HomeMy WebLinkAbout12-13085 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(si3)�so-oo20 13085
BUILDING PERMIT
Permit Number: 13085 Address: 37519 NEUKOM AVE LOT 141 137
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-1410
Improv. Cost: 6,850.00
Date Issued: 5/18/2012 Name: SMITH, ROBERT& NANCEY
Total Fees: 70.00 Address: 37519 NEUKOM AVE LOT 141 137
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/18/2012 Phone: (813)782-0123
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL 40-l �J` � �'
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 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 roperly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete PI S ifications Must A n Application.All work shall be pertormed in accordance with
Ci and Ordin�nces. NO OCCUPANCY BEFO C.O.
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C RACTOR 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 Phone Contact for Permittin —
.
Owner's Name Owner Phone Number
Owner's Address .,.� � er Phone Number �
Fee Simple Titleholder Name er Phone Number �
Fee Simple Titieholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FO T E� HEIGHT ��
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�I J
OGAS ROOFING Q SPECIALTY Q 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/ N FEE CURRE� Y/N
Address License# r— �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Li nse#
OTHER COMPANY
SIGNATURE REGISTERED Y I FEE CURR /N
Address 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)woiicing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)compiete sets of Bufiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consUuction.
Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faalities 8 1 dumpster.Site Work Permft for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*'"*PROPERTY SURVEY required for all NEW consUuction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over E7500)
*" 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(PIoVSurvey/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 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 Depa�tment 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 all laws regufating
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 Environmentaily 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 fili 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 Fiorida.
- 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 fii� 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 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, 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 fo�a period of six(6) months after the time the work' me ed. An extension
may be requested, in writing, from the Building Official for a period not to exceed nin 90) da and will demonstrate
justifiable cause for the nsion. If work ceases for ninety(90)consecutive days e job is sidered abandoned.
WARNING TO N : YOUR FAILURE TO RECORD A NOTICE OF OMMENC ENT MAY RESULT IN YOUR
PAYING TW FO IMPROVEMENTS TO YOUR PROPERTY. IF YO INTEND OBTAIN FINANCING, CONSULT
WITH YO LEN R OR AN ATTORNEY BEFORE RECORDING Y , OF COMMENCEMENT.
FLORIDA T(F. .117.03) � �'
OWNE OR T =t�ONTRACTOR
Subs bed m r afflrmed)before me this � Subscribed and s rmed)before his
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Who i e kn wn to me or ve produced Who re pers known to me or ha as identificat on.
dentlficatlon.
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Notary Public
� ~ Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� �. ���trett �.00fi�g �f �Cer�tr�r ,�'rorib�., ��c.
C/O Richard Bartlett
38408 3rd Ave.
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„�--'` Zephyrhills, FL 33542
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' � One of the Largest, Oldest, Most Dependable OFFICE
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' �` �`fi Roofing Companies in Central Florida PHONE
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�, t � � ; ,,�' Specializing in Mobile Hpme JP$t,�vens White Rubber Roofs (g 13) 782-5585
,-,'` �, ', },r' '` �`� & Insulated Aluminum Roof Overs (g13) 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 Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or repaired more roofs(16,000)in the past 38 years, than the four local leading roofing companie��ombin�.
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President &;�n�r�A. B lett Roofing of Central FL, Inc.
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Sign: - ,'---__ __�-_=�t � f�"". .
7 r� Fichard 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 fire,tomado and other necessary insurance._�f
Our workers are fully covered by Workmen's Canpensatron lnsurance.Customer is liable for any charges incurred in collec6ng this bilL ,
Rorien wood is an exira$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. TOtal _ -
L .� G A L D E S C R I P T I 0 N:
ASSESSED IN SECTION 34, TOWNSHIP 25 SOUTH, R.ANGE 21 EAST,
PASCO COUNTY, FLORIDA
GRAND HORIZONS-PHASE ONE PB 34 PGS 99-102
LOTS 141 & 137 OR 4700 PG 104
OR 5843 PG 1284 OR 5843 PG 1286
Permit Na
,�-�� NOTICE OF COMMENCEMENT
State of__ County of �-tD .
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the foliowing information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No.
StreetAddress: 37519 NeK�m Drive Zephyrhills , FL 33542 (Grand Horizons)
2. eralDescr' 'onofl rovement reroof 3 tab shingles MH
. -- -- --�o a �0000 �
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
Robert Smith
Name
37519 Ne�clGtm Dr . Zephyrhills , FL 33542
Address City State
Interest in Property
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address A Bartlett Roofing ��tY State
4. Contractor:
Name38408 3rd . Ave . Zephyrhills , Fl 33542
Address
Contrador's Telephone No.:
813-782-5585 C'�' state
5. Surety:
Name
Address I I�I�II IIIII IlIII II�II IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII .e
Amount of Bond: $
2012086071 —
6. Lender•
Name —
Rcpl.:1436531 Rec: 10.00
Address DS: 0.00 IT: 0.00
Lender'sTelephoneNo.. 05/Z1/12 D. Bonilla, Dpty Clerk te
7. Persons within the State of Flo�ida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
PRULA 5 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
Address 05/21/12 ���� pG°��� state
Telephone Number of Designated Person: OR BK
8. In addition to himself,the owner designates of
to receive a copy of the Lienor's Notice as provided in Section 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 construction and final payment to the
contractor,but will be one year from the date of recording unless a 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�NTEND 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 1 have read the foregoing notice of commencement and that the facl� statt.+�tthereirj-arp true to the best
of my knowledge and belief. �,�_�
STATE OF FLORIDA Npqy+�gy p�,-g�g��TATE OF FLORIDA
COUNTY OF PASCO ,�•����••., Rehard C. Bartlett
=Cuaam�sslon#DD878490 at er or Lessee,or Own s or Lessee's F�uthori
�14,n..r�Expite,s: dULY 31,2013 �ff�r 'ectoN artnedManager --�
B��DED�Cl�ZANTIC BO\'IIIIvG CQ,INC.
Signat ry's Title/ ffice
The faregoing instrument was acknowledged before me this� /day of � ,�
as —T
(type of authority,e.g.,officer,trustee,attomey in fact)for
(name of party on behalf of wham instrument was executed).
Personalty Known R Produced Identification❑ Notary Signature
Type of Identification Produced Name(Print) '
wpdatalbcslnoticecommencement_pc053048
�-�A���,���.�'B�iP�;EUU�'�1T�°OF PASC£7
THIS 15•l'�UERT�FY TN�,?�THE FOREVOi��G IS A
T�U�'Af�}G CORREGT�G�`('0�=THC?�iOCUMENT
pN rILE OR OF �UBLlC F'tE,GQ�� IN TH9�OFF.lCE
WI�NE S MY HF,ND ' F.FIGBAL SEALT�
� DAY OF �'
LERFC� � MPTF201�LER
PA ,
BY . -�-_._�EF�U r'7`���FRr<
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