HomeMy WebLinkAbout12-13329 ,� CITY OF ZEPHYRHILLS � '
5335-8TH STREEf
' (sis)�so-oozo 13329 '
BUILDING PERMIT
� �R�"I�f�TK)N Lt�C Ttt�+l N�11�R�AT�fN
Permit Number: 13329 Address: 39423 9TH AVE ',
Permit Type: RE-ROOF ZEPHYRHILLS, FL. '
Class of Work: ROOF REPLACEMENT I Township: Range: Book:
Proposed Use: NOT APPLICABLE I, Lot(s): Block: Section: ,
Square Feet: I Subdivision: SUNSET ESTATES '
Est. Value: '� Parcel Number: 12-26-21-0300-00000-0150
' Improv. Cost: 5,720.00 �
, Date Issued: 8/13/2012 � Name: MCMAHAN, MARY MARGARET
' Total Fees: 65.00 .� ' Address: 39423 9TH AVE �
� Amount Paid: �d 1�c.5`.dU 6 'f 3-l � ZEPHYRHILLS, FL. 33542 �
� Date Paid: Phone: (813)782-4413 �
Work Desc: REROOF PARTIAL 18 1/3 SQ �
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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 acxessible.
� NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 i
i 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, S ifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT C SIGNATURE PERMIT OFFI R
P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
i PROTECT CARD FROM WEATHER
ais-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received phone Contact for Permitting � _ �
� � 1 7 1 1 1 �- - - - - - -1-t �-1-1 --
Owners Name /� G Owner Phone Number -Ol � ���• ��
Owners Address Owner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 39 a 3 � LOT# ��
SUBDIVISION SWI�iLV� C.���� PARCELID# ��'-d�Q�a� � O3D ��� �� SV
�OBTAINED FROM PROPERTV TAl(NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIC�N O � DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE Of CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �Y.3 • �'
BUILDING SIZE S�FOOTAGE HEIGHT �. �
�BUILDING $ C ��� D VALUATION OF TOTAL CONSTRUCTION
J
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �G-�
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� � �� t��
�GAS Q ROOFING Q SPECIA�TY O OTHER ��
FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE C en Y/N
1 ' ' F 33S / s�1
Address License# ��L V �,�
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 REGISiERE� Y! N FEE CURRE� Y/N
Address
License# -�
Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllllliillll
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)working days after submittal date. Required onsite,Construction Plans,S[ortnwa[er Plans w/Silt Fence installed,
Sanitary Facilities&t dumps[er;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meel compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'•PROPERTV SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of applica[ion,nolarized
If over 52500,a Notiee of Commencement is required. (AIC upgrades over 57500)
" Agent(for ihe contractor)or Power of Attomey(for[he owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applica�ion Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIOVSurveylFootage)
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 WaterlSewer 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'SlOWNER'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 pertormed to meet standards of all laws regulating
construction, Counry and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment 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 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 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 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE F IMPROVE ENTS TO YOUR PROPERTY. IF Y INTEND TO TAIN FINANCING,CONSULT
WITH YOUR LE E OR AN A ORNEY BEFORE RECORDING Y U NOTICE OF OMMENCEMENT.
FLORIDA JURAT(F. 117. )
OWNER OR AGENT CONTRACTOR
ed and sworn to( a r b ar me thi� Su and swo 0 or a i e before e t s
�• by _����bY r-
o is/are personally k wn to m or haslh pwd�ee�- Who is/ re perso known o me o as/have pro ee�
�---�-_ as identification. as identification.
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Commission ission No.
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Name of N p�r e�� '� ry ryPe ` -
,� Ar,= My Comm.Expires Oct 25,201 me of Nota
Commission#�EE 131770 =,� �=Mp Comm.Ezpires Oct 25.2015
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Busines �f��-
Professi��C�l Product Approval
USER:Public User
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� Product Aooroval Menu>Product or Aoohcatwn Search>Applieation List
�� Search Criteria Refine Search
Code Versfon 2010 FL# ALL
�� Applicatio�Type ALL Product Manufacturer GAF
Category Roofing Subcategory Asphalt Shingles
Application Status ALL Compliance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contract ExpiredALL
Product Model, Number or NameALL Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
Impact Resistant ALL Design Pressure ALL
Other ALL
----- ----- - ------ --------—- —- --
Search Results-Applications
FL# Tvpe Manufacturer Validated B Status
FL10124-R6 Revision GAF John W. Knezevich, PE Approved
Historv Category: Roofing
Subcategory:Asphalt Shingles (954)772-6224
FL10124-R7 Editorial Change GAF John W. Knezevich, PE Re-Apply
Category: Roofing
Subcategory:Asphalt Shingles (954)772-6224
`Approved by DBPR.Apprwals by DBPR shall be reviewed and ratified by the POC and/or the Commission K nxessary _
Contact Us 1440 North Monrce Street.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer �povriaht 2007-2010 State of Florida. pnvacv S[a[ement qccessibili[v Sta[ement Refund Statemen[
Under Florida law,e-mail addresses are public records.!f you do not wan[your e-mail address released in response to a public-records request,do not
send eleRronic mail[o this entity Instead,con[aR the office by phone or by treditional mail.If you have any ques[ions regarding DBPR's ADA web
accessibitity,please contact our Web Master at_webmaster�dborstate.Fl.us.
Produd Approval Accepts:
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Busines �,�� -
Professi��a� Product Approval
USER:Publit User
�;eyulati�.}rr
� Product Aoproval Menu>Product or A�plicaUOn Search>Appliwtion List
�� Search Criteria — --- Reflne Search
Code Version 2010 FL# ALL
� Application Type ALL Product Manufacturer GAF
Category Roofing Subcategory Asphalt Shingles
Application Status ALL Compliance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contract ExpiredALL
Product Model,Number or NameALL Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
Impact Resistant ALL Design Pressure ALL
Other ALL
-- -------------- —
Search Results-Applications
FL# Tvpe Manufacturer Validated B Status
FL10124-R6 Revision GAF ]ohn W. Knezevich, PE Approved
Historv Category: Roofing
Subcategory:Asphalt Shingles (954)772-6224
F�10124-R7 Editorial Change GAF John W. Knezevich, PE Re-Apply
Category: Roofing
Subcategory:Asphalt Shingles (954)772-6224
*Approved by DBPR.Approvals by DBPR snall be reviewed and ratified by the POC and/or the Commission if necessary
Contac[Us 1940 North Monroe S[reet.Tallaha<sc F����oo Phone:850-487-3824
The Sta[e of Florida is an AA/EEO employer Coovrioht 2007-2010 State of Florida privacv Statement Accessibilitv 5[a[ m nt Ref�nd Statement
Under Florida law,e-mail addresses are public records.If you do not wan[your e-mail address released in response[o a public-records request,do not
send elec[ronic mail to[his entiry Instead,contac[the o�ce by phone or by treditional mail.If you have any ques[ions regarding DBPR's ADA web
accessibi�ity,please contact our Web Master at webmaster�dbor.state.fl.us.
Produd Approval Actepts:
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2012134709
PertnitNo. �+ I� ParcellDNo_1��a� '�� '�3(7�f-��-0/�
NOTICE OF COMMENCEM^ENT
Stateof �1..01'6�cL Counryof_ !Q't�(�
mv�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordanca with Chaptar 713,Florida Statutes, ��Q
the following infortnation is provided in this Notice of Commencement: � �
i `es�uiption4 P�eml�l�f���-OT I S No.�d1l�SS D PC� 500'1�ZID—0 a�(� p�s• 7p.�,��iRTl3S N m u�i
Stree�Ad�ress: ,
a94a3 y � ,
2. Generel Description of Improvemen[ n p
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3. Owner Information or Lessee infortna ion iT Ihe Lessee contraqed for the improvement:
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�� �'i� f�l-ikl(.(�C.�' ���IS �/ 77c�� v m f1
'__'_ss �1�'�' City�' �' S��� 'O ��+
Interest in Property: vuJrl� State �m�
Name of Fee Simple Titleholder• �1�
A m
Qf differen from Owner listed above) ''°
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Address ��ry �
4. Contractor ...�c. � ��•_tr�n,���-� Slate
Name
R ��� �,n ,� r�,� �� �,h,�,5 �, �i
Address Q Cdy State
Contraclors Telephone No. Q 1��.$� O�-1Z(�
5. Surery' .ti
Nam
�7? ip L�A�� -3��� �•-ri� C�� �1 3�'_��5
Address ry �v
Amount of Bond: $ S ���p� �� �_ � State OD�
Telephone No. �..>Z J(,,,'� �Z(}'�,. O��
6. Lender Af��}' �(O�
Name ��o
NZ
Address CiH m
State �Fa�»
Lenders Telephone No. �r
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7 Persons within the State of Florida designated by the owner upon whom notices or other documenls may be served as provided by w�o
Section 713.13(1)(a( ),Florida Statutes:
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Name D
N
CI
�FaO
.,l C1 �
Address Ciy State p m
Telephone Number of Designated Person: /✓/�' .,ti�
x
8. In addition to himself,the owner designates �w+Q°
ot �
to receive a copy of the Lienors Natice as provided in Section 713.13(1)(b),Fbrida SWtutes. N 3
Telephone Number of Person or Entiry Designated by Owner � �
1
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9. E�iratlon date of Notice of Commencement the e �
( �iration date may not be before the completion of construcGon and final a �
p yment to the �
contractor,but wiil be one year from the date oT recording uMess a different date is specified): L^
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 RECORDINC,VOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I dedare that I have read the foregoing notice of commencement and that the facts stated therein ere true to the best
of my knowledge and beGef.
STATE OF FLORIDA "�n„ G��
COUNTY OF PASCO /���
Signature oi r or Lessee, Owners or Lessee's Aufhorized
OfficeNDiredor rtnerJManag
Signator�/s Title/O(fice
The foregoing inslrument was acknowledged bet,to�r1e�m��e this � day of�,pp�,by �ZCa x� r(�p,._hC�....
as_ u'[.c�{�l�1'� (lype oi authority,e.g.,�cer,trustee,attomey in fed)tor
(name of party an behalf of whom instrument was exeaMed).
Personally Known❑QFj produced Identificetion y- Notary Signature
Type of Identificahon Produced /���5.�� �� 7 �
ame
2 ,,,,,,.,,
�P� p`°�''a SUUNNE AI.LEN
C° � °�a-fs'C�1' _� �•
£ N��Y Publk-Sqte of florida
;;� �r My Comm.Expirea Oct 2s,yp�S
''�•°;,',h�•`� Ccmmisske�EE 191770
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s�.aT�o� �i.oR«a, ou��t.x����o
?HIS IS TQ CERTIFY�PI � i� �S A �„
TRUE AND CORR���f�. OF TFj�DO Wl�'NT ��-"�
ON FILE OR C�R�lB�I�RECORD�fl� S�E�I�E ';4�;�
Jvl 'J�SS MY HA�JV� �OFFICIA�SE'�Tf-�I��1.' ? �
� � DAY�OF ` � �2 C7/L� >' �a��`'�
PAULA S O'NEt�, Gk, � OIU�#�• RC�LLER � ��'
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-- } ,. �CERK
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