HomeMy WebLinkAbout11-12291 CITY OF ZEPHYRHILLS ' �
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� 5335 - 8TH STREET
(si3)�so-oo20 12291
BUILDING PERMIT
Permit Number: 12291 Address: 5352 23RD 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00500-0070
Improv. Cost: 3,790.00
Date Issued: 8/29/2011 Name: WILES, ROBERT
Total Fees: 82.50 Address: 5352 23RD ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 8/29/2011 Phone: (863)838-8266
Work Desc: REROOF SHINGLE �,�-, ,� �,�
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TAPE JOINTS OF INS�]
FINAL J��`a -�� f
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 � 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 properly 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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
L E G A L D E S C R I P T I 0 N: �
ASSESSED IN SECTION 12, TOWNSHIP 26 SOUTH, RANGE 21 EAST ��
„ PASCO COUNTY, FLORIDA V
ZEPHYR HEIGHTS 1ST ADDITION PB 8 PG 21 LOT 7 BLOCK 5
OR 7675 PG 387
I I II II I I I I I I� I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
201 1132437 IIIIIIIIIIIIIII
NOTICE OF COMMENCEMENT
PermitNo Rcpt:1385186 Rec: 10.00
DS: 0.00 IT: 0.00
1 � „ � l � 08/23/il C. Cook, Dpf.y Clerk
Properiy IdentificaUon No. �Ql�Q .•D�y/,y�..D07Q
T'HE UNDERSIGNED hereby g�ves notice that improvements will be made to certam real property, and m accordance with Sect�on
713 13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT
1 Description of property (legal description :)
a) Street Address S� q� �,� *�, c r r o ,- � �,
2 General description of improvements. '�"��' S ' FT �� 5 �
p r � #�e � s � b ��
3 Owner Information
a)Nameandaddress Robert Wiles 5352 23rd St.Zephyrhills, FL 33542
, b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
ontractor Information
! a)Nameandaddress. A Bartlett Roofing 38408 3rd.Ave. Zephyrhills, FL 33542
b) Telephone No • — — Fax No (Opt.) —
5 Surety Information
a) Name and address.
b)AmountofBond PRULA S 0 'NEIL,Ph D PqSCO CLERK & COMPTROLLER
c) Telephone No. Fax No. 08/25/11 �1�7am 1 of 1
6 Lender OR BK g0 p� 1591
a) Name and address
7 Identity of person within the State of Florida designated by owner upop whom not r es or other documents may be served
a) Name and address.
b) Telephone No Fa�c No (Opt.)
8 In addition to himself, owner designates the following person to rece�ve a copy of the Lienor's Notice as provided m Section
713.13(1) (b), Flor�da Statutes:
a) Name and address.
b) Telephone No Fax No (Opt.)
9 Exp�ration date of Notice of Commencement (the expirat►on date is one year from the date of recording unless a different date is
Specified)
WARNING TO OWNER: ANY P�IYMENTS MADE BY THE OWNER AFTER THE EXPIRATIOIY 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, CON UR L DER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE O OMMENC ME I
STATE OF FLORIDA ( �
COUNTY OF PASCO �
� ,��
Si atu e of O or Owne s Au horized fficer tor/Partner/Manager
Prm N e
The foregoing instrument was acknowledged before me this � day of 20 ��
as � Y
in fact) for name of a pe of authori e. . officer, trustee, attorney
( p rty on behal f hom ' s ument w ex
Personally Known OR Produced Identification
Notary Sign
Type of Identification Produced Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under p alties of perjur cl th I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
NOTARY PL'BLIC-STATE OF FLORIDA � °' F`
� ""' •; R.ichard C. Bartlett
FORMS/NOC,rvsd2007 . COIDIIIISSIOD #DDH�S4�II Signature o a e ���;�; ,
=,�,; �'�TIFY THAT THE FOREGOING IS A
.,,, ,.• Fxpires: NLY 31, 2013 TRUE ,4ND CORREGT CbPY OF THE DOCUMENT
BONDEDTHRIIATI.A,\"1TCBONDQ7GCQ,INC, ON FILE OR OF PIJB�lC RECORD IN THIS OFFICE
IviTNE S MY HAND NQ OFFICIA �EAL THIS
PAUL� DAY 0� c" _ 2 ,'r1 �/
A�S O'NEIL, CLE � & COMPTROLLER
BY /
C =�_ uER�;�v CLERK
813-780-0020 City of Zephyrhills Permit Application ] Fax-813-780-0021
Building Department �( Z Z 1
)ate Received � ph e Contact for Permittin —
)wner's Name � Owner Phone Number
)wner's Address � �— Owner Phone Number
► � 'ee Simpie Titleholder Nam . Owner Phone Number
'ee Simple Titleholder Address
IOB ADDRESS LOT # �
iUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
NORK PROPOSEO e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
�ROPOSED USE Q SFR Q COMM � OTHER
fYPE OF CONSTRUCTION Q BLOCK FRAME �] STEEL Q
JESCRIPTION OF WORK
BUILDING SIZE SQ F GE �� HEIGHT
OBUILDING $ Q ��qTION OF TOTAL CONSTRUCTION
DELECTRI L $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�
1 �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \ �l�
lJ
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' Lice�se # �— —�
ELECTRICIAN COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # —�
PLUMBER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # r �
MECHANICAL COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address L' nse #
DTHER (C���` COMPANY
51GNATURE ��� REGISTERED FEE CUR E� Y/ N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Build�ng Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpste�; Site Work Pem►it for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fonns. 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 8 1 dumpster. Site Work Permit for all new projects. All commerGal requirements must meet compliance
51GN PERMIT Attach (2) sets of Engineered Plans.
""*PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out application completely.
Owner 8 ConVactor sign back of application, notarized
If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ov►mer authorizing same
DVER THE COUNTER PERMITTING (Front of Application Only)
�eroofs if shingles 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 pe�mit may be subject to "deec�" 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, wili 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
finai 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 pr(or 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: 1 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 aiso
certify that I understand that the regulations of other government agencies may apply to the intended wo'rk, 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-Seawaiis, 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 foilowing 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 oniy 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 fiil, 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 electricai 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 Buiiding 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 is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive day he job is considered abandoned.
WARNING TO OWN : YOUR FAILURE TO RECORD A NO E OF MMENCEMENT MAY RESULT IN YOUR
PAYING TWICE F EMENTS TO YOUR PROPER . 1 YO TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR OR ATTORNEY BEFO EC DIN Y R NOTICE OF COMMENCEMENT.
FLORIDA JURA . 17.03)
OVYNER OR CON C R
Subscribed to a ) be e m is Subs and s, o(or afflrmed� re me this
Y
Who i r onal to me or a ave produced Who /are personally knovwr to me or haslhave produced
as 8flca8on. as identification.
Notary Pubiic Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary ryped, printed or stamped
�. ��r#l�e## ��r�a�i�.� (�� C��e�t#r�tl �'�.uri.��, �n�c.
C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida OFFICE
Specializing in Mobile Home JP Stevens White Rubber Roofs PHON E
& Insu/ated A/uminum Roof Overs (813) 782-5585
(813) 973-7737
RESIDENTIAL • COMMERCIAL • MOBILE HOME (352} 523-1944
LICENSED - INSURED - BONDED Lic. #CCC 1325499
• MEMBER OF THE CHAMBER OF COMMERCE •
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapet, Land O' Lakes and Sur oundin Areas
We have re-roofed or repaired more roofs (16, 000) in the pasf 36 years, than ti►e four local leading mofing c panies c mbined.
.
Date � �4 l
Name
Address � r
Phone �
DESCRIPTi�} AMCQU�JT
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President & O er Bartlett fin f Centr Inc.
Sign• -
Richard C Ba ett
THAIVK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warra es pertain to original owner.
A Bartlett has to be notified of leaks within 30 days
All arrangements contrnqent upon strikes, accidents or delays beyond ou� conlroL Owner to carry fire, tomado and other necessaiy insurance.
Ourworkersarefull y coveredb y Wor kmen'sCompensationMsurance.Customerisliableforanychargesincurredinco/lectingfhisbill. /�� �
Rotten wood is an extra $35.00 per sheet (4-ply) Rotten fascia is $2.00 per linear foot. TO�I `
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: f��T" � � y-1
Date Received: � - � t�L _ � �
Site: J� � `j Z � � �S;
Permit Type: � �"� �� ��
Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be ke t�vith the permit and/or plans.
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Ka in 'tz lans Examiner Date Contractor andlor Homeowner
(Required when comments are present)