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Home My WebLink About11-12507 � • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3)�so-oozo 12507 BUILDING PERMIT Permit Number: 12507 Address: 5116 17TH 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: 11-26-21-0010-20200-0140 Improv. Cost: 4,750.00 Date Issued: 11/07/2011 Name: BURDGE, PATRICIA Total Fees: 60.00 Address: 5116 17TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/07/2011 Phone: (813)319-1000 Work Desc: REROOF SHINGLE � �r �" �D� i^ �� l`n ,- �. ; TAPE JOINTS ROOF SP FINAL � � �-/ Z 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 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 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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , Building Department Date Received a s �-- Phone Contact for Permittin _ Owner's Name 1�� f � �' Owner Phone Number Owner's Address �11(Q ( 7 � h �t Owner Phone Number � Fee Simple Titieholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �( � 1 t � �'a" � � t �i�� ( LOT # � SUBDIVISION PARCEL ID# � Z fp'' Z, —bot a_Z oz��v.— v� ya (08TAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CONSTR B ADDlALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � r DESCRIPTION OF WORK 1'DO �k 2 O s w G� 7 ,,,,�,��-� . h�f BUILDING SIZE SQ FOOTAGE�� HEIGHT QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION �� ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ ,.-'� MECHANICAL �//�� '/ 0 $ VALUATION OF MECHANICAL INSTALLATI � [�GAS � ROOFING Q SPECIALTY [� OTHER FINISHED FLOOR ELEVATION 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/ N FEE CURRE� Y/ N Address License # � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP Y/ N Address License # �— OTHER COMPANY Zc /T r� C Q r. .� � SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N Address 1� � � a v� � I'L h � License # CC c c� S� �g L � 7� 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) vwrlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Fadlities & 1 dumpster; Site Wo►k Permit for subdivisionsAarge 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 construcUon. 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 commercial requirements must meet compliance SIGN PERMIT Attach !2) sets of Enqineered Plans. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC�oVh R onst uati of ne b ud ngsnc�hange of that Transportation Impact Fees and Recourse Recovery Fees may app y use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numlier 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"ce�tificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or fina l power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accorda�ce with applicable Pasco Coun ty or dinances. 500.00 or more, I CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a of he a F orida Construct on L en Law—Homeowner's c e r t i f y t h a t I, the a p piicant, have been provided with a copy Protection Guide" prepared by the Florida Department o f Agricu l ture an d C o n s u m e r A ff a i r s. I f t h e a p p l i c ant 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 acc�trate 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. ress Ba heads, Wetland Areas, Altering - Southwest Florida Water Management District-Wells, Cyp Y Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. . Fede�al Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of �II is not allowed in Flood Zone "V" unless expressly permitted. _ If the fill material is to be be submitted at t me of permitti g wh ch is p epared a neer "compensating volume" will 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 wal 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 anydve sel affect adjacent propertiesf I the '' owner may d for vaolat ng properties. If use of fill is found to a Y the conditions of the building permit issued under the attached permit application, for Iots less than one (1 acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, � P�o ��S ��understan thatna�separat permit may be requ ed for c I work, this a ff i davi t pr i o r t o c o m m e n c i n g c o n s t r u c t i plumbing, signs, wells, pools, air conditioning, gas, or other installations no t sp e c i f i c a l l y i n c l u d e d i n t h e a p p l i c a t i on. permit issue d s ha l l be c o n s t r u e d t o b e a l i c e n se nor shall ssua a pe mitp even t t he B u i d i n g O ff i ce a � f r o m t h e r set aside any provisions of the technical codes, requiring a correction of errors in plans, constructi within s z onths of perm t p sua uo aif wo auth e ed by unless the wor k au t ho r i z e d b y s u c h p e r m i t i s c o m the permit is suspended or abandoned for a Pe ��Offic al foga per not to exc t n'nety r (90) days and will demo� trate may be requested, in writing, from the Building gp consecutive days, the job is considered abandone justifiable cause for the extension. If work ceases for ninety () � WARNING TO OWNER: YOUR FAILURE TO RECORDE TM T�F YOU INTENDETO OBTAIN F NANCSNG, CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 03) CONTRACTOR pWNER OR AGENT Su crl��s�m to (or affirmed) before me this Subscrlbed and swom to (or affirmed) before me thls � 7 by by Who Islare personally knovm to me or has/ha�ventlfica8on. Who isjare personally known to m as identlfiptio� `�± � � Notary Public Notary Public . Co m' sion N �""""'• , Commission No. :;. ;:� Commission # EE 040520 Name of Notary tyPed� Pri�ted or stamped Name of Notary , .8�°d"""�CB�� v _ - / . � � . v � � _ .. � i " �h � ' ll � , s��t c��e.� � 1 '(��J�S�.��i(�I'1�C'��' .a�a.� i ��c�u•�uu� ;� ' �� `��c. �='.O. 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A� agreements �or��ingen UNJ1F!f1kN5, SGGid6n:9 or 1r{a��g `---- �---- --- —'----- � bayord nur conlr�f. �,7�•mer to c�arry Gre, IOT,9dC Bnd Olhpr �2;;g; S:!ry .rleuranco 4fficerlqger?t ;COt 8iackm�?� Fippfi�?;� �r? k o be iaker� W o r b� Poullr��t;onua�uc ��x o Id be tioce; rr��s G D:a! illbly IJ6 Wllf'Gf�Wrl b� �S 'f rtcat �oCept�d , uaed cludn� ani! fl(Iw connlru4ilon �m daLrls and naNs ntlssad during _— lNHY1I!'! __� � yc i clea 4�i .�, � _ t�F PRO�t?SAL _ --_.__.------._______.__ _.__ i ��Tt�:e abova rices, sp�clilcations �r�d cond;�ions arF sati�factory snd are ri6;eb ac�� ted 'Yu� ;�re ��i��; ��r��: 1c ct tt�E W�Clc a J i � � s,��citi�+d. I fa��e raa; tha b s�CK DI f�;IS F�f!)�Jpg�!!(;p�}�raCt �n,hic1� ct:rtair�� F!c;;;da ��tati.:e 7 1;.pG1-713 3� , F�ayment �J �!I �� riiade a� � i ��ulline�;�t�ve. C�ie r; ;�it p�'friliSSl:�(i 1�,� �CfV� U� d�i �revray �o deiiver materia�� ', �cce�t!�� l� ri�, �� f�. ' �� -� �f. ' � � �� '�� , , ��,�--ce-t��.___ SI,G,nalure l. �r_,r�_ � I C'ate __.. _�/�� .J �� ---- � `',�, ��-..--_.__...__._______--------- Signature,_ � � � � _ , ------- -- � w.----�--. -- ----- ----------- � ------ --- ----,----� 1 i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2 011180200 Rcpt:1400013 Rec: 10,�0 DS: 0.00 IT: 0.00 1 1/18/11 C. Cook Dpty Clerk NOTICE OF COMMENCEMENT � Permit No PqULR S 0'NEIL,Ph D PASCO CLERK 8� COMPTROLLER 11 0R BKl �6�� P � o 5�2 Property Identification No �� 2(0- Z�- QOI� -/l� ` J�,��1'O THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and m accordance with Section 713.13 of the Florida Statutes, the following mformation is provided in this NOTICE OF COMMENCEMENT 1 Descriphon ofproperty (legal description :� Z k Pd! Pl,S�f L�/y�a/,S'(�l.kzat oQ 3oa P �, �� a) Street Address • � � �- � � � f , � 2. General descriptian of improvements; O ` 'i � w� � K 3 Owner Information }, a) Name and address 4'/'t �C � 9�v rp� f� �, /� y��f.�, `� ��j 3�� , b) Name and address of fee simple titleholder if other than owner) c) Interest in property . Contractor Information g a) Name and address „ s(,o f h�v �j� �, � 3��a S�Z b) Telephone No.: _? . y. S� -- 7 G(e � ' p0(f �i� ��ic' /�, h/�� 5 Surety Information V Fax No (Opt.) 3S'Z S&�- 7 Qv (r -� ' �� fZ 5- a) Name and address� b) Amount of Bond: c) Telephone No, Fax No. 6 Lender (Opt.) a) Name and address 7. Identity of person within the State of Florida designated by owner upon w om noti es or other documents may be served a) Name and address: b) Telephone No 8 In addition to himself, owner designates the following person to receive � apy of the Notice as provided m Sechon '13 13(1) (b), Florida Statuies• a) Name and address . b) Telephone No . Fax No. (Opt.) 9 Exp�ration date of Notice of Commencement (the expiration date is one year_from the date of recording unless a d�fferent date is Specified). WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS i1NDER CHAPTER 713, 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 _ �. S ign re of Owner or Owner's Authoriz �cer/Director/Partner/Manager �-1-nZ; � � �d Print Name The foregoing mstrument was acknowledged before me this �day of ��U ' as �� r , 20 �, by Pu �r�Ci� g�✓� in fact) for (type of authority, e g. officer, trustee, attorney (name of party on behalf of whom instrument was executed} Personally Known � OR Produced Identification Notary Signature Type of Identification Produced Name (prmt) �(�� i� � Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregomg and that the facts stated in it are true to the best of my knowledge and belief. ' cz. Q FORMS/NOC,rvsd2007 Signature of Natural Person Signing Above ��kL Nota Publir. i p� p �'4� N Public State of Flo ' i�� ' �' State of Florfda . 3cott lackman . Scott C Blackrnan � �� „ ;��,,,_ � � MY Commission DD796572 796572 or� Expires O6H0/20+2 or E "'= � _ � ? �° °<.s4.,�r, a,,�� •. .. h� ,-r STAT E af� FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE ANQ CORRECT COPY OF THE DOCUMENT ON FiLE OR OF PUBLIC RECORD IN THIS OFFICE �r��TNE MY HAND OFFICIAL SEAL THIS � DAY OF [.�.,c. 2 �' �/ PAUL �S O'NEIL. CLERK & COMPTROLLER Bv l � OEPI 3Tv CLERK