
Owner's Address "/ M / ` I
� i "� ', e r Phone Num
Fee Simple Titleholder Na
� one Number
�s� , _ .� �� •
Fee Simple Titleholder Address /
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORT( PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I 1 DEMOLISH
INSTALL REPAIR /•�
PROPOSED USE I SFR • I I COMM I I OTHER I / I
TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I ST L I I ETHER I I
DESCRIPTION OF WORK -
.3"-A4 BUILDING SIZE SQ FOOTAGE EIG ,T
I BUILDING ' $ Q /C VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ p V AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C.
PLUMBIN $
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # T
1
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I
Address Lic -.e#
OTHER �, /, �— /� /— COMPANY 111= 11111111 . 1 1 '. r � � /� �
SIGNATURE � I REGISTERED "
FEE CU �
Address 111WAIMMENIFFMAIIIIIIIIIM License # •
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building'lans; (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 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 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 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, th - is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM/ ENT MAY RESULT LT IN YOUR
PAYING TWICE FOR IM ROVEMENTS TO YOUR PROPER . OU INT. , 1 TO • BTAIN Fl . - G, CONSULT
WITH YOUR LENDER ' ' N ATTORNEY BEFORE RE e • DING Y • U ► 42 ICE • CO ' CEMENT.
FLORIDA JURAT (F.S.
/ 4 j CONTRACTO' ., f
OWNER 1 ' AGE Su c b�d� o o (or - 'rmed) before me this
•
Subscribed d s o + / t = me this
2/ b /• •y 1
Wh is /are personally k • • ��� o me or ./ produced Who is/are p � sonat n to me or has asaden ifi anon.
as id- ntirication.
E B ) Notary Public
C f / 6 Notary Public
,, ; ; fi t"`• "•�:� JACQI)ELINE BOGES
EL I ND. .,
rye, JACQU COMM Com mi� „ � •;� Commissi
com i ion N _ ; . : - • • : :x� Ex Tres D 6 ��
��,� gyp{ r 12, 2010 p ecember 14_, r December 9tti< Bon r „ hnu,pngs 0 Qdu5 -7U,
rinted or stamped
Name of Notary type printed or stampe
Name of Notary typ P
,A. Martiett iutifing I) f Tentrat to ri ut, -.int.
•
C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE j
Roofing Companies'in Central Florida PHONE
Specializing in Mobile Home JP Stevens White Rubber Roofs
& Insulated Aluminum Roof Overs (813) 782 -5585
(813) 973 -7737
RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523 -1944
LICENSED - INSURED - BONDED Lic. #RC 0031769
• MEMBER OF THE CHAMBER OF COMMERCE •
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have re- roofed more roofs (16, 000) in the past 35 years than the four local leading roofing companies combined .
/ / / / Date / ._ / 2 /
/ / Name 1,
Address �T .) �j t i (". i ; ,ic
Phone , if 1, !�' 1 .t it
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DESCRIPTION 1, - k , $ AM0t3NT
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P & Own ,9C. Bartlett Bartlett ofing of Central FL, c.
Sign: ` / ' ,/'
I' WHIM_
_,
- I t ' 1. f 1 �,,,�� .: a - - --
r - NK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
All arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. i
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill. '1 7 % /
Rotten wood is an extra $35.00 per sheet (4 -ply). Rotten fascia is $2.00 per linear foot. al
01/22/2010 09:55 8137801805 BARTLETT ROOFING PAGE 02
•
City of ep yrhrlls
BIJJ.DING DFP.RTMENT
RE: Permit # 1 vb 1 9/17/07
•
Inspection Affidavit
1 _If Chu t4-1.01' . ,licensed as a(n) Contractor* /Engineer/Architect,
(please print nemo and circle Lc_ Type) FS 468 Building Inspector*
License #; c252-.
On or about l 2Z-'Z d 1 U , I did personally inspect the reof
etc & {nne)
•
deck nailing
and/or secondary water barrier work at Ail
(circle one) (Job Site Address)
397 a 4a.1 , • . < G 4. . 3• I .
Based upon that examination I have determined the installation was done according to the
Hurricane "ti : o I Retrofit ; ' _ ; _. a n 53.844 F.S. )
v.'
•
•
STATE OF FLORIDA
•
COUNTY OF
Sworn • . . scribed before me this. day of J . 200Ld
•
By • , s2 1.5// �
"" " / JACQU " INE BOGES Notary Public, State of Florida
:•= Commission DD 621833
,17: ejr4s Dacember 12, 2010 1 Ql e t r f �)-e h (
Nf � 1hN troy nw 4004.. -7410
(Print, typ4/or stamp m
•
Connmiission No.: Date. 21%6
Personally known , or
Produced Identification
Type of identification produced.
a General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the perosit # or address # clearly shown marked on the -
deck for each inspection.
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• CURRENT AS OF: 01/19/2010 19:00:51•
* * * THE INFORMATION CONTAINED HEREIN DOES NOT CONSTITUTE A TITLE SEARCH AND
SHOULD NOT BE RELIED ON AS SUCH. ADDITIONAL LIENS AND DELINQUENCIES MAY EXIST
THAT ARE NOT INCLUDED BELOW. THE PASCO COUNTY TAX COLLECTOR ACCEPTS NO
RESPONSIBILITY FOR THE ACCURACY OF THE INFORMATION PROVIDED. ALL FIGURES ARE
SUBJECT TO CHANGE OR CORRECTION. (SEE_ FLORIDA_ . STATUTE ._ 197.1.22)
Parcel ID 2009 Tax Year
13 26 21 0140 00000 0530 ASSESSED VALUE 61,504
Owner of Record HMSTD EXEMPT 25,000
AHNEMILLER EARL L ADD'L HMSTD EX 11,504
39725 MEADOWOOD LOOP OTHER EXEMPT 500
` ZEPHYRHILLS FL 33542 -6779 NON -SCH TAX VALUE 24,500
I I Physical Address SCHOOL TAX VALUE 36,004
39725 MEADOWOOD LP AREA 30ZH
MILEAGE 20.09459
Legal Description (First 4 Lines) GROSS TAX
MEADOWOOD ESTATES PB 15 PG 106 (INCLUDING SPECIAL DISTRICTS) 638.75
LOT 53 Special Districts
OR 1301 PG 635 SOLID WASTE 62.00
OR 6191 PG 1058 PASCO COUNTY STREETLIGHT
Mail To Information PASCO COUNTY STORMWATER
SAME AS ABOVE Current Tax
Escrow Code DATE RECEIPT AMOUNT PAID
NONE 11/13/09 526185 613.20
Tax Lien (Homestead Denial)
NONE
Unpaid Delinquent Taxes
NONE
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