HomeMy WebLinkAbout10-10284 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10284
BUILDING PERMIT
FAVN Permit Number: 10284 Address: 6220 1 0TH ST
Permit Type: RE -ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02- 26 -21- 0080 - 00200 -0280
Improv. Cost: 3,250.00 a ;` 7 HI . °7
Date Issued: 3/24/2010 Name: SHOULT DORIS
Total Fees: 75.00 Address: 6220 10TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/24/2010 Phone: (813)783 -1444
Work Desc: ALUMIUMN REROOF
3 7 u a a� s'< i s g ; " a�:' >mi
ra
H. • •W - a '' E - - •• R I• IAL 75.00
K / ( 61-
• `•• IN -
TAPE OF INSr
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
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
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CON - • C OR SIGNATURE PERMIT OFFI 'R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1111111 11111 1111111111 11111 11111 11111 11111 11111 11111 111111 11
2010040325
Rcpt:1295700 Rec: 10.00
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03/24/10 C. C,
NOTICE OF COMMENCEMENT Paul q S. o'NEIL, PPSCO ook CLE & COMPTROLLER
03/24/10 01:02 m 1 of 1
G 1094
/ 0 2 OR BK 8Z4 P
Permit No. / 7
Property Identification No. L- ' Z(o -- 24 - 0a30.- GC'Z06 0 Z
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.
f01.Description of property (legal description:) .Ic 0 a2 aaaka1, t ,l/s .'Lnroc7..W- it 1 S.t- 02/
a) Street Address: /o R74 /6
.
2.General description of improvements: 6 6 iL,rri,crua-v
3.Owner Information �
a) Name and address: ' 1 -� /
b) Name and address of ee simple titleholder (if other than owner) .Cal ' + Z'�TP'1� "
c) Interest in property 3)f3 - 7t4 --/
4.8 ntractor Information •
a) Name and address: ssLti Gt . e44 1uiv
b) Telephone No.: Fax No. (Opt.)
5.Stty Information
a) Name and address: .
b) Amount of Bond: '
c) Telephone No.: Fax No. (Opt.)
6.Letlder
a) Name and address:
t Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name and address: - E.
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.: c- 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 W
COUNTY OF t ASCO 1p OZ`-!/ , 7 . A Q — U W
SS_ of Owner or Owner's Au OffixdnirectorIPwtner/Manager W N J LU
a., Dote, s L. 6 a 47`s- o m u_ _ J U
Print Name � Z U O w F- '. 0 Y
The foregoing instrument was acknowledged before me this 2 day of Mei C 20/0 by \ 1 a- C 0 O p - - N a , i v
as t (type of authority, e.g. officer, trustee, atto ey LL LLI, 0,1) O - a l
in fact) for (name of party on behalf . ' • om instrument was ex / r . O Q O
Personally Known OR Produced Identification ■ Notary Signa /wit Z ' O O L 0
CCC��� �' 1- ->-u- y
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s /i O: 1- Ec , .
Type of Identification Produced Name (print) ' A L L C 5 _ ' 0 = U ,
0' <F- F--...a�t 1 j � -i
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Verification pursuant to Section 92.525, Florida Statutes. Under penalties of per A{ t l > 'egoing and that OC � 0 , Q O ,
the facts stated in it are true to the best of my knowledge and belief. •= Omm� ission DD 621833 O 'cc rx u. Z n Z ri, ,
• 'P Expires December 12, 2010 LL v V 0 ...._ 0
' fir; Bonded Thu Troy Fain Inasenoe 800385.7018
Signature of Natural Person Signing Above 0 1— ZN� // ' ((( � /// 5 ') ,
FORMSINOC,rva� w 007 to < -1 t
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Pasco County Parcel: 02- 26 -21- 0080 - 00200 -0280 001 Page 1 of 1
Data Current as Of: II Weekly Archive - Saturday, March 20, 2010
I Parcel ID 11 02- 26 -21- 0080 - 00200 -0280 (Card: 001 of 001) I
Classification 1 01 - Single Family I
Mailing Address Final 2009 Value
SHOULTS DORIS L LIVING TRUST Ag Land $0
SHOULTS DORIS L TRUSTEE Land $21,168
6220 10TH ST Building $61,206
ZEPHYRHILLS FL 33542 -3546
Physical Address Extra Features $2,584
6220 10TH ST Market Value $84,958
ZEPHYRHILLS FL 33542 -3547 Assessed (Non - School Amendment 1) $84,958
Legal Description (First 4 Lines)
Taxable Value $84,958
See Plat for this Subdivision .1'"
TYSON SUBDIVISION
PB 4 PG 109 LOT 28 BLOCK 2
OR 3409 PG 1601 &
OR 7770 PG 1839
Land Detail (Card: 001 of 001)
Line 11 Use 11Descriptionll Zoning 11 Units 11 Type II Price Q Condition 11 Value I
1 II 0100 li SFR II 00R3 II 9,450.00 0 SF 11 $2.24 1I 1.00 I1 $21,168 I
Additional Land Information I
Acres II 0.22 I1 Tax Area II 30ZH II FEMA Code 11 X 11Residential Codell TYSBLP1 I
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1972 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 Concrete or Cinder Block
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line 1 Description
II . Feet 11 Repl. Cost New 1 1 BAS 1,306 11 $70,589 1
2 11 FSA 11 180 II $3,405
3
II FGR II 252 11 $5,459 1
4 FOP l 80 11 $1,081 I
Extra Features (Card: 001 of 001)
Line II Description Year I1 Units
I Value
1 I I DWSWC 1972 Il 200 $173 1
2 UDU -M 1977 I1 1 $ 1
1______ 3 U PVCF SF 2007 11 1,200 11 $2,328 1
Sales History
Previous Owner SHOULTS DORIS L 1
I Year I1 Month Book /Page 11 Type 11 Amount
1 2008 11 02 7770 / 1839 11 2 1
1 1995 11 03 3409 / 1601 11 WD 11 $54,000 1
1 1972 11 01 0592 / 0319 1 1 $3,500 1
http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng=21 &sbb= 0080 &b... 3/24/2010
813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021
Building Department 0 b
Date Rec } 6 --
Pho ne Contact for Permitting �"
Owner's Name dig Owner Phone Nu i t t 13 --- 3 / `/ C / A
• . ,
Owner's Address 41.9r.Z 0 /0 IA if z- LJ-4 41 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ((//
JOB ADDRESS P..0 1C.d LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I I NEW CONSTR al ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH
INSTALL REPAIR
/
PROPOSED USE 1 VI SFR I 1 COMM I I OTHER I
TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME I I STEEL I 1 OTHER I
DESCRIPTION OF WORK 0 PI A S - i C
BUILDING SIZE SQ FOOTAGE HEIGHT
I ( BUILDING $ _31.41 G7d VALUATION OF TOTAL CONSTRUCTION l3, D
I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY Il W.R.E.0
I I PLUMBING $
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 I IYES 1 INO
BUILDER f' /) - l l COMPANY Pi
SIGNATURE U 7 "� REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I 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 #
MECHANICAL COMPANY
SIGNATURE REGISTERED L 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 #
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 wl 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 IMPACTIUTILITIES 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, the job 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)
OWNER OR AGENT. 00 2 t5 L. 5/inK L f s CONTRACTOR LOolce r L Lf-
Subscribe And swo (or affir�; d) b- Yre me is Subscribed a d sw t affirmed)ppfor / Ate
3-16 by 411" Lei..., . by ' riGCa�
Who is /are persoM known to me or has /have produced Who is /are persona y known to me or has ave produced
L,ltZA9�. as identification. �t C �-+� Sc as identification.
t INE BODES Notary Public Notary Public
JACQUE
lt` C0m Ission DD 621833 44%.144, y JACQUELINE B OGFS
Commi6 i Q Da et 12, 2010 Commission Noir 6
A' % wires .�„ti ,N CU m(sslon DD 21833
�.. �TMUTraP " rF �'.�. Expires : � � • fain '
��Pr ^� December 12 2010
Name of Notary typed, printed or stamped Name of Notary typed, prin o�r!"' 70+a
DISCLOSURE STATEMENT .FOR OWNER
CITY OF.ZEPHYREII S BUILDING DEPARTMENT
:b-)ft; S !, , ;S/h); 2 4s have read and fully understand and
agree to the provisions of this instrument.
The undersigned. states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, • that he or she
actually occupies, said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and.. he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and Codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall reguuire corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect_ supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice - to pay additional fees..
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one - family or two - family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you .built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not.
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning re - ations. l
OWNER'S SIGNATURE f �:. �/. ' DATE 0 ' /� - / a
ADDRESS /5 Q i / Wl. AIMMOMM
PHONE &Y. - 78-3 - / «
WITNESS PERMIT #
................:.. .
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: KNS S4 1?
Date Received: /5
Site: b 2-2-o /ae
Permit Type: a
Approved w /no comment • Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comment sheet sh. 1 be kept with the permit and /or plans.
At �i 3' 7 V
Kalvin :witz r Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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