HomeMy WebLinkAbout12-13047 , CITY OF ZEPHYRHILLS '
5335-8TH STREET
(sis)�so-oo20 13047
BUILDING PERMIT
Permit Number: 13047 Address: 5910 17TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04800-0200
Improv. Cost: 6,450.00
Date Issued: 5/07/2012 Name: BOYLE, DARIUS
Total Fees: 70.00 Address: 5910 17TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/07/2012 Phone:
Work Desc: REROOF SHINGLE
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TAPE JOINT ROOF��2
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 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 ow r: Your failure to record a notice of commencement may result in your paying twice for
improvemen o your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complet lans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�JO'
SIGNATURE PERMIT OFFI R
MIT 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 Phone ntact for Permittin
Owners Name Owner Phone Number
Owners Address � Owner Phone Number � �
Fee Simple Titleholder N Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION �- � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSEO B NEW CONSTR e ADD/ALT � SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK --�
BUILDING SIZE SQ FOOTAGE� HEIGHT ]
OBUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECTRICA $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREA 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#
OTHER COMPANY
SIGNATURE REGISTERED / N FEE CURRE� Y/
Address .� License# � �
RESIDENTtAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivfsionsAarge 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&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 applicatfon completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is required. (A/C upgrades over;7500)
*' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubtic 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 T13, 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", 1 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 a�l 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 inciude 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 8� 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 wali
construction, I certify that fill will be used only to fill the area within the stem wali.
- 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�II is found to adversely affect adjacent prope�ties, 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 COMME ENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN OBTAIN FINA CING, CONSULT
WITH YOUR LENDER N ATTO N BEFORE RECORDING YOUR N OF COM NT.
FLORIDA JURAT(F.S.11
OWNER OR AGE —� CON CTOR
me this S cribed and s d)before me this
Subsc�lbed and s by
Y o ts/are erson k to me or has/have produced
Who islar ersonally own to me or h ave produced p as identification.
as identlficatlon.
_�----
Notary Public
Notary Public
Commissian No. Commission No.
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P
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' C/O Richard Ba�letf
. 38408��r� e�
�, - ' Zephyrhills, FL 3�
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. ' :.� �:-~Y.._._..,�---�3�ne,of the Largest, Oldest, Most Dependable OFFICE
.. � � �` ,� � Roofing Companies in Central Florida � � � PHONE
,�,�- } Sp��cializing in Mobile Home JP.Ste.vens White Rubber Roofs �� ' �813� 7H2-5585
' ` �- - ' & Insul�ae�-Aluminum Roof Overs
, -- ��, ��\ (813) 973-7737
� ., RESIDENTIAL • Cl�?MMERCIAL • MOBIL���#QME � (352) 523-1944
,,� r LICENSED - INSURED - BONDED ` �� � Lic. #CCC 1325499
• MEMBER OF THE CHAMBER OF COMMERCE•
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Serving Zephyrhills, Dade C�q, Qua�1 Hol�ow, Wesley Chapel, Lar�..,_O' Lakes and Surroundir�g Ar�as
We have.re-roofed or repaired more�pofs(16,000)in the past 38 years, than the four locay-I�ading roofing�czmpani�com�'ined.
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President & Owr�er q4. Bar�le�t I�oo#ing of Central FL, Inc.
Sign: " -w f�:�,, .y� ''..I.�
� Ric ard C.Bartlett
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry lire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. TOtal
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ASSESSED IN SECTION 11, TOWNSHIPR26 SOUTH, �RAN
PASCO COUNTY, FLORIDA GE 21 EAST,
CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 20 21 & 22
BLOCK 48
Permit No._ OR 8 6 5 7 PG 12 5
NOTICE OF COMMENCEME� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIfIIIIIIIIiIi
State of County of 2012073597
THE UNDERSIGNED hereby gives notice that improvement wtll be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following infortnatlon is provided in this Notice of Commencement:
1. Descriptlon of Property: Parcel Identiflcation No.
StreetAddress: 5910 1'ith Street Zephyrhills , FL 33542
2. General Description of Improvement r e r O o f H o u s e S h i n g 1 e s
Rcpt:1432188 Rec: 10.00
DS: 0.00 IT: 0.00
3. Owner Infomiation or Lessee infortnation if the Lessee contracted for the improv�nent: 05/01/12 C. Cook, Dp{,y C 1 erk
Doris Boyle
5910m�'�th S�teet Zephyrhills , FL 33542
Address City State
Interest in Property:
Name of Fee Simple Titleholder:
(If different from Owner listed above)
' Address A B a r t 1 e t t R o o f i n g ���Y state
� Contractor.
Name
" �R �nR `i,-� AvP Zephyrhills , FL 33542
Address 813—7 8 2—5 5 8 5 �'� State
Contradors Telephone No.:
5. Surety:
Name PpULA S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
05/01/12 02:40 m 1 of 1
Address ���, OR BK ���1 p� ����
AmouM of Bond: s Telephone No.:
6. Lender:
Name
�d�g$ ��ty State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(�,Flo�ida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates
of
to recelve a copy of the Lienors Notice as provided In Sectlon 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of conshuction and final payment to the
contractor,but will be one year from the date of recording unless e 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 1, 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencemeM and that the facts stated therein are true to the best
of my knouviedge and beNef.
STATE OF FLORIDA
COUNTY OF PASCO NOTARY?UBLIGSTATE OF FLORIDA � �
�""''• Richard C. Bartlett Signature of Owner or Lessee, Owner's or Lessee's Authorized
Commission#DD878490 OfficeNDirector/Partner/Manag
•�?.•�Expires: NLY 31,2013
BONDED THRII ATLANfIC BO�r'DING CO.,ING Q��)rs �
Signatory's�tl ffice
The foregoing instrumeM was ac owledged before me this Z�pay of ,20�1��
as
(type of a o►ity,e.g.,officer,trustee,aflomey in fact)for
(name of p be instrument was executed).
Personally Knovm �Produced Identlflcation❑ Notary Signatu
Type of Identification Produced Name(Print) �
wpdata/bcs/noticecommencement�c053048
S7A7E(3F F�.O�tIG'A,COUNTY 0� �'ASCG
THIS IS TC CERTIFY THAT THE FORE'.�OING IS J�
TRl1E AND CORREGT COPY OF THE UC7CUMENT
ON FILE OR OF PUBLIC RECORG ;sv THIS OFFICE
WITNESS MY HAND AN OFFIGIN�SEALTHIS?
i � G 1 4'
PAU�O NEI�F LERK�% .OMPTROL R
, ,� ;
BY' � � 9�( .�.��'�= � � '��� ---pEPU��Y CLERK
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