HomeMy WebLinkAbout12-13509 , CITY OF ZEPHYRHILLS �r`
5335-8TH STREET
(si3)�so-oo20 13509
BUILDING PERMIT
Permit Number: 13509 Address: 6004 PARKHILL TERRACE DR#37-39
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-03300-0010
Improv. Cost: 5,790.00
Date Issued: 10/03/2012 Name: ZEPHYRHILLS LTD
Total Fees: 65.00 Address: P.O. BOX 5252
Amount Paid: 65.00 LAKELAND, FL. 33807-5252
Date Paid: 10/03/2012 Phone: (352)257-0032
Work Desc: REROOF SHINGLE 22 SQ ( #37-39)
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TAPE JOINTS ROOF INSP
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resu�lt�'�ng
from faulty construction c) repairs or wrrections 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 aa:essible.
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 property. If you intend to obtain financing,consult with your lender or an attorney
Com lete Plans S ����0���9 your notice of oommencement."
p , pecifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CTOR 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 I 3 a - a D
Phone Contact for Permittin
t
Owner's Name i Owner Phone Number • ' OD�
Owner's Addresa ,0. Owner Phone Number 2�U�
Fee Simple Titleholder Name ( ✓
Owner Phone Number �
t
Fee Simple Titleholder Address
JOB ADDRESS � ,}j�i �, �
' T� LOT X
SUBDIVISION PARCEL IDN O � • •D
(OBTAINED FROM PROPEHTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD(ALT � SIGN Q � DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL �
DESCRIP710N OF WORK •
BUILDING SIZE SO FOOTAGE HEIGHT �
QBUILDING $ I �D O
,� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY
Q W.R.E.C.
�PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY
� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER COMPANY
SIGNATURE � �._S •
REGISTERED Y/ N FEE CUR Y!N
Addreas (�/
� License# L Q �
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
AddflS$ �
License 8
PLUMBER
SIGNATURE COMPANY
REGIS7ERED Y/ N FEE CURRE� Y/N
Address
License#
MECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURREA Y�N
Address
License#
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�111#11111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construaion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed,
COMMERCIAL Attach 3)co1mplete sets of Building P ans p usra L'rferSafety Page;/(1)gsetof E ergy Forms.R-O-W Permit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SiR Fence installed,
Sanitary Facili[ies&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 construaion.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If eve►52500,a NoNce of Commencement ia required. (qiC upgrades over 57500)
"' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs'rf 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 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'S/OWNER'S AFFIDAVIT I certiTy 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 certity 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.
- Southwest Florida Water Management District-Welis, 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 FA URE TO RECORD A NOTICE OF COMMENCEME MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEME S TO YOUR PROPERTY. IF YOU INTEND TO OB N FINANCING,CONSULT
W H Y R LE OR AN ATT NEY BEFORE RECORDING NOTICE OF C MENCEMENT.
FLORIDA JURAT(F. 117 3)
OWNER OR AGENT CONTRACTOR t
S i and sworn to aifi ed or e his Subs ib and swor
py � (or affi efore rye th'
Who i are personally own to me or have �y J �
�iden'rfication.
N/h¢. are person kno me or ave pr ed
as ideM'rfication.
SU2A E ALIEN � �, v�,,,
,� �B,,, �p�(�,d�t Florid ^ .• n 8�.,� SUZANNE��E��q
Commission o.•��o~� '�C. g OC125�Z��Co ission No. �= Naary U IC- (8tQ 01 FII�Ofld1
'• ,s�y asio�*EE 131770 ' O1S
Name of No r stam e COIIp�iRi0f1#r EE 1$1770
�.,����������. ame of Notary ry print m
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Code Version 2010 FL# Refine Search
Application Type ALL Product Manufacturer ALL
Category Roofing Subcategory GAF
Application Status ALL Compliance Method Asphalt Shingles
Quality Assurance Entity ALL 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 Bv Status
FL10124-R6 Revision GAF ]ohn W. Knezevich, PE A
Historv Category: Roofing PProved
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.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary
Contact = 7.9q0 North Monrce tr Pr Tallaha< ai a�voo phon :
0-487-1824
The 5[ate of Florida is an AA/EEO employer �oovrioht 2007-2010 State of Florida. Pnvatv 5 t m nt Accessi4ititv 5[atement Refund ScatnmA�r
Under Florida law,e-mail addresses are pubiic records.If you do not want your e-maif address released in res
send eleRronic mail to this en[ity Instead,contact the o�ce by phone or by[raditional mail.If you have an�nse to a public-records request,do not
accessibility,please contact our Web Master at webmasterC�dbor tat Fl uquestions regarding DBPR's ADA web
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Busines��.�
I"rO�CSS�V��) � SERa b`��A�rroval
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;i�'�UIaCi�?��
��� Product Aooroval Menu>Product or Aoolicatwn Search>qpp���tion List
����� Search Criteria ------------ — ----
Code Version 2010 FL# Refine Search
Application Type ALL Product Manufacturer ALL
Category RooFing Subcategory GA�
Application Status ALL Compliance Method Asphalt Shingles
ALL
Quality Assura�ce 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 ManufacYUrer Validated Bv Status
FL10124-R6 Revision GAf John W. Knezevich, PE A
Historv Category: Roofing pproved
Subcategory:Asphalt Shingles (954) 772-6224
FL10124-R7 Editorial Change GAF ]ohn W. Knezevich, PE Re-Apply
Category: Roofing
Subcategory:qsphalt Shingles (954)772-6224
�*Approved by DBPR_Approvals by DBPR shall be reviewed and ratified by[he POC and/or the Commission if necessary_
Con[a 1940 North Monroe sr r Tallaha c FL 32�oq phone�9S�n_en�_lg?p
The Sta[e of Florida is an AA/EEO employer Coovriaht 2007-2010«�
f Florida Privacv.tat m nt A�cessibilitv Stat m .n.r Refund t m nt
Under Florida law,e-mail addresses are publ�c records.If you do no[want your e-mail address released in response to a public-records request,do not
send elec[ronic mail to this entity Ins[ead,contact the office by phone or by traditional mail.If you have any ques[ions regarding DBPR's ADA web
accessibility,please contaCt our Web Master at�bmaster(�dbor tate Fl u.
ProduR Approval Accepts:
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Pem�k No. �/� Paroel ID No_ �bC '�1D��� ` � �J��� -DO t D
�( � NOTICE OF COMMENCEMENT
State of ��l�r`l.0'Y�'� Counry ot �Cl S C�
THE UNDERSIGNEO hereby givec notice that knprovement wip be made b certain real property,and in aocordance with Chapier 713,Florida Statutes, m�
the fopowing Infortnation is provided in this Notice d Commencen S 602 FT OF W 385 FT(�F E 68�F'T QF SE tl$GF&E7/4 RB 798 p(`,1083 N�
1. Desaiptlon otPJroplerty: Parc I Identifice6m No. �=
SVeet Address.• 1 /�� � f' l�k„ � � ' �--
• /�tt��P� N�
2. Generel DesaipNon d ImprovemeM � ' � �=
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3. pwner Infortnation a Lessee information if the Lessee conUaded for the Imprrn�ament• ��
'� !._ � °—
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��Namesa.s�. -
4 �L .33'QD1 =
nterest in Property: .�.Y' �ty Stete �
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Name of Fae Simple Titleholder. �
Qf diffe�ent Owner listed above) -
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�d� Gh' State �
4. Contractor: C �
A�L� "�"��-I l �)�d � r ; s �.33s�1
� � i 3-� a-a9 a,a Gry S��e
Contrectors Tel e No.:
5. SureA'� �. O . �-► p�
A d�a.t'°cS u.+5 3�( ' m`�'�
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s��e �. �
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AmouM ot Bond: E S� Tebphone Na.. F+��
6. �eader:
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Name A �
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�� �' Stete 3 W
lendat's TelepFane No.: ,,,.
7 Persons withln tl�e State of Florida designated by ihe own�upon wlwm notices or other documeMs may be aerved e,q p�ded b � ��
Sedim 713.13(��/�aWa Statutes: y - Q
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Name �•
'G m�+
e'�61m
Address �, �
Tdephone NumDer of Dasignated Person: C State A �
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8. In additlon W hknself,the owner designates � 7
- 7r
W receive a copy oi the Lienors NoUce as provided in Section 713.13(1 xb),F�«ida Statutes.
Telephone Number of Person a EnUry Designated by pamer.
9. E�iratlon date of Notice of Commencemerrt(the e�IraUon date may not be betore the oompletlon of construction and flnal pay��W the
wntractor,but wIN be one year from fhe date d recording urdass a dlfferent date Is sP��ed):
WARNING TO OWNER: ANY pAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMEPICEMENT � a
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, IWp Cqp� �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT IMUgT gE �� D
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,OpNgULT (�
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK p►t RECORDING YOUR NOTICE OF COMMENCEMEPfT, W� v'
Under penalty of perjury,I dedare fhat 1 have read the toregoing notice of commencemeM and thet the lads stated theraln are true b the best �N Z
of my knowledpe and belieL
STATE OF FLORIDA �� '"
COUNTV OF PASCO �..t . �. �''�r
� �N �
Sig ra of Ownx or Lossee.or Owners or Lessee's ' � o
Officer rectaNPartner
w�s �'l r�-c�4o �+'�3 �
D
� Signataya Tdk/O(hce � o
The foregoing instrumerit v�aclmowledged�(ore me th � day�[����,� YKs � �
as D 1 -�. r (typ,or autn e. orBcer� .attomey in ct>ro. +f �
�Y. g.. �
� . S T of party on beha�t ot who u mrt was execa�le�j. �,,, 4,
Personalty Known Praduced Identiftcadon❑ Notary Sipnature � c�
Type of Identificetian Produced 3
Name(PriM) � �
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a � JUDITHLSqW�A m
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D(PIRES:J�uie 6,2013
�'�' Ba�d�d Thu Naory P+i61c Ikidetrnde�s
wPdata/b�h�oticecortwnenoerr�entsco5904b
57A1'E OF F6C�RIDA,COUNTY OF PASCO ��1i�iC(,��
THiS IS TO CERTIFY THAT THE FOREGOING IS A �C • ' • � Qj�
TRUE AND CORRECT GOPY QF THE DOCUMENT g ,
ON FILE OR OF PUBLIC RECORq IN TNlS OFFIC �G
�V{3�ESS MY HAND At�Q OF ICttI--A��L,,,,SEAL THIS � • • �►
� � DAY OF �—��J `�'� �\�l d' 7�r§�h,e�-r
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PA S 'NEI CLE K&COMPTROLLE ���a••; : *
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