HomeMy WebLinkAbout12-13292 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
� (813)780-0020 � 292
BUILDING PERMIT
Permit Number: 13292 Address: 6110 16TH 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: PARK HILL
Est. Value: Parcel Number: 02-26-21-0180-00000-0720
improv. Cost: 4,800.00
Date Issued: 7/30/2012 Name: HANSEN MARY JO
Total Fees: 60.00 Address: 6110 16TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 7/30/2012 Phone:
Work Desc: REROOF SHINGLE
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TAPE JOINTS O INSP
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 resuitlng
from faulty oonstruction c) repairs or con�ctions 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 acoessible.
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 twioe for
improvements to y r property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notioe of commenoement."
Complete Pla fications Must Acoompany Application.All work shall be performed in aocordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
a
C N TO NATURE PERMIT OFFI R
P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Jacqueline Boges
To: Accurate Insurance Mart
Subject: RE: PERMIT REQUEST
Attachments: bp 13292.pdf
The permit was pulled on July 30th 2012 see attached. Bp#13292 (Address 6110 16th St.)
From: Accurate Insurance Mart �mailto:abcinsCalhotmail.coml
Sent: Wednesday, August 15, 2012 2:40 PM
To: ]acqueline Boges
Subject: PERMIT REQUEST
Please email or fax a copy of the permit for a new roof installation for the following address:
MARY JO HANSEN
6110 16TH ST
ZEPHYRHILLS, FL 33542
parcel#02-26-21-0180-00000-0720
Thank you,
Janelle
Accu�ate Insurance Mart
38232 5th Ave
Zephyrhi//s FL 33542
fax (813)944-5004
phone (813)780-685I
http://www.abcinsu ranceoftampa.com/
i
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date�teceived pho Contact for Permittin __
Owner's Name Owner Phone Number
Owner's Address � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Addreaa
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID�
(OBT/UNED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE UF CONSTRUCTION Q BLOCK Q RAME Q STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ TAt3 C� HEIGHT
QBUILDING VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBIN y
��32 � �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q 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# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y N EE CURRE� Y/N
Address cense
OTHER COMPANY
SIGNA REGISTERED / N EE RRE� Y/N
Address ` License#
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)woricing days aRer submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facflities&1 dumpster;Site Work Perm(t for 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 aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
�w��PROPERTY SURVEY
required for all NEW constructlon.
Directions:
Fill out applicatlon oompletely.
Owner&Contractor sign back of application,notarized
If over 52300,a Notice of Commencement la required. (A/C upgradea over;7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with noNarized letter from owner authorizing same '
OVER THE COUNTER PERMITTING (Front of AppHcation 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 RESPONSIBILITIE8: If the owner has hired a contractor or
contractors to unde�take work, they may be required to be Ifcensed in accordance with state and Io�al regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be clted�for a misdemeanor violation
under state law. If the owner or intended contractor are unc�in as to w�at licensing requirements may apply for the
intended work, they are advised to contact the Pasco Counry 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 app�ication for which they will be responsfble. If you, as the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Counry.
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 exfsting 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 cert�cate 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, lhey must be paid prior to permit issuance in accordance with appifcable 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'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 applicabie 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 instailation 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 A�eas and Environmentally Sensitive
Lands, WaterlWastewater Treatment.
- Southwest Flo�ida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, 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 following restrictions apply to the use of fill:
- Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
If the fill mate�ial 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, 1 certify that use of such fill will not adversely affect adjacent
prope�ties. 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 flll, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, 1 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, yas, 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 coRection of errors irr 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 cammenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety ) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the' is considered abandoned.
WARNING TO OWNER: UR FAILURE TO RECORD A NOTICE OF CO E EMENT MAY RESULT IN YOUR
PAYING TWICE FOR 1 VEMENTS TO YOUR PROPERTY. IF YOU I E O OBTAIN FINENCNT, CONSULT
WITH YO R LE O ATTORNEY EFO E R ORDING YOUR
FLORIDA JURAT(F. . `/
OWNER OR AGE CONTRACT �
re me thls Subscrib nd swo (or this
Subscribed and to r by
Who ls/a�e pe Ily wn has/have produced Who are person known e or s/haidve p�rod�u��en
dentlfica8on.
,!'`�
��
Notary Public � Notary Public
Commission No. Commissfon No.
ed, rinted or stamped Name of Notary typed.Printed or stamped
Name of Notary typ P
Pasco County Parcel: 02-26-21-0 l 80-00000-0720 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, July 28, 2012
Parcel ID 02-26-21-0180-00000-0720 (Card: 001 of 001)
Classification O1 - Single Family
Mailiny Address Property Value
HANSEN MARY JO Ag Land $0
6110 16TH 5T Land $15,785
ZEPHYRHILLS FL 33542-2654 Building $37,171
Physical Address Extra Features $657
6110 16TH ST
ZEPHYRHILLS FL 33542-2654 7ust Value �53,613
Assessed (Save Our Homes) $53,613
Le�al Descriution (Fi�st 4 Lines) Homestead 196.031 - $25,000
See Plat for thfs Subdivision Non-School Additional Homestead Exemption - $3,613
PARK HILI SUB UNIT 1 Non-School Taxable Value ;25,000
PB 14 PG 70 LOT 72 School District Taxable Value �28,613
OR 3978 PG 341 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description 2oninq Units Type Price Condition Value
1 0100 SFR OOR2 7,700.00 ,S,g $2.05 1.00 $15,785
Additional Land Information
Acres 0.18 Tax Area 30ZH FEMA Code X i AH Pi
Buildin� Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1978 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Centra I Baths 2.0
Line Descriptfoe Sq. Feet Repl.Cost New
1 F,Q 64 $1,302
2 F� 80 $814
3 � 204 $2,890
4 B/� 888 $36,142
5 � 60 $611
6 F 392 $6,390
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 W W 1978 444 $433
2 N 1998 600 $224
Sales History
Previous Owner STONE ANGELA R
Month/Year Book/Pa�e Type ��e Condition Amount
07/1998 3978/0341 Warranty Improved $67,900
Deed
03/1995 3409/ 0436 Warranty Improved $54,500
Deed
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0180&b... 7/30/2012
�. ���tY�tt �.00ftl�g �f �P�t��Y ,��O�i��, �1�c.
C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home JP Stevens White Rubber Roofs . �813� 7H2-5585
& Insulated Aluminum Root Overs (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 Chapel, Land O' Lakes and Surrounding Areas ;
We have re-roofed or repaired more roofs(16,000)in the pasf 38 years, than fhe fourlocal leading roofing companies combin�r-J.
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President & Owner A�c'¢artleit R�oofing of Central FL, Inc. �
Sign: �- � i; ' ,;;-'- �
�'s _ ' ' Ric ard C.Bartletl 'i
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,tornado and other necessary insurance. f�
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. �Ot81 ' '? ; -}' --
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2012125363
Permit No. Parcel ID No�Z��G`,�� -��gv^t7p�o0 - QT�►�
NOTICE OF COMMENCEMENT
State of County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Descrip6on of Property: Parcel Identification No.
streetAddress: 6110 16th Street Zephvrhills FL 33542
2. General Description of Improvement r e r o o f H o u s e 3 t a b s s h i n g 1 e s
3. Owner Inform�io�or Lessee information if the Lessee contracted for the improvement:
�i�9��� '��—Hansen
Name
611� 16th Straat 7gnh�rhi 1 1 c � FT. '�'�SG�
Address City State
Interest in Property�
Name of Fee Simple TiUeholder:
(If different from Owner listed above)
Address City State
a. Contractor• A Bartlett Roofing
� Nam
384�8 3rd . Ave . Zephyrh�ll�� F1 5�7
� Address City State
Contractor's Telephone No.: 813-7 8 2-5 5 8 5
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender•
Name
Address City 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)(7),Florida Statutes:
L E G A L D E S C R I P T I O N:
ASSESSED IN SECTION 02 , TOWNSHIP 26 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
State
PARK HILL SUB UNIT 1 PB 14 PG 70 LOT 72
8. OR 3978 PG 341
_...._. ...,��yi�a�w
Of
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner•
9 E�iration 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 INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,1 deGare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO � ��'L------
NpT��AItY pUBLIC-STATE OF FIARIDA yna ure o or Lessee,or Owner's or Lessee's A thorized
Richard C. Bartlett
y�"Cam�mission#DD87849Q Office irectoNPartneNManager J r
'Ex sesc NLY 31,2013 ��j�"/�� ' r�
�L�rF..�x�'t�cso���cco.,u�c. ign tory' •tle/Office ;`.
The foregoing instrument was acknowledged before me thisf�-7�'day of ,2p 1
as T
(type of authority,e.g.,officer,trustee,attomey in fact)for
(na of�arty b alf of wh 'nstrum t
Personaliy Known❑(�R Produced Identification❑ Notary Signature
Type of Identification Produced Name(Print)
Rept:1450363 Rec: 10.00
DS: 0.00 IT: 0.00
07/26/12 C. Miner, Dpty Clerk
PRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEh
� 07/26/12 10:13am 1 of 1
wpdata/bcs/noticecommencement.pc053048 OR BK g731 PG 195?
;:T�Tc�r �LQRiL�A,.�QUNTY.�UF Q�t�CO
THIS IS TO Cc�tTIFY,�H�iT ThiE FOREGOING�S�A
TRUE P,Nu COR�2E��'C611�'S'�'T}�E DOCt�b1E1�J�'�
ON FILE OR Q�PtJ�+���f2EC iS OFFJ�E
�,iiTNE�MY HAND�AN�OF� L TFtIS'`� "
(��_DAY OF _ � ' r�?�2,�
PAULA S O'NEIL, G � , f�O�L R �
�Y ��� • '' - ���� f�E�UTY G'LEf�K
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