HomeMy WebLinkAbout11-12269 CITY OF ZEPHYRHILLS
5335 - 8TH STREET '
• (sis)�so-oozo ��g
BUILDING PERMIT
Permit Number: 12269 Address: 38349 EVERGREEN VILLAGE DR 1-9
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: 02-26-21-0010-05300-0020
Improv. Cost: 22,700.00
Date Issued: 8/17/2011 Name: Z-HILLS LTD
Total Fees: 150.00 Address: 38349 EVERGREEN VILLAGE DR 1-9
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/17/2011 Phone: (863)647-1581
Work Desc: REROOF SHINGLE APT 1-9 (EVERGREEN VILLAGE DR APT)
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TAPE JOINTS R� F INS� �
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 fauity construction c) repairs or corrections not made when insp�c,tions called d) work not ready for
inspection when called e) permit not posted on job site fl 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CON TOR I TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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2011127953
NQTICE QF COMIVIENCEME�TT
STATE OP Fi.OR3DA COUN?Y OF ��Q..,����_
'�'HE UNDSAS�Gi�n tse[�eby gives notice fhat iraprovement wilt be made to certain real pmperty, and in accordance with
Chapter 7I3, Florida Staiues, the �'aUa��ng informatitin is pmwided in this Notice of Cominencement
1. ' n oFP o : Parce3 No. . ' � ` • �I � � � � �� �
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2. General Description of Tmprovemcat: PG�� CJI T fl�tlY �E� — ���UUT
3. OwnerInfo tien: Name: � � PC�
Address: ' J
eity stace L zip coae _ Sol S a
' Iiuerest in Property;
Naiae of Fx Simple Tittleholfler: � ��
If other than owner: A,ddress: W N c1
City � • • �
State Zip Code �' �'
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4. Contractor: I�p�j !� �-Y1 C• � ��) � O rJC�_ �
Address: 541 S. 54 h h'i L 335 '"' � w
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5. Surety: Name PttA Phane # N
Address
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� S�� Zip Code � �"+
Amount of Bond: $ c � �
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6. Ltnder: 3�Tame _ J�I1A Phone # �` ��
Address I�n O t+
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Zip Ca3e p �
?• Petsons within the State of Florida designated by owaer upon wbom notices or ather documents may be served as � �
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provided by Sedion 713.13 (i) Ca) ('�, Fiorida 3latutes: '�
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Addrsss .--
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State Zip Code �
8. In adcfirion to himself, Owner designates: �T/A
of phaae # tQ receive a eopy of Ihe Lienor's IVotice as
provided in section 7i3.13(Ij (b� Florida Statutes.
9- Expiration dat,e of Nqtice of Commenceu�ent (the exgiration date is one (�) year from thc data of recotding uniess a m�
diff'tsent date is specifiec}.) � � D
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wARNII�SCs TO OWNER: ANY PAItMFNfS MADB SY'['HE OWNER A.FTER TBE EXPIFZATTCIN iaF THE � ��
NOTICB OF COMMENCEI�rt�t3'T' ARE CONSIDERED L.'v�ROPE12. PAXM�NTS UNDER CHAP'T6R 713, 7 ��•• o
PART I, SECTIOIV 7t 3• l�, FLORIDA STATUTE,S, AIdD CAN RESUT,'�' IrJ yOUR PAYING TWICE FOR ''� z
IIVIPROVEMENTg Tp ypUR pROPERTY. A I�IOTTCE OF COMMENCEMENT MiJST BB RECORUED AND �'"" "
POSTED pAT THE JOB Sl'IE BEFp12� T� gIItST IlVSPEGTION: IF YOU Tt�l'IEND TO OBTATN ( f �" �
FINANCING, CONSULT WITH YOU'�2. LENDER OR AN ATTO1tNE� BBFORE COl'v.LMENCII�G WORK pt� �� o
RECORD2NG YO Ql CB OP C lvlME.'NCEMENI'.
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COUIVTY OP O �m
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The forogoing instrument tivas acknow{ecl�ed Uefore me this da of �`�'�� It , �~ �
to me or who produced i t�c 'on, and who d'uVdid not take oat (pleasa circle wh� �+ �—' ��"`� �onally known �'
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Notary Public� , . , � - �,•,,`'��,, �
�Y1y Commission Lxpires: ,� a ��. ��., r
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Under penalties of e u I deelare that I fiave read the foregning Notice of Commencement and tiiat t6e A
P �1 rY, � �� �
t' tn jhr est of my tedge and belief. r ,��� �
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M ._ ?oy .nr%� s � :N,,,��, Publiq S 1�1 Flori�a
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�iT"A'C� dF FLORIDA, CQUNTY QF �,SCO.,
Thl l� {S �'� CERTIFY THAT THE FC1F2��OING �i� A
TRUE AND CORR�CT CO�Y OF THE,{�
ON FILE OR OF PUBUC RECORD il� 1"�t�5 C1�FIC�
WIT �S MY HAND AND OFFIC1 �. SEAL TWiS -
�`- DAYO� U l� ��
PAULA S O'NEIL, CLE K 8 C MP��2flC�ER.�
BY � �^ .P.��^'� DEPUTY CLERK
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A Division of Ryman Construction, Inc.
License # CCC 1325505
August 17, 2011
City of Zephyrhills
Building Department
Subject: Ryman Roofing
Letter of Authorization
CCC 1325505
To Whom It May Concern:
I hereby authorize Holly Hopper to pull permits on behalf of Ryman Roofing Inc.
Cordially�,,,_._
� �
President
License Holder
Sworn to and subscribed before me this 17 day of August, 2011. Kevin L. Ryman is
personally known to me.
Notary: G''� �%/ • �G•� �ci'
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Stamp:
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; �?°�� r P` ��c;' ; Notary ubl St t H of F oRida
. ;.: My Commission Expires Apr 4, 2012
"-;� �= Commissfon # DD 740169
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.�,�.�.• Bonded Thrqph Natlonal Notary Asen.
36413 SR 54 • Zephyrhills, Florida 33541 • Telephone: 813-782-6094 • F�: 813-788-6773
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813-78U-UU2U City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Rec�ived � ��� _ �
Phone Contact for Permittin �
Owner's Name � � Owner Phone Number �� y�
Owner's Address �. .� S� �wner Phone Number
33�ar�. sa�a
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titlehoider Address
JOB ADDRESS W "� �u � � � LOT # �
SUBDIVISION , PARCEL ID# � � . �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � IGN��� Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM C� OTHER I_
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL []
DESCRIPTION OF WORK ��p,,,,�' tj - �1 (ZQ - {� (,f ��T t S�� �`, `-� .
BUILDING SIZE SQ FOOTAGE c � S HEIGHT �—�
BUILDING $� , •� VALUATION OF TOTAL CONSTRUCTION
0
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANiCAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS ,� ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/ N
Address License # �_ — 1
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY VY�J'1 Qfii(1 �C �
SIGNATURE REGISTERED Y/ N FEE CURRE� / N
Address S� �� hi u �j�j� � 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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Buildi�g 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 constructlon.
Directions:
Fill out appiication completely
Owner 8 Contractor sign back of application, notarized
if over E2500, a Notice of Commencement is required. (A/C upgrades over a7500)
"" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/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� cer#ificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees a�e 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'SIOWNER'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 alt 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 t 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, WaterlWastewater 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 ce�tify 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 a�davit 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 fo� 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. 7.03)
OWNER OR AGENT CONTRACTOR
Su scnbed and s�( �to `or affir,r�e fore me t Subscribed and swor�to or a before thi
,�- f7-t � by nD�` ` r J'� f by tf` �� '� P.P-��
Who islare personally known o me or haslhave produced Who is/are pejsonally known to me or has/have produced
L, , �,.� as identlfication. .� : z��—• as identificatlon.
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.��' ",' � � tary Public � Notary Public
Commis *� �'' ��� # EE 0405 � Commissio _* L JA� # EE 040520
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Name of Notary typed, printed or stamped Name of Not , amped