HomeMy WebLinkAbout11-12304 CITY OF ZEPHYRHILLS
5335 - 8TH STREET r
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BUILDING PERMIT
Permit Number: 12304 Address: 4908 COTTAGE 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: WINTERS
Est. Value: Parcel Number: 14-26-21-0000-00200-0000
Improv. Cost: 7,488.00
Date Issued: 9/01/2011 Narrie: WINTERS MH PARK
Total Fees: 112.50 Address: 38022 WINTER DR
Amount Paid: 112.50 ZEPHYRHILLS FL 33542
Date Paid: 9/01/2011 Phone: 8137838964
Work Desc: REROOF W/PLY MEMBRANE
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REINSPECTION FEES: Reinspection fees will compiy 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 con�ections 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 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 property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Speci tions Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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C NT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�,� �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ontractor/Homeowner: ��( ��� �a ����� �� %
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Date Received: � ' �' 1�
site: �D� C� � �` e .S�
Permit Type: � � �1 � ��/ � �� ���
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
-� �
K vi Switz — lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �� � Phone Contact for Permitting 1 ��-� V ��- —�� 1 �
,p,c1 / ) ` � 5 r /" �V 1 Q 3 .... � ` �' -
Owr�er's Nam'e � 1 - l`�� 7 ��^ L L! �� � v v� Owner Phone Number
Owner's Address "�` t �` V C ��� ��� s� ��t �fl VT� �`�'4/�wner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �'t` 1✓ C"t�' 1 1 �`�' � v T t '�- ��� v` '�I ���� LOT # ��
SUBDIVISION W % /� l � l�� /�, I?'.� . PARCEL ID# r �'i" � �"� �—� I•— �`!�'`�" � � �.z �� — ���1'V
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CoNSTR 8 ADD/ALT 0 SIGN C] [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER '
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK �l � (� �+'�' � � � . { • ��' �N v �`" ' � � ; � �` � �
BUILDING SIZE � SQ FOOTAGE � r HEIGHT �'fJ /
OBUILDING ��? �` VALUATION OF TOTAL CONSTRUCTION
1
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�MECHANICAL � VALUATION OF MECHANICAL INSTALLATION
�GAS d ROOFING Q SPECIALTY �J OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERE� 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/ N FEE CURRE� Y/ N
Address License # �— �
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address � � License # � �
SI� E � ' ? �' �/ � COMPANY �,LL �l!/C ��I G'V �/9 ��C,\ �'��liO � ��� .. .
RE ��'' " � � REGISTERE� Y/ N FEE CURRE� Y/ N
Address (�v'.S � 14 G( �� �' �i %G �' �b'��'e� Z`f '�I J C,LC/a R t� f1 � # C �C ��� 74 � �
t � �S 3 ? �'�
RESIDENTIAL Attach (2) Piot Plans; (2) sets of Building Pians; (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 fo� 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/ Silk 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 requi�ed for all NEW construction.
Directions:
Fill out application completely.
Owner 8 Contraetor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
"* 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 if shingles Sewers Service Upgrades A!C Fences (PIoUSurvey/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 n►
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 requtred by law, both the owner and contractor may be cited fo� 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 Nealth 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 shalt 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 NOTIC OF COMMENC�I�AENT MAY RESULT IN YOUR
PAYING TWICE F IM RO MENTS TO YOUR PROPERTY. IF U TEND TO TAIN FINANCING, CONSULT
WITH YOUR LE E AN ' ORNEY BEFORE RECORDING Y O CE O. OMMENCEMENT.
FLORIDA JURAT (F. 1 �,. s °
..{ ; .
� �t � % �
OWNER O AGENT . � CONTRACTOR
� U¢ bqd a�nd swbm ' j forg crib and swbm for R1is •
c'� ZZ / / i b (� by � l.ft-,
o i�e..pswssnaNy'krTO r as/have produced Who is/are,personal y.�c.r.�v!m to me o_ r h�a�,s/have produced
` �" as Idendfication. � -'�� ��� as identification.
�
Notary Public Notary Public
Commissl n No. Commission N
,�,.�,�...,....,......�..��
� ' � cAIL ZUPKO
Q �, h, tam Name of Notary typed, printed or stamped �'� � r ��° v MY COMMISSION # DD 9793G0
,, •* ta �Y C���SSION # DD 9�936o pe '�; „o = EXPIRES: July 4, 2014
�*' �(pIRES: JUIy 4� 201 ��, ;.�;:� Bonded 1'hru Notary Pub{ic Underv+riters
'-� �"� N� pubAc Underwriters
'+. d;� Bondedlluu azY " . '"�'
o� � r.•
NOTICE OF CoMMENCEMENT IIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIII
Permit No: 2011130483
Tax Folio No:
Rcpt:1384594 Ree: 10.00
DS: 0.00 IT: 0.00
� 08/22/11 C. Cook, Dpty Clerk
To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713.13 of the Florida Statutes, the following information is stated in the NOTICE OF COMMENCEMENT.
1. Description of property: Street Address: '1' l �" U ���T� � l �f 1
� +C '
Parcel ID: - - % - �- � � •�Q� � //�/�l�.f /'� y,�
2. General description of improvements: � C� Q Q�
3. Owner's Information: Name & Address: 7`! � � � /�T� � , � � �J�L '4 `� �J� L0�34 �� �
Interest in Property: , Q _� ' / L+,r� �L J 7 ����
Na e a Address of fee sim le titleholder (if other ha owner)
ec;�i��`f ��(' r�' . P. /•v c. 2 i�/ r��E � .�K
, �,��c� �,c 33 S� �Z - S"S 4�
4. Contractor Information: � All Florida Weatherproofine & Construction, Inc. �,ts ��� � 4�'
13555 Automobile Blvd.. Suite 410 • Clearwater, FL 33762 �� ��� �
Phone: 877 572-1 Ol9 Fax: 727 573-1205 ��; ���� �� �� �
5. Surety Information: Name & Address:
Amount of Bond:
6. Lender Information: Name & Address:
7. Identity of person within the State of Florida designated by owner upon whom noti es or other documents may be served:
Name & Address:
8 In addition to himself, owner designates the following person to receive a c y o�' Lienor's Notice as Provided in Section 713.13 (1)
(b), Florida Statutes: Name & Address:
9. Expiration date of Notice of Commencement (the expiration date is 1 year om the date of recording unless 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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
ivOT10E OF COMMENCEMENT MUST EE RECORDED AND POST�D ON THE JOB SITE 3EFORE 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 � C n ] 0. � �Q�.(�� L,L'�"`"
County of � �C1 Signature of Owner or Owner's Authorized Office/Director/Partner/Manager
.�:�:--• GAILZUPKO '� � ��'� i� � . � � E !� �
:�� �;:
;.. .= MY CAM�USSION � DD 979360 Print Name
��, �g= EXPIRES: July 4, 2014
�•�;qF ��'� Bonded Thru Notary PubNc Underwriters
The foregoing instrument was acknowledged before me this �� day of �� � , 20 r � , by ��+/J L ��� A�
J� C/T � as � 1✓✓�C✓ �� (type of auth ity, e. officer, trustee, attorney in fact) for
/� (name of party on behalf o whom ins rume �t w� execu d).
Personally Known OR Produced Identification � Notary Signatur
Type of [dentification Produced `� • � � Name (print) ,
---AND--
Verificatiun pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I ha�e read the foregoing and that the
facts stated in it are true to the best of my knowledge and belief. C ��� �, ���
PRULA 5 0'NEIL PY D PF15C0 CLERK & COMPTROLLER
08 R2BKl 01_5�� 1 �� Signature ofNatural Person Signing (in line #10) Above
$5 3
PRODUCT APPROVAL SPECIFICATION SHEET
As required by Florida Statute 553.842 and Florida Administrative Code 9&72, please provide the i�ormation and approval
numbers on the buiiding componerrts listed below if they wili be utilized on the construction project for which you are applying
for a buiiding pennit. We recommend you corrtact your local produd supplier should you not know the product approval
number for an of the a licable listed roducts. Statewide a roved roducts are listed online www.floridabulldin .o
/Su o Manufactur+er Product Descrl on A rovalNumbe s
'1. EXTERIOR DOOR3
A. SWINGING
B. SUDING �
C. SECTIONAUROLL UP
D. OTHER
2. WINDOWS
A. SINGLE/DOUBLE HUNG
B. HORIZONTAL 3LIDER
C. CASEMENT
D. FUCED
E. MULLION
F. SKYLIGHTS
G. OTHER
3. PANEL WALL
A. SIDING
B. 30FFITS
C.STOREFRONT3
D. GLA33 BLOCK
E. OTHER
4. ROOFING PRODUCTS
A. ASPHALT SHINGLES
B. NON�3TRUCT METAL
C. ROOFING TILE3
D. SINGLE PLY ROOF � � � � p� � , O
E. OTHER
5. STRUCT COMPONENTS
A. WOOD CONNECTORS
B. WOOD ANCHORS
C. TRUSS PLATE3
D. INSULATION FORMS
E. UNTELS
F. OTHERS
6. NEW EXTERIOR
ENVELOPE PRODUCTS
A.
The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of these
products, the following information must be available to the inspector on the jobsite; 1) copy of the product approval, 2) performance
characteristics which the product was tested and certified to comply with, 3) copy of the appiicable manufa�turers installation
requirements. Further, I understand these products may have to be removed if approval cannot be demonstrated during inspection.
- � �a� /l
PLI AN SIGNATURE DATE
R-1305 01-04
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---.� Page 1 of 3
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