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Home My WebLink About10-10275 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10275 BUILDING PERMIT Permit Number: 10275 Address: 6142 19TH 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: Improv. Cost: 5,500.00 Date Issued: 3/23/2010 Name: HUBBARD, DAVID Total Fees: 60.00 Address: 6142 - 19TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/23/2010 Phone: Work Desc: RE-ROOF W '; ITH SHINGLES $ a.. '.4:, ¢(. QS3 °,3 A. BARTLE - O• IN OF N - L R R• •F R SIDENTIAL 60.00 DRY IN R• • IN - TAPE JOINT ROOF INSP FINAL 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 improvemen your property. If you intend to obtain financing, consult with your lender or an attorney before re • • our notice of c C 'V •F OR SIGNATURE PERMIT OFFI P RMIT 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 / 3 A ; hone (tact for Permitting -- � ,�� ` M Owner Phone Number Owner's Name ` _. / rw 9 Owner's Address t ( cr 3- ( ,---- Owner Phone Number Fee Simple Titleholder Name Ir an, ►t ■ri i,,A11111 Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT h SIGN 1 1 MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I 1 COMM I I OTHER 1 I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I I DESCRIPTION OF WORK / �-e-- �< , L Z / 91i�? a S BUILDING SIZE s ' DOTAGE HEIGHT MI BUILDING $ 0 c) VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.0 1 1 PLUMBING $ .J � � oa I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI / I I GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES =NO BUILDER COMPANY SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N1 I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # f MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address / Licen • ...._,/ r OTHER `�� COMPANY A.�� / /L��►' � / IIIIIII SIGNATURE `'` / / REGISTERED • E CUR' E a/_►_ Address T �1 , �, i License # WZ �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 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) d. and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job i - ldered abandoned. WARNING TO OWNER: : • UR FAILURE TO RECORD A NOTICE OF • MM o NT MAY RESULT IN YOUR PAYING TWICE FO -, �- OVEMENTS TO YOUR PROPERTY. - • U E , 1 • a BTAIN FINANCING, CONSULT WITH YOUR LE ,' - _, AN ATTORNEY BEFORE RE • - . G YOU' s ►, 5 F COMMENCEMENT. FLORIDA JURAT ir '� _ F OWNER OR AG �/ � � CONTRACTOR 1 � - r - .efore me this Subscribed and - i t r a' 'ed '•'efore m - s Subscribed a. , 7 t r ii by Who is /a Per onally .wn to me or has /have produced Who • are persona own to me or has/have identification. d as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped ...... ,... , .. . • . - Aiw artLett farrnfing Of (Central 'non 4 ' -4 lir. , • 0/0 R Bartlett t ,, 1 ) / , .,- ,. .....4 38408 3rd Ave. , , , t -;', ,-/ , ZeTrhills,\FL 33542 , ' .., , , , , JAW f , i i t- _.- ilosim, -----. - of the thrgest, pldest I Most Depen. .. / , , ,., ,...- ,... I i p /,-:., OFFICE Roofing Companies in Central-Florida' / ' -I - \ . . .\.) PHDNE ‘ Spe lahzing Inr obile(Home JP,Stevens frIltiite,' . • • - efjoas & Insulated Aluminum-RO- ir , (813) 782-5585 ,./ , - '-- \ , , , , 7 .\. \-. (813) 973-7737 — RESIDENTIAL • COMMERCIAL MOBILE HOME , (352) 523-1944 _ f ' LICENSED - INSURED - BONDED . Lic.#RC 0031769 i • MEMBER OF THE CHAMBER . / 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. --, . , / '' ? , , -•■••., ,...., Name ., ..1.., Da , __ \ 17 .-) .,..-; ' ' ,' / ,) ‘ ,-; \----- r f ?'---- ' /•,_ __// \ / .-- r ''' / -7 / 7 ,-- _ / 7/ 7 Address ' \ ' t ---' ./ 7 — F7 7----- / Phone ----.---;') /.,-/ 'I -4- 7 7 / ,/ /' ,-" ; '-'' '' " 2I,W -,--- ....0-'141...:14.:4 :-.....it ., - L.=. L. , , , t L., . • :+7 .q ' .• '," ' .‘ MX • , e -71X-LY...: r- . ' 5.- _...- - 7 -- --e.--c '-' I \ , k , .) / \ \,... ' .., N, ... , , i , / ,7,- .—d/f -- Z / / 7 1 't 4 :, , , A 17, ,,,,,,,, . , 7 -------------------------- r/ e-c..., ,''H'.. ,.----"-- ---/----) i77 , i / j' 7 ('-') s'■- i \ N) 1 i j ■ *. ,,;,' \ .. ' N ) (t L / , \ \ & / 1 + / / \ \ r--- i.L - . / , I : /-.‘ / )%' t t- -, \ / , / • - ___, 7 i , E ,,, -,. U',1 ----) c17, 'reki) ii 7er B , / itEicing of entralfiL, Inc. /7" , / _ Li Sign / t/- ...", :Jr - ..r...),..,____\ , / ' ,--... \ ) f --- - / i- - ---_,,, -- \ \ .1,, --,,, J Ric aCci C. Bartlett ( , / fi : „_____1 ‘ THANK YOU . 7 ......---` ' ---1 _, _ ) 24 Business is Appreciateor (- 1 , rm.;a (,„1„.... , - / -'44?---- -- PaymeRtlatppktm I et II ral:C* previous arrygement made. Warrantte ifi to original owned i \ \ 1 ,;" i ' , All arran emen i i : . con n! - . nisi, e , a cad - ondel, . . • opd au:, !hirol. Owner to carry fire, tornado and other necessary insurance. xi 1 — Our worke - In ! , - ! , . , ■07 , ,111. - - , , nsil , !,, utlet is liable tor any charges incurred in collecting this bill ■ -. - ,;.1 , i • '---- ,( Rcktten wood is N. 35.01 per shee I 'Rotten fascia is $2.00 per linear foot. otai ,,),,,A - •,,, \_. _,,, \ \ L E G A L D E S C R I P T I O N : ASSESSED IN SECTION 02, TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA BREEZE RE ZEPHYR ZEP BE SUB PB 14 PGS 141 -142 LOT 22 OR 8262 PG 667 111111111111111111111111111111111111111111111111111111111111 2010037397 Rept:1294626 Rec: 10.00 DS: 0.00 IT: 0.00 NOTICE OF COMMENCEMENT 03/18/10 A. G i and , Doty Clerk PAULA S. O'NEIL, PASCC CLERK & COMPTROLLER Permit No. 03 OR BK0 8 PG of 1 Property Identification No. 0 Z" 2.4 " 21 - 00000- O L Z O 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. 1.Description of property (legal description:) e #4., - a) Street Address: (Si y 2- \ C l Y r . 33 2.General description of improvements: 47 t-1 9 ,5'C, I',-� -t 2eph vhit 1 S 3 Y r i5 t-tiN e bit Si1tr S 3.Owner Information , a) Name and address: \ ub‘oa vCJ - lee 1 e b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 116% tractor Information �" a) Name and address: l �xt (.x., � 30 O ES ro . 2 l `) ! _ 33 Z b) Telephone No.: Fax No. (Opt.) 1 f(C ( Er6 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 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(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): v WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMFNCEMENT 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 ' a • uukbe � Signature o er or Owner's Authorized Officer /Director/Partner /Manager y . �� Print Name The foregoing instrument was acknowledged before me this /1 day of ,*ste-1 , 20 /[), by as (type of authori e.g. officer, trustee, attorney in fact) for (name of party on beha • •- • i . jr-s.7 executed). Personally Known OR Produced Identification Notary Signa a file Type of Identification Produced Name (print) ', g� Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, 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. NOTARY PUBLIC -STATE OF FLORIDA O r/ Af t o ��''• Richard C. Bartlett Signature of Natural Person Signing Above FORMS/AUC,rvsd2007 A r Cum #DD878490 Win. , ,,. Expires: JULY 31, 2013 DONDYD TRRV ATLAMIC ammo G ca:. NC. STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WIT SS MY HAND,frM OFFICIAL SEAL THIS DAY 0 aC k PAU OalEiL,S4 & COMPTROLLER BY\L . -' �S .� CLERK